Cognitive Behavioural Analysis System of Psychotherapy (CBASp) Versus Escitalopram in Chronic Depression

NCT ID: NCT00837564

Last Updated: 2010-06-30

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2011-04-30

Brief Summary

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60 patients with chronic major depressive disorder according to DSM-IV will be included into the study. Patients will be randomized to receive an open treatment either with CBASP, a psychotherapy for chronic depression, or pharmacological treatment with Escitalopram for 28 weeks.

Detailed Description

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The psychotherapeutic treatment with CBASP will be conducted in 2 weekly sessions for the first 4 weeks, one per week thereafter until week 9, followed by one session every 2 weeks for 20 more weeks. The starting dose for Escitalopram will be 10 mg/d for one week and will be increased to 20 mg/d after one week. The dosage can be reduced to 10 mg/d after day 7 to improve tolerance. Th MADRS-scale is the primary outcome measure; ratings will be performed by a blinded rater. If there is no improvement (reduction of less than 20% of the MADRS), patients will be crossed over in terms of adding the other treatment at week 8. Study patients will be asked to participate in fMRI, genetic and pharmacological substudies.

Conditions

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Chronic Depression

Keywords

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chronic depression CBASP Escitalopram depression trauma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CBASP

CBASP psychotherapy

Group Type EXPERIMENTAL

CBASP psychotherapy

Intervention Type OTHER

specific psychotherapy for chronic depression

Escitalopram

Escitalopram pharmacotherapy and clinical management

Group Type EXPERIMENTAL

Escitalopram

Intervention Type DRUG

Escitalopram 10-20 mg once daily for the treatment of depression in combination with clinical management

Interventions

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CBASP psychotherapy

specific psychotherapy for chronic depression

Intervention Type OTHER

Escitalopram

Escitalopram 10-20 mg once daily for the treatment of depression in combination with clinical management

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Chronic MDD according to DSM-IV (modification: depressive symptomatology for at least one year), or recurrent MDE (third or greater episode with the immediately preceding episode being no more than 2.5 years before the onset of the present episode)
* Age 18-65
* Score of at least 18 on the Montgomery-Asberg-Rating Scale for Depression (MADRS)

Exclusion Criteria

* Acute risk for suicide
* History of psychotic symptoms, bipolar disorder or dementia
* Severe substance-related abuse or dependence disorder
* Schizotypal, antisocial or borderline personality disorder
* Serious medical condition
* Severe cognitive impairment
* Absence of a response to previous adequate trial of the study medication/CBASP
* Hypersensitivity to Escitalopram
* Treatment with a MAO-inhibitor within 1 week before the initiation of study treatment
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Bonn

OTHER

Sponsor Role collaborator

University Hospital Freiburg

OTHER

Sponsor Role lead

Responsible Party

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University of Freiburg, Dep. of Psychiatry, Germany

Principal Investigators

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Claus Normann, MD

Role: PRINCIPAL_INVESTIGATOR

University of Freiburg, Dep. of Psychiatry

Dieter Schoepf, MD

Role: PRINCIPAL_INVESTIGATOR

University of Bonn, Clinic for Psychiatry and Psychotherapy

Locations

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University of Bonn, Dept. of Psychiatry

Bonn, , Germany

Site Status RECRUITING

University of Freiburg, Dept. of Psychiatry and Psychotherapy

Freiburg im Breisgau, , Germany

Site Status RECRUITING

Countries

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Germany

Facility Contacts

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Dieter Schoepf, MD

Role: primary

Claus Normann, MD

Role: primary

Other Identifiers

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CBASP-1

Identifier Type: -

Identifier Source: org_study_id