Under threshold depression of the elderly. MedDRA version: 20.0 Level: PT Classification code 10012378 Term: Depression System Organ Class: 10037175 - Psychiatric disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age = 65 years 2. From 2 to 4 depressive symptoms present for at least two weeks prior to enrollment (Judd et al., 1994) 3. Mini-Mental State Examination (MMSE) score = 24 4. Montreal Cognitive Assessment (MOCA) score =65 years) yes F.1.3.1 Number of subjects for this age range 20
Exclusion criteria
Exclusion criteria: 1. Any contraindication to treatment or intolerance to choline alfoscerate 2. Diagnosis of Major Depressive Episode or Dysthymia 3. Diagnosis of Schizophrenia or other psychotic disorders, Bipolar Disorder or Dementia 4. Alcohol / drug / substance abuse or dependence 5. Severe organic disease (eg major surgery, metastatic cancer, stroke, severe neurological disorder, myocardial infarction, chronic heart failure) 6. Treatment with antidepressants or psychotherapy within 2 weeks prior to recruitment 7. Any condition which, in the opinion of the investigator, might put the patient at risk by participation in this study 8. Patients involved in other clinical trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: The secondary objectives of the study are: 1. To evaluate whether choline alfoscerate can determine a specific improvement on the cognitive symptoms associated with subthreshold depression. 2. To evaluate whether choline alfoscerate can lead to a specific improvement in apathy associated with subthreshold depression.;Primary end point(s): The primary objective will be evaluated through the analysis of the changes at the final visit from the baseline of the following tests: HAMD-17 (Hamilton Depression Rating Scale-17 items).;Timepoint(s) of evaluation of this end point: 12 months;Main Objective: The primary objective of the study is to evaluate the efficacy of choline alfoscerate on subthreshold depression in elderly patients. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • The depression symptoms associated with subthreshold depression will be evaluated through the analysis of the changes at the final visit from baseline of the following tests: GDS-15 (Geriatric Depression Scale-15 items); CGI-s (Clinical Global Impression-severity). • The cognitive symptoms associated with subthreshold depression will be evaluated through the analysis of the changes at the final visit from baseline of the following tests: MOCA (Montreal Cognitive Assessment) scale. • The apathy associated with subthreshold depression will be evaluated through the analysis of the changes at the final visit from the baseline of the AES-I (Apathy Evaluation Scale-Informant) scale.;Timepoint(s) of evaluation of this end point: 12 months | — |
Countries
Italy
Contacts
ASST Lodi