UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028461
Receipt number R000032432
Scientific Title New drug treatment and mechanism of action of the central anticholinergic drug trihexylphenidyl in reducung posttraumatic nightmares and Fiashbacks in patients with posttraumtic stress disoder,and the occurrence hyposthesis of nightmares and flashbacks.
Date of disclosure of the study information 2017/07/31
Last modified on 2017/07/31 18:09:47

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Basic information

Public title

New drug treatment and mechanism of action of the central anticholinergic drug trihexylphenidyl in reducung posttraumatic nightmares and Fiashbacks in patients with posttraumtic stress disoder,and the occurrence hyposthesis of nightmares and flashbacks.

Acronym

the new drug treatment:cehtral anticgolinergic drug Truhexylphenidyl in posttraumatic nightmares and the drug effect mechanism.

Scientific Title

New drug treatment and mechanism of action of the central anticholinergic drug trihexylphenidyl in reducung posttraumatic nightmares and Fiashbacks in patients with posttraumtic stress disoder,and the occurrence hyposthesis of nightmares and flashbacks.

Scientific Title:Acronym

the new drug treatment:cehtral anticgolinergic drug Truhexylphenidyl in posttraumatic nightmares and the drug effect mechanism.

Region

Japan


Condition

Condition

posttraumatic stress disorder.

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Mechanism of occurrence(hypothesis)of poattraumatic nightmares and new drug treatment:central anticholinergic agent:Trihexylphenidyl showed aimost 100% more efficacy against posttraumatic nightmares, and on the effect mechanism of this drug.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Others

Trial characteristics_2

Others

Developmental phase

Not applicable


Assessment

Primary outcomes

Central anticholinergic drug:Trihexylphenidyl (an existing drug was used from 65 years ago)administered to refractory PTSD-patients with posttraumaic nightmares. Respond to symptom to refractory PTSD who came in 2009~2017,Trihexylphenidyl 2mg/1T~3T was administered.It was evaluated by CAPS(Clinical Administered PTSD Scale) and IES-R( the Impact of Event Scale-Revised). Clinical evalluation is suprising to say that Complete Remission:70.3%+Partial Remission:29.7%=almost 100%. Moreover, this medicine is fast-acting, certainty, drug mechanism clear.

Key secondary outcomes

I found the following onset hypothesis from this research. The hypothesis of flashbacks has a deep relationship with the brain ACh basal ganglia(Ch1,Ch2,Ch4) and amygdala,hippocampus. The hypothesis of posttraumatic nightmares has a deep relationship with hypothesis of flashbacks and Ch5,Ch6 of the brain stem which is said to occur regular REM.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification

NO

Dynamic allocation


Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Using the cehtral anticholinergic agent Trihexylphenidyl for posttraumatic nightmares and observe therapeutic effect.Trihexylphenidyl2mg1T~2T is administered before bedtime.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

40 years-old >=

Gender

Male and Female

Key inclusion criteria

Originally PTSD may nave refractory elements, but at the time of first visit our clinic, patients with intractable PTSD who already received various treatments at various medical institutions were targeted.

Key exclusion criteria

Men and women aged under 20 and over 40 years old, pregnant women, lactating women were excluded.

Target sample size

29


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Katsumasa Sogo

Organization

Medical Corporation Sogo-kai Sogo Clinic

Division name

SOGO-PTSD INSTITUTE

Zip code


Address

7-20 1-choume matoba-cho minami-ku hiroshima-city.

TEL

082-261-0280

Email

sogoutiger@nifty.com


Public contact

Name of contact person

1st name
Middle name
Last name Katsumasa Sogo

Organization

Medical Corporation Sogo-kai Sogo-Clinic

Division name

sogo ptsd institute

Zip code


Address

1 choume matoba cho minami ku hiroshima city

TEL

082-261-0280

Homepage URL

http://www.sogo-clinic.jp

Email

sogoutiger@nifty.com


Sponsor or person

Institute

SOGO PTSD INSTITUTE

Institute

Department

Personal name



Funding Source

Organization

Medical Corporation Sogo Kai Sogou Clinic

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2017 Year 06 Month 23 Day

Date of IRB


Anticipated trial start date

2018 Year 06 Month 22 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 07 Month 31 Day

Last modified on

2017 Year 07 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032432


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name