Could a common seizure drug help schizophrenia patients lose weight and feel better?

NCT ID NCT02808533

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study looks at whether adding topiramate (a seizure medication) to clozapine can help with weight loss and improve symptoms in people with treatment-resistant schizophrenia or schizoaffective disorder. About 50 overweight or obese adults aged 17-59 who are already on clozapine will receive either topiramate or a placebo. Researchers will track weight, insulin sensitivity, and psychiatric symptoms over time.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Topiramate (also known as Topamax)

What this could lead to

If it works, this could offer a way to manage weight gain and possibly improve psychiatric symptoms in people with hard-to-treat schizophrenia.

What could go wrong

This is a small, early-stage study with only 50 participants, so results may not apply widely. Topiramate can cause side effects like dizziness or cognitive issues.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

Psychotic Disorders schizoaffective disorder schizophrenia

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Center for Addiction and Mental Health

    Toronto, Ontario, M5T 1R8, Canada