Strategic Use of New Generation Antidepressants for Depression

NCT ID: NCT01109693

Last Updated: 2016-10-03

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

2011 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-12-31

Study Completion Date

2015-12-31

Brief Summary

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The purpose of the study is to establish the optimum treatment strategy for first-line and second-line antidepressants in the acute phase treatment of major depression.

Detailed Description

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Conditions

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Unipolar Major Depressive Episode

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Continue sertraline

Continue sertraline at the dosage at 3 weeks

Group Type ACTIVE_COMPARATOR

Sertraline

Intervention Type DRUG

Sertraline 50 mg/d or 100 mg/d for 6 more weeks

Augment with mirtazapine

Add mirtazapine to sertraline

Group Type ACTIVE_COMPARATOR

Sertraline

Intervention Type DRUG

Sertraline 50 mg/d or 100 mg/d for 6 more weeks

Mirtazapine

Intervention Type DRUG

Augment with or switch to mirtazapine 15-45 mg/d

Switch to mirtazapine

Stop sertraline and switch to mirtazapine

Group Type ACTIVE_COMPARATOR

Mirtazapine

Intervention Type DRUG

Augment with or switch to mirtazapine 15-45 mg/d

Interventions

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Sertraline

Sertraline 50 mg/d or 100 mg/d for 6 more weeks

Intervention Type DRUG

Mirtazapine

Augment with or switch to mirtazapine 15-45 mg/d

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* non-psychotic unipolar major depressive episode (Diagnostic and Statistical Manual, Fourth Edition \[DSM-IV\]) in the preceding month
* age 25-75
* starting treatment with sertraline clinically indicated
* tolerability to sertraline 25 mg/d ascertained
* can understand and sign informed consent form
* can be contacted by telephone for symptom severity and adverse events

Exclusion Criteria

* have received antidepressants, mood stabilizers, antipsychotics, psychostimulants, electroconvulsive therapy (ECT) or depression-specific psychotherapies in the preceding month
* history of schizophrenia, schizoaffective disorder or bipolar disorder
* current dementia, borderline personality disorder, eating disorder or substance dependence
* physical disease interfering with sertraline or mirtazapine treatment
* allergy to sertraline or mirtazapine
* terminal physical illness
* currently pregnant or breast-feeding
* high risk of imminent suicide
* requiring compulsory admission
* expected to change doctors within 6 months
* cohabiting relatives of research staff
* cannot understand Japanese
Minimum Eligible Age

25 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Center of Neurology and Psychiatry, Japan

OTHER

Sponsor Role collaborator

Kyoto University

OTHER

Sponsor Role lead

Responsible Party

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Toshiaki A. Furukawa

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Toshiaki A Furukawa, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Kyoto University Graduate School of Medicine / School of Public Health

Tatsuo Akechi, MD, PhD

Role: STUDY_DIRECTOR

Nagoya City University Graduate School of Medical Sciences

Norio Watanabe, MD, PhD

Role: STUDY_DIRECTOR

National Center of Neurology and Psychiatry, Japan

Shinji Shimodera, MD, PhD

Role: STUDY_DIRECTOR

Kochi University Medical School

Mitsuhiko Yamada, MD, PhD

Role: STUDY_DIRECTOR

National Center of Neurology and Psychiatry, Japan

Masatoshi Inagaki, MD, PhD

Role: STUDY_DIRECTOR

Okayama University Graudate School of Medicine

Naohiro Yonemoto, MSc

Role: STUDY_DIRECTOR

National Center of Neurology and Psychiatry, Japan

Kazuhira Miki, MD, PhD

Role: STUDY_DIRECTOR

Miki Mental Clinic, Yokohama, Japan

Locations

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Nagoya City University Hospital

Nagoya, Aichi-ken, Japan

Site Status

Kochi Medical School Hospital

Nangoku, Kochi, Japan

Site Status

Countries

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Japan

References

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Kato T, Furukawa TA, Mantani A, Kurata K, Kubouchi H, Hirota S, Sato H, Sugishita K, Chino B, Itoh K, Ikeda Y, Shinagawa Y, Kondo M, Okamoto Y, Fujita H, Suga M, Yasumoto S, Tsujino N, Inoue T, Fujise N, Akechi T, Yamada M, Shimodera S, Watanabe N, Inagaki M, Miki K, Ogawa Y, Takeshima N, Hayasaka Y, Tajika A, Shinohara K, Yonemoto N, Tanaka S, Zhou Q, Guyatt GH; SUN☺D Investigators. Optimising first- and second-line treatment strategies for untreated major depressive disorder - the SUN☺D study: a pragmatic, multi-centre, assessor-blinded randomised controlled trial. BMC Med. 2018 Jul 11;16(1):103. doi: 10.1186/s12916-018-1096-5.

Reference Type DERIVED
PMID: 29991347 (View on PubMed)

Yonemoto N, Tanaka S, Furukawa TA, Kato T, Mantani A, Ogawa Y, Tajika A, Takeshima N, Hayasaka Y, Shinohara K, Miki K, Inagaki M, Shimodera S, Akechi T, Yamada M, Watanabe N, Guyatt GH; SUN(;_;)D Investigators. Strategic use of new generation antidepressants for depression: SUN(;_;) D protocol update and statistical analysis plan. Trials. 2015 Oct 14;16:459. doi: 10.1186/s13063-015-0985-6.

Reference Type DERIVED
PMID: 26466684 (View on PubMed)

Shimodera S, Kato T, Sato H, Miki K, Shinagawa Y, Kondo M, Fujita H, Morokuma I, Ikeda Y, Akechi T, Watanabe N, Yamada M, Inagaki M, Yonemoto N, Furukawa TA; SUN(;_;)D Investigators. The first 100 patients in the SUN(;_;)D trial (strategic use of new generation antidepressants for depression): examination of feasibility and adherence during the pilot phase. Trials. 2012 Jun 8;13:80. doi: 10.1186/1745-6215-13-80.

Reference Type DERIVED
PMID: 22682213 (View on PubMed)

Furukawa TA, Akechi T, Shimodera S, Yamada M, Miki K, Watanabe N, Inagaki M, Yonemoto N. Strategic use of new generation antidepressants for depression: SUN(;_;)D study protocol. Trials. 2011 May 11;12:116. doi: 10.1186/1745-6215-12-116.

Reference Type DERIVED
PMID: 21569309 (View on PubMed)

Other Identifiers

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sun-d

Identifier Type: -

Identifier Source: org_study_id

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