A Study of Sertraline and Early Alprazolam XR Administration Versus Sertraline Only in Panic Disorder Patients
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Purpose
The primary objective for the study is to test the hypothesis that sertraline plus alprazolam XR will result in superior early stabilization of primary care PD patients versus sertraline/placebo over a 12-week treatment period. The secondary objectives of the study are a) to assess withdrawal symptoms during alprazolam XR taper (weeks 5-7 of the 12-week trial) and after discontinuation, b) to compare physical health outcomes, medical services utilization, and cost-effectiveness of the two study interventions across the 12-week treatment period and subsequent three month maintenance treatment with sertraline alone, and c) to assess whether early co-administration of sertraline/ alprazolam XR will result in greater maintenance of treatment response than sertraline/placebo over the three months following the 12 week acute treatment program.
| Condition | Intervention | Phase |
|---|---|---|
|
Panic Disorder |
Drug: Sertraline and Alprazolam XR |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | A Randomized Double-Blind Comparison of Sertraline With Early Alprazolam XR Co-Administration vs Sertraline/Placebo for Primary Care Panic Disorder Patients |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects will include men and women over the age of eighteen;
- the ability to give written informed consent;
- current principal or co-principal psychiatric diagnosis of panic disorder with or without agoraphobia based on DSM-IV criteria (American Psychiatric Association, 1994);
- willing to use an effective means of contraception;
- free of psychoactive medications for at least 2 weeks prior to study enrollment;
- not actively be suicidal.
Exclusion Criteria:
- actively suicidal;
- medical conditions for which either sertraline or alprazolam XR would be contraindicated;
- recent six month history of substance or alcohol abuse;
- history or presence of psychotic or bipolar disorder;
- women who are pregnant or breastfeeding;
- history or presence of a seizure disorder or a known history of more than one childhood febrile seizure;
- presence of a personality disorder severe enough to compromise the investigator's ability to evaluate the efficacy and safety of the study medication;
- concomitant therapy with other psychotropic medication(s);
- clinically significant abnormality during physical examination, vital signs, EKG, urine drug screen, or laboratory tests at the screen visit.
Contacts and Locations| United States, Florida | |
| University of South Florida, Department of Psychiatry and Behavioral Medicine | |
| Tampa, Florida, United States, 33613 | |
| United States, Indiana | |
| University Hospital Outpatient Center, Psychiatry | |
| Indianapolis, Indiana, United States, 46202 | |
| United States, Pennsylvania | |
| University of Pennsylvania, Mood and Anxiety Disorders Section | |
| Philadelphia, Pennsylvania, United States, 19104-3309 | |
| Principal Investigator: | Andrew W Goddard, M.D. | Indiana University |
| Principal Investigator: | Karl Rickles, M.D. | University of Pennsylvania |
| Principal Investigator: | David Sheehan, M.D., M.B.A. | University of South Florida |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00198094 History of Changes |
| Other Study ID Numbers: | 0311-34, IU 1003 |
| Study First Received: | September 12, 2005 |
| Last Updated: | October 19, 2007 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Panic Disorder Anxiety Disorders Mental Disorders Alprazolam Sertraline Hypnotics and Sedatives Central Nervous System Depressants Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses |
Anti-Anxiety Agents Tranquilizing Agents Psychotropic Drugs GABA Modulators GABA Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Antidepressive Agents Serotonin Uptake Inhibitors Neurotransmitter Uptake Inhibitors Serotonin Agents |
ClinicalTrials.gov processed this record on May 23, 2013