A Pilot Study of Sertraline Plus Relapse Prevention Therapy (RP) for the Treatment of Pathological Gambling With Comorbid Abuse or Dependence
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 入组人数
- 9
- 主要终点
- Decreased gambling behavior; measured throughout study by the Clinical Global Impression Scale.
研究概览
简要总结
Pathological gamblers often are also dependent on alcohol and clinically depressed. Sertraline (Zoloft) is currently used to treat depression, panic disorder, and obsessive-compulsive disorder. The purpose of this trial is to determine the effectiveness of sertraline used in combination with relapse prevention therapy in decreasing gambling behavior and alcohol consumption in individuals with a diagnosis of pathological gambling and alcohol abuse or dependence.
详细描述
Alcohol abuse and depression commonly occur in conjunction with pathological gambling. Sertraline (Zoloft) is a selective serotonin reuptake inhibitor (SSRI) currently used to treat depression, panic disorder, and obsessive-compulsive disorder. The purpose of this trial is to determine the effectiveness of sertraline combined with relapse prevention therapy in decreasing gambling behavior and alcohol abuse.
Participants in this 10-week trial will be randomly assigned to receive either relapse prevention (RP) therapy and sertraline or RP therapy and a placebo. Participants will begin taking 25 mg of either sertraline or placebo in a single morning dose for one week. If, after one week, participants do not show improvement, the dose will increase to 50 mg per day during Week 2, and will increase by 50 mg per day every week thereafter to a maximal dose of 200 mg per day.
Weekly hour-long study visits will include a medication evaluation, RP therapy, and questionnaires. In addition, evaluations at baseline, Week 5, and Week 10 will include pathological gambling and depression ratings, urine drug screens, and biochemical measures of alcohol consumption and liver function. All other weekly study visits will include evaluation of side effects, an interview on alcohol use, measures related to obsessive-compulsive drinking, and assessments of vital signs and concomitant medications.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Meets DSM-IV criteria for pathological gambling
- •Meets DSM-IV and SCID criteria for alcohol abuse or dependence
- •Medically healthy
排除标准
- •History of schizophrenia, schizoaffective disorder, or bipolar disorder
- •Current diagnosis of substance abuse or dependence, other than alcohol or nicotine
- •Current major depression
- •Currently suicidal
- •History of non-response to an adequate trial of sertraline, defined as 200 mg per day of sertraline for at least a 4-week period
- •Previous treatment with relapse prevention therapy for pathological gambling or alcohol dependence within the 3 months prior to study entry
- •Requires treatment with psychotropic medication
- •Unwilling to consent to a drug-free period, according to the following: 2 weeks of abstinence from antidepressant drugs, other than fluoxetine, buspirone, lithium, anticonvulsants, barbiturates, opiates, or benzodiazepines; 4 weeks of abstinence from clonazepam; 5 weeks of abstinence from fluoxetine
- •Clinically significant disorder, including kidney, pulmonary, cerebral vascular, cardiovascular, gastrointestinal, and endocrine disorders
- •Abnormal laboratory tests
- •Abnormal electrocardiogram
- •Pregnant or breastfeeding
- •Unwilling to use an adequate method of contraception for the duration of the study
研究组 & 干预措施
Sertraline and Relapse Prevention
Patients will be treated with Relapse Prevention Therapy plus Sertraline.
干预措施: Sertraline (Drug)
Placebo and Relapse Prevention
Patients will be treated with Relapse Prevention Therapy plus placebo
干预措施: Relapse Prevention Therapy (Behavioral)
Sertraline and Relapse Prevention
Patients will be treated with Relapse Prevention Therapy plus Sertraline.
干预措施: Relapse Prevention Therapy (Behavioral)
结局指标
主要结局
Decreased gambling behavior; measured throughout study by the Clinical Global Impression Scale.
时间窗: 10 weeks
Decreased gambling behavior; measured throughout study by the Clinical Global Impression Scale.
次要结局
未报告次要终点