- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00590642
Augmentation in Tx-resistant OCD: an Open Label Trial
November 27, 2009 updated by: Creighton University
Augment in Treatment-resistent Obsessive-compulsive Disorder: an Open-label Trial
This study examines the use of Acamprosate (Campral(R)) in the treatment of Obsessive Compulsive Disorder (OCD).
The treatment of this condition is difficulty and a large percentage of patients fail to respond to medications and have residual symptoms.
Such patients are referred to as having treatment resistant OCD.
Study Overview
Status
Completed
Conditions
Detailed Description
A patient will receive study drug for about 12 weeks.
Throughout the study, the study doctor, on best medical judgment, may gradually increase or decrease the dose of the study medication.
The adjustments will dependent on the subject's response and whether the subject has side effects.
Once the subject has completed treatment under this study, the subject may resume standard treatment for his/her obsessive compulsive disorder by their regular doctor.
Study Type
Observational
Enrollment (Anticipated)
30
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Nebraska
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Omaha, Nebraska, United States, 68131
- Creighton University Department of Psychiatry
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
19 years to 55 years (ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
Psychiatry clinic
Description
Inclusion Criteria:
- Men and women between 19-55 years of age
- have dx of OCD as determined by the structured clinical interview for DSM-IV axis 1 disorders
- SSRI resistant patients with OCD
- Subjects who are able to comprehend and satisfactorily comply with protocol requirements and have ability to read and write English.
- Signed written informed consent prior to entering any study procedures.
- Concomitant psychotropic medications permitted only if prescribed at stable dose for at least 1 month before screening visit
Exclusion Criteria:
- Patients with concurrent DSM-IV diagnosis of delirium, dementia, amnestic and other cognitive disorders
- Patients with concurrent DSM-IV diagnosis of mental retardation
- Patients with concurrent DSM-IV diagnosis of lifetime schizophrenia and other psychotic disorders
- Patients with concurrent DSM-IV diagnosis of lifetime bipolar disorder
- Substance dependence or abuse (excluding nicotine) within 6 months prior to screening visit
- Patients with score of less than 16 on Y-BCOS during screening.
- Patients with history of intolerance or hypersensitivity to acamprosate.
- Patients based on history or mental status exam have significant risk fo committing suicide.
- Patients who are homicidal or violent.
- Patients with severe renal impairment
- Female patients who are pregnant or lactating
- Subjects with history of psychosurgery for OCD
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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1
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Acamprosate would be efficacious for SSRI resistant OCD symptoms
Time Frame: Patients will be administered 12 weeks of Acamprosate.
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Patients will be administered 12 weeks of Acamprosate.
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Acamprosate would improve anxiety, depressive symptoms and quality of life in OCD.
Time Frame: Patients will be administered 12 weeks of Acamprosate
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Patients will be administered 12 weeks of Acamprosate
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Sriram Ramaswamy, MD, Creighton University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Hollander E, Greenwald S, Neville D, Johnson J, Hornig CD, Weissman MM. Uncomplicated and comorbid obsessive-compulsive disorder in an epidemiologic sample. Depress Anxiety. 1996-1997;4(3):111-9. doi: 10.1002/(SICI)1520-6394(1996)4:33.0.CO;2-J.
- Karno M, Golding JM, Sorenson SB, Burnam MA. The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry. 1988 Dec;45(12):1094-9. doi: 10.1001/archpsyc.1988.01800360042006.
- den Boer JA. Psychopharmacology of comorbid obsessive-compulsive disorder and depression. J Clin Psychiatry. 1997;58 Suppl 8:17-9.
- Hollander E. Obsessive-compulsive disorder-related disorders: the role of selective serotonergic reuptake inhibitors. Int Clin Psychopharmacol. 1996 Dec;11 Suppl 5:75-87.
- Keuneman RJ, Pokos V, Weerasundera R, Castle DJ. Antipsychotic treatment in obsessive-compulsive disorder: a literature review. Aust N Z J Psychiatry. 2005 May;39(5):336-43. doi: 10.1080/j.1440-1614.2005.01591.x.
- Saxena S, Rauch SL. Functional neuroimaging and the neuroanatomy of obsessive-compulsive disorder. Psychiatr Clin North Am. 2000 Sep;23(3):563-86. doi: 10.1016/s0193-953x(05)70181-7.
- Moore GJ, MacMaster FP, Stewart C, Rosenberg DR. Case study: caudate glutamatergic changes with paroxetine therapy for pediatric obsessive-compulsive disorder. J Am Acad Child Adolesc Psychiatry. 1998 Jun;37(6):663-7. doi: 10.1097/00004583-199806000-00017.
- Rosenberg DR, MacMaster FP, Keshavan MS, Fitzgerald KD, Stewart CM, Moore GJ. Decrease in caudate glutamatergic concentrations in pediatric obsessive-compulsive disorder patients taking paroxetine. J Am Acad Child Adolesc Psychiatry. 2000 Sep;39(9):1096-103. doi: 10.1097/00004583-200009000-00008.
- Chakrabarty K, Bhattacharyya S, Christopher R, Khanna S. Glutamatergic dysfunction in OCD. Neuropsychopharmacology. 2005 Sep;30(9):1735-40. doi: 10.1038/sj.npp.1300733.
- Coric V, Taskiran S, Pittenger C, Wasylink S, Mathalon DH, Valentine G, Saksa J, Wu YT, Gueorguieva R, Sanacora G, Malison RT, Krystal JH. Riluzole augmentation in treatment-resistant obsessive-compulsive disorder: an open-label trial. Biol Psychiatry. 2005 Sep 1;58(5):424-8. doi: 10.1016/j.biopsych.2005.04.043.
- Poyurovsky M, Weizman R, Weizman A, Koran L. Memantine for treatment-resistant OCD. Am J Psychiatry. 2005 Nov;162(11):2191-2. doi: 10.1176/appi.ajp.162.11.2191-a. No abstract available.
- De Witte P, Littleton J, Parot P, Koob G. Neuroprotective and abstinence-promoting effects of acamprosate: elucidating the mechanism of action. CNS Drugs. 2005;19(6):517-37. doi: 10.2165/00023210-200519060-00004.
- Littleton J, Zieglgansberger W. Pharmacological mechanisms of naltrexone and acamprosate in the prevention of relapse in alcohol dependence. Am J Addict. 2003;12(s1):s3-s11. doi: 10.1111/j.1521-0391.2003.tb00492.x.
- Dahchour A, De Witte P. Effects of acamprosate on excitatory amino acids during multiple ethanol withdrawal periods. Alcohol Clin Exp Res. 2003 Mar;27(3):465-70. doi: 10.1097/01.ALC.0000056617.68874.18.
- Putzke J, Spanagel R, Tolle TR, Zieglgansberger W. The anti-craving drug acamprosate reduces c-fos expression in rats undergoing ethanol withdrawal. Eur J Pharmacol. 1996 Dec 12;317(1):39-48. doi: 10.1016/s0014-2999(96)00696-6.
- al Qatari M, Khan S, Harris B, Littleton J. Acamprosate is neuroprotective against glutamate-induced excitotoxicity when enhanced by ethanol withdrawal in neocortical cultures of fetal rat brain. Alcohol Clin Exp Res. 2001 Sep;25(9):1276-83. doi: 10.1097/00000374-200109000-00006.
- Goodman WK, Price LH, Rasmussen SA, Mazure C, Fleischmann RL, Hill CL, Heninger GR, Charney DS. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Arch Gen Psychiatry. 1989 Nov;46(11):1006-11. doi: 10.1001/archpsyc.1989.01810110048007.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
April 1, 2006
Primary Completion (ACTUAL)
October 1, 2009
Study Completion (ACTUAL)
October 1, 2009
Study Registration Dates
First Submitted
December 11, 2007
First Submitted That Met QC Criteria
December 28, 2007
First Posted (ESTIMATE)
January 10, 2008
Study Record Updates
Last Update Posted (ESTIMATE)
December 1, 2009
Last Update Submitted That Met QC Criteria
November 27, 2009
Last Verified
November 1, 2009
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CMP-MD-14
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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