Combination Deplin® and Antidepressant Therapy for a Major Depressive Episode (MDE)- a Retrospective Analysis

NCT ID: NCT01001559

Last Updated: 2013-12-19

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

242 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-08-31

Study Completion Date

2011-06-30

Brief Summary

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This is a retrospective chart review study to determine if Deplin® 7.5mg-15mg combined with an antidepressant is better than an antidepressant alone in adults with major depression.

Detailed Description

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Conditions

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Major Depressive Disorder

Keywords

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Depression Combination therapy antidepressant Deplin folate methylfolate

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Deplin + antidepressant

Deplin in combination with a selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI)

L-methylfolate

Intervention Type DRUG

Subjects must have been on their respective therapies for a minimum of 60 days. L-methylfolate dosing was 7.5 mg or 15 mg daily

Selective serotonin reuptake inhibitor (SSRI)

Intervention Type DRUG

Subject must have been on their respective therapy for a minimum of 60 days. Because this was an observational retrospective analysis, dosing of SSRI/SNRI varied on a per patient basis.

Serotonin and norepinephrine reuptake inhibitor (SNRI)

Intervention Type DRUG

Subject must have been on their respective therapy for a minimum of 60 days. Because this was an observational retrospective analysis, dosing of SSRI/SNRI varied on a per patient basis.

Antidepressant alone

SSRI or SNRI alone

Selective serotonin reuptake inhibitor (SSRI)

Intervention Type DRUG

Subject must have been on their respective therapy for a minimum of 60 days. Because this was an observational retrospective analysis, dosing of SSRI/SNRI varied on a per patient basis.

Serotonin and norepinephrine reuptake inhibitor (SNRI)

Intervention Type DRUG

Subject must have been on their respective therapy for a minimum of 60 days. Because this was an observational retrospective analysis, dosing of SSRI/SNRI varied on a per patient basis.

Interventions

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L-methylfolate

Subjects must have been on their respective therapies for a minimum of 60 days. L-methylfolate dosing was 7.5 mg or 15 mg daily

Intervention Type DRUG

Selective serotonin reuptake inhibitor (SSRI)

Subject must have been on their respective therapy for a minimum of 60 days. Because this was an observational retrospective analysis, dosing of SSRI/SNRI varied on a per patient basis.

Intervention Type DRUG

Serotonin and norepinephrine reuptake inhibitor (SNRI)

Subject must have been on their respective therapy for a minimum of 60 days. Because this was an observational retrospective analysis, dosing of SSRI/SNRI varied on a per patient basis.

Intervention Type DRUG

Other Intervention Names

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Deplin

Eligibility Criteria

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Inclusion Criteria

* Males or females age 18-70
* The active arm (Arm #1) includes randomly selected 100-125 charts of patients with a primary diagnosis of major depression and a CGI-S of ≥4 who began Deplin and SSRI or SNRI therapy at the same time beginning in January 2007 to the present; and, Control group (Arm #2) includes randomly selected 125-150 charts of patients with a primary diagnosis of major depression who began SSRI or SNRI therapy matched in severity (CGI-S of ≥4)

Exclusion Criteria

* Folic acid \>400 mcg taken at any time during the study
* Psychotic features in the current episode or a history of psychotic features
* Any bipolar disorder (current or past) or any psychotic disorder (current or past)
* Current or past treatment with vagus nerve stimulation, ECT, or transcranial magnetic stimulation
* Antipsychotic therapy in conjunction with their antidepressant currently or in past 4 weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Red Oak Psychiatry Associates, PA

UNKNOWN

Sponsor Role collaborator

Baylor Health Care System

OTHER

Sponsor Role collaborator

Pamlab, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lawrence D Ginsberg, MD

Role: PRINCIPAL_INVESTIGATOR

Red Oak Psychiatry Associates, PA

Locations

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Red Oak Psychiatry Associates, PA

Houston, Texas, United States

Site Status

Countries

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United States

References

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Ginsberg LD, Oubre AY, Daoud YA. L-methylfolate Plus SSRI or SNRI from Treatment Initiation Compared to SSRI or SNRI Monotherapy in a Major Depressive Episode. Innov Clin Neurosci. 2011 Jan;8(1):19-28.

Reference Type RESULT
PMID: 21311704 (View on PubMed)

Other Identifiers

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Pamlab D-005

Identifier Type: -

Identifier Source: org_study_id