Post-traumatic Stress Disorder MedDRA version: 20.0 Level: HLT Classification code 10042211 Term: Stress disorders System Organ Class: 100000004873
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Children aged 7-12 years -CPTS-RI total score =40 -Primary diagnosis of PTSD (6 months or more after the traumatic event) -Affiliation to a social security scheme -Written consent signed by the parents/holders of parental authority and the investigator -Acceptance of the protocol by the child Are the trial subjects under 18? yes Number of subjects for this age range: 92 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -Age1 stuctured session/month declared by the clinician who follows the child) -Current active psychosis, anorexia nervosa, bulimia nervosa, binge-eating disorder, attention-deficit hyperactivity disorder, autism spectrum disorder -Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To examine the efficacy of oral propranolol (0.66 mg/Kg to 1 mg/Kg vs. placebo) administered 90’ prior to six weekly sessions of traumatic memory reactivation in reducing self-reported PTSD symptom severity in children (aged 7-12) with long lasting PTSD (=6 months) at endpoint (1-week post-treatment=1 week after the 6th and last treatment session);Secondary Objective: -To examine the efficacy of propranolol (vs. placebo) administered prior to six weekly sessions of traumatic memory reactivation in reducing parent-reported PTSD symptom severity in children with PTSD aged 7-12 at endpoint -To examine the efficacy of propranolol (vs. placebo) administered prior to six weekly sessions of traumatic memory reactivation in reducing rates of PTSD in children with PTSD aged 7-12 at endpoint -To examine the efficacy of propranolol (vs. placebo) administered prior to six weekly sessions of traumatic memory reactivation in reducing self-reported major depressive episode symptom severity in children with PTSD aged 7-12 at endpoint -To examine the efficacy of propranolol (vs. placebo) administered prior to six weekly sessions of traumatic memory reactivation on all outcomes at 6- month follow-up -To examine the efficacy of propranolol (vs. placebo) administered prior to six weekly sessions of traumatic memory reactivation on all outcomes at 1-year follow-up ;Primary end point(s): The main evaluation criterion will be the difference between the Child Post-Traumatic Stress Reaction Index/CPTS-RI total score administered at week 0 before the first treatment session and the CPTS-RI total score administered at week 8 (study endpoint=one week after the sixth and last treatment session).;Timepoint(s) of evaluation of this end point: week 8 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): The difference between the Child PTSD Checklist-Child version/CPC-C total score on items 14-34 (PTSD symptom items) administered at week 0 before the first treatment session and the CPC-C total score on items 14-34 administered at week 8 (study endpoint). The difference between the Child PTSD Checklist-Parent version/CPC-P total score on items 14-34 (PTSD symptom items) administered at week 0 before the first treatment session and the CPC-P total score on items 14-34 administered at week 8 (study endpoint). The percentage of children without a current diagnosis of PTSD at week 8 (study endpoint) one week after the sixth and last treatment session. A current diagnosis of PTSD will be assessed by the semi-structured diagnosis interview Kiddie-SADS-Present and Lifetime Version DSM-5/K-SADS-PL-DSM5 at study endpoint. The difference between the Children Depression Inventory/CDI total score administered at week 0 before the first treatment session and the CDI total score at week 8 (study endpoint) one week after the sixth and last treatment session. The difference between the Children’s Sleep Habits Questionnaire/CSHQ Parent version total score administered at week 0 before the first treatment session and the CSHQ total score at week 8 (study endpoint) one week after the sixth and last treatment session. The difference between the CPTS-RI total score administered at week 8 and the CPTS-RI total score administered at week 32 (6 months after the sixth and last treatment session), and at week 60 (1 year after the sixth and last treatment session). The difference between the CPC-C total score on items 14-34 (PTSD symptom items) administered at week 8 and the CPC-C total score on items 14-34 administered at week 32 (6 months after the sixth and last treatment session), and at week 60 (1 year after the sixth and last treatment session). The difference between the CPC-P total score on items 14-34 (PTSD symptom items) administered at week 8 and the | — |
Countries
France
Contacts
CHU Toulouse