Preventing Depression in Methadone Maintenance Patients Receiving Hepatitis C Treatment - 1

NCT ID: NCT00218556

Last Updated: 2017-01-12

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

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-01-31

Study Completion Date

2008-06-30

Brief Summary

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The purpose of this study is develop and test a cognitive-behavioral intervention to prevent depression in methadone maintenance patients receiving medical treatment for hepatitis C.

Detailed Description

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The purpose of this study is to develop a CBT-D intervention tailored to meet the needs of MMT patients undergoing antiviral treatment for hepatitis C. In the first phase of this project (Year 1), we will develop and pilot the intervention with 20 patients. In the second phase of the project (Years 2 and 3), we will conduct a preliminary, randomized trial with 60 MMT patients to examine the efficacy of the CBT-D intervention relative to standard care condition (SC).

We expect that, relative to the SC condition, participants randomized to the CBT-D condition will have decreased likelihood of depression-related antiviral treatment failure, will report lower levels of depressive symptoms, will complete more IFN injections, will have lower HCV RNA levels, and will have fewer illicit drug use days. If the efficacy of this intervention can be established in this trial and in subsequent clinical trials, MMT patients who elect to undergo antiviral therapy will have a valuable adjunct or alternative to the use of antidepressants to prevent depression. If found to be efficacious, this intervention will maximize the receipt of IFN treatment by MMT patients, thereby aiding in the prevention of liver failure, hepatocellular carcinoma, and liver-related death among those with HCV.

Conditions

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Depressive Disorder, Major Hepatitis C

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Depression prevention

Cognitive behavioral treatment for depression.

Group Type EXPERIMENTAL

Cognitive behavioral treatment for depression

Intervention Type BEHAVIORAL

Cognitive behavioral intervention to prevent depressive symptoms during treatment for hepatitis C

Control

Treatment as usual.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Cognitive behavioral treatment for depression

Cognitive behavioral intervention to prevent depressive symptoms during treatment for hepatitis C

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Currently undergoing HCV treatment at RIH
* Enrolled in MMT for at least 6 months

Exclusion Criteria

* Current major depressive episode
* Current suicidality
* Currently taking antidepressant medication
* Received HCV treatment in past
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rhode Island Hospital

OTHER

Sponsor Role collaborator

National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role lead

Responsible Party

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Associate Professor (Research)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Susan E Ramsey, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Rhode Island Hospital

Locations

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Rhode Island Hospital

Providence, Rhode Island, United States

Site Status

Countries

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United States

Other Identifiers

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R01-16797-1

Identifier Type: -

Identifier Source: secondary_id

NIDA-16797-1

Identifier Type: -

Identifier Source: org_study_id

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