depressed patients with high levels of inflammation (crp>2 mg/l) and non responder to at least two different antidepressants MedDRA version: 21.1 Level: PT Classification code 10057840 Term: Major depression System Organ Class: 10037175 - Psychiatric disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • presence of major non psychotic depression according to DSM - 5 • crp> 2; • do not respond to two antidepressants; • accept minocycline • no contraindications to minocycline • no contraindications to 11C PK PET 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 60 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • drug sensitivity • acute inflammation or autoimmune pathology; • pregnancy or breastfeeding; • suicidal thoughts • hscrp>20 mg/l; • having been exposed to radiotracers within the 7 previous days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate an improvement in the inflammatory state after 8 weeks of treatment with a minocycline in addition to the current antidepressant treatment;Secondary Objective: 1. To evaluate an improvement of the depressive symptoms after 8 weeks of treatment with a minocycline in addition to the current antidepressant treatment; 2. To evaluate changes in central inflammation levels (microglia activation) after 8 weeks of treatment with a minocycline in addition to the current antidepressant treatment; 3.To evaluate possible brain changes at structural and functional level with MRI after 8 weeks of treatment with a minocycline in addition to the current antidepressant treatment; 4. To evaluate possible correlations between observed changes with MRI, microglia activation, peripheral inflammation and improvement of the depressive symptoms;Primary end point(s): improvement of depressive symptomatology;Timepoint(s) of evaluation of this end point: 8 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): demonstrate the clinical efficacy of the minocycline in depressed patients not responding stratified on the basis of the inflammation levels;Timepoint(s) of evaluation of this end point: 8 weeks | — |
Countries
Italy
Contacts
IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli