Effectiveness of Antidepressant Treatment for Depression in People With Parkinson's Disease
Depression Diagnosis and Treatment in Parkinson Disease
1 other identifier
interventional
55
1 country
2
Brief Summary
This study will evaluate the effectiveness of atomoxetine in reducing symptoms of depression in people with Parkinson's disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Jul 2004
Longer than P75 for phase_4
2 active sites
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
July 1, 2004
CompletedFirst Submitted
Initial submission to the registry
March 15, 2006
CompletedFirst Posted
Study publicly available on registry
March 17, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedResults Posted
Study results publicly available
March 13, 2015
CompletedJanuary 30, 2017
December 1, 2016
4.4 years
March 15, 2006
June 12, 2012
December 1, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Inventory of Depressive Symptomatology- Clinician Rated (IDS-C) Scale
The primary measure of depression symptom severity was the Inventory for Depressive Symptomatology-Clinician Rated (IDS-C), a 30-item (scores 0-84, increasing scores indicating greater depression severity) comprehensive instrument that is increasingly used as a primary outcome measure in major depression treatment studies in the general population. An IDS-C score of greater than or equal to 22 was indicative of at least moderate depression. The IDS-C was administered at every study visit. The criteria for the primary measure of treatment response was a \>50% decrease in IDS-C score from baseline.
Week 8
Secondary Outcomes (1)
Clinical Global Impression-Improvement Scale
Week 8
Study Arms (2)
Atomoxetine
ACTIVE COMPARATORParticipants will receive 40-80mgs of atomoxetine orally once daily.
Placebo
PLACEBO COMPARATORParticipants will receive placebo treatment once daily; the pill (taken orally) will resemble the atomoxetine pill but will not contain an active drug.
Interventions
Eligibility Criteria
You may qualify if:
- Diagnosis of idiopathic Parkinson's disease
- IDS score greater than 21
- Mini-Mental State Examination (MMSE) score greater than 15
You may not qualify if:
- Recent deep brain stimulation
- Currently participating in an antidepressant trial at a less than adequate dose and duration
- Severe depression or depression with suicide ideation
- History of liver toxicity
- Unstable medical disease or comorbid psychiatric disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Philadelphia Veterans Affairs Medical Center
Philadelphia, Pennsylvania, 19104, United States
University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
Related Publications (1)
Weintraub D, Mavandadi S, Mamikonyan E, Siderowf AD, Duda JE, Hurtig HI, Colcher A, Horn SS, Nazem S, Ten Have TR, Stern MB. Atomoxetine for depression and other neuropsychiatric symptoms in Parkinson disease. Neurology. 2010 Aug 3;75(5):448-55. doi: 10.1212/WNL.0b013e3181ebdd79.
PMID: 20679638RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
First, the sample size was relatively small. Second, the diagnostic criteria for depression which are typically used in clinical trials were not used as an inclusion criterion. Third, antidepressant use at baseline was common in our population.
Results Point of Contact
- Title
- Dr. Daniel Weintraub
- Organization
- University of Pennsylvania
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel Weintraub, MD
University of Pennsylvania
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 15, 2006
First Posted
March 17, 2006
Study Start
July 1, 2004
Primary Completion
December 1, 2008
Study Completion
December 1, 2008
Last Updated
January 30, 2017
Results First Posted
March 13, 2015
Record last verified: 2016-12