Efficacy of Dextromethorphan-Bupropion Versus SSRIs in the Treatment of Major Depressive Disorder

NCT ID: NCT06957223

Last Updated: 2025-07-09

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-06

Study Completion Date

2025-12-31

Brief Summary

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The study aims to compare the antidepressant effects of a dextromethorphan-bupropion combination versus standard SSRI therapy in adult patients with major depressive disorder. Participants will be randomized into two groups: one receiving dextromethorphan-bupropion and the other receiving an SSRI (e.g., sertraline or escitalopram). Treatment will last for 6 weeks, with assessments at baseline and study completion. The primary outcome will be the remission rate measured by a validated depression rating scale. Secondary outcomes include change in depressive symptoms severity and safety/tolerability measures.

Detailed Description

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Conditions

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Major Depressive Disorder (MDD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Dextromethorphan-Bupropion Group

Participants will receive a fixed-dose combination of dextromethorphan-bupropion, dosed according to approved guidelines for major depressive disorder, administered orally for 6 weeks.

Group Type EXPERIMENTAL

Dextromethorphan-Bupropion

Intervention Type DRUG

Participants will receive a fixed-dose combination of dextromethorphan-bupropion, dosed according to approved guidelines for major depressive disorder, administered orally for 6 weeks.

SSRI Group

Participants will receive an SSRI at standard therapeutic doses, administered orally for 6 weeks.

Group Type ACTIVE_COMPARATOR

SSRIs

Intervention Type DRUG

Participants will receive an SSRI at standard therapeutic doses, administered orally for 6 weeks.

Interventions

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Dextromethorphan-Bupropion

Participants will receive a fixed-dose combination of dextromethorphan-bupropion, dosed according to approved guidelines for major depressive disorder, administered orally for 6 weeks.

Intervention Type DRUG

SSRIs

Participants will receive an SSRI at standard therapeutic doses, administered orally for 6 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Diagnosed with major depressive disorder (MDD) per DSM-5 criteria.

Baseline depression score indicating moderate to severe depression

Ability to provide informed consent

Willing to comply with study requirements

Exclusion Criteria

History of bipolar disorder, schizophrenia, or other psychotic disorders

Current substance use disorder (within past 6 months)

Active suicidal ideation requiring urgent intervention

Pregnancy or breastfeeding

Known hypersensitivity to study medications
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CMH Nowshera

UNKNOWN

Sponsor Role collaborator

Asad Ullah Jan

OTHER_GOV

Sponsor Role lead

Responsible Party

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Asad Ullah Jan

Head Department of Psychiatry

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Combined Military Hospital

Nowshera, KPK, Pakistan

Site Status

Department of Psychiatry, Combined Military Hospital Nowshera

Nowshera, KPK, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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CMHNSR-REF-16

Identifier Type: -

Identifier Source: org_study_id

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