Comparison of Fluoxetine, Calcium and Placebo for the Treatment of Moderate to Severe Premenstrual Syndrome (PMS)
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Purpose
The purpose of this study is to compare the efficacy of calcium carbonate to fluoxetine in the treatment of moderate to severe PMS. Second, to compare each active agent to a placebo control. Third, to evaluate the efficacy of each treatment for specific symptom clusters (i.e. affective and somatic). Fourth, to determine whether the addition of calcium to on going fluoxetine treatment leads to additional therapeutic benefit.
| Condition | Intervention |
|---|---|
|
Premenstrual Syndrome |
Drug: Fluoxetine Drug: Calcium Drug: Placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Double-blind, Parallel Comparison of Fluoxetine, Calcium and Placebo for the Treatment of Moderate to Severe Premenstrual Syndrome (PMS) |
- First, to compare the efficacy of calcium carbonate to fluoxetine in the treatment of moderate to severe PMS. Second, to compare each active agent to a placebo control. [ Time Frame: 6-7 months ] [ Designated as safety issue: No ]
- Third, to evaluate the efficacy of each treatment for specific symptom clusters (i.e. affective and somatic). Fourth, to determine whether the addition of calcium to on going fluoxetine treatment leads to additional therapeutic benefit. [ Time Frame: 6-7 months ] [ Designated as safety issue: No ]
| Enrollment: | 49 |
| Study Start Date: | September 2000 |
| Study Completion Date: | October 2010 |
| Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: I
Fluoxetine
|
Drug: Fluoxetine
Fluoxetine 20 mg per day for 4 menstrual cycles. For the fifth menstrual cycle, all women will receive calcium. Women on Fluoxetine will continue taking it in addition to 1200mg of calcium.
Other Name: Prozac
|
|
Active Comparator: II
Calcium
|
Drug: Calcium
1200 mg of calcium to be taken for 5 menstrual cycles.
|
| Placebo Comparator: III |
Drug: Placebo
For 5 cycles, women will receive placebo. At the end of the fourth cycle, all women will receive 1200 mg of calcium in addition to the placebo medication.
|
Detailed Description:
This is a double blind, randomized, placebo controlled, parallel study that will randomize 60 women at the Yale site into treatment. Participants will be screened at various collaborating ob-gyn centers for possible PMS symptoms, and direct referrals from the community will also be accepted. Subject participation length is about 7 months with 6 scheduled study visits.
Methodology: After successfully completing the screening and qualification phase, participants will be randomized to treatment at Visit 1 for 5 cycles of double-blind treatment. Participants will be evaluated monthly during the randomization phase for adverse events, concurrent medication, and primary and secondary efficacy variables.
.
Eligibility| Ages Eligible for Study: | 18 Years to 48 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Female outpatients between the ages of 18 and 48 who are:
- Menstruating
- Meet criteria for moderate to severe PMS
- Report PMS symptoms for at least 9 our of the 12 months prior to screening; 4) *Are using an adequate method of birth control.
Exclusion Criteria:
Any candidate who:
- Fulfills MINI (DSM-IV) criteria for a serious AXIS 1 disorder
- Fulfills DSM-IV criteria during the charting phase consistent with a diagnosis of psychotic disorder, bipolar disorder or major depressive disorder
- Has a severe, co-existing condition that, in the investigator's opinion, renders the patient unsuitable for the study
- Poses a significant risk of suicide
- Takes ongoing medication that could treat PMS symptoms
- Has a history of hypersensitivity or adverse reaction to fluoxetine or calcium
- Is lactating, pregnant or is planning to become pregnant during the course of the study.
Contacts and Locations| United States, Connecticut | |
| Yale School of Medicine | |
| New Haven, Connecticut, United States, 06510 | |
| Principal Investigator: | Kimberly A Yonkers, MD | Yale School of Medicine |
More Information
No publications provided
| Responsible Party: | Kimberly Yonkers, Professor, Yale University |
| ClinicalTrials.gov Identifier: | NCT00965562 History of Changes |
| Obsolete Identifiers: | NCT00683605 |
| Other Study ID Numbers: | 0001011511 |
| Study First Received: | August 24, 2009 |
| Last Updated: | August 7, 2012 |
| Health Authority: | United States: Federal Government |
Keywords provided by Donaghue Medical Research Foundation:
|
Premenstrual syndrome PMS calcium |
Additional relevant MeSH terms:
|
Premenstrual Syndrome Menstruation Disturbances Pathologic Processes Calcium, Dietary Fluoxetine Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Serotonin Uptake Inhibitors |
Neurotransmitter Uptake Inhibitors Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Serotonin Agents Antidepressive Agents, Second-Generation Antidepressive Agents Psychotropic Drugs Central Nervous System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013