NCT05431413

Brief Summary

The clinical study is a randomized (1:1:1), double-blind, placebo-controlled clinical study. Recruit patients with moderate to severe depression. After signing the informed consent, patients who meet the inclusion criteria will be randomly assigned to the ATP group (fluoxetine combined with ATP) or phosphocreatine group (fluoxetine combined with phosphocreatine) or control group (fluoxetine combined with 0.9% sodium chloride) to received treatment. Then accessed scale, cognitive function and brain function before treatment and at one, two, and four weeks after treatment to initially explore the safety and efficacy of ATP combined with fluoxetine to rapidly improves moderate to severe depression.

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
195

participants targeted

Target at P75+ for phase_2 depression

Timeline
Completed

Started Jan 2020

Longer than P75 for phase_2 depression

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

Study Start

First participant enrolled

January 7, 2020

Completed
2.4 years until next milestone

First Submitted

Initial submission to the registry

June 12, 2022

Completed
12 days until next milestone

First Posted

Study publicly available on registry

June 24, 2022

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2025

Completed
Last Updated

November 15, 2023

Status Verified

November 1, 2023

Enrollment Period

6 years

First QC Date

June 12, 2022

Last Update Submit

November 12, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Hamilton Depression Scale

    Changes in Hamilton Depression Scale(HAMD-24)

    Baseline and one, two, four weeks after treatment

Secondary Outcomes (16)

  • structural brain networks

    Baseline and two, four weeks after treatment

  • functional brain networks

    Baseline and two and four weeks after treatment

  • Hamilton Anxiety Scale

    Baseline and one, two, four weeks after treatment

  • Clinical Global Impression

    Baseline and one, two, four weeks after treatment

  • Snaith-Hamilton Pleasure Scale

    Baseline and one, two, four weeks after treatment

  • +11 more secondary outcomes

Study Arms (3)

Control group: Fluoxetine and Placebo

PLACEBO COMPARATOR

Cap Fluoxetin 20mg OD for four weeks and injection 100ml normal saline(NS) BD for two weeks.

Drug: Control group: Fluoxetine and Placebo

Experimental group: Fluoxetine and ATP

EXPERIMENTAL

Cap Fluoxetin 20mg OD for four weeks and injection ATP 100mg in NS BD for two weeks.

Drug: Experimental group: Fluoxetine and ATP

Control group: Fluoxetine and Phosphocreatine

ACTIVE COMPARATOR

Cap Fluoxetin 20mg OD for four weeks and injection phosphocreatine(1g) in NS BD for two weeks.

Drug: Control group: Fluoxetine and Phosphocreatine

Interventions

Cap Fluoxetin 20mg OD for four weeks and injection 100ml normal saline(NS) BD for two weeks.

Control group: Fluoxetine and Placebo

Cap Fluoxetin 20mg OD for four weeks and injection ATP 100mg in NS BD for two weeks.

Experimental group: Fluoxetine and ATP

Cap Fluoxetin 20mg OD for four weeks and injection Phosphocreatine 1g in NS BD for two weeks.

Control group: Fluoxetine and Phosphocreatine

Eligibility Criteria

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

You may qualify if:

  • Meet DSM-V diagnostic criteria for moderate to severe depression.
  • HAMD-24 scores ≥ 20.
  • female or male.
  • Subjects who have not used any antipsychotic drugs, antidepressants, mood stabilizers (sodium valproate, lithium carbonate) or fluoxetine treatment within the first month prior to the start of this study
  • Written informed consent.

You may not qualify if:

  • Sufferring from various major mental disorders other than depression (such as bipolar disorder, schizophrenia, personality split, etc.).
  • Individuals with neurological disorders such as dementia.
  • Individuals with a high risk of suicide.
  • Pregnant and lactating women.
  • Individuals with alcohol or drug abuse or dependence within one year prior to the start of this study.
  • Contraindications to MRI.
  • Physician evaluation was not suitable for participants in this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nanfang Hospital, Southern Medical University

Guangzhou, Guangdong, 510515, China

RECRUITING

MeSH Terms

Conditions

Depression

Interventions

Adenosine TriphosphatePhosphocreatine

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

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

Study Officials

  • Bin Zhang, MD & PhD

    Nanfang Hospital, Southern Medical University

    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
SPONSOR

Study Record Dates

First Submitted

June 12, 2022

First Posted

June 24, 2022

Study Start

January 7, 2020

Primary Completion

December 30, 2025

Study Completion

December 30, 2025

Last Updated

November 15, 2023

Record last verified: 2023-11

Locations