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A study to compare two probiotic supplements given along with escitalopram in patients with major depression.

Comparing efficacy of two probiotic strains as an adjunctive therapy to escitalopram in major depressive disorder at tertiary healthcare centre: A Randomized Controlled Trial - NIL

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/03/105210
Enrollment
128
Registered
2026-03-02
Start date
Unknown
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: F334- Major depressive disorder, recurrent, in remission

Interventions

Intervention1: Arm 1 Escitalopram 20 mg + Lactobacillus rhamnosus : Intervention Description: Tab. Escitalopram 20 mg orally once daily (baseline dose
may be tapered up to 5 mg based on clinical response and HAM-D scoring) + probiotic sachet containing Lactobacillus rhamnosus administered orally once daily for 8 weeks. Duration of Intervention: 8 w
may be tapered up to 5 mg based on clinical response and HAM-D scoring) + probiotic sachet containing Bacillus coagulans administered orally once daily for 8 weeks. Duration of Intervention: 8 weeks R

Sponsors

Self
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients newly diagnosed with major depressive disorder as per DSM-V criteria. 2 Sex/Age: -Either sex from 18 55 years of age. 3. Patients willing to participate and comply with the follow-up visits and study procedures. 4. Patients who will give informed written consent. 5. HAM-D assessment score of more than 10 will be included.

Exclusion criteria

Exclusion criteria: 1. Patient already on any other antidepressant, antipsychotic or probiotic supplementation. 2. Past history of any substance abuse by the patient 3. Pregnant women 4. Intellectual disable and developmental delay patients 5. Patients with comorbidities like hypertension, uncontrolled diabetes, coronary artery disease, gastrointestinal disorders and any other organic disorder 6. All those who report any serious adverse drug reaction during the course of study will be treated accordingly and will be excluded from the study and will be analyzed separately

Design outcomes

Primary

MeasureTime frame
Reduction in severity of depressive symptoms as assessed by change in HAM-D score.Timepoint: Baseline (Day 0), 2 weeks, 4 weeks, 6 weeks, and 8 weeks (final assessment at 8 weeks).

Secondary

MeasureTime frame
Assessment of safety by monitoring adverse drug reactions (ADRs) associated with probiotic strains and escitalopram using the Naranjo ADR Probability Scale.Timepoint: At baseline and at 2nd week, 4th week, 6th week, and 8th week follow-up visits.

Countries

India

Contacts

Public ContactDr Amisha Rathee

Maharaja Agrasen Medical College, Agroha

amisharathee888@gmail.com, shalinivirani@mamc.edu.in, palatalwar@outlook.com8059018088

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Sep 19, 2026