Clinical and Biological Characteristics of Psychotic Depression
Hypothalamic-Pituitary-Adrenal (HPA)/ Dopamine Axis in Psychotic Depression
2 other identifiers
observational
73
1 country
1
Brief Summary
The primary objective of this study is to investigate the relationships among findings in structural and functional neuroimaging, cognitive testing and HPA (hypothalamic-pituitary-adrenal) axis dysregulation in psychotic depression.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Aug 2005
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2005
CompletedFirst Submitted
Initial submission to the registry
December 14, 2007
CompletedFirst Posted
Study publicly available on registry
December 18, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2012
CompletedMarch 14, 2014
March 1, 2014
6.8 years
December 14, 2007
March 12, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Cortisol
Hourly serum cortisol
baseline
Secondary Outcomes (1)
Cognitive function
Baseline
Study Arms (3)
PMD
Patients diagnosed with major depression with psychotic features
NPMD
Patients diagnosed with major depression without psychotic features
Controls
Participants with no psychiatric or depression history
Eligibility Criteria
Major depression with psychosis Major depression without psychosis Healthy controls
You may qualify if:
- DSM IV diagnosis of Major Depressive Disorder with or without psychotic features, Bipolar II Disorder with or without psychotic features in a major depressive episode.
- item HAM-D score greater than or equal to 21.
- Thase Core Endogenomorphic Scale score greater than or equal to 6 on the items included in the 21-item HDRS.
- Between 21 - 85 years of age.
- If currently taking antipsychotic, antidepressant, anticonvulsant, and/or mood-stabilizing medications, must be stable on the medication for at least one-week prior to entering the study.
- Pre-existing (current) primary treating psychiatrist for subjects with psychotic features.
You may not qualify if:
- ECT in the 4 months prior to the study.
- Abuse of drugs or alcohol in the 6 months prior to study.
- Unstable or untreated hypertension, or cardiovascular disease.
- Use of additional prescription medications, street drugs, or alcohol during the week before the study.
- Any Axis II diagnosis or traits which would make participation in the study difficult.
- Current pregnancy or lactation.
- Personal history of Axis I or Axis II disorders.
- Active unstable medical problems.
- Abuse of drugs or alcohol in the 6 months prior to study.
- Use of additional prescription medications, street drugs, or alcohol during the week before the study.
- Currently pregnant or lactating.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Stanford Universitylead
- National Institutes of Health (NIH)collaborator
Study Sites (1)
Stanford University School of Medicine
Stanford, California, 94305, United States
Related Publications (2)
Cherian K, Schatzberg AF, Keller J. HPA axis in psychotic major depression and schizophrenia spectrum disorders: Cortisol, clinical symptomatology, and cognition. Schizophr Res. 2019 Nov;213:72-79. doi: 10.1016/j.schres.2019.07.003. Epub 2019 Jul 12.
PMID: 31307859DERIVEDKeller J, Gomez R, Williams G, Lembke A, Lazzeroni L, Murphy GM Jr, Schatzberg AF. HPA axis in major depression: cortisol, clinical symptomatology and genetic variation predict cognition. Mol Psychiatry. 2017 Apr;22(4):527-536. doi: 10.1038/mp.2016.120. Epub 2016 Aug 16.
PMID: 27528460DERIVED
Biospecimen
serum
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Alan Schatzberg
Stanford University
- PRINCIPAL INVESTIGATOR
Jennifer Keller
Stanford University
Study Design
- Study Type
- observational
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 14, 2007
First Posted
December 18, 2007
Study Start
August 1, 2005
Primary Completion
June 1, 2012
Study Completion
June 1, 2012
Last Updated
March 14, 2014
Record last verified: 2014-03