ISRCTN ISRCTN93105957
DOI https://doi.org/10.1186/ISRCTN93105957
Secondary identifying numbers NTR453; 1360.0001
Submission date
27/01/2006
Registration date
27/01/2006
Last edited
17/08/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Rob M. Kok
Scientific

Altrecht GGZ
Jutfaseweg 205
Utrecht
3522 HR
Netherlands

Phone +31 (0)30 2297600
Email r.kok@altrecht.nl

Study information

Study designRandomised single blind active controlled parallel group trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific title
Study objectivesBoth active medications are equally effective in the treatment of non-responding elderly patients but phenelzine is better tolerated than lithium.
Ethics approval(s)Received from local medical ethics committee
Health condition(s) or problem(s) studiedDepression
InterventionPatients start with either phenelzine 15 mg or lithiumcarbonate 200 mg. The dose will be increased with phenelzine 15 mg or lithiumcarbonate 200 mg after 4-8 days.
The minimum daily dose of phenelzine is 15 mg and the maximum daily dose is 60 mg. Lithium is dosed to reach a serum level between 0.6-0.8 mmol/l.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Phenelzine, lithiumcarbonate
Primary outcome measureEfficacy: remission defined as a final score of 10 or less on the MADRS.
Tolerability: Global Tolerability Score.
Secondary outcome measures1. Response defined as a reduction of at least 50% of MADRS, Hamilton Depression Scale (HAM-D) and Geriatric Depression Scale (GDS), Clinical Global Impression (CGI) 1-2
2. Remission on HAM-D, GDS
3. Number of (serious) side effects and drop out rate due to the study medication
4. MMSE-score, Trail Making Test (TMT), Dutch Verbal Learning and Memory Test (Verbale Leer en Geheugen Test [VLGT]) (cognitive tests)
Overall study start date01/01/2000
Completion date01/01/2005

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participants30
Key inclusion criteria1. Male or female inpatient
2. Aged 60 years or older
3. Meet the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depression, single or recurrent episode (296.2x, 296.3x)
4. Non-response to adequate treatment with a tricyclic antidepressant (minimal 4-6 weeks with serum levels within therapeutic window) or venlafaxine (minimal 4-6 weeks with a sum serum level of venlafaxine+ O-desmethylvenlafaxine >200 microgram)
5. Have a baseline total score of at least 20 on the Montgomery-Asberg Depression Rating Scale (MADRS)
6. Have a Mini Mental State Examination (MMSE) score >15
7. In the opinion of the investigator, have sufficient intelligence and motivation to comply with, and is competent to understand, the study procedures (especially dietary instructions in case of phenelzine)
8. Sign the written informed consent
Key exclusion criteria1. Known hypersensitivity to lithium or phenelzine
2. Previous unsuccessful adequate (minimal 15 mg during 4 weeks) treatment with phenelzine or with lithiumaugmentation (minimal serum level of 0.6 mmol/l during 4 weeks)
3. Use of lithium or phenelzine within 30 days prior to baseline, use of a MonoAmine Oxide (MAO) inhibitor within 14 days, use of fluoxetine within 21 days, use of any other psychotropic drug (except antidepressants and those allowed during the study as concomitant treatment) within 7 days prior to baseline
4. The presence of a physical illness which seriously interacts with treatment with either lithium or phenelzine
5. Alcohol or drug abuse within the last 2 years, according to DSM IV criteria
6. Presence of dementia or non-affective psychotic disorder, history of bipolar disorder (I and II)
7. Concomitant use of alcohol or drugs that can have serious interactions with phenelzine or lithium
Date of first enrolment01/01/2000
Date of final enrolment01/01/2005

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Altrecht GGZ
Utrecht
3522 HR
Netherlands

Sponsor information

Altrecht Mental Health Care (Altrecht Geestelijke Gezondheidszorg [GGZ]) (Netherlands)
Hospital/treatment centre

Jutfaseweg 205
Utrecht
3522 HR
Netherlands

ROR logo "ROR" https://ror.org/050jqep38

Funders

Funder type

Research organisation

Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands)
Private sector organisation / Other non-profit organizations
Alternative name(s)
Netherlands Organisation for Health Research and Development
Location
Netherlands
Parke Davis (USA)
Private sector organisation / For-profit companies (industry)
Alternative name(s)
Parke Davis & Company
Location
United States of America

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/08/2007 Yes No