Trial Outcomes & Findings for Imaging Dopamine Release in Depression (NCT NCT02033369)

NCT ID: NCT02033369

Last Updated: 2019-11-01

Results Overview

Hamilton Rating Scale for Depression (HRSD), 17-item version. This standard scale will be used to assess severity of depression, looking at change in total score from baseline to week 6, rating severity of depression on a scale from 0 (least depression) to 50 (greatest depression)

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

52 participants

Primary outcome timeframe

Baseline and 6 weeks

Results posted on

2019-11-01

Participant Flow

Participant milestones

Participant milestones
Measure
MDD Patients
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Healthy Controls
Individuals without depression
Overall Study
STARTED
26
26
Overall Study
COMPLETED
21
21
Overall Study
NOT COMPLETED
5
5

Reasons for withdrawal

Reasons for withdrawal
Measure
MDD Patients
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Healthy Controls
Individuals without depression
Overall Study
Physician Decision
1
2
Overall Study
Not a good demographic match
0
2
Overall Study
Withdrawal by Subject
1
1
Overall Study
Lost to Follow-up
1
0
Overall Study
Protocol Violation
2
0

Baseline Characteristics

Only 22 MDD patients started treatment. Healthy controls, as per study design, did not receive treatment.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MDD Patients
n=26 Participants
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Healthy Control Patients
n=25 Participants
Healthy control patients did not receive study medication and only have baseline measures.
Total
n=51 Participants
Total of all reporting groups
Age, Continuous
26.5 years
STANDARD_DEVIATION 6.1 • n=5 Participants
26.5 years
STANDARD_DEVIATION 5.6 • n=7 Participants
26.5 years
STANDARD_DEVIATION 5.8 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
12 Participants
n=7 Participants
25 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
13 Participants
n=7 Participants
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=5 Participants
16 Participants
n=7 Participants
32 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
10 Participants
n=7 Participants
22 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Hamilton Rating Scale for Depression
20.3 units on a scale
STANDARD_DEVIATION 2.7 • n=5 Participants
0.2 units on a scale
STANDARD_DEVIATION 0.4 • n=7 Participants
10.4 units on a scale
STANDARD_DEVIATION 10.3 • n=5 Participants
Snaith Hamilton Pleasure Scale
31.9 units on a scale
STANDARD_DEVIATION 6.5 • n=5 Participants
18.9 units on a scale
STANDARD_DEVIATION 4.8 • n=7 Participants
25.7 units on a scale
STANDARD_DEVIATION 8.7 • n=5 Participants
Temporal Experience of Pleasure Scale - Anticipatory Subscale
36.1 units on a scale
STANDARD_DEVIATION 8.0 • n=5 Participants
49.0 units on a scale
STANDARD_DEVIATION 5.2 • n=7 Participants
42.4 units on a scale
STANDARD_DEVIATION 9.3 • n=5 Participants
Mood and Anxiety Symptom Questionnaire
174.5 units on a scale
STANDARD_DEVIATION 28.6 • n=5 Participants
83.9 units on a scale
STANDARD_DEVIATION 13.3 • n=7 Participants
130.1 units on a scale
STANDARD_DEVIATION 50.8 • n=5 Participants
Apathy Evaluation Rating Scale
41.8 units on a scale
STANDARD_DEVIATION 9.7 • n=5 Participants
23.8 units on a scale
STANDARD_DEVIATION 4.9 • n=7 Participants
33.0 units on a scale
STANDARD_DEVIATION 11.8 • n=5 Participants
Clinical Global Impression Severity
3.9 units on a scale
STANDARD_DEVIATION 0.7 • n=5 Participants • Only 22 MDD patients started treatment. Healthy controls, as per study design, did not receive treatment.
1.0 units on a scale
STANDARD_DEVIATION 0 • n=7 Participants • Only 22 MDD patients started treatment. Healthy controls, as per study design, did not receive treatment.
1.9 units on a scale
STANDARD_DEVIATION 0.4 • n=5 Participants • Only 22 MDD patients started treatment. Healthy controls, as per study design, did not receive treatment.
Temporal Experience of Pleasure Scale - Consummatory Subscale
29.9 units on a scale
STANDARD_DEVIATION 7.6 • n=5 Participants
38.4 units on a scale
STANDARD_DEVIATION 7.2 • n=7 Participants
34.1 units on a scale
STANDARD_DEVIATION 8.5 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline and 6 weeks

Population: Healthy control subjects were not assessed for outcome measures because by study design they received no therapeutic intervention.

Hamilton Rating Scale for Depression (HRSD), 17-item version. This standard scale will be used to assess severity of depression, looking at change in total score from baseline to week 6, rating severity of depression on a scale from 0 (least depression) to 50 (greatest depression)

Outcome measures

Outcome measures
Measure
Pramipexole
n=22 Participants
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Change in Hamilton Rating Scale for Depression
8.4 units on a scale
Standard Deviation 5.4

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: Healthy control subjects were not assessed for outcome measures because by study design they received no therapeutic intervention.

Fourteen-item self-rated anhedonia scale. Items were comprised of statements that participants rated as "strongly disagree" (1), "disagree" (2), "agree" (3), or "strongly agree" (4). The lowest possible score was 14, the highest possible score was 56.

Outcome measures

Outcome measures
Measure
Pramipexole
n=22 Participants
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Change in Snaith Hamilton Pleasure Scale
26 units on a scale
Standard Deviation 7.51

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: Healthy control subjects were not assessed for outcome measures because by study design they received no therapeutic intervention.

A validated self-rated scale shown to assess anticipatory pleasure. It will be used for exploratory analyses of anhedonia. 18 items were measured on a scale of 1 (very false for me) to 6 (very true for me). Higher scores indicate higher pleasure. Item scores were added for a lowest possible score of 18 and highest possible score of 108.

Outcome measures

Outcome measures
Measure
Pramipexole
n=22 Participants
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Change in Temporal Experience of Pleasure Scale - Anticipatory Subscale
43.2 units on a scale
Standard Deviation 7.9

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: Healthy control subjects were not assessed for outcome measures because by study design they received no therapeutic intervention.

Change in Mood and Anxiety Symptom Questionnaire, Short Form. A 62-item scale assessing anxiety and depression. Items were measured on a scale of 1-5, higher number indicating higher levels of symptoms.The lowest possible score was 62, and the highest 310.

Outcome measures

Outcome measures
Measure
Pramipexole
n=22 Participants
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Change in Mood and Anxiety Symptom Questionnaire, Short Form
123.1 units on a scale
Standard Deviation 36.3

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: Healthy control subjects were not assessed for outcome measures because by study design they received no therapeutic intervention.

A validated self-rated 18 item scale assessing apathy. Items were rated from 1 (not at all true) to 4 (very true). Higher scores indicate lower apathy, lower scores indicate higher apathy. Lowest possible score is 18, highest possible score is 72.

Outcome measures

Outcome measures
Measure
Pramipexole
n=22 Participants
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Change in the Apathy Evaluation Rating Scale
31.7 units on a scale
Standard Deviation 9.5

SECONDARY outcome

Timeframe: 6 weeks

Population: Healthy control subjects were not assessed for outcome measures because by study design they received no therapeutic intervention.

Seven-point Likert scale rating clinical severity of mental illness from 1 (least severe) to 7 ( most severe). Physician-rated scale. One item.

Outcome measures

Outcome measures
Measure
Pramipexole
n=22 Participants
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Change in Clinical Global Improvement - Severity Scale
2.59 units on a scale
Standard Deviation 1.10

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: Healthy control subjects were not assessed for outcome measures because by study design they received no therapeutic intervention.

A validated self-rated scale shown to assess consummatory pleasure. It will be used for exploratory analyses of anhedonia. 18 items were measured on a scale of 1 (very false for me) to 6 (very true for me). Higher scores indicate higher pleasure. Item scores were added for a lowest possible score of 18 and highest possible score of 108.

Outcome measures

Outcome measures
Measure
Pramipexole
n=22 Participants
Six weeks of treatment with oral pramipexole, initiated at 0.25 mg/day and titrated to a maximum daily dose of 2.5 mg. Pramipexole: Dose will be started at 0.125 mg bid, and increased by 0.25 mg/day every 3-4 days to a target range of 1.0 - 2.5 mg/day
Change in Temporal Experiences of Pleasure Scale -- Consummatory Subscale
35.6 units on a scale
Standard Deviation 6.6

Adverse Events

MDD Patients

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
MDD Patients
n=22 participants at risk
Only patients with MDD received treatment. There was only one arm.
Nervous system disorders
headache
59.1%
13/22 • Number of events 13 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Gastrointestinal disorders
nausea
81.8%
18/22 • Number of events 18 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Gastrointestinal disorders
Heartburn
31.8%
7/22 • Number of events 7 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Gastrointestinal disorders
Vomiting
31.8%
7/22 • Number of events 7 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Gastrointestinal disorders
Decreased Appetite
27.3%
6/22 • Number of events 6 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Gastrointestinal disorders
Increased Appetite
27.3%
6/22 • Number of events 6 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
General disorders
Dry Mouth
45.5%
10/22 • Number of events 10 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Gastrointestinal disorders
Constipation
18.2%
4/22 • Number of events 4 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Gastrointestinal disorders
Diarrhea
22.7%
5/22 • Number of events 5 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Skin and subcutaneous tissue disorders
Sweating
18.2%
4/22 • Number of events 4 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Skin and subcutaneous tissue disorders
Skin Problems
22.7%
5/22 • Number of events 5 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Blood and lymphatic system disorders
Bruising
9.1%
2/22 • Number of events 2 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Psychiatric disorders
Restlessness
40.9%
9/22 • Number of events 9 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Musculoskeletal and connective tissue disorders
tremor
9.1%
2/22 • Number of events 2 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Musculoskeletal and connective tissue disorders
Impaired Coordination
18.2%
4/22 • Number of events 4 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Psychiatric disorders
Insomnia
40.9%
9/22 • Number of events 9 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
General disorders
fatigue
9.1%
2/22 • Number of events 2 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Psychiatric disorders
somnolence
50.0%
11/22 • Number of events 11 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Psychiatric disorders
Sleep Attacks
22.7%
5/22 • Number of events 5 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Reproductive system and breast disorders
decreased libido
31.8%
7/22 • Number of events 7 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Reproductive system and breast disorders
Sexual Dysfunction
13.6%
3/22 • Number of events 3 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Eye disorders
Blurry Vision
27.3%
6/22 • Number of events 6 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Nervous system disorders
Lightheadedness
45.5%
10/22 • Number of events 10 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Nervous system disorders
Dizziness
36.4%
8/22 • Number of events 8 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Psychiatric disorders
Forgetfulness
31.8%
7/22 • Number of events 7 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Psychiatric disorders
Impaired Concentration
9.1%
2/22 • Number of events 2 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.
Psychiatric disorders
compulsive behaviorws
13.6%
3/22 • Number of events 3 • 6 weeks
Information was collected on a side effect checklist, with each adverse event rated from 0 (absent) to 3 (severe). A subject was considered to have experienced a side effect during the study if the rating for that adverse event increased in severity at any point during the treatment. Adverse events were not assessed for Healthy Controls, because by study design they did not receive any therapeutic intervention.

Additional Information

Franklin Schneier, MD

NYSPI

Phone: 646-774-8041

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place