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Trial registered on ANZCTR
Registration number
ACTRN12609000091202
Ethics application status
Approved
Date submitted
18/12/2008
Date registered
10/02/2009
Date last updated
10/02/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
The use of tiagabine and gabapentin in the treatment of social anxiety disorder in 8 patients
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Scientific title
Gabapentin and tiagabine for treatment of social anxiety disorder in 8 patients in a random double blind crossover study with outcome measured as changes in the Leibowitz Social Anxiety Scale
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Secondary ID [1]
771
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Nil
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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:
Subjects with social anxiety disorder
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Condition category
Condition code
Mental Health
4344
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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
Each subject was titrated to either 1800 mg gabapentin oral tablets daily or 2400 mg tiagabine oral tablets daily by mouth and stayed at that dosage for 4 weeks before being washed out for 2 weeks and receiving whichever medication they had not initially received.
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Intervention code [1]
3855
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Treatment: Drugs
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Comparator / control treatment
This study was a randomized double blind crossover study so that each subject was its own control
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Control group
Active
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Outcomes
Primary outcome [1]
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Liebowitz Social Anxiety Scale: social anxiety
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Assessment method [1]
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Timepoint [1]
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Measured at 2 weeks, 4 weeks, 8 weeks, 10 weeks, 14 weeks, and 16 weeks after randomization
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Secondary outcome [1]
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Clinical Global impression scale: severity of illness and global functioning
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Assessment method [1]
8806
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Timepoint [1]
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Measured at 2 weeks, 4 weeks, 8 weeks, 10 weeks, 14 weeks, and 16 weeks after randomization
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Eligibility
Key inclusion criteria
diagnosis of social anxiety disorder by DSM-IV criterial and a Liebowitz Socail Anxiety Scale greater than 30.
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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?
Yes
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Key exclusion criteria
Other Axis I psychiatric disorders, major medical illnesses, taking medications that interacted with the study drugs, actively using alcohol or illegal drugs, were pregnant, planning to become pregnant, or breastfeeding
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation concealment was done by a research coordinator who had no contact with subjects. The research coordinator put the study medication in a sealed opaque envelope for the investigator who did not know the contents of the envelope for distribution to the subject.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization by using a randomization table from a statistics book
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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
Phase 2 / Phase 3
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Type of endpoint/s
Safety/efficacy
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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
20/05/2003
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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
8
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
1478
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United States of America
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State/province [1]
1478
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VA
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Norfolk Foundation
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Address [1]
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1 Commercial Place
Norfolk VA 23501
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Country [1]
4310
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United States of America
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Primary sponsor type
Individual
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Name
Maria Urbano, M.D.
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Address
Dept. of Psychiatry
Eastern Virginia Medical School
825 Fairfax Ave.
Norfolk VA
United States 23507
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Country
United States of America
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Secondary sponsor category [1]
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Individual
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Name [1]
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David R. Spiegel, M.D.
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Address [1]
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Dept. of Psychiatry
Eastern Virginia Medical School
825 Fairfax Ave.
Norfolk VA
United States 23507
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Country [1]
3882
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Eastern Virginia Medical School Institutional Review Board
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Ethics committee address [1]
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Eastern Virginia Medical School P.O. Box 1980 Norfolk VA 23510
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Ethics committee country [1]
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United States of America
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Date submitted for ethics approval [1]
6357
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Approval date [1]
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24/08/2006
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Ethics approval number [1]
6357
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05-06-FB-0140
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Summary
Brief summary
Social Anxiety Disorder creates stress and significant disability for patients. Common treatments like selective serotonin reuptake inhibitors and benzodiazepines have undesirable side effects like sexual dysfunction or the potential for drug abuse/ dependence. The objective of the study was to see if alternative medications - tiagabine and gabapentin - already shown to be effective in other anxiety disorders might be effective for social anxiety disorder too. Subjects were selected to have social anxiety disorder by meeting the DSM-IV criteria and having a high score on the Liebowitz Social Anxiety Scale. Subjects were chosen who were generally healthy and had no other psychiatric diagnoses. They received a physical exam and lab work before starting the study. Each individual received each medication at a steady dosage for 4 weeks after being slowly increased for two weeks. The subjects took a Liebowitz Social Anxiety Scale and Clinical Global Impression Scale on each visit as well as reported efficacy of the medication (unknown to the patient or the investigator) and any side effects. Eight patients completed the study. Both medications were well tolerated with sedation and mild dizziness being the most common. All subjects with severe social anxiety responded well to both medications with two subjects reaching remission of symptoms. Gabapentin and tiagabine should be considered as effective alternate treatments for social anxiety disorder.
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Trial website
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Trial related presentations / publications
Gabapentin and Tiagabine for Social Anxiety Disorder: A Randomized, Double Blind Crossover Study of 8 Adults This paper has been submitted and accepted for publication in the Primary Care Companion of the Journal of Clinical Psychiatry. It has not been assigned a publication date.
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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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Maria R. Urbano, M.D.
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Address
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Dept. of Psychiatry
Eastern Virginia Medical School
825 Fairfax Ave.
Norfolk VA United States of America
23507
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Country
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United States of America
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Phone
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1-757-446-5888
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Fax
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1-757-446-5918
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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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Maria R. Urbano, M.D.
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Address
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Dept. of Psychiatry
EasternVirginia Medical School
825 Fairfax Ave.
Norfolk VA United States of America
23507
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Country
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United States of America
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Phone
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1-757-446-5888
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Fax
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1-757-446-5918
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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
No additional documents have been identified.
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