Does Hydroxyzine Decrease Anxiety in Underweight Patients Diagnosed With an Eating Disorder
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Purpose
The purpose of this study is to determine the effectiveness of hydroxyzine in the treatment of meal-related anxiety in adolescents and young adults 8 to 25 years of age diagnosed with an eating disorder who are underweight. The investigators want to find out if hydroxyzine given before meals will improve meal-related anxiety compared to no hydroxyzine.
| Condition | Intervention | Phase |
|---|---|---|
|
Anxiety in Those Patients With Anorexia Nervosa or Eating Disorder Not Otherwise Specified, Specifically With Low BMI(≤ 18). |
Drug: Hydroxyzine Drug: hydroxyzine HCL Other: Placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Hydroxyzine Effects on Meal-Related Anxiety in Underweight Adolescents and Young Adults Diagnosed With an Eating Disorder - A Pilot Study |
- Self-reported anxiety [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 76 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | August 2014 |
| Estimated Primary Completion Date: | March 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Hydroxyzine
Hydroxyzine given TID
|
Drug: Hydroxyzine
Study medications (hydroxyzine/placebo) will be dosed based on participant's weight. Dosing will be according to the following body weight ranges: 15-29 Kg 10 mg TID 30-44 Kg 20 mg TID ≥ 45 Kg 30 mg TID hydroxyzine HCL dosed on weight given 3x per day
|
|
Placebo Comparator: Sugar Pill
Placebo given 3 times per day
|
Other: Placebo
Placebo given 3 times per day
|
Detailed Description:
This study is a practiced-based pilot study in follow-up to clinical observations made by our treatment team that hydroxyzine attenuates meal-related anxiety and improves treatment adherence in patients with a diagnosis of Anorexia Nervosa (AN) (excluding the amenorrhea criterion) or Eating Disorder Not Otherwise Specified (EDNOS) specifically with low BMI (≤ 18). To our knowledge, hydroxyzine has never been formally investigated in treating meal-related anxiety and improving outcomes in patients with AN or EDNOS specifically with low BMI (≤ 18).
Eligibility| Ages Eligible for Study: | 8 Years to 25 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Admitted to the Intensive Structured Living Unit (ISL) at Melrose Institute for treatment of an eating disorder that meets DSM-IV criteria for Anorexia Nervosa (excluding the amenorrhea criterion), or Eating Disorder Not Otherwise Specified, specifically with BMI (≤ 18)
- Age 8-25 years old at admission to ISL.
- Weight ≥ 15 kg at admission to ISL.
- Stable psychotropic and/or sedative medications for at least (≥) 6 weeks
Exclusion Criteria:
- Age < 8 years
- Age ≥ 25 years
- Weight < 15 kg at admission to ISL
- Prolonged QT interval on ECG at admission to ISL
- Current substance or alcohol abuse or dependence
- Malabsorption syndrome or inability to take oral medications
- History of hydroxyzine intolerance or hypersensitivity
- History of Type 1 Diabetes Mellitus
- History of angle closure glaucoma
- Currently on another clinical trial
- Pregnancy
Contacts and Locations| United States, Minnesota | |
| Melrose Institute | |
| Minneapolis, Minnesota, United States, 55416 | |
| Principal Investigator: | Marcus Westerman, MD, PhD | Park Nicollet Melrose Institute |
More Information
Additional Information:
No publications provided
| Responsible Party: | Park Nicollet Institute |
| ClinicalTrials.gov Identifier: | NCT01372670 History of Changes |
| Other Study ID Numbers: | 04091-11 |
| Study First Received: | June 10, 2011 |
| Last Updated: | May 15, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Park Nicollet Institute:
|
Treating meal related anxiety |
Additional relevant MeSH terms:
|
Anorexia Anorexia Nervosa Anxiety Disorders Eating Disorders Thinness Signs and Symptoms, Digestive Signs and Symptoms Mental Disorders Body Weight Hydroxyzine |
Antipruritics Dermatologic Agents Therapeutic Uses Pharmacologic Actions Histamine H1 Antagonists Histamine Antagonists Histamine Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 18, 2013