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RecruitingAnxiety

Pharmacogenetically-guided Escitalopram Treatment for Pediatric Anxiety: Aiming to Improve Safety and Efficacy (PrEcISE)

Eligible age

12–17 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

Yes

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About this study

This double-blind, 12-week study will consist include132 anxious youth who are randomized (1:1) to standard or pharmacogenetically-guided escitalopram dosing. Block randomization (1:1) will be stratified by sex and metabolizer status.

Sponsor: University of Cincinnati

You may qualify if…

  • ✓ 1. Written, informed assent and consent.
  • ✓ 2. Patients, parent/guardian must be fluent in the English.
  • ✓ 3. 12 to 17 years of age, inclusive, at Visit 1.
  • ✓ 4. Patients must meet DSM-512 criteria for generalized, social and/or separation anxiety disorder, confirmed by the MINI-KID.
  • ✓ 5. PARS score ≥15 at Visit 1 and Visit 2.
  • ✓ 6. No initiation of psychotherapy within 8 weeks of screening (Visit 1). Current therapy much be stable for ≥2 months prior to baseline (Visit 2).
  • ✓ 7. Clinical Global Impressions-Severity (CGI-S) score ≥4 at Visits 1 \& 2.
  • ✓ 8. Caregiver who is willing to consent to be responsible for safety monitoring of the patient, provide information about the patient's condition, oversee the administration of the investigational product.

You may not qualify if…

  • ✕ 1. Co-occurring DSM-5 mood disorder (except persistent depressive disorder, unspecified depressive disorder, provided that the primary diagnosis is an anxiety disorder), eating, bipolar or psychotic disorders.
  • ✕ 2. A lifetime diagnosis of an intellectual disability.
  • ✕ 3. A significant history of trauma exposure.
  • ✕ 4. A history of SSRI treatment within 12 weeks of baseline or current treatment with a medication with psychiatric effects that requires \>5 half-lives for washout History of non-response to \>2 SSRIs.
  • ✕ 5. Allergy, intolerance, non-response or hypersensitivity to escitalopram. Major neurological or medical illness or head trauma with ≥5 minutes loss of consciousness.
  • ✕ 6. Alcohol or substance use disorder within the past 6 months (nicotine use is permitted).
  • ✕ 7. Psychotherapy initiated within 8 weeks of screening (Visit 1), or plans to initiate/change therapy during the study.
  • ✕ 8. Pregnant, breastfeeding, lactating, and/or planning to become pregnant during the study or within 30 days following the end of study participation.

Where it's recruiting

Ohio

Cincinnati

Source: ClinicalTrials.gov · NCT04623099 · last updated 2024-08-29

Pharmacogenetically-guided Escitalopram Treatment for Pediatric Anxiet · TrialPath