PregnancyPhase 2NCT01948596
The Synchronized Trial on Expectant Mothers With Depressive Symptoms by Omega-3 PUFAs (SYNCHRO): Open Trial
A Phase 2 study testing Omega-3 polyunsaturated fatty acids in people with Pregnancy and Depression, run by Tokyo Medical University at 3 sites in 2 countries.
Trial summary
The present study aims to examine the efficacy and safety of omega-3 polyunsaturated fatty acids for pregnant women with depressive symptoms. Read more about this study
- Who is it for?
- Ages 20 years and older, women only
- Conditions the study is for
- Pregnancy, Depression
- What is being tested?
- Omega-3 polyunsaturated fatty acids
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 13 participants
- Where
- 3 sitesin 2 countries
- Study dates
- Oct 2013to May 2015
- Phase
- Phase 2
- 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 20 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- pregnant women aged 20 years or older
- between 12-24 weeks gestation
- a Japanese conversational ability in Japan site or a Mandarin conversational ability in Taiwan site to understand the scope of the present trial and to provide written consent for study participation
- planned to return to the hospital for checkup at 4-6 weeks after childbirth
- an Edinburgh Postnatal Depression Scale (EPDS) score is 9 or more
- to have good physical health judged by obstetricians.
Who cannot join
- history and current suspicion of psychosis or bipolar I disorder or substance-related disorder or eating disorder or personality disorder
- the item of EPDS concerning suicide ideation is 2 or more
- other serious psychiatric symptoms such as self-harm behavior or in need of rapid psychiatric treatment
- difficult to expect a normal birth (ex: fetal malformation etc.)
- having a history of bleeding disorder such as von Willebrand's Disease
- regular treatment with aspirin or warfarin within the last 3 months
Show all 9Show fewer
- a smoking habit of ≥40 cigarettes per day
- regular treatment with ethyl icosapentate or regular consumption of omega-3 PUFA supplements within the last 3 months
- a habit of eating fish ≥4 times per week.
Trial locations and contacts
3 sites in 2 countries.
3 sites in 2 countries
Japan2 sites
Tokyo Medical University
Shinjuku-ku, Tokyo, 160-8402
Toda Maternity Hospital
Toda, Saitama
About this study
Official title: The Synchronized Trial on Expectant Mothers With Depressive Symptoms by Omega-3 PUFAs (SYNCHRO) : Open Trial
The present study aims to examine the efficacy and safety of omega-3 polyunsaturated fatty acids for pregnant women with depressive symptoms.
Read the detailed description
Maternal depression can have a significant harmful influence on both mothers and children. Considering the possibility of adverse effects of antidepressants and previous meta-analyses showing the positive effects of omega-3 polyunsaturated fatty acids (PUFAs) supplementation in reducing depressive symptoms, omega-3 PUFAs may provide a safe strategy. The investigators evaluate efficacy and safety of omega-3 PUFAs for pregnant women with depressive symptoms.
- Conditions
- Pregnancy, Depression
- Being tested
- Omega-3 polyunsaturated fatty acids
- Keywords
- pregnant women, depression, depressive symptoms, omega-3 fatty acids
- Medical subject headings
- Depression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Omega-3 polyunsaturated fatty acidsDietary supplement
Also called 1200mg EPA and 600mg DHA daily
| Study group | Role | What they receive |
|---|---|---|
| Omega-3 polyunsaturated fatty acids | Experimental | 1200mg eicosapentaenoic acid (EPA) and 600mg docosahexaenoic acid (DHA) daily Receives: Dietary Supplement: Omega-3 polyunsaturated fatty acids |
What is being measured
The primary outcome is the main question the study is designed to answer.
total score of the Hamilton Rating Scale for Depression (HAMD)
Measured: Twelve weeks
Secondary outcomes (11)
total score of HAMD
Measured: 4-6 weeks after childbirth
total scores on the Edinburgh Postnatal Depression Scale (EPDS)
Measured: Twelve weeks, 4-6 weeks after childbirth
total score of the Beck Depression Inventory Ⅱ(BDI-Ⅱ)
Measured: Twelve weeks, 4-6 weeks after childbirth
major depressive disorder (MDD) as determined by the depression module of the Mini International Neuropsychiatric Interview (MINI)
Measured: Twelve weeks, 4-6 weeks after childbirth
omega-3 fatty acids concentrations in erythrocytes
Measured: Tweve weeks, 4-6 weeks after childbirth
brain-derived neurotrophic factor (BDNF) in serum
Measured: Twelve weeks, 4-6 weeks after childbirth
IF-6 in plasma
Measured: twelve weeks, 4-6 weeks after childbirth
oxytocin in plasma
Measured: twelve weeks, 4-6 weeks after childbirth
TNF-alpha in plasma
Measured: twelve weeks, 4-6 weeks after childbirth
IL-1 beta in plasma
Measured: twelve weeks, 4-6 weeks after childbirth
phospholipase A2 in plasma
Measured: twelve weeks, 4-6 weeks after childbirth
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Sep 2013 (estimated)
- Study startOct 2013
- Primary completionJan 2015
- Study completionMay 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for PregnancyStudies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 13 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tokyo Medical University
- Sponsor type
- University, hospital or other
- Collaborators
- China Medical University, Taiwan, Japan Society for the Promotion of Science (JSPS), University of Toyama, Chiba University
- Responsible party
- Principal investigator, Daisuke Nishi, Tokyo Medical University
- Investigators
- Daisuke Nishi, M.D., Ph.D., Principal investigator, Tokyo Medical UniversityKuan-Pin Su, M.D., Ph.D., Principal investigator, China Medical Univeristy
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01948596
- Sponsor's protocol ID
- SYNCHRO-Open
- Status last verified
- Apr 2016
- First submitted
- 12 Sep 2013
- Last updated
- 21 Apr 2016
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Nishi D, Su KP, Usuda K, Chiang YJ, Guu TW, Hamazaki K, Nakaya N, Sone T, Sano Y, Ito H, Isaka K, Hashimoto K, Hamazaki T, Matsuoka YJ. Omega-3 fatty acid supplementation for expectant mothers with depressive symptoms in Japan and Taiwan: An open-label trial. Psychiatry Clin Neurosci. 2016 Jun;70(6):253-4. doi: 10.1111/pcn.12388. Epub 2016 May 6. No abstract available.
PubMed 27004997Nishi D, Su KP, Usuda K, Chang JP, Chiang YJ, Guu TW, Hamazaki K, Nakaya N, Sone T, Hashimoto K, Hamazaki T, Matsuoka YJ. Differences between Japan and Taiwan in the treatment of pregnant women with depressive symptoms by omega-3 fatty acids: An open-label pilot study. Nutr Neurosci. 2019 Jan;22(1):63-71. doi: 10.1080/1028415X.2017.1354540. Epub 2017 Jul 28.
PubMed 28752805
Study at a glance
From the registry record, last updated by the sponsor on 21 Apr 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Synchronized Trial on Expectant Mothers With Depressive Symptoms by Omega-3 PUFAs (SYNCHRO) : Open Trial
- ClinicalTrials.gov ID
- NCT01948596
- Acronym / sponsor ID
- SYNCHRO-Open
- Conditions
- Pregnancy, Depression
- Keywords
- pregnant women, depression, depressive symptoms, omega-3 fatty acids
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 13 participants (actual)
- Lead sponsor
- Tokyo Medical UniversityUniversity, hospital or other
- Collaborators
- China Medical University, Taiwan, Japan Society for the Promotion of Science (JSPS), University of Toyama, Chiba University
- Study start
- Oct 2013
- Primary completion
- Jan 2015 (actual)
- Study completion
- May 2015 (actual)
- First posted
- 23 Sep 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 present study aims to examine the efficacy and safety of omega-3 polyunsaturated fatty acids for pregnant women with depressive symptoms.
Detailed description
Maternal depression can have a significant harmful influence on both mothers and children. Considering the possibility of adverse effects of antidepressants and previous meta-analyses showing the positive effects of omega-3 polyunsaturated fatty acids (PUFAs) supplementation in reducing depressive symptoms, omega-3 PUFAs may provide a safe strategy. The investigators evaluate efficacy and safety of omega-3 PUFAs for pregnant women with depressive symptoms.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Omega-3 polyunsaturated fatty acids | Experimental | Dietary Supplement: Omega-3 polyunsaturated fatty acids1200mg eicosapentaenoic acid (EPA) and 600mg docosahexaenoic acid (DHA) daily |
Who may qualify
- Ages
- 20 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- pregnant women aged 20 years or older
- between 12-24 weeks gestation
- a Japanese conversational ability in Japan site or a Mandarin conversational ability in Taiwan site to understand the scope of the present trial and to provide written consent for study participation
- planned to return to the hospital for checkup at 4-6 weeks after childbirth
- an Edinburgh Postnatal Depression Scale (EPDS) score is 9 or more
Key exclusion criteria (9 listed)
- history and current suspicion of psychosis or bipolar I disorder or substance-related disorder or eating disorder or personality disorder
- the item of EPDS concerning suicide ideation is 2 or more
- other serious psychiatric symptoms such as self-harm behavior or in need of rapid psychiatric treatment
- difficult to expect a normal birth (ex: fetal malformation etc.)
- having a history of bleeding disorder such as von Willebrand's Disease
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 |
|---|---|---|
| Omega-3 polyunsaturated fatty acidsAlso: 1200mg EPA and 600mg DHA daily | Dietary supplement | Omega-3 polyunsaturated fatty acids |
Primary outcome
total score of the Hamilton Rating Scale for Depression (HAMD)
Time frame: Twelve weeks
11 secondary outcomes
total score of HAMD
Time frame: 4-6 weeks after childbirth
total scores on the Edinburgh Postnatal Depression Scale (EPDS)
Time frame: Twelve weeks, 4-6 weeks after childbirth
total score of the Beck Depression Inventory Ⅱ(BDI-Ⅱ)
Time frame: Twelve weeks, 4-6 weeks after childbirth
major depressive disorder (MDD) as determined by the depression module of the Mini International Neuropsychiatric Interview (MINI)
Time frame: Twelve weeks, 4-6 weeks after childbirth
omega-3 fatty acids concentrations in erythrocytes
Time frame: Tweve weeks, 4-6 weeks after childbirth
brain-derived neurotrophic factor (BDNF) in serum
Time frame: Twelve weeks, 4-6 weeks after childbirth
IF-6 in plasma
Time frame: twelve weeks, 4-6 weeks after childbirth
oxytocin in plasma
Time frame: twelve weeks, 4-6 weeks after childbirth
TNF-alpha in plasma
Time frame: twelve weeks, 4-6 weeks after childbirth
IL-1 beta in plasma
Time frame: twelve weeks, 4-6 weeks after childbirth
phospholipase A2 in plasma
Time frame: twelve weeks, 4-6 weeks after childbirth
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Apr 2016.
- Results publication: PubMed 27004997Nishi D, Su KP, Usuda K, Chiang YJ, Guu TW, Hamazaki K, Nakaya N, Sone T, Sano Y, Ito H, Isaka K, Hashimoto K, Hamazaki T, Matsuoka YJ. Omega-3 fatty acid supplementation for expectant mothers with depressive symptoms in Japan and Taiwan: An open-label trial. Psychiatry Clin Neurosci. 2016 Jun;70(6):253-4. doi: 10.1111/pcn.12388. Epub 2016 May 6. No abstract available.
- Derived from this study: PubMed 28752805Nishi D, Su KP, Usuda K, Chang JP, Chiang YJ, Guu TW, Hamazaki K, Nakaya N, Sone T, Hashimoto K, Hamazaki T, Matsuoka YJ. Differences between Japan and Taiwan in the treatment of pregnant women with depressive symptoms by omega-3 fatty acids: An open-label pilot study. Nutr Neurosci. 2019 Jan;22(1):63-71. doi: 10.1080/1028415X.2017.1354540. Epub 2017 Jul 28.
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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.
Daisuke Nishi, M.D., Ph.D. principal investigator
Tokyo Medical University
Kuan-Pin Su, M.D., Ph.D. principal investigator
China Medical Univeristy
3 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Omega-3 polyunsaturated fatty acids in people with Pregnancy and Depression, run by Tokyo Medical University at 3 sites in 2 countries.
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 6 inclusion and 9 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 21 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Japan, Taiwan. 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.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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?
total score of the Hamilton Rating Scale for Depression (HAMD) (time frame: Twelve 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 NCT01948596, which also lists 2 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 21 Apr 2016.