Status:

COMPLETED

Effects of Testosterone in Women With Depression

Lead Sponsor:

Massachusetts General Hospital

Collaborating Sponsors:

National Institutes of Health (NIH)

Conditions:

Depression

Eligibility:

FEMALE

18-75 years

Phase:

NA

Brief Summary

The purpose of the study is to determine whether adding a low dose of testosterone to current antidepressant therapy improves depression and fatigue in women who remain depressed despite necessary ade...

Eligibility Criteria

Inclusion

  • Female, age 18-75
  • Written informed consent
  • Meet Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria (by Structured Clinical Interview for DSM-IV (SCID)) for Major Depressive Disorder
  • Meet DSM-IV criteria for a current major depressive episode, as assessed by SCID
  • Montgomery-Asberg Depression Rating Scale (MADRS) greater than or equal to 16 at baseline visit
  • Currently treated with SSRI or SNRI, with or without adjunctive therapy, at an adequate dose (see adequate dose table below) for at least six weeks

Exclusion

  • Pregnant women or women of child bearing potential who are not using a medically accepted means of contraception (to include oral contraceptive or implant, condom, diaphragm, spermicide, intrauterine device, tubal ligation, or partner with vasectomy)
  • Serious suicide or homicide risk, as assessed by evaluating clinician
  • Unstable medical illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurologic (including uncontrolled seizure disorder)
  • Substance use disorder active within last six months
  • Psychotic features (current episode or lifetime), as assessed by SCID
  • Laboratory evidence of untreated hypothyroidism
  • If treated hypothyroidism, significant change in levo-thyroxine dose within the prior three months
  • If receiving oral estrogen therapy, including oral contraceptives or transdermal estrogen therapy, significant change in dose in the prior three months
  • Use of androgens or androgen precursors, including testosterone, Dehydroepiandrosterone (DHEA) and methyltestosterone, within the prior three months
  • Any investigational psychotropic drug within the last two weeks
  • In the judgment of the study clinician, unlikely to be able to participate safely throughout the study period (three or more episodes of self-harm in the past year, documented history of poor treatment adherence, or frequent missed appointments (greater than 50%) in the past year)
  • Alanine aminotransferase (ALT) greater than 1.5 times the upper limit of normal.
  • Creatinine greater than 1.5 times upper limit of normal
  • History of a hormone-responsive cancer
  • History of congestive heart failure
  • MADRS greater than 31

Key Trial Info

Start Date :

March 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2008

Estimated Enrollment :

9 Patients enrolled

Trial Details

Trial ID

NCT00676676

Start Date

March 1 2007

End Date

October 1 2008

Last Update

November 30 2012

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