- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01551199
Exposure Therapy for Veterans With PTSD and Panic Attacks (Phase 1)
January 4, 2017 updated by: VA Office of Research and Development
To evaluate the feasibility, acceptability and effectiveness of Multiple Channel Exposure Therapy-Veterans (MCET-V) as a treatment for returning service members with comorbid posttraumatic stress disorder (PTSD) and panic disorder (PD) in two phases.
The first phase of the study will examine the feasibility and acceptability of MCET-V.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
With the increasing number of Operations Iraqi Freedom and Enduring Freedom (OIF/OEF) veterans returning from war-zone areas, many will experience anxiety disorders such as PTSD and comorbid problems.
Currently, about one in every six OIF/OEF veterans experiences PTSD and co-occurring PD.
Although effective treatments exist for treating one or the other, we do not yet have treatments that can simultaneously target PTSD and PD.
Thus, recent attention has focused on the development of multi-component treatments that simultaneously address PTSD and PD.
This study is the first systematic investigation of a time-limited, multi-component cognitive-behavioral treatment for veterans with specific comorbid anxiety problems.
The purpose of the first phase of the study is to evaluate the feasibility and acceptability of the multi-component cognitive-behavioral treatment in an open trial.
Study Type
Interventional
Enrollment (Actual)
7
Phase
- Phase 1
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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Texas
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Houston, Texas, United States, 77030
- Michael E. DeBakey VA Medical Center, Houston, TX
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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
18 years to 64 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- being a veteran of any era;
- being enrolled in the Trauma Recovery Program (TRP) at the Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC), with a current diagnosis of PTSD and PD;
- being stable on psychotropic medication for 4 weeks before study participation; and
- being at least 18 years of age.
Exclusion Criteria:
- active substance dependence, or bipolar or psychotic disorders;
- severe depression and active suicidal ideation and intent (based on Structured Clinical Interview for DSM-IV disorders [SCID-IV] & Beck Depression Inventory-2nd edition [BDI-II]);
- cognitive impairment as indicated by the St. Louis University Mental Status exam (SLUMS); and
- veterans currently receiving psychosocial treatment specifically targeting PTSD or panic symptoms.
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
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Multiple Channel Exposure Therapy
MCET-V is a cognitive-behavioral treatment for persons with comorbid PTSD and panic attacks
|
Individual therapy design completed over a 12-week period.
The treatment will include psychoeducation about panic attacks and trauma and behavioral and cognitive exposure exercises.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinician Administered PTSD Scale (CAPS)
Time Frame: 1-week post-treatment (approximately week 14)
|
The CAPS is a clinician-administered interview assessing 17 symptoms of PTSD (based on DSM-IV criteria).
Frequency of symptoms are rated on a scale from 0 (never/none) to 4 (daily/almost every day).
Intensity of symptoms are rated using a scale of 0 (none) to 4 (extreme).
Total severity score is derived by summing the frequency and intensity scores.
A recommended cut-off of 45 is used to determine the presence of full PTSD.
Higher scores suggest greater symptom severity.
|
1-week post-treatment (approximately week 14)
|
Clinician Administered PTSD Scale (CAPS)
Time Frame: 3-month follow-up (approximately week 26)
|
The CAPS is a clinician-administered interview assessing 17 symptoms of PTSD (based on DSM-IV criteria).
Frequency of symptoms are rated on a scale from 0 (never/none) to 4 (daily/almost every day).
Intensity of symptoms are rated using a scale of 0 (none) to 4 (extreme).
Total severity score is derived by summing the frequency and intensity scores.
A recommended cut-off of 45 is used to determine the presence of full PTSD.
Higher scores suggest greater symptom severity.
|
3-month follow-up (approximately week 26)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anxiety Disorders Interview Schedule- DSM-IV (ADIS-IV)
Time Frame: 3 Months
|
The ADIS-IV is a semi-structured diagnostic interview for anxiety disorders (based on DSM-IV criteria).
DSM-IV criteria for panic disorder include recurrent unexpected panic attacks and (1) persistant concern or worry about additional panic attacks or their consequences or (2) significant change in behavior related to panic attacks.
|
3 Months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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
March 1, 2012
Primary Completion (Actual)
February 1, 2013
Study Completion (Actual)
June 1, 2013
Study Registration Dates
First Submitted
March 2, 2012
First Submitted That Met QC Criteria
March 7, 2012
First Posted (Estimate)
March 12, 2012
Study Record Updates
Last Update Posted (Actual)
February 23, 2017
Last Update Submitted That Met QC Criteria
January 4, 2017
Last Verified
January 1, 2017
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CDA2-012-09F-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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