mild to moderate depression and anxiety disorders
Conditions
Interventions
farmacogenetica bepaling voor aanvang behandeling met antidepressivum
Sponsors
Erasmus University Medical Center, Dept. Clinical Chemistry Dr. Molewaterplein 40, 3015 GD Rotterdam
Humo voor huisartsen, Wethouder van Eschstraat 50, 5342 AT Oss
BrabantFarmac ApothekersZorggroep, Mr. Goselingstraat 8 5481 BX Schijndel.
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: · =18 jaar · eerste voorschrift N06A geneesmiddel (geen N06A geneesmiddel 1 jaar voor start N06A geneesmiddel) · diagnose milde tot matige depressie of angststoornis
Exclusion criteria
Exclusion criteria: geen CYP2C19 en CYP2D6 farmacogenetica test voorhanden of aangevraagd voor einde follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective of this study is to investigate if PGx-guided treatment with antidepressants (N06A drugs) for mild to moderate depression and/or anxiety disorders is improving therapy (less stops due to inefficacy or side effects) within the first 3 months after start treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objectives are: · to monitor how often dose or drug adjustments are made after the PGx test is performed for antidepressants (exclusively analysed in intervention group) · to assess the implications of the PGx tests for other drugs · to assess what the consequence of PGx-guided treatment is on the trial-and-error treatment with antidepressants (N06A drug switches), · to assess what the consequence of PGx-guided treatment is on the referral to the secondary mental health care, · to determine if the PGx-guided antidepressants treatment before start therapy is cost-effective, · and retrospective analysis of primary and secondary objectives in control group, · retrospective analysis effect CYP3A4 on preterm stops, switches antidepressants and referral secondary mental health care | — |
Contacts
Public ContactM. Matic
Erasmus University Medical Center
Outcome results
None listed