The Safety, Efficacy, and Tolerability of Microbial Ecosystem Therapeutic-2 in People With Major Depression
试验速览
- 阶段
- 2 期
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Change in Major Depression Symptoms
研究概览
简要总结
To measure the effects of Microbial Ecosystem Therapeutics (MET)-2 on symptoms of depression and anxiety using pre- and post-treatment scores for overall depression and anxiety
详细描述
An eight week, randomized, placebo controlled trial to assess subjective changes in mood and anxiety symptoms from baseline to after MET-2 treatment in participants with depression, using MADRS, Hamilton Anxiety Rating Scale (HAM-A), and other mood/anxiety scales and to demonstrate a significantly higher proportion of responders in patient who were randomized to receive the active study drug compared to patients who were randomized to receive placebo.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
Hospital pharmacies will be provided with the randomization code and will dispense the appropriate medication to subjects. A fire-wall exists between the pharmacies and the investigational staff.
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Able to provide informed consent.
- •Not pregnant
- •Willing to participate in follow up as part of the study
- •Diagnosis of Major Depressive Disorder (MDD) by the Mini-International Neuropsychiatric Interview (MINI)
- •Current depressive episode with a Montgomery-Asberg Depression Rating Scale (MADRS) score of ≥
- •Able to understand and comply with the requirements of the study
- •Able to provide stool, urine, and blood samples.
- •Those who do not choose to use antidepressants for moderate-severe depression.
排除标准
- •History of chronic diarrhea
- •Need for regular use of agents that affect gastro-intestinal (GI) motility (narcotics such as codeine or morphine, agents such as loperamide or metoclopramide)
- •Elective surgery that will require preoperative antibiotics planned within 6 months of enrolment
- •History of bariatric surgery.
- •Pregnant, breastfeeding, or planning to get pregnant in the next 6 months
- •Any condition for which, in the opinion of the investigator, the participant should be excluded from the study.
- •Current use of any antidepressant/antianxiety drug (eligible to participate after a 4-week washout period)
- •More than three depressive episodes throughout lifetime
- •Having failed an anti-depressant treatment during current depressive episode
- •Use of any antibiotic drug in the past 4 weeks (may be eligible to participate after a 1-month washout period)
- •History of alcohol or substance dependence in the past 6 months
- •Daily use of probiotic product in the past 2 weeks (may be eligible to participate after a 2-week washout period)
- •Use of any type of laxative in the last 2 weeks.
- •Consumption of products fortified in probiotics (may be eligible to participate after a 2-week washout period)
- •High suicidal risk, as measured by MADRS item 10 score more than 3
- •Current psychotic symptoms
- •Bipolar Depression
- •History of epilepsy or uncontrolled seizures
- •Immunodeficiency (immuno-compromised and immuno-suppressed participants; e.g. acquired immune deficiency syndrome [AIDS], lymphoma, participants undergoing long-term corticosteroid treatment, chemotherapy and allograft participants)
- •Unstable medical conditions or serious diseases/conditions (e.g. cancer, cardiovascular, renal, lung, diabetes, psychiatric illness, bleeding disorders, etc.)
- •The use of natural health products (NHP); e.g. St. John's Wort, passion flower, etc.) that affect depression
- •History of Electroconvulsive therapy (ECT)
研究组 & 干预措施
MET-2 20 g
Loading dose of MET-2 is administered for the first two days, followed by a regular, daily dose for the duration of the study (6 weeks total).The loading dose will consist of 5 g of MET-2 in the form of ten capsules orally on day one and on day two. The regular daily dose will consist of 1.5 g MET-2 in the form of three MET-2 capsules taken once daily, excluding days where they take the booster (same as loading dose).
干预措施: MET-2 (Drug)
Placebo
Loading dose of placebo is administered for the first two days, followed by a regular, daily dose of placebo for the duration of the study (6 weeks total).The loading dose will consist of ten capsules of placebo (which match the MET-2 capsules in appearance and weight) taken orally on day one and on day two. The regular daily dose will consist of three placebo capsules taken once daily, excluding days where they take the booster (same as loading dose).
干预措施: Placebo (Drug)
结局指标
主要结局
Change in Major Depression Symptoms
时间窗: Baseline vs. Week 6
To assess subjective changes in mood from baseline to after MET-2 treatment using the Montgomery-Asberg Depression Rating Scale (10 domains given a rating from 0 to 6)
Change in Anxiety Symptoms
时间窗: Baseline vs. Week 6
To assess subjective changes in anxiety symptoms from baseline to after MET-2 treatment using the Hamilton Anxiety Rating Scale (14 domains given a rating on a 5 point scale)
次要结局
未报告次要终点