Effectiveness of Pramipexole for Treatment-Resistant Depression
A Double-Blind Placebo-Controlled Trial of Adjunctive Pramipexole, a Dopamine Receptor Agonist, for Treatment Resistant Major Depressive Episodes
2 other identifiers
interventional
65
1 country
1
Brief Summary
This study will evaluate the effectiveness of pramipexole (Mirapex) in managing treatment-resistant depression.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 depression
Started Sep 2003
Typical duration for phase_4 depression
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 30, 2005
CompletedFirst Posted
Study publicly available on registry
October 4, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2008
CompletedApril 26, 2012
April 1, 2012
4 years
September 30, 2005
April 25, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Score on the Montgomery-Asberg Depression Rating Scale
Measured at Week 8 and monthly for the duration of the 6-month optional continuation phase for responders
Clinical Global Impressions (CGI) scale
Measured at Week 8 and monthly for the duration of the 6-month optional continuation phase for responders
Study Arms (2)
Sugar pill
PLACEBO COMPARATORPlacebo
Pramipexole
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Meets diagnostic criteria for major depressive disorder
- Meets criteria for current major depressive episode
- Score of at least 18 on the Montgomery-Asberg Depression Rating Scale (MADRS) at the baseline visit
- Currently being treated with antidepressant monotherapy at an adequate dose for 6 weeks or willing to enter open lead-in treatment
- Agrees to use an effective form of contraception throughout the study
You may not qualify if:
- Pregnant
- At risk for suicide or homicide
- Unstable medical illness (e.g., cardiovascular, liver, kidney, respiratory, endocrine, or neurologic disease, including uncontrolled seizure disorder)
- History of a substance use disorder within 6 months of study enrollment
- History of or current psychotic features
- Currently being treated with typical or atypical antipsychotic medications
- Currently being treated with a medication known to significantly decrease pramipexole clearance (e.g., cimetidine, ranitidine, diltazem, verapamil, quinine or triamterene)
- Clinical or laboratory evidence of untreated hypothyroidism
- History of a 2-week or longer course of pramipexole
- Intolerance of pramipexole at any dose
- Any investigational psychotropic drug use within the last three months
- Level 3 or greater antidepressant resistance as assessed by the ATHF
- Three or more episodes of self-harm in the year prior to study enrollment
- Documented history of poor treatment adherence or frequently missed appointments
- Parkinson's disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Depression Clinical and Research Program, Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Related Publications (1)
Cusin C, Iovieno N, Iosifescu DV, Nierenberg AA, Fava M, Rush AJ, Perlis RH. A randomized, double-blind, placebo-controlled trial of pramipexole augmentation in treatment-resistant major depressive disorder. J Clin Psychiatry. 2013 Jul;74(7):e636-41. doi: 10.4088/JCP.12m08093.
PMID: 23945458DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Roy Perlis, MD
Massachusetts General Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director, Center for Experimental Drugs and Diagnostics
Study Record Dates
First Submitted
September 30, 2005
First Posted
October 4, 2005
Study Start
September 1, 2003
Primary Completion
September 1, 2007
Study Completion
April 1, 2008
Last Updated
April 26, 2012
Record last verified: 2012-04