Trial Outcomes & Findings for Minocycline for Treatment of Posttraumatic Stress Disorder in Veterans (NCT NCT03340350)

NCT ID: NCT03340350

Last Updated: 2020-07-09

Results Overview

PTSD symptom severity was assessed using total scores on the Past Month version of the Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (CAPS-5). Total scores on the CAPS-5 range from 0 to 80, with higher scores indicating greater severity of PTSD symptoms.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

10 participants

Primary outcome timeframe

Baseline and Week 12

Results posted on

2020-07-09

Participant Flow

Participant milestones

Participant milestones
Measure
Minocycline
Minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Overall Study
STARTED
10
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Minocycline for Treatment of Posttraumatic Stress Disorder in Veterans

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Minocycline
n=10 Participants
Minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Age, Continuous
39.9 years
STANDARD_DEVIATION 11.2 • n=99 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
Sex: Female, Male
Male
9 Participants
n=99 Participants
Race/Ethnicity, Customized
White
6 Participants
n=99 Participants
Race/Ethnicity, Customized
Black
1 Participants
n=99 Participants
Race/Ethnicity, Customized
Hispanic or Latino
2 Participants
n=99 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=99 Participants
Region of Enrollment
United States
10 participants
n=99 Participants

PRIMARY outcome

Timeframe: Baseline and Week 12

PTSD symptom severity was assessed using total scores on the Past Month version of the Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (CAPS-5). Total scores on the CAPS-5 range from 0 to 80, with higher scores indicating greater severity of PTSD symptoms.

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
PTSD Symptom Severity
Baseline
31.5 score on a scale
Standard Deviation 7.23
PTSD Symptom Severity
Week 12
23 score on a scale
Standard Deviation 7.62

PRIMARY outcome

Timeframe: Screening and Week 12

Measure of inflammation

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Change in C-reactive Protein (CRP) Level
Screening
1.25 mg/dL
Standard Deviation 0.35
Change in C-reactive Protein (CRP) Level
Week 12
0.90 mg/dL
Standard Deviation 0.14

PRIMARY outcome

Timeframe: Screening and Week 12

Measure of inflammation

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Change in Interleukin 6 (IL-6) Level
Week 12
1.64 pg/mL
Standard Deviation 0.67
Change in Interleukin 6 (IL-6) Level
Screening
1.27 pg/mL
Standard Deviation 0.49

PRIMARY outcome

Timeframe: Screening and Week 12

Measure of inflammation

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Change in Tumor Necrosis Factor Alpha (TNF-α) Level
Screening
1.14 pg/mL
Standard Deviation 0.31
Change in Tumor Necrosis Factor Alpha (TNF-α) Level
Week 12
1.13 pg/mL
Standard Deviation 0.14

SECONDARY outcome

Timeframe: Screening and Week 12

Depression symptom severity was assessed using total scores on the Beck Depression Inventory-II (BDI-II). Total scores on the BDI-II range from 0 to 63, with higher scores indicating greater severity of depression symptoms.

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Depression Symptom Severity
Screening
24.5 score on a scale
Standard Deviation 12.71
Depression Symptom Severity
Week 12
20.75 score on a scale
Standard Deviation 5.19

SECONDARY outcome

Timeframe: Baseline and Week 12

The Clinical Global Impressions Severity scale (CGI-S) was used to assess severity of illness. Scores on the CGI-S range from 0 to 7, with higher scores reflecting greater severity of illness.

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Clinical Status (Severity)
Baseline
4.25 score on a scale
Standard Deviation 0.50
Clinical Status (Severity)
Week 12
4.00 score on a scale
Standard Deviation 0.00

SECONDARY outcome

Timeframe: Baseline and Week 12

The Clinical Global Impressions Improvement scale (CGI-I) was used to assess global improvement in clinical status. Scores on the CGI-I range from 0 to 7, with lower scores reflecting greater improvement in clinical status.

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Clinical Status (Improvement)
Baseline
4.00 score on a scale
Standard Deviation 0.00
Clinical Status (Improvement)
Week 12
3.25 score on a scale
Standard Deviation 0.96

SECONDARY outcome

Timeframe: Baseline and Week 12

The Trail Making Test (TMT) is a scale used to measure a type of executive functioning (i.e., higher-order cognitive function) called set shifting. The TMT is scored as time (in seconds) to complete Parts A and B of this task. A difference score was calculated (time to complete Part B minus time to complete Part A) to subtract the motor component of this task and provide a better estimate of executive functioning. Lower difference scores on the TMT indicate better set shifting.

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Executive Functioning (Set Shifting)
Week 12
23.00 seconds
Standard Deviation 1.92
Executive Functioning (Set Shifting)
Baseline
43.75 seconds
Standard Deviation 11.62

SECONDARY outcome

Timeframe: Baseline and Week 12

The Controlled Oral Word Association (COWA) is a scale used to measure a type of executive functioning (i.e., higher-order cognitive function) called verbal fluency. The COWA is scored as the total number of valid words produced in one minute for each of three letters, with 1 point scored for each valid word (score range: 0-no upper limit). Higher scores on the COWA indicate greater verbal fluency.

Outcome measures

Outcome measures
Measure
Minocycline
n=4 Participants
Participants received minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Executive Functioning (Verbal Fluency)
Baseline
31.00 number of words
Standard Deviation 4.00
Executive Functioning (Verbal Fluency)
Week 12
32.25 number of words
Standard Deviation 6.65

Adverse Events

Minocycline

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Minocycline
n=10 participants at risk
Minocycline 100 mg/day 1 to 7 and 200 mg/day 8 to end of week 12 Minocycline: Minocycline capsule
Skin and subcutaneous tissue disorders
Rash/hives
20.0%
2/10 • 12 weeks
General disorders
Hospitalization
10.0%
1/10 • 12 weeks
Respiratory, thoracic and mediastinal disorders
Shortness of breath
10.0%
1/10 • 12 weeks

Additional Information

Sriram Ramaswamy, MD

VA Nebraska-Western Iowa Health Care System

Phone: 402-995-4712

Results disclosure agreements

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