UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001043
Receipt number R000001250
Scientific Title Prediction of lithium carbonate response in treatment-resistant depression using brain imaging
Date of disclosure of the study information 2008/03/01
Last modified on 2011/03/29 16:03:06

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Basic information

Public title

Prediction of lithium carbonate response in treatment-resistant depression using brain imaging

Acronym

Prediction of lithium augmentation in treatment-resistant depression

Scientific Title

Prediction of lithium carbonate response in treatment-resistant depression using brain imaging

Scientific Title:Acronym

Prediction of lithium augmentation in treatment-resistant depression

Region

Japan


Condition

Condition

Treatment-resistant Depression

Classification by specialty

Psychiatry Radiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We aim to investigate which abnormalities of SPECT would be predictors of lithium augmentation for treatment-resistant depression

Basic objectives2

Others

Basic objectives -Others

We aim to investigate predictors of effectiveness.

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

After the augmentation therapy, the patients will be divided into responders (a 50% or greater decrease in HAM-D scores between before and after treatment) and non-responders (less than 50%). The predictors (the differences between responders and non-responders) will be analyzed using mental and physical assessments including brain imaging before the therapy.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

69 years-old >=

Gender

Male and Female

Key inclusion criteria

This study should be conducted in voluntary inpatients who meet DSM-IV-TR criteria for major depression and are resistant to conventional antidepressant pharmacotherapy.
Treatment resistance is defined by history of failure to respond to antidepressants of more than two different classes, one of which should be TCA, after at least 4 weeks of therapy at an acceptable therapeutic dose.
Written informed consent should be obtained voluntarily from all participants after the purpose, the methods and means, the effects, and the inconveniences and hazards have been fully explained.

Key exclusion criteria

Patients should be free of an experience of lithium augmentation during this episode. Other exclusion criteria are: present or previous history of brain infarction; present history of severe unstable physical illness including thyroidal dysfunction and glaucoma; hypersensitivity of lithium; fertile and sexually active women not on contraceptives; present use of epinephrine; high risk of suicide.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Nagahisa Okamoto

Organization

National Center of Neurology and Psychiatry, Musashi Hospital

Division name

Department of Psychiatry

Zip code


Address

4-1-1, Ogawahigashi-machi, Kodaira City, Tokyo

TEL

042-341-2711

Email



Public contact

Name of contact person

1st name
Middle name
Last name Mayumi Sato

Organization

National Center of Neurology and Psychiatry, Musashi Hospital

Division name

Department of Psychiatry

Zip code


Address


TEL

042-341-2711

Homepage URL


Email



Sponsor or person

Institute

National Center of Neurology and Psychiatry, Musashi Hospital

Institute

Department

Personal name



Funding Source

Organization

The Grant-in-Aid for Psychiatric and Neurological Diseases and Mental Health from the Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2008 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2007 Year 10 Month 26 Day

Date of IRB


Anticipated trial start date

2008 Year 03 Month 01 Day

Last follow-up date

2011 Year 02 Month 01 Day

Date of closure to data entry

2011 Year 03 Month 01 Day

Date trial data considered complete

2011 Year 03 Month 01 Day

Date analysis concluded

2011 Year 12 Month 01 Day


Other

Other related information

The predictors (the differences between responders and non-responders) will be analyzed using mental (Temperament and Character Inventory, Hamilton Rating Scale for Depression, Beck Depression Inventory II, Clinical Global Impression, Mini Mental State Examination
)and physical(SPECT, MRI, etc.)assessments .


Management information

Registered date

2008 Year 02 Month 20 Day

Last modified on

2011 Year 03 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001250


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name