Antidepressant Prophylaxis for Interferon-Induced Depression: Efficacy of Paroxetine

NCT ID: NCT00357045

Last Updated: 2006-07-27

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

Study Classification

INTERVENTIONAL

Brief Summary

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Objectives:

1. To determine whether paroxetine can prevent major depression in patients with hepatitis C (HCV) who are receiving pegylated-interferon (Peg-IFN).
2. To determine whether paroxetine can prevent subsyndromal increases in depression and anxiety in patients with HCV who are receiving Peg-IFN.
3. To determine whether paroxetine can prevent a significant change in the health related quality of life in patients with HCV who are receiving Peg-IFN.
4. To determine whether paroxetine improves compliance with Peg-IFN therapy for HCV.
5. To determine whether paroxetine enables patients to complete Peg-IFN therapy for HCV who might otherwise require a dose reduction or discontinuation because of neuropsychiatric side effects.

Detailed Description

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Conditions

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Major Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

DOUBLE

Interventions

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Paroxetine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 18 or older
* diagnosis of hepatitis C
* agree to participate in the study with written informed consent
* plan to undergo treatment with Peg-IFN + Ribavirin
* compensated liver disease (hemoglobin value \> 12 gm/dL for females or \> 13 gm/dL for males, WBC \> 3000/mm3, platelets \> 70,000/mm3, albumin \> 3.0 g/dL or within 20% of LLN, Serum creatinine \< 1.4 mg/dL, thyroid stimulating hormone within normal limits
* confirmation from female patients that adequate contraception is being practiced during treatment period and for 6 months after discontinuation of therapy
* confirmation from male patients that acceptable contraception is being practiced

Exclusion Criteria

* hypersensitivity to IFN, RBV, or paroxetine
* chronic liver disease other than chronic HCV
* hemolytic anemia from any cause including hemoglobinopathies
* evidence of advance liver disease
* any preexisting medical condition that could interfere with participation in the protocol
* evidence of cardiac ischemia, a significant unstable cardiac arrhythmia, heart failure, recent coronary artery surgery, uncontrolled HTN, unstable angina, or MI within past 12 months
* clinically significant retinal abnormalities
* substance abuse (must have abstained from abusing substance for at least 6 months)
* diagnosis of major depression in the past 6 weeks
* currently receiving full therapeutic dose of antidepressant medications
* diagnosis of bipolar disorder
* active psychotic condition
* active delirium
* pregnant female patients, men whose sexual partner is currently pregnant, and men and women who are not practicing adequate contraception
* female patients who are actively breast feeding
* patients with a known history of non-compliance with medical treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

Schering-Plough

INDUSTRY

Sponsor Role collaborator

Portland VA Medical Center

FED

Sponsor Role lead

Principal Investigators

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J. K. Moles, M.D.

Role: PRINCIPAL_INVESTIGATOR

Salem VA Medical Center

Other Identifiers

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05-1002

Identifier Type: -

Identifier Source: org_study_id