Depression Clinical Trial
Official title:
Adjunctive Vitamin D in the Treatment of Non-remitted Depression
Low levels of vitamin D have been associated with depression. This study will test if a vitamin D supplement is helpful in patients with depression who have not found relief with the use of anti-depressant medication. Participants will continue to take their medication plus vitamin D or placebo for 8 weeks. The investigators will monitor their depression symptoms and the investigators think that the people taking vitamin D may have an improvement in their symptoms.
It is hypothesized that deficient or insufficient levels of vitamin D may play a role in the
pathogenesis of depression and that supplemental vitamin D may have an antidepressant effect
-either through a direct action on the brain or though correction of a deficiency state. The
investigators hypothesize that eight weeks of vitamin D supplementation will produce a
statistically significant decrease in symptoms of depression compared to placebo for people
with non-remitted depression.
This study will be a randomized, double-blind placebo-controlled study. Individuals will be
recruited who have failed to achieve remission from a depressive episode after a minimum of
eight weeks of treatment with a first-line antidepressant, at an adequate dose. They will be
randomized to receive either placebo or vitamin D supplementation in addition to their
anti-depressant medication, which they will continue to take at the same dose for the
duration of the eight week study.There will be an additional follow up visit one month later.
The primary objective is to evaluate the efficacy of supplemental vitamin D as an adjunctive
treatment in the management of non-remitted depression compared to placebo. Additionally, its
safety and tolerability will be assessed.
A secondary objective will be to assess the relationship between changes in serum vitamin D
levels and mood in order to elucidate information about the role that reversal of vitamin D
deficiency may play in the treatment of this condition.
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