Trial Outcomes & Findings for Effectiveness of Antidepressant Treatment for Depression in People With Parkinson's Disease (NCT NCT00304161)

NCT ID: NCT00304161

Last Updated: 2017-01-30

Results Overview

The primary measure of depression symptom severity was the Inventory for Depressive Symptomatology-Clinician Rated (IDS-C), a 30-item (scores 0-84, increasing scores indicating greater depression severity) comprehensive instrument that is increasingly used as a primary outcome measure in major depression treatment studies in the general population. An IDS-C score of greater than or equal to 22 was indicative of at least moderate depression. The IDS-C was administered at every study visit. The criteria for the primary measure of treatment response was a \>50% decrease in IDS-C score from baseline.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

55 participants

Primary outcome timeframe

Week 8

Results posted on

2017-01-30

Participant Flow

Patients were recruited from The Parkinson's Disease and Movement Disorders Center at Pennsylvania Hospital and the Parkinson's Disease Research, Education, and Clinical Center at the Philadelphia Veterans Affairs Medical Center between 2004-2009.

Participant milestones

Participant milestones
Measure
Atomoxetine
Participants will receive 40-80mgs of atomoxetine orally once daily.
Placebo
Participants will receive placebo treatment once daily; the pill (taken orally) will resemble the atomoxetine pill but will not contain an active drug.
Overall Study
STARTED
28
27
Overall Study
COMPLETED
22
21
Overall Study
NOT COMPLETED
6
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effectiveness of Antidepressant Treatment for Depression in People With Parkinson's Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Atomoxetine
n=28 Participants
Participants will receive atomoxetine treatment
Placebo
n=27 Participants
Participants will receive placebo treatment
Total
n=55 Participants
Total of all reporting groups
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
11 Participants
n=7 Participants
25 Participants
n=5 Participants
Age, Categorical
>=65 years
14 Participants
n=5 Participants
16 Participants
n=7 Participants
30 Participants
n=5 Participants
Age, Continuous
63.8 years
STANDARD_DEVIATION 9.5 • n=5 Participants
64.9 years
STANDARD_DEVIATION 11.5 • n=7 Participants
64.3 years
STANDARD_DEVIATION 10.5 • n=5 Participants
Gender
Female
8 Participants
n=5 Participants
11 Participants
n=7 Participants
19 Participants
n=5 Participants
Gender
Male
20 Participants
n=5 Participants
16 Participants
n=7 Participants
36 Participants
n=5 Participants
Region of Enrollment
United States
28 participants
n=5 Participants
27 participants
n=7 Participants
55 participants
n=5 Participants

PRIMARY outcome

Timeframe: Week 8

The primary measure of depression symptom severity was the Inventory for Depressive Symptomatology-Clinician Rated (IDS-C), a 30-item (scores 0-84, increasing scores indicating greater depression severity) comprehensive instrument that is increasingly used as a primary outcome measure in major depression treatment studies in the general population. An IDS-C score of greater than or equal to 22 was indicative of at least moderate depression. The IDS-C was administered at every study visit. The criteria for the primary measure of treatment response was a \>50% decrease in IDS-C score from baseline.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=22 Participants
Participants will receive 40-80mgs of atomoxetine orally once daily.
Placebo
n=21 Participants
Participants will receive placebo treatment once daily; the pill (taken orally) will resemble the atomoxetine pill but will not contain an active drug.
Inventory of Depressive Symptomatology- Clinician Rated (IDS-C) Scale
22.7 percentage of improved participants
9.5 percentage of improved participants

SECONDARY outcome

Timeframe: Week 8

The Clinical Global Impression-Improvement scale rates total improvement on a 7 point scale: 1. = Very much improved 2. = Much improved 3. = Minimally improved 4. = No change 5. = Minimally worse 6. = Much worse 7. = Very much worse A participant scoring a 1 or 2 is considered a responder on the CGI scale.

Outcome measures

Outcome measures
Measure
Atomoxetine
n=22 Participants
Participants will receive 40-80mgs of atomoxetine orally once daily.
Placebo
n=21 Participants
Participants will receive placebo treatment once daily; the pill (taken orally) will resemble the atomoxetine pill but will not contain an active drug.
Clinical Global Impression-Improvement Scale
45.5 percentage of responders
33.3 percentage of responders

Adverse Events

Atomoxetine

Serious events: 2 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Atomoxetine
n=28 participants at risk
Participants will receive 40-80mgs of atomoxetine orally once daily.
Placebo
n=27 participants at risk
Participants will receive placebo treatment once daily; the pill (taken orally) will resemble the atomoxetine pill but will not contain an active drug.
Psychiatric disorders
Suicide Ideation
3.6%
1/28
0.00%
0/27
Cardiac disorders
Congestive Heart Failure
3.6%
1/28
0.00%
0/27
Cardiac disorders
Chest Pain
0.00%
0/28
3.7%
1/27
Renal and urinary disorders
Urosepsis
0.00%
0/28
3.7%
1/27

Other adverse events

Other adverse events
Measure
Atomoxetine
n=28 participants at risk
Participants will receive 40-80mgs of atomoxetine orally once daily.
Placebo
n=27 participants at risk
Participants will receive placebo treatment once daily; the pill (taken orally) will resemble the atomoxetine pill but will not contain an active drug.
Gastrointestinal disorders
Constipation
25.0%
7/28
3.7%
1/27
Gastrointestinal disorders
Nausea/Vomiting
0.00%
0/28
18.5%
5/27

Additional Information

Dr. Daniel Weintraub

University of Pennsylvania

Phone: 215-349-8207

Results disclosure agreements

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