Quetiapine versus sertraline as the pharmacological component in a standardised psychopharmacological and psychotherapeutic treatment of borderline personality disorder: a randomised, rater-blinded study

ISRCTN ISRCTN11135486
DOI https://doi.org/10.1186/ISRCTN11135486
Protocol serial number D1449L00014
Sponsor University of Duesseldorf (Germany)
Funder AstraZeneca
Submission date
01/08/2006
Registration date
31/08/2006
Last edited
05/09/2006
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Jaroslav Malevani
Scientific

Bergische Landstrasse 2
Duesseldorf
40629
Germany

Study information

Primary study designInterventional
Study designRandomised, rater-blinded trial.
Secondary study designRandomised controlled trial
Scientific title
Study acronymQuBor Study
Study objectivesThe objective of this randomised, rater blinded study is to compare the efficacy of two currently frequently used substances, the Selective Serotonin Reuptake Inhibitors (SSRI) sertraline and the atypical neuroleptic quetiapine, in the treatment of borderline personality disorder. It is the hypothesis of this study that the atypical neuroleptic quetiapine favorably affects a broader spectrum of the borderline psychopathology than sertraline. The pharmacotherapy should be accompanied by psychotherapy that is based on the dialectical behavior therapy of Linehan. This study will contribute to optimising the medication therapy of borderline personality disorder with respect to efficiency and clarity.

The hypothesis regarding the efficacy comparison of quetiapine and sertraline is that quetiapine is significantly superior to treatment with SSRIs in the therapy of the following target symptoms: impulsivity, aggressiveness, self-inflicted injuries/self-harming and suicidal behavior.
Ethics approval(s)Ethics approval is pending from the University of Duesseldorf.
Health condition(s) or problem(s) studiedBorderline Personality Disorder
InterventionIntervention group one: Quetiapin 50-800 mg per day orally over 24 weeks.
Intervention group two: Sertralin 25-200 mg per day orally also over 24 weeks.
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Quetiapine and sertraline
Primary outcome measure(s)

The primary assessment instrument will be the Symptom Check List 90 (SCL-90R) and the primary outcome parameter will be the anger/hostility subscale of the SCL-90R.

Key secondary outcome measure(s)

1. Severity of affective symptoms
2. Anxiety and depressive symptoms
3. Psychotic or psychosis-like symptoms
4. Interpersonal problems
5. Duration of hopsitalisation
6. Co-medication

Completion date15/03/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target sample size at registration54
Key inclusion criteria1. Borderline personality disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)
2. At least 18 years of age
3. Voluntary legal basis
4. Female
5. Written informed consent before entering the study
6. No relevant abnormalities in Electrocardiogram (ECG) and laboratory tests
Key exclusion criteria1. Lifetime diagnosis of schizophrenia or schizoaffective disorder according to DSM IV
2. Lifetime diagnosis of bipolar disorder according to DSM IV
3. Current severe major depressive episode according to DSM IV
4. Current severe somatic illness
5. Current psychotic disorder due to substance disorder or a general medical condition
6. Use of drugs that induce or inhibit the metabolising cytochrome 3A4 enzymes within two weeks prior to week zero and during the course of the study (e.g. inducers: phenytoin, carbamazepin, phenobarbital, rifampin, rifabutin, glucocorticoids, thioridazine and St. John´s wort and inhibitors: ketokonazole [except for topical use], itraconazole, fluconazole, erythromycin, fluvoxamin, nefadozone, troleandomycin, indinavir, nelfinavir, ritonavir and saquinavir)
Date of first enrolment01/10/2006
Date of final enrolment15/03/2009

Locations

Countries of recruitment

  • Germany

Study participating centre

Bergische Landstrasse 2
Duesseldorf
40629
Germany

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summary
IPD sharing plan