Trial Outcomes & Findings for Extinction of Fear Memories With Glucocorticoids in Veterans With PTSD (NCT NCT01090180)

NCT ID: NCT01090180

Last Updated: 2016-11-25

Results Overview

The PCL is a 17-item measure of PTSD symptom severity with a range from 17-85. Each item is rated from 1-5 with higher scores are indicative of higher symptom severity. Scores of the 17 items are summed in order to generate the total score.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

129 participants

Primary outcome timeframe

This measure will be administered at all study visits: Baseline, 1 month, 3 months, and 6 months follow up.

Results posted on

2016-11-25

Participant Flow

67 participants excluded from initial recruitment sample for the following reasons: baseline assessment inclusion criteria not met (n = 18), declined enrollment post-consent (n = 1), exclusion criteria met (n = 26), lost to follow-up (n = 24).

Participant milestones

Participant milestones
Measure
Arm 1: Dexamethasone
Dexamethasone: anti-inflammatory adrenocortical steroid The following dose schedule will be given: 0.15mg/kg (based on body weight) every 7 days for 4 consecutive weeks
Arm 2: Placebo
Placebo (sugar pill): inactive
Overall Study
STARTED
33
29
Overall Study
COMPLETED
22
21
Overall Study
NOT COMPLETED
11
8

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Extinction of Fear Memories With Glucocorticoids in Veterans With PTSD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1: Dexamethasone
n=33 Participants
Dexamethasone: anti-inflammatory adrenocortical steroid The following dose schedule will be given: 0.15mg/kg (based on body weight) every 7 days for 4 consecutive weeks
Arm 2: Placebo
n=29 Participants
Placebo (sugar pill): inactive
Total
n=62 Participants
Total of all reporting groups
Age, Continuous
34.91 years
STANDARD_DEVIATION 11.74 • n=5 Participants
41.34 years
STANDARD_DEVIATION 13.97 • n=7 Participants
37.92 years
STANDARD_DEVIATION 12.78 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
33 Participants
n=5 Participants
29 Participants
n=7 Participants
62 Participants
n=5 Participants
Race/Ethnicity, Customized
White, non-Hispanic
19 participants
n=5 Participants
17 participants
n=7 Participants
36 participants
n=5 Participants
Race/Ethnicity, Customized
Black, non-Hispanic
11 participants
n=5 Participants
7 participants
n=7 Participants
18 participants
n=5 Participants
Race/Ethnicity, Customized
White, Hispanic
1 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
Race/Ethnicity, Customized
Other
1 participants
n=5 Participants
4 participants
n=7 Participants
5 participants
n=5 Participants
Race/Ethnicity, Customized
Declined to state
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
United States
33 participants
n=5 Participants
29 participants
n=7 Participants
62 participants
n=5 Participants

PRIMARY outcome

Timeframe: This measure will be administered at all study visits: Baseline, 1 month, 3 months, and 6 months follow up.

Population: Male veterans with combat-related PTSD

The PCL is a 17-item measure of PTSD symptom severity with a range from 17-85. Each item is rated from 1-5 with higher scores are indicative of higher symptom severity. Scores of the 17 items are summed in order to generate the total score.

Outcome measures

Outcome measures
Measure
Arm 1: Dexamethasone
n=33 Participants
Dexamethasone: anti-inflammatory adrenocortical steroid The following dose schedule will be given: 0.15mg/kg (based on body weight) every 7 days for 4 consecutive weeks
Arm 2: Placebo
n=29 Participants
Placebo (sugar pill): inactive
PTSD Checklist (PCL). A Self-report, Face Valid Measure of PTSD Symptoms Over a 1 Week Time Period
Baseline
55.76 units on a scale
Standard Deviation 10.17
54.83 units on a scale
Standard Deviation 12.19
PTSD Checklist (PCL). A Self-report, Face Valid Measure of PTSD Symptoms Over a 1 Week Time Period
1-month follow up
50.14 units on a scale
Standard Deviation 13.35
51.57 units on a scale
Standard Deviation 11.36
PTSD Checklist (PCL). A Self-report, Face Valid Measure of PTSD Symptoms Over a 1 Week Time Period
3-month follow up
45.45 units on a scale
Standard Deviation 13.80
51.89 units on a scale
Standard Deviation 12.39
PTSD Checklist (PCL). A Self-report, Face Valid Measure of PTSD Symptoms Over a 1 Week Time Period
6-month follow up
58.57 units on a scale
Standard Deviation 13.72
48.17 units on a scale
Standard Deviation 12.53

SECONDARY outcome

Timeframe: This measure will be administered at all study visits: Baseline, 1 month, 3 months, and 6 months follow up.

The QIDS-SR is a 16-item measure of depression symptom severity with a range from 0-27. Each item is rated from 0-3 with higher scores are indicative of higher symptom severity. Scores of the items are aggregated (with the highest score on overlapping items chosen; e.g., sleep disturbances, changes in eating) to generate the total score..

Outcome measures

Outcome measures
Measure
Arm 1: Dexamethasone
n=33 Participants
Dexamethasone: anti-inflammatory adrenocortical steroid The following dose schedule will be given: 0.15mg/kg (based on body weight) every 7 days for 4 consecutive weeks
Arm 2: Placebo
n=29 Participants
Placebo (sugar pill): inactive
Quick Inventory of Depressive Symptomatology- Self Report (QIDS-SR). Because Depression Can be Comorbid With PTSD (70% Comorbidity Found in Pilot Sample), This Assessment Will be Used to Measure Depressive Symptoms Over a 1 Week Timeframe
Baseline
13.55 units on a scale
Standard Deviation 4.59
12.86 units on a scale
Standard Deviation 3.36
Quick Inventory of Depressive Symptomatology- Self Report (QIDS-SR). Because Depression Can be Comorbid With PTSD (70% Comorbidity Found in Pilot Sample), This Assessment Will be Used to Measure Depressive Symptoms Over a 1 Week Timeframe
1-month follow up
10.68 units on a scale
Standard Deviation 4.36
10.71 units on a scale
Standard Deviation 3.54
Quick Inventory of Depressive Symptomatology- Self Report (QIDS-SR). Because Depression Can be Comorbid With PTSD (70% Comorbidity Found in Pilot Sample), This Assessment Will be Used to Measure Depressive Symptoms Over a 1 Week Timeframe
3-month follow up
11.38 units on a scale
Standard Deviation 5.12
11.32 units on a scale
Standard Deviation 3.59
Quick Inventory of Depressive Symptomatology- Self Report (QIDS-SR). Because Depression Can be Comorbid With PTSD (70% Comorbidity Found in Pilot Sample), This Assessment Will be Used to Measure Depressive Symptoms Over a 1 Week Timeframe
6-month follow up
11.00 units on a scale
Standard Deviation 5.62
10.33 units on a scale
Standard Deviation 3.68

Adverse Events

Arm 1: Dexamethasone

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

Arm 2: Placebo

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

Serious adverse events

Serious adverse events
Measure
Arm 1: Dexamethasone
n=33 participants at risk
Dexamethasone: anti-inflammatory adrenocortical steroid The following dose schedule will be given: 0.15mg/kg (based on body weight) every 7 days for 4 consecutive weeks
Arm 2: Placebo
n=29 participants at risk
Placebo (sugar pill): inactive
Infections and infestations
Presented to ER with swelling in leg
3.0%
1/33 • Number of events 1
0.00%
0/29

Other adverse events

Adverse event data not reported

Additional Information

Alina Suris

Veterans Affairs North Texas Health Care System

Phone: 817-715-0625

Results disclosure agreements

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