Dysthymic Disorder Clinical Trial
Official title:
The Efficacy of Testosterone Replacement in Treating Middle-Aged Hypogonadal Men With Dysthymia: Parallel Group, Double Blind Randomized Trial
Growing evidence supports the notion that Late-onset Dysthymic disorder in middle aged men
may be associated with age-related HPG hypofunctioning. In this study we seek to examine the
efficacy of Testosterone replacement for this condition.
Hypothesis:
Testosterone replacement will be more effective than placebo, in treating men with late
onset Dysthymic Disorder and hypo-gonadism.
Status | Recruiting |
Enrollment | 0 |
Est. completion date | |
Est. primary completion date | |
Accepts healthy volunteers | |
Gender | Male |
Age group | 40 Years to 80 Years |
Eligibility |
Inclusion Criteria: 1. Male, age 40-80 years. 2. Diagnosed with hypogonadism (total T level below 350 ng/dl), but not previously treated. 3. Diagnosis of Dysthymic disorder with onset after age 40. 4. PSA < 4.0. 5. Normal digital exam of the prostate in the preceding 1 year. 6. For subjects currently taking an antidepressant: Current antidepressant treatment last 6 weeks or longer, with decent dose and with no remission (or with partial remission only HAM-D > 12). 7. Able to give informed consent. Exclusion Criteria: 1. Acute, severe, or unstable prostatitis, symptomatic prostatic hypertrophy, polycythemia, severe acne, breast cancer, prostate cancer, or hypopituitarism. 2. Currently being treated with testosterone. 3. Meets lifetime criteria for schizophrenia, schizoaffective disorder, any bipolar disorder (i.e., BP-I, BP-II, or BP NOS); or a major depressive episode in the preceding 5 years. 4. Current suicidal risk. 5. Current (past year) substance abuse or dependence. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Israel | Sheba Medical Center, Psychiatric out patient clinical unit | Tel Hashomer |
Lead Sponsor | Collaborator |
---|---|
Sheba Medical Center | National Alliance for Research on Schizophrenia and Depression |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Hamilton Depression Scale (HAM-d) | |||
Primary | Clinical Global Impression- Change (CGI-C) | |||
Primary | Profile of Mood States (POMS) | |||
Primary | Beck Depression Inventory (BDI) | |||
Primary | Sheehan Disability Scale | |||
Primary | Self Anchoring Scale (SAS) | |||
Primary | Affective Balance Scale (ABS) | |||
Primary | International Index of Erectile Function (IIEF) | |||
Primary | Aging Male Symptom rating (AMS) | |||
Primary | Clinical Global Impression (CGI) |
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