Send feedback

ZP4

gene
On this page

Also known as ZPBZPB2ZP1B

Summary

ZP4 (zona pellucida glycoprotein 4, HGNC:15770) is a protein-coding gene on chromosome 1q43, encoding Zona pellucida sperm-binding protein 4 (Q12836). Component of the zona pellucida, an extracellular matrix surrounding oocytes which mediates sperm binding, induction of the acrosome reaction and prevents post-fertilization polyspermy.

The zona pellucida is an extracellular matrix that surrounds the oocyte and early embryo. It is composed primarily of three or four glycoproteins with various functions during fertilization and preimplantation development. The nascent protein contains a N-terminal signal peptide sequence, a conserved ZP domain, a consensus furin cleavage site, and a C-terminal transmembrane domain. It is hypothesized that furin cleavage results in release of the mature protein from the plasma membrane for subsequent incorporation into the zona pellucida matrix. However, the requirement for furin cleavage in this process remains controversial based on mouse studies. Previously, this gene has been referred to as ZP1 or ZPB and thought to have similar functions as mouse Zp1. However, a human gene with higher similarity and chromosomal synteny to mouse Zp1 has been assigned the symbol ZP1 and this gene has been assigned the symbol ZP4.

Source: NCBI Gene 57829 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): schizophrenia (No Known Disease Relationship, GenCC)
  • GWAS associations: 8
  • Clinical variants (ClinVar): 102 total
  • Constraint (gnomAD): pLI 0.00 (LoF-tolerant), LOEUF 1.17 (unconstrained)
  • MANE Select transcript: NM_021186
  • Notable: 102 clinical variants but no curated precision-oncology (CIViC) evidence yet

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:15770
Approved symbolZP4
Namezona pellucida glycoprotein 4
Location1q43
Locus typegene with protein product
StatusApproved
AliasesZPB, ZPB2, ZP1B
Ensembl geneENSG00000116996
Ensembl biotypeprotein_coding
OMIM613514
Entrez57829

Gene structure

Transcript identifiers

Ensembl transcripts: 2 — 2 protein_coding

MANE Select: ENST00000366570

Transcript support level (Ensembl TSL; 1 = fully mRNA-supported): TSL 1: 1, TSL 5: 1

ENST00000366570, ENST00000611898

RefSeq mRNA: 1 — MANE Select: NM_021186 NM_021186

CCDS: CCDS1615

Canonical transcript exons

ENST00000366570 — 12 exons

ExonStartEnd
ENSE00000793657237890055237890176
ENSE00000793658237889867237889969
ENSE00000793659237888358237888510
ENSE00000793660237887374237887561
ENSE00000793661237886771237886868
ENSE00000793662237885756237885886
ENSE00000793663237885391237885580
ENSE00000793664237885165237885315
ENSE00000805426237882742237882846
ENSE00000805427237884769237884847
ENSE00001442058237882404237882549
ENSE00003733451237890461237890922

Expression profiles

Bgee: expression breadth broad, 18 present calls, max score 98.96.

Highest expression (Bgee): oocyte, secondary oocyte, pancreatic ductal cell, tibialis anterior, cartilage tissue.

Top tissues by expression

showing 100 of 242 tissues by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
oocyteCL:000002398.96gold quality
secondary oocyteCL:000065597.90gold quality
pancreatic ductal cellCL:000207983.09silver quality
tibialis anteriorUBERON:000138580.23gold quality
cartilage tissueUBERON:000241876.05gold quality
ileal mucosaUBERON:000033174.01gold quality
deltoidUBERON:000147662.23silver quality
cardiac muscle of right atriumUBERON:000337954.88gold quality
left ventricle myocardiumUBERON:000656654.23gold quality
kidney epitheliumUBERON:000481953.93gold quality
upper arm skinUBERON:000426353.52gold quality
upper leg skinUBERON:000426253.24gold quality
skin of hipUBERON:000155452.43silver quality
myocardiumUBERON:000234950.48gold quality
quadriceps femorisUBERON:000137748.44gold quality
nasal cavity epitheliumUBERON:000538447.03gold quality
vastus lateralisUBERON:000137945.40gold quality
layer of synovial tissueUBERON:000761643.55gold quality
buccal mucosa cellCL:000233643.53gold quality
skeletal muscle tissue of rectus abdominisUBERON:000451143.37gold quality
placentaUBERON:000198741.85gold quality
superficial temporal arteryUBERON:000161441.33gold quality
palpebral conjunctivaUBERON:000181241.10gold quality
mucosa of paranasal sinusUBERON:000503040.98gold quality
amniotic fluidUBERON:000017340.69gold quality
jejunal mucosaUBERON:000039940.59gold quality
biceps brachiiUBERON:000150740.57gold quality
epithelium of nasopharynxUBERON:000195140.45gold quality
gingival epitheliumUBERON:000194940.43gold quality
germinal epithelium of ovaryUBERON:000130440.33gold quality
esophagus squamous epitheliumUBERON:000692040.29gold quality
skeletal muscle tissue of biceps brachiiUBERON:000450240.27gold quality
jejunumUBERON:000211540.18gold quality
epithelium of mammary glandUBERON:000324440.14gold quality
oviduct epitheliumUBERON:000480440.03gold quality
mammary ductUBERON:000176539.98gold quality
mucosa of sigmoid colonUBERON:000499339.95gold quality
saphenous veinUBERON:000731839.83gold quality
parotid glandUBERON:000183139.81gold quality
urethraUBERON:000005739.80gold quality
heart right ventricleUBERON:000208039.79gold quality
pericardiumUBERON:000240739.77gold quality
endothelial cellCL:000011539.75gold quality
synovial jointUBERON:000221739.70gold quality
dorsal root ganglionUBERON:000004439.68gold quality
nippleUBERON:000203039.68gold quality
bronchial epithelial cellCL:000232839.65gold quality
deciduaUBERON:000245039.65gold quality
penisUBERON:000098939.64gold quality
gingivaUBERON:000182839.64gold quality
bronchusUBERON:000218539.64gold quality
trigeminal ganglionUBERON:000167539.63gold quality
tendon of biceps brachiiUBERON:000818839.60gold quality
colonic mucosaUBERON:000031739.57gold quality
inferior vagus X ganglionUBERON:000536339.57gold quality
superior surface of tongueUBERON:000737139.56gold quality
pylorusUBERON:000116639.55gold quality
renal medullaUBERON:000036239.53gold quality
ponsUBERON:000098839.51gold quality
thymusUBERON:000237039.50gold quality
medulla oblongataUBERON:000189639.48gold quality
superior vestibular nucleusUBERON:000722739.47gold quality
cardia of stomachUBERON:000116239.46gold quality
parietal pleuraUBERON:000240039.45gold quality
Brodmann (1909) area 23UBERON:001355439.40gold quality
dorsal plus ventral thalamusUBERON:000189739.38gold quality
granulocyteCL:000009439.37gold quality
tongueUBERON:000172339.37gold quality
cerebellar vermisUBERON:000472039.37gold quality
oral cavityUBERON:000016739.35gold quality
subthalamic nucleusUBERON:000190639.35gold quality
ventral tegmental areaUBERON:000269139.35gold quality
tracheaUBERON:000312639.33gold quality
parietal lobeUBERON:000187239.32gold quality
vena cavaUBERON:000408739.31gold quality
pharyngeal mucosaUBERON:000035539.27gold quality
substantia nigra pars compactaUBERON:000196539.23gold quality
visceral pleuraUBERON:000240139.23gold quality
postcentral gyrusUBERON:000258139.23gold quality
body of tongueUBERON:001187639.22gold quality
medial globus pallidusUBERON:000247739.18gold quality
trabecular bone tissueUBERON:000248339.18gold quality
globus pallidusUBERON:000187539.15gold quality
substantia nigra pars reticulataUBERON:000196639.11gold quality
entorhinal cortexUBERON:000272839.05gold quality
lateral nuclear group of thalamusUBERON:000273639.00gold quality
corpus epididymisUBERON:000435938.98gold quality
tibiaUBERON:000097938.93gold quality
lateral globus pallidusUBERON:000247638.81gold quality
seminal vesicleUBERON:000099838.75gold quality
caput epididymisUBERON:000435838.75gold quality
cauda epididymisUBERON:000436038.74gold quality
middle temporal gyrusUBERON:000277138.72gold quality
mammalian vulvaUBERON:000099738.66gold quality
pigmented layer of retinaUBERON:000178238.55gold quality
bone marrow cellCL:000209238.52gold quality
spermCL:000001938.32gold quality
sural nerveUBERON:001548838.12gold quality
Brodmann (1909) area 46UBERON:000648337.40gold quality
superior frontal gyrusUBERON:000266137.39gold quality

Single-cell (SCXA)

Detected in 2 experiment(s), a significant marker in 2.

ExperimentMarker?Max mean expression
E-GEOD-36552yes163.58
E-ANND-3yes3.78

HPA expression

RNA tissue specificity: Tissue enriched

7 HPA tissues / cells by nTPM:

Tissue / cellAxisnTPMProtein (IHC)
Ovarytissue3.6high
Midbraintissue0.2
Tonsiltissue0.2not detected
Ponstissue0.1
Placentatissue0.1not detected
Thymustissue0.1
Hippocampal formationtissue0.1

Brain sub-regions (HPA Brain Atlas): detected in 3; highest nTPM — Dorsal motor vagal complex (0.1), Nucleus tractus solitarii (0.1), Subiculum (0.1).

Regulation

Is transcription factor: no

Functional genomics

gnomAD constraint: pLI 7.33e-21, LOEUF 1.17, missense Z -1.19 — population loss-of-function intolerance (pLI ≥ 0.9 = LoF-intolerant; lower LOEUF = more constrained). gnomAD

Regional missense constraint (gnomAD RMC): no regional variation along ENST00000366570 — one region, missense o/e 1.18.

Literature-anchored findings (GeneRIF, showing 10)

  • ZPB induces acrosomal exocytosis through a Gi independent pathway. (PMID:15805145)
  • Binding sites for recombinant zona pellucida B (ZPB) glycoprotein are located both at the N- and C-terminus of proacrosin (PMID:15950651)
  • Exposure of sperm to ZP proteins promoted acrosomal exocytosis and changed motility patterns. (PMID:16407501)
  • induces acrosome reactions which are protein kinase-C, protein tyrosine kinase, T-type Ca2+ channels, and extracellular Ca2+ dependent (PMID:18667750)
  • a significant decrease in acrosomal exocytosis mediated by both recombinant human ZP3 (p<0.005) and ZP4 (p<0.005) was observed in presence of the immune sera (PMID:19004505)
  • Human ZP4 is not sufficient to support human sperm binding to the zona pellucida in transgenic mice; other zona proteins may be needed for human gamete recognition. (PMID:21173071)
  • ZO4 is highly expressed in ovarian tissue in PCOS patients with regular cycle and without hyperandrogenism; in some patients with PCOS and infertility, ZP4 mutation can be found. (PMID:25740067)
  • ZP4 gene SNPs rs547984, rs540782, rs693421, rs2499601 are not associated with open-angle glaucoma among ethnic Hans from Sichuan. (PMID:30298508)
  • Zona Pellucida Proteins, Fibrils, and Matrix. (PMID:32569527)
  • Mutations in ZP4 are associated with abnormal zona pellucida and female infertility. (PMID:33461974)

Cross-species orthologs

2 orthologs

OrganismSymbolGene ID
ENSDARG00000113246
rattus_norvegicusZp4ENSRNOG00000027506

Paralogs (4): ZP2 (ENSG00000103310), QRICH2 (ENSG00000129646), ZP1 (ENSG00000149506), C16orf96 (ENSG00000205832)

Additional cross-species homologs

Sequence homologs in species beyond Ensembl Compara’s model organisms, by Diamond local protein alignment (% sequence identity; best hit per species). Lower-identity rows are more distant homologs. The matched accessions’ gene symbols aren’t in biobtree yet, so each row shows the UniProt accession.

OrganismUniProtIdentityMethod
Mus musculusO0852494.2%Diamond
Macaca radiataO7772694.2%Diamond
Canis lupus familiarisP4798383.0%Diamond
Felis catusP4798483.0%Diamond
Sus scrofaP4209978.0%Diamond
Bos taurusQ9BH1078.0%Diamond
Oryctolagus cuniculusQ0019369.6%Diamond

Genomic neighbors (locus context)

Genes flanking this one on the chromosome (NCBI/Entrez gene neighborhood). Positional context only — some neighbors share regulatory elements (bidirectional promoters, antisense/overlapping transcripts), but chromosomal adjacency is not itself a functional relationship (see Interactions for that).

SymbolTypeEntrez
MIR4428ncRNA100616141
RYR2protein-coding6262
MT1HL1protein-coding645745

Protein

Protein identifiers

Zona pellucida sperm-binding protein 4 — Q12836 (reviewed: Q12836)

Alternative names: Zona pellucida glycoprotein 4, Zona pellucida protein B

All UniProt accessions (1): Q12836

UniProt curated annotations — full annotation on UniProt →

Function. Component of the zona pellucida, an extracellular matrix surrounding oocytes which mediates sperm binding, induction of the acrosome reaction and prevents post-fertilization polyspermy. The zona pellucida is composed of 3 to 4 glycoproteins, ZP1, ZP2, ZP3, and ZP4. ZP4 may act as a sperm receptor.

Subcellular location. Zona pellucida Cell membrane.

Tissue specificity. Expressed in oocytes.

Post-translational modifications. Proteolytically cleaved before the transmembrane segment to yield the secreted ectodomain incorporated in the zona pellucida.

Domain organisation. The ZP domain is involved in the polymerization of the ZP proteins to form the zona pellucida.

Similarity. Belongs to the ZP domain family. ZPB subfamily.

RefSeq proteins (1): NP_067009* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000519P_trefoil_domDomain
IPR001507ZP_domDomain
IPR017957P_trefoil_CSConserved_site
IPR017977ZP_dom_CSConserved_site
IPR042235ZP-C_domHomologous_superfamily
IPR044913P_trefoil_dom_sfHomologous_superfamily
IPR048290ZP_chrDomain
IPR051148Zona_Pellucida_Domain_gpFamily
IPR054554ZP1/4_Ig-likeDomain
IPR055355ZP-CDomain
IPR055356ZP-NDomain

Pfam: PF00088, PF00100, PF22821, PF23344

UniProt features (19 total): glycosylation site 7, chain 2, sequence variant 2, topological domain 2, domain 2, signal peptide 1, disulfide bond 1, propeptide 1, transmembrane region 1

Structure

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q12836-F174.900.24

Human Protein Atlas

Protein class: Predicted membrane proteins, Predicted secreted proteins

Protein evidence: Evidence at protein level

Antibody reliability (HPA): IH enhanced

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Disulfide bonds (1)

TypePositions
Disulfide bond367–442

Glycosylation sites (7)

TypePositions
N-linked (glcnac…) asparagine202, 219, 267, 470, 474, 69
O-linked (galnac…) threonine302

Function

Pathways and Gene Ontology

Reactome pathways

1 curated (TAS) of 3; 0 disease pathways. Curated-first; evidence = TAS (manually curated) vs IEA (electronic inference).

3 pathways:

IDPathwayEvidence
R-HSA-2534343Interaction With Cumulus Cells And The Zona Pellucidacurated
R-HSA-1187000Fertilization—
R-HSA-1474165Reproduction—

MSigDB gene sets: 77 (showing top): GOBP_REGULATION_OF_CELL_ACTIVATION, GOBP_SINGLE_FERTILIZATION, GOBP_NEGATIVE_REGULATION_OF_REPRODUCTIVE_PROCESS, GOBP_REGULATION_OF_LEUKOCYTE_PROLIFERATION, GOBP_POSITIVE_REGULATION_OF_REPRODUCTIVE_PROCESS, GOBP_VESICLE_MEDIATED_TRANSPORT, GOBP_POSITIVE_REGULATION_OF_CELL_ADHESION, GOBP_POSITIVE_REGULATION_OF_LEUKOCYTE_PROLIFERATION, GOBP_CELL_CELL_ADHESION, GOBP_EXOCYTOSIS, GOBP_REGULATION_OF_IMMUNE_RESPONSE, GOBP_LEUKOCYTE_PROLIFERATION, GOMF_EXTRACELLULAR_MATRIX_STRUCTURAL_CONSTITUENT, GOBP_SPERM_EGG_RECOGNITION, GOBP_POSITIVE_REGULATION_OF_CELL_ACTIVATION

GO Biological Process (8): positive regulation of humoral immune response (GO:0002922), binding of sperm to zona pellucida (GO:0007339), positive regulation of T cell proliferation (GO:0042102), prevention of polyspermy (GO:0060468), acrosomal vesicle exocytosis (GO:0060478), positive regulation of acrosome reaction (GO:2000344), negative regulation of binding of sperm to zona pellucida (GO:2000360), single fertilization (GO:0007338)

GO Molecular Function (4): acrosin binding (GO:0032190), structural constituent of egg coat (GO:0035804), identical protein binding (GO:0042802), protein binding (GO:0005515)

GO Cellular Component (3): extracellular region (GO:0005576), plasma membrane (GO:0005886), egg coat (GO:0035805)

Reactome top-level categories

2 top-level categories:

CategoryPathways
Fertilization1
Reproduction1

GO top-level categories

28 GO namespaces:

CategoryTerms
acrosome reaction2
regulation of humoral immune response1
humoral immune response1
positive regulation of immune response1
sperm-egg recognition1
T cell proliferation1
regulation of T cell proliferation1
positive regulation of lymphocyte proliferation1
positive regulation of T cell activation1
egg activation1
negative regulation of fertilization1
calcium-ion regulated exocytosis1
regulation of acrosome reaction1
positive regulation of reproductive process1
binding of sperm to zona pellucida1
negative regulation of cellular process1
negative regulation of reproductive process1
regulation of binding of sperm to zona pellucida1
fertilization1
enzyme binding1
extracellular matrix structural constituent1
egg coat1
protein binding1
binding1
cellular anatomical structure1
membrane1
cell periphery1
specialized extracellular matrix1

Experimentally-supported GO annotations

GO terms backed by direct experimental evidence (ECO experimental codes) — 8 of 15 annotations. The rest are phylogenetic / computational / electronic (IEA).

8 experimentally-supported GO terms:

GO termNSEvidence
acrosomal vesicle exocytosisBPmutant phenotype
negative regulation of binding of sperm to zona pellucidaBPdirect assay
positive regulation of T cell proliferationBPdirect assay
positive regulation of acrosome reactionBPdirect assay
positive regulation of humoral immune responseBPdirect assay
egg coatCCdirect assay
acrosin bindingMFphysical interaction
identical protein bindingMFphysical interaction

Protein interactions and networks

STRING

showing 15 of 740 interactions by confidence (×1000):

Protein AProtein BPartner UniProtScore
ZP4ZP3P21754981
ZP4GDF9O60383775
ZP4FIGLAQ6QHK4721
ZP4ZP2Q05996698
ZP4CACNA1GO43497648
ZP4BMP15O95972641
ZP4ASTLQ6HA08606
ZP4P4HA2O15460591
ZP4IZUMO1Q8IYV9577
ZP4NOBOXO60393577
ZP4MMUTP22033556
ZP4DAZLQ92904499
ZP4ZAR1Q86SH2497
ZP4NLRP5P59047491
ZP4CACNA1CQ13936490

IntAct

Human interaction partners of ZP4 in IntAct, one row per partner (best MIscore; records = supporting IntAct interaction records).

9 partners by confidence:

PartnerInteraction typeMIscoreRecords
GSTM3physical association0.5202
ACRdirect interaction0.4403
ALDOAphysical association0.4001
ENO1physical association0.4001
GAPDHSphysical association0.4001
GPX4physical association0.4001
ODF2physical association0.4001
PKMphysical association0.4001
TPI1physical association0.4001

Disease & clinical

Genetic variants

Variant evidence for ZP4: 102 ClinVar records (0 pathogenic / likely pathogenic); 8 GWAS associations.

ClinVar

102 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic0
Likely pathogenic0
Uncertain significance83
Likely benign13
Benign4

SpliceAI

Top 10 splice-impact sites by Δscore (adjacent positions with the same effect merged into one range; 28 predictions of 898):

Position(s)EffectΔscoreSites
1:237882847–237882848acceptor_loss1.00005
1:237885581–237885582acceptor_loss1.00003
1:237885592acceptor_gain1.0000
1:237886769–237886770donor_loss1.00005
1:237888511–237888512acceptor_loss1.00005
1:237888518acceptor_gain1.0000
1:237890053–237890054donor_loss1.00005
1:237890185acceptor_gain1.0000
1:237882847acceptor_loss0.9900
1:237882850acceptor_gain0.9900

AlphaMissense

524 missense substitutions predicted likely pathogenic (of 3,512 scored), across 159 residues. Top 20 hotspot residues, ranked by the number of likely-pathogenic substitutions (of those reachable by a single-nucleotide change), then by mean score:

ResidueLikely-pathogenic substitutionsMean am_pathogenicityMax am_pathogenicity
F42280.9400.994
F41780.9100.989
F42480.9020.980
D39380.8980.958
C36770.9590.983
C44270.9570.981
W38170.9170.987
C28570.9150.946
F23570.9130.961
C38870.9090.969
C18970.8970.942
C24270.8670.906
C12870.8530.948
C16470.8520.907
W36870.8500.978
C16970.8490.931
C17970.8450.889
C15470.8370.905
C3470.8220.912
F27970.8220.912

HPA cancer prognostics

RNA cancer specificity: Not detected

Disease associations

OMIM: gene MIM:613514 | disease phenotypes:

GenCC curated gene-disease

1 curated gene-disease records:

DiseaseClassificationInheritanceRecords
schizophreniaNo Known Disease RelationshipUnknown

Mondo (1): schizophrenia (MONDO:0005090)

GWAS associations

8 associations:

StudyTraitp-value
GCST010002_8Refractive error7e-10
GCST005436_1C-peptide levels in type I diabetes4e-8
GCST000041_1Hypertension8e-7
GCST000767_4Non-alcoholic fatty liver disease histology (AST)2e-6
GCST009391_855Metabolite levels3e-6
GCST005435_1Stimulated C-peptide levels in type I diabetes4e-6
GCST009391_1241Metabolite levels4e-6
GCST009391_705Metabolite levels6e-6

EFO canonical traits (from GWAS)

4 canonical traits:

EFO IDTrait name
EFO:0005187C-peptide measurement
EFO:0010404triacylglycerol 48:1 measurement
EFO:0010356lysophosphatidylcholine 14:0 measurement
EFO:0010401triacylglycerol 46:1 measurement

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (CPIC guideline: no)

CTD chemical–gene interactions

8 total (human), top 8 by PubMed support.

ChemicalActions (top 5)PubMed papers
sodium arseniteincreases expression1
CGP 52608affects binding, increases reaction1
abrineincreases expression1
Resveratrolaffects cotreatment, decreases expression1
Acetaminophendecreases expression1
Benzo(a)pyreneaffects methylation, increases methylation1
Plant Extractsaffects cotreatment, decreases expression1
Aflatoxin B1increases methylation1

Clinical trials (associated diseases)

Via MONDO — disease-level, not drug-specific.

showing 60 of 600 trials:

NCTPhaseStatusTitle
NCT00000374Phase 4COMPLETEDTreatment for First-Episode Schizophrenia
NCT00001656Phase 4COMPLETEDComparison of Clozapine vs Olanzapine in Childhood-Onset Psychotic Disorders
NCT00007774Phase 4COMPLETEDTo Determine if Olanzapine is More Cost Effective Than Haloperidol for the Treatment of Schizophrenia
NCT00014001Phase 4COMPLETEDCATIE- Schizophrenia Trial
NCT00018668Phase 4COMPLETEDAntipsychotic Response in Schizophrenia
NCT00034801Phase 4COMPLETEDOlanzapine Versus Active Comparator in the Treatment of Depression in Patients With Schizophrenia
NCT00034905Phase 4COMPLETEDA Comparison of Seroquel vs. Risperidone in Schizophrenia
NCT00036088Phase 4COMPLETEDOlanzapine Versus An Active Comparator in the Treatment of Schizophrenia
NCT00044187Phase 4COMPLETEDThe Assessment of a Weight-Gain Agent for the Treatment of Olanzapine-Associated Anti-Obesity Agent in Patients With Schizophrenia, Schizophreniform Disorder, Schizoaffective Disorder, and Bipolar I Disorder
NCT00044655Phase 4COMPLETEDSwitching Medication to Treat Schizophrenia
NCT00048828Phase 4COMPLETEDTreating Drug-Resistant Childhood Schizophrenia
NCT00053703Phase 4COMPLETEDTreatment of Early Onset Schizophrenia Spectrum Disorders (TEOSS)
NCT00056498Phase 4COMPLETEDRisperidone Treatment in Schizophrenia Patients Who Are Currently Taking Clozapine
NCT00061802Phase 4COMPLETEDEfficacy and Safety of Two Atypical Antipsychotics vs. Placebo in Patients With an Acute Exacerbation of Either Schizophrenia or Schizoaffective Disorder
NCT00080327Phase 4COMPLETEDStudy of Three Doses of Aripiprazole in Patients With Acute Schizophrenia
NCT00088049Phase 4COMPLETEDStudy of Olanzapine vs. Aripiprazole in the Treatment of Schizophrenia
NCT00090012Phase 4COMPLETEDComparison of Continuing Olanzapine to Switching to Quetiapine in Overweight or Obese Patients With Schizophrenia and Schizoaffective Disorder
NCT00100776Phase 4COMPLETEDEfficacy of High Dose Olanzapine for the Treatment of Schizophrenia and Schizoaffective Disorder
NCT00103571Phase 4COMPLETEDOlanzapine Versus Aripiprazole in the Treatment of Acutely Ill Patients With Schizophrenia
NCT00108368Phase 4COMPLETEDThe Effects of Risperidone and Olanzapine on Thinking
NCT00114595Phase 4COMPLETEDEthyl-Eicosapentaenoic Acid and Tardive Dyskinesia
NCT00130923Phase 4COMPLETEDRisperidone Long-acting Versus Oral Risperidone in Patients With Schizophrenia and Alcohol Use Disorder
NCT00137020Phase 4COMPLETEDClinical Effect Of Cross Titration Of Antipsychotics With Ziprasidone In Schizophrenia Or Schizoaffective Disorder
NCT00140166Phase 4COMPLETEDTreatment of Acute Schizophrenia With Vitamin Therapy
NCT00145847Phase 4COMPLETEDNaltrexone Treatment of Alcohol Abuse in Schizophrenia
NCT00148564Phase 4COMPLETEDEnergy Homeostasis Under Treatment With Atypical Antipsychotics
NCT00156715Phase 4COMPLETEDEfficacy of Quetiapine in the Treatment of Patients With Schizophrenia and a Comorbid Substance Use Disorder
NCT00158223Phase 4COMPLETEDEffectiveness of Pimozide in Augmenting the Effects of Clozapine in the Treatment of Schizophrenia
NCT00159081Phase 4COMPLETEDOne Year Drug Treatment in First-Episode Schizophrenia
NCT00159120Phase 4COMPLETEDMaintenance Treatment vs. Stepwise Drug Discontinuation in First-Episode Schizophrenia
NCT00159133Phase 4COMPLETEDProdrome-Based Early Intervention With Antipsychotics vs. Benzodiazepines in First-Episode Schizophrenia
NCT00159757Phase 4TERMINATED12 Week Open, Non-Comparative Switch Study Of Oral Ziprazidone In Previously Treated Schizophrenic Patients
NCT00167817Phase 4COMPLETEDEffect of Switch to Aripiprazole on Health and Smoking Parameters in Patients With Schizophrenia: A Pilot Study
NCT00169026Phase 4TERMINATEDAlcoholism and Schizophrenia: Effects of Clozapine
NCT00169039Phase 4TERMINATEDClozapine Versus Chlorpromazine for Treatment-Unresponsive Schizophrenia
NCT00169065Phase 4COMPLETEDEffectiveness of Clozapine Versus Olanzapine for Treatment-resistant Schizophrenia
NCT00169091Phase 4TERMINATEDClozapine Versus Haloperidol for Treating the First Episode of Schizophrenia
NCT00176423Phase 4COMPLETEDEfficacy Study of Galantamine for Cognitive Impairments in Schizophrenia
NCT00176436Phase 4COMPLETEDAtomoxetine for Treatment of Weight Gain in Olanzapine or Clozapine Patients
NCT00177008Phase 4COMPLETEDAripiprazole for the Treatment of Schizophrenia With Co-Morbid Social Anxiety
NCT00177580Phase 4COMPLETEDImproving Symptoms of Schizophrenia and Schizoaffective Disorder by Supplementing Medications With Pravastatin
NCT00182442Phase 4COMPLETEDCognition, Functioning and Quality of Life
NCT00182494Phase 4UNKNOWNDiabetes Prevention Program in Schizophrenia [DPPS]
NCT00183625Phase 4COMPLETEDSupported Employment and Skills Training in Conjunction With Pharmacotherapy in Schizophrenia Patients
NCT00186771Phase 4UNKNOWNMagnetic Stimulation as a Treatment for Auditory Hallucinations in Schizophrenia
NCT00190749Phase 4COMPLETEDSafety Study of Olanzapine and a Comparator in Patients With Schizophrenia and Schizoaffective Disorder
NCT00191555Phase 4COMPLETEDEfficacy Study of Switching Stabilized Schizophrenic Patients From Conventional to Atypical Antipsychotic Treatment
NCT00194025Phase 4COMPLETEDValproate in Late Life Schizophrenia
NCT00199940Phase 4COMPLETEDSafety And Efficacy Study Of Ziprasidone In Pediatric Psychotic Illness
NCT00202306Phase 4COMPLETEDIndicated Prevention of Psychotic Disorders With Low-dose Lithium
NCT00203788Phase 4COMPLETEDImproving Work Outcome in People With Recent-onset Schizophrenia
NCT00204061Phase 4COMPLETEDEarly Pharmacological and Psychological Intervention for Late Prodromal States of Psychosis
NCT00205660Phase 4COMPLETEDChanges in Adiposity, Metabolic Measures From Atypicals to Aripiprazole
NCT00206102Phase 4COMPLETEDA Study of the Cataractogenic Potential of Seroquel and Risperdal in the Treatment of Participants With Schizophrenia or Schizoaffective Disorder
NCT00208143Phase 4COMPLETEDSeroquel Therapy for Substance Use Disorders Comorbid With Schizophrenia
NCT00208169Phase 4COMPLETEDAbilify Therapy for Reducing Comorbid Substance Abuse
NCT00214578Phase 4COMPLETEDSeroquel on Glucose Metabolism
NCT00215579Phase 4COMPLETEDDetermining the Effects of Risperdal Consta in Patients With Psychotic Disorders and Incomplete Adherence
NCT00216528Phase 4COMPLETEDA Study to Evaluate Symptomatic Remission in Schizophrenia With Long Acting Risperidone Microspheres
NCT00216632Phase 4COMPLETEDA Study of Treatment Success in Changing From Olanzapine to Long-acting Injectable Risperidone (RISPERDAL® CONSTA™)