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N/A N=37 Treatment

Pre-Treatment Positron Emission Topography Scanning for Increasing Success in Antidepressant Treatment

Depression

Enrolled (actual)
37
Serious AEs
0.0%
Results posted
Jun 2017
Primary outcome: Primary: Remission of Depressive Symptoms — 14; 14 participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Escitalopram (Drug); Desipramine (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
New York State Psychiatric Institute
Primary completion
May 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Remission of Depressive Symptoms
14; 14
SECONDARY
Remission of Depressive Symptoms - Tricyclic Phase
1; 3
SECONDARY
Improvement in Scores on the Hamilton Depression Rating Scale - SSRI Phase
45.46; 30.01

Summary

This study will use pre-treatment positron emission topography and functional magnetic resonance imaging scans of the brain to predict the most effective antidepressant treatment for people with major depressive disorder.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of current major depressive disorder
  • Currently depressed
  • Subjects must be generally healthy with no significant medical problems, anemia/blood loss, or cardiac abnormalities
  • Likely to tolerate medication washout
  • Capacity to provide informed consent
  • Off of anti-coagulant/anti-platelet treatment for 10 days
  • Willing to travel to Brookhaven for PET scanning

Exclusion Criteria

  • Current abuse of or dependence on alcohol or another substance (>6 months remission okay)
  • History of other major psychiatric disorders such as bipolar, schizophrenia, schizoaffective; anorexia or bulimia in past year
  • First degree family history of schizophrenia if subject is under 33
  • Unable/unwilling to discontinue all psychotropic medication that affects the serotonin system
  • Pregnant, breastfeeding, or planning to become pregnant during the study
  • A medical contraindication to antidepressants
  • Dementia
  • Prior head trauma with evidence of cognitive impairment
  • Well-documented failure of two or more SSRI AND tricyclic antidepressant (TCA) trials of adequate dose and duration
  • Metal implants, pacemaker, metal protheses or orthodontic appliance, the presence of shrapnel
  • Current past, present, or anticipated exposure to radiation
  • Actively suicidal
  • Lifetime history of glaucoma
  • Lack of response to >2 trials of antidepressant monotherapy of adequate dose and duration
  • Claustrophobia
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00456014). 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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