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Pharmacokinetic and Pharmacodynamic Effects of Escitalopram Depending on Genetic Polymorphisms of the ABCB1-Gene
This study is currently recruiting participants.
Verified by Max-Planck-Institute of Psychiatry, April 2008
First Received: October 29, 2007   Last Updated: April 21, 2008   History of Changes
Sponsor: Max-Planck-Institute of Psychiatry
Information provided by: Max-Planck-Institute of Psychiatry
ClinicalTrials.gov Identifier: NCT00550485
  Purpose

The ABCB1-gene product P-glycoprotein is an integral membrane protein that actively transports substrates out of the intracellular compartment. One of the major sites of its action is the blood-brain-barrier. It is highly expressed in brain capillary endothelial cells and involved in limiting the access of substrates such as antidepressants to the CNS. A single nucleotide polymorphism (SNP) of the ABCB1-gene was recently identified showing a different treatment response to antidepressant drugs depending on the genotype. Therefore, it is assumed that healthy subjects with different genotypes of that SNP will be associated with significantly different brain levels of the antidepressant escitalopram after 6 days of intake. For determining intracerebral escitalopram levels, a 19-F magnetic resonance spectroscopy will be used. Sleep recordings are a useful bio-marker for effects of antidepressants on the CNS. Selective 5-HT1-reuptake inhibitors (e.g. escitalopram) cause a suppression of REM sleep and a stronger fragmentation of sleep compared to untreated subjects. Higher plasma levels of antidepressants affected the sleep to a greater extent than lower levels. In line with this finding, we suppose that sleep EEG recordings of healthy subjects with different genotypes of the above mentioned SNP will be differently affected after taking 6 days escitalopram. In addition, there is good evidence that sleep is involved in various forms of memory processing. For example, it has been repeatedly shown that the performance in motor tasks (procedural learning) is correlated with the amount of stage 2 NonREM and REM sleep, respectively. Hence we hypothesize, that a drug-induced impairment of sleep (e. g. reduction of REM sleep) is associated with an impairment of procedural learning. In addition, effects of drug intake on the gene expression in lymphocytes and metabolic changes will be assessed. Functional magnetic resonance imaging will be applied to detect potential drug-induced changes of corticolimbic circuitries.


Condition Intervention
Pharmacokinetics
Drug: escitalopram

Study Type: Interventional
Study Design: Basic Science, Open Label, Parallel Assignment
Official Title: Blood-Brain-Barrier Permeability of Escitalopram Depending on Genetic Polymorphisms of the ABCB1-Gene: Effect on Sleep and Procedural Learning

Resource links provided by NLM:


Further study details as provided by Max-Planck-Institute of Psychiatry:

Primary Outcome Measures:
  • Brain levels of escitalopram as assessed by a 19-F magnetic resonance spectroscopy [ Time Frame: after 6 takes of intake of escitalopram ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Sleep-EEG, functional MRI, learning, gene expression, metabolic changes [ Time Frame: after 6 days of intake of escitalopram ] [ Designated as safety issue: No ]

Estimated Enrollment: 300
Study Start Date: October 2007
Estimated Study Completion Date: June 2009
Estimated Primary Completion Date: March 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1
Healthy subjects with a single nucleotide polymorphism (SNP) of the ABCB1-gene (Genotype A)
Drug: escitalopram
escitalopram 10 mg
2
Healthy subjects with a single nucleotide polymorphism (SNP) of the ABCB1-gene (Genotype B)
Drug: escitalopram
escitalopram 10 mg

  Eligibility

Ages Eligible for Study:   20 Years to 60 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • healthy males 20-30 years and 50-60 years

Exclusion Criteria:

  • any medication
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00550485

Contacts
Contact: Axel Steiger, MD 0049 8930622 ext 236 steiger@mpipsykl.mpg.de
Contact: Michael Kluge, MD 0049 8930622 ext 396 kluge@mpipsykl.mpg.de

Locations
Germany
Max Planck Institute of Psychiatry Recruiting
Munich, Germany, 81667
Contact: Axel Steiger, MD     0049 8930622 ext 236     steiger@mpipsykl.mpg.de    
Contact: Michael Kluge, MD     0049 8930622 ext 396     kluge@mpipsykl.mpg.de    
Sponsors and Collaborators
Max-Planck-Institute of Psychiatry
Investigators
Principal Investigator: Axel Steiger, MD Max-Planck-Institute of Psychiatry
  More Information

No publications provided

Responsible Party: Max-Planck-Institute of Psychiatry ( Axel Steiger, MD )
Study ID Numbers: L3/2005
Study First Received: October 29, 2007
Last Updated: April 21, 2008
ClinicalTrials.gov Identifier: NCT00550485     History of Changes
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Additional relevant MeSH terms:
Parasympatholytics
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Cholinergic Antagonists
Anti-Dyskinesia Agents
Physiological Effects of Drugs
Psychotropic Drugs
Antiparkinson Agents
Cholinergic Agents
Serotonin Uptake Inhibitors
Citalopram
Pharmacologic Actions
Muscarinic Antagonists
Serotonin Agents
Autonomic Agents
Therapeutic Uses
Peripheral Nervous System Agents
Antidepressive Agents, Second-Generation
Dexetimide
Central Nervous System Agents
Antidepressive Agents

ClinicalTrials.gov processed this record on November 05, 2009