Last updated: 11/03/2018 14:28:28

Orvepitant (GW823296) in Adult Post Traumatic Stress Disorder

GSK study ID
113211
Clinicaltrials.gov ID
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Fixed-Dose Study Evaluating the Efficacy and Safety of the Neurokinin-1 Receptor Antagonist Orvepitant (GW823296) in Post Traumatic Stress Disorder (PTSD)
Trial description: This is a 12-week, randomized, multicenter, double-blind, placebo controlled, fixed-dose parallel group study to assess the efficacy and safety of orvepitant (60 mg/day) versus placebo in subjects with a diagnosis of noncombat-related Posttraumatic Stress Disorder (PTSD), whose symptoms are considered moderate or severe.
Following an initial screening visit, subjects fulfilling the study inclusion and exclusion criteria will enter a pre-treatment screening phase to permit evaluation of the laboratory and ECG assessments and to confirm eligibility for inclusion into the study. This screening phase will be a minimum of 7 days, but no longer than 21 days. At the completion of the screening period, eligible subjects will be randomized at the baseline visit to receive either orvepitant 60mg/day or placebo (1:1 ratio). Those subjects randomized to receive placebo will receive study medication identical in appearance to that received by subjects assigned to receive orvepitant.
Efficacy will be assessed using the Clinician Administered PTSD Scale (CAPS) as the primary efficacy measure. Key secondary efficacy endpoints will be based on the Davidson Trauma Scale (DTS), the Short PTSD Rating Interview (SPRINT), the Clinical Global Impression- Global Improvement and Severity of Illness Scales (CGI-I and CGI-S, respectively), the Hamilton Depression Rating Scale (HAM-D), the Cognitive and Physical Functioning Questionnaire (CPFQ) and the Pittsburgh Sleep Quality Index (PSQI).
Safety will be assessed by monitoring for adverse events (side effects) and through periodic laboratory evaluations (blood tests), vital signs assessments (e.g., blood pressure, heart rate, temperature) and heart function measurements (electrocardiograms, or ECGs).
Primary purpose:
Treatment
Trial design:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation:
Randomized
Primary outcomes:

Change from Baseline in the 17-item Clinician Administered Posttraumatic Stress Disorder (PTSD) Scale (CAPS) total severity score at Week 12

Timeframe: Baseline (Day 1 pre-dose) and Week 12

Secondary outcomes:

Percentage of participants responding, based on more than equal to (>=) 30 percent (%) reduction from Baseline in CAPS total severity score at Weeks 1, 4, 8 and 12

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

The time to (maintained) clinical response in each participants

Timeframe: Up to Week 12

Change from Baseline in the 17-item CAPS total severity score at Weeks 1, 4, and 8

Timeframe: Baseline (Day 1 pre-dose) and Week 1, 4, 8

Percentage of participants remitting, based on a CAPS total score < 20 at Weeks 1, 4, 8, and 12

Timeframe: Up to Week 12

Change from Baseline in the CAPS re-experiencing subscale cluster score at Weeks 1, 4, 8 and 12

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the CAPS avoidance/numbing (A/N) subscale cluster score at Weeks 1, 4, 8, and 12

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the CAPS hyperarousal subscale cluster score at Weeks 1, 4, 8, and 12

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Percentage of participants responding, based on a Clinical Global Impression- Global Improvement (CGI-I) score of 1 or 2, by visit week

Timeframe: Up to Week 12

Change from Baseline in the CGI-S score, by visit week

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the Short PTSD Rating Review (SPRINT), by visit week

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the self-rated Davidson Trauma Scale (DTS), by visit week

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the DTS cluster sub score

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the Pittsburgh Sleep Quality Index (PSQI) Global Score, by visit week

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the PSQI addendum for PTSD (PSQI-A) global score, by visit week

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the CAPS recurrent distressing dreams item (B2) at Weeks 1, 4, 8, and 12

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in Hamilton Depression Rating Scale (HAM-D), by visit week

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in the Cognitive and Physical Function Questionnaire (CPFQ) total score, by visit week

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in Massachusetts Sexual Function Questionnaire (MSFQ) total score and erectile dysfunction score in males

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in MSFQ total score in females

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Change from Baseline in MSFQ items (diminished/absent libido; arousal difficulties; orgasm difficulties/anorgasmia and degree of sexual satisfaction) scores

Timeframe: Baseline (Day 1 pre-dose) and up to Week 12

Number of participant with suicidal behavior based on the Columbia Suicide Severity Rating Scale (C-SSRS) during and post treatment

Timeframe: Baseline, Week 1, 2, 4, 6, 8, 10, 12 and Day 14 of follow-up (approximately 14 weeks)

Number of participant by maximum suicidal ideation, based on the C-SSRS during and post treatment

Timeframe: Baseline, Week 1, 2, 4, 6, 8, 10, 12 and Day 14 of follow-up (approximately 14 weeks)

Interventions:
  • Drug: orvepitant
  • Other: Placebo
  • Enrollment:
    132
    Primary completion date:
    2010-28-06
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    Ratti E, Bettica P, Alexander R, Archer G, Carpenter D, Evoniuk G, Gomeni R, Lawson E, Lopez M, Milns H, Rabiner E, Trist D, Trower M, Zamuner S, Krishnan K, Fava M. Full Central NK1 Receptor Blockade is Required for Efficacy in Depression: Evidence from Orvepitant Clinical Studies. J Psychopharmacol. 2013;27(5):424-434.
    Medical condition
    Post-Traumatic Stress Disorder
    Product
    orvepitant
    Collaborators
    Not applicable
    Study date(s)
    November 2009 to June 2010
    Type
    Interventional
    Phase
    2

    Participation criteria

    Sex
    Female & Male
    Age
    18 - 64 years
    Accepts healthy volunteers
    No
    • Aged 18-64 years, inclusive.
    • A primary diagnosis of noncombat-related Post traumatic Stress Disorder (PTSD)
    • Subjects whose symptoms are better accounted for by a diagnosis other than Post traumatic Stress Disorder (PTSD), subjects diagnosed with dementia; subjects diagnosed with a current/recent eating disorder such as anorexia nervosa or bulimia; subjects with a diagnosed history of schizophrenia, schizoaffective disorder, or Bipolar Disorder.
    • Subjects who have a history of failing to respond to adequate treatment for PTSD with an antidepressant/anti-anxiety drug, i..e, failure to improve following administration of at least two other antidepressants/anti-anxiety drugs, each given for at least 4 weeks.

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    GSK Investigational Site
    Bronx, New York, United States, 10467
    Status
    Study Complete
    Location
    GSK Investigational Site
    Weymouth, Massachusetts, United States, 02190
    Status
    Study Complete
    Location
    GSK Investigational Site
    Willingboro, New Jersey, United States, 08046
    Status
    Study Complete
    Location
    GSK Investigational Site
    Torrance, California, United States, 90502
    Status
    Study Complete
    Location
    GSK Investigational Site
    Glen Burnie, Maryland, United States, 21061
    Status
    Study Complete
    Location
    GSK Investigational Site
    Beverly Hills, California, United States, 90210
    Status
    Study Complete
    Showing 1 - 6 of 26 Results

    Study documents

    Scientific result summary
    Available language(s): English

    If you wish to request for full study report, please contact - [email protected]

    Results overview

    Results posted on ClinicalTrials.gov

    Recruitment status
    Study complete
    Actual primary completion date
    2010-28-06
    Actual study completion date
    2010-28-06

    Plain language summaries

    Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

    Additional information about the trial

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    Additional information
    Visit the study website at www.copestudy.com/gov or call 1-866-548-7425 toll-free to learn more and find out if you may qualify.
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