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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Evaluation of GSK561679 in Women With Post-Traumatic Stress Disorder

NCTNCT01018992 (opens ClinicalTrials.gov in a new tab)Other idIRB00022717Other idMH069056

This trial does not test a peptide that PepBank tracks.

  • Names ACTH (corticotropin), does not test it. It appears in the summary.

Overview

Status
Completed
Phase
Phase 2
Enrollment
267 participants (actual)
Sponsor
Emory University · Other
Design
Randomized · Double masking
Countries
1 country

United States

Start
Dec 2009
Primary completion
Aug 2014
Completion
Aug 2014
First posted
25 Nov 2009 (estimated)
Last update posted
7 Mar 2017
Conditions
Stress Disorders, Post-Traumatic

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2009201020112012201320142015
  1. Ph 2

    Evaluation of GSK561679 in Women With Post-Traumatic Stress Disorder

    NCT01018992

    Dec 2009 to Aug 2014

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

This study will test the hypothesis of whether an antagonist at the corticotropin releasing factor type 1 (CRF1) receptor (i.e. GSK561679) is superior to placebo in reducing symptoms of post-traumatic stress disorder (PTSD).

Interventions

  • GSK561679Drug
  • PlaceboDrug

Arms2

  • Placebo comparator

    Placebo

    Adult women with DSM-IV defined PTSD will receive matching placebo for 6 weeks

  • Experimental

    GSK561679

    Adult women with DSM-IV-defined PTSD will receive GSK561679 at a fixed dose of 350 mg/day for 6-weeks

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Efficacy, Measured by Change in the Clinician-Administered PTSD Scale (CAPS) Score

    Time frame · Baseline, Week 6

    Registry description

    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.

Secondary outcomes(3)
  1. Efficacy, Measured by Response Rate of at Least 50% Improvement in CAPS Score at the End of 6 Weeks as Compared to Baseline

    Time frame · Baseline, Week 6

    Registry description

    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).

  2. Efficacy, Measured by Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Score

    Time frame · Baseline, Week 6

    Registry description

    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.

  3. Safety, Measured by the Number of Subjects That Experienced an Adverse Event

    Time frame · Week 6

    Registry description

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

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· Baseline, Week 6

Efficacy, Measured by Change in the Clinician-Administered PTSD Scale (CAPS) Score

GroupValue (Score on a scale)Spread
GSK561679-26.0222.28
Placebo-27.3319.76
Secondary and other outcome results(3)
Secondary outcomeNumber· Baseline, Week 6

Efficacy, Measured by Response Rate of at Least 50% Improvement in CAPS Score at the End of 6 Weeks as Compared to Baseline

GroupValue (participants)
GSK56167914
Placebo18
Secondary outcomeMean· Baseline, Week 6

Efficacy, Measured by Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Score

GroupValue (Score on a scale)Spread
GSK561679-7.839.32
Placebo-5.989.10
Secondary outcomeNumber· Week 6

Safety, Measured by the Number of Subjects That Experienced an Adverse Event

GroupValue (participants)
GSK56167955
Placebo55

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
GSK561679Adult women with DSM-IV-defined PTSD received GSK561679 at a fixed dose of 350 mg/day for 6-weeks–1 / 6355 / 63
PlaceboAdult women with DSM-IV defined PTSD received matching placebo for 6 weeks–1 / 6555 / 65

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Other registry references

References listed at the registry that are not in PepBank. They link to PubMed.

  • DerivedJovanovic T, Duncan EJ, Kaye J, Garza K, Norrholm SD, Inslicht SS, Neylan TC, Mathew SJ, Iosifescu D, Rothbaum BO, Mayberg HS, Dunlop BW. Psychophysiological treatment outcomes: Corticotropin-releasing factor type 1 receptor antagonist increases inhibition of fear-potentiated startle in PTSD patients. Psychophysiology. 2020 Jan;57(1):e13356. doi: 10.1111/psyp.13356. Epub 2019 Feb 26. PMID 30807663
  • DerivedPape JC, Carrillo-Roa T, Rothbaum BO, Nemeroff CB, Czamara D, Zannas AS, Iosifescu D, Mathew SJ, Neylan TC, Mayberg HS, Dunlop BW, Binder EB. DNA methylation levels are associated with CRF1 receptor antagonist treatment outcome in women with post-traumatic stress disorder. Clin Epigenetics. 2018 Nov 3;10(1):136. doi: 10.1186/s13148-018-0569-x. PMID 30390684
  • DerivedDunlop BW, Rothbaum BO, Binder EB, Duncan E, Harvey PD, Jovanovic T, Kelley ME, Kinkead B, Kutner M, Iosifescu DV, Mathew SJ, Neylan TC, Kilts CD, Nemeroff CB, Mayberg HS. Evaluation of a corticotropin releasing hormone type 1 receptor antagonist in women with posttraumatic stress disorder: study protocol for a randomized controlled trial. Trials. 2014 Jun 21;15:240. doi: 10.1186/1745-6215-15-240. PMID 24950747

Eligibility

Who could join, as posted.

Sex
Female
Age
from 21 Years up to 65 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Female between 21-65 years of age * Able to provide consent and willing to participate in research * Fulfills Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria for primary diagnosis of PTSD * PTSD duration of illness at least 3 months * Able to provide consent and willing to participate in research * CAPS score of ≥ 50 at Screening and Visit 3 (randomization) * Negative Urine toxicology test * Agrees to use protocol-defined effective birth control method * If the patient has a history of peptic ulcer disease (PUD), there is documentation of the etiology of the PUD and that effective treatment was provided with full eradication of ulcers and symptoms Exclusion Criteria: * Lifetime or current diagnosis of schizophrenia or other psychotic disorder, bipolar disorder, obsessive compulsive disorder (OCD), or current Axis I disorder \[(except for major depression secondary to the PTSD, dysthymia, depression not otherwise specified (NOS) and anxiety disorders (panic disorder, social phobia, generalized anxiety disorder (GAD), specific phobia)\] * Subject is currently participating in another clinical trial in which she is or will be exposed to an investigational or non-investigational drug or device, or has done so within the preceding month for studies unrelated to PTSD, or 1 month for studies related to PTSD * Current evidence or history of significant unstable medical illness or organic brain impairment, including stroke, central nervous system (CNS) tumor, demyelinating disease, cardiac, pulmonary, gastrointestinal, renal or hepatic impairment that would likely interfere with the action, absorption, distribution, metabolism, or excretion of GSK561679. * Patients who in the investigator's judgment pose a current suicidal or homicidal risk * DSM-IV substance abuse or dependence within the past 90 days. Subject has a positive test for illegal substances. * Diagnosis of anorexia nervosa or bulimia in the past year. * Subject has a documented history of hepato-biliary disease including a history of, or positive laboratory results for hepatitis (hepatitis B surface antigen and/or hepatitis C antibody), and/or clinically significant hepatic enzyme elevation including any one of the following enzymes greater than 1.5 times the upper limit of normal (ULN) value (alanine transaminase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), total or direct bilirubin \> 1.5 x ULN, unless consistent with presumed or diagnosed Gilbert's disease) * Subject has taken systemic corticosteroids within 2 weeks of the Randomization Visit * Treatment with any other psychoactive medication within 2 weeks of Visit 1, including all antidepressants, psychoactive herbal or nutritional treatment (St Johns Wort, SAM-e), lithium, other mood stabilizers, oral antipsychotics, depot antipsychotics within 12 weeks, beta blockers, thioridazine, pimozide, opiates, anxiolytics, and sedatives (with the exception of zolpidem, eszopiclone, and zaleplon). Also any treatment with any medication that the PI judges not acceptable for this study. * Subject who is likely to require the use of the following medications: Chronic (for more than 2 weeks), regular nonsteroidal anti-inflammatory drugs (NSAID) use. Any use of aspirin (including low dose) * Subject has taken non-psychoactive (prescription or non-prescription), dietary, or herbal products, with a narrow therapeutic index, that are metabolized via the cytochrome P450 3A4 or 2C9 pathway (warfarin), or transported via OATP1B1 or P-gp, within 2 weeks (or 5 half-lives, whichever is longer) prior to the Randomization Visit. * Subject has taken other (non-psychoactive) prescription, non-prescription, dietary, or herbal products that are potent inducers or inhibitors of the cytochrome P450 3A4 pathway for 2 weeks (or 5 half lives, whichever is longer) prior to the Randomization Visit. * Subject has a stool positive for occult blood. * Pregnancy or lactation * Subjects who, in the opinion of the investigator, would be non compliant with the visit schedule or study procedures (e.g. illiteracy, planned vacations, or planned hospitalizations during the study). * Previous treatment with CRF1 receptor antagonist * Any laboratory abnormality that in the investigator's judgment is considered to be clinically significant (blood pressure, electrocardiogram (ECG), thyroid stimulating hormone (TSH), liver function test (LFT), etc.) * Patients who are receiving exposure-based psychotherapy that targets PTSD symptoms * Current or planned litigation or other actions related to secondary gain regarding the traumatic event * Subject has clinical evidence of, or ECG results indicating any of the following at either screen or Randomization Visit unless repeat ECG shows that the parameter had returned to within normal range by the Randomization Visit: 1. Corrected QT Interval (QTc) \> 450 msec; 2. any cardiac condition or ECG evidence that the investigator feels may predispose the subject to ischemia or arrhythmia; or 3. any ECG abnormality that, in the investigator's judgment, may pose a potential safety concern

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