Treatment of Depression in Adults

NCT ID: NCT00073697

Last Updated: 2012-01-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

290 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-05-31

Study Completion Date

2007-10-31

Brief Summary

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This study will determine how certain features of depressed individuals affect their responses to depression treatment.

Detailed Description

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Major depression is a serious condition that can have devastating functional consequences. Although numerous depression studies have been conducted, understanding of how best to achieve long-term recovery remains limited. This study will assess the mood, personality, pharamcokinetic and genetic characteristics of depressed participants to determine the effects of these features on treatment response.

This study will be conducted at two international treatment sites, including the University of Pittsburgh and the University of Pisa, Italy. Participants will be randomly assigned to receive either interpersonal psychotherapy (IPT) or escitalopram pharmacotherapy for a minimum of 32 weeks or approximately 8 months. Participants whose symptoms become stabilized will continue the initial treatment for another 6 months; those who do not will have the second treatment added to their regimen until remission occurs. Clinical evaluations and questionnaires will be used to assess participants.

Conditions

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Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Interpersonal Psychotherapy

Group Type EXPERIMENTAL

Interpersonal Psychotherapy

Intervention Type BEHAVIORAL

Participants will receive interpersonal psychotherapy (IPT) for 8 months and possibly an additional 6 months.

2

Escitalopram

Group Type EXPERIMENTAL

Escitalopram

Intervention Type DRUG

Participants will receive escitalopram for a minimum of 32 weeks or approximately 8 months. Participants whose symptoms become stabilized will continue the initial treatment for another 6 months.

3

Escitalopram plus IPT

Group Type EXPERIMENTAL

Escitalopram plus IPT

Intervention Type OTHER

Participants whose symptoms become stabilized will continue the initial treatment for another 6 months. Those who do not will have the second treatment added to their regimen until remission occurs.

Interventions

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Escitalopram

Participants will receive escitalopram for a minimum of 32 weeks or approximately 8 months. Participants whose symptoms become stabilized will continue the initial treatment for another 6 months.

Intervention Type DRUG

Interpersonal Psychotherapy

Participants will receive interpersonal psychotherapy (IPT) for 8 months and possibly an additional 6 months.

Intervention Type BEHAVIORAL

Escitalopram plus IPT

Participants whose symptoms become stabilized will continue the initial treatment for another 6 months. Those who do not will have the second treatment added to their regimen until remission occurs.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of Major depression

Exclusion Criteria

* History of manic or hypomanic episodes
* History of schizophrenia or schizoaffective disorder
* Diagnosis of anorexia nervosa or bulimia nervosa
* Current psychosis
* Drug and/or alcohol dependence or abuse within 3 months prior to study entry. Participants with episodic abuse related to mood disorders will not be excluded.
* Diagnosis of antisocial personality disorder
* Diagnosis of organic affective syndrome and uncontrolled medical illness
* Pregnancy
* Require inpatient treatment for suicidal risk or psychosis
* History of an inability to tolerate any of the study treatments
* Currently receiving treatment with an effective antidepressant
Minimum Eligible Age

18 Years

Maximum Eligible Age

66 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role lead

Responsible Party

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University of Pittsburgh

Principal Investigators

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Ellen Frank

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Locations

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Western Psychiatric Institute and Clinic - Depression Prevention Program

Pittsburgh, Pennsylvania, United States

Site Status

The University of Pisa

Pisa, , Italy

Site Status

Countries

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United States Italy

Other Identifiers

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R01MH065376

Identifier Type: NIH

Identifier Source: secondary_id

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DSIR 83-ATAS

Identifier Type: -

Identifier Source: secondary_id

R01MH065376

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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