Dopamine Modulation of Motivation and Motor Function in Major Depression & Inflammation

NCT ID: NCT05909267

Last Updated: 2024-07-03

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

RECRUITING

Clinical Phase

NA

Total Enrollment

165 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-26

Study Completion Date

2025-10-31

Brief Summary

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A large body of evidence on depression heterogeneity point to an "immunometabolic" subtype characterized by the clustering of immunometabolic dysregulations with atypical behavioral symptoms related to energy homeostasis. Motivational and motor impairments reflected by symptoms of anhedonia and psychomotor retardation in major depression are closely related to alterations in energy homeostasis, are associated with increased inflammation, and may be a direct consequence of the impact of inflammatory cytokines on the dopamine system in the brain. In the proposed project, the investigators will examine the effect of dopamine stimulation on motivation and motor function in patients with major depression and healthy controls and the role of inflammation using a double-blind, randomized, placebo-controlled, cross-over design. If successful, this study would provide crucial evidence that pharmacologic strategies that increase dopamine may effectively treat inflammation-related symptoms of anhedonia and psychomotor retardation in major depression.

Detailed Description

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Conditions

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Depressive Disorder, Major

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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L-dopa/Carbidopa followed by placebo

Participants will receive first L-dopa/Carbidopa (100/25 mg), and then placebo.

Group Type EXPERIMENTAL

L-dopa/Carbidopa

Intervention Type DRUG

Patients and healthy controls will receive one time administration of L-dopa/Carbidopa (100/25 mg).

Placebo

Intervention Type DRUG

Patients and healthy controls will receive one time administration of Placebo.

Placebo followed by L-dopa/Carbidopa

Participants will receive first placebo, and then L-dopa/Carbidopa (100/25 mg).

Group Type EXPERIMENTAL

L-dopa/Carbidopa

Intervention Type DRUG

Patients and healthy controls will receive one time administration of L-dopa/Carbidopa (100/25 mg).

Placebo

Intervention Type DRUG

Patients and healthy controls will receive one time administration of Placebo.

Interventions

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L-dopa/Carbidopa

Patients and healthy controls will receive one time administration of L-dopa/Carbidopa (100/25 mg).

Intervention Type DRUG

Placebo

Patients and healthy controls will receive one time administration of Placebo.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

For patients with major depressive disorder:

* diagnosis of major depressive disorder according to DSM-5
* free of antidepressant medication

For healthy participants:

* C-reactive protein (CRP): ≤ 1 mg/l
* free of antidepressant medication
* free of any current psychiatric disorder

Exclusion Criteria

* diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, dementia, and current/past alcohol or drug dependence
* central nervous system diseases
* neurological diseases
* suspicious undiagnosed skin lesions or a history of melanoma
* narrow-angle or wide-angle glaucoma
* bronchial asthma
* history of peptic ulcer disease
* history of seizures
* any severe somatic disease
* current infections or chronic inflammatory diseases (e.g., rheumatic diseases, inflammatory bowel disease)
* pregnancy / breast-feeding
* class 3 obesity (body mass index of 40 or higher)
* Use of medication containing reserpine (certain antihypertensive agents), tricyclic antidepressants, bon-selective monoamine oxidase (MAO) inhibitors, antiparkinsonian drugs, sympathomimetic drugs, tetrabenazine.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Prof. Dr. Stefan M. Gold

UNKNOWN

Sponsor Role collaborator

Prof. Dr. Soyoung Q Park

UNKNOWN

Sponsor Role collaborator

Dr. Ulrike Grittner

UNKNOWN

Sponsor Role collaborator

Motognosis GmbH

UNKNOWN

Sponsor Role collaborator

Charite University, Berlin, Germany

OTHER

Sponsor Role lead

Responsible Party

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Woo Ri Chae, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Woo Ri Chae, MD MSc

Role: PRINCIPAL_INVESTIGATOR

Charite University, Berlin, Germany

Locations

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Klinik für Psychiatrie und Psychotherapie

Steglitz, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Woo Ri Chae, MD MSc

Role: CONTACT

+49 30 450 517625

Facility Contacts

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Woo Ri Chae, MD MSc

Role: primary

030 450 517625

Other Identifiers

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MOTIVADE

Identifier Type: -

Identifier Source: org_study_id

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