Desvenlafaxine Succinate (DVS) for Major Depressive Disorder (MDD) in Midlife Men and Women

NCT ID: NCT00888862

Last Updated: 2012-02-08

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

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2012-10-31

Brief Summary

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The main objective of this study is to characterize a range of brain activation symptoms associated with depression and response to treatment in midlife men and women with MDD, using MRI and functional MRI. Moreover, in the female sub-group, the investigators will examine whether these brain activation symptoms are related to menopausal symptoms (i.e., hot flashes and night sweats). Also, assessing brain activation before and after the treatment might help to uncover some mechanisms associated with the pathophysiology of depression and menopause.

Detailed Description

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Major Depressive Disorder (MDD) has been associated with morphological changes in the brain and changes in key brain areas. Studies have shown that antidepressant use may promote the normalization of these areas. Moreover, midlife men and women appear to be at greater risk for developing major depressive episodes. In women, this period of life has been associated with significant functional impairment due to the presence/severity of vasomotor symptoms (hot flashes, night sweats), cognitive complaints, and poorer quality of life. Desvenlafaxine succinate (DVS) has been developed for the treatment of MDD. To date, the effects of DVS on brain structure and functioning in midlife men and women with MDD, as well as on depression related to menopause, has not been explored. The present study aims to investigate the effects of DVS on brain structure and functioning when used for the treatment of a major depressive episode in midlife men and women, using MRI and functional MRI. In addition, the investigators will examine whether the impact of treatment with DVS on vasomotor symptoms, cognition, and quality of life modulate the putative changes in brain structure and functioning.

Conditions

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Major Depressive Disorder Menopausal Staging and Vasomotor Symptoms (for Females)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

Use of desvenlafaxine succinate, flexible dose (50-100mg/day)

Group Type EXPERIMENTAL

Desvenlafaxine Succinate

Intervention Type DRUG

Desvenlafaxine Succinate, 50-100mg/day for 8 weeks

Interventions

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Desvenlafaxine Succinate

Desvenlafaxine Succinate, 50-100mg/day for 8 weeks

Intervention Type DRUG

Other Intervention Names

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Pristiq

Eligibility Criteria

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Inclusion Criteria

* men and women, aged 40-60 years
* diagnosis of MDD
* for women, perimenopausal or postmenopausal

Exclusion Criteria

* other DSM-IV axis I diagnosis other than MDD
* using psychotropic medications
* suicidal ideation, homicidal ideation, or psychotic symptoms
* presence of laboratory abnormalities at baseline visit
* presence of heart disease, liver disease, kidney disease, pulmonary disease, blood or bleeding disease, thyroid disease, GI disease, seizure or epilepsy, head injury, cancer, uterine fibroids or endometriosis, gynecologic surgeries (except caesarian sections), electroconvulsive therapies in the past 3 months, HIV+/AIDS
* in addition (for women): use of hormone replacement therapies, menstrual dysfunction, pregnancy or breastfeeding
Minimum Eligible Age

40 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Wyeth is now a wholly owned subsidiary of Pfizer

INDUSTRY

Sponsor Role collaborator

St. Joseph's Healthcare Hamilton

OTHER

Sponsor Role collaborator

McMaster University

OTHER

Sponsor Role collaborator

Hamilton Health Sciences Corporation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Claudio N Soares, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

St. Joseph's Healtcare; McMaster University

Locations

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Women's Health Concerns Clinic

Hamilton, Ontario, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Stefanie M Attard

Role: CONTACT

905-522-1155 ext. 32048

Benicio N Frey, MD, PhD

Role: CONTACT

905-522-1155 ext. 35123

Facility Contacts

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Stefanie M Attard

Role: primary

905-522-1155 ext. 32048

References

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Frey BN, Hall GB, Attard S, Yucel K, Skelin I, Steiner M, Soares CN. Shift in the brain network of emotional regulation in midlife women: is the menopausal transition the turning point? Menopause. 2010 Jul;17(4):840-5. doi: 10.1097/gme.0b013e3181df840f.

Reference Type RESULT
PMID: 20616670 (View on PubMed)

Other Identifiers

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WHCC2008-3

Identifier Type: -

Identifier Source: org_study_id

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