Pharmacogenomics of Antidepressant Response in Children and Adolescents
PARCA
3 other identifiers
observational
211
1 country
1
Brief Summary
This study will identify variations in genes that may be involved in the development of suicidal events or certain behaviors in youth who are exposed to antidepressant medications.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2007
Typical duration for all trials
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
May 1, 2007
CompletedFirst Submitted
Initial submission to the registry
August 14, 2007
CompletedFirst Posted
Study publicly available on registry
August 16, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2009
CompletedApril 17, 2015
April 1, 2015
2.4 years
August 14, 2007
April 16, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Suicidal Event(120 patients) Behavioral Activation(120 patients) Co-occurring Suicidal Event + Behavioral Activation (120 patients) Tolerant controls (at a control to case ratio of 3:1) no evidence of Suicidal Events or Behavioral Activation
9 months
Eligibility Criteria
Males and Females Age 7 -17 years Pre-specified disorder of anxiety disorder, depressive disorder, eating disorder, or obsessive-compulsive disorder.
You may qualify if:
- Receiving treatment in an outpatient, residential, or in-patient setting
- Meets DSM-IV diagnostic criteria for at least one of the following disorders: anxiety disorder, depressive disorder, eating disorder, or obsessive-compulsive disorder
- Receiving a new prescription for an SSRI or SNRI to treat one of the above disorders
- A confirmed diagnosis of a "Suicidal Event" or "Behavioral Activation" or both following SSRI or SNRI exposure of at least 3 days duration
- Willing to provide a sample of saliva for DNA analysis
- English- or Spanish-speaking
You may not qualify if:
- Inpatient status IF the enrolling inpatient clinician will not continue to follow the patient for the duration of the study
- Sibling that is already enrolled in the study
- Imminently suicidal and unable to comply with a no-suicide contract or, in the opinion of the treating clinician, has inadequate family monitoring for suicidality
- Acutely psychotic at study entry
- A demonstrated lack of benefit from or intolerance to SSRI/SNRI antidepressants, as a class
- Receiving treatment with a tricyclic antidepressant (TCA) at study enrollment, with the exception of low doses for enuresis for chronic pain. Patients may receive adjunctive TCA treatment during the study at the clinician's discretion.
- Received a monoamine oxidase inhibitor (MAOI), such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate), within the past 30 days
- Parasuicidal behavior or milder forms of suicidality or activation that do not meet the diagnostic criteria
- Refusal to participate in the pharmacogenomic study
- For bipolar depressed patients, a mixed- or manic-state at study entry without stable treatment with a mood stabilizer for manic symptoms
- Patient or family is unable to comply with the protocol
- Note: Tolerant controls will be ineligible if they have a past history of a treatment-emergent "Suicidal Event" or "Behavioral Activation"
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Duke Universitylead
- National Institute of Mental Health (NIMH)collaborator
Study Sites (1)
Child and Adolescent Psychiatry Trials Network (CAPTN)
Durham, North Carolina, 27715, United States
Related Links
Biospecimen
Salivary DNA retained at the Duke Center for Human Genetics
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
John S. March, MD, MPH
Duke University
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 14, 2007
First Posted
August 16, 2007
Study Start
May 1, 2007
Primary Completion
October 1, 2009
Study Completion
October 1, 2009
Last Updated
April 17, 2015
Record last verified: 2015-04