Trial Outcomes & Findings for A Definitive Estrogen Patch Study (ADEPT) (NCT NCT00357006)

NCT ID: NCT00357006

Last Updated: 2015-05-12

Results Overview

The Positive and Negative Syndrome Scale (PANSS) is a well validated, standardized method of evaluating and monitoring psychotic symptoms. The PANSS assesses: positive (hallucinations, delusions, thought disorder), negative (blunted affect, abstract thinking and general symptomatology. The positive and negative subscale each consist of 7 items rated from 1(absent) - 7(extreme) with a minimum score = 7, maximum score = 49. The general subscale consists of 16 items with a minimum score = 16, maximum score = 112. A Total PANSS score (positive+ negative + general scores) has a minimum of 30 and maximum of 210. Higher scores represent more severity in symptoms.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

180 participants

Primary outcome timeframe

Baseline and week 8

Results posted on

2015-05-12

Participant Flow

Between 2006 and 2011, a total of 1858 women were assessed for eligibility, of which 204 were screened from inpatient and outpatient settings across three Australian sites (Alfred, a tertiary referral centre; Barwon, a rural centre; and Dandenong, an outer metropolitan centre) over a 5-year period and completed a 56-day trial.

Participant milestones

Participant milestones
Measure
Adjunctive 200 mcg Transdermal Estradiol
Participants received daily 200mcg transdermal estradiol for 56 days.
Adjunctive 100 mcg Transdermal Estradiol
Participants received daily 100mcg transdermal estradiol for 56 days.
Placebo
Participants received daily transdermal placebo for 56 days.
Overall Study
STARTED
62
56
62
Overall Study
COMPLETED
60
51
59
Overall Study
NOT COMPLETED
2
5
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Adjunctive 200 mcg Transdermal Estradiol
Participants received daily 200mcg transdermal estradiol for 56 days.
Adjunctive 100 mcg Transdermal Estradiol
Participants received daily 100mcg transdermal estradiol for 56 days.
Placebo
Participants received daily transdermal placebo for 56 days.
Overall Study
Lost to Follow-up
1
2
1
Overall Study
Withdrawal by Subject
1
3
2

Baseline Characteristics

A Definitive Estrogen Patch Study (ADEPT)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Adjunctive 200 mcg Transdermal Estradiol
n=62 Participants
Adjunctive 100 mcg Transdermal Estradiol
n=56 Participants
Placebo
n=62 Participants
Total
n=180 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
62 Participants
n=5 Participants
56 Participants
n=7 Participants
62 Participants
n=5 Participants
180 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
35.29 years
STANDARD_DEVIATION 8.14 • n=5 Participants
34.77 years
STANDARD_DEVIATION 7.28 • n=7 Participants
35.44 years
STANDARD_DEVIATION 8.46 • n=5 Participants
35.18 years
STANDARD_DEVIATION 7.96 • n=4 Participants
Sex: Female, Male
Female
62 Participants
n=5 Participants
56 Participants
n=7 Participants
62 Participants
n=5 Participants
180 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
Australia
62 participants
n=5 Participants
56 participants
n=7 Participants
62 participants
n=5 Participants
180 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline and week 8

The Positive and Negative Syndrome Scale (PANSS) is a well validated, standardized method of evaluating and monitoring psychotic symptoms. The PANSS assesses: positive (hallucinations, delusions, thought disorder), negative (blunted affect, abstract thinking and general symptomatology. The positive and negative subscale each consist of 7 items rated from 1(absent) - 7(extreme) with a minimum score = 7, maximum score = 49. The general subscale consists of 16 items with a minimum score = 16, maximum score = 112. A Total PANSS score (positive+ negative + general scores) has a minimum of 30 and maximum of 210. Higher scores represent more severity in symptoms.

Outcome measures

Outcome measures
Measure
Adjunctive 200 mcg Transdermal Estradiol
n=62 Participants
Participants received daily 200 mcg transdermal estradiol for 56 days.
Adjunctive 100 mcg Transdermal Estradiol
n=56 Participants
Participants received daily 100 mcg transdermal estradiol for 56 days.
Placebo
n=62 Participants
Participants received daily transdermal placebo for 56 days.
Positive and Negative Syndrome Scale (PANSS)
Baseline
18.24 units on a scale
Standard Deviation 5.66
19.18 units on a scale
Standard Deviation 5.54
18.18 units on a scale
Standard Deviation 5.70
Positive and Negative Syndrome Scale (PANSS)
Endpoint (day 56)
14.11 units on a scale
Standard Deviation 4.94
16.36 units on a scale
Standard Deviation 5.57
16.36 units on a scale
Standard Deviation 5.39

SECONDARY outcome

Timeframe: baseline and week 8

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and week 8

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and weeks 1, 2, 4, 6, 8

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and weeks 1, 4 and 8.

Outcome measures

Outcome data not reported

Adverse Events

Adjunctive 200 mcg Transdermal Estradiol

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

Adjunctive 100 mcg Transdermal Estradiol

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof Jayashri Kulkarni

Monash Alfred Psychiatry Research Centre

Phone: +61 390766924

Results disclosure agreements

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