Depression Clinical Trial
Official title:
Symptom Management Trial in Cancer Survivors
RATIONALE: Escitalopram may help improve depression and quality of life in patients with
advanced lung or gastrointestinal cancer. It is not yet known whether escitalopram is more
effective than a placebo in treating depression in patients with advanced lung or
gastrointestinal cancer.
PURPOSE: This randomized clinical trial is studying the side effects of escitalopram and to
see how well it works compared to a placebo in treating depression in patients with advanced
lung or gastrointestinal cancer.
OBJECTIVES:
- Compare the efficacy of escitalopram oxalate vs placebo in treating major depressive
disorder in patients with advanced lung or gastrointestinal cancer.
- Compare the side effect burden of escitalopram oxalate vs placebo in these patients.
- Determine potential moderators of the efficacy of escitalopram oxalate in these
patients, including medical, psychological, and social variables.
OUTLINE: This is a randomized, double-blind, placebo-controlled study. Patients are
stratified according to stage of disease (stage IIIB with effusions vs stage IV) and current
treatment (radiation vs chemotherapy vs novel agent). Patients are randomized to 1 of 2
treatment arms.
- Arm I: Patients receive oral placebo once daily for 4 weeks followed by oral placebo
once daily for another 4 weeks
- Arm II: Patients receive oral placebo once daily for 4 weeks followed by escitalopram
oxalate 10 mg once daily for 4 weeks.
- Arm III: Patients receive oral escitalopram oxalate 10 mg once daily for 4 weeks
followed by oral placebo once daily for 4 weeks.
After 8 weeks, all non-responders are offered open treatment with an antidepressant.
Depression, fatigue, quality of life, anxiety, and somatization are assessed at baseline and
then at 4 and 8 weeks.
PROJECTED ACCRUAL: A total of 220 patients will be accrued for this study.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Supportive Care
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