Trial Outcomes & Findings for Nitrous Oxide for PTSD (NCT NCT04378426)

NCT ID: NCT04378426

Last Updated: 2023-03-03

Results Overview

Improvement in PTSD severity is measured by the Clinician Administered PTSD Scale DSM-5 (CAPS-5). It measures frequency and intensity of PTSD-related symptoms. For the CAPS-5 the minimum units are 0 and maximum units are 80. The higher the number on the CAPS-5, the more severe the PTSD symptoms. Response is defined as a change in the CAPS-5 of at least 12 points, which represents meaningful improvement in clinical PTSD symptoms.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

1 participants

Primary outcome timeframe

1 week

Results posted on

2023-03-03

Participant Flow

Participant milestones

Participant milestones
Measure
Nitrous Oxide
PTSD participants in this arm will receive and admixture of up to 50%nitrous oxide and 50% oxygen plus intravenous saline Nitrous Oxide: PTSD participants in this arm will receive and admixture of up to 50% nitrous oxide and 50% oxygen plus intravenous saline Oxygen: inhaled gas Saline: Placebo infusion
Midazolam
PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Midazolam: PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Nitrogen: PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Oxygen: inhaled gas
Overall Study
STARTED
1
0
Overall Study
COMPLETED
1
0
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nitrous Oxide for PTSD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nitrous Oxide
n=1 Participants
PTSD participants in this arm will receive and admixture of up to 50%nitrous oxide and 50% oxygen plus intravenous saline Nitrous Oxide: PTSD participants in this arm will receive and admixture of up to 50% nitrous oxide and 50% oxygen plus intravenous saline Oxygen: inhaled gas Saline: Placebo infusion
Midazolam
PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Midazolam: PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Nitrogen: PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Oxygen: inhaled gas
Total
n=1 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Continuous
49 years
STANDARD_DEVIATION 0 • n=93 Participants
49 years
STANDARD_DEVIATION 0 • n=27 Participants
Sex: Female, Male
Female
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=93 Participants
1 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
White
0 Participants
n=93 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
1 participants
n=93 Participants
1 participants
n=27 Participants
CAPS 5
64 units on a scale
STANDARD_DEVIATION 0 • n=93 Participants
64 units on a scale
STANDARD_DEVIATION 0 • n=27 Participants

PRIMARY outcome

Timeframe: 1 week

Population: The study was terminated in partnership with program officer given that the nitrous oxide administration space in the hospital (which had been used pre-pandemic) is longer available - it is being used exclusively for clinical care to keep up with the clinical backlog of cases due to the pandemic. This delay will continue for the foreseeable future. COVID-19 has had far-reaching impact on the feasibility of the study, which will not meet its recruitment goal in the foreseeable future.

Improvement in PTSD severity is measured by the Clinician Administered PTSD Scale DSM-5 (CAPS-5). It measures frequency and intensity of PTSD-related symptoms. For the CAPS-5 the minimum units are 0 and maximum units are 80. The higher the number on the CAPS-5, the more severe the PTSD symptoms. Response is defined as a change in the CAPS-5 of at least 12 points, which represents meaningful improvement in clinical PTSD symptoms.

Outcome measures

Outcome measures
Measure
Nitrous Oxide
n=1 Participants
PTSD participants in this arm will receive and admixture of up to 50%nitrous oxide and 50% oxygen plus intravenous saline Nitrous Oxide: PTSD participants in this arm will receive and admixture of up to 50% nitrous oxide and 50% oxygen plus intravenous saline Oxygen: inhaled gas Saline: Placebo infusion
Midazolam
PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Midazolam: PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Nitrogen: PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Oxygen: inhaled gas
Improvement in the Severity of PTSD as Measured by the Clinician Administered PTSD Scale DSM5 (CAPS-5)
46 units on a scale
Standard Deviation 0

Adverse Events

Nitrous Oxide

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

Midazolam

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Nitrous Oxide
n=1 participants at risk
PTSD participants in this arm will receive and admixture of up to 50%nitrous oxide and 50% oxygen plus intravenous saline Nitrous Oxide: PTSD participants in this arm will receive and admixture of up to 50% nitrous oxide and 50% oxygen plus intravenous saline Oxygen: inhaled gas Saline: Placebo infusion
Midazolam
PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Midazolam: PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Nitrogen: PTSD participants in this arm will receive and admixture of up to 50%nitrogen and 50% oxygen plus intravenous 0.045mg/kg midazolam Oxygen: inhaled gas
Gastrointestinal disorders
nausea
100.0%
1/1 • 1 week
Only 1 participant was recruited before the study was terminated.
0/0 • 1 week
Only 1 participant was recruited before the study was terminated.
Nervous system disorders
dizziness
100.0%
1/1 • 1 week
Only 1 participant was recruited before the study was terminated.
0/0 • 1 week
Only 1 participant was recruited before the study was terminated.
Nervous system disorders
poor coordination
100.0%
1/1 • 1 week
Only 1 participant was recruited before the study was terminated.
0/0 • 1 week
Only 1 participant was recruited before the study was terminated.
Nervous system disorders
poor concentration
100.0%
1/1 • 1 week
Only 1 participant was recruited before the study was terminated.
0/0 • 1 week
Only 1 participant was recruited before the study was terminated.
Nervous system disorders
fatigue
100.0%
1/1 • 1 week
Only 1 participant was recruited before the study was terminated.
0/0 • 1 week
Only 1 participant was recruited before the study was terminated.
Nervous system disorders
general malaise
100.0%
1/1 • 1 week
Only 1 participant was recruited before the study was terminated.
0/0 • 1 week
Only 1 participant was recruited before the study was terminated.
Nervous system disorders
tingling in toes
100.0%
1/1 • 1 week
Only 1 participant was recruited before the study was terminated.
0/0 • 1 week
Only 1 participant was recruited before the study was terminated.

Additional Information

Carolyn Rodriguez, MD, PhD

Palo Alto VA

Phone: 650-493-5000

Results disclosure agreements

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