Impulse Control DisordersPhase 4NCT00118014
Sertraline and Habit Reversal in the Treatment of Patients With Trichotillomania
A Phase 4 study testing Sertraline and Habit Reversal Training in people with Impulse Control Disorders, run by Massachusetts General Hospital at 1 site in United States.
Trial summary
The purpose of this study is to assess the extent of symptom remission in patients with trichotillomania following treatment with sertraline and/or behavior therapy. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Impulse Control Disorders
- What is being tested?
- Sertraline and Habit Reversal Training
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 75 participants
- Where
- 1 siteUnited States
- Study dates
- Jan 2000to Aug 2004
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients will have a DSM-IV diagnosis of TTM.
- TTM symptoms for at least 4 months.
- Scalp as primary site of hair pulling.
- HPS score greater than or equal to 15 OR TTM Impact Scale score greater than 30.
- Written informed consent.
- Men or women aged 18-65 years old.
- Females of childbearing potential must have a negative serum beta-HCG pregnancy test.
Who cannot join
- Pregnant women or women of childbearing potential who are not using a medically accepted means of contraception.
- Patients who, in the investigator's judgement, pose a serious suicidal or homicidal risk.
- Serious or unstable medical illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic, or hematologic disease. Patients on anticoagulant therapy.
- History of seizure disorder.
- Comorbid bipolar disorder, psychosis, organic mental disorder, or developmental disorder.
- If there is a history of substance abuse, patients must be in remission at least 6 months.
Show all 9Show fewer
- Past trials of sertraline.
- Currently being treated with behavioral therapy, specifically habit reversal training, for TTM.
- Other medications for medical disorders that may interact with sertraline.
Trial locations and contacts
1 site in 1 country.
United States1 site
Massachusetts General Hospital - OCD Clinic
Charlestown, Massachusetts, 02129
About this study
The purpose of this study is to assess the extent of symptom remission in patients with trichotillomania following treatment with sertraline and/or behavior therapy.
Read the detailed description
The purpose of this study is to assess the extent of symptom remission in patients with trichotillomania following treatment with sertraline and/or behavior therapy.
Following entry into the study, subjects will undergo a washout period if they are currently taking a psychotropic medication (two weeks for psychotropic medications except for fluoxetine, which requires a four-week washout). Subjects will then be given a single-blind placebo for two weeks and assessed for symptom consistency.
Subjects will take sertraline or placebo in a double-blind design. Subjects will be assessed with the Hamilton Rating Scale for Depression (HAM-D-17), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Clinical Global Impressions Scale (CGI), Hair Pulling Scale (HPS), Trichotillomania (TTM) Impact Scale, Psychiatric Institute Trichotillomania Scale (PITS), National Institute of Mental Health (NIMH) Scale, and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) at the start of the washout period and at the end of week two in order to be randomized into the study. Subject randomization to a treatment arm will be based on the random table and in equal proportions.
Subject change scores will be assessed for the above scales, and change scores for the four different treatment groups will be assessed.
- Conditions
- Impulse Control Disorders
- Being tested
- Sertraline, Habit Reversal Training
- Keywords
- Trichotillomania, Habit Reversal Training, Sertraline, Zoloft
- Medical subject headings
- Disruptive, Impulse Control, and Conduct Disorders, Trichotillomania
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SertralineDrug
Habit Reversal TrainingBehavioural
What is being measured
The primary outcome is the main question the study is designed to answer.
Clinical Global Impressions Scale change scores (week 2 versus 22)
Measured: Week 2 to 22
Hair Pulling Scale change scores (week 0 versus 22)
Measured: Week 0 to 22
TTM Impact Scale change scores (week 0 versus 22)
Measured: Week 0 to 22
PITS (week 0 versus 22)
Measured: Week 0 to 22
NIMH Scale (week 0 versus 22)
Measured: Week 0 to 22
Secondary outcomes (4)
HAM-D-17 (week 0 versus 22)
Measured: Week 0 to 22
BDI (week 0 versus 22)
Measured: Week 0 to 22
BAI (week 0 versus 22)
Measured: Week 0 to 22
Q-LES-Q (week 0 versus 22)
Measured: Week 0 to 22
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2005 (estimated)
- Study startJan 2000
- Primary completionApr 2004
- Study completionAug 2004
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Impulse Control DisordersStudies of the same condition, open and under way.
- More trials run by Massachusetts General HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 75 participants (actual)
Sponsor and investigators
- Lead sponsor
- Massachusetts General Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Pfizer
- Investigators
- Michael Jenike, M.D., Principal investigator, Massachusetts General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00118014
- Sponsor's protocol ID
- 1999-P-003152
- Other IDs
- 98-09272
- Status last verified
- May 2008
- First submitted
- 1 Jul 2005
- Last updated
- 20 May 2008
- Results posted
- No
- Data monitoring committee
- No
Publications
Hoffman J, Williams T, Rothbart R, Ipser JC, Fineberg N, Chamberlain SR, Stein DJ. Pharmacotherapy for trichotillomania. Cochrane Database Syst Rev. 2021 Sep 28;9(9):CD007662. doi: 10.1002/14651858.CD007662.pub3.
PubMed 34582562
Study at a glance
From the registry record, last updated by the sponsor on 20 May 2008. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Sertraline and Habit Reversal in the Treatment of Patients With Trichotillomania
- ClinicalTrials.gov ID
- NCT00118014
- Acronym / sponsor ID
- 1999-P-003152
- Conditions
- Impulse Control Disorders
- Keywords
- Trichotillomania, Habit Reversal Training, Sertraline, Zoloft
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 75 participants (actual)
- Lead sponsor
- Massachusetts General HospitalUniversity, hospital or other
- Collaborators
- Pfizer
- Study start
- Jan 2000
- Primary completion
- Apr 2004 (actual)
- Study completion
- Aug 2004 (actual)
- First posted
- 11 Jul 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the extent of symptom remission in patients with trichotillomania following treatment with sertraline and/or behavior therapy.
Detailed description
The purpose of this study is to assess the extent of symptom remission in patients with trichotillomania following treatment with sertraline and/or behavior therapy.
Following entry into the study, subjects will undergo a washout period if they are currently taking a psychotropic medication (two weeks for psychotropic medications except for fluoxetine, which requires a four-week washout). Subjects will then be given a single-blind placebo for two weeks and assessed for symptom consistency.
Subjects will take sertraline or placebo in a double-blind design. Subjects will be assessed with the Hamilton Rating Scale for Depression (HAM-D-17), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Clinical Global Impressions Scale (CGI), Hair Pulling Scale (HPS), Trichotillomania (TTM) Impact Scale, Psychiatric Institute Trichotillomania Scale (PITS), National Institute of Mental Health (NIMH) Scale, and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) at the start of the washout period and at the end of week two in order to be randomized into the study. Subject randomization to a treatment arm will be based on the random table and in equal proportions.
Subject change scores will be assessed for the above scales, and change scores for the four different treatment groups will be assessed.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Patients will have a DSM-IV diagnosis of TTM.
- TTM symptoms for at least 4 months.
- Scalp as primary site of hair pulling.
- HPS score greater than or equal to 15 OR TTM Impact Scale score greater than 30.
- Written informed consent.
Key exclusion criteria (9 listed)
- Pregnant women or women of childbearing potential who are not using a medically accepted means of contraception.
- Patients who, in the investigator's judgement, pose a serious suicidal or homicidal risk.
- Serious or unstable medical illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic, or hematologic disease. Patients on anticoagulant therapy.
- History of seizure disorder.
- Comorbid bipolar disorder, psychosis, organic mental disorder, or developmental disorder.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sertraline | Drug | – |
| Habit Reversal Training | Behavioural | – |
Primary outcome
Clinical Global Impressions Scale change scores (week 2 versus 22)
Time frame: Week 2 to 22
Hair Pulling Scale change scores (week 0 versus 22)
Time frame: Week 0 to 22
TTM Impact Scale change scores (week 0 versus 22)
Time frame: Week 0 to 22
PITS (week 0 versus 22)
Time frame: Week 0 to 22
NIMH Scale (week 0 versus 22)
Time frame: Week 0 to 22
4 secondary outcomes
HAM-D-17 (week 0 versus 22)
Time frame: Week 0 to 22
BDI (week 0 versus 22)
Time frame: Week 0 to 22
BAI (week 0 versus 22)
Time frame: Week 0 to 22
Q-LES-Q (week 0 versus 22)
Time frame: Week 0 to 22
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 May 2008.
- Derived from this study: PubMed 34582562Hoffman J, Williams T, Rothbart R, Ipser JC, Fineberg N, Chamberlain SR, Stein DJ. Pharmacotherapy for trichotillomania. Cochrane Database Syst Rev. 2021 Sep 28;9(9):CD007662. doi: 10.1002/14651858.CD007662.pub3.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Michael Jenike, M.D. principal investigator
Massachusetts General Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Sertraline and Habit Reversal Training in people with Impulse Control Disorders, run by Massachusetts General Hospital at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 May 2008. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Clinical Global Impressions Scale change scores (week 2 versus 22) (time frame: Week 2 to 22). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00118014, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2008.