A Trial Examining the Efficacy of Escitalopram Oxalate Upon Depressive Symptoms and Fatigue in HIV Seropositive Women

NCT ID: NCT01797380

Last Updated: 2013-05-27

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2009-04-30

Brief Summary

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To determine the efficacy of escitalopram in treating depression in HIV seropositive women.

Detailed Description

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To determine the efficacy of escitalopram in treating depression in HIV seropositive women.

Conditions

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Depression HIV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Sugar Pill

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo daily for duration of double-blind portion of trial

Active Drug

Escitalopram tablet, 10mg, daily, 9 weeks.

Group Type ACTIVE_COMPARATOR

Escitalopram

Intervention Type DRUG

Escitalopram 10 mg po daily for duration of double-blind portion of trial

Interventions

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Placebo

Placebo daily for duration of double-blind portion of trial

Intervention Type DRUG

Escitalopram

Escitalopram 10 mg po daily for duration of double-blind portion of trial

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of major depression based on DSM-IV criteria;
* age 18-70 years;
* Greater than 15 on MADRS for severity of depression;
* HIV seropositive;
* no new antiviral medications over the past 2 months;
* involved in active treatment for HIV disease,
* negative serum pregnancy test
* Those subjects who are actively being treated for depression but show no improvement as defined by self-reported failure to improve with current treatment or residual depression as demonstrated by a MADRS of 15 or greater will be asked to participate in the study as well.

Exclusion Criteria

* The presence of an active and significant psychiatric disease other than Major Depressive Disorder as diagnosed on MINI in the last 3 months;
* meeting DSM-IV criteria for an Axis I disorder within the last three months, or meeting criteria for substance abuse within the last 12 months;
* current pregnancy or lactation if breast feeding;
* history of hypersensitivity, intolerance, or contraindication to LEX;
* baseline creatinine of 2.5 or greater;
* patients taking anticoagulants;
* history of diagnosed gastric or duodenal ulcer;
* history within past year of bleeding or clotting diathesis;
* lifetime history of myocardial infarction or cerebrovascular accident;
* history of surgery within the past 3 months;
* inability to follow study procedures or complete the study;
* the use of any antidepressant medications within 5 half-lives of randomization;
* women of child-bearing potential who will not agree to use approved means of birth control during the trial;
* other reason that the primary investigator believes that the subject will be unable to complete trial or has medical/psychiatric contraindications to the trial.
* Individuals who are currently being treated for depression and show significant improvements in their depression such that discontinuing their current antidepressant therapy would likely have negative clinical consequences will be excluded from participating in this study.
* Individuals who are or become suicidal will be excluded from this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Duke University Medical Center

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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Barroso J. A review of fatigue in people with HIV infection. J Assoc Nurses AIDS Care. 1999 Sep-Oct;10(5):42-9. doi: 10.1016/S1055-3290(06)60342-7.

Reference Type BACKGROUND
PMID: 10491802 (View on PubMed)

Currier MB, Molina G, Kato M. Citalopram treatment of major depressive disorder in Hispanic HIV and AIDS patients: a prospective study. Psychosomatics. 2004 May-Jun;45(3):210-6. doi: 10.1176/appi.psy.45.3.210.

Reference Type BACKGROUND
PMID: 15123845 (View on PubMed)

Gutierrez MM, Rosenberg J, Abramowitz W. An evaluation of the potential for pharmacokinetic interaction between escitalopram and the cytochrome P450 3A4 inhibitor ritonavir. Clin Ther. 2003 Apr;25(4):1200-10. doi: 10.1016/s0149-2918(03)80076-0.

Reference Type BACKGROUND
PMID: 12809966 (View on PubMed)

Himelhoch S, Medoff DR. Efficacy of antidepressant medication among HIV-positive individuals with depression: a systematic review and meta-analysis. AIDS Patient Care STDS. 2005 Dec;19(12):813-22. doi: 10.1089/apc.2005.19.813.

Reference Type BACKGROUND
PMID: 16375613 (View on PubMed)

Other Identifiers

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Pro00000703

Identifier Type: -

Identifier Source: org_study_id

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