Depressive Disorder, Major
Conditions
Brief summary
To assess the comparative efficacy of sertraline versus venlafaxine XR on measures of quality of life.
Interventions
Flexibly-titrated 50 mg tablets, 50-150 mg/day and venlafaxine placebo orally for 10 weeks.
Flexibly-titrated 75 mg capsules, 75-225mg/day and sertraline placebo orally for 10 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Primary diagnosis of DSM-IV Major Depressive Disorder, single episode or recurrent, without psychotic features. Additional DSM-IV Axis I diagnoses will be permitted only if they are identified as secondary diagnoses. * Hamilton-Depression rating scale (HAM-D; 17 item) total score ≥18 and HAMD item 1 (depressed mood) score ≥2.
Exclusion criteria
* Use of an antidepressant within 2 weeks of baseline (4 weeks for fluoxetine) * Current or past diagnosis of bipolar disorder or any psychotic disorder.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in QOL, measured using the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q). | Weeks 1, 2, 3, 4, 6, 8, 9 and 10. |
Secondary
| Measure | Time frame |
|---|---|
| The 17-item Hamilton-Depression Rating Scale response rates at endpoint (week 8). | Week 8 |
| CGI response rate at endpoint (week 8). | Week 8 |
| Change from baseline in the CGI-Severity Scale (CGI-S). | Weeks 1, 2, 3, 4, 6, 8, 9 and 10. |
| Change from baseline in the Hamilton Anxiety Scale (HAM-A). | Weeks 1, 2, 3, 4, 6, 8, 9 and 10. |
| Change from baseline in the 17-item Hamilton-Depression Rating Scale (HAM-D) including response (≥50% reduction in HAM-D total score from baseline) and remission (HAM-D total score ≤7) rates. | Weeks 1, 2, 3, 4, 6, 8, 9 and 10. |
| Change from baseline in the Visual Analogue Scale (VAS) for Depression. | Weeks 1, 2, 3, 4, 6, 8, 9 and 10. |
| Change from baseline in the Visual Analogue Scale (VAS) for Overall Assessment of Pain. | Weeks 1, 2, 3, 4, 6, 8, 9 and 10. |
| Hamilton-Depression Rating Scale remission rates at endpoint (week 8). | Week 8 |
| Change from baseline in the Clinical Global Impression-Improvement Scale. | Weeks 1, 2, 3, 4, 6, 8 |
| Change from baseline in the Endicott Work Productivity Scale (EWPS). | Weeks 1, 8, 9, 10 |
Countries
Australia, Turkey (Türkiye)