UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001218
Receipt number R000001487
Scientific Title Effectiveness of CBT Augmentation in Major depression treatment: a randomized clinical trial
Date of disclosure of the study information 2008/07/01
Last modified on 2015/11/04 18:27:56

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Basic information

Public title

Effectiveness of CBT Augmentation in Major depression treatment: a randomized clinical trial

Acronym

Effectiveness of CBT Augmentation in Major depression study (E-CAM Study)

Scientific Title

Effectiveness of CBT Augmentation in Major depression treatment: a randomized clinical trial

Scientific Title:Acronym

Effectiveness of CBT Augmentation in Major depression study (E-CAM Study)

Region

Japan


Condition

Condition

Major Depressive Disorder

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the efficacy and cost effectiveness of cognitive behavior therapy in addition to treatment as usual with treatment as usual alone in adult patients with moderate to severe major depression who had 8weeks or longer adequate depression treatment before the study.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Hamilton Depression Rating Scale (HAMD-17) change score at 16 week from the baseline will be compared between the groups.

Key secondary outcomes

Response rate (defined as 50% reduction of baseline HAMD-17), remission rate (defined as HAMD-17=<7), subjective depression (measured with the BDI and QIDS/IDS) and quality of life (measured with EQ-5D and SF-36) at 16 week and post-intervention phase (up to 12months) will be compared between the groups. Cost effectiveness (ICER per remitted patient and ICER per QALY) will be also compared between the groups.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

16 weeks of cognitive behavior therapy in addition to treatment as usual

Interventions/Control_2

16 weeks of treatment as usual alone

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

65 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Subjects with current DSM-IV Major Depressive Disorder based on SCID-P at screening.
2. Subjects with HAMD-17 score >=16 at screening.
3. Subjects who had received 8 weeks or longer usual depression treatment for current depression episode at baseline.
4. Subjects with mild to moderate treatment resistance assessed at baseline (Mausdley Staging Method>=3).
5. Aged 20 years or older, and 65 years or younger at screening.
6. Subjects who give full consent in the participation of the study.

Key exclusion criteria

1.No alcohol or substance use disorder in 6 months prior to the screening.
2.No history or concurrent manic or psychotic episode.
3.No other primary DSM-IV Axis I Disorders at screening.
4.No comorbid of antisocial personality disorder.
5.No serious suicidal ideation at screening.
6.Evidence of unable to participate half or more of the intervention phase.
7.No past treatment of CBT.
8.No organic brain lesions or major cognitive deficits in a year prior to the screening.
9.No severe or unstable medical co-morbidities at screening.
10.Other relevant reason decided by the E-CAM investigators.

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yutaka Ono, M.D., Ph.D.

Organization

Keio University School of Medicine
National Center of Neurology and Psychiatry

Division name

Center for CBT and research

Zip code


Address

Shinanomachi 35, Shinjuku-ku, Tokyo Keio University School of Medicine

TEL

03-5363-3214

Email

yutakaon@gmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Atsuo Nakagawa, M.D.,Ph.D.

Organization

Keio University School of Medicine

Division name

Department of Psychiatry

Zip code


Address

Shinanomachi 35, Shinjuku-ku, Tokyo

TEL

03-5363-3214

Homepage URL


Email

anakagawa@keio.jp


Sponsor or person

Institute

The E-CAM Study Group

Institute

Department

Personal name



Funding Source

Organization

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

慶應義塾大学病院(東京都)Keio University Hospital(Tokyo)
桜ヶ丘記念病院(東京都)Sakuragaoka Memorial Hospital(Tokyo)


Other administrative information

Date of disclosure of the study information

2008 Year 07 Month 01 Day


Related information

URL releasing protocol

http://bmjopen.bmj.com/content/4/10/e006359.full

Publication of results

Unpublished


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

Completed

Date of protocol fixation

2008 Year 07 Month 30 Day

Date of IRB


Anticipated trial start date

2008 Year 09 Month 01 Day

Last follow-up date

2014 Year 12 Month 27 Day

Date of closure to data entry

2015 Year 01 Month 31 Day

Date trial data considered complete

2015 Year 02 Month 20 Day

Date analysis concluded

2015 Year 03 Month 31 Day


Other

Other related information

80 enrolled (as of August 2013)
LPO 2014.12


Management information

Registered date

2008 Year 06 Month 30 Day

Last modified on

2015 Year 11 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001487


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name