Pharmacological treatment of depression
| ISRCTN | ISRCTN73221288 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN73221288 |
| Protocol serial number | N/A |
| Sponsor | Erasmus Medical Center (The Netherlands) |
| Funder | Wyeth |
- Submission date
- 28/04/2006
- Registration date
- 28/04/2006
- Last edited
- 26/03/2018
- 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 W.W. Broek, van den
Scientific
Scientific
Erasmus Medical Center
Department of Psychiatry
PO Box 2040
Rotterdam
3000 CA
Netherlands
| w.w.vandenbroek@erasmusmc.nl |
Study information
| Primary study design | Interventional |
|---|---|
| Study design | Double-blind randomized single-centre study with a washout period comparing 2 treatment strategies |
| Secondary study design | Randomised controlled trial |
| Study type | Participant information sheet |
| Scientific title | Pharmacological treatment of depression |
| Study acronym | Venla study |
| Study objectives | 1. Imipramine and Venlafaxine are comparable in efficacy in inpatients with a major depression 2. Imipramine and Venlafaxine are comparable in tolerability 3. Patients with a Venlafaxine plasma level <195 µg/l show comparable antidepressant efficacy as patients with a Venlafaxine plasma level >195 µg/l 4. Imipramine and Venlafaxine are comparable in efficacy during 4 months follow-up 5. Imipramine and Venlafaxine are comparable in tolerability during 4 months follow-up |
| Ethics approval(s) | Ethics approval received from the local medical ethics committee |
| Health condition(s) or problem(s) studied | Depression |
| Intervention | 1. Venlafaxine (maximum dose 375 mg) 2. Imipramine (dose adjustment to adequate plasma levels of 200-300 µg/l) |
| Intervention type | Drug |
| Phase | Not Applicable |
| Drug / device / biological / vaccine name(s) | Imipramine, Venlafaxine |
| Primary outcome measure(s) |
Change in HRSD scores. |
| Key secondary outcome measure(s) |
1. Change in CGI scores |
| Completion date | 01/01/2008 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Upper age limit | 65 Years |
| Sex | All |
| Target sample size at registration | 138 |
| Key inclusion criteria | For inclusion in the trial, patients must fulfill all of the following criteria: 1. Age 18-65 2. Major depressive disorder, single or recurrent episode (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition [DSM-IV]) 3. Hamilton Rating Scale for Depression (HRSD) (17 item) >/= 14 4. Written informed consent |
| Key exclusion criteria | Any of the following is regarded as a criterion for exclusion from the trial: 1. Patients who are incapable of understanding the information and of giving informed consent. Also, patients who are unable to read or write 2. Major depression with psychotic features (separate study) 3. Bipolar I or II disorder 4. Schizophrenia or other primary psychotic disorder 5. Treatment of current episode with adequate trial of Imipramine or Venlafaxine 6. Drug/alcohol dependence in the last 3 months 7. Mental retardation (IQ <80) 8. Women: pregnancy or possibility for pregnancy and no adequate contraceptive measures. Breastfeeding. 9. Serious medical illness affecting central nervous system (CNS) e.g. M. Parkinson, systemic lupus erythematosus (SLE), brain tumor, cerebrovascular accident (CVA) 10. Relevant medical illness as contra-indications for the use of study medication (Venlafaxine and Imipramine), such as recent myocardial infarction and severe liver or kidney failure 11. Medication affecting CNS e.g. antidepressants and/or antipsychotics other than study medication, steroids (prednison), mood stabilisers, benzodiazepines (if not being tapered): >3 mg lorazepam (or equivalent) 12. Direct electroconvulsive therapy (ECT) indication (e.g. very severely suicidal or refusal of food and drinking resulting in life threatening situation) 13. Contra-indications for Lithium (Moleman, 1998): 13.1. Kidney failure 13.2. Acute myocardial infarction 13.3. Myasthenia gravis 13.4. Breastfeeding |
| Date of first enrolment | 01/06/2004 |
| Date of final enrolment | 01/01/2008 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Erasmus Medical Center
Rotterdam
3000 CA
Netherlands
3000 CA
Netherlands
Results and Publications
| Individual participant data (IPD) Intention to share | No |
|---|---|
| IPD sharing plan summary | Not provided at time of registration |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/07/2017 | Yes | No | |
| Participant information sheet | Participant information sheet | 11/11/2025 | 11/11/2025 | No | Yes |
Editorial Notes
26/03/2018: Publication reference added.
