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NCT00557622

Clinical Evaluation of BRL29060A (Paroxetine Hydrochloride Hydrate) in Posttraumatic Stress Disorder (PTSD)

Terminated Phase 2 Results posted Last updated 30 November 2020
What this trial tests

Phase 2 trial testing paroxetine in Post-Traumatic Stress Disorder in 5 participants. Terminated before completion.

Timeline
25 January 2008
Primary endpoint
11 December 2008
11 December 2008

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment5
Start date25 January 2008
Primary completion11 December 2008
Estimated completion11 December 2008
Sites9 locations across Japan

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 20 to 65, any sex, with Post-Traumatic Stress Disorder or Stress Disorders, Post-Traumatic. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With the Indicated Change From Baseline in CAPS-SX (Clinician-Administered Post Traumatic Stress Disorder (PTSD) Scale One Week Symptom Status Version) Total Score at Week 12 Primary · Baseline and Week 12

The Clinical-Administered PTSD Scale (CAPS) is a structured interview for assessing PTSD diagnostic status and symptom severity. The CAPS assesses both the frequency and intensity of individual PTSD symptoms on separate five-point (0-4) rating scales, and these ratings can be summed to create a nine-point (0-8) severity score for each symptom. The total CAPS score can range from 0 to 136, with a higher value indicating increased severity. A minus value for change from baseline indicates an improvement of symptom severity.

Change from baseline in CAPS-SX=+4
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change from baseline in CAPS-SX=-27
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Number of Participants With the Indicated Week 0 and Week 12 Z-scores for Regional Blood Flow Using Functional Magnetic Resonance Imaging (fMRI) in the Left Amygdala (LA), Right Amygdala (RA), and the Medial Prefrontal Cortex (MPFC) Secondary · Baseline and Week 12

Change in regional blood flow (rCBF) measured by fMRI represents altered neuronal responses in PTSD patients and is considered to be the biomarker for treatment response. fMRI measures are provided as blood oxygeneration level-dependent (BOLD) signals (z-score). To trigger neuronal activation, 2 visual stimuli were used: MVA-task (consisting of MVA-related and unpleasant pictures) and face-task (consisting of a variety of facial expressions \[e.g., neutral, happy, fear\]). Week 0 and 12 rCBF data from 1 participant were invalid (involuntary movement in the fMRI machine); no analysis was done.

LA: Week 0, MVA task, z-score of 6569
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
LA: Week 0, MVA task, z-score of 2639
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
LA: Week 0, face task, z-score of 5355
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
LA: Week 0, face task, z-score of 2503
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
LA: Week 12, MVA task, z-score of 2843
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
LA: Week 12, face task, z-score of 2054
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
RA: Week 0, MVA task, z-score of 6310
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
RA: Week 0, MVA task, z-score of 2549
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Number of Participants With the Indicated Change From Baseline in CAPS-SX (Clinician-Administered Post Traumatic Stress Disorder [PTSD] Scale One Week Symptom Status Version) Total Score at Weeks 4 and 8 Secondary · Baseline and Weeks 4 and 8

The Clinical-Administered PTSD Scale (CAPS) is a structured interview for assessing PTSD diagnostic status and symptom severity. The CAPS assesses both the frequency and intensity of individual PTSD symptoms on separate five-point (0-4) rating scales, and these ratings can be summed to create a nine-point (0-8) severity score for each symptom. The total CAPS score can range from 0 to 136, with a higher value indicating increased severity. A minus value for change from baseline indicates an improvement of symptom severity.

Change in CAPS-SX total score=+7, Week 4
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX total score=-4, Week 4
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Change in CAPS-SX total score=+10, Week 8
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX total score=-10, Week 8
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Number of Participants With the Indicated Change From Baseline in CAPS-SX (Clinician-Administered Post Traumatic Stress Disorder [PTSD] Scale One Week Symptom Status Version) Relating Re-experiencing at Weeks 4, 8, and 12 Secondary · Baseline and Weeks 4, 8, and 12

The Clinical-Administered PTSD Scale (CAPS) is a structured interview for assessing PTSD diagnostic status and symptom severity. The CAPS assesses both the frequency and intensity of individual PTSD symptoms on separate five-point (0-4) rating scales, and these ratings can be summed to create a nine-point (0-8) severity score for each symptom. The total CAPS score can range from 0 to 136, with a higher value indicating increased severity. A minus value for change from baseline indicates an improvement of symptom severity.

Change in CAPS-SX=+7, Week 4
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=-1, Week 4
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Change in CAPS-SX=+5, Week 8
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=-2, Week 8
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Change in CAPS-SX=+6, Week 12
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=-13, Week 12
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Number of Participants With the Indicated Change From Baseline in CAPS-SX (Clinician-Administered Post Traumatic Stress Disorder [PTSD] Scale One Week Symptom Status Version) Relating Avoidance and Numbing at Weeks 4, 8, and 12 Secondary · Baseline and Weeks 4, 8, and 12

The Clinical-Administered PTSD Scale (CAPS) is a structured interview for assessing PTSD diagnostic status and symptom severity. The CAPS assesses both the frequency and intensity of individual PTSD symptoms on separate five-point (0-4) rating scales, and these ratings can be summed to create a nine-point (0-8) severity score for each symptom. The total CAPS score can range from 0 to 136, with a higher value indicating increased severity. A minus value for change from baseline indicates an improvement of symptom severity.

Change in CAPS-SX=0, Week 4
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=+1, Week 4
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Change in CAPS-SX=-3, Week 8
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=0, Week 8
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Change in CAPS-SX=-1, Week 12
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=-5, Week 12
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Number of Participants With the Indicated Change From Baseline in CAPS-SX (Clinician-Administered Post Traumatic Stress Disorder [PTSD] Scale One Week Symptom Status Version) Relating Increased Arousal Symptom at Weeks 4, 8, and 12 Secondary · Baseline and Weeks 4, 8, and 12

The Clinical-Administered PTSD Scale (CAPS) is a structured interview for assessing PTSD diagnostic status and symptom severity. The CAPS assesses both the frequency and intensity of individual PTSD symptoms on separate five-point (0-4) rating scales, and these ratings can be summed to create a nine-point (0-8) severity score for each symptom. The total CAPS score can range from 0 to 136, with a higher value indicating increased severity. A minus value for change from baseline indicates an improvement of symptom severity.

Change in CAPS-SX=0, Week 4
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=-4, Week 4
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Change in CAPS-SX=+8, Week 8
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=-8, Week 8
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Change in CAPS-SX=-1, Week 12
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CAPS-SX=-9, Week 12
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Number of Participants With the Indicated Change From Baseline in CGI (Clinical Global Impression) Severity of Illness Scores at Weeks 2, 4, 6, 8, 10, and 12 Secondary · Baseline and Weeks 2, 4, 6, 8, 10, and 12

The participant's status was assessed using the following 8-point scale: 0, Not assessed; 1, Normal, not at all ill; 2, Borderline mentally ill; 3, Mildly ill; 4, Moderately ill; 5, Markedly ill; 6, Severely ill; 7, Among the most extremely ill patients.

Change in CGI Severity of Illness=0, Week 2
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day0
Change in CGI Severity of Illness=-1, Week 2
GroupValue95% CI
Placebo0
Paroxetine 20-50 mg/Day1
Change in CGI Severity of Illness=0, Week 4
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day1
Change in CGI Severity of Illness=0, Week 6
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day1
Change in CGI Severity of Illness=0, Week 8
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day1
Change in CGI Severity of Illness=0, Week 10
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day1
Change in CGI Severity of Illness=0, Week 12
GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day1
Number of Participants With a Clinical Global Impression (CGI) Global Improvement of 4 at Week 12 Secondary · Week 12

The participant's status was assessed using the following 8-point scale: 0, Not assessed; 1,Very much improved; 2, Much Improved; 3, Minimally improved; 4, No change; 5, Minimally worse; 6, Much worse; 7, Very much worse.

GroupValue95% CI
Placebo1
Paroxetine 20-50 mg/Day1

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/1 (0%)
Deaths:
Paroxetine 20-50 mg/Day
Serious: 0/2 (0%)
Deaths:
Other adverse events (8 terms — click to expand)

ReactionSystemPlaceboParoxetine 20-50 mg/Day
PruritusSkin and subcutaneous tissue disorders
Alanine aminotransferase increasedHepatobiliary disorders
DiarrhoeaGastrointestinal disorders
Gamma-glutamyltransferase increasedHepatobiliary disorders
SomnolenceNervous system disorders
Muscle tightnessPsychiatric disorders
ChorioretinopathyEye disorders
NasopharyngitisInfections and infestations

Data from ClinicalTrials.gov NCT00557622 adverse events section.

Sponsor's own description

This is a single-blind, placebo-controlled, parallel group study to evaluate the efficacy of BRL29060A (paroxetine hydrochloride hydrate, hereafter paroxetine) administered orally over the dose range of 20 mg to 50 mg once daily after supper for 12 weeks in Japanese patients with posttraumatic stress disorder (PTSD) as assessed by the change from baseline in CAPS-SX total score. Also the effect of paroxetine on regional cerebral blood flow (rCBF) induced by subthreshold emotional arousing (or symptom stimulating) tasks will be determined using functional magnetic resonance imaging (fMRI) for exploratory assessment of the correlation between the change in rCBF and the efficacy. The sample size is 30 subjects. The study period consists of 4 weeks of run-in phase, 12 weeks of treatment phase, 0-3 weeks of taper phase and follow-up examination at 2 weeks after the last dose, for a total of 18-21 weeks. Subjects will visit the clinic at the start of run-in phase, Week -2, the start of treatment phase, Weeks 2, 4, 6, 8 and 12 of treatment, and follow-up examination.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Pharmacotherapy for post traumatic stress disorder (PTSD).
    Williams T, Phillips NJ, Stein DJ, Ipser JC. · · 2022 · cited 62× · PMID 35234292 · DOI 10.1002/14651858.cd002795.pub3

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Other trials of paroxetine

Trials testing the same drug.

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Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00557622.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing