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Trial ยท NCT03854019

Evaluating the Efficacy of Dextromethorphan/Quinidine in Treating Irritability in Huntington's Disease

NCT03854019, Phase 3, Completed, The University of Texas Health Science Center, Houston; results first posted 2024-01-05

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Evaluating the Efficacy of Dextromethorphan/Quinidine in Treating Irritability in Huntington's Disease. Trials, record NCT03854019. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03854019

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Evaluating the Efficacy of Dextromethorphan/Quinidine in Treating Irritability in Huntington's Disease
NCT number
NCT03854019
Status
Completed
Phases
Phase 3
Enrollment
20 participants, actual
Lead sponsor
The University of Texas Health Science Center, Houston
Conditions
Huntington Disease, Irritability
Interventions
Dextromethorphan/quinidine 20mg/10mg (DM/Q 20mg/10mg), Placebo
First posted
2019-02-26
Last updated
2024-01-05
Results first posted
2024-01-05

Source ClinicalTrials.gov

Registered outcomes27

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryIrritability as Assessed by The Irritability Scale.BaselineThe Irritability Scale total score ranges from 0 to 42, with higher scores indicating greater irritability.
PrimaryIrritability as Assessed by The Irritability Scale4 weeksThe Irritability Scale total score ranges from 0 to 42, with higher scores indicating greater irritability.
SecondaryBehavioral Symptoms, as Assessed by the Hospital Anxiety and Depression Scale (HADS).Baseline
The HADS is a self-report, 14-item scale (7 items relate to anxiety and 7 relate to depression) used to determine the levels of anxiety and depression that a person is experiencing. The total score ranges from 0 to 42 (21 per subscale), with higher scores signifying worse symptoms.
SecondaryBehavioral Symptoms, as Assessed by the Hospital Anxiety and Depression Scale (HADS).4 weeks
The HADS is a self-report, 14-item scale (7 items relate to anxiety and 7 relate to depression) used to determine the levels of anxiety and depression that a person is experiencing. The total score ranges from 0 to 42 (21 per subscale), with higher scores signifying worse symptoms.
SecondaryBehavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Severity Score.Baseline
The NPI-Q is a 12-domain informant-based interview that assesses neuropsychiatric symptoms over the previous month.The total NPI-Q severity score ranges from 0 to 36, with higher scores indicate greater symptoms severity.
SecondaryBehavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Severity Score.4 weeks
The NPI-Q is a 12-domain informant-based interview that assesses neuropsychiatric symptoms over the previous month.The total NPI-Q severity score ranges from 0 to 36, with higher scores indicate greater symptoms severity.
SecondaryBehavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Caregiver Distress.Baseline
Caregiver distress associated with the symptom is rated on an anchored 0- to 5-point scale, which total sum ranges from 0 to 60. Higher scores indicate greater caregiver distress related to patient's neuropsychiatric symptoms.
SecondaryBehavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Caregiver Distress.4 weeks
Caregiver distress associated with the symptom is rated on an anchored 0- to 5-point scale, which total sum ranges from 0 to 60. Higher scores indicate greater caregiver distress related to patient's neuropsychiatric symptoms.
SecondaryBehavioral Symptoms, as Assessed by the Problem Behaviors Assessment - Short Version (PBA-s). - Irritability/Aggression SubscaleBaseline
The PBA-s is a semistructured interview to measure severity and frequency of behavioral problems in Huntington's disease. The PBA-s is an 11-item scale rating the frequency and severity of symptoms. The total score for irritability/aggression subscale ranges from 0 to 32, with higher scores indicating greater behavioral symptoms severity.
SecondaryBehavioral Symptoms, as Assessed by the Problem Behaviors Assessment - Short Version (PBA-s) - Irritability/Aggression Subscale4 weeks
The PBA-s is a semistructured interview to measure severity and frequency of behavioral problems in Huntington's disease. The PBA-s is an 11-item scale rating the frequency and severity of symptoms. The total score for irritability/aggression subscale ranges from 0 to 32, with higher scores indicating greater behavioral symptoms severity.

Outcomes27

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYIrritability as Assessed by The Irritability Scale.Baselinescore on a scaleMEAN
PRIMARYIrritability as Assessed by The Irritability Scale4 weeksscore on a scaleMEAN
SECONDARYBehavioral Symptoms, as Assessed by the Hospital Anxiety and Depression Scale (HADS).Baselinescore on a scaleMEAN
SECONDARYBehavioral Symptoms, as Assessed by the Hospital Anxiety and Depression Scale (HADS).4 weeksscore on a scaleMEAN
SECONDARYBehavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Severity Score.Baselinescore on a scaleMEAN
SECONDARYBehavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Severity Score.4 weeksscore on a scaleMEAN
SECONDARYBehavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Caregiver Distress.Baselinescore on a scaleMEAN
SECONDARYBehavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Caregiver Distress.4 weeksData were not collected for 1 participant in the Dextromethorphan/quinidine 20mg/10mg (DM/Q 20mg/10mg) arm. Data were not collected for 1 participant in the Placebo armscore on a scaleMEAN
SECONDARYBehavioral Symptoms, as Assessed by the Problem Behaviors Assessment - Short Version (PBA-s). - Irritability/Aggression SubscaleBaselinescore on a scaleMEAN
SECONDARYBehavioral Symptoms, as Assessed by the Problem Behaviors Assessment - Short Version (PBA-s) - Irritability/Aggression Subscale4 weeksscore on a scaleMEAN

Results by group73

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Irritability as Assessed by The Irritability Scale.All Study Participants Pre-Randomization27.5Standard Deviation 5.8score on a scale
Irritability as Assessed by The Irritability ScaleDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)18.7Standard Deviation 10.1score on a scale
Irritability as Assessed by The Irritability ScalePlacebo19.9Standard Deviation 9.4score on a scale
Behavioral Symptoms, as Assessed by the Hospital Anxiety and Depression Scale (HADS).All Study Participants Pre-Randomization16.7Standard Deviation 5.6score on a scale
Behavioral Symptoms, as Assessed by the Hospital Anxiety and Depression Scale (HADS).Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)10.6Standard Deviation 6.7score on a scale
Behavioral Symptoms, as Assessed by the Hospital Anxiety and Depression Scale (HADS).Placebo11.1Standard Deviation 8.3score on a scale
Behavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Severity Score.All Study Participants Pre-Randomization10.4Standard Deviation 4.2score on a scale
Behavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Severity Score.Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)8.2Standard Deviation 4.5score on a scale
Behavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Severity Score.Placebo8.6Standard Deviation 6.2score on a scale
Behavioral Symptoms, as Assessed by the Neuropsychiatric Inventory-Questionnaire (NPI-Q) - Caregiver Distress.All Study Participants Pre-Randomization13.1Standard Deviation 6.5score on a scale

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
First Intervention (4 Weeks)STARTEDDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg), Then Placebo10
First Intervention (4 Weeks)STARTEDPlacebo, Then Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)10
First Intervention (4 Weeks)COMPLETEDDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg), Then Placebo9
First Intervention (4 Weeks)COMPLETEDPlacebo, Then Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)9
First Intervention (4 Weeks)NOT COMPLETEDDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg), Then Placebo1
First Intervention (4 Weeks)NOT COMPLETEDPlacebo, Then Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)1
Washout (1 Week)STARTEDDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg), Then Placebo9
Washout (1 Week)STARTEDPlacebo, Then Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)9
Washout (1 Week)COMPLETEDDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg), Then Placebo9
Washout (1 Week)COMPLETEDPlacebo, Then Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)9

Adverse events28

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInsomniaGeneral disordersDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)120
otherInsomniaGeneral disordersPlacebo120
otherHeadachesGeneral disordersDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)220
otherHeadachesGeneral disordersPlacebo020
otherDiarrheaGastrointestinal disordersDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)020
otherDiarrheaGastrointestinal disordersPlacebo120
otherFingernail infectionInfections and infestationsDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)020
otherFingernail infectionInfections and infestationsPlacebo120
otherNauseaGeneral disordersDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)120
otherNauseaGeneral disordersPlacebo020

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)020
Total, all-cause mortalityPlacebo020
Total, other adverse eventsDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)1020
Total, other adverse eventsPlacebo520
Total, serious adverse eventsDextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg)020
Total, serious adverse eventsPlacebo120

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
41499296DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg) vs Placebo: Number of Participants With Behavioral Suicidal Events, as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) - Suicidal Behavior.
Trial comparisons
Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg) vs Placebo: deaths from any causeTrial comparisons
Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg) vs Placebo: Number of Participants With Behavioral Suicidal Events, as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) - Suicidal Ideation
Trial comparisons
Dextromethorphan/Quinidine 20mg/10mg (DM/Q 20mg/10mg) vs Placebo: serious adverse eventsTrial comparisons

Tests3

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource
Stroop Color-Word TestSecondary outcomeConductCognition
Symbol CodingSecondary outcomeConductCognition
Verbal FluencySecondary outcomeConductCognition

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03854019

GET https://conductscience.org/api/trials/v1/NCT03854019/registered?page=2