Major Depressive Disorder Clinical Trial
Official title:
Citalopram Titration in Early Non-responder Patients With Major Depressive Disorders: a Pilot Study (CRY-MOOD)
Major depressive disorder is a common mental disorder and the leading cause of disability worldwide. According to the Canadian Network for Mood and Anxiety Treatment, early improvement following an antidepressant treatment is correlated with response and remission. Escalation of an antidepressant dose after 2 weeks, as opposed to 4 to 8 weeks, is proposed to favor early improvement. However, this has never been tested systematically in a controlled study involving major depressive disorder patients that are non-responders to their antidepressant treatment.
The investigators sought to assess whether it is feasible to perform a prospective randomized
controlled double-blind feasibility study with a 2 week run-in period and 3 parallel groups
randomized controlled study using citalopram. Citalopram has physicochemical properties
compatible with over-encapsulation and a has a simple titration that allows the study of
early dose increase.. It is among the most prescribed antidepressant in the province of
Quebec and at the Hospital Maisonneuve-Rosemont - University family medicine group (U-FMG).
Since establishment of a randomized controlled trial is complex and expensive, a feasibility
design is appropriate to identify all the obstacles and to minimize sources of possible bias
(recruitment, follow up, resources).
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