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N/A N=32 Randomized Quadruple-blind Treatment

Methylphenidate for Depressed Cancer Patients Receiving Palliative Care

Depression · Palliative Care · Cancer · Mental Disorder

Enrolled (actual)
32
Serious AEs
34.4%
Results posted
Feb 2014
Primary outcome: Primary: Days to Remission of Depression — 10.3; 8.1 Days

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Methylphenidate (Drug); Placebo (Drug); Selective Serotonin Uptake Inhibitor (SSRI) (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
US Department of Veterans Affairs
Primary completion
Sep 2009

Outcome Measures

OutcomeResultp-value
PRIMARY
Days to Remission of Depression
10.3; 8.1

Summary

The purpose of this study is to determine whether methylphenidate is an effective treatment for depression and to document the safety and tolerability of methylphenidate in combination with an Selective Serotonin Reuptake Inhibitor (SSRI) in SSRI treated, terminally ill, hospice and palliative care cancer patients. The investigators hypothesize that depressed hospice and palliative care patients will be more likely to have a 50% reduction in scores on a clinical measure of depression after treatment with Methylphenidate plus an SSRI compared to those patients who are taking a placebo plus an SSRI.

Eligibility Criteria

Inclusion Criteria

Inclusion:

  • Either enrolled in the OHSU radiology/oncology clinic or VA palliative care, and living within 120 miles of the Portland VAMC.
  • Life-limiting disease is any type of solid or blood cancer.
  • Eighteen years of age or older.
  • Life expectancy of 1 year or less as reflected by hospice admission or palliative care status. Although exact life expectancy can not be predicted, actively dying patients with estimated life expectancy of 3.0, or severe liver disease as reflected by jaundice or hepatic encephalopathy.
  • Unable to swallow pills, however if patient has gastrostomy tube or feeding tube in place the study medicines may be administered by this route. Pills may be poured into food.
  • Receiving hospice care in a skilled nursing facility.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00129467). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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