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临床试验/ISRCTN06146268
ISRCTN06146268已完成未知

A pilot randomised controlled trial of drug treatment for depression in patients undergoing haemodialysis

East and North Herts NHS Trust (ENHT) (UK)0 个研究点目标入组 30 人开始时间: 2014年5月1日最近更新:

试验速览

阶段
未知
状态
已完成
发起方
入组人数
30

研究概览

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Screening eligibility:
  • 1.1. Patients with ESRD and receiving haemodialysis. They will have started dialysis at least 3 months ago and have continued to receive dialysis in the past 3 months prior to the invitation to take part in this study
  • 1.2. Adults aged 18 or over
  • 1.3. Patients who speak and read English sufficiently well to complete questionnaires
  • 2. Trial eligibility:
  • 2.1. Patients with a Beck Depression Inventory (BDI-II) of 16 or above
  • 2.2. Patients who, according to the CI/PIs, have a prognosis of more than 1 year
  • 2.3. Patients with a diagnosis of mild to moderate Major Depressive Disorder according to a Diagnostic and Statistical Manual of Mental Disorders (DSM) IV interview conducted by a research psychiatrist
  • 2.4. Patients who score 18 or above on the Montgomery-Asberg Depression Scale (MADRS)
  • 2.5. Patients who have the mental capacity to understand the trial and are able to give consent

排除标准

  • 1. Patients who are currently being or have been treated for depression and/or anxiety with any antidepressants in the last 3 months
  • 2. Patients who are currently being or have been treated for depression and/or anxiety with a formal psychological therapy in the last 3 months
  • 3. Patients who are awaiting a planned living donor transplant within the period of the trial
  • 4. Patients who have less than 1 year survival prognosis according to the nephrologist
  • 5. Patients for whom Sertraline is contraindicated by their existing drug regimen according to the Summary of Product Characteristics
  • 6. Patients with hepatic impairment, whose serum level of alanine transaminase (ALT) is two times the upper limits of normal or higher
  • 7. Patients who have hepatitis B or hepatitis C, HIV/AIDS, and/or Creutzfeldt-Jakob disease
  • 8. Patients who are pregnant or of childbearing potential who are not using adequate contaception
  • 9. Patients who are or have been involved in an intervention study in the last 3 months
  • 10. Patients with impaired coagulation judged by an international normalised ratio (INR) greater than 1.3
  • 11. Patients who are currently taking MAOIs or pimozide
  • 12. Patients who are currently taking triptans, antipsychotics, dopamine antagonists, tramadol, linezolid and warfarin
  • 13. Patients with a diagnosis of a severe Major Depressive Disorder
  • 14. Patients at moderate to severe risk of self-harm according to the assessment of the study psychiatrist
  • 15. Patients who score above 4 on item 10 on the MADRS
  • 16. Patients who answer yes to question A3G on the Mini-International Neuropsychiatric Interview (MINI)
  • 17. Patients who have other known psychiatric conditions, including substance misuse, psychosis, or personality disorder, dementia or panic disorder, with the exception of other anxiety disorders (for example GAD or OCD)

研究者

发起方
East and North Herts NHS Trust (ENHT) (UK)

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