Clinical Study to Evaluate the Possible Efficacy of Dapagliflozin and Atorvastatin in Patients With Major Depressive Disorders

NCT ID: NCT05792540

Last Updated: 2025-01-03

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-06

Study Completion Date

2024-12-20

Brief Summary

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Major depressive disorder (MDD) is a significant cause of disability that affects approximately 16% of the world's population and is associated with chronic inflammation. Although the mechanisms of MDD have not yet been clearly elucidated, NLRP3 inflammasomes have been implicated in the pathogenesis of depression.NLRP3 inflammasome is an intracellular multiprotein complex that consists of nod-like receptor protein 3, an adaptor protein, and a procaspase-1 precursor. It is well known that a variety of danger signals, such as pathogen-associated molecular patterns and danger-associated molecular patterns can activate NLRP3 inflammasome

Detailed Description

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Conditions

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Depressive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
double-blind

Study Groups

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Control Group

Control group ( fluoxetine 20 mg, n =25 ) who will receive fluoxetine (20 mg) once daily for 3 months

Group Type ACTIVE_COMPARATOR

Fluoxetine 20 mg

Intervention Type DRUG

Fluoxetine is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). It's often used to treat depression, and sometimes obsessive-compulsive disorder and bulimia. It works by increasing the levels of serotonin in the brain

Dapagliflozin group

Patients will receive fluoxetine (20 mg) once daily plus dapagliflozin 10 mg once daily for 3 months

Group Type ACTIVE_COMPARATOR

Fluoxetine 20 mg

Intervention Type DRUG

Fluoxetine is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). It's often used to treat depression, and sometimes obsessive-compulsive disorder and bulimia. It works by increasing the levels of serotonin in the brain

Dapagliflozin 10mg Tab

Intervention Type DRUG

Dapagliflozin (DAPA), a sodium-glucose co-transporter 2 inhibitor (SGLT2-I), has proven to be an effective hyperglycemic suppressor due to its role in inhibiting the reabsorption of 30-50% of the glucose filtered by the kidney, besides its role in the improvement of insulin resistance

Atorvastatin group

Patients will receive fluoxetine (20 mg) once daily plus atorvastatin 80 mg once daily for 3 months

Group Type ACTIVE_COMPARATOR

Fluoxetine 20 mg

Intervention Type DRUG

Fluoxetine is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). It's often used to treat depression, and sometimes obsessive-compulsive disorder and bulimia. It works by increasing the levels of serotonin in the brain

Atorvastatin 80mg

Intervention Type DRUG

Atorvastatin is a synthetic and lipophilic statin, a class of drugs used in the treatment of hypercholesterolemia

Interventions

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Fluoxetine 20 mg

Fluoxetine is a type of antidepressant known as a selective serotonin reuptake inhibitor (SSRI). It's often used to treat depression, and sometimes obsessive-compulsive disorder and bulimia. It works by increasing the levels of serotonin in the brain

Intervention Type DRUG

Dapagliflozin 10mg Tab

Dapagliflozin (DAPA), a sodium-glucose co-transporter 2 inhibitor (SGLT2-I), has proven to be an effective hyperglycemic suppressor due to its role in inhibiting the reabsorption of 30-50% of the glucose filtered by the kidney, besides its role in the improvement of insulin resistance

Intervention Type DRUG

Atorvastatin 80mg

Atorvastatin is a synthetic and lipophilic statin, a class of drugs used in the treatment of hypercholesterolemia

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

\- Age ≥ 18 years Both males and females will be included Negative pregnancy test and effective contraception. Depressed patients for at least 2 months with a Hamilton rating score of more than 18.

Exclusion Criteria

* Patients with bipolar I or bipolar II disorder
* Patients with personality disorders
* Patients with eating disorders
* Patients with substance dependence or abuse
* Patients with concurrent active medical conditions
* Patients with a history of seizures
* Patients with a history of receiving Electroconvulsive therapy (ECT)
* Patients with inflammatory disorders
* Patients with allergies or contraindications to the used medications
* Patients with finally pregnant or lactating females
* Diabetic or hyperlipidaemic patients
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Manal Ali Mahrous Hamouda Faculty of Pharmacy, Menufia University

UNKNOWN

Sponsor Role collaborator

Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Mostafa Bahaa

Teaching Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Medicine, Menoufia University

Tanta, Shebeen El-Kom, Egypt

Site Status

Countries

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Egypt

References

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Aldossary KM, Ali LS, Abdallah MS, Bahaa MM, Elmasry TA, Elberri EI, Kotkata FA, El Sabaa RM, Elmorsi YM, Kamel MM, Negm WA, Elberri AI, Hamouda AO, AlRasheed HA, Salahuddin MM, Yasser M, Hamouda MA. Effect of a high dose atorvastatin as added-on therapy on symptoms and serum AMPK/NLRP3 inflammasome and IL-6/STAT3 axes in patients with major depressive disorder: randomized controlled clinical study. Front Pharmacol. 2024 May 24;15:1381523. doi: 10.3389/fphar.2024.1381523. eCollection 2024.

Reference Type DERIVED
PMID: 38855751 (View on PubMed)

Other Identifiers

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4/2023

Identifier Type: -

Identifier Source: org_study_id

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