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Low-Dose Cortisol in Chronic Posttraumatic Stress Disorder

Information source: University of Zurich
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Posttraumatic Stress Disorder

Intervention: Cortisol (Drug)

Phase: N/A

Status: Recruiting

Sponsored by: University of Zurich

Official(s) and/or principal investigator(s):
Dominique de Quervain, MD, Principal Investigator, Affiliation: Division of Psychiatry Research, University of Zurich, Lenggstr. 31, 8032 Zurich, Switzerland
Ulrich Schnyder, MD, Principal Investigator, Affiliation: Department of Psychiatry, University Hospital Zurich, Culmannstrasse 8, 8091 Zürich, Switzerland

Overall contact:
Bernd Kraemer, MD, Phone: +41 44 255 5280, Email: bernd.kraemer@usz.ch

Summary

The aim of this prospective, double-blind, placebo-controlled, cross-over study is to determine the therapeutic efficacy of low-dose cortisol for symptoms of chronic posttraumatic stress disorder.

Clinical Details

Official title: Low-Dose Cortisol in Chronic Posttraumatic Stress Disorder

Study design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Crossover Assignment, Efficacy Study

Primary outcome: CAPS CGI

Eligibility

Minimum age: 18 Years. Maximum age: 60 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Female and male patients with chronic PTSD due to adult trauma; PTSD is diagnosed

according to the DSM-IV, as measured with the CAPS

- Age between 18 and 60

Exclusion Criteria:

- History of disease states representing contraindications to glucocorticoid therapy

(tuberculosis, gastritis, gastric- and duodenal ulcers, Cushing's disease, osteoporosis, hypertension, pregnancy (to exclude with a pregnancy test) and lactation, glaucoma, diabetes mellitus, thrombophilia, acute or chronic infections, hyperthyroidism, cirrhosis)

- Severe or chronic somatic diseases

- Topic glucocorticoid therapy (for large skin parts)

- Inhaled glucocorticoids

- Current psychotic, bipolar, substance-related, or severe personality disorder

- Current severe depressive disorder

- Severe cognitive impairment or a history of organic mental disorder

- Evidence of PTSD or depression immediately prior to the index trauma

- Prominent current suicidal or homicidal ideation

- Asylum seeking status

- Body weight >20% above or below normal range

- Changes in psychopharmacologic or psychotherapeutic management less than 8 weeks

before start of the study

Locations and Contacts

Bernd Kraemer, MD, Phone: +41 44 255 5280, Email: bernd.kraemer@usz.ch

Department of Psychiatry, University Hospital Zurich, Zurich 8091, Switzerland; Recruiting
Bernd Kraemer, MD, Phone: +41 44 255 5280, Email: bernd.kraemer@usz.ch
Bernd Kraemer, MD, Principal Investigator
Additional Information

Related publications:

Aerni A, Traber R, Hock C, Roozendaal B, Schelling G, Papassotiropoulos A, Nitsch RM, Schnyder U, de Quervain DJ. Low-dose cortisol for symptoms of posttraumatic stress disorder. Am J Psychiatry. 2004 Aug;161(8):1488-90.

Starting date: June 2007
Last updated: June 2, 2009

Page last updated: October 19, 2009

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