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Open Trial of Escitalopram Treatment for Male Subjects With Posttraumatic Stress Disorder

Primary Purpose

Chronic Posttraumatic Stress Disorder

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Escitalopram
Sponsored by
Northern California Institute of Research and Education
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Posttraumatic Stress Disorder focused on measuring Posttraumatic Stress Disorder, Escitalopram, Efficacy

Eligibility Criteria

20 Years - 60 Years (Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Current DSM-IV TR PTSD and a score > 40 on the CAPS, as a result of a traumatic event that occurred at least 6 months prior to evaluation.

Exclusion Criteria:

  • Lifetime history of bipolar or any psychiatric disorder with psychotic features.
  • Prominent suicidal or homicidal ideation.
  • History of alcohol abuse/dependence within the past 3 months.
  • History of drug abuse/dependence within the past 6 months.
  • Subjects who plan to start a new form of psychotherapy during the protocol.
  • History of sleep apnea, neurological disorder and/or current systemic illness affecting central nervous system function.
  • History of myocardial infarction in the past year.
  • Subjects on antipsychotic medications, systemic steroid medication, antidepressants, mood stabilizers, antianxiety medication, or benzodiazepines within the past 2 weeks.
  • Use of Citalopram or Escitalopram within the past 6 months.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Escitalopram

    Arm Description

    Flexible dose (5-20mg/day) of escitalopram monotherapy.

    Outcomes

    Primary Outcome Measures

    The Clinician Administered PTSD Scale

    Secondary Outcome Measures

    PTSD Checklist
    Beck Depression Inventory
    Profile of Mood State
    Social Adjustment Scale
    Quality of Life Inventory

    Full Information

    First Posted
    December 1, 2009
    Last Updated
    December 1, 2009
    Sponsor
    Northern California Institute of Research and Education
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01024140
    Brief Title
    Open Trial of Escitalopram Treatment for Male Subjects With Posttraumatic Stress Disorder
    Official Title
    Open Trial of Escitalopram Treatment for Male Subjects With Posttraumatic Stress Disorder
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2009
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2003 (undefined)
    Primary Completion Date
    December 2004 (Actual)
    Study Completion Date
    December 2004 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Northern California Institute of Research and Education

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The primary aim of this pilot study is to test the efficacy of the selective serotonin re-uptake inhibitor, Escitalopram, in the treatment of posttraumatic stress disorder (PTSD) in an open clinical trial. A secondary aim is to determine whether treatment with escitalopram increases plasma allopregnanolone levels in patients with PTSD and if increases in allopregnanolone levels are correlated with treatment efficacy.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Posttraumatic Stress Disorder
    Keywords
    Posttraumatic Stress Disorder, Escitalopram, Efficacy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    16 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Escitalopram
    Arm Type
    Experimental
    Arm Description
    Flexible dose (5-20mg/day) of escitalopram monotherapy.
    Intervention Type
    Drug
    Intervention Name(s)
    Escitalopram
    Other Intervention Name(s)
    Lexapro
    Intervention Description
    Subjects were started on 5mg escitalopram. Medication was increased as tolerated in weekly 2.5, 5 or 10 mg increments, until a maximally tolerated dosage or a clinical response was achieved. The final dosage ranged from 5 to 20 mg/day.
    Primary Outcome Measure Information:
    Title
    The Clinician Administered PTSD Scale
    Time Frame
    Administered at baseline (prior to treatment) and week 12
    Secondary Outcome Measure Information:
    Title
    PTSD Checklist
    Time Frame
    Each Visit: Week 0, 2, 4, 6, 8, & 12
    Title
    Beck Depression Inventory
    Time Frame
    Each Visit: Week 0, 2, 4, 6, 8, & 12
    Title
    Profile of Mood State
    Time Frame
    Each Visit: Week 0, 2, 4, 6, 8, & 12
    Title
    Social Adjustment Scale
    Time Frame
    Initial, Mid-Trial and Final Assessments
    Title
    Quality of Life Inventory
    Time Frame
    Initial, Mid-Trial and Final Assessments

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    60 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Current DSM-IV TR PTSD and a score > 40 on the CAPS, as a result of a traumatic event that occurred at least 6 months prior to evaluation. Exclusion Criteria: Lifetime history of bipolar or any psychiatric disorder with psychotic features. Prominent suicidal or homicidal ideation. History of alcohol abuse/dependence within the past 3 months. History of drug abuse/dependence within the past 6 months. Subjects who plan to start a new form of psychotherapy during the protocol. History of sleep apnea, neurological disorder and/or current systemic illness affecting central nervous system function. History of myocardial infarction in the past year. Subjects on antipsychotic medications, systemic steroid medication, antidepressants, mood stabilizers, antianxiety medication, or benzodiazepines within the past 2 weeks. Use of Citalopram or Escitalopram within the past 6 months.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Thomas C Neylan, MD
    Organizational Affiliation
    UCSF / VAMC / NCIRE
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Open Trial of Escitalopram Treatment for Male Subjects With Posttraumatic Stress Disorder

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