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Trial With the Treatment of Sertraline in Youth With Generalized, Separation and/or Social Anxiety Disorders. (EV-SoPRANO)

Primary Purpose

Anxiety Disorders

Status
Recruiting
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
sertraline
Sponsored by
University of Cincinnati
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Anxiety Disorders

Eligibility Criteria

8 Years - 17 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria for Patients with Anxiety :

  • Written, informed assent and consent.
  • Patients, parent/guardian/LAR must be fluent in the English.
  • 8-17 years of age, inclusive, at Visit 1, and who have a parent/guardian/LAR.
  • Patients must meet DSM-5 criteria for generalized, social and/or separation anxiety disorder, confirmed by the MINI-KID with no lifetime history of mania, OCD or significant history of trauma exposure.
  • PARS score ≥15 at Visits 1 and 2.
  • Caregiver who is willing to consent to be responsible for safety monitoring of the patient, provide information about the patient's condition, oversee the administration of the investigational product.
  • No clinically significant abnormalities on physical examination.
  • Negative pregnancy test at Visit 1 in females.
  • Sexually active patients must practice a reliable method of contraception (Section 15.0) that will continue for the duration of the study and within 30 days following the end of study participation.
  • Reliable methods of contraception are defined below; other forms of contraceptives (pharmacological and/or non-pharmacological) are not accepted.

    • surgical sterilization
    • oral contraceptives (e.g., estrogen-progestin combination or progestin)
    • transdermally-delivered contraceptives (e.g., Ortho-Evra), depot injections (e.g.,
    • Depo-Provera)
    • vaginal contraceptive ring (e.g., NuvaRing), contraceptive implants (e.g., Implanon, Norplant
    • II/Jadelle)
    • an intrauterine device or
    • diaphragm plus condom.

Inclusion Criteria for Healthy Controls:

  • Written, informed assent and consent.
  • Patients, parent/guardian/LAR must be fluent in the English.
  • 8 to 17 years of age, inclusive, at Visit 1, and who have a parent/guardian/LAR.
  • No history of any DSM-5 disorders (nicotine use disorder is permitted, history of adjustment disorder is permitted), confirmed by the MINI-KID.
  • Caregiver who is willing to consent to be responsible for safety monitoring of the patient, provide information about the patient.
  • No clinically significant abnormalities on physical examination. Negative pregnancy test at Screening in females.
  • Negative urine drug screen at Screening.
  • No first-degree relatives with an affective, anxiety or psychotic disorder.

Exclusion Criteria for Patients with Anxiety Disorders and Healthy Comparison:

  • Subjects Co-occurring DSM-5 diagnosis mood (except persistent depressive disorder, unspecified depressive disorder or co- occurring anxiety disorders, provided that the primary diagnosis is generalized, social and/or separation anxiety disorder(s)), eating, bipolar, or psychotic disorders.
  • A history of treatment with SSRIs within 12 weeks of Visit 2 (Baseline) or current pharmacotherapy with CNS effects that require >5 half-lives for discontinuation.
  • A history of major neurological or medical illness or head trauma with loss of consciousness for ≥5 minutes.
  • Lifetime history of mania, OCD, or significant history of trauma exposure.
  • History of hypersensitivity to sertraline.
  • Lifetime diagnosis of intellectual disability or history of IQ <70.
  • History of alcohol/substance use disorder or any substance abuse within the past 6 months (nicotine dependence is permitted).
  • Current psychotherapy stable for <2 months prior to Visit 2 (Baseline).
  • Females will not be eligible to participate if they are pregnant, breast feeding or lactating.
  • The subject lives >100 miles from the University of Cincinnati or >90 minutes from the CU site or is not able to attend the follow-up visits.
  • Patients who are unable to swallow capsules.
  • Is currently considered at risk of suicide in the opinion of the investigator, represents an inappropriate risk to the participant and/or could confound the interpretation of the study results.

Sites / Locations

  • University of Columbia, New York State Psychiatric Institute
  • University of CincinnatiRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

No Intervention

Arm Label

sertraline

Placebo

Healthy Control

Arm Description

90 patients will be randomized to sertraline

30 patient will be randomized to placebo

30 healthy comparison subjects will be followed over the course of 12 weeks

Outcomes

Primary Outcome Measures

Number of Participants with Clinical Global Impression-Improvement Scale ≤ 2
Primary response outcome will be treatment response based on patients having attained a score on the Clinical Global Impression-Improvement Scale ≤ 2 at Week 12 or Last-Observation-Carried-Forward (LOCF).

Secondary Outcome Measures

Full Information

First Posted
January 6, 2020
Last Updated
September 13, 2023
Sponsor
University of Cincinnati
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
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1. Study Identification

Unique Protocol Identification Number
NCT04221997
Brief Title
Trial With the Treatment of Sertraline in Youth With Generalized, Separation and/or Social Anxiety Disorders.
Acronym
EV-SoPRANO
Official Title
Extracellular Vesicles as Predictors of Antidepressant Outcomes in Pediatric Anxiety (EV-SOPRANO)
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 1, 2019 (Actual)
Primary Completion Date
September 2024 (Anticipated)
Study Completion Date
September 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Cincinnati
Collaborators
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

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.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A Multicenter, acute, randomized, double-blind, placebo-controlled, flexible-dose trial with the treatment of sertraline.
Detailed Description
Randomized, double-blind, placebo-controlled trial of an evidence-based antidepressant, sertraline, in youth (N=120) with generalized, separation and/or social anxiety disorders, seeks to evaluate the predictive value of plasma EV signatures. Patients will be randomized to sertraline (25-200 mg/day) or placebo (3:1) and total plasma EVs will be collected at baseline and serially during the course of the 12-week treatment period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anxiety Disorders

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Model Description
During the acute treatment phase, 90 patients will be randomized to sertraline and 30 patients will be randomized to placebo (3:1).
Masking
ParticipantInvestigator
Masking Description
Double Blind
Allocation
Randomized
Enrollment
150 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
sertraline
Arm Type
Experimental
Arm Description
90 patients will be randomized to sertraline
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
30 patient will be randomized to placebo
Arm Title
Healthy Control
Arm Type
No Intervention
Arm Description
30 healthy comparison subjects will be followed over the course of 12 weeks
Intervention Type
Drug
Intervention Name(s)
sertraline
Other Intervention Name(s)
Zoloft
Intervention Description
Sertraline is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs)
Primary Outcome Measure Information:
Title
Number of Participants with Clinical Global Impression-Improvement Scale ≤ 2
Description
Primary response outcome will be treatment response based on patients having attained a score on the Clinical Global Impression-Improvement Scale ≤ 2 at Week 12 or Last-Observation-Carried-Forward (LOCF).
Time Frame
Week 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
8 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for Patients with Anxiety : Written, informed assent and consent. Patients, parent/guardian/LAR must be fluent in the English. 8-17 years of age, inclusive, at Visit 1, and who have a parent/guardian/LAR. Patients must meet DSM-5 criteria for generalized, social and/or separation anxiety disorder, confirmed by the MINI-KID with no lifetime history of mania, OCD or significant history of trauma exposure. PARS score ≥15 at Visits 1 and 2. Caregiver who is willing to consent to be responsible for safety monitoring of the patient, provide information about the patient's condition, oversee the administration of the investigational product. No clinically significant abnormalities on physical examination. Negative pregnancy test at Visit 1 in females. Sexually active patients must practice a reliable method of contraception (Section 15.0) that will continue for the duration of the study and within 30 days following the end of study participation. Reliable methods of contraception are defined below; other forms of contraceptives (pharmacological and/or non-pharmacological) are not accepted. surgical sterilization oral contraceptives (e.g., estrogen-progestin combination or progestin) transdermally-delivered contraceptives (e.g., Ortho-Evra), depot injections (e.g., Depo-Provera) vaginal contraceptive ring (e.g., NuvaRing), contraceptive implants (e.g., Implanon, Norplant II/Jadelle) an intrauterine device or diaphragm plus condom. Inclusion Criteria for Healthy Controls: Written, informed assent and consent. Patients, parent/guardian/LAR must be fluent in the English. 8 to 17 years of age, inclusive, at Visit 1, and who have a parent/guardian/LAR. No history of any DSM-5 disorders (nicotine use disorder is permitted, history of adjustment disorder is permitted), confirmed by the MINI-KID. Caregiver who is willing to consent to be responsible for safety monitoring of the patient, provide information about the patient. No clinically significant abnormalities on physical examination. Negative pregnancy test at Screening in females. Negative urine drug screen at Screening. No first-degree relatives with an affective, anxiety or psychotic disorder. Exclusion Criteria for Patients with Anxiety Disorders and Healthy Comparison: Subjects Co-occurring DSM-5 diagnosis mood (except persistent depressive disorder, unspecified depressive disorder or co- occurring anxiety disorders, provided that the primary diagnosis is generalized, social and/or separation anxiety disorder(s)), eating, bipolar, or psychotic disorders. A history of treatment with SSRIs within 12 weeks of Visit 2 (Baseline) or current pharmacotherapy with CNS effects that require >5 half-lives for discontinuation. A history of major neurological or medical illness or head trauma with loss of consciousness for ≥5 minutes. Lifetime history of mania, OCD, or significant history of trauma exposure. History of hypersensitivity to sertraline. Lifetime diagnosis of intellectual disability or history of IQ <70. History of alcohol/substance use disorder or any substance abuse within the past 6 months (nicotine dependence is permitted). Current psychotherapy stable for <2 months prior to Visit 2 (Baseline). Females will not be eligible to participate if they are pregnant, breast feeding or lactating. The subject lives >100 miles from the University of Cincinnati or >90 minutes from the CU site or is not able to attend the follow-up visits. Patients who are unable to swallow capsules. Is currently considered at risk of suicide in the opinion of the investigator, represents an inappropriate risk to the participant and/or could confound the interpretation of the study results.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Heidi K Schroeder, BS
Phone
513-558-4422
Email
heysehk@uc.edu
First Name & Middle Initial & Last Name or Official Title & Degree
Zoe A Neptune, BS
Phone
513-558-2866
Email
neptunza@uc.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeffrey R Strawn, MD, FAACAP
Organizational Affiliation
University of Cincinnati
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Columbia, New York State Psychiatric Institute
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Individual Site Status
Withdrawn
Facility Name
University of Cincinnati
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Heidi K Schroeder, BS
Phone
513-558-4422
Email
heysehk@uc.edu
First Name & Middle Initial & Last Name & Degree
Jeffrey R Strawn, MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Trial With the Treatment of Sertraline in Youth With Generalized, Separation and/or Social Anxiety Disorders.

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