- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03911063
Telemedicine Clinical Trial for Cognitive Behavioral Therapy in Familial Dysautonomia
A Single-Blind Placebo-Controlled Telemedicine Clinical Trial for Cognitive Behavioral Therapy in Familial Dysautonomia
This is a single-blind, placebo-controlled, telemedicine clinical trial to assess the efficacy of cognitive behavioral therapy (CBT) in adult patients 18 years and older with familial dysautonomia (FD) and anxiety and/or depression and/or obsessive compulsive or related disorders. The trial will enroll 20 adult patients each with FD who have anxiety and/or depression and/or obsessive compulsive or related disorders by the DSM V criteria.
Enrolled participants will be allocated to receive, in a non-randomized fashion, weekly 5-10 min talking sessions (i.e., placebo) for 8 weeks, followed by weekly 30-60 min CBT sessions during 8 weeks. Although investigators will be un-blinded to the intervention, participants will be blinded to the expected effects of each intervention.
Both the talking sessions (i.e., placebo) and CBT sessions will be performed via telemedicine either via a HIPAA secure telemedicine platform or the telephone based on the preference of the individual patient. If a patient specifically requests talking or CBT sessions to be performed in person, this will be accommodated. The use of telemedicine is to accommodate disability and potential physical limitations of this unique patient population. The CBT sessions will be supervised by Lily Armstrong, certified mental health therapist and Dr. Thomas Boes, NYU Clinical Assistant Professor in the Departments of Psychiatric and Neurology.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
-
New York, New York, United States, 10016
- NYU Langone Health
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of familial dysautonomia (FD).
- DSM-V criteria of major depressive disorder OR anxiety disorder OR obsessive-compulsive behaviors.
- STAI score ≥ 25 OR a PHQ-9 depression scale score ≥ 5 or greater.
- Willing and able to complete 8 sessions of placebo and 8 sessions of CBT.
- If taking an antidepressant it will be maintained at a constant dose throughout study and concurrent talk therapy from another therapist will not be initiated during the study.
- MoCA score of 14 or greater.
Exclusion Criteria:
- Current suicidal attempt or suicidal ideation (subjects with a past history of suicidal ideation or attempt are eligible to participate).
- Patients starting psychoactive medications within 3-months prior to screening.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cognitive behavioral therapy (CBT)
|
weekly 20-40 min CBT sessions during 8 weeks; Both the talking sessions (i.e., placebo) and CBT sessions will be performed via telemedicine either via a HIPAA secure telemedicine platform or the telephone based on the preference of the individual patient.
|
Active Comparator: Placebo Talking Sessions
|
20-40 min talking sessions (i.e., placebo) for 8 weeks; The placebo talking sessions will be performed by an acute care and palliative care board certified, New York State licensed nurse practitioner at the NYU Dysautonomia Center who is familiar with each FD subject enrolling in the study and an expert in familial dysautonomia.
The NP will focus the 20-40 minute conversation on typical medical questions and concerns that the FD patient routinely calls the Center to discuss.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
STAI anxiety score
Time Frame: Baseline
|
The range of possible scores for form Y of the STAI varies from a minimum score of 20 to a maximum score of 80 on both the STAI-T and STAI-S subscales.
STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).
|
Baseline
|
STAI anxiety score
Time Frame: Week 2
|
The range of possible scores for form Y of the STAI varies from a minimum score of 20 to a maximum score of 80 on both the STAI-T and STAI-S subscales.
STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).
|
Week 2
|
STAI anxiety score
Time Frame: Week 9
|
The range of possible scores for form Y of the STAI varies from a minimum score of 20 to a maximum score of 80 on both the STAI-T and STAI-S subscales.
STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).
|
Week 9
|
STAI anxiety score
Time Frame: Week 17
|
The range of possible scores for form Y of the STAI varies from a minimum score of 20 to a maximum score of 80 on both the STAI-T and STAI-S subscales.
STAI scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).
|
Week 17
|
PHQ-9 depression score
Time Frame: Baseline
|
9 item depression scale of the patient health questionnaire.The total sum of the responses suggests varying levels of depression.
Scores range from 0 to 27.
In general, a total of 10 or above is suggestive of the presence of depression.
|
Baseline
|
PHQ-9 depression score
Time Frame: Week 2
|
9 item depression scale of the patient health questionnaire.The total sum of the responses suggests varying levels of depression.
Scores range from 0 to 27.
In general, a total of 10 or above is suggestive of the presence of depression.
|
Week 2
|
PHQ-9 depression score
Time Frame: Week 9
|
9 item depression scale of the patient health questionnaire.The total sum of the responses suggests varying levels of depression.
Scores range from 0 to 27.
In general, a total of 10 or above is suggestive of the presence of depression.
|
Week 9
|
PHQ-9 depression score
Time Frame: Week 17
|
9 item depression scale of the patient health questionnaire.The total sum of the responses suggests varying levels of depression.
Scores range from 0 to 27.
In general, a total of 10 or above is suggestive of the presence of depression.
|
Week 17
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Horacio Kaufmann, New York Langone Medical Center
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Nervous System Diseases
- Congenital Abnormalities
- Genetic Diseases, Inborn
- Neuromuscular Diseases
- Neurodegenerative Diseases
- Peripheral Nervous System Diseases
- Heredodegenerative Disorders, Nervous System
- Nervous System Malformations
- Polyneuropathies
- Hereditary Sensory and Autonomic Neuropathies
- Primary Dysautonomias
- Autonomic Nervous System Diseases
- Dysautonomia, Familial
Other Study ID Numbers
- 18-01152
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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