Vilazodone for the Treatment of Posttraumatic Stress Disorder
A Double-blind, Placebo-controlled Randomized Trial of Vilazodone in the Treatment of Posttraumatic Stress Disorder
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
California
-
Long Beach, California, United States, 90822
- Veterans Affairs Long Beach Healthcare System
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Nebraska
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Omaha, Nebraska, United States, 68105
- Veterans Affairs Nebraska Western-Iowa Healthcare Systems
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participants must satisfy DSM-IV diagnostic criteria for chronic PTSD
- Evidence of PTSD disease base upon one or more of the following:
- Mild or greater depression on the Beck Depression Inventory -II (BDI-II, score> 12).
- May have other symptom co-morbid with PTSD (e.g., anxiety or somatic pain)
- Ability to comprehend and satisfactorily comply with protocol required and signed written informed consent prior to entering study procedure
- May be in psychotherapy if initiated at least three months prior to the screening visit. Subject must not discontinue or otherwise alter therapy during the study.
- Subject may not have taken any psychopharmacological medications within 7 days prior to Baseline visit.
- Negative urine pregnancy test at screening visit and for the duration of the study for women of childbearing potential.
Exclusion Criteria:
Patients with a concurrent DSM-IV Axis I diagnosis in any of the following categories:
- Delirium, Dementia, Amnestic and other Cognitive disorders
- Lifetime Schizophrenia and other Psychotic Disorders
- lifetime Bipolar I Disorder
- Bipolar-II Disorder with an episode of hypomania within the last year
- Alcohol or Substance Dependence or Abuse (excluding nicotine) in one month prior to the Screening Visit
- Any other concurrent Axis I Disorder (including Major Depressive Disorder) must be secondary to the primary diagnosis of PTSD.
- Decisional incapacity (dementia)
- Use of centrally acting medications that potentially have an effect on biological expression
- Chronic pain levels requiring use of any opiate medications
- Known exposure to chemicals of physical traumas that cause neuropsychiatric sequelae
- Past chronic PTSD
- History of 2 or more treatment failures on SSRIs given primarily for the treatment of PTSD, in adequate does at the Investigator's opinion, for at least 8 weeks
- History of intolerance or hypersensitivity to SSRI's
- History of seizures
- Significant risk of committing suicide, or are homicidal or violent and in the Investigator's opinion in significant imminent risk of hurting others
- Treated with depot-neuroleptic within 3 months or MAO inhibitors within 30 day prior to Baseline visit
- Received ECT within 3 months prior to Screening visit
- Pregnant or nursing, women of childbearing potential who are sexually active and do not use adequate contraception, or who are judged to be unreliable in their use of contraception
- Positive urine drug screen, unless proven to be prescribed for a short-term course of treatment. Drug screen must be repeated at least 7 days after the last dose of prescription medication containing narcotics
- A medical condition, in the Investigator's opinion, would expose them to an increased risk of a significant adverse event or interfere with assessments of safety and efficacy during the course of the trial
- Requiring concomitant treatment with any psychotropic drug (except zolpidem for sleep)
- Plans to initiate or terminate any form of psychotherapy or behavior therapy during the study
- Receiving disability payments (> 50 % service connections or total Social Security) or who are involved in litigation for PTSD or other psychiatric illnesses.
- Unable to speak, read, and understand English or are judged by the investigator to be unable or unlikely to follow the study protocol and complete all scheduled visits
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Treatment (Viibryd)
10 mg/day 1 to 7; 20 mg/day 8 to 14; 40 mg/day week 3 to end week 12. Subjects will then be tapered off vilazodone as follows: 20 mg/day week 13, 10 mg/day, week 14 and no medication during week 15.
|
Other Names:
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Placebo Comparator: Placebo
will be compared to the treatment group (viibryd)
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
PTSD symptoms
Time Frame: four months
|
PCL-C
|
four months
|
|
PTSD Diagnosis
Time Frame: 4 months
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CAPS
|
4 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Depression
Time Frame: four months
|
BDI-II
|
four months
|
|
Sleep
Time Frame: 4 months
|
PSQI
|
4 months
|
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Anxiety
Time Frame: 4 months
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HSCL-25
|
4 months
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Biomarkers
Time Frame: four months
|
serum
|
four months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Mental Disorders
- Trauma and Stressor Related Disorders
- Stress Disorders, Traumatic
- Depression
- Stress Disorders, Post-Traumatic
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Psychotropic Drugs
- Serotonin Uptake Inhibitors
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Serotonin Agents
- Antidepressive Agents
- Serotonin 5-HT1 Receptor Agonists
- Serotonin Receptor Agonists
- Vilazodone Hydrochloride
Other Study ID Numbers
Other Study ID Numbers
- VII-IT-05
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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