Harnessing the Placebo Effect in Major Depressive Disorder
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Major Depressive Disorder
- Sponsor
- Massachusetts General Hospital
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Feasibility
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
Placebo pills (pills with no active ingredients) have been shown in research studies to somehow produce self-healing processes. The purpose of this study is to determine whether people will be willing to enter an open-label non-deceptive placebo treatment for Major Depressive Disorder (MDD) and whether open-label placebo can be effective for treating MDD in the context of a supportive physician-patient relationship.
Investigators
Maurizio Fava, MD
Director, Depression Clinical and Research Program
Massachusetts General Hospital
Eligibility Criteria
Inclusion Criteria
- •Men or women aged 18-60 years old.
- •Current Major Depressive Disorder (MDD)
Exclusion Criteria
- •Pregnant women or women of child bearing potential not using a medically accepted means of contraception.
- •Patients who are a serious suicide or homicide risk.
- •Unstable medical illness including cardiovascular, hepatic, renal, respiratory, endocrine, neurological, or hematological disease.
- •The following Diagnostic and Statistical Manual of Mental Disorders-IV diagnoses: 1) organic mental disorders; 2) substance use disorders, including alcohol, active within the last year; 3) schizophrenia; 4) delusional disorder; 5) psychotic disorders not elsewhere classified; 6) bipolar disorder; 7) acute bereavement; 9) severe borderline or antisocial personality disorder; 10) current primary diagnoses of panic disorder, social phobia, generalized anxiety disorder (GAD), or obsessive compulsive disorder (OCD) (disorders that present as chief complaint and/or have their onset preceding the onset of major depressive disorder).
- •Uncontrolled seizure disorder.
- •Patients with mood congruent or mood incongruent psychotic features.
- •Current use of other psychotropic drugs. Exception: Patients who have been on a stable dose for 30 days of classes of medications such as non-benzodiazepine sedatives, anxiolytic benzodiazepines, non-narcotic analgesics may be included. Flexibility will be allowed based on physician discretion.
- •Clinical or laboratory evidence of hypothyroidism.
- •Patients who have taken an investigational psychotropic drug within the last year.
- •Patients who have not responded to two or more antidepressant trials of adequate doses (e.g., fluoxetine 40 mg/day or higher) and duration (e.g.,for six weeks or more) over the past five years.
Outcomes
Primary Outcomes
Feasibility
Time Frame: One year
The primary outcome measure is feasibility, which was operationalized as the number of in-person screens for this study.
Secondary Outcomes
- Pre-Post Efficacy(Screen and 4 weeks (immediate treatment); Baseline and 4 weeks (waitlist treatment))