Premenstrual Dysphoric Disorder Clinical Trial
Official title:
Symptom Onset Antidepressant Treatment for PMDD
This study will evaluate the effectiveness of sertraline in reducing symptoms in women diagnosed with premenstrual dysphoric disorder.
Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS). PMDD
affects nearly 5 percent of menstruating women in the United States. This disorder is very
disruptive and can affect a woman's performance at work and her relationships with friends
and family. Symptoms typically occur 10 to 14 days before the start of a woman's period and
dissipate soon after. Sadness, rapid changes in mood, anxiety, and irritability are common
symptoms associated with PMDD. Sertraline is a selective serotonin reuptake inhibitor (SSRI)
that has been approved by the U.S. Food and Drug Administration (FDA) to treat PMDD. This
study will evaluate the effectiveness of sertraline in reducing symptoms in women diagnosed
with PMDD.
All participants will begin this study by recording their symptoms for two complete
menstrual cycles. At a baseline study visit, participants will then be randomly assigned to
receive either sertraline or placebo for six menstrual cycles. At the onset of PMDD
symptoms, participants will take two pills of their assigned treatment daily. Once symptoms
have dissipated, usually around the first or second day of the menstrual cycle, participants
will stop taking their assigned treatment for that cycle. For the next 4 months,
participants will attend study visits on the fifth day of each monthly menstrual cycle. For
the following 2 months, participants will be contacted by telephone. Participants will be
asked to rate their mood and symptoms at each contact. A final study visit will be scheduled
on the first day of the seventh menstrual cycle. At this point, all participants will be
offered sertraline for an additional three menstrual cycles, dosed on a daily basis. Two
study visits will be scheduled over the course of the three cycles to evaluate the
effectiveness of sertraline when dosed continuously. Urine collection and pregnancy tests
may occur at selected times during the study.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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