Clinical trial • Phase II • Psychiatry

OXYTOCIN for Benzodiazepine dependence

Phase II trial of OXYTOCIN for Benzodiazepine dependence.

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
Benzodiazepine dependence
Trial Stage
Phase II
Drug Modality
Peptide/protein/enzyme|Small molecule

Key dates

Initial CTIS Submission Date
15-10-2024
First CTIS Authorization Date
07-11-2024

Trial design

Randomised, placebo: natriumklorid fresenius kabi 9 mg/ml solution for intranasal use (placebo) administered daily for 21 days; both study groups receive a diazepam dose reduction (taper) regimen as background treatment.-controlled Phase II trial across 1 site in Norway.

Randomised
Yes
Comparator
Placebo: Natriumklorid Fresenius Kabi 9 mg/ml solution for intranasal use (placebo) administered daily for 21 days; both study groups receive a diazepam dose reduction (taper) regimen as background treatment.
Target Sample Size
60
Trial Duration For Participant
21

Eligibility

Recruits 60 Vulnerable populations selected. Individuals incapable of completing questionnaires or giving informed consent will be excluded. Participants must provide informed consent prior to enrolment..

Pregnancy Exclusion
Female patients will be excluded if they are pregnant or are planning to become so, or if they are breast-feeding.
Vulnerable Population
Vulnerable populations selected. Individuals incapable of completing questionnaires or giving informed consent will be excluded. Participants must provide informed consent prior to enrolment.

Inclusion criteria

  • {"criterion_text":"- Patients aged 18 – 65 years, taking BZDs at a daily dose of 20-80 mg diazepam-equivalent, and requiring inpatient BZD withdrawal. Included patients must consent to participate in the study."}

Exclusion criteria

  • {"criterion_text":"- Female patients will be excluded if they are pregnant or are planning to become so, or if they are breast-feeding. Individuals incapable of completing questionnaires or giving informed consent will be excluded. Patients with concurrent acute medical or psychiatric illness requiring acute care hospitalization, misuse or dependency of alcohol or pregabalin/gabapentin will be excluded."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- The primary endpoint of the study is measuring BZD withdrawal symptoms to see if OT administered intranasally in addition to traditional dose tapering is more effective than BZD tapering and placebo. CIWA-B is a well-known and well-used 20-item questionnaire for BZD withdrawal symptoms where each item can be assigned a score from 0 to 4, i.e. the total score can range between 0-80 points. Based on previous studies a 3.5-point difference is considered clinically relevant.","definition_or_measurement_approach":"CIWA-B score measured daily from baseline (the day before intervention starts) to day 21; primary outcome is change in CIWA-B from baseline to day 21. A 3.5-point difference is considered clinically relevant."}

Secondary endpoints

  • {"endpoint_text":"- Hamilton Anxiety and Depression Scale (HAD), Insomnia Severity Index (ISI) and actigraphy and Somnofy assessed akathisia and sleep.","definition_or_measurement_approach":"HAD scores measured weekly from baseline to day 21; ISI and objective sleep measures assessed by actigraphy and Somnofy; akathisia and sleep outcomes assessed via actigraphy/Somnofy and ISI as applicable."}

Recruitment

Planned Sample Size
60
Recruitment Window Months
50
Consent Approach
Informed consent is required from participants. Individuals incapable of giving informed consent are excluded. A subject information and informed consent form is listed among study documents; no details on assent or languages provided in the available data.

Geography

Total Number Of Sites
1
Total Number Of Participants
60

Norway

Earliest CTIS Part Ii Submission Date
28-10-2024
Latest Decision Or Authorization Date
07-11-2024
Processing Time Days
10
Number Of Sites
1
Number Of Participants
60

Sites

Site Name
Blue Cross, Clinic Lade
Department Name
Department of detoxification
Contact Person Name
Tone Aurora Pleym
Contact Person Email
post@ladebs.no
Number Of Participants
60

Sponsor

Primary sponsor

Full Name
St. Olavs Hospital HF
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Norway

Investigational products

Investigational Product Name
OXYTOCIN CD PHARMA 6,7 mikrog/dose nesespray, oppløsning
Active Substance
OXYTOCIN
Modality
Peptide/protein/enzyme
Routes Of Administration
INTRANASAL USE
Route
INTRANASAL USE
Authorisation Status
Authorised
Frequency
Daily for 21 days
Maximum Dose
48 IU
Investigational Product Name
Syntocinon 40 IE/ml neusspray, oplossing
Active Substance
OXYTOCIN
Modality
Peptide/protein/enzyme
Routes Of Administration
INTRANASAL USE
Route
INTRANASAL USE
Authorisation Status
Authorised
Frequency
Daily for 21 days
Maximum Dose
48 IU
Investigational Product Name
Natriumklorid Fresenius Kabi 9 mg/ml infusjonsvæske, oppløsning
Active Substance
SODIUM CHLORIDE
Modality
Small molecule
Routes Of Administration
INTRANASAL USE
Route
INTRANASAL USE
Authorisation Status
Authorised
Frequency
Daily for 21 days
Maximum Dose
10 ml
Combination Treatment
Yes

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