Measuring Placebo Effect by Elimination and Investigating Mechanism of Action

NCT ID: NCT00426010

Last Updated: 2011-12-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-01-31

Study Completion Date

2009-02-28

Brief Summary

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We propose to measure the effect of placebo by elimination as well as by a "balanced placebo" design, determine its interaction with active drug, and explore whether placebo exerts part of its effect at the pharmacokinetics level.

Detailed Description

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Placebos have been in use for centuries in medical practice. However, there is continued controversy regarding their effectiveness and mechanisms of action.

The results of the study are expected to further our understanding of a widely used medical intervention, i.e., placebo, and of how to maximize its potential beneficial effect. It will also help assess the appropriateness of measuring the placebo effect by elimination, which has important ethical implications in relation to the design of randomized clinical trials.

Comparison: caffeine vs placebo. Dependent variables:4 hours area under the curve (AUC) of pharmacodynamics endpoints as well as pharmacokinetics endpoints in a subgroup.

Conditions

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Placebo Effect Placebo Mechanisms of Action

Keywords

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Placebo effect Caffeine Systolic BP VAS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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1

overt then covert caffeine

Group Type ACTIVE_COMPARATOR

caffeine/placebo

Intervention Type DRUG

caffeine or placebo, either overt or covert

2

covert then overt caffeine

Group Type ACTIVE_COMPARATOR

caffeine/placebo

Intervention Type DRUG

caffeine or placebo, either overt or covert

3

overt then covert placebo

Group Type ACTIVE_COMPARATOR

caffeine/placebo

Intervention Type DRUG

caffeine or placebo, either overt or covert

4

covert then overt placebo

Group Type ACTIVE_COMPARATOR

caffeine/placebo

Intervention Type DRUG

caffeine or placebo, either overt or covert

Interventions

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caffeine/placebo

caffeine or placebo, either overt or covert

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Males and nonpregnant females 18 and 40 years of age with at least high school education.

Exclusion Criteria

* Include evidence of clinically relevant deviation from normal health (such that it may affect the endpoints, make the ingestion of caffeine dangerous, or affect the pharmacokinetics/pharmacodynamics of caffeine),
* Pregnancy,
* Poor venous access,
* Hypertension (more than 140/90),
* Heart disease,
* History of panic attacks,
* Average daily caffeine consumption of more than 300 or less than 100 mg,
* Smoking,
* Alcohol abuse,
* Taking any medication other than birth control bills (including over-the-counter drugs) within one week from starting the study,
* Hypersensitivity to caffeine or related compounds,
* Hemoglobin of less than 13 gm/L, and recent (one week) acute illness
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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King AbdulAziz City for Science and Technology

OTHER

Sponsor Role collaborator

King Faisal Specialist Hospital & Research Center

OTHER

Sponsor Role lead

Responsible Party

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King faisal specialist hospital & research center

Principal Investigators

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Muhammad M Hammami, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

KFSH & RC, Riyadh

Locations

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Center for Clinical Studies & Empirical Ethics, KFSH & RC

Riyadh, , Saudi Arabia

Site Status

Countries

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Saudi Arabia

References

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Hammami MM, Al-Gaai EA, Alvi S, Hammami MB. Interaction between drug and placebo effects: a cross-over balanced placebo design trial. Trials. 2010 Nov 19;11:110. doi: 10.1186/1745-6215-11-110.

Reference Type DERIVED
PMID: 21092089 (View on PubMed)

Other Identifiers

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KACST:ARP-26-45

Identifier Type: -

Identifier Source: secondary_id

RAC# 2051072

Identifier Type: -

Identifier Source: org_study_id