Treatment of Major Depressive Disorder With Psychotic Features.
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Purpose
The purpose of this study is to determine the safety and efficacy of risperidone monotherapy in the treatment of psychotic depression. We hypothesize that risperidone is as equally as effective as haloperidol plus sertraline for depression with psychotic features
| Condition | Intervention | Phase |
|---|---|---|
|
Major Depression With Psychotic Features |
Drug: risperidone |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Treatment of Major Depressive Disorder With Psychotic Features With Risperidone Monotherapy; Risperidone and Sertraline; or Haloperidol and Sertraline |
- Hamilton Depression Rating Scale
- Positive and Negative Symptom Scale
| Estimated Enrollment: | 30 |
| Study Start Date: | September 2001 |
| Study Completion Date: | August 2007 |
Risperidone is a novel antipsychotic that is usually not associated with the adverse effects of neuroleptics. In addition, preliminary evidence suggests that it has additional mood stabilizing properties as compared with neuroleptics. We are examining the effect of risperidone alone for the treatment of psychotic depression. After providing written informed consent, subjects with major depression and psychosis will undergo a routine medical and neurological evaluation. If subjects qualify they will undergo a 3 to 7 day washout. Subjects will be randomly assigned under double-blind conditions to risperidone plus placebo; risperidone plus sertraline; or haloperidol (HPDL) plus sertraline in a prospective parallel design for a 6 week trial. Outcome measures include the Hamilton Rating Depression Scale, The Positive and Negative Symptom Scale and the Clinician Administered Ratings Scale for Mania and Simpson Angus Scale. Rating will be conducted on a weekly basis throughout the study.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects will be men and women 18 to 70 years of age with major depression and psychosis that is either an initial episode or a recurrent episode (unipolar or bipolar).
- Subjects with an anxiety disorder or an additional mood disorder such as dysthymia are eligible.
- Baseline HDRS score of greater than 21.
- A baseline PANSS score of greater than 4 on at least one of the 5 psychosis items
Exclusion Criteria:
- Pregnant women Women of child-bearing age who refuse a urine pregnancy test or who refuse to use a contraceptive technique when sexually active.
- Persons with other psychotic disorders; a mood disorder due to a general medical condition or substance-induced; a current substance dependence disorder; or a dementing disorder are excluded.
- Persons with serious, unstable medical illnesses.
Contacts and Locations| United States, Illinois | |
| Rush University Medical Center | |
| Chicago, Illinois, United States, 60612 | |
| Principal Investigator: | Philip g Janicak, MD | Rush University Medical Center |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00174590 History of Changes |
| Other Study ID Numbers: | RIS-USA-248, RIS-USA-248 |
| Study First Received: | September 9, 2005 |
| Last Updated: | December 28, 2007 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Rush University Medical Center:
|
depression |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Mental Disorders Psychotic Disorders Depressive Disorder, Major Behavioral Symptoms Mood Disorders Schizophrenia and Disorders with Psychotic Features Risperidone Serotonin Antagonists Serotonin Agents Neurotransmitter Agents |
Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Physiological Effects of Drugs Antipsychotic Agents Tranquilizing Agents Central Nervous System Depressants Central Nervous System Agents Therapeutic Uses Psychotropic Drugs Dopamine Antagonists Dopamine Agents |
ClinicalTrials.gov processed this record on May 21, 2013