Trial Outcomes & Findings for Treatment of Obsessive Compulsive Disorder in Children (NCT NCT00074815)

NCT ID: NCT00074815

Last Updated: 2014-07-29

Results Overview

OCD symptom severity was measured using the CY-BOCS, an interviewer-rated instrument that assess obsessions and compulsions separately on time consumed, distress, interference, degree of resistance, and control; it yields separate severity scores for obsessions and for compulsions (0 - 20), and a composite symptom severity score (0 to 40). Consistent with signal detection analyses examining the optimal criterion for treatment response, a CY-BOCS reduction of 30% or more from baseline to week 12 was used as the criterion for RESPONSE and was the primary dichotomous outcome measure.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

124 participants

Primary outcome timeframe

Measured at baseline and Week 12.

Results posted on

2014-07-29

Participant Flow

Participant milestones

Participant milestones
Measure
MM + CBT
Participants will receive medication management plus cognitive behavioral therapy with a psychologist
MM + ICBT
Participants will receive medication management plus instructional cognitive behavioral therapy with a psychiatrist
MM Only
Participants will receive medication management only
Overall Study
STARTED
42
40
42
Overall Study
COMPLETED
37
34
30
Overall Study
NOT COMPLETED
5
6
12

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Treatment of Obsessive Compulsive Disorder in Children

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MM + CBT
n=42 Participants
Participants will receive medication management plus cognitive behavioral therapy with a psychologist
MM + ICBT
n=40 Participants
Participants will receive medication management plus instructional cognitive behavioral therapy with a psychiatrist
MM Only
n=42 Participants
Participants will receive medication management only
Total
n=124 Participants
Total of all reporting groups
Age, Categorical
<=18 years
42 Participants
n=5 Participants
40 Participants
n=7 Participants
42 Participants
n=5 Participants
124 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
12.71 years
STANDARD_DEVIATION 2.88 • n=5 Participants
13.76 years
STANDARD_DEVIATION 2.72 • n=7 Participants
14.34 years
STANDARD_DEVIATION 2.51 • n=5 Participants
13.6 years
STANDARD_DEVIATION 2.77 • n=4 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
21 Participants
n=7 Participants
22 Participants
n=5 Participants
66 Participants
n=4 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
19 Participants
n=7 Participants
20 Participants
n=5 Participants
58 Participants
n=4 Participants
Region of Enrollment
United States
42 participants
n=5 Participants
40 participants
n=7 Participants
42 participants
n=5 Participants
124 participants
n=4 Participants

PRIMARY outcome

Timeframe: Measured at baseline and Week 12.

Population: Intent to treat (all included)

OCD symptom severity was measured using the CY-BOCS, an interviewer-rated instrument that assess obsessions and compulsions separately on time consumed, distress, interference, degree of resistance, and control; it yields separate severity scores for obsessions and for compulsions (0 - 20), and a composite symptom severity score (0 to 40). Consistent with signal detection analyses examining the optimal criterion for treatment response, a CY-BOCS reduction of 30% or more from baseline to week 12 was used as the criterion for RESPONSE and was the primary dichotomous outcome measure.

Outcome measures

Outcome measures
Measure
MM + CBT
n=42 Participants
Participants will receive medication management plus cognitive behavioral therapy with a psychologist
MM + ICBT
n=40 Participants
Participants will receive medication management plus instructional cognitive behavioral therapy with a psychiatrist
MM Only
n=42 Participants
Participants will receive medication management only
Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS)
0.69 Proportion of Participants with RESPONSE
Interval 0.54 to 0.83
0.34 Proportion of Participants with RESPONSE
Interval 0.18 to 0.5
0.30 Proportion of Participants with RESPONSE
Interval 0.15 to 0.45

SECONDARY outcome

Timeframe: Measured at baseline; Weeks 4, 8, and 12; and Months 3 and 6 of follow-up

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured at baseline; Weeks 4, 8, and 12; and Months 3 and 6 of follow-up

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Measured at baseline; Weeks 4, 8, and 12; and Months 3 and 6 of follow-up

Outcome measures

Outcome data not reported

Adverse Events

MM + CBT

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

MM + ICBT

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

MM Only

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
MM + CBT
n=42 participants at risk
Participants will receive medication management plus cognitive behavioral therapy with a psychologist
MM + ICBT
n=40 participants at risk
Participants will receive medication management plus instructional cognitive behavioral therapy with a psychiatrist
MM Only
n=42 participants at risk
Participants will receive medication management only
Psychiatric disorders
Suicide Attempt that led to hospitalization and changes to medication and therapy
0.00%
0/42
0.00%
0/40
2.4%
1/42 • Number of events 1
Psychiatric disorders
Suicidal Thoughts due to school difficulties
0.00%
0/42
2.5%
1/40 • Number of events 1
0.00%
0/42

Other adverse events

Adverse event data not reported

Additional Information

Jeffrey Sapyta, PhD

Duke University School of Medicine

Phone: 919-668-0069

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place