Using Drug Augmentation to Treat Obsessive Compulsive Disorder Patients Who Did Not Respond to Previous Treatment

NCT ID: NCT00466609

Last Updated: 2017-10-30

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

PHASE4

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-05-31

Study Completion Date

2010-04-30

Brief Summary

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This will be a controlled, randomized, double-blind and double-dummy study on the treatment augmentation strategy for obsessive compulsive disorder patients non-respondent to first line pharmacological treatment. The investigators will compare: fluoxetine maintenance at maximum dosage for additional 12 weeks; the association of fluoxetine with quetiapine; and the association of fluoxetine with clomipramine.

Detailed Description

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Arm 1: SSRI (Fluoxetine 40mg\* once a day) + Clomipramine 75mg\* once a day.

Arm 2: SSRI (Fluoxetine 40mg\* once a day) + Quetiapine 200mg\* once a day.

Arm 3: SSRI (Fluoxetine 80mg\* once a day) + Placebo once a day.

\*or maximum tolerated dose

We hypothesize that quetiapine and clomipramine will be effective augmentation strategies for resistant OCD patients in comparison to placebo.

Conditions

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Obsessive Compulsive Disorder

Keywords

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clomipramine quetiapine fluoxetine placebo augmentation obsessive compulsive disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Quetiapine (fluoxetine plus quetiapine)

fluoxetine up to 40mg once a day plus Quetiapine up to 200mg once a day, during 12 weeks

Group Type EXPERIMENTAL

Quetiapine (fluoxetine plus quetiapine)

Intervention Type DRUG

Quetiapine at maximum tolerated dosage of 200mg per day plus fluoxetine at maximum dosage of 40mg per day

Clomipramine (fluoxetine plus clomipramine)

Fluoxetine up to 40mg once a day plus clomipramine up to 75mg once a day, during 12 weeks

Group Type ACTIVE_COMPARATOR

Clomipramine (fluoxetine plus clomipramine)

Intervention Type DRUG

Clomipramine at maximum dosage of 75mg per day plus fluoxetine at maximum dosage of 40mg per day

Placebo (fluoxetine plus placebo)

Fluoxetine up to 80 mg once a day plus placebo 3 pills once a day, during 12 weeks

Group Type PLACEBO_COMPARATOR

Placebo (fluoxetine plus placebo)

Intervention Type DRUG

Placebo plus fluoxetine at maximum dosage of 80mg per day

Interventions

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Clomipramine (fluoxetine plus clomipramine)

Clomipramine at maximum dosage of 75mg per day plus fluoxetine at maximum dosage of 40mg per day

Intervention Type DRUG

Quetiapine (fluoxetine plus quetiapine)

Quetiapine at maximum tolerated dosage of 200mg per day plus fluoxetine at maximum dosage of 40mg per day

Intervention Type DRUG

Placebo (fluoxetine plus placebo)

Placebo plus fluoxetine at maximum dosage of 80mg per day

Intervention Type DRUG

Other Intervention Names

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Anafranil Seroquel Prozac Daforin (EMS pharmaceutics)

Eligibility Criteria

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Inclusion Criteria

1. OCD diagnosis
2. YBOCS score ≥ 16 (for patients with both obsessions and compulsions) or ≥ 10 (for patients with only obsessions or compulsions)
3. Previously signed informed consent to participate in this clinical trial

Exclusion Criteria

1. Patients with clinical or neurological diseases that may be worsen by the medications included in treatment protocol
2. Current substance dependence or abuse
3. Current psychotic symptoms
4. Current suicide risk
5. Current pregnancy or intention to get pregnant before the end of the treatment protocol
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Amparo à Pesquisa do Estado de São Paulo

OTHER_GOV

Sponsor Role collaborator

Conselho Nacional de Desenvolvimento Científico e Tecnológico

OTHER_GOV

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role collaborator

University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Juliana Belo Diniz

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juliana B Diniz, MD

Role: PRINCIPAL_INVESTIGATOR

University of Sao Paulo Medical School

Locations

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Institute of Psychiatry

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Diniz JB, Shavitt RG, Fossaluza V, Koran L, Pereira CA, Miguel EC. A double-blind, randomized, controlled trial of fluoxetine plus quetiapine or clomipramine versus fluoxetine plus placebo for obsessive-compulsive disorder. J Clin Psychopharmacol. 2011 Dec;31(6):763-8. doi: 10.1097/JCP.0b013e3182367aee.

Reference Type DERIVED
PMID: 22020357 (View on PubMed)

Fossaluza V, Diniz JB, Pereira Bde B, Miguel EC, Pereira CA. Sequential allocation to balance prognostic factors in a psychiatric clinical trial. Clinics (Sao Paulo). 2009;64(6):511-8. doi: 10.1590/s1807-59322009000600005.

Reference Type DERIVED
PMID: 19578654 (View on PubMed)

Related Links

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Other Identifiers

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2005/55628-08

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

05/55628-8

Identifier Type: -

Identifier Source: org_study_id