Fluoxetine for Anxious Children

Overview[ - collapse ][ - ]

Purpose The purpose of this study is to see if it is safe and effective to use fluoxetine to treat children and adolescents with Generalized Anxiety Disorder (GAD). Anxiety disorders are one of the most common psychiatric disorders in children and adolescents, and can cause disturbances in the child's school, social, and family lives. Having an anxiety disorder puts a child at risk for depression and drug abuse, and appears to continue into adulthood. There is very little information on anxiety medications for children. Children will be assigned randomly (like tossing a coin) to receive either fluoxetine or an inactive placebo for 12 weeks. Each child will be monitored for symptoms and side effects throughout the study. He/she will have blood tests at Weeks 4, 8, and 12 to measure drug levels in the blood. The study will last for 12 weeks. A child is eligible for this study if he/she: Is 8 to 17 years old and has anxiety disorder. A child will not be eligible for this study if he/she: Has current major depression, panic disorder, or obsessive-compulsive disorder, or abuses alcohol or drugs.
ConditionAnxiety Disorders
InterventionDrug: Fluoxetine
PhasePhase 3
SponsorUniversity of Pittsburgh
Responsible PartyUniversity of Pittsburgh
ClinicalTrials.gov IdentifierNCT00000381
First ReceivedNovember 2, 1999
Last UpdatedJanuary 7, 2014
Last verifiedDecember 2005

Tracking Information[ + expand ][ + ]

First Received DateNovember 2, 1999
Last Updated DateJanuary 7, 2014
Start DateJune 1997
Estimated Primary Completion DateMay 2003
Current Primary Outcome MeasuresNot Provided
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleFluoxetine for Anxious Children
Official TitleNot Provided
Brief Summary
The purpose of this study is to see if it is safe and effective to use fluoxetine to treat
children and adolescents with Generalized Anxiety Disorder (GAD).

Anxiety disorders are one of the most common psychiatric disorders in children and
adolescents, and can cause disturbances in the child's school, social, and family lives.
Having an anxiety disorder puts a child at risk for depression and drug abuse, and appears
to continue into adulthood. There is very little information on anxiety medications for
children.

Children will be assigned randomly (like tossing a coin) to receive either fluoxetine or an
inactive placebo for 12 weeks. Each child will be monitored for symptoms and side effects
throughout the study. He/she will have blood tests at Weeks 4, 8, and 12 to measure drug
levels in the blood. The study will last for 12 weeks.

A child is eligible for this study if he/she:

Is 8 to 17 years old and has anxiety disorder.

A child will not be eligible for this study if he/she:

Has current major depression, panic disorder, or obsessive-compulsive disorder, or abuses
alcohol or drugs.
Detailed Description
To evaluate the safety and efficacy of fluoxetine as a treatment for children and
adolescents with Generalized Anxiety Disorder (GAD).

Anxiety disorders are among the most common childhood and adolescent psychiatric disorders
and are often associated with academic, social, and family morbidity. These disorders
frequently increase the risk for developing other psychiatric disorders (e.g., depression,
substance abuse), aggregate in families, and appear to continue into adulthood. Except for
Obsessive-Compulsive Disorder, there are very few pharmacological treatment studies for
childhood anxiety disorders. Given the sparsity and methodological problems of previous
anxiety pharmacological studies, it is clear that further investigation of the use of
pharmacological treatment of children and adolescents with these disorders is needed.

Patients are randomized to receive either fixed-dose fluoxetine or placebo for 12 weeks.
Patients are assessed for psychiatric symptomatology, functional status, and side effects.
In addition, to assess attainment of steady state and compliance with treatment, plasma
levels of fluoxetine and norfluoxetine are measured at 4, 8, and 12 weeks. To standardize
the treatment protocol and to assure that both groups (fluoxetine and placebo) receive
equivalent nonpharmacological treatment, a manual is used. Potential predictors of clinical
response (such as age, sex, duration and severity of anxiety, school absenteeism,
sub-syndromal depressive symptoms, family history of anxiety or mood disorders) are
explored.
Study TypeInterventional
Study PhasePhase 3
Study DesignAllocation: Randomized, Masking: Double-Blind, Primary Purpose: Treatment
ConditionAnxiety Disorders
InterventionDrug: Fluoxetine
Study Arm (s)Not Provided

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated EnrollmentNot Provided
Estimated Completion DateMay 2003
Estimated Primary Completion DateMay 2003
Eligibility Criteria
Inclusion Criteria:

-

Patients must have:

Generalized anxiety disorder.

Exclusion Criteria:

-

Excluded:

Patients with current major depression, as well as patients with panic and
obsessive-compulsive disorder.

-

Excluded:

Current substance abuse.
GenderBoth
Ages8 Years
Accepts Healthy VolunteersNot Provided
ContactsNot Provided
Location CountriesNot Provided

Administrative Information[ + expand ][ + ]

NCT Number NCT00000381
Other Study ID NumbersR01 MH053681
Has Data Monitoring CommitteeNot Provided
Information Provided ByUniversity of Pittsburgh
Study SponsorUniversity of Pittsburgh
CollaboratorsNational Institute of Mental Health (NIMH)
Investigators Principal Investigator: Boris Birmaher, MD
Verification DateDecember 2005