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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Prolonged Exposure and Oxytocin

Overview

Status
Completed
Phase
Phase 2
Enrollment
17 participants (actual)
Sponsor
Medical University of South Carolina · Other
Design
Randomized · Quadruple masking
Countries
Not stated
Start
1 Jan 2015
Primary completion
31 Dec 2016
Completion
31 Dec 2016
First posted
3 Aug 2017
Last update posted
25 May 2018
Conditions
PTSD

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
201520162017
  1. Ph 2

    Prolonged Exposure and Oxytocin

    NCT03238924

    1 Jan 2015 to 31 Dec 2016

Registry summary

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

Posttraumatic stress disorder (PTSD) is a chronic, debilitating anxiety disorder that may develop after direct or indirect exposure to traumatic events. Prolonged Exposure (PE) is a cognitive-behavioral psychotherapy modality with a wealth of empirical support demonstrating its efficacy to treat PTSD in a variety of populations. The neuropeptide oxytocin is a promising new pharmacotherapeutic agent with prominent anxiolytic effects . Despite a strong biological and theoretical rationale for investigating the potential effectiveness of augmenting PE with intranasal oxytocin, no studies to date have done so. The current study aims to address this important gap in the literature by examining changes in PTSD symptoms following PE treatment combined with a) 40 IU of intranasal oxytocin or b) placebo.

Interventions

  • OxytocinDrug
  • PlacebosDrug

Arms2

  • Experimental

    Oxytocin

    40 IU intranasal oxytocin spray

  • Placebo comparator

    Placebo

    Placebo is matching saline nasal spray

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. PTSD Symptom Severity

    Time frame · Change from Baseline to end of treatment (10 weeks)

    Registry description

    Clinician-Administered PTSD Scale (CAPS-5). CAPS-5 scores range from 0-120. Items are summed to obtain a total score with higher scores reflective of greater symptom severity.

Secondary outcomes(2)
  1. PTSD Symptom Severity

    Time frame · Change from Baseline to end of treatment (10 weeks)

    Registry description

    PTSD Checklist (PCL). The PCL is a self-report measure which uses a 5-point scale to assess the frequency and severity of PTSD symptoms. Item responses are summed to obtain a total score ranging from 17-85 with greater scores reflective of greater symptom severity.

  2. Depression Symptom Severity

    Time frame · Change from Baseline to end of treatment (10 weeks)

    Registry description

    Beck Depression Inventory-II. The BDI-II is a self-report measure where each item is rated on a 0-3 scale and summed to obtain a total score. Greater scores are reflective of greater symptom severity.

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· Change from Baseline to end of treatment (10 weeks)

PTSD Symptom Severity

GroupValue (scores on a scale)Spread
Oxytocin13.0012.74
Placebo17.719.62
Secondary and other outcome results(2)
Secondary outcomeMean· Change from Baseline to end of treatment (10 weeks)

PTSD Symptom Severity

GroupValue (scores on a scale)Spread
Oxytocin20.5019.53
Placebo29.7126.39
Secondary outcomeMean· Change from Baseline to end of treatment (10 weeks)

Depression Symptom Severity

GroupValue (scores on a scale)Spread
Oxytocin12.6711.24
Placebo17.1417.56

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Oxytocin40 IU intranasal oxytocin spray Oxytocin: 40 IU oxytocin nasal spray, self-administered0 / 80 / 80 / 8
PlaceboPlacebo is matching saline nasal spray Placebos: Saline nasal spray, self-administered0 / 90 / 91 / 9

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

Studies1

Studies that cite this trial.

Studies with results

1 study on this page

Indexing hint: Randomized controlled trial · 2018

4 results

Augmenting Prolonged Exposure therapy for PTSD with intranasal oxytocin: A randomized, placebo-controlled pilot trial.

Flanagan et al. 2018Journal of psychiatric researchcited by 83

PMID 29294429PMC5800951DOI 10.1016/j.jpsychires.2017.12.014PUB-29294429

Rights unknown4 results

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 75 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: 1. Male or female; any race or ethnicity; age 18-75 years. 2. Able to provide informed consent and function at an intellectual level sufficient to allow accurate completion of the assessment instruments. 3. Participants must be able to comprehend English. 4. Meet DSM-5 criteria for current PTSD (assessed via the Clinician Administered PTSD Scale; CAPS). 5. A CAPS score of 50 or greater. 6. Participants may also meet criteria for a mood disorder (except bipolar affective disorder, see Exclusion Criteria) or anxiety disorders (e.g., agoraphobia, social phobia, generalized anxiety disorder). The inclusion of participants with affective and anxiety disorders is essential because of the marked frequency of the co-existence of mood and other anxiety disorders among patients with PTSD. 7. Participants taking psychotropic medications will be required to be maintained on a stable dose for at least eight weeks before study initiation. Initiation or change of psychotropic medications during the course of the trial may interfere with interpretation of results. Exclusion Criteria: 1. Participants meeting DSM-5 criteria for a history of or current psychotic or bipolar affective disorders, or with current suicidal or homicidal ideation and intent. Those participants will be referred clinically. 2. Participants who would present a serious suicide risk or who are likely to require hospitalization during the course of the study. Those participants will be referred clinically. 3. Participants on maintenance anxiolytic, antidepressant, or mood stabilizing medications, which have been initiated during the past 8 weeks. 4. Participants meeting DSM-5 criteria for a substance use disorder, except caffeine or nicotine, within the past 12 months. 5. Pregnant women will be excluded from the proposed study.

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