Official Title

Topiramate in the Treatment of Post Traumatic Stress Disorder (PTSD)
  • Phase

    Phase 4
  • Study Type

  • Status

    Completed No Results Posted
  • Indication/Condition

  • Intervention/Treatment

    topiramate ...
  • Study Participants

To study the potential therapeutic effects of topiramate (Topamax) in the treatment of PTSD.
This is a twelve-week randomized, double blind, placebo controlled trial of topiramate for 40 patients with PTSD. Diagnoses are made by Structured Clinical Interview for DSM-IV (SCID). Symptom severity is measured with the Clinician Administered PTSD Scale (CAPS), Davidson Trauma Scale (DTS), Treatment Outcome PTSD (TOP-8), Clinical Global Impressions (CGI), and the Hamilton Rating Scales for Depression and Anxiety (HAM-D and HAM-A). The Clinician Administered PTSD Scale (CAPS) is the primary outcome measure. Subjects will read and sign informed consent prior to beginning any study procedures. Subjects who meet inclusion/exclusion criteria will be randomized 1:1 (Topiramate : placebo) to study medication. Study medication is initiated at one tablet daily (25mg topiramate or placebo) and medication will be increased by 25-100mg (1 tablet) increments every 7 days, as tolerated, until a maximum benefit is achieved, not to exceed 400mg/day. Patients will be seen every week up until Visit 4, and then will be seen every two weeks for the remainder of the study for assessment of efficacy and side effects.
Study Started
Jul 31
Primary Completion
Sep 30
Study Completion
Sep 30
Last Update
Jul 29

Drug topiramate


Inclusion Criteria:

Diagnosis of PTSD DSM-IV criteria
No substance abuse/dependence for the previous 2 months (except for nicotine and caffeine)
Free of psychotropic medication, for 2 weeks (except 6 weeks for fluoxetine)
Normal physical and laboratory examination (lab profile listed below)
Negative urine screen for drugs of abuse
Women of childbearing potential must be using nonpharmacologic medically approved methods of birth control
Signed informed consent
Male or female, any race or ethic origin

Exclusion Criteria:

Lifetime history of bipolar, psychotic, or cognitive disorders
Suicidal, homicidal, or psychotic
Diagnosis of bulimia or anorexia nervosa
History of sensitivity to topiramate
General medical conditions or ongoing treatment that contraindicate the use of topiramate, such as seizure disorder or use of MAO inhibitors.
Women planning to become pregnant or breastfeed during the study
No Results Posted