Magnesium Sulfate Versus 5% Dextrose With Treatment Resistant Depression

NCT01597167 | Completed

• 1 other identifier: 20110168
• Study Type: interventional
• Target: 21
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed study is a 1-week, randomized, double-blind, placebo-controlled, trial to evaluate the efficacy of an IV infusion of magnesium sulfate on symptoms of treatment resistant mild and moderate depression in 20 males and females (21-70 years of age). Participants will be assessed at screening/baseline, day 1, day 2, day 7, and day 8. Each subject will be randomized in a double-blind fashion to receive either IV infusion of magnesium sulfate or 5% dextrose followed by a washout period of 5 days then crossover to receive either IV infusion of 5% dextrose or magnesium sulfate.

Conditions

Depression

Keywords

mild moderate treatment-resistant depression; magnesium sulfate

Outcome Measures

Primary Outcomes (2)

• Magnesium levels in treatment resistant mild and moderate depression

  To investigate the magnesium deficient status in treatment-resistant mild and moderate depression patients via assay of 24-hour urine magnesium, blood magnesium, and EXATEST of intracellular magnesium of epithelial cells before and after IV infusion.

  8 days

• Self reported depression measures

  To assess the effectiveness of the magnesium sulfate infusion on the mean change in scores on the Hamilton Rating Scale for Depression and the Patient Health Questionnaire (PHQ-9) for depression.

  8 days

Secondary Outcomes (1)

• Correlation of magnesium levels with self reported measures of depression

  8 days

Study Arms (2)

Magnesium sulfate crossover

EXPERIMENTAL

IV infusion of magnesium sulfate followed by 5-day washout period and crossover to 5% dextrose (placebo)

Dietary Supplement: Magnesium sulfate

Placebo crossover

PLACEBO COMPARATOR

IV infusion of 5% dextrose with 5 day washout and crossover to magnesium sulfate

Dietary Supplement: Magnesium sulfate

Interventions

Magnesium sulfate DIETARY_SUPPLEMENT

4 grams magnesium sulfate in 100 ml IV over 4 hours

Magnesium sulfate crossover; Placebo crossover

Eligibility Criteria

• Age: 21 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Potential participants must be English speaking.
• Between the ages of 21 and 70.
• Overall healthy and have no difficulty with digestion or absorption of food
• Have treatment-resistant depression defined as failure of clinical improvement after 6 weeks with an approved dose of a Selective Serotonin Uptake Inhibitor (SSRI), Serotonin-Norepinephrine Reuptake Inhibitor (SNRI), Selective Noradrenaline Reuptake Inhibitor (NRI), tricyclic antidepressant, or bupropion.
• Willing to provide informed consent to participate in the study.
• Willing and able to comply with all study procedures and data recording obligations for the entire length of the study.
• Able and willing to abstain from alcohol from 48 hours prior to the first intravenous infusion until after completion of the post-treatment follow-up visit (Day 2) and from 48 hours prior to the second intravenous infusion until after completion of the post-treatment follow-up visit (Day 8).
• If currently taking an SSRI for more than 90 days, have maintained the same dose for the past 90 days.
• A non-smoker or have quit smoking at least 6 months ago.

You may not qualify if:

• Currently enrolled (or have been in the last 30 days) in another research trial for investigative nutritional or other therapies thought to have an impact on depression.
• Currently taking a medication or nutritional supplement containing more than 100% RDA of magnesium (for women over age 31, it is 320 mg/day and for men over age 31, it is 420 mg/day) and unable to discontinue using it 14 days prior to the Day 1 visit. (Current use must be stopped 2 weeks before enrolling in the study and during trial.)
• Diagnosed with any medical condition, including diabetes, cardiovascular disease, pulmonary, renal, endocrine, hepatic, neurologic, psychiatric (except for depression), immunologic, hematologic, gastrointestinal, or metabolic disease requiring medical treatment that would preclude participation in the study.
• Taking Digoxin (used to treat congestive heart failure and to slow the heart rate in patients with atrial fibrillation.
• Taking penicillamine (also known as Cuprimine or Depen for Wilson's disease or rheumatoid arthritis).
• Taking any antibiotic (including tetracycline or a quinolone).
• Taking any psychotropic medication for any indication, except sedatives for sleep such as Zolpidem, in addition to the SSRI, SNRI, NRI, tricyclic antidepressant, or bupropion in the course of treatment for your depression.
• Taking a SSRI, SNRI, NRI, tricyclic antidepressant, or bupropion for less than 90 days or unable to maintain the same therapeutic regimen throughout the study duration.
• A history of any medical or surgical procedure that would preclude participation in the study.
• Diagnosed with gastrointestinal disorders that could lead to uncertain resorption of the study supplements.
• Pregnant, plan to become pregnant, or currently breast feeding.
• Unwilling to avoid pregnancy (use medically-acceptable birth control method during the study with at least one method for the period of one month prior to beginning of the study until at least three months after study completion or are surgically sterile or postmenopausal (at least 12 months without a period).
• Systolic blood pressure \>160 mmHg or diastolic blood pressure \>90 mmHg.
• Had any of the following abnormal laboratory test values: (a) bilirubin \> 2x upper normal limit, (b) AST and ALT \> 2x upper normal limit, (c) serum creatinine \> 1.5 mg/dl, (d) blood glucose below 80 mg/dl or above 110 mg/dl, (e) calcium level \< 8.6 mg/dl, or (f) triglycerides \>200 mg/dl.
• Currently undergoing any chemotherapy or radiation treatment for cancer, have an active malignancy, or have had within the past 5 years any type of malignancy, other than non-melanomatous skin malignancies.

Sponsors & Collaborators

• University of Miami: lead
• Life Extension Foundation Inc.: collaborator

Study Sites (1)

University of Miami Clinical Research Building

Miami, Florida, 33136, United States

Location

MeSH Terms

Conditions

Depression

Interventions

Magnesium Sulfate

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Magnesium Compounds; Inorganic Chemicals; Sulfates; Sulfuric Acids; Sulfur Acids; Sulfur Compounds

Study Officials

• John Lewis, PhD

  University of Miami

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Psychiatry and Behavioral Sciences

Study Record Dates

• First Submitted: May 9, 2012
• First Posted: May 11, 2012
• Study Start: October 1, 2011
• Primary Completion: December 1, 2014
• Study Completion: December 1, 2014
• Last Updated: January 21, 2016

Record last verified: 2016-01

Locations

US (1)