N/A
N=10
Augmentation of Treatment-Resistant Depression With An Analog of the Neuroactive Steroid Allopregnanolone
Major Depressive Disorder
Bottom Line
View on ClinicalTrials.gov: NCT02900092 ↗Enrolled (actual)
10
Serious AEs
0.0%
Results posted
Feb 2019
Primary outcome: Primary: Montgomery-Asberg Depression Rating Scale (MADRS) — 12.8 units on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Ganaxolone (Drug)
- Age
- Adult, Older Adult · 50+ yrs
- Sex
- Female
- Sponsor
- Massachusetts General Hospital
- Primary completion
- Jan 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Montgomery-Asberg Depression Rating Scale (MADRS) |
12.8 | — |
Summary
Major depressive disorder (MDD) is highly prevalent and nearly 70% of individuals with MDD do not respond to standard antidepressant therapies despite adequate dosing. An effective and well-tolerated antidepressant augmentation therapy would have important clinical and public health implications. Neuroactive steroid hormones are known to directly activate neurotransmitter receptors in the brain, and thus are potential candidates for augmentation therapies to enhance the effect of traditional antidepressants. The investigators hypothesize that administration of an allopregnanolone analog in women with treatment-resistant depression will improve depressive symptoms.
Eligibility Criteria
Inclusion Criteria
- Female, age 50-75
- Postmenopausal
- Major Depressive Disorder
- Currently treated with SSRI or SNRI at adequate dose
Exclusion Criteria
- Serious suicide or homicide risk
- Unstable medical illness
- Substance use disorder
- Psychosis
- Use of hormones (estrogens, androgens or related hormones)
- History of hormone responsive cancer
- Receiving strong CYP3A4 inducers or inhibitors or who intend to consume grapefruit products regularly during the study
- Alanine aminotransferase (ALT) or creatinine > 3x upper limit of normal
Data sourced from ClinicalTrials.gov (NCT02900092). 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.