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Study aim
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Evaluation the effects of atomoxetine on the improvement of cognitive impairment in Behcet’s disease patients
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Design
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parallel group, double blind, randomized controlled trial
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Settings and conduct
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In this double blind, randomized placebo controlled clinical trial, 40 eligible individual, at Rheumatology clinic of Shariati hospital (Tehran University of Medical Sciences), will be randomized between two groups.
In the intervention group, Atomoxetine capsule (Amin pharmaceutical company) will be administered 40mg/day. After 3 days will be increased to 40mg, twice a day and then continued for 10 weeks.
In the control group, Patients take placebo which is completely the same with Atomoxetine capsule for 10 weeks. Dosing will be the same with intervention group too.
Before and after Atomoxetine and placebo administration, participant's cognitive function will be assessed by following tests: Forward digit span, Backward digit span, Trail making A, Trail making B, Verbal fluency; and results will be compared.
Blinding of participants, investigators and outcome assessors will be done.
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Participants/Inclusion and exclusion criteria
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inclusion criteria:
Individuals diagnosed with Behcet's disease based on international criteria for Behcet's disease (ICBD)
Presence of cognitive impairment
exclusion criteria:
History of cognitive impairment before being affected by Behcet's disease
Substance use
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Intervention groups
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Intervention group: initially, Atomoxetine capsule (Amin pharmaceutical company) will be administered 40mg/day. After 3 days will be increased to 40mg, twice a day and then continued for 10 weeks.
Control group: Patients take placebo which is completely the same with Atomoxetine capsule for 10 weeks. Dosing will be the same with intervention group too.
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Main outcome variables
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change in following test scores:
Forward digit span
Backward digit span
Trail making A
Trail making B
Verbal fluency