Relapse Predicting Model for First Episode Depression

NCT ID: NCT02942251

Last Updated: 2016-10-26

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

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-31

Study Completion Date

2019-12-31

Brief Summary

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Major depressive depression(MDD) is an severe public mental disorders. The purpose of current study is using big data analysis based on clinical features and immunochemistry to investigate and establish an relapse predict model for patients with first episode MDD.

Detailed Description

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Major depressive depression(MDD) is an severe public mental disorders. The purpose of current study is using big data analysis based on clinical features and immunochemistry to investigate and establish an relapse predict model for patients with first episode MDD.

This study includes two steps. Step 1: Big data analysis based on the clinical features and immunochemical figures of 30000 patients with first episode MDD will be conducted to construct a relapse predict model.

Step 2: 300 patients with first episode MDD will be recruited in this step. Physicians prefer to give corresponding treatment recommendation based on the predictive factors to verify this relapse model.

Conditions

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Major Depressive Disorders

Keywords

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MDD big data analytics

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Clinical features and medication

A group patients with significant high risk of clinical features and medications.

Group Type EXPERIMENTAL

Clinical features and medication

Intervention Type OTHER

This group will be suggested to take optimize treatment according to Chinese treatment guidelines.

Psycho-social

A group patients with significant high risk of psycho-social problems.

Group Type EXPERIMENTAL

Psycho-social

Intervention Type OTHER

This group will be suggested to add on psychotherapy on medical treatment.

immunology

A group patients with significant high risk of immune disturbance.

Group Type EXPERIMENTAL

immunology

Intervention Type OTHER

This group will be suggested to add on Omega-3 polyunsaturated fatty acid(PUFAs) on medical treatment.

Laboratory abnormality

A group patients with significant high risk of Laboratory abnormalities.

Group Type EXPERIMENTAL

Laboratory abnormality

Intervention Type OTHER

This group will be suggested to more safety antidepressants.

Comorbidity

A group patients with physical or mental disorders comorbidities.

Group Type EXPERIMENTAL

Comorbidity

Intervention Type OTHER

This group will be suggested to treat their comorbidities as well as treat MDD.

Treatment as usual

Control group.

Group Type EXPERIMENTAL

Treatment as usual

Intervention Type OTHER

Patients will accept routine treatments based on psychiatrist experience, not based on the relapse predict model.

Interventions

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Clinical features and medication

This group will be suggested to take optimize treatment according to Chinese treatment guidelines.

Intervention Type OTHER

Psycho-social

This group will be suggested to add on psychotherapy on medical treatment.

Intervention Type OTHER

immunology

This group will be suggested to add on Omega-3 polyunsaturated fatty acid(PUFAs) on medical treatment.

Intervention Type OTHER

Laboratory abnormality

This group will be suggested to more safety antidepressants.

Intervention Type OTHER

Comorbidity

This group will be suggested to treat their comorbidities as well as treat MDD.

Intervention Type OTHER

Treatment as usual

Patients will accept routine treatments based on psychiatrist experience, not based on the relapse predict model.

Intervention Type OTHER

Other Intervention Names

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Treatment as usual(TAU)

Eligibility Criteria

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Inclusion Criteria

* Age from 18 to 65 years old;
* Han Chinese;
* Outpatient and inpatient patients;
* Patients met Diagnostic and Statistical Manual of Mental Disorders(DSM-IV-TR) criteria of bipolar I or II disorder, currently depressed, ascertained with the Mini International Neuropsychiatric Interview (MINI)
* Hamilton Depression Scale(HAM-D) total score≥17, HAM-D item 1 (depressed mood) score≥2, and Young Mania Rating Scale(YMRS) total score≤10 at baseline;
* Written informed consent was given;
* Junior high school education and above, with enough audio-visual ability to accomplish the visits;
* Normally resident in one country and had a residential address, able to follow-up.

Exclusion Criteria

* Bipolar disorder rapid cycling or mixed episode;
* Experienced DSM-IV-TR axis I disorders in the 6 months prior to randomization;
* Severe personality disorder, metal retardation, anorexia/bulimia nervosa;
* Actively suicide ascertained by research psychiatrist or HAM-D item 3 score≥3(suicidality);
* Female patients who were pregnant, planning to be pregnant or breast feeding;
* Severe medical or neurological problems.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Shanghai Mental Health Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jun Chen, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

Shanghai Mental Health Center

Central Contacts

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Jun Chen, M.D., Ph.D

Role: CONTACT

Phone: 021-34773367

Email: [email protected]

Jia Huang, Master

Role: CONTACT

Phone: 13750892815

Email: [email protected]

Other Identifiers

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Pending

Identifier Type: -

Identifier Source: org_study_id