Objective Diagnostic Markers and Personalized Intervention in MDD Patients

NCT ID: NCT02023567

Last Updated: 2016-05-20

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

NA

Total Enrollment

2400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2016-12-31

Brief Summary

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Major depressive disorder (MDD) is one of the most common psychiatric disorders, with high recurrence rate, suicide rate and disability rate. It's reported that the global burden caused by MDD will be up to the second rank among all the disease burdens by 2020. China is also confronted with the daunting challenges against MDD. It's assessed that the monthly incidence of MDD is 6.1%, non-hospitalizing rate reaches up to 92% and the non-treatment rate is approximate 95%. However, to date, the pathogenesis of MDD is obscure and the current therapies don't work well. Therefore, it's urgent and critical to elucidate the pathogenesis of MDD, to develop early diagnostic criteria and effective intervention in MDD. Considering the diversity of weights on genetic factor and environmental factor in MDD, in this project, the investigators aim firstly to explore the effect of "genetic-environmental interaction"on the pathogeny of MDD for classifying MDD into "genetic type", "environmental type" and "others" based on a case-control study. We next conduct the neurobiological, neurocognitive and psycho-behavioral assessments among MDD, schizophrenia and healthy groups to screen the salient endophenotypes for establishing the diagnostic models of MDD . The investigators further analyse the changes of these indicators after 8 weeks'medication to select the potential predictors for therapeutic evaluations and interventional options in MDD patients. Finally, the investigators continue a 2-year follow-up study to test and verify the predictors of prognosis in MDD patients.

Detailed Description

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Conditions

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Depressive Disorder, Major

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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MDD group

Drugs: SSRIs fluoxertine hydrochloride (20- 60m/day),paroxetine hydrochloride (20- 60m/day),sertraline hydrochloride (50- 200m/day),citalopram (20-60m/day), escitalopram (10-20mg/day),fluvoxamine (50-300mg/day)

Group Type EXPERIMENTAL

SSRIs

Intervention Type DRUG

fluoxertine hydrochloride 20-60mg/day, paroxetine hydrochloride 20-60mg/day, sertraline hydrochloride 50-200mg/day, citalopram 20-60mg/day, escitalopram 10-20mg/day, fluvoxamine 50-300mg/day

Healthy controls

This group just receive baseline evaluation and did not receive any intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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SSRIs

fluoxertine hydrochloride 20-60mg/day, paroxetine hydrochloride 20-60mg/day, sertraline hydrochloride 50-200mg/day, citalopram 20-60mg/day, escitalopram 10-20mg/day, fluvoxamine 50-300mg/day

Intervention Type DRUG

Other Intervention Names

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selective serotonin reuptake inhibitors

Eligibility Criteria

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Inclusion Criteria

* Age between 18-55, male or female;
* The diagnosis of MDD consistent with DSM-IV (M.I.N.I)
* First-episode or relapsed;
* Certain ability of reading and writing to complete the questionnaire survey and psychological assessment.
* All participants provide written confirmation of informed consent prior to engaging the study protocol.


* age between 18 and 55 years at the time of enrollment;
* providing written confirmation of informed consent prior to engaging the study.

Exclusion Criteria

* Current psychopathology or a history of neurologic conditions, including alcohol/substances dependence, the diagnosis of cognition impairment;
* Severe somatic diseases, such as severe cardio-cerebral vascular diseases, respiratory diseases, liver diseases, kidney diseases, or malignant tumors;
* Not signed the informed consent;
* Been engaging other studies.
2. For Healthy control group


* lifetime or current diagnosis of any mental diseases;
* severe somatic diseases, such as severe cardio-cerebral vascular diseases, respiratory diseases, liver diseases, kidney diseases, or malignant tumors;
* not signed the informed consent;
* been engaging other studies.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Capital Medical University

OTHER

Sponsor Role collaborator

Peking Union Medical College Hospital

OTHER

Sponsor Role collaborator

Tianjin Medical University General Hospital

OTHER

Sponsor Role collaborator

Tianjin Anding Hospital

OTHER

Sponsor Role collaborator

The First Hospital of Hebei Medical University

OTHER

Sponsor Role collaborator

First Hospital of China Medical University

OTHER

Sponsor Role collaborator

Dalian Seventh People's Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Shanxi Medical University

OTHER

Sponsor Role collaborator

Peking University

OTHER

Sponsor Role lead

Responsible Party

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Xin Yu

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Xin Yu, MD

Role: PRINCIPAL_INVESTIGATOR

Peking University Sixth Hospital

Locations

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Beijing Anding Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status ACTIVE_NOT_RECRUITING

Peking University Sixth Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Hebei Medical University First Hospital

Shijiazhuang, Hebei, China

Site Status ACTIVE_NOT_RECRUITING

Dalian Seventh People's Hospital

Dalian, Liaoning, China

Site Status ACTIVE_NOT_RECRUITING

First Hospital of China Medical University

Shenyang, Liaoning, China

Site Status ACTIVE_NOT_RECRUITING

First Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status ACTIVE_NOT_RECRUITING

Tianjin Anding Hospital

Tianjin, Tianjin Municipality, China

Site Status ACTIVE_NOT_RECRUITING

Tianjin Medical University General Hospital

Tianjin, Tianjin Municipality, China

Site Status ACTIVE_NOT_RECRUITING

Countries

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China

Central Contacts

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Tianmei Si, MD

Role: CONTACT

86-10-62723748 ext. 86-139109877

Gang Wang, MD

Role: CONTACT

Facility Contacts

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Gang Wang

Role: primary

86-13911695727

Changqing Hu

Role: backup

86-13661106500

Qi Liu

Role: primary

86-10-82801955 ext. 86-13671013073

References

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Cui F, Liu Q, Lv X, Tian H, Wei J, Zhang K, Zhu G, Chen Q, Wang G, Wang X, Zhang N, Huang Y, Si T, Yu X. Effect of childhood trauma on cognitive function in individuals with major depressive disorder and healthy controls. J Affect Disord. 2025 Feb 15;371:196-204. doi: 10.1016/j.jad.2024.10.059. Epub 2024 Oct 19.

Reference Type DERIVED
PMID: 39433132 (View on PubMed)

Lin J, Li JT, Kong L, Liu Q, Lv X, Wang G, Wei J, Zhu G, Chen Q, Tian H, Zhang K, Wang X, Zhang N, Yu X, Si T, Su YA. Proinflammatory phenotype in major depressive disorder with adulthood adversity: In line with social signal transduction theory of depression. J Affect Disord. 2023 Nov 15;341:275-282. doi: 10.1016/j.jad.2023.08.104. Epub 2023 Aug 30.

Reference Type DERIVED
PMID: 37657624 (View on PubMed)

Lin J, Su Y, Lv X, Liu Q, Wang G, Wei J, Zhu G, Chen Q, Tian H, Zhang K, Wang X, Zhang N, Yan H, Wang Y, Yu X, Si T. Childhood adversity, adulthood adversity and suicidal ideation in Chinese patients with major depressive disorder: in line with stress sensitization. Eur Arch Psychiatry Clin Neurosci. 2022 Aug;272(5):887-896. doi: 10.1007/s00406-021-01375-4. Epub 2022 Jan 5.

Reference Type DERIVED
PMID: 34985583 (View on PubMed)

Cui F, Liu Q, Lv X, Leonhart R, Tian H, Wei J, Zhang K, Zhu G, Chen Q, Wang G, Wang X, Zhang N, Huang Y, Si T, Yu X. Severe sleep disturbance is associated with executive function impairment in patients with first-episode, treatment-naive major depressive disorders. BMC Psychiatry. 2021 Apr 19;21(1):198. doi: 10.1186/s12888-021-03194-2.

Reference Type DERIVED
PMID: 33874911 (View on PubMed)

Lin J, Su Y, Lv X, Liu Q, Wang G, Wei J, Zhu G, Chen Q, Tian H, Zhang K, Wang X, Zhang N, Wang Y, Yu X, Si T. Perceived stressfulness mediates the effects of subjective social support and negative coping style on suicide risk in Chinese patients with major depressive disorder. J Affect Disord. 2020 Mar 15;265:32-38. doi: 10.1016/j.jad.2020.01.026. Epub 2020 Jan 10.

Reference Type DERIVED
PMID: 31959583 (View on PubMed)

Lin JY, Huang Y, Su YA, Yu X, Lyu XZ, Liu Q, Si TM. Association between Perceived Stressfulness of Stressful Life Events and the Suicidal Risk in Chinese Patients with Major Depressive Disorder. Chin Med J (Engl). 2018 Apr 20;131(8):912-919. doi: 10.4103/0366-6999.229898.

Reference Type DERIVED
PMID: 29664050 (View on PubMed)

Lv X, Si T, Wang G, Wang H, Liu Q, Hu C, Wang J, Su Y, Huang Y, Jiang H, Yu X. The establishment of the objective diagnostic markers and personalized medical intervention in patients with major depressive disorder: rationale and protocol. BMC Psychiatry. 2016 Jul 15;16:240. doi: 10.1186/s12888-016-0953-z.

Reference Type DERIVED
PMID: 27422150 (View on PubMed)

Other Identifiers

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2013CB531305

Identifier Type: -

Identifier Source: org_study_id

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