Paroxetine vs Placebo Combined With Aerobic Exercise or Relaxation in Panic Disorder (Exparox)
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Purpose
Efficacy and safety of a 10-weeks treatment protocol of paroxetine vs. placebo in combination with regular aerobic exercise (running) or regular relaxation training in the treatment of panic disorder.
| Condition | Intervention | Phase |
|---|---|---|
|
Panic Disorder |
Drug: paroxetine + aerobic exercise Drug: Paroxetine + relaxation Drug: Placebo + aerobic exercise Drug: Placebo + relaxation |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Randomized, Controlled Trial on the Effects of Paroxetine Versus Placebo in Combination With Aerobic Exercise or Relaxation Training in the Treatment of Panic Disorder |
- Severity of Panic disorder due to Scores on the Panic and Agoraphobia Scale (P&A) [ Time Frame: Baseline to endpoint (10 weeks) ]
- Severity of panic disorder due to scores on the Clinical Global Impression scale (CGI) [ Time Frame: Baseline to endpoint (10 weeks) ]
- Symptom severity due to Hamilton Anxiety Scale (HAMA) [ Time Frame: Baseline to endpoint (10 weeks) ]
- Symptom severity due to the Montgomery and Asberg depression rating scale (MADRS) [ Time Frame: Baseline to endpoint (10 weeks) ]
- Response and remission analysis between groups [ Time Frame: LOCF-analysis ]
| Enrollment: | 75 |
| Study Start Date: | September 2001 |
| Study Completion Date: | June 2005 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Paroxetine + aerobic exercise
|
Drug: paroxetine + aerobic exercise
paroxetine, 40 mg once daily + regular aerobic exercise
|
|
Active Comparator: 2
Paroxetine + relaxation
|
Drug: Paroxetine + relaxation
paroxetine, 40 mg once daily + regular relaxation training
|
|
Active Comparator: 3
Placebo + aerobic exercise
|
Drug: Placebo + aerobic exercise
placebo pill once daily + regular aerobic exercise
|
|
Placebo Comparator: 4
Placebo + relaxation
|
Drug: Placebo + relaxation
placebo pill once daily + regular relaxation training
|
Detailed Description:
In continuation of prior work from our group (Broocks A, Bandelow B, Pekrun G, et al. Comparison of aerobic exercise, clomipramine, and placebo in the treatment of panic disorder. Am J Psychiatry 1998; 155(5):603-9.) it is the purpose of this trial to test the assumed superiority of a combined therapy of paroxetine and aerobic exercise compared to placebo or unspecific relaxation training in panic disorder. Participants were randomized to a 10 week treatment protocol of paroxetine 40 mg daily or placebo in combination with regular exercise or regular relaxation after having given informed consent and screening of in- and exclusion criteria.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Panic disorder with or without agoraphobia due to DSM-IV
- Written informed consent
- Score of 17 or more on the P&A scale
- Score on the CGI of 4 or more (markedly ill)
Exclusion Criteria:
- Pregnancy, lactating or insufficient contraception (pearl index >1)
- Other psychiatric disorders such as psychoses, addictive disorders, dementia, etc.
- Clinically relevant abnormalities in physical examination or laboratory results
- Prior major depression or bipolar disorder
- Suicidality
- psychotropic medication other than promethazine
- current psychological treatment
- unable to perform regular aerobic exercise
Contacts and Locations| Germany | |
| University of Göttingen, Dept of Psychiatry and Psychotherapy | |
| Göttingen, Germany, 37075 | |
| Principal Investigator: | Borwin Bandelow, Prof, MD | University of Göttingen |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00540098 History of Changes |
| Other Study ID Numbers: | 290060/552 |
| Study First Received: | October 3, 2007 |
| Last Updated: | October 4, 2007 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by University of Göttingen:
|
panic disorder pharmacotherapy non-pharmacological treatment |
SSRI paroxetine exercise |
Additional relevant MeSH terms:
|
Panic Disorder Anxiety Disorders Mental Disorders Paroxetine Serotonin Uptake Inhibitors Neurotransmitter Uptake Inhibitors Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action |
Pharmacologic Actions Serotonin Agents Physiological Effects of Drugs Antidepressive Agents, Second-Generation Antidepressive Agents Psychotropic Drugs Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 22, 2013