NCT02433353

Brief Summary

Approximately 150 active duty service members meeting Diagnostic and Statistical Manual version 5 (DSM-5) criteria for posttraumatic stress disorder (PTSD) and scoring 50 or above on the Clinician Administered PTSD Score for DSM-5 (CAPS-5) will be recruited. Qualifying participants will be randomized on a 1:1 basis to either the eye movement desensitization reprocessing (EMDR) plus venlafaxine XR group or the EMDR plus placebo group. Protocol will call for participants to complete 12 one-hour EMDR session while taking a venlafaxine XR/placebo dose of 150mg or 225mg for the entire 24 weeks. Both prescribers and therapists will be blinded and CAPS-5 assessments will be completed by an individual not involved in a participant's direct treatment. An unblinded pharmacist will dispense medication or placebo according the instructions of the prescriber and will count remaining tablets to measure compliance. All EMDR sessions will be recorded and will be reviewed by the principal investigator using a fidelity checklist. CAPS-5 will be administered after completion of EMDR and again at 6 months from the date of his/her first therapy session.

Trial Health

15
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Jan 2016

Status
withdrawn

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

First Submitted

Initial submission to the registry

April 9, 2015

Completed
26 days until next milestone

First Posted

Study publicly available on registry

May 5, 2015

Completed
8 months until next milestone

Study Start

First participant enrolled

January 1, 2016

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2016

Completed
Last Updated

January 13, 2016

Status Verified

January 1, 2016

Enrollment Period

Same day

First QC Date

April 9, 2015

Last Update Submit

January 11, 2016

Conditions

Keywords

PTSDposttraumatic stress disordervenlafaxineEMDReye movement desensitization reprocessingantidepressantpsychotherapy

Outcome Measures

Primary Outcomes (2)

  • Change in PTSD symptoms at 12 weeks measured using the CAPS-5 scale

    Clinician Administered PTSD Scale for DSM-5

    12 weeks

  • Change in PTSD symptoms at 24 weeks measured using the CAPS-5 scale

    Clinician Administered PTSD Scale for DSM-5

    24 weeks

Secondary Outcomes (8)

  • Change in depression symptoms at 12 weeks measured using the PHQ-9 scale

    12 weeks

  • Change in depression symptoms at 24 weeks measured using the PHQ-9 scale

    24 weeks

  • Percentage of participants experiencing adverse events as a measure of safety and tolerability

    24 weeks

  • Attrition percentage as a measure of safety and tolerability

    24 weeks

  • Change in PTSD symptoms at 12 weeks measured using the PCL-5 scale

    12 weeks

  • +3 more secondary outcomes

Study Arms (2)

EMDR + Venlafaxine XR

EXPERIMENTAL

Participants will receive 12 one-hour sessions of EMDR while taking venlafaxine XR 150mg or 225mg for the duration of the 6 month study.

Drug: Venlafaxine XRBehavioral: EMDR

EMDR + Placebo

PLACEBO COMPARATOR

Participants will receive 12 one-hour sessions of EMDR while taking placebo 150mg or 225mg for the duration of the 6 month study.

Behavioral: EMDRDrug: Placebo

Interventions

Serotonin norepinephrine reuptake inhibitor

Also known as: Effexor
EMDR + Venlafaxine XR
EMDRBEHAVIORAL

psychotherapy

Also known as: Eye Movement Desensitization Reprocessing
EMDR + PlaceboEMDR + Venlafaxine XR

Look-alike venlafaxine XR tablets containing no active drug

Also known as: Sugar pill
EMDR + Placebo

Eligibility Criteria

Age17 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Initial CAPS-5 score of 50 or greater
  • Meeting criteria for PTSD using DSM-5 criteria
  • Open to active duty US service members of all genders, races / ethnicities, religions, sexual orientations, and marital statuses
  • Participants can be taking opiates, a sleep aid, and/or prazosin for an indication of PTSD nightmares provided dosing does not exceed 15mg (men) / 9mg (women). Dosing more than once per day is not permitted

You may not qualify if:

  • Current suicidal or homicidal ideation
  • Pregnancy
  • Profound hearing loss
  • HIV and AIDS
  • Current chemotherapy
  • Primary thought disorders
  • Bipolar disorder or cyclothymia
  • Current substance dependence (not including nicotine)
  • Current use of bupropion above 150mg daily
  • Current use of mirtazapine above 15mg daily
  • Current use of an SSRI
  • Current use of another SNRI
  • Current use of tricyclic antidepressants in doses above 50mg
  • Current use of an MAO-I
  • Current use of a stimulant
  • +7 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic

Interventions

Venlafaxine HydrochlorideEye Movement Desensitization ReprocessingSugars

Condition Hierarchy (Ancestors)

Stress Disorders, TraumaticTrauma and Stressor Related DisordersMental Disorders

Intervention Hierarchy (Ancestors)

CyclohexanolsHexanolsFatty AlcoholsAlcoholsOrganic ChemicalsPhenethylaminesEthylaminesAminesCyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsLipidsDesensitization, PsychologicBehavior TherapyPsychotherapyBehavioral Disciplines and ActivitiesCarbohydrates

Study Officials

  • Daniel J Lee, MD

    Bayne-Jones Army Community Hospital

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 9, 2015

First Posted

May 5, 2015

Study Start

January 1, 2016

Primary Completion

January 1, 2016

Study Completion

January 1, 2016

Last Updated

January 13, 2016

Record last verified: 2016-01