LEPR Polymorphism Weight Gain by Mirtazapine in Late Life Depression
Does LEPR Polymorphism Predict Variability in Weight Gain Induced by Mirtazapine in the Treatment of Late Life Depression?
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Ontario
-
London, Ontario, Canada, N6A 5W9
- London Health Sciences Centre
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- patients older than 50 years
- meeting criteria for a diagnosis of major depressive disorder (DSM IV code 296.2x or 296.3x) as confirmed by a score > 20 on the HAM-D 24 items scale and a structured clinical interview using the SCID by a consultant psychiatrist
Exclusion Criteria:
- Treatment resistant depression (as defined by failure to respond to ≥2 adequate antidepressant trials)
- Major depressive disorder with psychosis (296.x4)
- Those with depression who fulfill the chronic specifier (MDE for >2 years)
- Significant Axis II pathology
- Previous trial with mirtazapine
- Concurrent antipsychotic usage
- Comorbid dementia (as confirmed by MMSE < 24)
- Substance misuse including drug and/or alcohol dependence/abuse in the past 3 months
- Bipolar disorder
- Schizophrenia
- Obsessive compulsive disorder
- Post traumatic stress disorder
- Eating disorder
- Head injury
- Recent stroke (< 3 months)
- Recent MI (< 3 months)
- Currently actively participating in structured/formal psychotherapy
- Being non ambulatory
- Those actively suicidal
- Those incapable of informed consent
Study Plan
How is the study designed?
Design Details
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Mirtazapine
Mirtazapine in dosage of 7.5 mg to 45 mg/day
|
Mirtazapine 7.5 to 45 mg/day, once daily, 12 weeks open label
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
increase in weight as measured in the clinic
Time Frame: Weeks 1,2,4,8 and 12 weeks
|
Weeks 1,2,4,8 and 12 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Proportion of population achieving clinical response as measured by rate of fall in HAM-D 24 item scores
Time Frame: Start to end of study (12 weeks)
|
Start to end of study (12 weeks)
|
|
Proportion of patients achieving remission at end of study on HAM-D 24 (<11)
Time Frame: Start to end of study (12 weeks)
|
Start to end of study (12 weeks)
|
|
Frequency of adverse events
Time Frame: Start to end of study (12 weeks)
|
Start to end of study (12 weeks)
|
|
Percentage adhering to medication
Time Frame: Start to end of study (12 weeks)
|
Start to end of study (12 weeks)
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Akshya Vasudev, MBBS, MD, MRCPsych, Lawson Health Research Institute
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Mood Disorders
- Body Weight
- Body Weight Changes
- Depressive Disorder
- Depressive Disorder, Major
- Weight Gain
- Physiological Effects of Drugs
- Adrenergic Antagonists
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Tranquilizing Agents
- Psychotropic Drugs
- Serotonin Agents
- Antidepressive Agents
- Serotonin 5-HT2 Receptor Antagonists
- Serotonin Antagonists
- Anti-Anxiety Agents
- Serotonin 5-HT3 Receptor Antagonists
- Histamine H1 Antagonists
- Histamine Antagonists
- Histamine Agents
- Adrenergic alpha-Antagonists
- Adrenergic alpha-2 Receptor Antagonists
- Mirtazapine
Other Study ID Numbers
Other Study ID Numbers
- HSREB-102574
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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