Anxiety Clinical Trial
Official title:
Anxiety and Recurrent Abdominal Pain in Children
This study aims to determine whether citalopram is a useful, well-tolerated, and safe treatment for children and adolescents ages 7 to 18 years with functional abdominal pain. The study hypothesis is that citalopram will be better than placebo in producing clinical improvement and reductions in abdominal pain. It is also hypothesized that citalopram and placebo will not differ in terms of safety and tolerability.
This study aims to determine the relative efficacy, tolerability, and safety of the
citalopram in the treatment of pediatric functional recurrent abdominal pain (FAP) in
children and adolescents ages 7 to 18 years, inclusive. The goal is to recruit and randomize
100 subjects to citalopram or placebo. Secondary aims include to determine if citalopram is
superior to placebo in reducing comorbid anxiety and depressive symptoms in children and
adolescents with FAP, to explore potential mediators (i.e., anxiety, depression) and
moderators (e.g., age, gender, referral from primary or specialty care) of treatment
response, and to explore the durability and tolerability of citalopram treatment 18 weeks
following completion of the double-blind treatment phase with the goal of generating data
useful to the development of future studies. The study is novel in conducting recruitment,
assessment, and treatment in traditional medical settings. Limited exclusion criteria and the
delivery of study assessments and interventions within routine practice settings provide for
considerably greater external validity than the typical efficacy study.
Study hypotheses:
1. Citalopram will be superior to placebo in producing clinical improvement and reductions
in abdominal pain.
2. Citalopram and placebo will not differ in tolerability or safety.
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