The Effects of Treatment With Sertraline for Noncardiac Chest Pain
The Effects of Treatment With Sertraline for Panic Disorder and/or Depression Driven Chest Pain and/or Palpitations in a Double Blind, Care as Usual and Placebo Controlled Study
調査の概要
詳細な説明
Noncardiac chest pain remains an important problem in clinical cardiology. Often, panic disorder and/or depression are the underlying cause. However, this is largely underdiagnosed.
There are no clear existing treatment strategies/methods for this specific patient population.
In our double blind, placebo controlled care as usual versus sertraline study, we want to investigate whether intervention is more effective as care as usual for diminishing chest pain, and also if sertraline is more effective in this specific population compared to placebo.
研究の種類
入学 (実際)
段階
- フェーズ 4
連絡先と場所
研究場所
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Maastricht、オランダ、6202 AZ
- Maastricht University Medical Centre
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- chest pain without a cardiac cause
- diagnosed with panic disorder and or depression according to Diagnostic and statistical Manual (DSM) IV criteria
- Living < 50 km from the hospital
- informed consent
Exclusion Criteria:
- other primary DSM IV diagnosis
- known sensitivity to sertraline
- using other anti-depressive agents
- not speaking dutch language
- living in a nursery home or having dementia
- other severe, acute or progressive disease, kidney or liver-function disturbances, pregnancy or breastfeeding
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:4倍
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ:sertraline, panic education
treatment with sertraline after panic education
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starting dose 25 mg for 1 week, the increasing to 50 mg, after each visit evaluation whether dosage has to be increased to maximally 150 mg
他の名前:
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プラセボコンパレーター:placebo after panic education
treatment with placebo after panic education
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patients received 1 pill, according to their complaints the number of pills was increased to maximally 3
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介入なし:care as usual
patient received no diagnosis an no panic education, they had a 24 weeks follow up with a visit at 12 weeks and 24 weeks to evaluate their complaints
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
panic attacks
時間枠:24 weeks
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reduction of panic attacks by more than or equal to 50%
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24 weeks
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17 items Hamilton depression (HAMD) rating scale score
時間枠:24 weeks
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reduction of HAMD score of >50%
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24 weeks
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Hospital Anxiety and Depression Scale (HADS)reduction score
時間枠:24 weeks
|
reduction in Hospital Anxiety and Depression Score
|
24 weeks
|
|
Clinical Global Impression (CGI) improvement
時間枠:24 weeks
|
improvement in Clinical Global Impression Scale
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24 weeks
|
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EuroQol (EQ-5D)score
時間枠:24 weeks
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improvement of Quality of Life measured by the EuroQol
|
24 weeks
|
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Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) score
時間枠:24 weeks
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improvement of Quality of Life measured by the SF 36
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24 weeks
|
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health care costs
時間枠:24 weeks
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decrease of health care costs using a diary for health costs
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24 weeks
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協力者と研究者
協力者
捜査官
- スタディチェア:Adriaan Honig, Prof,MD,Phd、Now: St Lucas and Andreas Hospital, Amsterdam, Netherlands
- 主任研究者:Petra Kuijpers, MD, PhD、Maastricht University Medical Centre, Maastricht, the Netherlands
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。