Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762]
<p>Abstract</p> <p>Background</p> <p>Although serotonin reuptake inhibitors are effective in the treatment of OCD, many patients fail to respond to these agents. Growing evidence from open-label and placebo-controlled trials suggests a role for augmentation of SRIs with...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2005-01-01
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| Series: | BMC Psychiatry |
| Online Access: | http://www.biomedcentral.com/1471-244X/5/5 |
| _version_ | 1819141098117791744 |
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| author | van Ameringen Michael Muller Jacqueline E Seedat Soraya Vythilingum Bavanisha Carey Paul D Stein Dan J |
| author_facet | van Ameringen Michael Muller Jacqueline E Seedat Soraya Vythilingum Bavanisha Carey Paul D Stein Dan J |
| author_sort | van Ameringen Michael |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Although serotonin reuptake inhibitors are effective in the treatment of OCD, many patients fail to respond to these agents. Growing evidence from open-label and placebo-controlled trials suggests a role for augmentation of SRIs with atypical antipsychotics in OCD. Quetiapine is generally well tolerated and previous open-label data has produced mixed results in OCD and additional controlled data is needed.</p> <p>Methods</p> <p>We undertook a double-blind, randomised, parallel-group, flexible-dose, placebo-controlled study of quetiapine augmentation in subjects who had responded inadequately to open-label treatment with an SRI for 12 weeks. Following informed consent and screening, forty-two subjects were randomised to either placebo or quetiapine for six weeks.</p> <p>Results</p> <p>There was significant improvement from baseline to endpoint on the Yale-Brown Obsessive-Compulsive Scale in both the quetiapine and placebo groups (quetiapine, n = 20, p < 0.0001; placebo, n = 21, p = 0.001) with 40% (n = 8) of quetiapine and 47.6% (n = 10) of placebo treated subjects being classified as responders. Quetiapine did not demonstrate a significant benefit over placebo at the end of the six-week treatment period (p = .636). Similarly quetiapine failed to separate from placebo in the subgroup of subjects (n = 10) with co-morbid tics. Quetiapine was generally well tolerated.</p> <p>Conclusions</p> <p>In this study, quetiapine augmentation was no more effective than placebo augmentation of SRIs. A number of limitations in study design make comparisons with previous studies in this area difficult and probably contributed to our negative findings. Future work in this important clinical area should address these limitations.</p> |
| first_indexed | 2024-12-22T11:49:03Z |
| format | Article |
| id | doaj.art-94cd50a323b443468111dc6a35e6a952 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-22T11:49:03Z |
| publishDate | 2005-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-94cd50a323b443468111dc6a35e6a9522022-12-21T18:27:03ZengBMCBMC Psychiatry1471-244X2005-01-0151510.1186/1471-244X-5-5Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762]van Ameringen MichaelMuller Jacqueline ESeedat SorayaVythilingum BavanishaCarey Paul DStein Dan J<p>Abstract</p> <p>Background</p> <p>Although serotonin reuptake inhibitors are effective in the treatment of OCD, many patients fail to respond to these agents. Growing evidence from open-label and placebo-controlled trials suggests a role for augmentation of SRIs with atypical antipsychotics in OCD. Quetiapine is generally well tolerated and previous open-label data has produced mixed results in OCD and additional controlled data is needed.</p> <p>Methods</p> <p>We undertook a double-blind, randomised, parallel-group, flexible-dose, placebo-controlled study of quetiapine augmentation in subjects who had responded inadequately to open-label treatment with an SRI for 12 weeks. Following informed consent and screening, forty-two subjects were randomised to either placebo or quetiapine for six weeks.</p> <p>Results</p> <p>There was significant improvement from baseline to endpoint on the Yale-Brown Obsessive-Compulsive Scale in both the quetiapine and placebo groups (quetiapine, n = 20, p < 0.0001; placebo, n = 21, p = 0.001) with 40% (n = 8) of quetiapine and 47.6% (n = 10) of placebo treated subjects being classified as responders. Quetiapine did not demonstrate a significant benefit over placebo at the end of the six-week treatment period (p = .636). Similarly quetiapine failed to separate from placebo in the subgroup of subjects (n = 10) with co-morbid tics. Quetiapine was generally well tolerated.</p> <p>Conclusions</p> <p>In this study, quetiapine augmentation was no more effective than placebo augmentation of SRIs. A number of limitations in study design make comparisons with previous studies in this area difficult and probably contributed to our negative findings. Future work in this important clinical area should address these limitations.</p>http://www.biomedcentral.com/1471-244X/5/5 |
| spellingShingle | van Ameringen Michael Muller Jacqueline E Seedat Soraya Vythilingum Bavanisha Carey Paul D Stein Dan J Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762] BMC Psychiatry |
| title | Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762] |
| title_full | Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762] |
| title_fullStr | Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762] |
| title_full_unstemmed | Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762] |
| title_short | Quetiapine augmentation of SRIs in treatment refractory obsessive-compulsive disorder: a double-blind, randomised, placebo-controlled study [ISRCTN83050762] |
| title_sort | quetiapine augmentation of sris in treatment refractory obsessive compulsive disorder a double blind randomised placebo controlled study isrctn83050762 |
| url | http://www.biomedcentral.com/1471-244X/5/5 |
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