MRS and Medication Response: A Pilot Study
Magnetic Resonance Spectroscopy and Medication Response: A Pilot Study
Studieöversikt
Status
Detaljerad beskrivning
The primary objective of this study is to demonstrate that it is feasible to image paroxetine (Paxil) or citalopram (Celexa) or escitalopram (Lexapro) brain concentrations using MRS technology in depressed patients.
The longer-term goal is to determine the relationship between clinically administered doses of paroxetine (Paxil) or citalopram (Celexa) or escitalopram (Lexapro) (antidepressants), the amount of drug in the body via blood level, the concentrations of the drug achieved in brain measured via MRS, and genetics.
It has been previously reported that individuals taking 20mg of paroxetine daily had brain paroxetine [(Paxil) levels via MRS ranging from 2-13 micromolar. Similar or slightly higher ranges of brain drug concentrations have been reported for fluoxetine and fluvoxamine.
Since not all depressed patients respond to medications, one reason may be the amount of medication that crosses the blood-brain barrier. This may be influenced by genetic information. We want to examine these issues on a larger scale, but first we need to demonstrate that we can indeed determine paroxetine [(Paxil) or citalopram (Celexa) or escitalopram (Lexapro)] levels via MRS.
Intended results analysis could not be conducted because a reliably sensitive spectroscopic method could not be developed.
Studietyp
Inskrivning (Faktisk)
Kontakter och platser
Studieorter
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California
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Stanford, California, Förenta staterna, 94305
- Stanford University Psychiatry and Biobehavioral Sciences
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
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Testmetod
Studera befolkning
Beskrivning
Major depressive disorder:
Inclusion Criteria:
- DSM diagnosis of Major Depressive Disorder
- Taking paroxetine [(Paxil) or citalopram (Celexa) or escitalopram (Lexapro)]for at least 6 weeks
- Between 21 - 75 years of age.
- Taking a stable dose of paroxetine [(Paxil) or citalopram (Celexa) or escitalopram (Lexapro)] for at least the 2 weeks prior to the imaging session
Healthy controls:
- Between 21 - 75 years of age.
- Have a 21-item HAM-D score of less than or equal to 5.
- No current, or history of any Axis I disorder.
Identify exclusion criteria.
Exclusion criteria are as follows:
- Contraindications for an MRI exam. These includes biomedical devices such as pacemakers, aneurysm clips, prostheses, and other metallic objects embedded in the body such as bullets, buckshot, shrapnel, and any metal fragments from working around metal.
- Current pregnancy or lactation.
- Patients with claustrophobia.
- History, or current Axis I or Axis II disorders
- Active unstable medical problems, as confirmed by screening procedures
- Diagnosed with any autoimmune disease, (e.g., rheumatoid arthritis, Lupus, MLS).
- Chronic use of steroids or opiates.
- Positive urine toxicology screen for illicit substances of abuse.
Studieplan
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
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Major depressive disorder
There is no intervention/treatment in this study.
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Non-depressed individuals
There is no intervention/treatment in this study.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
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Measurement of paroxetine (Paxil), citalopram (Celexa) or escitalopram (Lexapro) brain concentrations.
Tidsram: Within 7 Days following MRS
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Measurement of paroxetine (Paxil), citalopram (Celexa) or escitalopram (Lexapro) brain concentrations using MRS technology in depressed participants.
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Within 7 Days following MRS
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Samarbetspartners och utredare
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Studiestart (Faktisk)
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Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 28162
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