Overview

Brain Activity Changes and Treatment Response in Depressed People Who Are Receiving Antidepressant Medication

Status:
Completed
Trial end date:
2008-03-01
Target enrollment:
0
Participant gender:
All
Summary
This study will examine how brain activity is affected by antidepressant treatment and how changes in brain activity relate to treatment response in people with depression.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
National Institute of Mental Health (NIMH)
Treatments:
Citalopram
Dexetimide
Sertraline
Criteria
Inclusion Criteria:

- Currently an outpatient with nonpsychotic, unipolar major depressive disorder (MDD)

- Score of 14 or greater on the 17-item Hamilton Rating Scale for Depression (HAM-D17)

- Antidepressant treatment is deemed appropriate by the study clinician

- Willing to use an effective form of contraception throughout the study

Exclusion Criteria:

- Mentally or legally incapacitated

- Lifetime history of bipolar disorder, schizophrenia, schizoaffective disorder, MDD
with psychotic features, or dementia

- Patients currently suffering from anorexia nervosa, bulimia nervosa, or obsessive
compulsive disorder

- History of substance abuse disorder within 6 months prior to study entry

- Current suicidal ideation that would make outpatient treatment unsafe

- Past medication response that may make escitalopram or sertraline treatment unsafe or
inappropriate (e.g., previous intolerance or lack of response to either medication)

- History of a failed treatment with escitalopram (40 mg or more) or sertraline (200 mg
or more) during the current depressive episode

- Any medical conditions that would make treatment with escitalopram or sertraline
medically inadvisable

- Unstable medical illness

- Unstable psychiatric illness likely to require inpatient treatment within the 6 months
following study entry

- History of seizures, brain surgery, skull fracture, significant head trauma, or
previous abnormal EEG

- Pregnant or plans to become pregnant within the 12 months following study entry

- Breastfeeding