Trial Outcomes & Findings for The Effects of Wellbutrin (Bupropion) on Residual and Cognitive Symptoms in SSRI-treated Depression (NCT NCT00125957)

NCT ID: NCT00125957

Last Updated: 2014-08-06

Results Overview

Median total depression symptoms rating at baseline and follow-up visits. The MADRS consists o 10 questions assessing depression symptoms. All questions are scored on a 0-6 severity scale, with 0 being absent and 4 being most severe. Total scores can range from 0-60.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

32 participants

Primary outcome timeframe

Baseline and follow-up

Results posted on

2014-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Wellbutrin First, Then Placebo
Subjects randomly assigned to the Wellbutrin first, then Placebo group will receive 100mg BID of Wellbutrin at the first visit following intake (Week 0).Subjects will be increased to 150mg Wellbutrin BID at Week 1 unless moderate/severe side effects are reported. If subject and rater classify 1+ symptom as severe or 2+ symptoms as moderate, subject will continue on 100mg of bupropion qAM. If subject and rater classify 1+ symptom as moderate or 2+ mild as moderate, subject will continue on Wellbutrin 100mg BID. At Week 4, subjects will cross-over to placebo and will continue to take placebo until Week 8.
Placebo First, Then Wellbutrin
Subjects randomly assigned to the Placebo first, then Wellbutrin group will receive placebo until Week 4 when they will cross-over to active drug. At Week 4, subjects will be assigned 100mg Wellbutrin BID. At Week 5, Subjects will be increased to 150mg Wellbutrin BID unless moderate/severe side effects are reported. If subject and rater classify 1+ symptom as severe or 2+ symptoms as moderate, subject will continue on 100mg of Wellbutrin qAM. If subject and rater classify 1+ symptom as moderate or 2+ mild as moderate, subject will continue on bupropion 100mg BID. Subject will continue on the assigned dosage until Week 8 of study.
First Intervention (3 Weeks)
STARTED
15
17
First Intervention (3 Weeks)
COMPLETED
15
17
First Intervention (3 Weeks)
NOT COMPLETED
0
0
Second Intervention (3 Weeks)
STARTED
15
17
Second Intervention (3 Weeks)
COMPLETED
15
17
Second Intervention (3 Weeks)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Effects of Wellbutrin (Bupropion) on Residual and Cognitive Symptoms in SSRI-treated Depression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Wellbutrin-Placebo
n=15 Participants
Study subjects randomly assigned to this arm of the study will begin on active drug (100 mg twice daily (BID) of Wellbutrin) at week 1. At week 2, active drug is increased to 150mg BID unless subject reports one or more symptoms that are classified as moderate-severe. At week 4, subjects cross over to placebo for remainder of study. Subjects continue on placebo until end of study at week 8.
Placebo-Wellbutrin
n=17 Participants
Subjects randomly assigned to this arm are given placebo at week 1. They will continue on placebo until week 4, at which time they will cross-over to Wellbutrin 100 mg twice daily (BID). At week 5, active drug is increased to 150mg BID unless subject reports one or more symptoms that are classified as moderate-severe. Subjects continue on active drug until end of study at week 8.
Total
n=32 Participants
Total of all reporting groups
Age, Continuous
49 years
n=5 Participants
47 years
n=7 Participants
48 years
n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
17 Participants
n=7 Participants
31 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
9 Participants
n=7 Participants
15 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
17 participants
n=7 Participants
32 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and follow-up

Median total depression symptoms rating at baseline and follow-up visits. The MADRS consists o 10 questions assessing depression symptoms. All questions are scored on a 0-6 severity scale, with 0 being absent and 4 being most severe. Total scores can range from 0-60.

Outcome measures

Outcome measures
Measure
Wellbutrin First, Then Placebo
n=15 Participants
Subjects randomly assigned to Treatment A will receive Wellbutrin or placebo at Week 1 and will cross over to Wellbutrin or placebo at week 4.
Placebo First, Then Wellbutrin
n=17 Participants
Subjects randomly assigned to Treatment B will receive Wellbutrin or placebo at Week 1 and will cross over to Wellbutrin or placebo at week 4.
Montgomery-Asberg Depression Rating Scale (MADRS)
Baseline
22.0 units on a scale
Interval 19.0 to 24.0
18.0 units on a scale
Interval 9.0 to 21.0
Montgomery-Asberg Depression Rating Scale (MADRS)
Follow-up at week 4
12.0 units on a scale
Interval 8.0 to 21.0
14.0 units on a scale
Interval 5.0 to 19.0

PRIMARY outcome

Timeframe: Baseline and follow-up

Median total depression ratings at baseline and follow-up using the HAM-D. The scale consists of 21 questions that assess depression symptoms. Questions 1-3, 7-11, 15, and 19 are rated on a scale of 0-4, with 0 being not present to and 4 being severe. Questions 4, 5, 12 - 14, 16-18 and 21 are rated from 0-2 with a score of 0 signifying the symptom is absent and a score of 2 as most severe. Item 20 is score on a scale of 0-3 with the same pattern of severity as all other questions. The total score for the HAM-D ranges from 0-63.

Outcome measures

Outcome measures
Measure
Wellbutrin First, Then Placebo
n=15 Participants
Subjects randomly assigned to Treatment A will receive Wellbutrin or placebo at Week 1 and will cross over to Wellbutrin or placebo at week 4.
Placebo First, Then Wellbutrin
n=17 Participants
Subjects randomly assigned to Treatment B will receive Wellbutrin or placebo at Week 1 and will cross over to Wellbutrin or placebo at week 4.
Hamilton Depression Rating Scale (HAM-D)
Baseline
21.5 units on a scale
Interval 16.0 to 29.0
14 units on a scale
Interval 9.0 to 18.0
Hamilton Depression Rating Scale (HAM-D)
Follow-up at week 4
13.5 units on a scale
Interval 8.0 to 17.0
14 units on a scale
Interval 8.0 to 18.0

Adverse Events

Bupropion-Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo-Bupropion

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Beth Murphy

McLean Hospital

Phone: 617-855-2000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place