Determining Optimal Treatment Sequences in Anxious Depression (DOTS-AD)

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-50
SponsorUniversity of Cincinnati

About this trial

Acute, double-blind, adaptively randomized treatment with duloxetine or escitalopram, followed by double-blind, randomized adjunctive treatment with clonazepam or pregabalin for persistent symptoms.

Eligibility criteria

Qualifiers

Written, informed consent.

Patients must be fluent in the English.

18 to 50 years of age, inclusive, at Visit 1.

Patients must meet DSM-5 criteria for generalized, social and/or separation anxiety disorder and/or panic disorder, confirmed by the MINI.99 Patients may also meet criteria for persistent depressive disorder or major depressive disorder however, these may not be the primary focus of treatment.

Disqualifiers

DSM-5 diagnosis other than generalized anxiety, social anxiety, separation anxiety or panic disorder(s) that is the primary focus of treatment.

A history of intellectual disability.

Suicide risk as determined by either: (1) any suicide attempt within the past 6 months and/or (2) significant risk at Visit 1 (Screening) or Visit 2 (Baseline), as judged by the Investigator.

Allergy, intolerance, non-response or hypersensitivity to escitalopram, duloxetine, pregabalin or clonazepam.

Trial design

Treatments tested in this trial

  • Escitalopram
  • Duloxetine

Treatment groups

84 Participants
are divided into 2 treatment groups

Sponsors and collaborators