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Exploring Nitrous Oxide Effects for Post Traumatic Stress Disorder (PTSD) (tN2O)

Primary Purpose

Post Traumatic Stress Disorder

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Nitrous Oxide
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Post Traumatic Stress Disorder focused on measuring PTSD

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • age 18-80
  • Veterans of the United States Uniformed Services
  • primary diagnosis of PTSD
  • sufficient severity of PTSD symptoms
  • fluency in English
  • capacity to provide informed consent

Exclusion Criteria:

  • psychiatric or medical conditions that make participation unsafe
  • pregnant or nursing females
  • allergy to nitrous oxide

Sites / Locations

  • Veterans Affairs Palo Alto

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Nitrous Oxide

Arm Description

PTSD patients in this arm will receive a single inhalation dose of 50% nitrous oxide and 50% oxygen for 1 hour

Outcomes

Primary Outcome Measures

Number of Patients Who Met and Exceeded Response Criteria of Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Patients given CAPS-5 (Clinician Administered PTSD Scale for DSM-5), a 30-item structured interview that can be used to assess PTSD symptoms over the past week. For the CAPS-5 the minimum units are 0 and maximum units on the total scale are 80. The higher the number on the CAPS-5, the more severe the symptoms. Response was defined as at least a 12 point reduction on the CAPS-5

Secondary Outcome Measures

Full Information

First Posted
December 12, 2017
Last Updated
July 22, 2020
Sponsor
Stanford University
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1. Study Identification

Unique Protocol Identification Number
NCT03375294
Brief Title
Exploring Nitrous Oxide Effects for Post Traumatic Stress Disorder (PTSD)
Acronym
tN2O
Official Title
Exploring Nitrous Oxide Effects for Post Traumatic Stress Disorder (PTSD)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
April 1, 2018 (Actual)
Primary Completion Date
July 31, 2019 (Actual)
Study Completion Date
April 5, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Stanford University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to understand nitrous oxide effects in post traumatic stress disorder (PTSD)
Detailed Description
Post traumatic stress disorder (PTSD) is a disabling mental health disorder that impacts the lives of individuals. This study aims to understand nitrous oxide's effects in PTSD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Post Traumatic Stress Disorder
Keywords
PTSD

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
3 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Nitrous Oxide
Arm Type
Experimental
Arm Description
PTSD patients in this arm will receive a single inhalation dose of 50% nitrous oxide and 50% oxygen for 1 hour
Intervention Type
Drug
Intervention Name(s)
Nitrous Oxide
Intervention Description
One hour inhalation of 50% nitrous oxide, an odorless, colorless gas FDA approved as an induction agent for dental sedation
Primary Outcome Measure Information:
Title
Number of Patients Who Met and Exceeded Response Criteria of Clinician Administered PTSD Scale for DSM-5 (CAPS-5)
Description
Patients given CAPS-5 (Clinician Administered PTSD Scale for DSM-5), a 30-item structured interview that can be used to assess PTSD symptoms over the past week. For the CAPS-5 the minimum units are 0 and maximum units on the total scale are 80. The higher the number on the CAPS-5, the more severe the symptoms. Response was defined as at least a 12 point reduction on the CAPS-5
Time Frame
Baseline and 1 week post inhalation

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: age 18-80 Veterans of the United States Uniformed Services primary diagnosis of PTSD sufficient severity of PTSD symptoms fluency in English capacity to provide informed consent Exclusion Criteria: psychiatric or medical conditions that make participation unsafe pregnant or nursing females allergy to nitrous oxide
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Carolyn Rodriguez, MD, PhD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Veterans Affairs Palo Alto
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32609959
Citation
Varias A, van Roessel P, Parsiani M, Filippou-Frye M, Neylan TC, Nagele P, Yesavage J, Clark JD, Rodriguez CI. Does Nitrous Oxide Help Veterans With Posttraumatic Stress Disorder? A Case Series. J Clin Psychiatry. 2020 Jun 30;81(4):20l13393. doi: 10.4088/JCP.20l13393. No abstract available.
Results Reference
derived
Links:
URL
http://rodriguezlab.stanford.edu
Description
Rodriguez Lab Website

Learn more about this trial

Exploring Nitrous Oxide Effects for Post Traumatic Stress Disorder (PTSD)

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