Excessive Sweating Caused by Antidepressants: Measurement and Treatment With Terazosin
ADIES
Antidepressant Induced Excessive Sweating: Measurement and Treatment With Terazosin
1 other identifier
interventional
23
1 country
1
Brief Summary
The study consists of measurement of antidepressant-induced excessive sweating and its treatment with an experimental medication, terazosin (approved for hypertension), that will be added to the antidepressant. This study is for people who take an antidepressant due to a depressive disorder. This is an open-label study (no placebo group) that will last 5 weeks, with one week of baseline measurement and four weeks of treatment with the study medication. The study is based on the hypothesis that terazosin will be effective in reducing the severity of excessive sweating caused by antidepressant treatment, and will have minimal side-effects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4
Started Mar 2007
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2007
CompletedFirst Submitted
Initial submission to the registry
March 19, 2007
CompletedFirst Posted
Study publicly available on registry
March 20, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2013
CompletedAugust 25, 2016
August 1, 2016
6.4 years
March 19, 2007
August 24, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
To study whether terazosin 1 to 4 mg/ day is effective in reducing antidepressant-induced sweating
8 weeks
To test a novel device for ambulatory monitoring of sweating which is required to study this phenomenon since ADIES is usually episodic
8 weeks
Secondary Outcomes (2)
To determine if the severity of sweating at baseline is correlated with baseline urinary norepinephrine levels
8 weeks
To determine if response to treatment correlated with baseline urinary norepinephrine levels and with changes in these levels during the study.
8 weeks
Study Arms (1)
terazosin
EXPERIMENTALopen-label treatment group
Interventions
off-label use of terazosin to treat antidepressant-induced sweating
Eligibility Criteria
You may qualify if:
- Age 18 - 75 years
- Clinical diagnosis of a Depressive disorder (Diagnostic and Statistical Manual of Mental Disorders - IV-TR)
- Presence of excessive sweating by self-report
- The excessive sweating started after initiation of an antidepressant and, if treatment with the antidepressant was interrupted, did not persist for more than 4 weeks during that interruption
- Treatment with the antidepressant is deemed to be clinically necessary due to substantial benefit from this antidepressant, and failure to respond to or tolerate an alternative
- Excessive sweating has persisted for at least 4 weeks prior to baseline assessment
- The excessive sweating is rated by the patient as at least moderately bothersome.
- Episodes of excessive sweating occur at least twice a week for last 4 weeks
You may not qualify if:
- Presence of another known disease that could potentially cause excessive sweating
- Failure to respond to antiadrenergic (reducing activity of the sympathetic nervous system) treatment in the past
- Blood pressure less than 110 mm Hg systolic at the screening or baseline visits
- Orthostatic hypotension by history or on assessment at the screening or baseline visits (defined as a decrease of 10 mm Hg or greater after standing for 2 minutes).
- Current antihypertensive treatment
- History of significant cardiac disease, including coronary artery disease
- Current use of phosphodiesterase type 5 inhibitors: sildenafil (ViagraTM), tadalafil (CialisTM), or vardenafil (LevitraTM)
- History of priapism (persistent and painful erection)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Thomas Jefferson University, Department of Psychiatry
Philadelphia, Pennsylvania, 19107, United States
Related Publications (1)
Mago R, Thase ME, Rovner BW. Antidepressant-induced excessive sweating: clinical features and treatment with terazosin. Ann Clin Psychiatry. 2013 Aug;25(3):186-92. Epub 2013 May 1.
PMID: 23638448DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rajnish Mago, MD
Thomas Jefferson University
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 19, 2007
First Posted
March 20, 2007
Study Start
March 1, 2007
Primary Completion
August 1, 2013
Study Completion
August 1, 2013
Last Updated
August 25, 2016
Record last verified: 2016-08