Major Depressive Disorder Clinical Trial
— GeodonOfficial title:
A 12-Week, Randomized, Double-Blind, Placebo-Controlled, Parallel-Sequential Trial of Ziprasidone as Monotherapy for Major Depressive Disorder
Verified date | June 2014 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
This is a study on the effectiveness, tolerability and safety of oral ziprasidone as
monotherapy in patients with major depressive disorder (MDD). Outpatients suffering from MDD
will be treated with either ziprasidone or placebo for 12 weeks.
Hypothesis: There will be a statistically significant difference in the magnitude of
response, as measured by a decrease in baseline 17-item Hamilton Depression Rating Scale
(HAM-D-17) scores, between the two treatment groups; the reduction in HAM-D-17 scores will
be greater in the ziprasidone monotherapy group than in the placebo group.
Status | Completed |
Enrollment | 120 |
Est. completion date | June 2010 |
Est. primary completion date | June 2010 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: 1. Age 18-65. 2. Written informed consent. 3. MDD, current according to the fourth version of the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) as diagnosed by the Mini International Neuropsychiatric Interview (MINI; Sheehan et al, 1998). 4. Quick Inventory of Depressive Symptomatology - Self-Rated (QIDS-SR- Trivedi et al, 2004) score of at least 10 at both screen and baseline visits. Exclusion Criteria: 1. Pregnant women. 2. Women of child bearing potential who are not using a medically accepted means of contraception (to include oral contraceptive or implant, condom, diaphragm, spermicide, intrauterine device, tubal ligation, or a partner with vasectomy). 3. Treatment with antidepressants for 2 weeks prior to the screen visit. If interested in discontinuing their current medication, potential participants must discuss this possibility with the prescribing physician. Study doctors will not implement any form of treatment washout. 4. Patients who no longer meet DSM-IV criteria for MDD during the baseline visit, or patients who demonstrate a 25% or greater reduction in QIDS-SR scores, screening to baseline. 5. Serious suicide or homicide risk, as assessed by the evaluating clinician or a score of 4 on the third item of the HAM-D. 6. Unstable medical illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurological, or hematological disease. 7. Patients who meet criteria for alcohol or substance dependence, active within the last month. 8. Any bipolar disorder (current or past). 9. Any psychotic disorder (current or past). 10. Psychotic features in the current episode or a history of psychotic features. 11. History of a seizure disorder. 12. Clinical or laboratory evidence of untreated hypothyroidism. 13. Patients requiring excluded medications (see table 1 for details). 14. Prior course of ziprasidone, or intolerance to ziprasidone at any dose. 15. Any investigational psychotropic drug within the last 3 months. 16. Patients with significant cardiac conduction problems on screening electrocardiogram such as atrial fibrillation, atrial flutter, atrio-ventricular block, prolonged or abnormal QTc interval (i.e. QTc>450msec), or prolonged QRS interval. 17. Patients who have suffered a myocardial infarction within the past 12 months, with uncompensated heart failure, or a history of QTc prolongation. 18. Patients with abnormal serum potassium or magnesium levels upon screening. 19. Patients currently taking other drugs that prolong the QTc including dofetilide, sotalol, quinidine, class Ia antiarrhythmics, class III antiarrhythmics, mesoridazine, thioridazine, chlorpromazine, droperidol, pimozide, sparfloxacin, gatifloxacin, moxifloxacin, halofantrine, mefloquine, pentamidine, arsenic trioxide, levomethadyl acetate, dolasetron methylate, probucol or tacrolimus. 20. Patients who have failed to experience significant clinical improvement following 3 or more antidepressant trials of adequate duration (at least 6 weeks) and dose (minimal effective doses defined as: fluoxetine, paroxetine, citalopram 20mg; sertraline, fluvoxamine 50mg, escitalopram 10mg, paroxetine CR 25mg, venlafaxine 75mg, duloxetine 60mg, bupropion 150mg, 15mg of mirtazapine, trazodone or nefazodone 300mg). |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hosptial | Boston | Massachusetts |
United States | Cambridge Health Alliance | Cambridge | Massachusetts |
United States | Psychiatric Medicine Associates, L.L.C. | Chicago | Illinois |
United States | University of Connecticut Health Center | Farmington | Connecticut |
United States | Cedars-Sinai Medical Center | Los Angeles | California |
United States | Vanderbilt University Medical Center | Nashville | Tennessee |
United States | Comprehensive Psychiatric Care | Norwich | Connecticut |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital | Cambridge Health Alliance, Cedars-Sinai Medical Center, Psychiatric Medicine Associates, L.L.C., University of Connecticut, Vanderbilt University |
United States,
Papakostas GI, Vitolo OV, Ishak WW, Rapaport MH, Zajecka JM, Kinrys G, Mischoulon D, Lipkin SH, Hails KA, Abrams J, Ward SG, Meisner A, Schoenfeld DA, Shelton RC, Winokur A, Okasha MS, Bari MA, Fava M. A 12-week, randomized, double-blind, placebo-controll — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hamilton Depression Rating Scale (HAM-D-17) Scores | Higher numbers represent more symptoms of a major depressive episode. Minimum is 0. Maximum is 52. | 6 weeks | No |
Secondary | Responder/Non-responder | A responder during phase 1 or phase 2 is someone who demonstrated a 50% or greater decrease in HAMD-17 scores during phase 1 or phase 2 (corresponding). | 6 weeks | No |
Secondary | Change in 6-VAS-D Scores During Each Phase. | 6 weeks | No |
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