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A Study of Diagnosis and Treatment of Depression Based on Biological Evidence of Dopamine Reward Pathway

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ClinicalTrials.gov Identifier: NCT03148509
Recruitment Status : Not yet recruiting
First Posted : May 11, 2017
Last Update Posted : May 12, 2017
Sponsor:
Information provided by (Responsible Party):
Si Tianmei, Peking University

Brief Summary:
This study will recruit depressed patients unresponsive to selective serotonin reuptake inhibitor antidepressant treatment, first-degree relatives (parents or siblings) of depressed patients, schizophrenia, Parkinson's disease with and without depression, and healthy controls. The subjects need to complete the brain positron emission tomography/magnetic resonance examination, stress assessment, genetic testing, clinical evaluation and neuropsychological tests. Using the data, this study aimed to identify the abnormalities of reward circuit of depression and its differences with other diseases, and its abnormalities in first-degree relatives of depression. The depressed patients who were ineffective in treatment with selective serotonin reuptake inhibitor antidepressants were then given combined medication with dopamine receptor-mediated drugs, including dopamine transporter inhibitor - bupropion, D2 receptor antagonist - risperidone, or D2 receptor partial agonist - aripiprazole, to examine the regulation of dopamine pathway and its relationship with the therapeutic effect. Through the above work, we will provide new evidence for integrating the biological evidence of dopamine reward pathway into the clinical practice of depression.

Condition or disease Intervention/treatment Phase
Diagnosis and Treatment of Depression Drug: risperidone Drug: aripiprazole Drug: bupropion Phase 4

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 300 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Clinical Psychopharmacology Division Institute of Mental Health, Peking University
Estimated Study Start Date : June 1, 2017
Estimated Primary Completion Date : December 30, 2019
Estimated Study Completion Date : December 30, 2019

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: bupropion
receive bupropion
Drug: risperidone
DA receptor-mediated drugs

Experimental: risperidone
receive risperidone
Drug: aripiprazole
DA receptor-mediated drugs

Experimental: aripiprazole
receive aripiprazole
Drug: bupropion
DA receptor-mediated drugs




Primary Outcome Measures :
  1. Hamilton Rating Scale for Depression [ Time Frame: 8 weeks ]


Information from the National Library of Medicine

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Ages Eligible for Study:   15 Years to 55 Years   (Child, Adult)
Sexes Eligible for Study:   All
Gender Based Eligibility:   Yes
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • patients unresponsive to SSRI antidepressant treatment, first-degree relatives (parents or siblings) of depressed patients, schizophrenia, Parkinson's disease with and without depression, and healthy controls

Exclusion Criteria:

  • Major physical illness; other DSM-IV axis I mental illness; personality disorder, mental retardation; drug and/or alcohol dependence; pregnant or lactating women; MRI examination contraindications.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03148509


Contacts
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Contact: Ji-Tao Li, MD 010-62723742 ljt_102124@163.com

Sponsors and Collaborators
Peking University

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Responsible Party: Si Tianmei, Director of Clinical Psychopharmacology Division,Institute of Mental Health, Peking University
ClinicalTrials.gov Identifier: NCT03148509     History of Changes
Other Study ID Numbers: Z171100000117016
First Posted: May 11, 2017    Key Record Dates
Last Update Posted: May 12, 2017
Last Verified: May 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No

Additional relevant MeSH terms:
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Depression
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders
Risperidone
Aripiprazole
Bupropion
Serotonin Antagonists
Serotonin Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Antipsychotic Agents
Tranquilizing Agents
Central Nervous System Depressants
Psychotropic Drugs
Dopamine Antagonists
Dopamine Agents
Antidepressive Agents
Dopamine Agonists
Serotonin 5-HT1 Receptor Agonists
Serotonin Receptor Agonists
Serotonin 5-HT2 Receptor Antagonists
Dopamine D2 Receptor Antagonists
Antidepressive Agents, Second-Generation
Dopamine Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Membrane Transport Modulators
Cytochrome P-450 CYP2D6 Inhibitors