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Major Depressive DisorderNCT01468610

Neurocognition and Work Productivity in Major Depressive Disorder (MDD)

A study testing desvenlafaxine in people with Major Depressive Disorder, run by University of British Columbia at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will investigate the relationships between subjective cognitive complaints, neurocognitive deficits, and work productivity in participants with Major Depressive Disorder (MDD), before and after 8 weeks of treatment with an antidepressant medication. Read more about this study

Who is it for?
Ages 19 to 55 years
Conditions the study is for
Major Depressive Disorder
What is being tested?
desvenlafaxine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
47 participants
Where
1 siteCanada
Study dates
Jan 2012to Dec 2014
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Clinical diagnosis of Major Depressive Disorder as per DSM-IV-TR
  • Current employment of at least 15 hours per week
  • Baseline score of 23 or greater on the Montgomery-Asberg Depression Rating Scale, indicating at least moderately severe depression
  • Baseline score of 6 or greater on the British Columbia Cognitive Complaints Inventory, indicating at least moderate subjective cognitive complaints
  • Competency to give informed consent

Who cannot join

  • Current receipt of short-term or long-term disability benefits from employer
  • Serious suicidal risks as judged by the investigators
  • Other DSM-IV-TR diagnoses:
  • organic mental disorders
  • active substance abuse/dependence, including alcohol
  • schizophrenia, paranoid or delusional disorders, or other psychotic disorders
Show all 17Show fewer
  • (as primary diagnosis:) panic disorder, generalized anxiety disorder, obsessive-compulsive disorder, or post-traumatic stress disorder
  • bipolar disorder
  • bulimia nervosa or anorexia nervosa
  • Serious illness that is not stabilized, including cardiac, hepatic, renal, respiratory, endocrinologic, neurologic, or hematologic disease
  • Regular/current use of other psychotropic drugs and/or herbaceuticals
  • Use of fluoxetine within 5 weeks of Visit 1, monoamine oxidase inhibitors within 14 days of Visit 1, and other antidepressants within 7 days of Visit 1 (all to ensure adequate drug washouts prior to neurocognitive assessment)
  • Previous treatment with desvenlafaxine
  • Treatment-resistance in the current episode, as defined by failure (i.e., lack of clinically significant response) of 2 or more antidepressants given at therapeutic doses for at least 6 weeks
  • Any history of treatment with electroconvulsive therapy
  • Initiation of formal psychotherapy (e.g., cognitive-behavioural therapy or interpersonal psychotherapy) with 2 months of Visit 1, or plans to start such psychotherapy during this study
  • Current use of any other form of treatment for depression

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • University of British Columbia, Department of Psychiatry

    Vancouver, British Columbia, V6T 2A1

Other trials in Canada

About this study

Official title: Neurocognition and Work Productivity in Major Depressive Disorder

This study will investigate the relationships between subjective cognitive complaints, neurocognitive deficits, and work productivity in participants with Major Depressive Disorder (MDD), before and after 8 weeks of treatment with an antidepressant medication. Our hypothesis is that, in working participants with MDD of at least moderate severity, neurocognitive deficits will predict poorer work functioning and productivity.

Being tested
desvenlafaxine
Keywords
depression, cognition, occupational functioning, productivity, neuropsychology, desvenlafaxine, antidepressants
Medical subject headings
Depressive Disorder, Major, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • desvenlafaxineDrug

    Also called Pristiq

    50-100 mg daily for 8 weeks

Study groups in NCT01468610
Study groupRoleWhat they receive
Workers with MDDActive comparatorNot described
Receives: Drug: desvenlafaxine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. cognitive functioning as determined by neuropsychological testing

    Neuropsychological testing in 5 domains (memory, psychomotor speed, reaction time, cognitive flexibility, and complex attention) is conducted using computerized measures, both at baseline and after 8 weeks of standard medical care involving antidepressant medication (flexibly-dosed desvenlafaxine)

    Measured: change from baseline to 8 weeks

Secondary outcomes (1)
  1. work productivity as determined by rating scales

    Work functioning (attendance and productivity) is assessed using subjective and objective measures, both at baseline and after 8 weeks of standard medical care involving antidepressant medication (flexibly-dosed desvenlafaxine)

    Measured: change from baseline to 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Nov 2011 (estimated)
  2. Study startJan 2012
  3. Primary completionSep 2014
  4. Study completionDec 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
47 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01468610
Sponsor's protocol ID
H11-02646
Other IDs
WS2087153
Status last verified
Apr 2015
First submitted
7 Nov 2011
Last updated
10 Apr 2015
Results posted
No
Data monitoring committee
No

Publications

  • Alonso-Prieto E, Rubino C, Lucey M, Evans VC, Tam EM, Woo C, Iverson GL, Chakrabarty T, Yatham LN, Lam RW. Relationship between work functioning and self-reported cognitive complaints in patients with major depressive disorder treated with desvenlafaxine. Psychiatry Res. 2019 Feb;272:144-148. doi: 10.1016/j.psychres.2018.12.062. Epub 2018 Dec 10.

    PubMed 30583256
  • Sarfati D, Evans VC, Tam EM, Woo C, Iverson GL, Yatham LN, Lam RW. The impact of fatigue and energy on work functioning and impairment in patients with major depressive disorder treated with desvenlafaxine. Int Clin Psychopharmacol. 2017 Nov;32(6):343-349. doi: 10.1097/YIC.0000000000000192.

    PubMed 28763344
  • Lam RW, Iverson GL, Evans VC, Yatham LN, Stewart K, Tam EM, Axler A, Woo C. The effects of desvenlafaxine on neurocognitive and work functioning in employed outpatients with major depressive disorder. J Affect Disord. 2016 Oct;203:55-61. doi: 10.1016/j.jad.2016.05.074. Epub 2016 May 31.

    PubMed 27280963

Questions about this trial

What is this clinical trial studying?

A study testing desvenlafaxine in people with Major Depressive Disorder, run by University of British Columbia at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Apr 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

cognitive functioning as determined by neuropsychological testing (time frame: change from baseline to 8 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01468610, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Apr 2015.

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