Major Depressive Disorder, Post-traumatic Stress Disorder
Conditions
Keywords
PTSD, Depression, Neurosteroids
Brief summary
This study will be an 8-week randomized, placebo-controlled clinical trial of pregnenolone administered adjunctively to treatment as usual in PTSD and depression in OEF/OIF Veterans.
Detailed description
PTSD and depression are critical areas of immediate impact to Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) Veterans. Current treatments for PTSD (which frequently co-occurs with depression) remain limited, with many patients remaining symptomatic despite single or combination administration of SSRIs, mood stabilizers, antipsychotics and sedatives/hypnotics. In addition, many patients treated for depression remain symptomatic. New interventions are thus urgently needed in PTSD with co-occurring depression to ensure optimal functional outcomes for our Service members and their families.
Interventions
Administered adjunctively to treatment as usual
adjunctive placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of PTSD, * diagnosis of MDD, * age 18-55, * no change in psychotropic medication for \>=4 weeks, * no anticipated need to to alter psychotropic medication for duration of study
Exclusion criteria
* Unstable medical/neurological illness, * diagnosis of bipolar disorder, schizophrenia or other psychotic disorder, * cognitive disorder, * substance dependence, * positive urine drug screen at screening, * use of hormonal supplementation, * pregnancy/lactation, * female patients who are sexually active and not using acceptable non-hormonal birth control, * initiation/change of psychotherapy within 3 months of randomization, * recent/current electroconvulsive therapy, * regular use of opiates/barbiturates/benzodiazepines
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinician Administered PTSD Scale (CAPS) | 8 weeks |
Countries
United States