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This is a study in minors (7 to 17 years old) diagnosed with generalized anxiety disorder (GAD) and evaluated using standard questionnaires as having at least moderate severity of GAD. Participating minors will be assigned to receive either the study drug escitalopram or a pill without any drug in it called a placebo. The purpose of this research is to study the safety and effectiveness of escitalopram in minors with GAD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Escitalopram 10 mg/day | Experimental | Oral administration with the possibility of dose escalation to 20 mg/day at the investigator's discretion |
|
| Placebo | Placebo Comparator | Matching oral administration of placebo once daily |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Escitalopram | Drug | 8-weeks of treatment followed by 1-week taper down period |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Pediatric Anxiety Rating Scale (PARS) Severity Score | The PARS is a clinician-rated instrument for assessing the severity of anxiety symptoms associated with common anxiety disorders including generalized anxiety disorder (GAD) in children. The PARS severity score for GAD will be assessed for all symptoms identified in the generalized anxiety section of the PARS symptom checklist derived by summing 5 of the 7 severity/impairment/interference items (2, 3, 5, 6, and 7) each item ranged from 0 (none) to 5 (extreme severity/impairment/interference). PARS severity scores for GAD ranged from 0 (none) to 25 (extreme severity), with a score of 15 indicating moderate illness severity. | Baseline to Week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Response Rate on the PARS | Response is defined as a 50% improvement on the PARS severity score for GAD | Week 8 |
| Remission Rate on the PARS | Remission is defined as PARS severity score for GAD ≤8 (using 6 PARS items: 2, 3, 4, 5, 6, and 7) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| ALLERGAN INC. | Allergan | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harmonex /ID# 233342 | Dothan | Alabama | 36303 | United States | ||
| Woodland International Research Group /ID# 233348 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37074330 | Derived | Strawn JR, Moldauer L, Hahn RD, Wise A, Bertzos K, Eisenberg B, Greenberg E, Liu C, Gopalkrishnan M, McVoy M, Knutson JA. A Multicenter Double-Blind, Placebo-Controlled Trial of Escitalopram in Children and Adolescents with Generalized Anxiety Disorder. J Child Adolesc Psychopharmacol. 2023 Apr;33(3):91-100. doi: 10.1089/cap.2023.0004. |
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AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols, analyses plans, clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
Access to this clinical trial data can be requested by any qualified researchers who engage in rigorous independent scientific research, and will be provided following review and approval of a research proposal and statistical analysis plan and execution of a data sharing statement. Data requests can be submitted at any time after approval in the US and/or EU and a primary manuscript is accepted for publication. For more information on the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
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273 participants are included in the Safety Population with 136 participants being randomized to the Placebo group and 137 participants randomized to the Escitalopram group
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Matching oral administration of placebo once daily Placebo: Matching oral administration of inactive substance once daily |
| FG001 | Escitalopram 10 mg/Day | Oral administration with the possibility of dose escalation to 20 mg/day at the investigator's discretion Escitalopram: 8-weeks of treatment followed by 1-week taper down period |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Jun 30, 2020 | Sep 20, 2022 |
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| Placebo |
| Other |
Matching oral administration of inactive substance once daily |
|
| Week 8 |
| Change on the Clinical Global Impression of Severity (CGI-S) | Remission rate on CGI-S at acute treatment endpoint (Week 8). Remission rate is defined as the percentage of subjects having a CGI-S score ≤2 at endpoint. CGI-S is a seven point scale where 1=Normal and 7=Among the most extremely ill patients. | Week 8 |
| Change on the Children's Global Assessment Scale (CGAS) | Remission rate on the CGAS at acute treatment endpoint (Week 8). Functional remission is defined as CGAS >70. The CGAS used is a 100-point scale ranging from 1 to 100, with higher scores indicating better functioning. | Week 8 |
| Little Rock |
| Arkansas |
| 72211 |
| United States |
| Woodland Research Northwest, LLC /ID# 233366 | Rogers | Arkansas | 72758-6442 | United States |
| ATP Clinical Research, Inc /ID# 233362 | Costa Mesa | California | 92626-4607 | United States |
| ProScience Research Group /ID# 233374 | Culver City | California | 90230-6632 | United States |
| Sun Valley Research Center /ID# 233343 | Imperial | California | 92251-9401 | United States |
| MCB Clinical Research Centers /ID# 233372 | Colorado Springs | Colorado | 80910 | United States |
| Emerson Clinical Research Inst /ID# 233371 | Washington D.C. | District of Columbia | 20011 | United States |
| Innovative Clinical Research /ID# 233365 | Fort Lauderdale | Florida | 33319 | United States |
| Indago Research and Health Cen /ID# 233364 | Hialeah | Florida | 33012-4170 | United States |
| CNS Healthcare - Jacksonville /ID# 233352 | Jacksonville | Florida | 32256-6039 | United States |
| Accel Research Sites-Maitland Clinical Research Unit /ID# 233368 | Maitland | Florida | 32751 | United States |
| Medical Research Group of Central Florida /ID# 233357 | Orange City | Florida | 32763 | United States |
| Clinical Neuroscience Solutions, Inc /ID# 233350 | Orlando | Florida | 32801-2986 | United States |
| APG Research, LLC /ID# 233337 | Orlando | Florida | 32803 | United States |
| University of South Florida Rothman Center of Neuropsychiatry /ID# 233356 | St. Petersburg | Florida | 33701-4708 | United States |
| Capstone Clinical Research /ID# 233354 | Libertyville | Illinois | 60048-5341 | United States |
| Baber Research Group /ID# 233363 | Naperville | Illinois | 60563-6502 | United States |
| Psychiatric Associates /ID# 233360 | Overland Park | Kansas | 66221 | United States |
| Alivation Research /ID# 233338 | Lincoln | Nebraska | 68526-9474 | United States |
| Center for Psychiatry and Behavioral Medicine Inc /ID# 233355 | Las Vegas | Nevada | 89128-0819 | United States |
| Manhattan Behavioral Medicine PLLC /ID# 233351 | New York | New York | 10036 | United States |
| Finger Lakes Clinical Research /ID# 233347 | Rochester | New York | 14618-1609 | United States |
| Quest Therapeutics of Avon Lake /ID# 233367 | Avon Lake | Ohio | 44012 | United States |
| Neuro-Behavioral Clinical Research, Inc. /ID# 233375 | Canton | Ohio | 44720 | United States |
| University of Cincinnati /ID# 233341 | Cincinnati | Ohio | 45219 | United States |
| UH Cleveland Medical Center /ID# 233373 | Cleveland | Ohio | 44106 | United States |
| Midwest Clinical Research Center /ID# 233346 | Dayton | Ohio | 45417 | United States |
| CincyScience /ID# 233359 | West Chester | Ohio | 45069 | United States |
| SP Research, PLLC /ID# 233340 | Oklahoma City | Oklahoma | 73112-8729 | United States |
| Central States Research /ID# 233339 | Tulsa | Oklahoma | 74136 | United States |
| Coastal Carolina Research Center /ID# 233344 | North Charleston | South Carolina | 29405 | United States |
| Houston Clinical Trials /ID# 233345 | Bellaire | Texas | 77401-2928 | United States |
| Relaro Medical Trials /ID# 233369 | Dallas | Texas | 75243 | United States |
| AIM Trials /ID# 233361 | Plano | Texas | 75093 | United States |
| Focus Center, PC /ID# 233349 | Ogden | Utah | 84405-4946 | United States |
| University of Virginia /ID# 233370 | Charlottesville | Virginia | 22903 | United States |
| Northwest Clinical Research Center /ID# 233358 | Bellevue | Washington | 98007 | United States |
| Core Clinical Research /ID# 233353 | Everett | Washington | 98201 | United States |
| COMPLETED |
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| NOT COMPLETED |
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The Safety Population consisted of all subjects in the Randomized Population who took at least 1 dose of study medication.
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Matching oral administration of placebo once daily Placebo: Matching oral administration of inactive substance once daily |
| BG001 | Escitalopram 10 mg/Day | Oral administration with the possibility of dose escalation to 20 mg/day at the investigator's discretion Escitalopram: 8-weeks of treatment followed by 1-week taper down period |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Pediatric Anxiety Rating Scale (PARS) Severity Score | The PARS is a clinician-rated instrument for assessing the severity of anxiety symptoms associated with common anxiety disorders including generalized anxiety disorder (GAD) in children. The PARS severity score for GAD will be assessed for all symptoms identified in the generalized anxiety section of the PARS symptom checklist derived by summing 5 of the 7 severity/impairment/interference items (2, 3, 5, 6, and 7) each item ranged from 0 (none) to 5 (extreme severity/impairment/interference). PARS severity scores for GAD ranged from 0 (none) to 25 (extreme severity), with a score of 15 indicating moderate illness severity. | The modified Intent-to-treat (mITT) Population was defined as all subjects who were randomized and received at least 1 dose of study medication and had both baseline and at least 1 post-baseline primary efficacy measure (ie, PARS severity score). | Posted | Least Squares Mean | Standard Error | score on a scale | Baseline to Week 8 |
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| Secondary | Response Rate on the PARS | Response is defined as a 50% improvement on the PARS severity score for GAD | The modified Intent-to-treat (mITT) Population was defined as all subjects who were randomized and received at least 1 dose of study medication and had both baseline and at least 1 post-baseline primary efficacy measure (ie, PARS severity score). | Posted | Count of Participants | Participants | Week 8 |
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| Secondary | Remission Rate on the PARS | Remission is defined as PARS severity score for GAD ≤8 (using 6 PARS items: 2, 3, 4, 5, 6, and 7) | The modified Intent-to-treat (mITT) Population was defined as all subjects who were randomized and received at least 1 dose of study medication and had both baseline and at least 1 post-baseline primary efficacy measure (ie, PARS severity score). | Posted | Count of Participants | Participants | Week 8 |
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| Secondary | Change on the Clinical Global Impression of Severity (CGI-S) | Remission rate on CGI-S at acute treatment endpoint (Week 8). Remission rate is defined as the percentage of subjects having a CGI-S score ≤2 at endpoint. CGI-S is a seven point scale where 1=Normal and 7=Among the most extremely ill patients. | The modified Intent-to-treat (mITT) Population was defined as all subjects who were randomized and received at least 1 dose of study medication and had both baseline and at least 1 post-baseline primary efficacy measure (ie, PARS severity score). | Posted | Mean | Standard Deviation | score on a scale | Week 8 |
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| Secondary | Change on the Children's Global Assessment Scale (CGAS) | Remission rate on the CGAS at acute treatment endpoint (Week 8). Functional remission is defined as CGAS >70. The CGAS used is a 100-point scale ranging from 1 to 100, with higher scores indicating better functioning. | The modified Intent-to-treat (mITT) Population was defined as all subjects who were randomized and received at least 1 dose of study medication and had both baseline and at least 1 post-baseline primary efficacy measure (ie, PARS severity score). | Posted | Mean | Standard Deviation | score on a scale | Week 8 |
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All AEs from the time the subject signed the ICF until 30 days after receiving the last dose of study drug were collected (Up to 10 weeks).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Escitalopram 10 mg/Day | Oral administration with the possibility of dose escalation to 20 mg/day at the investigator's discretion Escitalopram: 8-weeks of treatment followed by 1-week taper down period | 0 | 137 | 2 | 137 | 44 | 137 |
| EG001 | Placebo | Matching oral administration of placebo once daily Placebo: Matching oral administration of inactive substance once daily | 0 | 136 | 1 | 136 | 27 | 136 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| ABDOMINAL ABSCESS | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
| |
| APPENDICITIS | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
| |
| KIDNEY INFECTION | Infections and infestations | MedDRA 24.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| NAUSEA | Gastrointestinal disorders | MedDRA 24.0 | Non-systematic Assessment |
| |
| FATIGUE | General disorders | MedDRA 24.0 | Non-systematic Assessment |
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| DECREASED APPETITE | Metabolism and nutrition disorders | MedDRA 24.0 | Non-systematic Assessment |
| |
| HEADACHE | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
| |
| SOMNOLENCE | Nervous system disorders | MedDRA 24.0 | Non-systematic Assessment |
| |
| INSOMNIA | Psychiatric disorders | MedDRA 24.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Medical Services | AbbVie | 800-633-9110 | abbvieclinicaltrials@abbvie.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 22, 2021 | Sep 20, 2022 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D000098647 | Generalized Anxiety Disorder |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D000089983 | Escitalopram |
| ID | Term |
|---|---|
| D011437 | Propylamines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D009570 | Nitriles |
| D001572 | Benzofurans |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| 12 Years to 17 years |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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