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Trial registered on ANZCTR
Registration number
ACTRN12608000363381
Ethics application status
Approved
Date submitted
9/07/2008
Date registered
25/07/2008
Date last updated
3/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Dopaminergic challenges in social anxiety disorder: evidence for dopamine D3 desensitisation following successful treatment with serotonergic antidepressants .
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Scientific title
Dopaminergic challenges in social anxiety disorder: evidence for dopamine D3 desensitisation following successful treatment with serotonergic antidepressants .
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
social anxiety disorder
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social phobia
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Condition category
Condition code
Mental Health
3526
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1. pramipexole single dose 0.5 mg orally
2. sulpiride single dose 400mg orally
(1. and 2. administered 1 hr after study day begins = 10am, 1 week apart, in double-blind balanced crossover design).
3. social anxiety behavioural challenge
Three hours, and 3 1/2 hrs (respectively) after the ingestion of the drug, 30 minutes apart, the participants completed the following three minute duration challenges: (i) the subject was invited to give an impromptu speech to an audience on a topic related to work interests or hobbies (“Verbal Task”); and (ii) the investigator read aloud to the participant a script of a previous situation of intense social anxiety, as reported by the participant (“Autobiographical Script”). The order of the tasks was selected at random but kept the same for both study days. (The tasks are administered 30 minutes apart).
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Patients act as their own control.
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Control group
Active
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Outcomes
Primary outcome [1]
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Anxiety assessed by the anxiety scale STAI-Y1
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Assessment method [1]
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Timepoint [1]
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at baseline and 1h, 2h, immediately after each behavioral task and at 5 hours post drug administration.
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Primary outcome [2]
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Social Anxiety VAS Composite score
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Assessment method [2]
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Timepoint [2]
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at baseline and 1h, 2h, immediately after each behavioral task and at 5 hours post drug administration.
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Secondary outcome [1]
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Plasma levels of prolactin (a measure of tuberinfundibular dopaminergic function)
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Assessment method [1]
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Timepoint [1]
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at baseline, and were repeated at 2 hours, between the challenges and at 6 hours after drug ingestion.
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Eligibility
Key inclusion criteria
Diagnostic and Statistical Manual version 4 (DSM-IV) diagnosis of social anxiety disorder
Clinical Global Impressions-Improvement (CGI-I) score of 1 or 2
Non-smokers
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria were neurological / other serious medical illness, other primary DSM-IV Axis I diagnoses, dopaminergic medicines in the six months preceding the enrolment, history of adverse reaction to sulpiride or pramipexole, pregnancy, lactation or inadequate contraceptive methods.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2003
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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United Kingdom
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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Unfunded
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Address [1]
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Unfunded (conducted using existing resources)
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Country [1]
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United Kingdom
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Primary sponsor type
University
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Name
University of Bristol
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Address
University Walk
Bristol BS1 3NY
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Country
United Kingdom
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Avon and Wiltshire Mental Health Partnership Trust Local Research Ethics Committee
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Ethics committee address [1]
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AWP NHS Trust Centre for Research, UWE Glenside Campus, Blackberry Hill Bristol BS16 1DD
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Ethics committee country [1]
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United Kingdom
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Date submitted for ethics approval [1]
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Approval date [1]
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24/10/2002
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Ethics approval number [1]
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BA340
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Summary
Brief summary
Serotonergic antidepressants (SSRIs) are first-line treatments for social anxiety disorder [SAnD], though there is evidence of dopaminergic system dysfunction. We therefore investigated the effects of a single dose of a dopamine agonist (pramipexole) and a dopamine antagonist (sulpiride) on social anxiety symptoms in untreated and SSRI-remitted patients with SAnD, undergoing an anxiogenic challenge. Our primary hypothesis was that the social anxiety (behavioral) challenges would be more anxiogenic under the dopamine antagonist (sulpiride) condition compared with the dopamine agonist (pramipexole) condition.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Spilios Argyropoulos
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Address
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Institute of Psychiatry
Box P
De Crespigny Park
London
United Kingdom, SE5 8AF
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Country
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United Kingdom
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Phone
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+442078480425
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Spilios Argyropoulos
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Address
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Institute of Psychiatry
Box P
De Crespigny Park
London
United Kingdom, SE5 8AF
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Country
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United Kingdom
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Phone
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+442078480425
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Pharmacotherapy for social anxiety disorder (SAnD).
2017
https://dx.doi.org/10.1002/14651858.CD001206.pub3
N.B. These documents automatically identified may not have been verified by the study sponsor.
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