Epidiolex i obsessiv-kompulsiv lidelse og relaterede lidelser
Et åbent forsøg med Epidiolex til behandling af obsessiv-kompulsiv lidelse og relaterede lidelser: Proof of Concept-undersøgelse
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Sophie Boutouis, BS
- Telefonnummer: 773-702-9066
- E-mail: sboutouis@bsd.uchicago.edu
Undersøgelse Kontakt Backup
- Navn: Laurie Avila, BA
- Telefonnummer: 773-702-5523
- E-mail: laurie.avila@bsd.uchicago.edu
Studiesteder
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Illinois
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Chicago, Illinois, Forenede Stater, 60637
- University of Chicago
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Mænd og kvinder i alderen 18-65
- Primær diagnose af OCD, Hoarding Disorder, Skin Picking Disorder, Trichotillomania eller Tourette Syndrom
- YBOCS score på mindst 18 ved baseline
- Evne til at forstå og underskrive samtykkeerklæringen.
Ekskluderingskriterier:
- Ustabil medicinsk sygdom baseret på historie eller klinisk signifikante abnormiteter ved fysisk undersøgelse eller laboratorier ved baseline
- Aktuel graviditet eller amning eller utilstrækkelig prævention hos kvinder i den fødedygtige alder
- Forsøgspersoner betragtede som en umiddelbar selvmordsrisiko baseret på Columbia Suicide Severity Rating Scale (C-SSRS)
- Sidste 12-måneders DSM-5 psykiatrisk lidelse bortset fra OCD
- Ulovlig stofbrug baseret på urintoksikologisk screening
- Igangsættelse af psykologiske interventioner inden for 3 måneder efter screening
- Brug af anden psykotrop medicin
- Tidligere behandling med Epidiolex
- Kognitiv svækkelse, der forstyrrer evnen til at forstå og selvadministrere medicin eller give skriftligt informeret samtykke
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Epidiolex
Epidiolex (2,5 mg/kg to gange dagligt i en uge) efterfulgt af Epidiolex (5mg/kg to gange dagligt i to uger)
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Epidiolex oral opløsning (2,5 mg/kg og 5 mg/kg)
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Yale Brown Obsessive Compulsive Scale (YBOCS) Total Score
Tidsramme: Baseline to Week 2
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The primary outcome measure will be the change from baseline using the Yale Brown Obsessive Compulsive Scale (YBOCS).
The YBOCS is a 10-item scale that assesses OCD symptoms during the last seven days.
The first five items comprise the urge/thought subscale and items 6-10 comprise the behavior subscale.
The change in scores from baseline to Week 2 will be reported.
The scores from the subscales are summed together to reach a total score.
The scale ranges from 0-40 with higher scores reflecting more severe symptoms.
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Baseline to Week 2
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Change in NIMH Symptom Severity Scale (for TTM or Skin Picking) Total Score
Tidsramme: Baseline to Week 2
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The primary efficacy measure will be the change in hair pulling or skin picking frequency and urges to pull hair or pick skin for the past week as indicated by change in total score.
The entire study lasts two weeks.
Every two weeks subjects will take the NIMH-TSS.
The change in scores from baseline to Week 2 will be reported.
The scale itself assesses severity of trichotillomania symptoms.
The NIMH-TSS score ranges from 0 to 20, with 0 being no symptoms and 20 being the most severe.
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Baseline to Week 2
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Clinical Global Impressions- Severity Scale (CGI-S) Total Score
Tidsramme: Baseline to Week 2
|
The entire study for the subject will last 2 weeks.
The subject will complete the CGI once per week.
The change in scores from baseline to Week 2 will be reported.
The scale itself assesses overall disorder severity on a scale from 1 to 7 with 1 being "not at all" and 7 being "among the most severe cases"
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Baseline to Week 2
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Change in Hamilton Depression Rating Scale (HAM-D) Total Score
Tidsramme: Baseline to Week 2
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The Hamilton Depression Rating Scale (HAM-D) is a clinician-administered assessment of depression that will be assessed at all study visits.
The HAM-D is a 17-item scale that assess depressive symptoms during the last seven days.
The change in scores from baseline to Week 2 will be reported.
The scale ranges from 0-52 with higher total scores indicating higher levels of depression, while a score of 0 would indicate no depressive symptoms.
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Baseline to Week 2
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Change in Hamilton Anxiety Rating Scale (HAM-A) Total Score
Tidsramme: Baseline to Week 2
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The Hamilton Anxiety Rating Scale (HAM-A) is a clinician-administered assessment of anxiety that will be assessed at all study visits.
The HAM-A is a 14 item scale that assess anxiety symptoms during the last fourteen days.
The change in scores from baseline to Week 2 will be reported.
The scale ranges from 0-56 with higher scores indicating higher levels of anxiety, with 0 being no symptoms of anxiety.
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Baseline to Week 2
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Change in Sheehan Disability Scale (SDS) Total Score
Tidsramme: Baseline to Week 2
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The Sheehan Disability Scale (SDS) is a self-report scale that subjects will complete the SDS at all visits.
The SDS is a three item scale that measures functional impairment across work/school, social life, and family/home responsibilities during the past seven days.
The change in scores from baseline to Week 2 will be reported.
Each item ranges from 0-10, with higher scores indicating more impairment.
However, only total score is reported which ranges from 0-30, with higher scores indicating more severe impairment.
The total score is computed by summing the three scores from each domain.
The scale itself assesses the level of disability from target disorder with higher scores indicating a more debilitating disorder.
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Baseline to Week 2
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Change in Quality of Life Inventory (QOLI) Total Score
Tidsramme: Baseline to Week 2
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The Quality of Life Inventory (QOLI) is a self-report assessment of patient perceived quality of life that will be assessed at each visit.
The change in scores from baseline to Week 2 will be reported.
The QOLI assesses both the importance and satisfaction of 16 life domains.
Scores are calculated by multiplying the importance score by the satisfaction score which gives a weighted score for each domain.
Each weighted score is then added together to get a total score which ranges from 0-100 with higher scores indicating a higher quality of life, whereas lower scores indicate a lower quality of life.
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Baseline to Week 2
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Jon E Grant, MD, JD, MPH, University of Chicago
Publikationer og nyttige links
Generelle publikationer
- HAMILTON M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960 Feb;23(1):56-62. doi: 10.1136/jnnp.23.1.56. No abstract available.
- Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57.
- HAMILTON M. The assessment of anxiety states by rating. Br J Med Psychol. 1959;32(1):50-5. doi: 10.1111/j.2044-8341.1959.tb00467.x. No abstract available.
- Sheehan DV (1983). The Anxiety Disease. New York: Scribner's.
- Frisch MB, Cornell J, Villaneuva M (1993). Clinical validation of the Quality of Life Inventory: a measure of life satisfaction for use in treatment planning and outcome assessment. Psychol Assess. 4:92-101.
- Ravizza L, Barzega G, Bellino S, Bogetto F, Maina G. Predictors of drug treatment response in obsessive-compulsive disorder. J Clin Psychiatry. 1995 Aug;56(8):368-73.
- Blanco C, Olfson M, Stein DJ, Simpson HB, Gameroff MJ, Narrow WH. Treatment of obsessive-compulsive disorder by U.S. psychiatrists. J Clin Psychiatry. 2006 Jun;67(6):946-51. doi: 10.4088/jcp.v67n0611.
- Grant JE. Clinical practice: Obsessive-compulsive disorder. N Engl J Med. 2014 Aug 14;371(7):646-53. doi: 10.1056/NEJMcp1402176.
- Bloch MH, Landeros-Weisenberger A, Kelmendi B, Coric V, Bracken MB, Leckman JF. A systematic review: antipsychotic augmentation with treatment refractory obsessive-compulsive disorder. Mol Psychiatry. 2006 Jul;11(7):622-32. doi: 10.1038/sj.mp.4001823. Epub 2006 Apr 4.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Psykiske lidelser
- Genetiske sygdomme, medfødte
- Adfærdsmæssige symptomer
- Neurodegenerative sygdomme
- Selvskadende adfærd
- Neuroudviklingsforstyrrelser
- Bevægelsesforstyrrelser
- Heredodegenerative lidelser, nervesystem
- Basal Ganglia Sygdomme
- Angstlidelser
- Tic lidelser
- Disruptive, impulskontrol og adfærdsforstyrrelser
- Medfødte, arvelige og neonatale sygdomme og abnormiteter
- Opførsel
- Hamstringsforstyrrelse
- Ekskoriationslidelse
- Tvangslidelse
- Tourettes syndrom
- Trikotillomani
- Hamstring
- Organiske kemikalier
- Kulbrinter
- Terpenes
- Cannabinoider
- Cannabidiol
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- IRB21-1147
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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