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Trial to Compare Time to Response in the Symptoms of Anxiety to Concomitant Treatment With Niravam™ and an SSRI or SNRI to Treatment With an SSRI or SNRI Alone in Subjects With Generalized Anxiety Disorder or Panic Disorder
This study has been completed.
Study NCT00266409   Information provided by UCB, Inc.
First Received: December 15, 2005   Last Updated: October 2, 2009   History of Changes
Study Type: Interventional
Study Design: Randomized, Open Label, Parallel Assignment
Conditions: Generalized Anxiety Disorder
Panic Disorder
Interventions: Drug: Niravam
Drug: SSRI/SNRI

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Participants Flow shows 418 subjects that have been enrolled and randomized. The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Baseline Characteristics are only available for the Intent-to-treat population (subjects who received one dose of SSRI/SNRI and/or Niravam and have an assessment beyond the Baseline assessment)

Reporting Groups
  Description
Panic: Niravam+SSRI/SNRI Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone

Participant Flow:   Overall Study
  Panic: Niravam+SSRI/SNRI Panic: SSRI/SNRI Alone GAD : Niravam+SSRI/SNRI GAD: SSRI/SNRI Alone
STARTED   137     138     72     71  
COMPLETED   92     92     55     49  
NOT COMPLETED   45     46     17     22  
      Lack of Efficacy               2                 6                 1                 2  
      Adverse Event               7                 2                 1                 1  
      Lost to Follow-up               18                 21                 6                 8  
      Withdrawal by Subject               6                 10                 3                 9  
      Protocol Violation               5                 3                 4                 2  
      unspecified               7                 4                 2                 0  



  Baseline Characteristics
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Reporting Groups
  Description
Panic: Niravam+SSRI/SNRI Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone

Baseline Measures
  Panic: Niravam+SSRI/SNRI Panic: SSRI/SNRI Alone GAD : Niravam+SSRI/SNRI GAD: SSRI/SNRI Alone Total
Number of Participants  
[units: participants]
125 120 67 62 374
Age  
[units: participants]
         
<=18 years 0 0 0 0 0
Between 18 and 65 years 120 119 66 61 366
>=65 years 5 1 1 1 8
Age  
[units: years]
Mean ± Standard Deviation
40.1 ± 12.24 38.1 ± 12.55 40.1 ± 12.64 43.6 ± 12.20 40 ± 12
Gender  
[units: participants]
         
Female 102 93 50 42 287
Male 23 27 17 20 87
Region of Enrollment  
[units: participants]
         
United States 125 120 67 62 374



  Outcome Measures
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1.  Primary:   Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)

2.  Primary:   Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)

3.  Secondary:   Change From Baseline in the Total HAM-A Score After 1 Week

4.  Secondary:   Change From Baseline in the Total HAM-A Score After 2 Weeks

5.  Secondary:   Change From Baseline in the Total HAM-A Score After 3 Weeks

6.  Secondary:   Change From Baseline in the Total HAM-A Score After 4 Weeks

7.  Secondary:   Change From Baseline in the Total HAM-A Score After 5 Weeks

8.  Secondary:   Change From Baseline in the Total HAM-A Score After 6 Weeks

9.  Secondary:   Change From Baseline in the Total HAM-A Score After 7 Weeks

10.  Secondary:   Change From Baseline in the Total HAM-A Score After 8 Weeks

11.  Secondary:   Change From Baseline in the Total HAM-A Score at Endpoint During the 8 Week Treatment Period

12.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 1 Week

13.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 2 Weeks

14.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 3 Weeks

15.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 4 Weeks

16.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 5 Weeks

17.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 6 Weeks

18.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 7 Weeks

19.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 8 Weeks

20.  Secondary:   Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) at Endpoint During the 8 Week Treatment Period

21.  Secondary:   Change in Severity of Illness From Baseline Using the Clinical Global Impression Improvement (CGI-I) Score After 2 Weeks

22.  Secondary:   Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 4 Weeks

23.  Secondary:   Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 8 Weeks

24.  Secondary:   Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score at Endpoint During the 8 Week Treatment Period

25.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 1 Week

26.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 2 Weeks

27.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 3 Weeks

28.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 4 Weeks

29.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 5 Weeks

30.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 6 Weeks

31.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 7 Weeks

32.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 8 Weeks

33.  Secondary:   Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score at Endpoint During the 8 Week Treatment Period

34.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore After 1 Week

35.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore After 2 Weeks

36.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore After 3 Weeks

37.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore After 4 Weeks

38.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore After 5 Weeks

39.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore After 6 Weeks

40.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore After 7 Weeks

41.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore After 8 Weeks

42.  Secondary:   Change From Baseline in HAM-A-insomnia Subscore at Endpoint During the 8 Week Treatment Period

43.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore After 1 Week

44.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore After 2 Weeks

45.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore After 3 Weeks

46.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore After 4 Weeks

47.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore After 5 Weeks

48.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore After 6 Weeks

49.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore After 7 Weeks

50.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore After 8 Weeks

51.  Secondary:   Change From Baseline in HAM-A-psychic Factors Subscore at Endpoint During the 8 Week Treatment Period

52.  Secondary:   Change From Baseline in HAM-A-somatic Subscore After 1 Week

53.  Secondary:   Change From Baseline in HAM-A-somatic Subscore After 2 Weeks

54.  Secondary:   Change From Baseline in HAM-A-somatic Subscore After 3 Weeks

55.  Secondary:   Change From Baseline in HAM-A-somatic Subscore After 4 Weeks

56.  Secondary:   Change From Baseline in HAM-A-somatic Subscore After 5 Weeks

57.  Secondary:   Change From Baseline in HAM-A-somatic Subscore After 6 Weeks

58.  Secondary:   Change From Baseline in HAM-A-somatic Subscore After 7 Weeks

59.  Secondary:   Change From Baseline in HAM-A-somatic Subscore After 8 Weeks

60.  Secondary:   Change From Baseline in HAM-A-somatic Subscore at Endpoint During the 8 Week Treatment Period

61.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 1 Week

62.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 2 Weeks

63.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 3 Weeks

64.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 4 Weeks

65.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 5 Weeks

66.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 6 Weeks

67.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 7 Weeks

68.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 8 Weeks

69.  Secondary:   Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) at Endpoint During the 8 Week Treatment Period


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked Other disclosure agreement that restricts the right of the PI to discuss or publish trial results after the trial is completed.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
Originally it was planned to enrol and randomize 848 subjects. The smaller than planned sample size was a result of an unusually high rate of screening failure (results published in Psychiatry 2006, Vol. 3, Issue 12 , pages 39 - 59).  


Results Point of Contact:  
Name/Title: UCB Clinical Trial Call Center
Organization: UCB Pharma
phone: +1 877 822 9493


Publications of Results:
Katzelnick DM, Saidi J, Vanelli MR, Jefferson JW, Harper JM, McCrary KE. Time to Response in Panic Disorder in a Naturalistic Setting: Combination Therapy with Alprazolam Orally Disintegrating Tablets and Serotonin Reuptake Inhibitors Compared to Serotonin Reuptake Inhibitors Alone. Psychiatry 3(12): 39-49, 2006
Rapaport MH, Skarky SB, Katzelnick DJ, DeWester JN, Harper JM, McCrary K. Time to Response in Generalized Anxiety Disorder in a Naturalistic Setting: Combination Therapy with Alprazolam Orally Disintegrating Tablets and Serotonin Reuptake Inhibitors Compared to Serotonin Reuptake Inhibitors alone. Psychiatry 3(12): 50-59, 2006


Responsible Party: UCB ( Study Director )
Study ID Numbers: SP851
Study First Received: December 15, 2005
Results First Received: May 5, 2009
Last Updated: October 2, 2009
ClinicalTrials.gov Identifier: NCT00266409     History of Changes
Health Authority: United States: Institutional Review Board