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PTSD Prevention Study Examining the Efficacy of Sertraline in Burn Victims

Phase 4
Terminated
Conditions
Post-traumatic Stress Disorder
Interventions
Drug: Placebo oral capsule
Registration Number
NCT02520726
Lead Sponsor
University of Utah
Brief Summary

This is a randomized, double-blind, placebo-controlled study to determine whether administration of sertraline to patients who exhibit acute stress disorder secondary to severe burns can contribute to the prevention of post-traumatic stress disorder (PTSD).

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
5
Inclusion Criteria
  • Victim of a traumatic event leading to personal injury
  • Patient experienced a feeling of intense fear, hopelessness, or horror during the course of the event or immediately afterward
  • Positive screen on the ASDS (for inclusion in the randomization phase); a total ASDS score of ≥ 37 (including a dissociative score of ≥ 9) will be counted as a positive screen.
Exclusion Criteria
  • Age < 18
  • Pregnant women, lactating women, or women not using acceptable form of birth control
  • Epilepsy or head trauma resulting in seizures
  • Current or historical schizophrenia, bipolar disorder, mental retardation, OCD, eating disorders, dementia, delirium, or self-injurious behavior
  • Current/previously diagnosed PTSD
  • History of hypersensitivity to sertraline
  • Trauma occurring > 7 days prior to likely first treatment in the randomization phase of the trial.
  • Unable to provide informed consent for participation in the study protocol.
  • Patient at high risk of recurrent bleeding despite surgical stabilization
  • Patient with a history of serotonin syndrome
  • Patient non-fluent in English
  • Patient currently prescribed an antidepressant (any SSRI, SNRI, TCA, MAOI, mirtazapine, or trazodone in excess of 100mg per day)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo oral capsulePlacebo 1 capsule PO qday for one week, then 2 capsules PO qday for one week, then 3 capsules PO qday for one week, then 4 capsules PO qday for one week.
SertralineSertralinePatients age 18-65: sertraline 50mg PO qday for one week, then 100mg PO qday for one week, then 150mg PO qday for one week, then 200mg PO qday for one week, with flexible titration. Patient age \>65: sertraline 25mg PO qday for one week, then 50mg PO qday for one week, then 75mg PO qday for one week, then 100mg PO qday for one week, with flexible titration
Primary Outcome Measures
NameTimeMethod
Clinician-Administered PTSD ScaleMonth
Secondary Outcome Measures
NameTimeMethod
Beck Scale for Suicide Ideation1 month

Trial Locations

Locations (1)

University of Utah Hospital

🇺🇸

Salt Lake City, Utah, United States

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