Study on Allopregnanolone and Depression in Women Across the Menopause Transition

Depression Clinical Trial

— SADIE-P  

Official title:

Targeting Allopregnanolone to Probe Behavioral and Neurobiological Mechanisms That Underlie Depression in Women Across the Menopause Transition

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06238700
• Other study ID #: 2024P000113
• Status: Not yet recruiting
• Phase: N/A
• Start date: March 1, 2024
• Est. completion date: August 31, 2027

Study information

• Verified date: January 2024
• Source: Brigham and Women's Hospital
• Contact: Aleta Wiley, MPH
• Phone: 617-525-9627
• Email: awiley1[@]bwh.harvard.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims to identify how enhanced allopregnanolone activity (via pregnenolone) affects behavior and neurobiology that may underlie perimenopausal depression.

Description:

Midlife women are burdened with depression risk that is at least partly attributed to changing reproductive steroid dynamics across a prolonged reproductive transition. We hypothesize that declining endogenous allopregnanolone (ALLO) levels across the menopause transition underlies perimenopausal depression. This mechanistic trial aims to amplify the contrast between lower endogenous ALLO levels in perimenopausal women and higher levels induced by pregnenolone. This will be achieved by using the over-the-counter dietary supplement, pregnenolone, in a randomized, double-blind, parallel-arm, placebo-controlled trial. By manipulating ALLO levels together with key measurement of depression domains, this study harnesses the endocrine biology of perimenopause to explicate behavioral and neurobiological mechanisms underlying depression in women across the menopause transition.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 80
• Est. completion date: August 31, 2027
• Est. primary completion date: July 31, 2027
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 40 Years to 60 Years

Eligibility

Inclusion Criteria:

• Healthy women ages 40 to 60 years in the menopause transition

• Depressive symptoms

• Psychotropic medications are allowed if the dose is stable prior to screening and throughout the study

• Able to read Arabic numerals and perform simple arithmetic

• Able to provide written informed consent

Exclusion Criteria:

• Systemic hormone therapy

• Contraindicated medications with pregnenolone

• Systemic corticosteroid

• Other psychiatric illnesses that are considered to be primary

• Current suicidal ideation

• Active substance use disorders

• Unstable medical conditions

• Obstructive sleep apnea or other primary sleep disorders

• Abnormal hepatic and renal function

• Known allergy to progesterone, exogenous allopregnanolone, or pregnenolone

• History of head injury resulting in loss of consciousness > 20 min

• Inability to comply with barrier contraceptive methods

• Known intellectual disability

• Investigator judgement that study participation constitutes substantial risk given medical or psychiatric condition

• Current or recent participation in clinical trial expected to interfere with risk of or interpretation of study data

• Inability to comply with study procedures

Related Conditions & MeSH terms

• Depression
• Depressive Disorder

Intervention

Dietary Supplement:
• pregnenolone
Pregnenolone is an endogenous steroid available in the US and elsewhere as an orally administered over-the-counter supplement.

Other:
• placebo
Placebo pills are identical-appearing capsules containing cellulose

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Brigham and Women's Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Within-person change in score on the Ruminative Responses Scale	The Ruminative Responses Scale (RRS) comprises 22 items which ask how frequently the participant thinks certain statements when they feel depressed. Each item is scored from 1-4. Total scores range from 22-88 with higher scores indicating more severe rumination.	Baseline to 2 weeks