NCT03138681

Brief Summary

This is a preliminary, double-blind clinical trail aimed to investigate whether the combination of fluoxetine with ATP or phosphocreatine has a rapid antidepressant effect. 42 patients with major depressive disorder (Hamilton Depression Rating Scale (HAMD) score \>= 20) will be recruited and divided into 3 groups randomly. This study involves two periods. In the first period, one group will be treated with fluoxetine and placebo, one with fluoxetine and ATP, and one with fluoxetine and phosphocreatine for 2 weeks. Placebo, ATP and phosphocreatine will be given intravenously, and fluoxetine orally. In the second period, each patient will be only given fluoxetine for 4 weeks.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
42

participants targeted

Target at P25-P50 for phase_2 major-depressive-disorder

Timeline
Completed

Started May 2017

Typical duration for phase_2 major-depressive-disorder

Geographic Reach
1 country

1 active site

Status
unknown

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

April 24, 2017

Completed
9 days until next milestone

First Posted

Study publicly available on registry

May 3, 2017

Completed
Same day until next milestone

Study Start

First participant enrolled

May 3, 2017

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2019

Completed
Last Updated

May 8, 2017

Status Verified

April 1, 2017

Enrollment Period

2 years

First QC Date

April 24, 2017

Last Update Submit

May 3, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Changes in Hamilton depression rating scale during the first six weeks

    baseline, 1st, 2nd, 4th, 6th week

Secondary Outcomes (3)

  • Changes in Patient Health Questionnaire (PHQ-9) during the first six weeks

    baseline, 1st, 2nd, 4th, 6th week

  • Changes in Clinical global impression scale during the study

    baseline, 2nd, 4th, 10th week

  • Side effects assessment during the first six weeks

    1st, 2nd, 4th, 6th week

Study Arms (3)

Placebo

PLACEBO COMPARATOR
Drug: Placebo

ATP

EXPERIMENTAL
Drug: ATP

phosphocreatine

EXPERIMENTAL
Drug: Phosphocreatine

Interventions

placebo is given intravenously twice a day for 14 days

Placebo
ATPDRUG

ATP (100mg) is given intravenously twice a day for 14 days

ATP

Phosphocreatine (1g) is given intravenously twice a day for 14 days

phosphocreatine

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • year-old male or female
  • Major depressive disorder diagnosed by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
  • Hamilton depression rating scale score \>= 20 at screening
  • Written informed consent

You may not qualify if:

  • Participants of other clinical trials in recent 4 weeks
  • Suicidal idea or action that requires hospitalization
  • Post Traumatic Stress Syndrome in recent 6 months
  • Secondary depression, or have a direct familial history of schizophrenia
  • Diseases that prevent from appropriate expression of depressive emotion
  • Psychiatric disorders including bipolar disorder and schizophrenia
  • Severe heart, kidney, lung or liver diseases that require hospitalization
  • Diabetes
  • Neurologic disease (eg., epilepsy, infarct, multiple sclerosis, brain tumor)
  • Inflammatory disease including autoimmune disease
  • Taking anti-inflammatory medication
  • Taking antiarrhythmic drugs, antidiabetic agents or tryptophan
  • Substance abuse or dependence history in recent 6 months
  • Pregnant or having plan to be pregnant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Zhujiang Hospital

Guangzhou, Guangdong, 510280, China

RECRUITING

Related Publications (1)

  • Chen Y, Cao X, Zang W, Tan S, Ou CQ, Shen X, Gao T, Zhao L. Intravenous administration of adenosine triphosphate and phosphocreatine combined with fluoxetine in major depressive disorder: protocol for a randomized, double-blind, placebo-controlled pilot study. Trials. 2019 Jan 9;20(1):34. doi: 10.1186/s13063-018-3115-4.

MeSH Terms

Conditions

Depressive Disorder, Major

Interventions

Adenosine TriphosphatePhosphocreatine

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental Disorders

Intervention Hierarchy (Ancestors)

Adenine NucleotidesPurine NucleotidesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsNucleotidesNucleic Acids, Nucleotides, and NucleosidesRibonucleotidesCreatineAmino AcidsAmino Acids, Peptides, and ProteinsPhosphoamino Acids

Central Study Contacts

Lianxu Zhao, M.D.

CONTACT

Jianming Yang, M.D.

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 24, 2017

First Posted

May 3, 2017

Study Start

May 3, 2017

Primary Completion

April 30, 2019

Study Completion

April 30, 2019

Last Updated

May 8, 2017

Record last verified: 2017-04

Data Sharing

IPD Sharing
Will not share

Locations