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Effect of Citalopram on Health status, anxiety and depression in patients with chronic Obstructive pulmonary disease: a pilot study
ISRCTN ISRCTN41544517
ClinicalTrials.gov identifier
Public title Effect of Citalopram on Health status, anxiety and depression in patients with chronic Obstructive pulmonary disease: a pilot study
Scientific title
Acronym ECHO
Serial number at source N/A
Study hypothesis Chronic obstructive pulmonary disease (COPD) sufferers often experience a vicious circle of breathlessness and anxiety. These symptoms commonly lead to reduced physical activity, progressive loss of fitness, increasing social isolation and depression (which often goes undiagnosed). If this circle could be broken improved physical functioning and quality of life might result.
Ethics approval Approval was granted by the North Wales Health Authority Research Ethics Committee in a letter dated 5th February 2003 following a meeting on the 22nd January 2003 of the LREC North East Wales.
Study design Randomised controlled, single-centre trial
Countries of recruitment United Kingdom
Disease/condition/study domain Chronic obstructive pulmonary disease (COPD)
Participants - inclusion criteria 1. Diagnosis of COPD
2. Clinical diagnosis of anxiety or depression
3. Adults of either sex
Participants - exclusion criteria 1. Severe ischaemic heart disease
2. On treatment for anxiety or depression
3. Terminal illness
Anticipated start date 01/08/2003
Anticipated end date 01/08/2004
Status of trial Completed
Patient information material
Target number of participants 20
Interventions Matching oral citalopram 20 mg and placebo, starting with half a tablet once per day for two weeks, then one tablet per day for the remaining weeks with monthly follow up for three months and a two week period of half a tablet per day prior to discontinuation of treatment.
Primary outcome measure(s) Health related quality of life measured using St Georges Respiratory Questionnaire, measured at baseline and at three months.
Secondary outcome measure(s) 1. Depression and anxiety measured using the Hospital Anxiety and Depression Score (HADS), measured at baseline and at three months
2. Depression, anxiety measured using the Depression in Medical Illness, a 10-item questionnaire (DM-10), measured at baseline and at three months

Additionally at baseline, one month, two months and three months a structured side effect profile was checked.
Sources of funding North East Wales NHS Trust (UK) - Research and Development Fund
Trial website
Publications
Contact name Dr  Christian P  Subbe
  Address 77 Brook Lane
  City/town Chester
  Zip/Postcode LL13 7TD
  Country United Kingdom
  Tel +44 (0)1978 291100
  Email csubbe@hotmail.com
Sponsor North East Wales NHS Trust (UK)
  Address Wrexham Maelor Hospital
Croesnewydd Road
  City/town Wrexham
  Zip/Postcode LL13 7TD
  Country United Kingdom
  Tel +44 (0)1978 291100
  Email csubbe@hotmail.com
  Sponsor website: http://www.newalesnhstrust.org.uk/
Date applied 07/08/2007
Last edited 21/04/2008
Date ISRCTN assigned 21/04/2008
News
28 Sept 2007: 2007 Update of NHS Trusts Clinical Trials Register now available online
Aug 2007: Searches on ISRCTN register can now be bookmarked
Jul 2007: Patient information material field added to the ISRCTN Register
May 2007: WHO launches the International Clinical Trials Registry Search Portal
3 Apr 2007: Q&As regarding trial registration in the UK
4 Dec 2006: Trials taking place in the UK collated in 'Gateway'

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