Trial Outcomes & Findings for Evaluation of GSK561679 in Women With Post-Traumatic Stress Disorder (NCT NCT01018992)

NCT ID: NCT01018992

Last Updated: 2017-03-07

Results Overview

The CAPS is a semi-structured clinical interview providing a measure of the severity of PTSD symptoms. A severity score is calculated by summing the frequency and intensity scores for each of the 17 DSM-IV criteria symptoms. The severity of symptoms is rated on a scale from 0-4, where, 0 = Absent, 1 = Mild/subthreshold; 2 = Moderate/ threshold, 3 = Severe/markedly elevated and 4 = Extreme/ incapacitating. Scores may range from 0 (no symptoms) to 136 (severe symptoms). Change is the difference in scores between baseline and 6 weeks.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

267 participants

Primary outcome timeframe

Baseline, Week 6

Results posted on

2017-03-07

Participant Flow

Participants were recruited from Emory University School of Medicine, Mount Sinai School of Medicine, Baylor College of Medicine, and the University of California San Francisco between January 2010 and June 2014.

Subjects stopped psychotropic medications (w/ the exception of zolpidem, eszopiclone, and zaleplon for insomnia) w/in 2 weeks (6 weeks for fluoxetine) of Visit 1. Patients on ineffective psychotropic medications tapered off by the patients' prescribing doctor. 139 subjects did not proceed to randomization due to meeting exclusionary criteria.

Participant milestones

Participant milestones
Measure
GSK561679
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Overall Study
STARTED
63
65
Overall Study
COMPLETED
47
49
Overall Study
NOT COMPLETED
16
16

Reasons for withdrawal

Reasons for withdrawal
Measure
GSK561679
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Overall Study
Adverse Event
8
3
Overall Study
Withdrawal by Subject
3
8
Overall Study
Protocol Violation
0
4
Overall Study
Lost to Follow-up
5
1

Baseline Characteristics

Evaluation of GSK561679 in Women With Post-Traumatic Stress Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
GSK561679
n=63 Participants
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
n=65 Participants
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Total
n=128 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
63 Participants
n=99 Participants
65 Participants
n=107 Participants
128 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
63 Participants
n=99 Participants
65 Participants
n=107 Participants
128 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline, Week 6

Population: Intent to treat analysis was performed using maximum likelihood estimation with mixed models to include all observations.

The CAPS is a semi-structured clinical interview providing a measure of the severity of PTSD symptoms. A severity score is calculated by summing the frequency and intensity scores for each of the 17 DSM-IV criteria symptoms. The severity of symptoms is rated on a scale from 0-4, where, 0 = Absent, 1 = Mild/subthreshold; 2 = Moderate/ threshold, 3 = Severe/markedly elevated and 4 = Extreme/ incapacitating. Scores may range from 0 (no symptoms) to 136 (severe symptoms). Change is the difference in scores between baseline and 6 weeks.

Outcome measures

Outcome measures
Measure
GSK561679
n=63 Participants
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
n=65 Participants
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Efficacy, Measured by Change in the Clinician-Administered PTSD Scale (CAPS) Score
-26.02 Score on a scale
Standard Deviation 22.28
-27.33 Score on a scale
Standard Deviation 19.76

SECONDARY outcome

Timeframe: Baseline, Week 6

Population: Intent to treat analysis was performed with missing subjects considered to be non-responders.

The number of participants that showed at least a 50% reduction in CAPS scores from their baseline visit at the end of 6 weeks were measured has having a response to the treatment. The CAPS is a semi-structured clinical interview providing a measure of the severity of PTSD symptoms. A severity score is calculated by summing the frequency and intensity scores for each of the 17 DSM-IV criteria symptoms. Scores may range from 0 (no symptoms) to 136 (severe symptoms).

Outcome measures

Outcome measures
Measure
GSK561679
n=63 Participants
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
n=65 Participants
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Efficacy, Measured by Response Rate of at Least 50% Improvement in CAPS Score at the End of 6 Weeks as Compared to Baseline
14 participants
18 participants

SECONDARY outcome

Timeframe: Baseline, Week 6

Population: Intent to treat analysis was performed using maximum likelihood estimation with mixed models to include all observations.

The MADRS is a ten-item clinician-administered questionnaire used to measure the severity of depressive symptoms in patients with depressive disorders. Higher MADRS score indicates more severe depression, and each item yields a score of 0 to 6. The overall score ranges from 0 to 60. Change is the difference in scores between baseline and 6 weeks.

Outcome measures

Outcome measures
Measure
GSK561679
n=63 Participants
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
n=65 Participants
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Efficacy, Measured by Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Score
-7.83 Score on a scale
Standard Deviation 9.32
-5.98 Score on a scale
Standard Deviation 9.10

SECONDARY outcome

Timeframe: Week 6

Population: Intent to Treat

The occurrence of adverse events will be recorded at the end of 6 weeks.

Outcome measures

Outcome measures
Measure
GSK561679
n=63 Participants
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
n=65 Participants
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Safety, Measured by the Number of Subjects That Experienced an Adverse Event
55 participants
55 participants

Adverse Events

GSK561679

Serious events: 1 serious events
Other events: 55 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 55 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
GSK561679
n=63 participants at risk
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
n=65 participants at risk
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Respiratory, thoracic and mediastinal disorders
Asthma exacerbation
1.6%
1/63
0.00%
0/65
Immune system disorders
Anaphylaxis
0.00%
0/63
1.5%
1/65

Other adverse events

Other adverse events
Measure
GSK561679
n=63 participants at risk
Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks
Placebo
n=65 participants at risk
Adult women with DSM-IV defined PTSD received matching placebo for 6 weeks
Nervous system disorders
Headache
39.7%
25/63
36.9%
24/65
Gastrointestinal disorders
Nausea
30.2%
19/63
16.9%
11/65
Psychiatric disorders
Insomnia
9.5%
6/63
16.9%
11/65
Gastrointestinal disorders
Diarrhea
9.5%
6/63
13.8%
9/65
Infections and infestations
Upper Respiratory Tract Infection
12.7%
8/63
10.8%
7/65
Nervous system disorders
Sedation
7.9%
5/63
12.3%
8/65
Nervous system disorders
Dizziness
11.1%
7/63
6.2%
4/65
Skin and subcutaneous tissue disorders
Rash
3.2%
2/63
12.3%
8/65
Gastrointestinal disorders
Vomiting
6.3%
4/63
9.2%
6/65
Gastrointestinal disorders
Dyspepsia
6.3%
4/63
7.7%
5/65
Gastrointestinal disorders
Constipation
3.2%
2/63
7.7%
5/65
Gastrointestinal disorders
Dry Mouth
7.9%
5/63
3.1%
2/65
General disorders
Irritability
4.8%
3/63
6.2%
4/65
Skin and subcutaneous tissue disorders
Pruritis
6.3%
4/63
4.6%
3/65
Gastrointestinal disorders
Abdominal Pain
1.6%
1/63
7.7%
5/65
Musculoskeletal and connective tissue disorders
Arthralgia
7.9%
5/63
1.5%
1/65
Respiratory, thoracic and mediastinal disorders
Cough
3.2%
2/63
6.2%
4/65
Psychiatric disorders
Depression
3.2%
2/63
4.6%
3/65
Musculoskeletal and connective tissue disorders
Neck Pain
4.8%
3/63
3.1%
2/65
Respiratory, thoracic and mediastinal disorders
Rhinitis Allergic
3.2%
2/63
4.6%
3/65
Respiratory, thoracic and mediastinal disorders
Sinusitis
1.6%
1/63
6.2%
4/65
Eye disorders
Vision Blurred
3.2%
2/63
4.6%
3/65
Injury, poisoning and procedural complications
Contusion
0.00%
0/63
6.2%
4/65
General disorders
Disturbance in attention
1.6%
1/63
4.6%
3/65
General disorders
Hypersensitivity
1.6%
1/63
4.6%
3/65
Nervous system disorders
Migraine
4.8%
3/63
1.5%
1/65
Musculoskeletal and connective tissue disorders
Muscle spasm
1.6%
1/63
4.6%
3/65
Musculoskeletal and connective tissue disorders
Myalgia
1.6%
1/63
4.6%
3/65
Gastrointestinal disorders
Abdominal distension
0.00%
0/63
4.6%
3/65
Gastrointestinal disorders
Flatulence
0.00%
0/63
4.6%
3/65
Endocrine disorders
Hot Flush
0.00%
0/63
4.6%
3/65
Endocrine disorders
Non-cardiac chest pain
0.00%
0/63
4.6%
3/65
Respiratory, thoracic and mediastinal disorders
Oropharyngeal Pain
0.00%
0/63
4.6%
3/65
Ear and labyrinth disorders
Tinnitus
4.8%
3/63
0.00%
0/65

Additional Information

Dr. Boadie Dunlop

Emory University

Phone: 404-727-8474

Results disclosure agreements

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