Objective
Evaluate citalopram for executive functioning in HD.
Design
Randomized, double-blind, placebo-controlled.
Patients
Thirty-three adults with HD, cognitive complaints and no depression (Hamilton Depression Rating Scale ≤12).
Intervention
Citalopram 20 mg or placebo [7 visits, 20 weeks], with practice and placebo run-ins.
Primary Outcome
Change in executive functioning.
Results
Intent to treat analysis controlling for practice effects comparing visits 1–2 to 5–6 for citalopram vs. placebo. There were no significant benefits on the executive function composite (treatment-placebo mean difference −0.167 95% CI (−0.361 to 0.028), p=.092). Citalopram participants showed improved clinician-rated depression symptoms on the HAM-D (t=−2.02, p=0.05). There were no group differences on motor ratings, self-reported executive functions, psychiatric symptoms or functional status.
Conclusion
No evidence that short-term treatment with citalopram improved executive functions in HD. Despite excluding patients with active depression, participants on citalopram showed improved mood, raising the possibility of efficacy for subsyndromal depression in HD.