Can Immediate Post-injury Fluoxetine Improve the Recovery Trajectories of Victims in Bodily Trauma?
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ClinicalTrials.gov Identifier: NCT06046859 |
Recruitment Status :
Recruiting
First Posted : September 21, 2023
Last Update Posted : March 15, 2024
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Condition or disease | Intervention/treatment | Phase |
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Musculoskeletal Injury | Drug: Fluoxetine Drug: Placebo | Phase 4 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 200 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Investigator) |
Masking Description: | Researchers collecting survey data will be blinded to patients' intervention status. |
Primary Purpose: | Treatment |
Official Title: | Can Immediate Post-injury Fluoxetine Improve the Recovery Trajectories of Victims in Bodily Trauma? |
Actual Study Start Date : | March 1, 2024 |
Estimated Primary Completion Date : | November 30, 2026 |
Estimated Study Completion Date : | November 30, 2026 |
Arm | Intervention/treatment |
---|---|
Experimental: Subjects randomized to get Fluoxetine therapy
Subjects will be randomized to take Fluoxetine (10mg by mouth per day for first 14 days then 20 mg by mouth for 9 months). The randomized drug will be prescribed by the study team on the day of randomization so that the patient may be monitored for side effects during the remainder of their hospitalization. The patient will be prescribed the randomized medication on the day of discharge and a 90 day supply will be provided by the inpatient research pharmacy at the 2 week, 3 month, and 6 month follow-up visits
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Drug: Fluoxetine
Subjects will be randomized to take Fluoxetine (10mg by mouth per day for first 14 days then 20 mg by mouth for 9 months). The randomized drug will be prescribed by the study team on the day of randomization so that the patient may be monitored for side effects during the remainder of their hospitalization. The patient will be prescribed the randomized medication on the day of discharge and a 90 day supply will be provided by the inpatient research pharmacy at the 2 week, 3 month, and 6 month follow-up visits |
Active Comparator: Subjects randomized to Placebo
When a patient is enrolled, the inpatient research pharmacy will dispense the appropriately randomized medication in a visually similar, over-encapsulated form as Fluoxetine
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Drug: Placebo
When a patient is enrolled, the inpatient research pharmacy will dispense the appropriately randomized medication in a visually similar, over-encapsulated form as Fluoxetine |
- Beck Dression Inventory survey, in the post injury period for patients with musculoskeletal trauma. [ Time Frame: Baseline up to 12 months ]BDI-II Beck Depression Inventory: higher score means worse outcome; 0-63.
- Patient reported pain scores, PROMIS Pain Interference, will be recorded at each visit. [ Time Frame: Baseline up to 12 months ]PROMIS PI: Pain Interference; A score of 50 is average; Adaptive so no minimum/maximum values.
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Ages Eligible for Study: | 18 Years to 85 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
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Admitted to UF Health for trauma resulting in:
- One or more extremity fractures requiring surgery
- Pelvic Fracture
- Chest/abdominal Injury requiring intervention in operating room
- Polytrauma (multiple organ systems/multiple fractures) or Beck Depression Inventory (BDI-II) ≥ 14
Exclusion Criteria:
- Severe Traumatic Brain Injury or cognitively not able to participate in surveys. (Glasgow Coma Scale 3-8)
- Other psychiatric conditions on current medical management (SSRI)
- Incarceration or Pregnancy
- Expected Injury Survival of less than 90 days
- Medical or physical condition in opinion of investigators that would preclude safe study participation
- Unable to provide informed consent due to language or other barriers
- Current or previous substance abuse (excluding cannabinoids and alcohol)
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06046859
Contact: Jennifer Hagen, MD | 352-273-7016 | hagenje@ortho.ufl.edu | |
Contact: MaryBeth Horodyski, EdD | 352-273-7074 | horodmb@ortho.ufl.edu |
United States, Florida | |
University of Florida | Recruiting |
Gainesville, Florida, United States, 32608 | |
Principal Investigator: Jennifer Hagen, MD |
Principal Investigator: | Jennifer Hagan, MD | University of Florida |
Responsible Party: | University of Florida |
ClinicalTrials.gov Identifier: | NCT06046859 |
Other Study ID Numbers: |
IRB202301506 |
First Posted: | September 21, 2023 Key Record Dates |
Last Update Posted: | March 15, 2024 |
Last Verified: | March 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Undecided |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Product Manufactured in and Exported from the U.S.: | No |
Wounds and Injuries Fluoxetine Selective Serotonin Reuptake Inhibitors Neurotransmitter Uptake Inhibitors Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Neurotransmitter Agents Serotonin Agents |
Physiological Effects of Drugs Antidepressive Agents, Second-Generation Antidepressive Agents Psychotropic Drugs Cytochrome P-450 CYP2D6 Inhibitors Cytochrome P-450 Enzyme Inhibitors Enzyme Inhibitors |