Treatment Resistant DepressionNCT01896349
Interpersonal Psychotherapy for Treatment Resistant Depression
A study testing IPT+ antidepressant drugs, fluoxetine and sertraline in people with Treatment Resistant Depression, run by Hospital de Clinicas de Porto Alegre at 1 site in Brazil.
Trial summary
The purpose of this study is to determine whether combination of antidepressant drugs plus interpersonal psychotherapy is superior to antidepressant drugs alone in treatment resistant depression. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Treatment Resistant Depression
- What is being tested?
- IPT+ antidepressant drugs, fluoxetine and sertraline
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 74 participants
- Where
- 1 siteBrazil
- Study dates
- Apr 2013to Nov 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Primary diagnose of unipolar treatment resistant depression
Who cannot join
- Patients diagnose of: bipolar disorder, psychosis, high suicide risk, Intellectual disability, illicit drug dependence.
- Currently in or having received psychotherapy in the last 4 weeks
Trial locations and contacts
1 site in 1 country.
Brazil1 site, 1 recruiting
- Recruiting
Federal University of Rio Grande do Sul / Hospital de Clínicas de Porto Alegre (HCPA)
Porto Alegre, Rio Grande do Sul, 90035-003
Lívia H Souza, MD, +55 5198658701, livia.hs@terra.com.br
Marcelo PA Fleck, MD, PhD, +55 51 33598294, mfleck.voy@terra.com.br
About this study
Official title: Efficacy of Interpersonal Psychotherapy in Treatment Resistant Depression
The purpose of this study is to determine whether combination of antidepressant drugs plus interpersonal psychotherapy is superior to antidepressant drugs alone in treatment resistant depression.
- Conditions
- Treatment Resistant Depression
- Being tested
- IPT+ antidepressant drugs, fluoxetine, sertraline, paroxetine, Citalopram
- Keywords
- Psychotherapy, Treatment Resistant Depression, depression
- Medical subject headings
- Depressive Disorder, Treatment-Resistant, Depression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IPT+ antidepressant drugsOther
Also called Interpersonal Psychotherapy, Antidepressant drugs
16 sessions of interpersonal psychotherapy plus antidepressant drugs.
fluoxetineDrug
Antidepressant drugs, clinician´s free choice oriented by guidelines. Monotherapy or combinations are allowed
sertralineDrug
paroxetineDrug
CitalopramDrug
escitalopramDrug
fluvoxamineDrug
VenlafaxineDrug
DuloxetineDrug
BupropionDrug
LithiumDrug
RisperidoneDrug
tranylcypromineDrug
ImipramineDrug
amitriptylineDrug
ClomipramineDrug
nortriptylineDrug
trazodoneDrug
MirtazapineDrug
sulpirideDrug
| Study group | Role | What they receive |
|---|---|---|
| IPT+antidepressant drugs | Experimental | Interpersonal Psychotherapy protocol (IPT) consist of 16 sessions of manualized interpersonal psychotherapy for depression. Patients are allowed to reschedule 3 sessions if they miss their appointments.
Antidepressant Drugs protocol consist of pharmacological management of depression, oriented by international guidelines, clinician´s free choice. Monotherapy or combinations are allowed. Antidepressant and drugs are: fluoxetine, sertraline, paroxetin, citalopram, escitalopram, fluvoxamine, venlafaxin, duloxetin, bupropion, lithium, risperidone, tranylcypromine, Imipramine, amitriptyline, clomipramine, nortriptyline, trazodone, mirtazapine, sulpiride. Receives: Other: IPT+ antidepressant drugs; Drug: fluoxetine; Drug: sertraline; Drug: paroxetine; Drug: Citalopram; Drug: escitalopram; Drug: fluvoxamine; Drug: Venlafaxine; Drug: Duloxetine; Drug: Bupropion; Drug: Lithium; Drug: Risperidone; Drug: tranylcypromine; Drug: Imipramine; Drug: amitriptyline; Drug: Clomipramine; Drug: nortriptyline; Drug: trazodone; Drug: Mirtazapine; Drug: sulpiride |
| Antidepressant Drugs | Active comparator | Drugs protocol consist of pharmacological management of depression, oriented by international guidelines, clinician´s free choice.
Antidepressant Drugs protocol consist of pharmacological management of depression, oriented by international guidelines, clinician´s free choice. Monotherapy or combinations are allowed. Antidepressant and drugs are: fluoxetine, sertraline, paroxetine, citalopram, escitalopram, fluvoxamine, venlafaxine, duloxetine, bupropion, lithium, risperidone, tranylcypromine, Imipramine, amitriptyline, clomipramine, nortriptyline, trazodone, mirtazapine, sulpiride. Receives: Drug: fluoxetine; Drug: sertraline; Drug: paroxetine; Drug: Citalopram; Drug: escitalopram; Drug: fluvoxamine; Drug: Venlafaxine; Drug: Duloxetine; Drug: Bupropion; Drug: Lithium; Drug: Risperidone; Drug: tranylcypromine; Drug: Imipramine; Drug: amitriptyline; Drug: Clomipramine; Drug: nortriptyline; Drug: trazodone; Drug: Mirtazapine; Drug: sulpiride |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hamilton Depression Scale (HAM-D) - continuous
Score change on Hamilton depression scale from baseline to week 19 and to week 24
Measured: End point week 19 and Week 24
Secondary outcomes (1)
Beck depression Inventory (BDI)
Score change on Beck depression inventory from baseline to week 19 and to week 24
Measured: End point week 19 and Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2013 (estimated)
- Study startApr 2013
- Primary completionAug 2014 (estimated)
- Study completionNov 2014 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Treatment Resistant DepressionStudies of the same condition, open and under way.
- More trials run by Hospital de Clinicas de Porto AlegreThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 74 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hospital de Clinicas de Porto Alegre
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Marcelo PA Fleck, MD,PhD, Principal investigator, Federal University of Rio Grande do Sul / Hospital de Clínicas de Porto Alegre
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01896349
- Sponsor's protocol ID
- TIP-120288
- Status last verified
- Jul 2013
- First submitted
- 1 Jul 2013
- Last updated
- 11 Jul 2013
- Results posted
- No
- Data monitoring committee
- No
Publications
Souza LH, Salum GA, Mosqueiro BP, Caldieraro MA, Guerra TA, Fleck MP. Interpersonal psychotherapy as add-on for treatment-resistant depression: A pragmatic randomized controlled trial. J Affect Disord. 2016 Mar 15;193:373-80. doi: 10.1016/j.jad.2016.01.004. Epub 2016 Jan 8.
PubMed 26799332
Study at a glance
From the registry record, last updated by the sponsor on 11 Jul 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy of Interpersonal Psychotherapy in Treatment Resistant Depression
- ClinicalTrials.gov ID
- NCT01896349
- Acronym / sponsor ID
- TIP-120288
- Conditions
- Treatment Resistant Depression
- Keywords
- Psychotherapy, Treatment Resistant Depression, depression
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 74 participants (estimated)
- Lead sponsor
- Hospital de Clinicas de Porto AlegreUniversity, hospital or other
- Study start
- Apr 2013
- Primary completion
- Aug 2014 (estimated)
- Study completion
- Nov 2014 (estimated)
- First posted
- 11 Jul 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether combination of antidepressant drugs plus interpersonal psychotherapy is superior to antidepressant drugs alone in treatment resistant depression.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| IPT+antidepressant drugs | Experimental | Other: IPT+ antidepressant drugs, Drug: fluoxetine, Drug: sertraline, Drug: paroxetine, Drug: Citalopram, Drug: escitalopram, Drug: fluvoxamine, Drug: Venlafaxine, Drug: Duloxetine, Drug: Bupropion, Drug: Lithium, Drug: Risperidone, Drug: tranylcypromine, Drug: Imipramine, Drug: amitriptyline, Drug: Clomipramine, Drug: nortriptyline, Drug: trazodone, Drug: Mirtazapine, Drug: sulpirideInterpersonal Psychotherapy protocol (IPT) consist of 16 sessions of manualized interpersonal psychotherapy for depression. Patients are allowed to reschedule 3 sessions if they miss their appointments. Antidepressant Drugs protocol consist of pharmacological management of depression, oriented by international guidelines, clinician´s free choice. Monotherapy or combinations are allowed. Antidepressant and drugs are: fluoxetine, sertraline, paroxetin, citalopram, escitalopram, fluvoxamine, venlafaxin, duloxetin, bupropion, lithium, risperidone, tranylcypromine, Imipramine, amitriptyline, clomipramine, nortriptyline, trazodone, mirtazapine, sulpiride. |
| Antidepressant Drugs | Active comparator | Drug: fluoxetine, Drug: sertraline, Drug: paroxetine, Drug: Citalopram, Drug: escitalopram, Drug: fluvoxamine, Drug: Venlafaxine, Drug: Duloxetine, Drug: Bupropion, Drug: Lithium, Drug: Risperidone, Drug: tranylcypromine, Drug: Imipramine, Drug: amitriptyline, Drug: Clomipramine, Drug: nortriptyline, Drug: trazodone, Drug: Mirtazapine, Drug: sulpirideDrugs protocol consist of pharmacological management of depression, oriented by international guidelines, clinician´s free choice. Antidepressant Drugs protocol consist of pharmacological management of depression, oriented by international guidelines, clinician´s free choice. Monotherapy or combinations are allowed. Antidepressant and drugs are: fluoxetine, sertraline, paroxetine, citalopram, escitalopram, fluvoxamine, venlafaxine, duloxetine, bupropion, lithium, risperidone, tranylcypromine, Imipramine, amitriptyline, clomipramine, nortriptyline, trazodone, mirtazapine, sulpiride. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Primary diagnose of unipolar treatment resistant depression
Key exclusion criteria (2 listed)
- Patients diagnose of: bipolar disorder, psychosis, high suicide risk, Intellectual disability, illicit drug dependence.
- Currently in or having received psychotherapy in the last 4 weeks
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IPT+ antidepressant drugsAlso: Interpersonal Psychotherapy, Antidepressant drugs16 sessions of interpersonal psychotherapy plus antidepressant drugs. | Other | IPT+antidepressant drugs |
| fluoxetineAntidepressant drugs, clinician´s free choice oriented by guidelines. Monotherapy or combinations are allowed | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| sertraline | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| paroxetine | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Citalopram | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| escitalopram | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| fluvoxamine | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Venlafaxine | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Duloxetine | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Bupropion | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Lithium | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Risperidone | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| tranylcypromine | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Imipramine | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| amitriptyline | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Clomipramine | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| nortriptyline | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| trazodone | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| Mirtazapine | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
| sulpiride | Drug | Antidepressant Drugs, IPT+antidepressant drugs |
Primary outcome
Hamilton Depression Scale (HAM-D) - continuous
Time frame: End point week 19 and Week 24
Score change on Hamilton depression scale from baseline to week 19 and to week 24
1 secondary outcome
Beck depression Inventory (BDI)
Time frame: End point week 19 and Week 24
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Jul 2013.
- Derived from this study: PubMed 26799332Souza LH, Salum GA, Mosqueiro BP, Caldieraro MA, Guerra TA, Fleck MP. Interpersonal psychotherapy as add-on for treatment-resistant depression: A pragmatic randomized controlled trial. J Affect Disord. 2016 Mar 15;193:373-80. doi: 10.1016/j.jad.2016.01.004. Epub 2016 Jan 8.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Marcelo PA Fleck, MD,PhD principal investigator
Federal University of Rio Grande do Sul / Hospital de Clínicas de Porto Alegre
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing IPT+ antidepressant drugs, fluoxetine and sertraline in people with Treatment Resistant Depression, run by Hospital de Clinicas de Porto Alegre at 1 site in Brazil.
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 1 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 11 Jul 2013. 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 Brazil. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Livia H Souza, MD (+55 51 98658701, liviahartmanndesouza@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Hamilton Depression Scale (HAM-D) - continuous (time frame: End point week 19 and Week 24). 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 NCT01896349, which also lists 1 linked publication.
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 11 Jul 2013.