An Open-label, 8- Week, Flexible Dose Trial of Escitalopram (Lexapro®) in Comorbid Major Depression With Amyotrophic Lateral Sclerosis and Multiple Sclerosis
Overview
- Phase
- Phase 3
- Intervention
- escitalopram
- Conditions
- Major Depression
- Sponsor
- University of South Carolina
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- Hamilton Depression Scale (HAM-D 17).
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to see if escitalopram (Lexapro) improves symptoms of major depressive disorder in patients who have ALS or MS.
Detailed Description
This eight-week study aims to assess the effectiveness and tolerability of escitalopram in improving symptoms of Major Depression in patients with Amyotrophic Lateral Sclerosis (ALS) or Multiple Sclerosis (MS) as measured by the HAM-D. In addition, the study will assess improvement in the quality of life in patients with Major Depression and ALS or MS.
Investigators
Meera Narasimhan
Professor
University of South Carolina
Eligibility Criteria
Inclusion Criteria
- •Patients between 18 and 70 years of age with documented ALS or MS,
- •DSM-IV episode of non-psychotic Major Depression,
- •≥14 score on the 17-item HAM-D,
- •Ability to give informed consent.
Exclusion Criteria
- •History of psychotic disorders,
- •Psychotic depression,
- •Bipolar depression,
- •Suicide risk,
- •History of substance abuse in the previous 6 months,
- •History of unstable medical disorders,
- •Pregnancy or planning for pregnancy,
- •Severity of ALS or MS that limits participating in the study protocol.
Arms & Interventions
Escitalopram
All patients will receive escitalopram 20 mg daily.
Intervention: escitalopram
Outcomes
Primary Outcomes
Hamilton Depression Scale (HAM-D 17).
Time Frame: 8 weeks
Hamilton Depression Rating Scale-17 (HAM-D) is a 17-item observer rated scale that measures depressive symptoms. Items are rated 0 (no symptoms)-4 ( most severe symptoms. Possible minimum and maximum scores range is 0-50. total score indications: 0-7 = Normal; 8-13 = Mild Depression; 14-18 = Moderate Depression; 19-22 = Severe Depression and ≥ 23 = Very Severe Depression.
Secondary Outcomes
- McGill Quality of Life Scale (MQOL)(8 weeks)