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European reports of liver toxicity from kava meant that the study had to stop
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The purpose of this study is to evaluate the safety and effectiveness of the herbal medicine kava kava for the treatment of generalized anxiety disorder (GAD).
Kava kava (KAV) is a plant-derived treatment widely used in Europe to treat anxiety disorders. Several studies suggest that KAV may be effective in reducing anxiety symptoms; however, trial data are limited. This study will compare KAV, the drug venlafaxine-XR (VEN), and placebo for the treatment of GAD.
This study will last 10 weeks. Participants will be randomly assigned to receive KAV, VEN, or placebo for 8 weeks. Participants will then undergo a 1-week tapering of their medication followed by an additional week of observation. Self-report scales and questionnaires will be used to assess the anxiety, depression, and functional impairment of participants. Side effects, vital signs, and laboratory measures will be monitored throughout the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| active antidepressant drug comparator | Active Comparator | Venlafaxine ER |
|
| Sugar pill | Placebo Comparator | Inert placebo pills as duble dummy - up to 4 per day for kava and 3 per day for venlafaxine |
|
| Herbal treatment kava | Experimental | Kava |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Venlafaxine ER | Drug | 75 to 225 mg daily |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hamilton Anxiety Scale | 8 weeks |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jonathan Davidson, MD | Duke University | Principal Investigator |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000069470 | Venlafaxine Hydrochloride |
| D000073893 | Sugars |
| ID | Term |
|---|---|
| D003511 | Cyclohexanols |
| D000441 | Hexanols |
| D005233 | Fatty Alcohols |
| D000438 | Alcohols |
| D009930 |
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| Sugar pill | Drug | Upto 3 per day for venlafainxe and 4 per day for kava placebos. |
|
|
| Kava | Drug | 140 to 280 mg per day |
|
|
| Organic Chemicals |
| D010627 | Phenethylamines |
| D005021 | Ethylamines |
| D000588 | Amines |
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D008055 | Lipids |
| D002241 | Carbohydrates |