Pharmacological treatment of Depression: Phase II Lithium addition

ISRCTN ISRCTN75768415
DOI https://doi.org/10.1186/ISRCTN75768415
Secondary identifying numbers N/A
Submission date
28/04/2006
Registration date
28/04/2006
Last edited
28/04/2006
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
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr W.W. Broek, van den
Scientific

Erasmus Medical Center
Department of Psychiatry
P.O. Box 2040
Rotterdam
3000 CA
Netherlands

Email w.w.vandenbroek@erasmusmc.nl

Study information

Study designA double blind, randomized single-centre study with a washout period, comparing 2 treatment strategies.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study objectivesThe two strategies (Venlafaxine and subsequent Lithium addition in non-responders to Venlafaxine; Imipramine and subsequent Lithium addition in non-responders to Imipramine) are comparable in efficacy and time to response.
Ethics approval(s)Ethics approval received from the local medical ethics committee
Health condition(s) or problem(s) studiedDepression
InterventionVenlafaxine (maximum dose 375 mg) and subsequent Lithium addition;
Imipramine (dose adjustment to adequate plasma levels of 200-300 µg/l) and subsequent Lithium addition.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Venlafaxine, Lithium, Imipramine
Primary outcome measure1. Change in HRSD scores
2. Change in CGI scores
Secondary outcome measuresAdverse effects.
Overall study start date01/06/2005
Completion date01/06/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants69
Key inclusion criteriaAll non-responders in phase I.
In phase I inclusion criteria were:
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) greater than or equal to 14
4. Written informed consent
Key exclusion criteriaAny 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):
a. Kidney failure
b. Acute myocardial infarction
c. Myasthenia gravis
d. Breastfeeding
Date of first enrolment01/06/2005
Date of final enrolment01/06/2009

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Erasmus Medical Center
Rotterdam
3000 CA
Netherlands

Sponsor information

Erasmus Medical Center (The Netherlands)
University/education

P.O. Box 2040
Rotterdam
3000 CA
Netherlands

ROR logo "ROR" https://ror.org/018906e22

Funders

Funder type

Industry

Wyeth
Private sector organisation / For-profit companies (industry)
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