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Effectiveness of Levetiracetam in the Treatment of Body Dysmorphic Disorder

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00265109
Recruitment Status : Completed
First Posted : December 14, 2005
Results First Posted : November 16, 2010
Last Update Posted : May 15, 2018
UCB Pharma
Information provided by (Responsible Party):
Butler Hospital

Brief Summary:
The purpose of this study is to assess the usefulness of a medication (Levetiracetam) for people with body dysmorphic disorder.

Condition or disease Intervention/treatment Phase
Body Dysmorphic Disorder Drug: Levetiracetam Phase 4

Detailed Description:

Body dysmorphic disorder (BDD), a perceived defect in appearance (e.g., a "large" nose or facial "scarring"), is a relatively common disorder that causes marked distress and impairment in functioning. Recent data suggests that adults with BDD may respond to serotonin reuptake inhibitors (SRIs); however, response to SRIs is often only partial. About one third of patients do not respond to an SRI. Furthermore, patients may stop taking SRIs because of side effects (e.g., sexual side effects). For these reasons, additional monotherapy and SRI augmentation strategies are greatly needed.

Levetiracetam is primarily used as an antiseizure medication and has a wider safety margin than other antiepileptics. Preliminary scientific studies may suggest that it may be helpful for certain psychiatric symptoms and disorders. In the present study we propose to obtain pilot data on 1) levetiracetam monotherapy and 2) levetiracetam augmentation of SRIs in patients with BDD.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 17 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Open-Label Study of Levetiracetam in Body Dysmorphic Disorder
Study Start Date : December 2004
Actual Primary Completion Date : January 2008
Actual Study Completion Date : January 2008

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
open label
Open-label trial; all participants received levetiracetam
Drug: Levetiracetam
The initial levetiracetam dose will be 250 mg/day, which will be increased to 250 mg BID after 1 week. The dose will then be increased by 500 mg/day each week (given in BID dosing) to a maximum of 3,000 mg/day. The dose will be raised more slowly or the maximum dose will not be reached if response occurs at a lower dose or side effects are problematic. Subjects who are unable to tolerate at least 500 mg a day of levetiracetam will be withdrawn from the study.

Primary Outcome Measures :
  1. Number of Responders on the Yale-Brown Obsessive Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) [ Time Frame: Baseline to end week 12 ]
    The BDD-YBOCS, a reliable and valid 12-item semi-structured clinician-administered scale assessed BDD severity during the past week. 38 items are rated from 0 (no symptoms) to 4 (extreme symptoms); range=0-48. This scale assesses preoccupation with the perceived appearance defects, associated compulsive behaviors, insight, and avoidance. A ≥30% decrease in total score indicated response.

Secondary Outcome Measures :
  1. Body Dysmorphic Disorder Clinical Global Impressions Scale; Hamilton Rating Scale for Depression; Quality of Life Enjoyment and Satisfaction Questionnaire; Social Phobia Inventory; Beck Anxiety Inventory; [ Time Frame: Past week ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Men and women age 18-65;
  • Current DSM-IV BDD or its delusional variant (delusional disorder, somatic type) for at least 3 months;
  • A minimum total score of 20 on the Yale-Brown Obsessive Compulsive Scale Modified for BDD (BDD-YBOCS) (19);
  • Suitable for treatment in an outpatient setting

Exclusion Criteria:

  • Unstable medical illness, including renal failure or dialysis;
  • Myocardial infarction within 6 months;
  • Current pregnancy or lactation, or inadequate contraception in women of childbearing potential;
  • A need for prn benzodiazepines, another antiepileptic medication, or an anticipated change in the dose of any concomitant medications while receiving treatment with levetiracetam;
  • Clinically significant suicidality, including a suicide attempt within the past two months;
  • Lifetime history of DSM-IV dementia, schizophrenia, or any other DSM-IV psychotic disorder that is not attributable to BDD;
  • Current or recent (past 3 months) DSM-IV substance abuse or dependence;
  • Initiation of ongoing psychotherapy from a mental health professional within 3 months prior to study baseline;
  • Ongoing cognitive-behavioral therapy from a mental health professional;
  • Previous treatment with levetiracetam;
  • Treatment with investigational medication, depot neuroleptics, or ECT within the past 3 months.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00265109

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United States, Rhode Island
Rhode Island Hospital Body Dysmorphic Disorder Program
Providence, Rhode Island, United States, 02903
Sponsors and Collaborators
Butler Hospital
UCB Pharma
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Principal Investigator: Katharine A Phillips, M.D. Rhode Island Hospital/ Brown University

Additional Information:
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Responsible Party: Butler Hospital Identifier: NCT00265109     History of Changes
Other Study ID Numbers: 0410-001
First Posted: December 14, 2005    Key Record Dates
Results First Posted: November 16, 2010
Last Update Posted: May 15, 2018
Last Verified: April 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Butler Hospital:
body dysmorphic disorder

Additional relevant MeSH terms:
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Body Dysmorphic Disorders
Pathologic Processes
Somatoform Disorders
Mental Disorders
Nootropic Agents