Status:
COMPLETED
Exploring a Potential Blood Test to Diagnose Major Depressive Disorder
Lead Sponsor:
Massachusetts General Hospital
Collaborating Sponsors:
Precision Human Biolaboratories
Cambridge Health Alliance
Conditions:
Major Depressive Disorder
Eligibility:
All Genders
18-65 years
Brief Summary
The purpose of this study is to develop a blood test for major depression and measure the effects of ziprasidone monotherapy on these markers. Specific Aim: Using a multiplex biomarker assay we will ...
Detailed Description
This proposed study will be an ancillary study to clinical trial NCT00555997 (www.clinicaltrials.gov) entitled: "A 12-Week, Randomized, Double-Blind, Placebo-Controlled, Parallel-Sequential Trial of Z...
Eligibility Criteria
Inclusion
- Age 18-65.
- Written informed consent.
- MDD, current according to the fourth version of the Diagnostic and Statistical Manual for Mental Disorders (DSM-IV) as diagnosed by the Mini International Neuropsychiatric Interview (MINI; Sheehan et al, 1998).
- Quick Inventory of Depressive Symptomatology - Self-Rated (QIDS-SR- Trivedi et al, 2004) score of at least 10 at both screen and baseline visits.
Exclusion
- Pregnant women.
- 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 a partner with vasectomy).
- Treatment with antidepressants for 2 weeks prior to the screen visit. If interested in discontinuing their current medication, potential participants must discuss this possibility with the prescribing physician. Study doctors will not implement any form of treatment washout.
- Patients who no longer meet DSM-IV criteria for MDD during the baseline visit, or patients who demonstrate a 25% or greater reduction in QIDS-SR scores, screening to baseline.
- Serious suicide or homicide risk, as assessed by the evaluating clinician or a score of 4 on the third item of the HAM-D.
- Unstable medical illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurological, or hematological disease.
- Patients who meet criteria for alcohol or substance dependence, active within the last month.
- Any bipolar disorder (current or past).
- Any psychotic disorder (current or past).
- Psychotic features in the current episode or a history of psychotic features.
- History of a seizure disorder.
- Clinical or laboratory evidence of untreated hypothyroidism.
- Patients requiring excluded medications (see table 1 for details).
- Prior course of ziprasidone, or intolerance to ziprasidone at any dose.
- Any investigational psychotropic drug within the last 3 months.
- Patients with significant cardiac conduction problems on screening electrocardiogram such as atrial fibrillation, atrial flutter, atrio-ventricular block, prolonged or abnormal QTc interval (i.e. QTc\>450msec), or prolonged QRS interval.
- Patients who have suffered a myocardial infarction within the past 12 months, with uncompensated heart failure, or a history of QTc prolongation.
- Patients with abnormal serum potassium or magnesium levels upon screening.
- Patients currently taking other drugs that prolong the QTc including dofetilide, sotalol, quinidine, class Ia antiarrhythmics, class III antiarrhythmics, mesoridazine, thioridazine, chlorpromazine, droperidol, pimozide, sparfloxacin, gatifloxacin, moxifloxacin, halofantrine, mefloquine, pentamidine, arsenic trioxide, levomethadyl acetate, dolasetron methylate, probucol or tacrolimus.
- Patients who have failed to experience significant clinical improvement following 3 or more antidepressant trials of adequate duration (at least 6 weeks) and dose (minimal effective doses defined as: fluoxetine, paroxetine, citalopram 20mg; sertraline, fluvoxamine 50mg, escitalopram 10mg, paroxetine CR 25mg, venlafaxine 75mg, duloxetine 60mg, bupropion 150mg, 15mg of mirtazapine, trazodone or nefazodone 300mg).
- The presence of Addison's or Cushing's disease.
- The presence of rheumatoid arthritis, or systemic lupus erythematosus.
- The regular use of non-steroidal anti-inflammatory medications or oral steroids.
Key Trial Info
Start Date :
April 1 2008
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
June 1 2010
Estimated Enrollment :
120 Patients enrolled
Trial Details
Trial ID
NCT00705185
Start Date
April 1 2008
End Date
June 1 2010
Last Update
June 8 2010
Active Locations (5)
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1
University of Connecticut Health Center
Farmington, Connecticut, United States, 06030
2
Psychiatric Medicine Associates, L.L.C.
Chicago, Illinois, United States, 60025
3
Massachusetts General Hosptial
Boston, Massachusetts, United States, 02114
4
Cambridge Health Alliance
Cambridge, Massachusetts, United States, 02139