Safety of Liposom With Citalopram in Elderly Patients With Major Depressive Disorder

NCT ID: NCT04975724

Last Updated: 2024-01-17

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-18

Study Completion Date

2025-12-31

Brief Summary

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The purpose of this study is to determine if Liposom Forte will enhance the response to antidepressant therapy with citalopram in elderly patients suffering from Major Depressive Disorder (MDD).

Detailed Description

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The effects of phospholipid liposomes when associated with antidepressant drugs are very interesting. In addition to an improvement of somatic symptoms of depression, measured with the Hamilton Rate Scale for Depression, liposomes are able to reduce the latency of onset of the antidepressant activity of drugs like amitriptyline, clomipramine, and trazodone. These results indicate that phospholipids can be used as an adjuvant to antidepressant therapy, also allowing specific antidepressant drug dose reduction. Thus, the hypothesis is that combination therapy would not only lead to greater efficacy, but also to a more rapid onset of therapeutic response. The addition of Liposom Forte may be clinically important since it may ensure the use of lower citalopram doses, thereby reducing the risk of adverse events, and this may prove to be important, especially in elderly people.

Conditions

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Major Depressive Disorder

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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Group A Liposom Forte + Citalopram

Liposom Forte (2 ampoules of 28mg/2 ml) for 30 days + citalopram (10mg) for 90 days

Group Type EXPERIMENTAL

Liposom Forte

Intervention Type DRUG

Liposom Forte 28mg/2ml solution for injection contains a mixture of purified hypothalamic phospholipids (PLs) from swine brains. The key components of the phospholipid mixture are phosphatidylcholine (PC), phosphatidylethanolamine (PE) and phosphatidylserine (PS).

Citalopram

Intervention Type DRUG

The medicinal product Citalopram Aurobindo contains citalopram as active ingredient available on the market in 20 mg film coated tablets. The tablets are divisible in two equal part of 10 mg as reported in the SmPC

Group B Placebo + Citalopram

Placebo (2 ampoules of 2 ml) for 30 days + citalopram (10mg) for 90 days

Group Type EXPERIMENTAL

Citalopram

Intervention Type DRUG

The medicinal product Citalopram Aurobindo contains citalopram as active ingredient available on the market in 20 mg film coated tablets. The tablets are divisible in two equal part of 10 mg as reported in the SmPC

Placebo

Intervention Type OTHER

Liposom Forte Placebo (2 ampoules of 2 ml solution for injection)

Interventions

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Liposom Forte

Liposom Forte 28mg/2ml solution for injection contains a mixture of purified hypothalamic phospholipids (PLs) from swine brains. The key components of the phospholipid mixture are phosphatidylcholine (PC), phosphatidylethanolamine (PE) and phosphatidylserine (PS).

Intervention Type DRUG

Citalopram

The medicinal product Citalopram Aurobindo contains citalopram as active ingredient available on the market in 20 mg film coated tablets. The tablets are divisible in two equal part of 10 mg as reported in the SmPC

Intervention Type DRUG

Placebo

Liposom Forte Placebo (2 ampoules of 2 ml solution for injection)

Intervention Type OTHER

Other Intervention Names

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Liposom Placebo of Liposom Forte

Eligibility Criteria

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Inclusion Criteria

1. Meets DSM-V criteria for major depressive disorder
2. Score of ≥ 16 in the HAM-D
3. Score of ≥ 23 on the Mini-Mental State Exam (MMSE-2)
4. Aged ≥ 65 and \< 85 years
5. Patients able to understand the study procedures and to comply with protocol requirements
6. Patients legally able to give written informed consent to the trial (signed and dated by the subject)

Exclusion Criteria

1. Any contraindication for treatment or intolerance to Liposom Forte or citalopram
2. Congenital long QT syndrome, bradycardia, recent acute myocardial infarction, uncompensated heart failure or concomitant use of drugs that prolong the QT interval
3. History of psychiatric disorder other than major depressive disorder, including history of substance use disorder
4. Presence of psychotic symptoms, even if they are not sufficient to make diagnosis of a mental disorder
5. Severe organic disease (e.g., major surgery, metastatic cancer, stroke, delirium, severe neurological disorder, heart attack, chronic heart failure, asthma, severe cardio circulatory disorders)
6. Diabetes Mellitus type I and II
7. Acute suicidal or violent behaviour or history of suicide attempt within the year prior to study entry or current suicidal ideation
8. Treated with long acting injectable (LAI) antipsychotics within 6 months prior to study entry
9. Treated with any antipsychotics, antidepressant, food supplements or over-the-counter CNS-active medications (e.g, St. John's Wort, melatonin, Selective Serotonin Reuptake Inhibitors \[SSRIs\], Serotonin and norepinephrine reuptake inhibitors \[SNRIs\], Monoamine-Oxidase Inhibitors \[MAOIs\], or other antidepressants) within 4 weeks prior to the first administration of study medication
10. Ongoing or planned psychotherapy or other psychological treatment during the study period
Minimum Eligible Age

65 Years

Maximum Eligible Age

84 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fidia Farmaceutici s.p.a.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nicola Giordan

Role: STUDY_DIRECTOR

Fidia Farmaceutici s.p.a.

Locations

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UOC Geriatria e Lungodegenza Geriatrica PO San Filippo e Nicola di Avezzano - ASL1 Avezzano Sulmona L'aquila

Avezzano, , Italy

Site Status RECRUITING

UO Psichiatria - ASST Papa Giovanni XXIII

Bergamo, , Italy

Site Status ACTIVE_NOT_RECRUITING

Ambulatorio Psichiatrico, UOC Psichiatria Presidio Ospedaliero di Codogno - ASST Lodi

Codogno, , Italy

Site Status ACTIVE_NOT_RECRUITING

SOD Geriatria-UTIG Azienda Ospedaliero-Universitaria Careggi

Florence, , Italy

Site Status ACTIVE_NOT_RECRUITING

Servizio Psichiatrico di Diagnosi e Cura (SPDC) Foggia, Ospedali Riuniti di Foggia

Foggia, , Italy

Site Status ACTIVE_NOT_RECRUITING

Servizio Psichiatrico di Diagnosi e Cura (SPDC) - ASL3 Ente Ospedaliero Ospedali Galliera

Genova, , Italy

Site Status ACTIVE_NOT_RECRUITING

Ambulatorio Clinica Psichiatrica, Ospedale Policlinico S. Martino

Genova, , Italy

Site Status ACTIVE_NOT_RECRUITING

UOC Geriatria PO San Salvatore - ASL1 Avezzano Sulmona L'Aquila

L’Aquila, , Italy

Site Status ACTIVE_NOT_RECRUITING

SPDC Ospedale Fatebenefratell, UOC Psichiatria 1 ASST Fatebenefratelli Sacco

Milan, , Italy

Site Status RECRUITING

Centro Depressione Anziani S.C. Psichiatria 51, ASST Santi Paolo e Carlo - Presidio San Paolo

Milan, , Italy

Site Status RECRUITING

UOC Psichiatria - Azienda Ospedaliero-Universitaria Sant'Andrea

Roma, , Italy

Site Status ACTIVE_NOT_RECRUITING

Clinica Psichiatrica, Azienda Sanitaria Universitaria Integrata di Udine

Udine, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Nicola Giordan, Dr

Role: CONTACT

0039 049 8232512

Facility Contacts

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Giovambattista Desideri

Role: primary

Bernardo Dell'Osso

Role: primary

Simone Cavallotti

Role: primary

Matteo Balestrieri

Role: primary

Other Identifiers

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QQ05.16.02

Identifier Type: -

Identifier Source: org_study_id

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