UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000024906
Receipt number R000028645
Scientific Title Efficacy and tolerability comparing switching escitalopram to mirtazapine and mirtazapine augmentation to escitalopram with major depressive disorder with insufficiency in escitalopram. A randomized rater blinded randomized controlled trial.
Date of disclosure of the study information 2016/11/19
Last modified on 2018/05/22 09:59:53

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Basic information

Public title

Efficacy and tolerability comparing switching escitalopram to mirtazapine and mirtazapine augmentation to escitalopram with major depressive disorder with insufficiency in escitalopram. A randomized rater blinded randomized controlled trial.

Acronym

Efficacy and tolerability comparing switching escitalopram to mirtazapine and mirtazapine augmentation to escitalopram with major depressive disorder with insufficiency in escitalopram. A randomized rater blinded randomized controlled trial.

Scientific Title

Efficacy and tolerability comparing switching escitalopram to mirtazapine and mirtazapine augmentation to escitalopram with major depressive disorder with insufficiency in escitalopram. A randomized rater blinded randomized controlled trial.

Scientific Title:Acronym

Efficacy and tolerability comparing switching escitalopram to mirtazapine and mirtazapine augmentation to escitalopram with major depressive disorder with insufficiency in escitalopram. A randomized rater blinded randomized controlled trial.

Region

Japan


Condition

Condition

Major depressive disorder

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To reveal which switching escitalopram to mirtazapine or mirtazapine augmentation to escitalopram are beneficial to the patients with major depressive disorder who were insufficient with escitalopram.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Difference in remission rate between escitalopram to mirtazapine switching group and mirtazapine augmentation to escitalopram group from baseline to week 12.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

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 5-20mg/day of escitalopram to 15-45mg/day of mirtazapine.

Interventions/Control_2

Augmentation of 15-45mg/day of mirtazapine to 5-20mg/day of escitalopram.

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

18 years-old <=

Age-upper limit

64 years-old >=

Gender

Male and Female

Key inclusion criteria

1.Patients provided written informed consent.

2.Legal representative provided informed consent if the patient has poor judgement.

3.Diagnosis of major depressive disorder based on Diagnostic and Statistical Manual of Mental Disorders, fourth edition.

4.Scores of Hamilton Rating Scale for Depression 17 items are over 12 points with more than 2 weeks of approved dose of escitalopram.

Key exclusion criteria

1.Patients diagnosed as pervasive development disorder, schizophrenia and related psychosis, bipolar disorder, or obsessive compulsive disorder on axis one of the Diagnostic and Statistical Manual of Mental Disorders,fourth edition.(using the structured clinical interview for DSM-four axis one disorders)

2.Patients diagnosed as personality disorder or mental retardation on axis two of the Diagnostic and Statistical Manual of Mental Disorders,fourth edition.

3.Patients diagnosed as substance abuse or dependence.(but,dependence of nicotine or caffeine are inclusive)

4.Patients having allergy for escitalopram or mirtazapine.

5.Patients taking monoamine oxidase inhibitor within 2 weeks.

6.Patients taking pimozide

7.Patients diagnosed QTc prolongation (congenital long QT syndrome)

8.Patients treated with electroconvulsive therapy within 6 months

9.Patients diagnosed severe disease with liver, kidney, blood, respiratory organ, digestive organ, abnormality in metabolism and electrolytes or hypersensitivity.

10.Patients taking treatment for physical disease.

11.Patients who may be pregnant and pregnant.

12.Patients judged high risk for suicide.

13.Patients attempted suicide.

14.Patients judged inappropriate for participation by researchers.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Nakao Iwata

Organization

Fujita Health University

Division name

department of psychiatry

Zip code


Address

1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi

TEL

0562-93-9250

Email

agneau@fujita-hu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazuto Oya

Organization

Fujita Health University

Division name

department of psychiatry

Zip code


Address

1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi

TEL

0562-93-9250

Homepage URL


Email

agneau@fujita-hu.ac.jp


Sponsor or person

Institute

Fujita Health University

Institute

Department

Personal name



Funding Source

Organization

self-sustaining from Fujita Health University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

HM16-134

Org. issuing International ID_1

Fujita Health University

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 11 Month 19 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

Terminated

Date of protocol fixation

2016 Year 10 Month 31 Day

Date of IRB


Anticipated trial start date

2016 Year 11 Month 19 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 11 Month 19 Day

Last modified on

2018 Year 05 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028645


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name