Trial Outcomes & Findings for Monoamine Transporters Genotypes: Risk of PTSD and Related Comorbidities (NCT NCT00403455)

NCT ID: NCT00403455

Last Updated: 2018-07-02

Results Overview

The CAPS assessment is used to determine the severity of an individuals PTSD. The assessment examines Re-experiencing, Avoidance and Numbing, and Hyperarousal symptoms which total score in each of these categories are added together to achieve a total CAPS score. Scores on this assessment can range from 0-136 with 0 not having any PTSD symptoms and 136 having the most symptoms possible. The study uses this assessment at the baseline and at the end of treatment to determine the decrease in this score over the course of the study.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

38 participants

Primary outcome timeframe

12 weeks

Results posted on

2018-07-02

Participant Flow

Participant milestones

Participant milestones
Measure
Paroxetine Arm
This is a single arm, single site, open-label clinical trial to treat veterans with PTSD. It is a 12-week trial to investigate the efficacy of paroxetine in reducing PTSD symptoms, with the primary outcome measure using CAPS. Genetic information is included to understand why some respond and some do not respond to paroxetine treatment. Both male and female combat veterans ages 18 years and older who meet DSM-III-R criteria for principle diagnosis of PTSD as determined by the CAP-S were recruited for this study.
Overall Study
STARTED
38
Overall Study
COMPLETED
37
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Paroxetine Arm
This is a single arm, single site, open-label clinical trial to treat veterans with PTSD. It is a 12-week trial to investigate the efficacy of paroxetine in reducing PTSD symptoms, with the primary outcome measure using CAPS. Genetic information is included to understand why some respond and some do not respond to paroxetine treatment. Both male and female combat veterans ages 18 years and older who meet DSM-III-R criteria for principle diagnosis of PTSD as determined by the CAP-S were recruited for this study.
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Monoamine Transporters Genotypes: Risk of PTSD and Related Comorbidities

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Paroxetine Arm
n=38 Participants
This is a single arm, single site, open-label clinical trial to treat veterans with PTSD. It is a 12-week trial to investigate the efficacy of paroxetine in reducing PTSD symptoms, with the primary outcome measure using CAPS. Genetic information is included to understand why some respond and some do not respond to paroxetine treatment. Both male and female combat veterans ages 18 years and older who meet DSM-III-R criteria for principle diagnosis of PTSD as determined by the CAP-S were recruited for this study.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
31 Participants
n=99 Participants
Age, Categorical
>=65 years
7 Participants
n=99 Participants
Age, Continuous
48.5789 years
n=99 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
Sex: Female, Male
Male
37 Participants
n=99 Participants
Region of Enrollment
United States
38 participants
n=99 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: All participants analyzed had a CAPS score of \>45 and were DSM-IV positive for PTSD. Both males and females with backgrounds in all ethnic groups were aloud to participate in the study.

The CAPS assessment is used to determine the severity of an individuals PTSD. The assessment examines Re-experiencing, Avoidance and Numbing, and Hyperarousal symptoms which total score in each of these categories are added together to achieve a total CAPS score. Scores on this assessment can range from 0-136 with 0 not having any PTSD symptoms and 136 having the most symptoms possible. The study uses this assessment at the baseline and at the end of treatment to determine the decrease in this score over the course of the study.

Outcome measures

Outcome measures
Measure
Paroxetine Arm
n=36 Participants
This is a single arm, single site, open-label clinical trial to treat veterans with PTSD. It is a 12-week trial to investigate the efficacy of paroxetine in reducing PTSD symptoms, with the primary outcome measure using CAPS. Genetic information is included to understand why some respond and some do not respond to paroxetine treatment.
Clinician Administered PTSD Scale (CAPS)
-21.72 Change in units on a scale
Interval -91.0 to 30.0

Adverse Events

Paroxetine Arm

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Paroxetine Arm
n=38 participants at risk
This is a single arm, single site, open-label clinical trial to treat veterans with PTSD. It is a 12-week trial to investigate the efficacy of paroxetine in reducing PTSD symptoms, with the primary outcome measure using CAPS. Genetic information is included to understand why some respond and some do not respond to paroxetine treatment.
Gastrointestinal disorders
Minor Nausea
28.9%
11/38 • All patients were monitored over a 12 weeks. During this time period no patients experienced any serious adverse events. A small number of participants experienced nausea and other minor symptoms which did not require them stopping the medication.
Paroxetine is and during the time of this study an open-label drug which is approved to treat PTSD. This study was conducted to analyze why some people respond to the medication better than others in relation to a persons genotype.

Additional Information

Dr. Zhewu Wang

Department of Veterans Affairs

Phone: (843) 789-7949

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place