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NCT00644423

Omega-3 Fatty Acids and Post Traumatic Stress Disorder (PTSD)

Completed NA Results posted Last updated 20 August 2019
What this trial tests

NA trial testing Omega-3 Fatty Acid in Posttraumatic Stress Disorder in 18 participants. Completed in 15 July 2010.

Timeline
22 September 2008
Primary endpoint
15 July 2010
15 July 2010

Quick facts

Lead sponsorDurham VA Medical Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment18
Start date22 September 2008
Primary completion15 July 2010
Estimated completion15 July 2010
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Durham VA Medical Center

Who can join

Adults 18 to 65, any sex, with Posttraumatic Stress Disorder. 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.

Clinician-Administered PTSD Scale (CAPS) Primary · Week 2 (Baseline) and Week 10 (Week 8 Post-Randomization)

Mean change scores in posttraumatic stress disorder symptoms (Week 10 (Week 8 Post-Randomization) minus Week 2 (Baseline)). Scores may range from 0 (no symptoms) to 136 (severe symptoms; score of 136 is based on the first 17 CAPS items administered). A reduced CAPS score indicates a reduction in (improvement) PTSD symptoms, while an increase in CAPS score indicates an increase (worsening) in PTSD symptoms.

GroupValue95% CI
Omega-3 Fatty Acid-6.50± 5.124
Placebo-18.60± 7.961
Brief Assessment of Cognition in Affective Disorders (BAC-A) Primary · Week 2 (Baseline) and Week 10 (Week 8 Post-Randomization)

Mean change scores to assess cognitive changes (Week 10 (Week 8 Post-Randomization) minus Week 2 (Baseline)). The BAC-A includes brief assessments of executive functions, verbal fluency, attention, verbal memory, working memory and motor speed. Z-scores are calculated from composite scores. Higher z-scores are indicative of better cognitive performance, lower z-scores are indicative of lower cognitive performance. Range of z-scores anticipated to be between -3 and 3. Mean change scores from week 2 and week 10 (Week 2 minus Week 10).

GroupValue95% CI
Omega-3 Fatty Acid0.2583± 0.2078
Placebo0.2860± 0.1652
Quick Inventory of Depressive Symptomatology (QIDS) Secondary · Week 2 (Baseline) and Week 10 (Week 8 Post-Randomization)

Mean change scores in depressive symptomatology (Week 10 (Week 8 Post-Randomization) minus Week 2 (Baseline)). The QIDS total scores range from 0 to 27. Total score is obtained by adding the scores for each of the nine symptom domains of the DSM-IV Major Depressive Disorder (MDD) criteria: depressed mood,loss of interest or pleasure,concentration/decision making,self-outlook,suicidal ideation, energy/fatigability, sleep,weight/appetite change, and psychomotor changes. Each item is rated 0-3 (0=least or no severity, 3=greatest severity). Higher values reflect more severe symptoms.

GroupValue95% CI
Omega-3 Fatty Acid1.167± 2.056
Placebo-1.000± 1.000
Connor Davidson Resilience Scale (CD-RISC) Secondary · Week 2 (Baseline) and Week 10 (Week 8 Post-Randomization)

Mean change scores in resiliency (Week 10 (Week 8 Post-Randomization) minus Week 2 (Baseline)). The CD-RISC was developed and tested as (i) a measure of degree of resilience, (ii) as a predictor of outcome to treatment with medication or psychotherapy, stress management and resilience-building, (iii) as a marker of progress during treatment, and (iv) as a marker of biological changes in the brain. The scale comprises 25 items, each rated on a 5-point scale (0-4) for a total range of 0-100, with higher scores reflecting greater resilience.

GroupValue95% CI
Omega-3 Fatty Acid-2.000± 3.759
Placebo1.000± 5.986
Continuous Performance Test (CPT) Secondary · Week 2 (Baseline) and Week 10 (Week 8 Post-Randomization)

Mean change scores in inpulsivity (Week 10 (Week 8 Post-Randomization) minus Week 2 (Baseline)). Computer test. Patient is to press button if target appears, but not at non-target. Impulsivity variables during test: CE=percent of response to non-target; ANT=percent of responses prior to target presentation. Results are converted to Q-scores (age and sex-adjusted normalized scores with a mean=0 and standard deviation=1 in the general population, expressing the probability determined by the Gamma function in terms of standard deviation of Gaussian density). Higher scores reflect more severe symp

GroupValue95% CI
Omega-3 Fatty Acid0.6920± 0.3369
Placebo0.6198± 0.2911
Trail Making A Secondary · Week 2 (Baseline) and Week 10 (Week 8 Post-Randomization)

Mean change scores in cognition and attention (Week 10 (Week 8 Post-Randomization) minus Week 2 (Baseline)). Trail Making Test is a measure used to assess cognition and attention. Trail Making, Part A is a timed test that consists of 25 circles on a piece of paper with the numbers 1-25 written randomly in circles. The respondent is asked to draw a line from number one, and so on, in correct numerical order, until they reach number 25. Results are reported as the number of seconds required to complete the task. Higher scores indicate greater impairment.

GroupValue95% CI
Omega-3 Fatty Acid-3.140± 2.112
Placebo-11.14± 1.570
Trail Making B Secondary · Week 2 (Baseline) and Week 10 (Week 8 Post-Randomization)

Mean change scores in attention and cognition (Week 10 (Week 8 Post-Randomization) minus Week 2 (Baseline)). Trail Making Test is a measure used to assess cognition and attention. Trail Making, Part B is a timed test that consists of 25 circles on a piece of paper with both numbers (1 - 13) and letters (A - L); the patient draws lines to connect the circles in an ascending pattern, but with the added task of alternating between the numbers and letters (i.e., 1-A-2-B-3-C, etc.). The respondent is asked to draw a line from number one, and so on,in correct numerical/alphabetical order, until they

GroupValue95% CI
Omega-3 Fatty Acid-20.84± 11.77
Placebo-30.65± 24.17

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were collected following the two-week placebo-lead phase and at each subsequent study visit and telephone check-in (every two weeks for 8 weeks).. Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Omega-3 Fatty Acid
Serious: 0/6 (0%)
Deaths: 0/6
Placebo
Serious: 0/5 (0%)
Deaths: 0/5
Other adverse events (31 terms — click to expand)

ReactionSystemOmega-3 Fatty AcidPlacebo
Dry MouthGeneral disorders
RestlessnessGeneral disorders
SweatingGeneral disorders
DrowsinessGeneral disorders
Excitement/AgitationGeneral disorders
CrampsGeneral disorders
DermatologicalSkin and subcutaneous tissue disorders
Increased AppetiteGeneral disorders
Decreased Interest in SexGeneral disorders
DizzinessGeneral disorders
DiarrheaGastrointestinal disorders
HeadacheGeneral disorders
Decreased AppetiteGeneral disorders
DisorientationGeneral disorders
MalaiseGeneral disorders
NauseaGeneral disorders
Increased Motor ActivityGeneral disorders
Menstrual DisturbanceReproductive system and breast disorders
Muscle Pain/StiffnessMusculoskeletal and connective tissue disorders
InsomniaGeneral disorders
PalpitationsCardiac disorders
AkathisiaGeneral disorders
ConstipationGastrointestinal disorders
Decreased Motor ActivityGeneral disorders
HypersomniaGeneral disorders
HypertensionCardiac disorders
Impaired Sex PerformanceGeneral disorders
Joint Pain/StiffnessMusculoskeletal and connective tissue disorders
Nasal CongestionGeneral disorders
TremorGeneral disorders
VertigoGeneral disorders

Data from ClinicalTrials.gov NCT00644423 adverse events section.

Sponsor's own description

An increasing literature shows that omega-3 fatty acids provide numerous health benefits, including a variety of psychiatric symptoms and disorders including stress, anxiety, cognitive impairment, mood disorders (major depression and bipolar disorder) and schizophrenia. Omega-3 fatty acids may additionally represent a promising treatment strategy in patients with PTSD. Moreover, given its beneficial cardiovascular effects, adjunctive omega-3 fatty acids may also benefit the general health status of these veterans, who frequently present with a variety of comorbid medical disorders.

Publications & conference data

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

  1. Oiling the brain: a review of randomized controlled trials of omega-3 fatty acids in psychopathology across the lifespan.
    Sinn N, Milte C, Howe PR. · · 2010 · cited 76× · PMID 22254013 · DOI 10.3390/nu2020128

Verify or expand the search:

Other trials of Omega-3 Fatty Acid

Trials testing the same drug.

Other recruiting trials for Posttraumatic Stress Disorder

Currently open trials in the same condition.

Other Durham VA Medical Center trials

Trials by the same sponsor.

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