Tolerability and Efficacy of High Dose Escitalopram for the Treatment of Obsessive-Compulsive Disorder (OCD) - Full Text View

Purpose

Objectives: To evaluate tolerability and efficacy of escitalopram treatment in high dose than 20-50 mg/d in out-patients with OCD Type of the study: Open label, prospective study.

Number of patients: 100 patients with OCD

Duration of the study: 18-weeks of active treatment, 8-visits:

Dose titration:

One week of 10mg Four weeks of 20mg After 4 weeks of 20mg treatment– if partial/no response, according to YBOCS score and clinical judgment, dose increase of up to 50mg depending on response, adverse events, patient preference and judgment of the clinician 12 weeks follow up on high dose. Total of 18 weeks of follow-up.

Condition	Intervention	Phase
Obsessive-Compulsive Disorder	Drug: escitalopram	Phase 3


Study Type:	Interventional
Study Design:	Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment
Official Title:	Phase III Open Study of High Dose Escitalopram for the Treatment of Obsessive-Compulsive Disorder in Adults

Resource links provided by NLM:

MedlinePlus related topics: Obsessive-Compulsive Disorder

Drug Information available for: Citalopram hydrobromide Citalopram Escitalopram oxalate

U.S. FDA Resources

Further study details as provided by Abarbanel Mental Health Center:

Primary Outcome Measures:

Safety as recorded by adverse-events and side-effects reports.

Secondary Outcome Measures:

Reduction in YBOCS scores at week 18


Estimated Enrollment:	100
Study Start Date:	March 2006
Estimated Study Completion Date:	December 2006

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Eligibility


Ages Eligible for Study:	18 Years to 75 Years (Adult, Senior)
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Men and women over 18 years of age
DSM IV-TR criteria for OCD
OCD associated with most distress or most interference in the patient’s life as judged by the treating physician
Yale-Brown Obsessive Compulsive Scale (YBOCS) total score ≥ 16

Exclusion Criteria:

Other primary or co-primary psychiatric disorder which is more distressful for the patient then the OCD, as evaluated by investigator
Patients with any history of mania/bipolar disorder
Patients using medications which are contraindicated with the use of escitalopram
Known contraindication for the use of citalopram or escitalopram.
Unable to understand and give informed consent
Prominent suicidal ideation (2 points or more in the MADRS “suicidal thoughts” item)
Alcohol or substance dependence in the past 6 months
Major physical illness
Woman currently pregnant or less then 4 weeks after a childbirth, a woman lactating, or a woman of childbearing potential not using a medically accepted form of contraception.
Liver function abnormality
EKG abnormalities

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00305500

Locations


Israel
Abarbanel MHC
Bat-Yam, Israel, 59100

Sponsors and Collaborators

Abarbanel Mental Health Center

Investigators


Study Director:	Yoram Barak, MD, MHA	Abarbanel MHC

More Information

Publications:

Stengler-Wenzke K, Müller U, Barthel H, Angermeyer MC, Sabri O, Hesse S. Serotonin transporter imaging with [123I]beta-CIT SPECT before and after one year of citalopram treatment of obsessive-compulsive disorder. Neuropsychobiology. 2006;53(1):40-5. Epub 2006 Jan 4.

Fontenelle LF, Mendlowicz MV, Miguel EC, Versiani M. Citalopram plus reboxetine in treatment-resistant obsessive-compulsive disorder. World J Biol Psychiatry. 2005;6(1):57-9.

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Rabinowitz I, Baruch Y, Barak Y. High-dose escitalopram for the treatment of obsessive-compulsive disorder. Int Clin Psychopharmacol. 2008 Jan;23(1):49-53.


ClinicalTrials.gov Identifier:	NCT00305500 History of Changes
Other Study ID Numbers:	EscitaHD001
Study First Received:	March 21, 2006
Last Updated:	July 25, 2006
Health Authority:	Israel: Ministry of Health

Keywords provided by Abarbanel Mental Health Center:


OCD Escitalopram

Additional relevant MeSH terms:


Disease Compulsive Personality Disorder Obsessive-Compulsive Disorder Compulsive Behavior Pathologic Processes Personality Disorders Mental Disorders Anxiety Disorders Impulsive Behavior Citalopram Dexetimide Serotonin Uptake Inhibitors Neurotransmitter Uptake Inhibitors Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action	Neurotransmitter Agents Serotonin Agents Physiological Effects of Drugs Antidepressive Agents, Second-Generation Antidepressive Agents Psychotropic Drugs Antiparkinson Agents Anti-Dyskinesia Agents Parasympatholytics Autonomic Agents Peripheral Nervous System Agents Muscarinic Antagonists Cholinergic Antagonists Cholinergic Agents

ClinicalTrials.gov processed this record on September 29, 2016