NCT00864630

Brief Summary

The investigators seek to determine whether brain imaging techniques can be used to help detect depression, assess its severity, and/or monitor or predict responses to treatment. Subjects with minor or major depression will be randomly assigned to a wait-list control group or to treatment with a new computer-based cognitive behavior therapy developed by Dr. James Cartriene. Brain imaging will be performed before and during treatment using both magnetic resonance imaging (MRI) and near-infrared spectroscopy (NIRS). The investigators hypothesize that brain activity, particularly in the lateral frontal areas of the brain, will provide biomarkers for depression, depression severity, and treatment response.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
68

participants targeted

Target at P25-P50 for not_applicable depression

Timeline
Completed

Started Sep 2010

Geographic Reach
1 country

1 active site

Status
terminated

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

First Submitted

Initial submission to the registry

March 17, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 19, 2009

Completed
1.5 years until next milestone

Study Start

First participant enrolled

September 1, 2010

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2011

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2011

Completed
Last Updated

May 24, 2011

Status Verified

May 1, 2011

Enrollment Period

1.1 years

First QC Date

March 17, 2009

Last Update Submit

May 23, 2011

Conditions

Outcome Measures

Primary Outcomes (1)

  • Functional magnetic resonance imaging

    Pre-therapy and 4 weeks after therapy initiation

Secondary Outcomes (4)

  • Functional near infrared neuroimaging

    Pre-therapy and 2 and 4 weeks after therapy initiation

  • MRI-based brain perfusion

    Pre-therapy and 4 weeks after therapy initiation

  • MRI-based brain morphology

    Pre-therapy and 4 weeks after therapy initiation

  • MRI-based diffusion imaging

    Pre-therapy and 4 weeks after therapy initiation

Study Arms (2)

Wait list

NO INTERVENTION

Computer-based problem solving therapy

EXPERIMENTAL
Behavioral: Computer-based problem solving therapy

Interventions

Computer program developed by Dr. James Cartriene at Beth Israel Deaconess Hospital, Boston, MA.

Computer-based problem solving therapy

Eligibility Criteria

Age30 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • DSM-IV criteria for minor or major depression
  • Written informed consent
  • Age 30-60 years (age of individuals currently in the astronaut corps)

You may not qualify if:

  • Suicidal or homicidal ideation
  • Women who are pregnant, breastfeeding, or women of childbearing potential who are not using a medically accepted means of contraception
  • Known history of serious or unstable medical illness
  • History of seizure disorder, brain injury, any history of known neurological disease
  • Clinical or lab evidence of untreated hypothyroidism
  • History or DSM-IV diagnosis of organic mental disorder, schizophrenia, schizoaffective disorder, delusional disorder, psychotic disorders not otherwise specified, bipolar disorder, patients with mood congruent or mood incongruent psychotic features, patients with substance use disorders (excluding alcohol and nicotine) active within the last 12 months
  • Current use of other psychotropic drugs, including current use of benzodiazepines, hypnotics, anticonvulsants
  • Patients who have failed to respond during the course of their current major depressive episode to at least two antidepressant trials
  • Currently undergoing depression-focused psychotherapy
  • Patients who have taken an investigational psychotropic drug within the past year
  • Patient cannot safely enter the MRI scanning environment
  • Latex allergy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts General Hospital

Charlestown, Massachusetts, 02129, United States

Location

MeSH Terms

Conditions

Depression

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Study Officials

  • Gary E Strangman, PhD

    Massachusetts General Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

March 17, 2009

First Posted

March 19, 2009

Study Start

September 1, 2010

Primary Completion

October 1, 2011

Study Completion

December 1, 2011

Last Updated

May 24, 2011

Record last verified: 2011-05

Locations