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Treatment of Obsessive-Compulsive Disorder

This study has been completed.

Sponsored by: National Institute of Mental Health (NIMH)
Information provided by: National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier: NCT00000373
  Purpose

The purpose of this study is to find the best treatment for Tourette's Syndrome (TS)-spectrum obsessive-compulsive disorder (OCD), which includes symptoms of TS, e.g., repeated and involuntary body movements (tics).

There are 2 parts to this study: In Part 1, patients are placed into 1 of 2 groups based on type of OCD, determined by medical history and family member interviews. In Part 2, patients are treated with fluvoxamine (FVX) for 8 weeks. If patients do not respond to FVX alone, either haloperidol or an inactive placebo will be added to the FVX regimen; patients will take this drug combination for 4 weeks. Patients will be monitored throughout the trial.

You may be eligible for this study if you:

Are 16 - 70 years old. Have obsessive-compulsive disorder (OCD).


Condition Intervention
Obsessive-Compulsive Disorder
Drug: Fluoxetine
Drug: Olanzapine

Genetics Home Reference related topics:   Tourette syndrome   

MedlinePlus related topics:   Obsessive-Compulsive Disorder    Tourette Syndrome   

Drug Information available for:   Fluoxetine    Olanzapine    Dopamine    Dopamine hydrochloride    Haloperidol    Haloperidol decanoate    Serotonin    Fluoxetine hydrochloride    Tryptophan    Fluvoxamine maleate    Fluvoxamine   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Single Blind, Placebo Control
Official Title:   Neurobiology/Treatment of Obsessive-Compulsive Disorder

Further study details as provided by National Institute of Mental Health (NIMH):

Study Start Date:   September 1992
Estimated Study Completion Date:   April 2000

Detailed Description:

To advance the neurobiology and treatment of obsessive-compulsive disorder (OCD) by focusing on Tourette's Syndrome (TS)-spectrum OCD as a possible homogeneous form of OCD, and investigating the relevance of intact 5-HT function to the mechanism of anti-OC drug action. The validity of TS-spectrum OCD as a distinct subtype is assessed using a detailed clinical, family, drug treatment response profile in adult OCD patients.

In Study I, patients are divided prospectively into 2 putative subtypes (TS-spectrum and non-TS-spectrum OCD) on the basis of clinical history and direct, structured interviews of family members (approx. 400 interviews).

In Study II, patients enter an 8-week single-blind trial with the potent and selective 5-HT reuptake inhibitor fluoxetine (FX). Patients with an incomplete response to FX alone (approximately 64 patients) are randomized to a 4-week double-blind trial of FX in combination with the dopamine (DA) 2 antagonist olanzapine (OLA) or placebo (PLA).

  Eligibility
Ages Eligible for Study:   14 Years to 70 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

-

Patients must have:

Either TS-spectrum or non-TS-spectrum obsessive-compulsive disorder (OCD).

  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00000373

Locations
United States, Florida
Psychiatric Specialty Clinic, Shands Hospital at the University of Florida    
      Gainesville, Florida, United States, 32608
University of Florida Behavioral Health Mandarin Clinic    
      Jacksonville, Florida, United States, 32257

Sponsors and Collaborators

Investigators
Principal Investigator:     Wayne Goodman, MD    
  More Information


Publications:

Study ID Numbers:   MH45802, DSIR
First Received:   November 2, 1999
Last Updated:   December 6, 2005
ClinicalTrials.gov Identifier:   NCT00000373
Health Authority:   United States: Federal Government

Keywords provided by National Institute of Mental Health (NIMH):
Adolescence  
Adult  
Antipsychotic Agents  
Dopamine Antagonists  
Female  
Fluvoxamine  
Haloperidol  
Human  
Male  
Middle Age  
Obsessive-Compulsive Disorder  
Placebos
Serotonin Uptake Inhibitors
Tourette Syndrome
Tryptophan
Drug Combinations
Antipsychotic Agents -- *therapeutic use
Fluvoxamine -- *therapeutic use
Haloperidol -- *therapeutic use
Obsessive-Compulsive Disorder -- *drug therapy
Obsessive-Compulsive Disorder -- physiopathology
Serotonin Uptake Inhibitors -- *therapeutic use

Study placed in the following topic categories:
Tryptophan
Fluvoxamine
Olanzapine
Tourette Syndrome
Serotonin
Haloperidol
Fluoxetine
Haloperidol decanoate
Dopamine
Anxiety Disorders
Mental Disorders
Gilles de la Tourette's syndrome
Obsessive-Compulsive Disorder

Additional relevant MeSH terms:
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Tranquilizing Agents
Disease
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Gastrointestinal Agents
Psychotropic Drugs
Antiemetics
Central Nervous System Depressants
Antipsychotic Agents
Serotonin Uptake Inhibitors
Pharmacologic Actions
Pathologic Processes
Serotonin Agents
Autonomic Agents
Therapeutic Uses
Peripheral Nervous System Agents
Antidepressive Agents, Second-Generation
Central Nervous System Agents
Antidepressive Agents

ClinicalTrials.gov processed this record on October 31, 2008




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