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Augmentation Trial of Prazosin for Post-Traumatic Stress Disorder (PTSD) - NCT00990106-98431(Clinical Trial 368319)



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City:  Tacoma
State:  
WA
Zip Code: 98431
Conditions: Stress Disorders, Post-Traumatic - Combat Disorders - Sleep Disorders
Purpose: The purpose of this study is to determine whether prazosin will: - reduce the incidence of nightmares and sleep disturbance - increase functioning and sense of well being in combat-trauma exposed OIF/OEF veterans.
Study summary: This is a 15-week randomized parallel design, double-blind, placebo-controlled augmentation trial of prazosin to evaluate the efficacy and tolerability of prazosin augmentation in the treatment of PTSD trauma-related nightmares, sleep disturbance, global function and sense of well-being, and other clinical features and comorbidities of PTSD. Participants will be 210 OIF/OEF soldiers and veterans who have suffered war zone trauma. Participants will be randomized 1:1 to prazosin or placebo and all previous psychotropic medications and/or psychotherapy will be maintained constant. Randomization will be stratified by site and use of an antidepressant.
Criteria: Inclusion Criteria - Age >18 years; - Clear evidence of exposure to one or more war zone trauma events sufficient to satisfy DSM-IV criterion A1 for diagnosis of PTSD; - DSM-IV diagnosis of PTSD derived from the CAPS; CAPS total score >50; - CAPS Recurrent Distressing Dreams item score >5 (of maximum score of 8); - stable dose of non-exclusionary medications and psychotherapeutic treatment for at least 4 weeks prior to randomization; - good general medical health. - Female participants must agree to use a reliable form of birth control during the study. Exclusion Criteria - Psychiatric/Behavioral - meets DSM-IV criteria for current schizophrenia, schizoaffective disorder, psychotic disorder, delirium, or any DSM-IV cognitive disorder; substance dependence disorder within 3 months or any current substance dependence; current cocaine or stimulant abuse; severe psychiatric instability or severe situational life crises, including evidence of being actively suicidal or homicidal, or any behavior which poses an immediate danger to patient or others. - Medical - acute or unstable chronic medical illness, including unstable angina, recent myocardial infarction (within 6 months), congestive heart failure, preexisting hypotension or orthostatic hypotension, chronic renal or hepatic failure, pancreatitis, Meniere's disease, benign positional vertigo; narcolepsy, or diagnosed sleep apnea; allergy or previous adverse reaction to prazosin or other alpha-1 antagonist.
Study is available at: Madigan Army Medical Center
Tacoma, WA 98431
United States

Primary Contact:
Tammy Williams, MSW
Email: tammy.williams10@us.army.mil
Phone: 253-968-4735

Secondary Contact:
Hollie Holmes, BA
Email: Hollie.Holmes@va.gov
Phone: 206-277-6207
If you are interested in this clinical trial please use the contact information above. If you would like to get additional information about this clinical trial please visit ClinicalTrials.gov.
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Data Source: ClinicalTrials.gov
Date Processed: March 23, 2011
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