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The effect of prazosin on improving sleep quality in patients with depressive disorder

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Clinical Trial Protocol

Iranian Registry of Clinical Trials

05 Nov 2022

The effect of prazosin on improving sleep quality in patients with depressive disorder

Protocol summary

Study aim

Inclusion of prazosin in the treatment protocol of patients with depressive disorders with nightmares

Design

A clinical trial with a control group, with parallel groups, double-blind, randomized, phase 3, on 60 patients, a table of numbers was used for randomization.

Settings and conduct

Patients with depression referred to the clinic of Sabzevar Vasei Hospital and Dr. Hossein Fahimi's office, which were confirmed by the Beck questionnaire, are divided into two groups of intervention and control and are studied for at least eight weeks. The dose of prazosin for the intervention group is 1 mg daily. The control group received placebo. Patients' sleep quality is then evaluated by the Petersburg questionnaire at weeks zero, four and eight.

Participants/Inclusion and exclusion criteria

Inclusion criteria: Patients with depressive disorder and complaints of sleep quality disorders who have not responded to routine treatments to improve sleep quality. Non-entry conditions: Patients with depression with psychotic feature Patients with mixed phase diagnosis Patients with concomitant physical illness Substance use

Intervention groups

Patients with depression confirmed by the Beck questionnaire are divided into intervention and control groups and are studied for at least eight weeks. The dose of prazosin for the intervention group is 1 mg daily, which is prescribed in addition to routine

antidepressants. The control group received placebo in addition to routine antidepressants. Patients' sleep quality is then evaluated by the Petersburg questionnaire at weeks zero, four and eight.

Main outcome variables

Frequent difficulty falling asleep midnight or early morning waking snoring and bloating during sleep feeling of extreme cold or heat during sleep or during sleep

nightmares complaints of pain during sleep complaints of drowsiness during daily activities Use medication to fall asleep

General information

Reason for update Acronym

IRCT registration information

IRCT registration number: IRCT20210409050910N1 Registration date: 2021-05-24, 1400/03/03

Registration timing: registered_while_recruiting

Last update: 2021-05-24, 1400/03/03 Update count: 0

Registration date 2021-05-24, 1400/03/03 Registrant information

Name

HOSEIN FAHIMI

Name of organization / entity Country

Iran (Islamic Republic of) Phone

+98 51 4467 2987 Email address

[email protected] Recruitment status

Recruitment complete Funding source

Expected recruitment start date 2021-04-29, 1400/02/09

Expected recruitment end date 2022-09-21, 1401/06/30 Actual recruitment start date

empty

Actual recruitment end date

(2)

2 empty

Trial completion date empty

Scientific title

The effect of prazosin on improving sleep quality in patients with depressive disorder

Public title

Evaluation of prazosin effects on depression Purpose

Treatment

Inclusion/Exclusion criteria Inclusion criteria:

Confirmation of depression disorder by Beck inventory Confirmation of sleep disorders by Pittsburg sleep quality index. Failed to respond to other ordinary medication of sleep disorders

Exclusion criteria:

Age

No age limit Gender

Both Phase

3

Groups that have been masked Participant

Investigator Sample size

Target sample size: 54

Randomization (investigator's opinion) Randomized

Randomization description

Randomization using Shuffle block Randomization unit:

individual In this method, we have two treatment groups, T is considered as a group of 27 receiving prazosin and C is considered as a group of 27 placebo, we will have different states including six blocks, which include these cases. TTCCTT. TCTCTC.CTCTCT.CCTTCC. CCTTCC.

CTCTCC. …. We use these modes in the form of cards with alternate random allocation. For a sample size of 54 people, we use the above cards with replacement 9 times.

Blinding (investigator's opinion) Double blinded

Blinding description

Using a placebo with the same shape and specifications as the drug used in the study, which is used for the control group, and also placing patients randomly in the intervention and control groups, of which neither the patient nor the researcher is aware.

Placebo Used Assignment

Parallel

Other design features

Secondary Ids empty

Ethics committees

1

Ethics committee

Name of ethics committee

Ethics Committee of Sabzevar University of Medical Sciences

Street address

Tohid Shahr Road - Sabzevar University of Medical Sciences Campus - Block B - Research Management of the School of Medicine

City Sabzevar Province

Razavi Khorasan Postal code

9613873119 Approval date

2021-03-09, 1399/12/19

Ethics committee reference number IR.MEDSAB.REC.1399.191

Health conditions studied

1

Description of health condition studied

Sleep problems in patients with depressive disorder ICD-10 code

F32

ICD-10 code description

Major depressive disorder, single episode

Primary outcomes

1

Description

Sleep quality of patients with depressive disorder Timepoint

Weeks 0, 4 and 8 after starting prazosin Method of measurement

Pittsburgh Sleep Quality Index

Secondary outcomes empty

Intervention groups

1

Description

Control group: Patients admitted to this group receive a placebo with exactly the same characteristics as the drug used in the study (prazosin). Placebo, like the drug under study, is given once a day for eight weeks.

Patients' sleep quality is measured using the Pittsburgh Questionnaire at weeks 0, 4 and 8.

Category Placebo

(3)

3

2

Description

Intervention group: Patients in this group take prazosin at a dose of 1 mg daily once a day. The drug is

prescribed for eight weeks. Patients' sleep quality is measured using the Pittsburgh Questionnaire at weeks 0, 4 and 8.

Category

Treatment - Drugs

Recruitment centers

1

Recruitment center

Name of recruitment center Vasei Hospital

Full name of responsible person Hossein Fahimi

Street address

Tohid Shahr Boulevard - Vasei Hospital City

Sabzevar Province

Razavi Khorasan Postal code

9617747431 Phone

+98 51 4465 1300 Email

[email protected] Web page address

https://www.medsab.ac.ir/index.aspx?siteid=1&fkeyid

=&siteid=1&pageid=9388

Sponsors / Funding sources

1 Sponsor

Name of organization / entity

Sabzevar University of Medical Sciences Full name of responsible person

Mohhamadhossein Saghi Street address

Nuclear Martyrs Boulevard, above the Memorial of the Unknown Martyrs, Campus of the University of Medical Sciences, Vice Chancellor for Research and Technology

City Sabzevar Province

Razavi Khorasan Postal code

9617913114 Phone

+98 51 4401 8101 Email

[email protected] Grant name

Grant code / Reference number

Is the source of funding the same sponsor organization/entity?

Yes

Title of funding source

Sabzevar University of Medical Sciences Proportion provided by this source

100

Public or private sector Public

Domestic or foreign origin Domestic

Category of foreign source of funding empty

Country of origin

Type of organization providing the funding Academic

Person responsible for general inquiries

Contact

Name of organization / entity

Sabzevar University of Medical Sciences Full name of responsible person

Hossein Fahimi Position

Assistant Professor Latest degree

Specialist

Other areas of specialty/work Psychiatrics

Street address

Sabzevar, Nuclear Martyrs Boulevard, Extensive Educational Hospital

City Sabzevar Province

Razavi Khorasan Postal code

9617747431 Phone

+98 51 4465 1300 Email

[email protected]

Person responsible for scientific inquiries

Contact

Name of organization / entity

Sabzevar University of Medical Sciences Full name of responsible person

Hossein Fahimi Position

Assistant Professor Latest degree

Specialist

Other areas of specialty/work Psychiatrics

Street address

Sabzevar, Nuclear Martyrs Boulevard, Extensive Educational Hospital

City

(4)

4 Sabzevar

Province

Razavi Khorasan Postal code

9617747431 Phone

+98 51 4465 1300 Email

[email protected]

Person responsible for updating data

Contact

Name of organization / entity

Sabzevar University of Medical Sciences Full name of responsible person

Hossein Fahimi Position

Assistant Professor Latest degree

Specialist

Other areas of specialty/work Psychiatrics

Street address

Sabzevar, Nuclear Martyrs Boulevard, Extensive Educational Hospital

City sabzevar Province

Razavi Khorasan Postal code

9617747431 Phone

+98 51 4465 1300 Email

[email protected]

Sharing plan

Deidentified Individual Participant Data Set (IPD) Yes - There is a plan to make this available

Study Protocol

Yes - There is a plan to make this available Statistical Analysis Plan

Yes - There is a plan to make this available Informed Consent Form

Yes - There is a plan to make this available Clinical Study Report

Yes - There is a plan to make this available Analytic Code

Not applicable Data Dictionary Not applicable

Title and more details about the data/document All data can potentially be shared after unidentified individuals. The study protocol, statistical analysis map, informed consent form and clinical study report can be fully shared.

When the data will become available and for how long

Access period starts 6 months after the results are published

To whom data/document is available

Researchers working in academic and scientific or industrial institutions

Under which criteria data/document could be used Researchers working in academic and scientific or industrial institutions

From where data/document is obtainable Hossein Fahimi Email: [email protected] What processes are involved for a request to access data/document

Send email to the person in charge Comments

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