Major Depressive Disorder Clinical Trial
Official title:
Double-Blind, Randomized, Placebo-Controlled, Cross-Over Study of Intranasal Oxytocin Augmentation of Antidepressant Medication in Depressed Patients.
The objective of the study is to compare the efficacy of intranasal oxytocin versus intranasal placebo to improve depression symptoms in patients with Major Depressive Disorder (MDD) or Dysthymia Disorder.
Depression patients treated with even the best currently available antidepressant drugs
continue to experience significant symptoms. There is a strong need for better treatments
including treatments that can safely be given adjunctively with concurrent antidepressants in
order to improve overall efficacy of treatment.
Oxytocin is a neurohypophyseal peptide best known for its role as a neurohormone involved in
parturition and lactation. In addition to these well established peripheral effects, there is
a compelling body of converging evidence indicating that oxytocin plays a critical role in
the regulation of a number of diverse centrally-mediated behavioral and cognitive processes
that are highly relevant to mood regulation and mood disorders, including social attachment
(Argiolas and Gessa 1990; McCarthy and Aaltemus 1997).
Each subject will be enrolled for a 8 week treatment period after a screening phase. Study
procedure involves weekly clinic visits as an outpatient. Twenty patients will be randomly
assigned to either 40 IU oxytocin twice daily or vehicle placebo. After 4 weeks, treatments
will be crossed over such that subjects that received oxytocin will receive placebo and vice
versa. The study ratio is 1:1. Dose of oxytocin is based upon previous studies in humans
showing improvement in psychiatric populations related changes in behavior and brain function
(Kosfeld et al, 2005; Kirsch 2005; Heinrich M 2003).
The total study duration for each individual subject will be approximately 9 weeks, which
includes up to 31-day screening period, a baseline (randomization) visit, four week treatment
period, 1 week washout, baseline 2 visit, and four weeks cross over treatment.
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