Augmentation Therapy of Resistant Postpartum Depression With Aripiprazole

Lawson Health Research Institute1 site in 1 country10 target enrollmentJune 2011

ConditionsPostpartum Depression

Interventionsaripiprazole

Drugsaripiprazole

Overview

Phase: Phase 3
Intervention: aripiprazole
Conditions: Postpartum Depression
Sponsor: Lawson Health Research Institute
Enrollment: 10
Locations: 1
Primary Endpoint: Montgomery Asberg Depression Rating Scale
Status: Completed
Last Updated: 10 years ago

Overview Investigators Eligibility Criteria Arms & Interventions Outcomes Sites Similar Trials

Overview

Brief Summary

Currently there are no controlled data on the management of postpartum depression that fails to respond to adequate antidepressant therapy. The investigators recently reported that a large number of patients responded to the addition of atypical neuroleptics after having failed antidepressant trials. Aripiprazole used adjunctively to antidepressants is effective in patients with resistant depression but it has not been studied in patients with resistant postpartum depression. The investigators propose to conduct a 6 week open-label study to assess the effectiveness and tolerability of aripiprazole used adjunctively to antidepressants in patients with resistant postpartum depression.

Registry

clinicaltrials.gov

Start Date

June 2011

End Date

November 2013

Last Updated

10 years ago

Study Type

Interventional

Study Design

Single Group

Sex

Female

Investigators

Sponsor

Lawson Health Research Institute

Responsible Party

Principal Investigator

Verinder Sharma

Psychiatrist

Lawson Health Research Institute

Eligibility Criteria

Inclusion Criteria

•Euthyroid outpatients aged 18 to 45 years of age
•A DSM-IV diagnosis of major depressive disorder with episode onset within 3 months of delivery
•A 17-item HAM-D score of 18 or more
•Inadequate response to at least one antidepressant drug - defined as a \<50% reduction in severity of depression for a duration of \>6 weeks ( \> than 8 weeks for fluoxetine), determined by the Massachusetts General Hospital Antidepressant Response Questionnaire. Patients having a score of 18 or more on the 17-item HAM-D will be eligible to participate in the study. The primary efficacy endpoint will be mean change in MADRS score, and the secondary endpoint will be mean change in the HAM-D score
•\>For patients on psychotropic drugs (other than antidepressants) prior there will be a washout period of two weeks
•Ability to understand English and provide informed consent
•Women who delivered a healthy baby close to term (37-42 weeks)
•Use of adequate contraception \> Women of childbearing potential (WOCBP) must be using an adequate method of contraception to avoid pregnancy throughout the study and for at least 4 weeks after the last dose of study drug to minimize the risk of pregnancy. Prior to study enrollment, women of childbearing potential must be advised of the importance of avoiding pregnancy during trial participation and the potential risk factors for an unintentional pregnancy.
•WOCBP include any woman who has experienced menarche and who has not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation, or bilateral oophorectomy) or who is not post-menopausal.
•Women who are using oral contraceptives, other hormonal contraceptives (vaginal products, skin patches, or implanted or injectable products), or mechanical products such as an intrauterine device or barrier methods (diaphragm, condoms, spermicides) to prevent pregnancy, or who are practicing abstinence or where their partner is sterile (eg, vasectomy) should be considered to be of childbearing potential.

Exclusion Criteria

•Women with onset of major depressive disorder during pregnancy
•Presence of another current Axis I disorder such as bipolar disorder, psychotic disorder or obsessive compulsive disorder or a history of psychosis or a history of post-partum mood disorder with psychotic features
•Presence of psychotic symptoms
•History of alcohol or substance abuse within the 12 months before screening
•Any Axis II diagnosis suggestive of likely non-compliance with study requirement or non-responsiveness to pharmacotherapy.
•Women receiving psychotherapy
•Women receiving psychotropic drugs not allowed in the study protocol
•Use of quinolone antibiotics such as ciprofloxacin
•Significant medical illness such as end stage renal disease, uncontrolled narrow angle glaucoma and liver disease
•Women considered at high risk for suicide-those that are actively suicidal or have a score of ≥ 3 on item #3 on the 17-item HAMD; or women who, in the opinion of the Investigator, are deemed to be at risk of causing harm to the baby

Arms & Interventions

Aripiprazole

aripiprazole used adjunctively to antidepressants in patients with resistant postpartum depression

Intervention: aripiprazole

Outcomes

Primary Outcomes

Montgomery Asberg Depression Rating Scale

Time Frame: 6 weeks

To assess the effectiveness of the addition of aripiprazole in the treatment of resistant postpartum depression as measured by the change in mean scores on the Montgomery Asberg Depression Rating Scale between baseline and the study termination endpoint.