Depression Clinical Trial
Official title:
Can Additional Drug Therapy Accelerate Response Time to Antidepressants: A Double-blind, Placebo-controlled Randomization Research Study for Major Depression
Antidepressants are commonly prescribed and are effective for treating depression. However, they generally take 4-6 weeks for a therapeutic response. This study is evaluating whether simultaneous treatment with thyroid hormone or pindolol can decrease the response time ("getting better faster") in patients who are starting SSRI treatment.
Major depression is an illness with substantial personal and economic morbidity (Greenberg
et al.1993) and antidepressants are the cornerstone of treatment. As antidepressants usually
require 3-6 weeks of use before a response occurs, an effective antidepressant acceleration
strategy would reduce the time of onset for an effective antidepressant response. This has
significant clinical implications, as it could lead to reduced symptom morbidity,
potentially reduce health care cost (i.e. shorter hospital length of stay), and improve
functional capacity and quality of life.
The goal of this study is to enhance our understanding of strategies that accelerate or
produce a more rapid treatment response in depression. This could lead to reduced symptom
morbidity, potentially reduce health care cost (i.e. shorter hospital length of stay), and
improve functional capacity and quality of life.
The study goals are: 1.) To assess whether the simultaneous commencement of liothyronine or
pindolol to an SSRI can accelerate the treatment response (i.e. faster rate of improvement),
2.) To assess whether the simultaneous commencement of liothyronine or pindolol to an SSRI
can augment or enhance treatment response (i.e. greater reduction in depressive symptoms at
end of study phase), adn 3.) To assess whether gender influences the acceleration of
augmentation response rate of liothyronine or pindolol.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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