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1 Research Center, Rockland State Hospital, Orangeburg, N.Y.
2 the Section of Investigative Psychiatry, New Jersey Bureau of Research in Neurology and Psychiatry, Princeton, N.J.
Two pilot studies of BC-347, a quinoline derivative, were performed in groups of male chronic schizophrenic patients of very similar ages and lengths of hospitalization in two different research units. Tenpatients in study I were given doses increasing from 10 mg daily to a maximum of 250 mg daily over 12 weeks. In study II, two patients were dropped in the early stages for lack of effective behavioral control. The remaining 12 had doses increasing from 5 mg daily to a maximum of 200 mg daily over 12 weeks. Improvement of minimal degree was seen in eight patients, and of moderate degree in one patient in study I; in study II, even minimal improvement was noted in only three patients. Psychiatric and nursing rating scales showed improvement in irritability, motor disturbances, and mannerisms and posturing; improvements in schizophrenic disorganization and thinking disorganization were seen in study II only. Occasional elevations in liver function tests, of doubtful significance, were seen in both studies. Major side effects included drowsiness, insomnia, and tremor. The relationship between preclinical animal behavioral effects and clinical findings was discussed. The drug does not appear promising for the treatment of schizophrenia.
Note:
Drs. Simpson and Angus thank D. Amuso, R.N., F. O'Keefe, R.N., J. Plastino, R.N., P. Power, R.N., and the nurses and staff on wards 124 and 125 for their help in study I; E. Laska, Ph.D., advised on statistical matters. Drs. Sugerman and Stolberg thank Jane Herrmann, R.N., and Mary O'Hara, R.N., for their help in study II; Kamill Kovach, M.D., interpreted the electrocardiograms. William Guy, Ph.D., analyzed data from both studies at the Biometric Laboratory, The George Washington University, Washington, D.C.
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