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NCT03702166

Network Dysregulation Among Individuals With Comorbid Tinnitus and PTSD

Completed NA Results posted Last updated 26 May 2021
What this trial tests

NA trial testing Cognitive Processing Therapy (CPT) in Stress Disorders, Post-Traumatic in 10 participants. Completed in 11 August 2020.

Timeline
4 January 2019
Primary endpoint
1 April 2020
11 August 2020

Quick facts

Lead sponsorThe University of Texas Health Science Center at San Antonio
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment10
Start date4 January 2019
Primary completion1 April 2020
Estimated completion11 August 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

The University of Texas Health Science Center at San Antonio

Who can join

Adults 18 to 60, any sex, with Stress Disorders, Post-Traumatic or Tinnitus. 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.

Change in Score on Clinician Administered PTSD Scale for the DSM-5 (CAPS-5) Primary · Baseline and Week 15

The CAPS-5 is structured interview that assesses the DSM-5 criteria for PTSD. Each item is rated on a severity scale ranging from 0 (Absent) to 4 (Extreme/incapacitating) and combines information about frequency and intensity for each of the 20 symptoms. Total scores range from 0-80 with a lower score indicating less symptoms of PTSD. Subscales were not utilized in analyses.

Pre-treatment at baseline
GroupValue95% CI
Interventional CPT33.10± 7.50
Post-treatment at 15 weeks
GroupValue95% CI
Interventional CPT16.13± 14.49
Change in Score on the PTSD Check List-5 (PCL-5) Primary · Baseline and Week 15

The PCL-5 is a 20-item self-report measure designed to assess PTSD symptoms. The PCL-5 evaluates how much participants have been bothered by PTSD symptoms in the past month (for baseline and follow up assessments) as a result of a specific life event. Each item of the PCL-5 is scored on a five point scale ranging from 0 ("not at all") to 4 ("extremely). Possible total score range is 0-80, with a lower score indicating less PTSD symptoms. Subscales were not utilized in analyses.

Pre-treatment at baseline
GroupValue95% CI
Interventional CPT42.7± 12.25
Post-treatment at 15 weeks
GroupValue95% CI
Interventional CPT17.75± 18.91
Change in Score on the Tinnitus Functional Index (TFI) Primary · Baseline and Week 15

The TFI has 25 items that are used to calculate eight subscales that address the intrusiveness of tinnitus, the sense of control the patient has, cognitive interference, sleep disturbance, auditory issues, relaxation issues, quality of life, and emotional distress related to tinnitus. The same 25 items are used to calculate the total score, which was used for the purpose of this study. For the total score, the 25 scale items are scored 0-10 (those scored as a percentage are converted to a score of 1-10). Scores are totaled giving a potential range of 0-250 with a higher score indicating that t

Pre-treatment at baseline
GroupValue95% CI
Interventional CPT65.16± 15.97
Post-treatment at week 15
GroupValue95% CI
Interventional CPT41.95± 24.42
Tinnitus Acceptance Questionnaire (TAQ) Primary · Baseline and Week 15

The TAQ captures the extent to which individuals accept their tinnitus, and attempts to avoid or control tinnitus, as well as a patient's ability to pursue valued life activities and meaningful goals regardless of tinnitus. 12 questions are scored from 0 = Never true to 6= Always true. Total scores on the TAQ range from 0-72, with a lower score indicating higher acceptance of symptoms.

Pre-treatment at baseline
GroupValue95% CI
Interventional CPT35.10± 8.28
Post-treatment at 15 weeks
GroupValue95% CI
Interventional CPT46.88± 13.65
Depression Symptom Index Suicide Subscale (DSI-SS) Secondary · Baseline and Week 15

The DSI-SS will be used to assess current suicidal ideation. The DSI-SS is a 4-item self-report measure of suicidal ideation that focuses on ideation, plans, perceived control over ideation, and impulses for suicide. Each item is rated on a 4 point scale, and the scores totaled for a potential range of 4-16, where a higher score indicates more severe degrees of suicide ideation.

Pre-treatment at baseline
GroupValue95% CI
Interventional CPT14.10± 6.59
Post-treatment at 15 weeks
GroupValue95% CI
Interventional CPT7.38± 4.98
Patient Health Questionnaire-9 (PHQ-9) Secondary · Baseline and Week 15

The PHQ-9 is a widely used and well-validated instrument for measuring the severity of depressive symptoms. It consists of 9 items that assess both affective and somatic symptoms related to depression and depressive disorders that correspond to the diagnostic criteria for Major Depressive Disorder, outlined by the Diagnostic and Statistical Manual of Mental Disorders- 5th Edition (DSM-V, 2013). Each question is rated with a score of 0-3: 0 = Not at all, 1 = Several days, 2 = More than half the days, 3 = Nearly every day. Scores are the total for the nine questions with a possible range of 0-2

Pre-treatment at baseline
GroupValue95% CI
Interventional CPT14.10± 6.59
Post-treatment at 15 weeks
GroupValue95% CI
Interventional CPT7.38± 4.98

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline to 15 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Interventional CPT
Serious: 0/10 (0%)
Deaths: 0/10
Other adverse events (6 terms — click to expand)

ReactionSystemInterventional CPT
Increased irritabliltyPsychiatric disorders
NightmaresPsychiatric disorders
Adverse memories triggeredPsychiatric disorders
SadnessPsychiatric disorders
AnxietyPsychiatric disorders
SleeplessnessGeneral disorders

Data from ClinicalTrials.gov NCT03702166 adverse events section.

Sponsor's own description

Evaluation of the overlap between tinnitus-related distress and symptoms of Post Traumatic Stress Disorder (PTSD), to identify functional covariance among resting-state networks among individuals with tinnitus and PTSD

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Treatment of Posttraumatic Stress Disorder Alleviates Tinnitus-Related Distress Among Veterans: A Pilot Study.
    Moring JC, Resick PA, Peterson AL, Husain FT, et al · · 2022 · cited 3× · PMID 36001823 · DOI 10.1044/2022_aja-21-00241
  2. Treatment of Posttraumatic Stress Disorder Alleviates Tinnitus-related Distress Among Veterans: a Pilot Study
    Moring J, Resick P, Peterson A, Husain F, et al · · 2020 · DOI 10.21203/rs.3.rs-95013/v1

Verify or expand the search:

Other trials of Cognitive Processing Therapy (CPT)

Trials testing the same drug.

Other recruiting trials for Stress Disorders, Post-Traumatic

Currently open trials in the same condition.

Other The University of Texas Health Science Center at San Antonio trials

Trials by the same sponsor.

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Data sources for this page

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