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Kava for the Treatment of Generalised Anxiety Disorder: A Double-Blind Randomised Placebo-Controlled Trial

Phase 4
Completed
Conditions
Generalized Anxiety Disorder
Interventions
Dietary Supplement: Kava (240mg of kavalactones per day)
Dietary Supplement: Placebo
Registration Number
NCT02219880
Lead Sponsor
University of Melbourne
Brief Summary

The use of Kava in Generalised Anxiety Disorder: an 18-week double-blind, randomised, placebo-controlled study.

Detailed Description

The primary aim is to confirm the efficacy and safety of Kava compared to placebo in Generalized Anxiety Disorder (GAD). Secondary aims of the study are to confirm the relationship between specific genetic variations and response to Kava, and to explore the effects of Kava on the expression of specific genes.

Consenting participants will be randomly allocated to take either Kava or placebo over 18 weeks. They will be assessed at regular interviews throughout the trial and will have four blood tests (liver function tests to monitor participant safety, and collection of genetic material providing information on neurochemistry). The design of the study is a multi-centre, 18-week, 2-arm, double-blind randomised clinical trial (RCT) using a standardised pharmaceutical-grade water-soluble extract of Kava (240mg of kavalactones per day) versus placebo in 210 adults with GAD.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
178
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Kava - standardised 240mg kavalactonesKava (240mg of kavalactones per day)Standardised 240mg kavalactones per day - fixed dose regime of two tablets of kava twice per day
PlaceboPlaceboInert tablets matched for colour, size and consistency to active arm treatment. Both treatment arm tablets will match in appearance, and neither participants nor the trial clinicians will know what they are taking.
Primary Outcome Measures
NameTimeMethod
Hamilton Anxiety Rating Scale (HAMA) - change in score18 weeks

Reduction of participant's anxiety will be assessed on the HAMA from baseline to week 16 across time used a mixed methods model.

Secondary Outcome Measures
NameTimeMethod
Gamma-aminobutyric acid (GABA) transporter polymorphisms moderating response to study intervention18 weeks

Will assess whether response to Kava will be moderated by gamma-aminobutyric acid (GABA) transporter polymorphisms. Specifically, whether rs2601126-T allele or rs2697153-A allele carriers have greater reduction of anxiety

Trial Locations

Locations (2)

Royal Brisbane & Women's Hospital

🇦🇺

Brisbane, Queensland, Australia

Centre for Human Psychopharmacology - Swinburne University

🇦🇺

Melbourne, Victoria, Australia

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