Comparison of Effects Between Conventional Dose and High Dose Escitalopram on Clinical Improvement in Patients With Obsessive-compulsive Disorder (Randomized, Double-blind, Multi-center Study)
Overview
- Phase
- Phase 4
- Intervention
- escitalopram
- Conditions
- Obsessive Compulsive Disorder
- Sponsor
- Seoul National University Hospital
- Enrollment
- 176
- Locations
- 1
- Primary Endpoint
- The difference of Y-BOCS score average from baseline to 16-week
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
OBJECTIVE: The objective of this study is to compare the effect and safety of conventional dose (20mg) and high dose (40mg) of escitalopram in patients with obsessive-compulsive disorder (OCD).
OVERVIEW OF STUDY DESIGN: Prospective, Randomized, Active-controlled, Double-blind, Multi-center, Clinical Trials STUDY POPULATION: Patients with OCD EFFICACY EVALUATIONS: Y-BOCS (D-YBOCS), HAM-D, HAM-A, CGI-S & -I, GAF, OCI-R SAFETY EVALUATION: Adverse Events / Serious Adverse Events, UKU
Investigators
Eligibility Criteria
Inclusion Criteria
- •Man or woman, aged 18 to 65 years, outpatient
- •Primary OCD patients diagnosed with DSM-IV-TR, having OCD symptoms for more than six months
- •Severity: Y-BOCS score of \>= 20 at screening and baseline
- •No history or evidences of clinically significant physical problem, or abnormal laboratory findings at screening
- •Drug free period of at least 2 weeks before study drug administration (in case of fluoxetine, at least 5 weeks). However, allowed medications in this study could be taken even before study drug administration.
Exclusion Criteria
- •primary active DSM-IV axis I diagnosis other than OCD
- •History of substance, including alcohol, dependence and psychotic symptoms
- •Current depression A. Risk of suicidal attempt B. 20-item Hamilton Depression Rating Scale (HAM-D)(exclude 21th item, obsession) of \>17 at screening or baseline
- •Drug allergy A. Known or suspected hypersensitivity to escitalopram or citalopram B. History of severe drug allergic reactions or hypersensitivity
- •History of no response to escitalopram or citalopram treatment
- •History of electroconvulsive therapy or received an injectable antipsychotic formulation within 6 months before screening
- •Women who are pregnant, planning to become pregnant, or breast-feeding
- •Ongoing cognitive behavior therapy (CBT) of OCD
- •Hoarding or collecting type
- •Unable to perform study protocol as clinically assessed by the investigator (ex, severe personality disorder)
Arms & Interventions
1
escitalopram high dose group
Intervention: escitalopram
2
escitalopram conventional group
Intervention: escitalopram
Outcomes
Primary Outcomes
The difference of Y-BOCS score average from baseline to 16-week
Time Frame: baseline and16-week
Secondary Outcomes
- 1) CGI-S, CGI-I 2) GAF 3) HAM-D, HAM-A(every 2 week)