Treatment resistant depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Female and male inpatients with a major depressive disorder without psychotic features or with a depressive episode within a bipolar I or II disorder without psychotic features - Age between 20 and 70 - Total score > 18 in the Hamilton Depression Rating Scale - Documentation of at least one ineffective antidepressant drug trial under adequate dosage for at least 6 weeks in the current epsiode Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Other psychiatric axis I disorders than those mentioned as Inclusion criteria - Acute suicidality (Item 3 of the Hamilton Depression Rating Scale > 2) - Drug or alcohol addiction - Patients with severe hepatic, cardiovascular, neurologic, metabolic or malignant disorders - Documentation or report of a previous ineffective tratement trial with venlafaxine, lamotrigine or quetiapine - Functional kidney disorders - Untreated hypertension - Acute treatment with thyroid hormone (less than 3 months) - Preganent or nursing patients - Women of childbearing age without effective contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Efficacy of Venlafaxine-HCL augmentation with the mood stabilizer Lamotrigine and with the neuroleptic Quetiapine in treatment resistant depression;Secondary Objective: Pharmacogenetic factors contributing to drug efficacy in treatment resistant depression;Primary end point(s): - Psychopathology as asessed by the Hamilton Depression Rating Scale (HDRS) and the Montgomery Asberg Depression Rating Scale (MADRS) - Number of patients with treatment response as indicated by a HDRS reduction of at least 50% compared with baseline after six weeks of augmentation | — |
Countries
Germany