What is this study about?
This study will determine the effects of the anti-inflammatory medication celecoxib – when added to participants’ usual treatment(s) – on OCD symptoms over 12 weeks. Celecoxib belongs to a medication class called non-steroidal anti-inflammatory drugs (NSAIDS). A common NSAID that many children have taken previously is ibuprofen, but it requires several doses per day to effectively reduce inflammation whereas celecoxib is taken only twice daily. NSAIDs may improve the function of parts of the brain involved in OCD symptoms. Early studies in adults with OCD and in children suggest possible benefits, but these medications have not been tested in children in a rigorous research study that compares them with a control or “placebo” treatment.
What happens in this study?
Participants and parents involved in this study will complete an initial phone interview lasting 30-60 minutes. Three in-person or remote study visits with a Research Assistant and study doctor will take place over the course of 12 weeks (~30 minutes each). Online questionnaires will be completed by parents and participants before each study visit (~40 minutes each). Baseline and 12 week blood work is required to ensure safe use of the medication and measure inflammatory markers. Height and weight will also be measured before treatment.
Participants will be randomized to either celecoxib or placebo, an inactive substance that looks identical. These treatments will be taken as a capsule (whole or sprinkled on food) twice daily for 12 weeks. Participants and study team members involved in their care will not know which treatment they are receiving. Participants, parents, and study doctors will monitor for side effects and OCD symptoms.
Who is eligible for this study?
Children and youth in BC between the ages of 7-18 with a previous diagnosis of OCD and current symptoms may be eligible to participate. A diagnostic interview and blood work is required to help ensure potential participants do not have medical conditions that would make their participation unsafe. Study participation is entirely voluntary. It will not affect the usual medical care you are receiving.