depression Major depression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Major depressive disorder (DSM-IV-TR) Hamilton Rating Scale for Depression >= 18 ECT indication Age 18-80 If age >= 65 years, first depressive episode before age 65 and Mini Mental State Examination >= 24 At least 5 days free from medication before start doubble blind medication/ECT Informed consent
Exclusion criteria
Exclusion criteria: Alcohol- or drug dependence last 3 months Serious neurologic illness Endocrinologic illness affecting HPA-axis Use of anti-epileptic medication Bipolar disorder, schizoaffective disorder, schizophrenia Contra-indication for nortriptyline Pregnancy or possibility for pregnancy and no adequate contraceptive measures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treatment phase I: · Mean reduction in Hamilton Rating Scale for Depression (HRSD)-score · Response (reduction HRSD score >= 50%, Clinical Global Impression (CGI) at least *much improved* compared to baseline) · Time to response · Remission (post ECT HRSD score 14 and reduction HRSD score | — |
Secondary
| Measure | Time frame |
|---|---|
| - | — |
Countries
Netherlands