Strategic Use of New Generation Antidepressants for Depression
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.
Investigators
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)