Trial Outcomes & Findings for Memantine in Body Focused Repetitive Behaviors (NCT NCT04792645)

NCT ID: NCT04792645

Last Updated: 2024-09-19

Results Overview

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 10 weeks. Every two weeks subjects will take the NIMH Symptom Severity Scale. The change in scores from baseline to after 8 weeks will be assessed. The scale itself assesses severity of trichotillomania or skin picking symptom, with higher scores indicating greater trichotillomania or skin picking severity. Score range: 0-20.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

100 participants

Primary outcome timeframe

The primary efficacy end points will be the change in these measures from baseline to week 8.

Results posted on

2024-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Overall Study
STARTED
45
55
Overall Study
COMPLETED
36
43
Overall Study
NOT COMPLETED
9
12

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Memantine in Body Focused Repetitive Behaviors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=45 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=55 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
32.82 Years
STANDARD_DEVIATION 11.46 • n=99 Participants
30.25 Years
STANDARD_DEVIATION 9.08 • n=107 Participants
31.41 Years
STANDARD_DEVIATION 10.25 • n=206 Participants
Sex/Gender, Customized
Gender · Female
33 Participants
n=99 Participants
47 Participants
n=107 Participants
80 Participants
n=206 Participants
Sex/Gender, Customized
Gender · Male
9 Participants
n=99 Participants
6 Participants
n=107 Participants
15 Participants
n=206 Participants
Sex/Gender, Customized
Gender · Other Gender
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
6 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
3 Participants
n=107 Participants
5 Participants
n=206 Participants
Race (NIH/OMB)
White
39 Participants
n=99 Participants
44 Participants
n=107 Participants
83 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Region of Enrollment
United States
45 Participants
n=99 Participants
55 Participants
n=107 Participants
100 Participants
n=206 Participants
National Institute of Mental Health Trichotillomania Severity Scale
12.02 units on a scale
STANDARD_DEVIATION 3.30 • n=99 Participants
12.67 units on a scale
STANDARD_DEVIATION 3.21 • n=107 Participants
12.34 units on a scale
STANDARD_DEVIATION 3.23 • n=206 Participants
Massachusetts General Hospital Hairpulling Scale
19.57 units on a scale
STANDARD_DEVIATION 3.52 • n=99 Participants
19.30 units on a scale
STANDARD_DEVIATION 4.41 • n=107 Participants
19.42 units on a scale
STANDARD_DEVIATION 4.01 • n=206 Participants
Sheehan Disability Scale
9.43 units on a scale
STANDARD_DEVIATION 7.75 • n=99 Participants
10.23 units on a scale
STANDARD_DEVIATION 7.19 • n=107 Participants
9.87 units on a scale
STANDARD_DEVIATION 7.44 • n=206 Participants
HAM-A
5.20 units on a scale
STANDARD_DEVIATION 5.67 • n=99 Participants
6.89 units on a scale
STANDARD_DEVIATION 5.55 • n=107 Participants
6.13 units on a scale
STANDARD_DEVIATION 5.60 • n=206 Participants
HAM-D
4.29 units on a scale
STANDARD_DEVIATION 3.80 • n=99 Participants
5.87 units on a scale
STANDARD_DEVIATION 4.12 • n=107 Participants
5.16 units on a scale
STANDARD_DEVIATION 3.98 • n=206 Participants

PRIMARY outcome

Timeframe: The primary efficacy end points will be the change in these measures from baseline to week 8.

Population: Participants who completed the study.

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 10 weeks. Every two weeks subjects will take the NIMH Symptom Severity Scale. The change in scores from baseline to after 8 weeks will be assessed. The scale itself assesses severity of trichotillomania or skin picking symptom, with higher scores indicating greater trichotillomania or skin picking severity. Score range: 0-20.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=43 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
NIMH Symptom Severity Scale (for TTM or Skin Picking)
-1.19 units on a scale
Standard Deviation 2.80
-6.98 units on a scale
Standard Deviation 3.65

SECONDARY outcome

Timeframe: 8 weeks

The entire study for the subject will last 8 weeks. Every two weeks the subject will complete the CGI-I. The scale is a clinician-rated measure of overall disorder severity. Scores range from 1 (not at all improved) to 7 (very much improved). In each group, the number of people in each group who had a CGI-I score of 6 or 7 at Week 8 (indicating much or very much improved) will be presented.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=43 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Clinical Global Impressions-Improvement Scale (CGI-I)
3 participants
26 participants

SECONDARY outcome

Timeframe: 8 weeks

Brief, self-report scale for assessing repetitive hairpulling (or skin picking). Because of a lack of an identical scale for skin-picking behavior, this scale was modified for skin picking for individuals with SPD to keep the outcome measure consistent across disorders. Seven individual items, rated for severity from 0 to 4, assess urges to pull (pick), actual pulling (picking), perceived control, and associated distress (range 0-28). The change in scores from baseline to after 8 weeks is reported. Negative values indicate a decrease in score from baseline to 8 weeks, while positive values indicate an increase in score from baseline to 8 weeks.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=43 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Massachusetts General Hospital Hairpulling (Skin Picking) Scale
-3.09 units on a scale
Standard Deviation 4.43
-6.95 units on a scale
Standard Deviation 4.20

SECONDARY outcome

Timeframe: 8 weeks

Population: This assessment was only completed for participants with a diagnosis of skin picking disorder, even though the study was open to people who had either trichotillomania or skin picking disorder. This is why the sample size is smaller for analysis of this measure.

The entire study lasts 8 weeks. Every two weeks subjects will take the Skin Picking Symptom Assessment Scale (SP-SAS). The scale itself assesses severity of skin-picking symptoms. The SP-SAS score ranges from 0 to 48, with 0 being no symptoms and 48 being the most severe. The average change in score from baseline to Week 8 will be reported for both groups. A positive value indicates an increase in score from baseline to week 8, whereas a negative value indicates a decrease in score from baseline to week 8.

Outcome measures

Outcome measures
Measure
Placebo
n=16 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=19 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Skin Picking Symptom Assessment Scale
-2.44 units on a scale
Standard Deviation 4.50
-7.00 units on a scale
Standard Deviation 8.74

SECONDARY outcome

Timeframe: 8 weeks

Subjects will complete the Sheehan Disability Scale (SDS) at all visits. The SDS is a self-report measure of functional impairment. Scores range from 0-30, with higher scores indicating greater functional impairment. The average change in score from baseline to Week 8 will be reported. Negative values indicate a decrease in score from baseline to Week 8, while positive values indicate an increase in score.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=43 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Sheehan Disability Scale
-1.66 units on a scale
Standard Deviation 7.25
-5.73 units on a scale
Standard Deviation 5.76

SECONDARY outcome

Timeframe: 8 weeks

Population: Participants who had HAM-D data at Week 0 and Week 8

A clinician-administered assessment of depression that will be assessed at all study visits. Score range 0-58. Higher total scores indicate higher levels of depression, while a score of 0 would indicate no depressive symptoms. The change in score from baseline to Week 8 is reported. Positive values indicate an increase in score from baseline to Week 8, whereas negative values indicate a decrease in score from baseline to Week 8.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=42 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Hamilton Depression Rating Scale
-1.31 units on a scale
Standard Deviation 3.95
-2.90 units on a scale
Standard Deviation 3.57

SECONDARY outcome

Timeframe: 8 weeks

A clinician-administered assessment of anxiety that will be assessed at all study visits. Score range: 0-56. Higher scores indicate more anxiety symptoms, with 0 being no symptoms of anxiety. Changes in scores from baseline to week 8 visit will be assessed. Positive values indicate an increase in score from baseline to week 8, whereas negative values indicate a decrease in score from baseline to week 8.

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=43 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Hamilton Anxiety Rating Scale
-1.42 units on a scale
Standard Deviation 5.20
-3.88 units on a scale
Standard Deviation 4.89

SECONDARY outcome

Timeframe: 8 weeks

Population: Participants who had QOLI data at Week 0 and Week 8

The entire study for an individual subject will last 8 weeks. This inventory will be completed at the first and last visit of the study, with only these two points being assessed. Results are reported as the change in Week 8-Week 0 scores. The scale itself assess the subjects overall perceived quality of life, with higher scores indicating better outcomes. Possible total scores range from 1-77.

Outcome measures

Outcome measures
Measure
Placebo
n=37 Participants
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=32 Participants
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
Quality of Life Inventory (QOLI)
2.76 units on a scale
Standard Deviation 19.87
-0.09 units on a scale
Standard Deviation 11.27

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Memantine

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=45 participants at risk
10mg once daily of placebo for two weeks, then 20mg for the remaining six weeks Placebo: Pill that contains no medicine
Memantine
n=55 participants at risk
10mg once daily of memantine for two weeks, then 20mg for the remaining six weeks Memantine: Cognition-enhancing medication
General disorders
Fatigue
8.9%
4/45 • Number of events 5 • Adverse event data was collected during the 10-week study period .
7.3%
4/55 • Number of events 5 • Adverse event data was collected during the 10-week study period .
General disorders
Dizziness
4.4%
2/45 • Number of events 3 • Adverse event data was collected during the 10-week study period .
7.3%
4/55 • Number of events 4 • Adverse event data was collected during the 10-week study period .
Nervous system disorders
Brain Fog
4.4%
2/45 • Number of events 3 • Adverse event data was collected during the 10-week study period .
1.8%
1/55 • Number of events 1 • Adverse event data was collected during the 10-week study period .
Nervous system disorders
Headache
4.4%
2/45 • Number of events 2 • Adverse event data was collected during the 10-week study period .
5.5%
3/55 • Number of events 4 • Adverse event data was collected during the 10-week study period .
General disorders
Dry Mouth
6.7%
3/45 • Number of events 5 • Adverse event data was collected during the 10-week study period .
5.5%
3/55 • Number of events 3 • Adverse event data was collected during the 10-week study period .
Gastrointestinal disorders
Nausea
4.4%
2/45 • Number of events 3 • Adverse event data was collected during the 10-week study period .
1.8%
1/55 • Number of events 1 • Adverse event data was collected during the 10-week study period .
General disorders
Insomnia
2.2%
1/45 • Number of events 1 • Adverse event data was collected during the 10-week study period .
3.6%
2/55 • Number of events 2 • Adverse event data was collected during the 10-week study period .

Additional Information

Dr. Jon Grant

University of Chicago

Phone: 773-834-3778

Results disclosure agreements

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