UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020735
Receipt number R000023924
Scientific Title Randomized controlled trial to apply personalized medicine to treatment-resistant depression with mixed feature.
Date of disclosure of the study information 2016/02/14
Last modified on 2021/07/31 09:08:00

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Basic information

Public title

Randomized controlled trial to apply personalized medicine to treatment-resistant depression with mixed feature.

Acronym

Personalized medicine for treatment-REsistant depression with MIXed feature(REMIX)

Scientific Title

Randomized controlled trial to apply personalized medicine to treatment-resistant depression with mixed feature.

Scientific Title:Acronym

Personalized medicine for treatment-REsistant depression with MIXed feature(REMIX)

Region

Japan


Condition

Condition

Treatment-resistant depression with or without mixed feature.

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

DSM-5 established New category, mixed feature specifier and this can be added to either major depressive disorder or bipolar disorder .Depressive episode, with mixed features applies when full criteria are met for a current or most-recent major depressive episode. and at least three manic/hypomanic symptoms are present. So We can add this specifier to MDD, mixed feature specifier MDD,but no treatment evidence was reported at this time.
Until now we performed randomized controlled study of several antidepressant in MDD patient from the pharmacogenetic and personalized-medicine view point. At this time we would like to move on the evidence of treatment and personalized medicine of treatment-resistant depression with mixed feature.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Remission rate and percent change of Hamilton rating scale for depression 17 (HAM-D17)

Key secondary outcomes

Cognitive function test, NEO-FFI, Home Environment Questionarie


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

switching to different antidepressants for 6 weeks.

Interventions/Control_2

aripiprazole augmentation for 6 weeks.

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

75 years-old >

Gender

Male and Female

Key inclusion criteria

Screening phase
Patients who meet DMS-5 criteria for major depressive disorder.
Both male and female outpatients/inpatients aged at 20-65 years.
Patients who have a HAM-D17 total score of 17 or greater.

Rater-blind RCT phase
Patients who meet DMS-5 criteria for major depressive disorder.
Both male and female outpatients/inpatients aged at 20-75 years.
Patients who have a HAM-D17 total score of 17 or greater and less than 50% improvement in HAM-D17 for the screening phase(taking stable SSRI, SNRI or mirtazapine therapy for 6 weeks.)

Key exclusion criteria

Patients who meet DSM5 for significant Axis I and II disorders except major depressive disorder.
Patients who have a ECT therapy within 3 months prior to study entree.
Patients who are comatose and strongly affected by central nervous system.
Patients known to have a history or complication of allergy to aripiprazole.
Patients with a history or a complication of diabetes.
Women who are pregnant, possibly pregnant, or breast-feeding.
Patients who have been judged by the investigator to be inappropriate for inclusion in the trial for any other reasons

Patients who have been judged by the investigators to have a high risk of suicide.

Target sample size

150


Research contact person

Name of lead principal investigator

1st name Masaki
Middle name
Last name Kato

Organization

Kansai Medical University, Osaka, Japan

Division name

Department of Neuropsychiatry

Zip code

570-8506

Address

10-15 Fumizono-cho, Moriguchi Osaka, Japan

TEL

1669921001

Email

katom@takii.kmu.ac.jp


Public contact

Name of contact person

1st name Masaki
Middle name
Last name Kato

Organization

Kansai Medical University, Osaka, Japan

Division name

Department of Neuropsychiatry

Zip code

570-8506

Address

Department of Neuropsychiatry

TEL

0669921001

Homepage URL


Email

katom@takii.kmu.ac.jp


Sponsor or person

Institute

Kansai Medical University, Osaka, Japan

Institute

Department

Personal name



Funding Source

Organization

Ministry for Scientific Research KAKEN

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

University of Occupational and Environmental Health

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kansai Medical University Medical Ethics Review Committee

Address

2-3-1 Shinmachi Hirakata Osaka Japan

Tel

072-804-0101

Email

kmuccr@hirakata.kmu.ac.jp


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

2016 Year 02 Month 14 Day


Related information

URL releasing protocol


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

Open public recruiting

Date of protocol fixation

2016 Year 06 Month 27 Day

Date of IRB

2016 Year 06 Month 27 Day

Anticipated trial start date

2016 Year 08 Month 20 Day

Last follow-up date

2023 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 01 Month 26 Day

Last modified on

2021 Year 07 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023924


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name