Clinical Trial Details
— Status: Recruiting
Administrative data
| NCT number |
NCT05866991 |
| Other study ID # |
APHP211614 |
| Secondary ID |
|
| Status |
Recruiting |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
February 1, 2023 |
| Est. completion date |
May 1, 2033 |
Study information
| Verified date |
May 2023 |
| Source |
Assistance Publique - Hôpitaux de Paris |
| Contact |
Pierre Alexis GEOFFROY, PU-PH |
| Phone |
01 40 25 82 62 |
| Email |
Pierrealexis.geoffroy[@]aphp.fr |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
Despite international efforts to identify biomarkers of depression, none has been transferred
to clinical practice, neither for diagnosis, evolution, nor therapeutic response. This led us
to build a French national cohort (through the clinical and research network named SoPsy
within the French biological psychiatry society (AFPBN) and sleep society (SFRMS)), to better
identify markers of sleep and biological rhythms and validate more homogeneous subgroups of
patients, but also to specify the manifestations and pathogeneses of depressive disorders.
Description:
Depressive disorders are a group of frequent and severe disorders that affect up to 20% of
the general population. The WHO projects that depression will be the leading cause of
disability by 2030. This growing public health problem is marked by a decrease in
psychosocial functioning and quality of life, and is associated with a high rate of suicide.
In addition, there is a significant economic impact including loss of productivity and a
significant increase in the use of health care services. To date, the diagnosis of a
depressive episode is based solely on clinical assessment and diagnostic criteria. Despite
international efforts to identify biomarkers of depression, none of these identified
biomarkers have been transferred to clinical practice, either for diagnosis, outcome or
treatment prediction. Some of the difficulties and lack of replication of certain results are
directly related to the nature of depressive disorders, which include a large number of very
heterogeneous entities.
Among the markers of interest in patients with a major depressive episode (MDE), the
scientific literature has shown close links between depression and disturbances in sleep and
biological rhythms. Thus, more than 90% of patients suffering from MDE have sleep complaints
(PMID:28972930). Moreover, it is now well demonstrated, via epidemiological and longitudinal
follow-up studies, that sleep disorders, and in particular insomnia, are both risk factors
and prodromes of MDE. These sleep and rhythm abnormalities seem to persist during remission
phases and appear to be risk factors for depressive recurrence. Objective abnormalities,
assessed by actigraphy and polysomnography, have also been demonstrated during episodes and
in subjects at risk of depression, and thus appear to be both state and trait markers of the
disorder. These sleep and circadian rhythm abnormalities, in addition to being associated
with depressive relapse, are associated with poor global functioning, poor quality of life
and risk of metabolic syndrome.
Moreover, depressive disorders encompass a very heterogeneous set of conditions, and these
biomarkers seem to hold great promise for better characterising the different subtypes of
disorders and for better characterising patient populations. Finally, these clinical
observations make sleep and circadian rhythm abnormalities essential therapeutic targets,
making it possible to propose a truly more personalised medicine in psychiatry
It is therefore urgent to better characterise the different subtypes of depressive disorders
and to better understand the pathogenesis and evolution of these disorders in order to have
predictive markers for conversion, recurrence or therapeutic responses. The objective of
identifying such markers would also ultimately be to better screen patients and to propose
adapted and personalised therapeutic strategies. The constitution of a national cohort, with
a fine and homogeneous characterisation between the centres, is intended to meet these
objectives by assessing psychiatry, addiction, sleep and chronobiology dimensions of
depressive disorders.
