Clinical Trial to Evaluate the Efficacy and Safety of the Aurora® Digital Medical Device in Adult Patients With Moderate to Severe Generalized Anxiety Disorder
Phase III, Randomized, Multicenter, Open-label Clinical Trial to Evaluate the Efficacy and Safety of the Aurora® Digital Medical Device With Conventional Drug Treatment, Compared to Conventional Drug Treatment Alone, in Adult Patients With Moderate to Severe Generalized Anxiety Disorder
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: MIGUEL RAMIREZ, BACHELOR
- Phone Number: +525541427729
- Email: miguelramirez@seeclinicos.com
Study Contact Backup
- Name: ANGEL COLL, MD
- Phone Number: +525526702106
- Email: angelmario.coll@seeclinicos.com
Study Locations
-
-
Mexico City
-
Mexico City, Mexico City, Mexico, 06500
- Recruiting
- Servicios Especializados En Ensayos Clinicos, Seec, Sc
-
Contact:
- ANGEL COLL, MD
- Phone Number: +525526702106
- Email: angelmario.coll@seeclinicos.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men and women aged ≥18 and ≤65 years.
- Diagnosis of generalized anxiety disorder (GAD) based on DSM-5-TR criteria.
- Score ≥10 on the GAD-7 (Generalized Anxiety Disorder Scale) instrument
- That they agree to participate in the study by signing the informed consent form.
Exclusion Criteria:
- Concomitant alcohol use disorder or recreational drug use disorder.
- Consumption of energy drinks.
- Excessive caffeine consumption (more than 150 mg per day).
- Patients with hypersensitivity to escitalopram (Selective®) or duloxetine (Arquera®) and/or any component of the formulation.
Having received psychiatric drug treatment within the 6 months prior to inclusion in this protocol, including but not limited to prescription drugs such as SSRIs, SNRIs, benzodiazepines, herbal medicines, or unauthorized substances such as cannabis, microdoses of LSD, CBD, ayahuasca, or any other recreational psychotropic substance.
-- Having received psychotherapy or having been part of support groups, meditation, mindfulness, or equivalent groups will not be grounds for exclusion, provided that this has not been accompanied by medication aimed at modifying any psychiatric disorder.
- Any clinical or sociodemographic condition that prevents the use of the Aurora® digital medical device as established in this protocol; for example, severe visual impairment, complete lack of knowledge about the use of personal electronic devices such as cell phones or tablets, among others.
- Presence of other psychiatric comorbidities, with the exception of depressive disorders not induced by substances or medications.
- Patients who, at the time of the selection assessment, present any psychiatric emergency (psychosis, catatonia, manic episode, risk of self-harm or harm to others, etc.).
- Diagnosis or suspicion of bipolar disorder.
- History of seizures, even while undergoing anti-seizure treatment.
- Identification of prolonged QT interval length on the initial assessment electrocardiogram.
- Previous diagnosis of chronic liver failure, Child-Pugh class B or C.
- Previous diagnosis of chronic kidney disease stage KDIGO 3 or higher.
- Diagnosis of NYHA functional class III/IV heart failure.
- Diagnosis of pheochromocytoma.
- Diagnosis of acute or chronic degenerative diseases that are not included in control targets, or that, in the investigator's opinion, represent an additional risk to the patient.
- Patients requiring concomitant treatment with medications contraindicated with the use of escitalopram (Selective®) or duloxetine (Arquera®), such as the following: monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, class I antiarrhythmics or sodium channel blockers, acetylsalicylic acid, cimetidine, beta-adrenergic blockers, buspirone, digoxin, carbamazepine, lithium, sumatriptan, theophylline, warfarin, vortioxetine, bupropion, mirtazapine, agomelatine, and phentermine.
- Any other clinical condition that, in the investigator's opinion, contraindicates the use of conventional treatment.
- Pregnant or breastfeeding women.
- Any alteration in laboratory tests that, in the opinion of the Investigator, is considered clinically relevant and represents a risk to the patient.
- Patients who have received or are scheduled to receive any investigational product from another clinical study within 90 days prior to the selection process.
- Patients who, in the investigator's opinion, are unable to comply with the protocol activities or whose inclusion poses a risk to their health.
- Patients who are receiving cognitive behavioral therapy prior to or at the time of study entry.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Patients will be using Aurora Digital Therapy plus conventional treatment for anxiety disorder
81 patients will be assigned to experimental arm with therapy digital Aurora + conventional treatment
|
81 patients using Digital Therapy Aurora + conventional pharmacological treatment for 12 weeks
Other Names:
|
|
Active Comparator: 81 Patients will be using conventional treatment for anxiety disorder
|
81 patients using conventional pharmacological treatment for 12 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
GAD-7 scale
Time Frame: 12 weeks
|
Changes in the initial versus final GAD-7 scale in both treatment arms.
Values 0 to 21 points.
A decrease in the GAD 7 scale signifies patient improvement
|
12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse event
Time Frame: 12 weeks
|
Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0
|
12 weeks
|
|
Adverse incident
Time Frame: 12 weeks
|
Number of Participants With Treatment-Related Incident Events as Assessed
|
12 weeks
|
|
Penn State Worry Questionnaire (PSWQ)
Time Frame: 4, 8 and 12 weeks
|
Change From Baseline in the Penn State Worry Questionnaire (PSWQ) in week 4, 8 and 12. Changes in the initial versus final PSWQ scale in both treatment arms.
Values 16 to 80 points.
A decrease in the PSWQ scale signifies patient improvement.
|
4, 8 and 12 weeks
|
|
PHQ-9 (Patient Health Questionnaire-9)
Time Frame: 4, 8 and 12 weeks
|
Change From Baseline in PHQ-9 (Patient Health Questionnaire-9) in week 4, 8 and 12 .
Changes in the initial versus final PHQ-9 scale in both treatment arms.
Values 0 to 27 points.
A decrease in the PHQ-9 scale signifies patient improvement.
|
4, 8 and 12 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: ANGEL M COLL, Servicios Especializados En Ensayos Clinicos, Seec, Sc
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- INNOVA 2024-01
- 253300410C1001/2025 (Other Identifier: COFEPRIS)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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