- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05775809
Prospective Clinical Cohort Study of Depression
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Research Treatment
1.1 Drug treatment
The patient did not take antidepressant treatment at least 14 days before enrollment (the patients treated with fluoxetine before enrollment should stop using it for at least 28 days). During 8 weeks, all subjects with major depressive disorder received effective dosages of selective serotonin reuptake inhibitors, and all subjects with major depressive disorder were limited to a single class of antidepressants. If the antidepressant treatment plan needed to be adjusted, one antidepressant should be selected as far as possible, and combined treatment with two or more antidepressants should not be allowed. Antipsychotics and mood stabilizers are not permitted. If the treatment of selective serotonin reuptake inhibitors is not effective after eight weeks, the drugs can be considered for replacement. The drugs for replacement include but are not limited to selective serotonin reuptake inhibitors.
1.2 Other treatment Settings
Psychotherapy and TMS are allowed. The method, frequency, and duration of therapy should be recorded.
1.3 Treatment compliance
Participants were reminded to follow the medication regimen and their medication use was recorded at each visit. Non-use of prescription drugs for ≥70% of the time is considered noncompliance, and the reason for noncompliance should be checked. If there was a protocol violation, the protocol violation was recorded and the follow-up was continued as scheduled.
- Observation index
Main observation indicators:
Clinical effect: Changes of clinical symptoms in acute phase, maintenance phase and long-term follow-up period. Changes in HAMD-17 scores at different follow-up points compared with baseline were used as the main efficacy evaluation index in this study. The evaluation criteria of clinical efficacy and significant endpoints at different stages are as follows:
① Early onset: The total score of HAMD-17 decreased by more than 20% from baseline after 2 weeks of treatment;
② Effective: The total score of HAMD-17 was reduced by more than 50% compared with baseline; Stable and effective was defined as two consecutive HAMD-17 scores decreased by more than 50% from baseline at the 8th weekend of the acute phase.
2.1 A method of measuring or evaluating observational indicators
1) General demographic data survey The patient's date of birth, gender, height, weight, nationality, marital status, occupation type and years of education were investigated.
Clinical information collection
2)Medical history information:
- Time of first onset of major depressive disorder/bipolar disorder
- The onset of the current depressive episode
- Total episodes (including this one) : depressive episodes
2.2 Scale evaluation(baseline, 2nd weekend±7days, 6th weekend±14days, 8th weekend±14days, 12th weekend±14days, Week 14-104 Every 4 weekends ± 14 days):
We collect scale data of patients with major depressive disorder at different point (baseline, 2nd weekend±7days, 6th weekend±14days, 8th weekend±14days, 12th weekend±14days, Week 14-104 Every 4 weekends ± 14 days), and collect scale data of healthy controls during the baseline period.
self-rating scale: Snaith-Hamilton Pleasure Scale, SHAPS Generalized Anxiety Disorder,GAD-7 Patient Health Questionnare, PHQ-9 Hypomania Check List,HCL-33 Sheehan Disability Scale,SDS Childhood Trauma Questionnaire,CTQ Big 5 Personality Questionnaire, B5PQ Dysfunctional Attitude Scale,DAS Interpersonal Reactivity Index-C Scale for Suicide Ideation,SSI
Other rating scale Hamilton Depression Rating Scale for Depression - 17-item,HAMD-17 Hamilton Anxiety Scale,HAMA Brief Psychiatric Rating Scale, BPRS 4 items
2.3 EEG and eye movement data collection (baseline, 2nd weekend±7days, 6th weekend±14days, 8th weekend±14days, 12th weekend±14days, Week 14-104 Every 4 weekends ± 14 days)
We collect EEG and eye movement data of patients with major depressive disorder at different point(baseline, 2nd weekend±7days, 6th weekend±14days, 8th weekend±14days, 12th weekend±14days, Week 14-104 Every 4 weekends ± 14 days), and collect EEG and eye movement data of healthy controls during the baseline period.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310058
- Sir Run Run Shaw Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Out-patient or in-patient aged 18-65 years (including 18 and 65 years), regardless of gender;
- The Chinese version of the Concise International Neuropsychiatric Interview (M.I.N.I.) 7.0.2 type interview, in line with the DSM-5 Diagnostic criteria for major depressive disorder, either first or recurrent;
- Screening and baseline Hamilton Depression Scale (HAMD-17) Score ≥14;
- No antidepressants were taken for at least 14 days prior to enrollment (patients treated with fluoxetine prior to enrollment should Stop for at least 28 days);
- A single class of antidepressant medication is planned;
- Primary school education or above, able to understand the research content;
- Understand and voluntarily participate in this study, and I sign the informed consent.
Exclusion Criteria:
- A current or previous DSM-5 diagnosis of a major mental disorder other than major depressive disorder, Such as neurodevelopmental disorders, neurocognitive disorders, schizophrenia and other psychotic disorders, bipolar disorder Sensory disorder, obsessive disorder, panic disorder, post-traumatic stress disorder, alcohol (or drug) dependence or abuse User and personality disorder;
- depression secondary to an organic mental disorder caused by a systemic disease or a neurological disease Seizures, such as depression caused by hypothyroidism;
- Severe or unstable cardiovascular, respiratory, liver, kidney, endocrine, hematological or other conditions Other systemic diseases were not considered suitable for inclusion in this study.
- During the screening period or baseline period, the investigators considered that the physical examination and laboratory examination of the patients were abnormal and judged to have significant clinical significance Bedsense;
- had received systemic Modified Electric therapy (Modified Electric) 3 months before screening Convulsive Therapy, MECT) or Transcranial Magnetic stimulation (Transcranial Magnetic Stimulation (TMS), Deep Brain Stimulation (DBS), Vagus Nerve Stimulation (VNS);
- The withdrawal of psychotropic drugs did not reach 7 half-lives before screening.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Patients with major depressive disorder
We collect data of patients with major depressive disorder at different point (baseline, 2nd weekend±7days, 6th weekend±14days, 8th weekend±14days, 12th weekend±14days, Week 14-104 Every 4 weekends ± 14 days).
|
Research Treatment Drug treatment The patient did not take antidepressant treatment at least 14 days before enrollment (the patients treated with fluoxetine before enrollment should stop using it for at least 28 days). During 8 weeks, all subjects with major depressive disorder received effective dosages of selective serotonin reuptake inhibitors, and all subjects with major depressive disorder were limited to a single class of antidepressants. If the treatment of selective serotonin reuptake inhibitors is not effective after eight weeks, the drugs can be considered for replacement. The drugs for replacement include but are not limited to selective serotonin reuptake inhibitors. Other treatment Settings Psychotherapy and TMS are allowed. The method, frequency, and duration of therapy should be recorded.
Other Names:
TMS are allowed.
The method, frequency, and duration of therapy should be recorded.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
score of Snaith-Hamilton Pleasure Scale, SHAPS
Time Frame: baseline
|
rating scale
|
baseline
|
Generalized Anxiety Disorder,GAD-7
Time Frame: baseline
|
rating scale
|
baseline
|
Patient Health Questionnare, PHQ-9
Time Frame: baseline
|
rating scale
|
baseline
|
Hypomania Check List,HCL-33
Time Frame: baseline
|
rating scale
|
baseline
|
Sheehan Disability Scale,SDS
Time Frame: baseline
|
rating scale
|
baseline
|
Childhood Trauma Questionnaire,CTQ
Time Frame: baseline
|
rating scale
|
baseline
|
Big 5 Personality Questionnaire, B5PQ
Time Frame: baseline
|
rating scale
|
baseline
|
Dysfunctional Attitude Scale,DAS
Time Frame: baseline
|
rating scale
|
baseline
|
Interpersonal Reactivity Index-C
Time Frame: baseline
|
rating scale
|
baseline
|
Scale for Suicide Ideation,SSI
Time Frame: baseline
|
rating scale
|
baseline
|
Hamilton Depression Rating Scale for Depression - 17-item,HAMD-17
Time Frame: baseline
|
rating scale
|
baseline
|
Hamilton Anxiety Scale,HAMA
Time Frame: baseline
|
rating scale
|
baseline
|
Brief Psychiatric Rating Scale, BPRS 4 items
Time Frame: baseline
|
rating scale
|
baseline
|
score of Snaith-Hamilton Pleasure Scale, SHAPS
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
score of Generalized Anxiety Disorder,GAD-7
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
score of Patient Health Questionnare, PHQ-9
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
score of Hypomania Check List,HCL-33
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
score of Sheehan Disability Scale,SDS
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
score of Interpersonal Reactivity Index-C
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
score of Scale for Suicide Ideation,SSI
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
Hamilton Depression Rating Scale for Depression - 17-item,HAMD-17
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
Hamilton Anxiety Scale,HAMA
Time Frame: 2nd weekend±7days,
|
rating scale
|
2nd weekend±7days,
|
score of Snaith-Hamilton Pleasure Scale, SHAPS
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
Generalized Anxiety Disorder,GAD-7
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
Patient Health Questionnare, PHQ-9
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
Hypomania Check List,HCL-33
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
Sheehan Disability Scale,SDS
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
Interpersonal Reactivity Index-C
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
Scale for Suicide Ideation,SSI
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
Hamilton Depression Rating Scale for Depression - 17-item,HAMD-17
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
Hamilton Anxiety Scale,HAMA
Time Frame: 6th weekend±14days,
|
rating scale
|
6th weekend±14days,
|
score of Snaith-Hamilton Pleasure Scale, SHAPS
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Generalized Anxiety Disorder,GAD-7
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Patient Health Questionnare, PHQ-9
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Hypomania Check List,HCL-33
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Sheehan Disability Scale,SDS
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Interpersonal Reactivity Index-C
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Scale for Suicide Ideation,SSI
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Hamilton Depression Rating Scale for Depression - 17-item,HAMD-17
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Hamilton Anxiety Scale,HAMA
Time Frame: 8th weekend±14days,
|
rating scale
|
8th weekend±14days,
|
score of Snaith-Hamilton Pleasure Scale, SHAPS
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Generalized Anxiety Disorder,GAD-7
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Patient Health Questionnare, PHQ-9
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Hypomania Check List,HCL-33
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Sheehan Disability Scale,SDS
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Interpersonal Reactivity Index-C
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Scale for Suicide Ideation,SSI
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Hamilton Depression Rating Scale for Depression - 17-item,HAMD-17
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Hamilton Anxiety Scale,HAMA
Time Frame: 12th weekend±14days,
|
rating scale
|
12th weekend±14days,
|
score of Snaith-Hamilton Pleasure Scale, SHAPS
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
Generalized Anxiety Disorder,GAD-7
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
score of Patient Health Questionnare, PHQ-9
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
score of Hypomania Check List,HCL-33
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
score of Sheehan Disability Scale,SDS
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
score of Interpersonal Reactivity Index-C
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
score of Scale for Suicide Ideation,SSI
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
score of Hamilton Depression Rating Scale for Depression - 17-item,HAMD-17
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
score of Hamilton Anxiety Scale,HAMA
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
rating scale
|
Week 14-104 Every 4 weekends ± 14 days
|
average power of 4 bands: δ (1-4 Hz)、 θ (4-8 Hz)、 α (8-13 Hz)、 β (13-30 Hz)
Time Frame: baseline
|
EEG features
|
baseline
|
1.Average duration of EEG microstates 2. The average number of occurrences of EEG microstates per second 3. Average percentage of time covered by EEG microstates 4.the calculation of microstate transition.
Time Frame: baseline
|
EEG features
|
baseline
|
Connectivity index of full-band brain function network, and connectivity index of each band brain function network
Time Frame: baseline
|
EEG features
|
baseline
|
EEG features extracted by machine learning
Time Frame: baseline
|
EEG features
|
baseline
|
average power of 4 bands: δ (1-4 Hz)、 θ (4-8 Hz)、 α (8-13 Hz)、 β (13-30 Hz)
Time Frame: 2nd weekend±7days
|
EEG features
|
2nd weekend±7days
|
Average duration of EEG microstates 2. The average number of occurrences of EEG microstates per second 3. Average percentage of time covered by EEG microstates 4.the calculation of microstate transition.
Time Frame: 2nd weekend±7days
|
EEG features
|
2nd weekend±7days
|
Connectivity index of full-band brain function network, and connectivity index of each band brain function network
Time Frame: 2nd weekend±7days
|
EEG features
|
2nd weekend±7days
|
EEG features extracted by machine learning
Time Frame: 2nd weekend±7days
|
EEG features
|
2nd weekend±7days
|
average power of 4 bands: δ (1-4 Hz)、 θ (4-8 Hz)、 α (8-13 Hz)、 β (13-30 Hz)
Time Frame: 6th weekend±14days
|
EEG features
|
6th weekend±14days
|
1.Average duration of EEG microstates 2. The average number of occurrences of EEG microstates per second 3. Average percentage of time covered by EEG microstates 4.the calculation of microstate transition.
Time Frame: 6th weekend±14days
|
EEG features
|
6th weekend±14days
|
Connectivity index of full-band brain function network, and connectivity index of each band brain function network
Time Frame: 6th weekend±14days
|
EEG features
|
6th weekend±14days
|
EEG features extracted by machine learning
Time Frame: 6th weekend±14days
|
EEG features
|
6th weekend±14days
|
average power of 4 bands: δ (1-4 Hz)、 θ (4-8 Hz)、 α (8-13 Hz)、 β (13-30 Hz)
Time Frame: 8th weekend±14days
|
EEG features
|
8th weekend±14days
|
1.Average duration of EEG microstates 2. The average number of occurrences of EEG microstates per second 3. Average percentage of time covered by EEG microstates 4.the calculation of microstate transition.
Time Frame: 8th weekend±14days
|
EEG features
|
8th weekend±14days
|
Connectivity index of full-band brain function network, and connectivity index of each band brain function network
Time Frame: 8th weekend±14days
|
EEG features
|
8th weekend±14days
|
EEG features extracted by machine learning
Time Frame: 8th weekend±14days
|
EEG features
|
8th weekend±14days
|
average power of 4 bands: δ (1-4 Hz)、 θ (4-8 Hz)、 α (8-13 Hz)、 β (13-30 Hz)
Time Frame: 12th weekend±14days
|
EEG features
|
12th weekend±14days
|
1.Average duration of EEG microstates 2. The average number of occurrences of EEG microstates per second 3. Average percentage of time covered by EEG microstates 4.the calculation of microstate transition.
Time Frame: 12th weekend±14days
|
EEG features
|
12th weekend±14days
|
Connectivity index of full-band brain function network, and connectivity index of each band brain function network
Time Frame: 12th weekend±14days
|
EEG features
|
12th weekend±14days
|
EEG features extracted by machine learning
Time Frame: 12th weekend±14days
|
EEG features
|
12th weekend±14days
|
average power of 4 bands: δ (1-4 Hz)、 θ (4-8 Hz)、 α (8-13 Hz)、 β (13-30 Hz)
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
EEG features
|
Week 14-104 Every 4 weekends ± 14 days
|
1.Average duration of EEG microstates 2. The average number of occurrences of EEG microstates per second 3. Average percentage of time covered by EEG microstates 4.the calculation of microstate transition.
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
EEG features
|
Week 14-104 Every 4 weekends ± 14 days
|
Connectivity index of full-band brain function network, and connectivity index of each band brain function network
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
EEG features
|
Week 14-104 Every 4 weekends ± 14 days
|
EEG features extracted by machine learning
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
EEG features
|
Week 14-104 Every 4 weekends ± 14 days
|
Eye movement index
Time Frame: baseline
|
Collect resting eye movement data and task eye movement data.
For eye movement data, features are extracted from blinking, scanning, staring, pupil diameter, initial fixation latency, initial fixation duration, total fixation duration and area of interest and so on.
|
baseline
|
Eye movement index
Time Frame: 2nd weekend±7days
|
Collect resting eye movement data and task eye movement data.
For eye movement data, features are extracted from blinking, scanning, staring, pupil diameter, initial fixation latency, initial fixation duration, total fixation duration and area of interest and so on.
|
2nd weekend±7days
|
Eye movement index
Time Frame: 6th weekend±14days
|
Collect resting eye movement data and task eye movement data.
For eye movement data, features are extracted from blinking, scanning, staring, pupil diameter, initial fixation latency, initial fixation duration, total fixation duration and area of interest and so on.
|
6th weekend±14days
|
Eye movement index
Time Frame: 8th weekend±14days
|
Collect resting eye movement data and task eye movement data.
For eye movement data, features are extracted from blinking, scanning, staring, pupil diameter, initial fixation latency, initial fixation duration, total fixation duration and area of interest and so on.
|
8th weekend±14days
|
Eye movement index
Time Frame: 12th weekend±14days
|
Collect resting eye movement data and task eye movement data.
For eye movement data, features are extracted from blinking, scanning, staring, pupil diameter, initial fixation latency, initial fixation duration, total fixation duration and area of interest and so on.
|
12th weekend±14days
|
Eye movement index
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
Collect resting eye movement data and task eye movement data.
For eye movement data, features are extracted from blinking, scanning, staring, pupil diameter, initial fixation latency, initial fixation duration, total fixation duration and area of interest and so on.
|
Week 14-104 Every 4 weekends ± 14 days
|
Eye movement features extracted by machine learning
Time Frame: baseline
|
Eye movement features extracted by machine learning
|
baseline
|
Eye movement features extracted by machine learning
Time Frame: 2nd weekend±7days
|
Eye movement features extracted by machine learning
|
2nd weekend±7days
|
Eye movement features extracted by machine learning
Time Frame: 6th weekend±14days
|
Eye movement features extracted by machine learning
|
6th weekend±14days
|
Eye movement features extracted by machine learning
Time Frame: 8th weekend±14days
|
Eye movement features extracted by machine learning
|
8th weekend±14days
|
Eye movement features extracted by machine learning
Time Frame: 12th weekend±14days
|
Eye movement features extracted by machine learning
|
12th weekend±14days
|
Eye movement features extracted by machine learning
Time Frame: Week 14-104 Every 4 weekends ± 14 days
|
Eye movement features extracted by machine learning
|
Week 14-104 Every 4 weekends ± 14 days
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Mood Disorders
- Depressive Disorder
- Depressive Disorder, Major
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Serotonin Agents
- Serotonin Receptor Agonists
- Serotonin
- Selective Serotonin Reuptake Inhibitors
Other Study ID Numbers
- 2022-0334
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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