- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00095134
Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard Therapy
A Double-Blind Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard Therapy
Studieoversikt
Detaljert beskrivelse
Many patients who suffer from Major Depressive Disorder (MDD) do not benefit or show only partial benefit from current psychotropic therapy. This clinical trial seeks to study the efficacy and safety of adjunctive treatment with risperidone in patients with MDD who failed to adequately respond to standard antidepressant treatment prior to this trial and who prospectively do not respond to adequate treatment with standard antidepressant therapy (SAD).
Patients entering the open label phase of the study will have already taken a commercially available SAD for a minimum of 4 weeks, and provided the dose was optimal, will continue on this dose of SAD throughout the four-week open-label and six-week double-blind phases of the trial.
If the dose in the four weeks prior to entering the study was not optimal (as per standard clinical practice), the dose will be increased to be within the optimal range and continued at that dose through the entire open-label SAD and double-blind phases.
During the double-blind phase, subjects receive an adjunctive dose of risperidone or placebo, once daily, added to their stable dose of SAD. The starting dose of risperidone or placebo is 0.25 mg for the first three days of the double-blind phase, and is increased to 0.5 mg for days 4 through 14. On the 15th day of this phase, the dose is increased to the target dose of 1.0 mg/day. If response to this dose is not optimal by day 29, it is increased to 2.0 mg/day and is maintained for the duration of the 6-week double-blind phase. This dose may be reduced once to 1.0 mg/day, but then must be maintained at that dose for the remainder of the study.
Studietype
Registrering (Faktiske)
Fase
- Fase 3
Kontakter og plasseringer
Studiesteder
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Alabama
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Birmingham, Alabama, Forente stater, 35205
- Innovative Clinical Trials, LLC
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Birmingham, Alabama, Forente stater, 35242
- Greystone Medical Research
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Arizona
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Scottsdale, Arizona, Forente stater, 85251
- Scottsdale Family Health
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Sun City, Arizona, Forente stater, 85351
- Sun Valley Medical
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Tucson, Arizona, Forente stater, 85711
- Southwest Biomedical Research Foundation
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California
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Burbank, California, Forente stater, 91506
- Southwestern Research Institute
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Inglewood, California, Forente stater, 90301
- Chrishard Clinical Research
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La Mesa, California, Forente stater, 91942
- Optimum Health Services
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Los Angeles, California, Forente stater, 90024
- Pacific Insititute for Medical Research
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Oceanside, California, Forente stater, 92056
- Optimum Health Services
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Riverside, California, Forente stater, 92506
- Behavioral Health 2000, LLC
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San Diego, California, Forente stater, 92103
- nTouch Research
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Connecticut
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New London, Connecticut, Forente stater, 06320
- Psychiatric Medicine Center
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Delaware
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Newark, Delaware, Forente stater, 19702
- Glasgow Family Practice
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Florida
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Ft. Lauderdale, Florida, Forente stater, 33311
- Leonard Bass, MD, PA
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Gainesville, Florida, Forente stater, 32607
- Sarkis Clinical Trials
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Jacksonville, Florida, Forente stater, 32257
- Roger Miller, MD
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North Miami, Florida, Forente stater, 33161
- BioQuan Research Group, Inc.
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St. Cloud, Florida, Forente stater, 34769
- Family Practice - St. Cloud
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Illinois
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Arlington Heights, Illinois, Forente stater, 60005
- Allan B. Aven, MD
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Naperville, Illinois, Forente stater, 60542
- nTouch Research - Chicago
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Peoria, Illinois, Forente stater, 61614
- Balanced Health Research Center
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Peoria, Illinois, Forente stater, 61602
- nTouch Research - Peoria
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Indiana
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Avon, Indiana, Forente stater, 46123
- American Health Network
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Evansville, Indiana, Forente stater, 47714
- Research Solutions - Evansville
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Indianapolis, Indiana, Forente stater, 46260
- Amy Kaissar, MD
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Terre Haute, Indiana, Forente stater, 47802
- Clinco
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Kentucky
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Florence, Kentucky, Forente stater, 41042
- Hartford Research Group
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Louisiana
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Metairie, Louisiana, Forente stater, 70001
- New Orleans Medical Institute
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Shreveport, Louisiana, Forente stater, 71101
- Brentwood Research Institute
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Michigan
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Cadillac, Michigan, Forente stater, 49601
- Professional Clinical Research at Great Lakes Family Care
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Missouri
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St. Louis, Missouri, Forente stater, 63125
- Sam Hawatmeh, MD, PC
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Nebraska
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Alliance, Nebraska, Forente stater, 69301
- Alliance Medical Center, PC
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New Jersey
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Glendora, New Jersey, Forente stater, 08029
- Clinical Trial Associates
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Turnersville, New Jersey, Forente stater, 08012
- Partners in Primary Care
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New Mexico
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Albuquerque, New Mexico, Forente stater, 81709
- ABQ Med., P.C.
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New York
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New York, New York, Forente stater, 10021
- Eastside Comprehensive Medical Services, LLC
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North Carolina
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Raleigh, North Carolina, Forente stater, 27609
- Raleigh Medical Group
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Winston Salem, North Carolina, Forente stater, 27103
- Salem Research Group
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Ohio
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Canal Fulton, Ohio, Forente stater, 44614
- Community Health Care, Inc.
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Cincinnati, Ohio, Forente stater, 45224
- Hightop Medical Research Center
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Cincinnati, Ohio, Forente stater, 45242
- CFP Research, Inc.
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Cincinnati, Ohio, Forente stater, 45219
- Community Research Management Associates, Inc.
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Dayton, Ohio, Forente stater, 45406
- Martin Schear, MD
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Wadsworth, Ohio, Forente stater, 44281
- Family Practice Center of Wadsworth
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Oklahoma
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Edmond, Oklahoma, Forente stater, 73013
- Sooner Clinical Research
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Moore, Oklahoma, Forente stater, 73160
- Med-line Research
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Oklahoma City, Oklahoma, Forente stater, 73120
- Cutting Edge Research Group
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Oregon
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Eugene, Oregon, Forente stater, 97401
- Advanced Clinical Trials
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Medford, Oregon, Forente stater, 97504
- Medford Medical Clinic, LLP
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Medford, Oregon, Forente stater, 97504
- Clinical Research Consultants/Providence Medical
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Pennsylvania
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Downingtown, Pennsylvania, Forente stater, 19335
- Gateway Medical
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Feasterville, Pennsylvania, Forente stater, 19053
- Feasterville Family Health Care
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Lansdale, Pennsylvania, Forente stater, 19446
- Detweiler Family Medicine
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Lansdale, Pennsylvania, Forente stater, 19466
- Green & Seidner Family Practice
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Levittown, Pennsylvania, Forente stater, 19057
- Woodburne Family Practice
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Norristown, Pennsylvania, Forente stater, 19401
- Pearl Clinical Research
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Philadelphia, Pennsylvania, Forente stater, 19152
- Joseph Rybicki, MD
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Pittsburgh, Pennsylvania, Forente stater, 15206
- Clinical Trials Research Services, LLC
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Pittsburgh, Pennsylvania, Forente stater, 15221
- Consolidated Clinical Trials, Inc.
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Pottstown, Pennsylvania, Forente stater, 19465
- Charles Buttz, MD
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Reading, Pennsylvania, Forente stater, 19606
- Research Across America
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South Carolina
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Greer, South Carolina, Forente stater, 29651
- The Family Practice
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Tennessee
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Johnson City, Tennessee, Forente stater, 37601
- Harmony Clinical Research
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Texas
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Beaumont, Texas, Forente stater, 77701
- DiscoveResearch, Inc.
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Corpus Christi, Texas, Forente stater, 78411
- South Texas Applied Research
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Virginia
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Richmond, Virginia, Forente stater, 23294
- International Clinical Research Associates, LLC
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Virgina Beach, Virginia, Forente stater, 23452
- International Clinical Research Associates
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Washington
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Kirkland, Washington, Forente stater, 98034
- Richard Neiman, MD
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Spokane, Washington, Forente stater, 99216
- Daniel Blizzard, MD
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Understand and sign the informed consent form
- Age 18-65
- Healthy on the basis of Physical Exam
- Treatment with a single antidepressant 4 weeks prior to study start and willingness to maintain on stable dose of the same antidepressant throughout the study
- Current diagnosis of Major Depressive Disorder
- Judgement of the clinician that the subject has shown a sub-optimal response to the antidepressant
Exclusion Criteria:
- Presence of other serious medical illness(es)
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Dobbelt
Hva måler studien?
Primære resultatmål
Resultatmål |
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Difference in therapeutic effect of risperidone and placebo as measured by change in depression rating scale (HAM-D) at end of week 4 of the double-blind phase.
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Sekundære resultatmål
Resultatmål |
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Safety will be assessed through reported adverse events and vital signs (weight, blood pressure, pulse, and temperature).
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Samarbeidspartnere og etterforskere
Samarbeidspartnere
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Pandina G, Turkoz I, Bossie C. Impact of self-reported juvenile abuse on treatment outcome in patients with major depressive disorder. J Affect Disord. 2013 Oct;151(1):384-91. doi: 10.1016/j.jad.2013.01.053. Epub 2013 Jul 10.
- Mahmoud RA, Pandina GJ, Turkoz I, Kosik-Gonzalez C, Canuso CM, Kujawa MJ, Gharabawi-Garibaldi GM. Risperidone for treatment-refractory major depressive disorder: a randomized trial. Ann Intern Med. 2007 Nov 6;147(9):593-602. doi: 10.7326/0003-4819-147-9-200711060-00003.
Studierekorddatoer
Studer hoveddatoer
Studiestart
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
- Atferdssymptomer
- Psykiske lidelser
- Stemningsforstyrrelser
- Depresjon
- Depressiv lidelse
- Depressiv lidelse, major
- Fysiologiske effekter av legemidler
- Nevrotransmittere agenter
- Molekylære mekanismer for farmakologisk virkning
- Sentralnervesystemdepressiva
- Antipsykotiske midler
- Beroligende midler
- Psykotropiske stoffer
- Serotoninmidler
- Dopaminmidler
- Serotonin-antagonister
- Dopaminantagonister
- Risperidon
Andre studie-ID-numre
- CR004726
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
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Kliniske studier på risperidon
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Zogenix, Inc.Fullført
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Zogenix, Inc.FullførtSchizofreni | Schizoaffektiv lidelseForente stater
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Janssen-Cilag S.p.A.FullførtSchizofreni | Schizoaffektiv lidelse
-
Rovi Pharmaceuticals LaboratoriesRekruttering
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Northwestern UniversityOrtho-McNeil Janssen Scientific Affairs, LLCFullførtSchizofreni | Schizoaffektiv lidelseForente stater
-
Janssen Korea, Ltd., KoreaFullført
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Dartmouth-Hitchcock Medical CenterJanssen, LPFullførtPsykotiske lidelser | Schizofreni | Stoffmisbruk | AlkoholmisbrukForente stater
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Rovi Pharmaceuticals LaboratoriesFullførtSchizofreniForente stater, Ukraina