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topiramate for Post-Traumatic Stress Disorder and Alcohol Use Disorder (TOP Trial)

Phase 2 & 3
Waitlist Available
Led By Sonya B. Norman, PhD
Research Sponsored by VA Office of Research and Development
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up change from baseline to 16 weeks
Awards & highlights

TOP Trial Summary

This trial is testing whether a medication called topiramate, which is used to both reduce drinking and PTSD symptoms, is more effective than a placebo at improving treatment outcomes for Veterans with AUD and PTSD.

Eligible Conditions
  • Post-Traumatic Stress Disorder and Alcohol Use Disorder

TOP Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~change from baseline to 16 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and change from baseline to 16 weeks for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
CAPS-5 Change
Timeline Followback Interview (TLFB)

Side effects data

From 2013 Phase 4 trial • 200 Patients • NCT00626925
54%
Numbness/Tingling
37%
Change in taste
27%
Tireness/Sleepiness
24%
Difficulty with memory
24%
Loss of appetite
22%
Headache
21%
Diarrehea
19%
Weight loss
18%
Difficulty Concentrating
16%
Dry Mouth
10%
Nausea
100%
80%
60%
40%
20%
0%
Study treatment Arm
Topiramate Group
Placebo Group

TOP Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: prolonged exposure + topiramateExperimental Treatment2 Interventions
psychotherapy plus active medication
Group II: prolonged exposure + placeboActive Control2 Interventions
psychotherapy plus placebo medication
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
topiramate
2008
Completed Phase 4
~2040
prolonged exposure
2017
Completed Phase 3
~100

Find a Location

Who is running the clinical trial?

VA Office of Research and DevelopmentLead Sponsor
1,609 Previous Clinical Trials
3,306,503 Total Patients Enrolled
University of California, San DiegoOTHER
1,120 Previous Clinical Trials
1,521,535 Total Patients Enrolled
Sonya B. Norman, PhDPrincipal InvestigatorVA San Diego Healthcare System, San Diego, CA
3 Previous Clinical Trials
514 Total Patients Enrolled

Media Library

Prolonged Exposure Clinical Trial Eligibility Overview. Trial Name: NCT03176953 — Phase 2 & 3
Post-Traumatic Stress Disorder and Alcohol Use Disorder Research Study Groups: prolonged exposure + topiramate, prolonged exposure + placebo
Post-Traumatic Stress Disorder and Alcohol Use Disorder Clinical Trial 2023: Prolonged Exposure Highlights & Side Effects. Trial Name: NCT03176953 — Phase 2 & 3
Prolonged Exposure 2023 Treatment Timeline for Medical Study. Trial Name: NCT03176953 — Phase 2 & 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

For what disorders is topiramate commonly prescribed?

"Topiramate is a medication that's used to manage hypertension. This drug can also help with other problems like preventing migraines, epilepsy, and obesity."

Answered by AI

Are people with the target condition able to sign up for this research study at this time?

"That is accurate. The information available on clinicaltrials.gov verifies that this study, which was first advertised on November 1st 2017, is currently looking for test subjects. In total, 120 individuals are needed at a single location."

Answered by AI

What else is topiramate being looked at for in other research projects?

"The current status of topiramate clinical trials is 19 live studies with 3 in Phase 3. The province of Quebec, Sherbrooke specifically, has the majority of these trials taking place. That being said, there are 31 locations for these studies in total."

Answered by AI
~13 spots leftby Apr 2025