Citalopram to Enhance Cognition in HD (CIT-HD)
Huntington Disease, Chorea, Executive Dysfunction
About this trial
This is an interventional treatment trial for Huntington Disease focused on measuring Huntington Disease, Citalopram, Celexa, Chorea, Focus, ADD, ADHD, HD, SSRI
Eligibility Criteria
Inclusion Criteria: Gene positive HD test (or, if untested, an HD diagnosis) with some abnormal motor signs (i.e., diagnostic confidence level of greater than or equal to 1 as measured by the UHDRS). Aged between 18 and 75 Ability to provide written informed consent Mild stage HD (Shoulson and Fahn Scale Stage 1 or 2) Mild executive dysfunction: Participants must have complaints of poor cognition, mild functional decline, or demonstrate objective evidence of decline from their premorbid level Participants are able to complete all study assessments Exclusion Criteria: Age under 18 or greater than 75 Current major depression deemed significant by the investigator at the screening visit or current suicidal ideation. Any unstable or severe psychiatric disease including diagnoses of schizophrenia, bipolar affective disorder, dementia, delirium, severe anxiety and/or substance abuse/dependence. Current use of an SSRI or other treatment for depression (e.g., use of an MAOI) or treatment with an SSRI within the past 14 days. Current use of St. John's wort within the past 14 days. To ensure performance on cognitive measures are not affected by specific concomitant medications, participants taking methylphenidate, amphetamine/dextroamphetamine, atomoxetine, an acetyl cholinesterase inhibitor, an atypical antipsychotic, kava kava, Ginkgo Biloba, or an anxiolytic drug may be excluded unless their dose and dosing frequency have remained stable for 30 days prior to receiving study drug. Continued participation also requires the dose and dosing frequency remain stable throughout the study. Patients who are pregnant, nursing, or planning to become pregnant during the study. Patients who are unable to participate in the study assessments (cognitive, functional, psychiatric and motor scales) due to cognitive, motor, or sensory impairments (i.e., significant vision or hearing deficits). Other serious medical conditions such as cardiovascular or cerebrovascular disease; head injury deemed clinically significant by the PI; neurological disorder or insult other than HD. Learning disability or other medical condition that is likely to affect cognitive function; history of symptoms indicative of attention deficit hyperactivity disorder (ADHD) in childhood; or a diagnosis of ADHD. It is important to note that participants who are unable to receive an MRI scan may still participate in this study
Sites / Locations
- Mayo Clinic Arizona
- The University of Iowa
- University of Rochester
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Citalopram
Placebo
20mg daily citalopram
Matching daily placebo