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Clinical Trials/NCT01109693
NCT01109693
Completed
Phase 4

Strategic Use of New Generation Antidepressants for Depression

Kyoto University2 sites in 1 country2,011 target enrollmentDecember 2010

Overview

Phase
Phase 4
Intervention
Sertraline
Conditions
Unipolar Major Depressive Episode
Sponsor
Kyoto University
Enrollment
2011
Locations
2
Primary Endpoint
Observer-rated depression severity (PHQ-9)
Status
Completed
Last Updated
9 years ago

Overview

Brief Summary

The purpose of the study is to establish the optimum treatment strategy for first-line and second-line antidepressants in the acute phase treatment of major depression.

Registry
clinicaltrials.gov
Start Date
December 2010
End Date
December 2015
Last Updated
9 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Toshiaki A. Furukawa

Professor

Kyoto University

Eligibility Criteria

Inclusion Criteria

  • non-psychotic unipolar major depressive episode (Diagnostic and Statistical Manual, Fourth Edition \[DSM-IV\]) in the preceding month
  • age 25-75
  • starting treatment with sertraline clinically indicated
  • tolerability to sertraline 25 mg/d ascertained
  • can understand and sign informed consent form
  • can be contacted by telephone for symptom severity and adverse events

Exclusion Criteria

  • have received antidepressants, mood stabilizers, antipsychotics, psychostimulants, electroconvulsive therapy (ECT) or depression-specific psychotherapies in the preceding month
  • history of schizophrenia, schizoaffective disorder or bipolar disorder
  • current dementia, borderline personality disorder, eating disorder or substance dependence
  • physical disease interfering with sertraline or mirtazapine treatment
  • allergy to sertraline or mirtazapine
  • terminal physical illness
  • currently pregnant or breast-feeding
  • high risk of imminent suicide
  • requiring compulsory admission
  • expected to change doctors within 6 months

Arms & Interventions

Continue sertraline

Continue sertraline at the dosage at 3 weeks

Intervention: Sertraline

Augment with mirtazapine

Add mirtazapine to sertraline

Intervention: Sertraline

Augment with mirtazapine

Add mirtazapine to sertraline

Intervention: Mirtazapine

Switch to mirtazapine

Stop sertraline and switch to mirtazapine

Intervention: Mirtazapine

Outcomes

Primary Outcomes

Observer-rated depression severity (PHQ-9)

Time Frame: 9 weeks

Personal Health Questionnaire-9 is a 9-item structured interview to measure depression severity. It will be rated by blinded telephone interview.

Secondary Outcomes

  • Self-rated depression severity (BDI-II)(9 weeks)
  • Global rating of side effects (FIBSER)(9 weeks)

Study Sites (2)

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