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The primary aim of this pilot study is to test the efficacy of the selective serotonin re-uptake inhibitor, Escitalopram, in the treatment of posttraumatic stress disorder (PTSD) in an open clinical trial.
A secondary aim is to determine whether treatment with escitalopram increases plasma allopregnanolone levels in patients with PTSD and if increases in allopregnanolone levels are correlated with treatment efficacy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Escitalopram | Experimental | Flexible dose (5-20mg/day) of escitalopram monotherapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Escitalopram | Drug | Subjects were started on 5mg escitalopram. Medication was increased as tolerated in weekly 2.5, 5 or 10 mg increments, until a maximally tolerated dosage or a clinical response was achieved. The final dosage ranged from 5 to 20 mg/day. |
| Measure | Description | Time Frame |
|---|---|---|
| The Clinician Administered PTSD Scale | Administered at baseline (prior to treatment) and week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| PTSD Checklist | Each Visit: Week 0, 2, 4, 6, 8, & 12 | |
| Beck Depression Inventory | Each Visit: Week 0, 2, 4, 6, 8, & 12 | |
| Profile of Mood State |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thomas C Neylan, MD | UCSF / VAMC / NCIRE | Principal Investigator |
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| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000089983 | Escitalopram |
| ID | Term |
|---|---|
| D011437 | Propylamines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D009570 | Nitriles |
| D001572 |
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|
| Each Visit: Week 0, 2, 4, 6, 8, & 12 |
| Social Adjustment Scale | Initial, Mid-Trial and Final Assessments |
| Quality of Life Inventory | Initial, Mid-Trial and Final Assessments |
| Benzofurans |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |