Early Prediction of Fluoxetine Response

NCT ID: NCT01075529

Last Updated: 2010-02-25

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

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-03-31

Study Completion Date

2010-02-28

Brief Summary

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The purpose of this study is to identify what degree of symptom changes during the early weeks could be used to predict eventual nonresponse at week 6 among depressive inpatients taking fluoxetine.

Detailed Description

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Patients with major depressive disorder will receive 20 mg/day of fluoxetine for six weeks. Symptom severity was assessed by the 17-item Hamilton Depression Rating Scale (HAMD-17) at weeks 0, 1, 2, 3, 4 and 6. Stable response is defined as a reduction of 50% or more of the HAMD-17 score at week 4 and week 6 of treatment. Receiver operating characteristic curve will be used to determine the cutoff point of the percentage of HAMD-17 score reduction between stable responders and nonresponders at weeks 1, 2, 3 and 4.

Conditions

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Major Depressive Disorder

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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fluoxetine

Group Type NO_INTERVENTION

fluoxetine

Intervention Type DRUG

fluoxetine 20 mg/d

Interventions

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fluoxetine

fluoxetine 20 mg/d

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* diagnosis of major depressive disorder
* HAM-D-17 ≧17
* written informed consent

Exclusion Criteria

* Comorbid of substance abuse/dependence
* Comorbid with mental disorders due to general medical conditions
* Past history of treatment-resistant depression
* Severe physical problems
* pregnant women
* lactation
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kaohsiung Kai-Suan Psychiatric Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Kaohsiung Kai-Suan Psychiatric Hospital

Principal Investigators

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Ching-Hua Lin, M.D.

Role: PRINCIPAL_INVESTIGATOR

Kai-Suan Psychiatric Hospital

Locations

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Kai-Suan Psychiatric Hospital

Kaohsiung City, , Taiwan

Site Status

Countries

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Taiwan

References

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Tollefson GD, Holman SL. How long to onset of antidepressant action: a meta-analysis of patients treated with fluoxetine or placebo. Int Clin Psychopharmacol. 1994 Winter;9(4):245-50. doi: 10.1097/00004850-199400940-00003.

Reference Type RESULT
PMID: 7868846 (View on PubMed)

Bech P. Meta-analysis of placebo-controlled trials with mirtazapine using the core items of the Hamilton Depression Scale as evidence of a pure antidepressive effect in the short-term treatment of major depression. Int J Neuropsychopharmacol. 2001 Dec;4(4):337-45. doi: 10.1017/S1461145701002565.

Reference Type RESULT
PMID: 11806859 (View on PubMed)

Katz MM, Tekell JL, Bowden CL, Brannan S, Houston JP, Berman N, Frazer A. Onset and early behavioral effects of pharmacologically different antidepressants and placebo in depression. Neuropsychopharmacology. 2004 Mar;29(3):566-79. doi: 10.1038/sj.npp.1300341.

Reference Type RESULT
PMID: 14627997 (View on PubMed)

Farabaugh A, Mischoulon D, Fava M, Wu SL, Mascarini A, Tossani E, Alpert JE. The relationship between early changes in the HAMD-17 anxiety/somatization factor items and treatment outcome among depressed outpatients. Int Clin Psychopharmacol. 2005 Mar;20(2):87-91. doi: 10.1097/00004850-200503000-00004.

Reference Type RESULT
PMID: 15729083 (View on PubMed)

Trivedi MH, Morris DW, Grannemann BD, Mahadi S. Symptom clusters as predictors of late response to antidepressant treatment. J Clin Psychiatry. 2005 Aug;66(8):1064-70. doi: 10.4088/jcp.v66n0816.

Reference Type RESULT
PMID: 16086624 (View on PubMed)

Yang WC, Lin CH, Wang FC, Lu MJ. Factors related to the improvement in quality of life for depressed inpatients treated with fluoxetine. BMC Psychiatry. 2017 Aug 25;17(1):309. doi: 10.1186/s12888-017-1471-3.

Reference Type DERIVED
PMID: 28841824 (View on PubMed)

Other Identifiers

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KSPH-2007-16

Identifier Type: -

Identifier Source: org_study_id

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