NCT04509882

Brief Summary

This is a single-center, double blind, randomized, placebo-controlled, parallel group study of bear bile pill, as add-on therapy in MDD patients conducted in Shang Hai Mental Health Center. The purpose of this study is to determine the efficacy and safety of bear bile pill in reducing symptoms of depression in Major Depressive Disorder (MDD)patients with inadequate response to current antidepressant therapy. Following a screening period, subjects who meet the entry criteria will be randomized to treated with either placebo or 450mg bear bile pill three times daily for 8 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
120

participants targeted

Target at P50-P75 for phase_2 major-depressive-disorder

Timeline
Completed

Started Oct 2020

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

August 10, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

August 12, 2020

Completed
3 months until next milestone

Study Start

First participant enrolled

October 30, 2020

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2022

Completed
Last Updated

August 12, 2020

Status Verified

August 1, 2020

Enrollment Period

1.4 years

First QC Date

August 10, 2020

Last Update Submit

August 11, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in the total Montgomery-Asberg Depression Rating Scale (MADRS) score between randomization and end of study.

    The main objective is to explore whether bear bile pill add on SSRI or SNRI will improve the MDD symptoms after 8 weeks of treatment, and investigators assess the scale at baseline and week 1, 2, 4, 8.

    assessed from baseline to week 8(end of study)

Secondary Outcomes (7)

  • Effective treatment

    assessed from baseline to week 8 (end of study)

  • Clinical remission rate

    assessed from baseline to week 8 (end of study)

  • The Montgomery-Asberg Depression Rating Scale (MADRS) reduction ratio

    assessed from baseline to week 8 (end of study)

  • The Hamilton Depression Rating Scale (HAM-D17) reduction ratio

    assessed from baseline to week 8 (end of study)

  • change in the total score of the Hamilton Anxiety Scale(HAMA)

    assessed from baseline to week 8 (end of study)

  • +2 more secondary outcomes

Study Arms (2)

bear bile pill

EXPERIMENTAL

Patients randomized to the bear bile pill arm will receive treatment with 15 pills, three times daily of bear bile pill (1350mg per day) plus on-going antidepressant therapy (SSRI/SNRI).

Drug: bear bile pill

placebo

PLACEBO COMPARATOR

Patients randomized to the placebo arm will receive 15 pills, three times daily of placebo plus on-going antidepressant therapy (SSRI/SNRI).

Drug: placebo

Interventions

Bear bile pill (15 pills) taken orally three times a day after meals with water.

bear bile pill

Placebo(15 pills) taken orally three times a day after meals with water.

placebo

Eligibility Criteria

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

You may qualify if:

  • Meets the Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition, Text Revision (DSM-V) criteria for Major Depressive Disorder (MDD); a single or recurrent episode without psychotic features ;Codes are as follows: F32.0、F32.1、F32.2、F33.0、F33.1 、F33.2.
  • Outpatients or inpatients.
  • Male or female subjects aged 18-65 years.
  • Patients have got standard treatment of SSRI/SNRI monotherapy for more than 4 weeks in current episode of depression before trial entry.
  • MADRS score greater than 20.
  • Women of childbearing potential must be willing to use acceptable methods of contraception throughout the study period and the following one month.
  • The patient the patient fully understand and signed the informed consent form

You may not qualify if:

  • Patient has survived a suicide attempt or has acute suicidal tendencies (MADRS Item 10 \> 4).
  • Comorbidity according to DSM-V, axis I except major depressive disorder.
  • Failed 3 or more adequate antidepressant courses in current episode of depression.
  • MADRS reduction ratio ≥25% within one week from the screening to the baseline Visit.
  • Depressive episode secondary to psychiatric illness or somatic disease.
  • Serious and instable body disease such as cerebrovascular disease, liver and kidney disease, disease of internal secretion (abnormal thyroid function), blood disease; any history of seizures or other organic brain diseases.
  • History of alcohol or drug abuse over the last 6 months
  • Allergic history to bear bile pills, or serious drug allergic history.
  • Pregnant or lactating women and women of childbearing potential throughout the study period; men who have the desire of fertility within six months;
  • Clinically significant changes in ECG or laboratory tests, including \>1.5X upper limit of normal liver function、over the limit of normal renal function and blood sugar、abnormal cardiac troponins、obvious abnormity in the thyroid function
  • Treatment with MECT or rTMS in nearly three months.
  • Treatment with a systematic psychological treatment in nearly three months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Jing jing Huang

Shanghai, China

Location

MeSH Terms

Conditions

Depressive Disorder, Major

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental Disorders

Study Officials

  • Jingjing huang

    Shanghai Mental Health Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

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
PRINCIPAL INVESTIGATOR
PI Title
Shanghai Mental Health Center

Study Record Dates

First Submitted

August 10, 2020

First Posted

August 12, 2020

Study Start

October 30, 2020

Primary Completion

March 31, 2022

Study Completion

March 31, 2022

Last Updated

August 12, 2020

Record last verified: 2020-08

Locations