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A Multicenter Clinical Study on Shuganjieyu Capsule Combined With Fluoxetine in the Treatment of Depression

Primary Purpose

Outpatients / Inpatients With Depression

Status
Not yet recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Shuganjieyu capsule
Fluoxetine
Sponsored by
Peking University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Outpatients / Inpatients With Depression focused on measuring Shuganjieyu capsule, depression

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. In line with the diagnostic criteria for depression of Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSM-5);
  2. Age: 18-65 (including 18 and 65), gender unlimited;
  3. Hamilton Rating Scale for Depression (HAMD-17) score≥18 in the screening period, and the 13th score≥2;
  4. For women of childbearing age, pregnancy test must be negative and not in lactation. The contraception measure must be accepted by the Investigators. Participants should agree to maintain this measure throughout the whole process;
  5. Sign the informed consent form voluntarily and agree to participate in all visits, examinations and treatment as required by the trial protocol.

Exclusion Criteria:

  1. Treatment-resistant depression (patients with poor clinical efficacy of antidepressants with two or more different mechanisms after sufficient and full course of treatment);
  2. Patients who meet DSM-5 diagnostic criteria for other mental disorders (such as schizophrenia pedigree and other mental disorders, bipolar and related disorders, anxiety disorders, obsessive-compulsive and related disorders, somatic symptoms and related disorders);
  3. Depression caused by psychoactive drugs;
  4. Patients with severe suicide (HAMD-17 suicide score≥3) and injury tendency;
  5. Patients with serious or unstable cardiovascular, cerebrovascular, liver, kidney, endocrine, digestive and blood diseases;
  6. Depressive episodes secondary to other mental diseases or somatic diseases at an active stage;
  7. ALT and AST values in the liver function examination are more than double the upper limit of reference value, or Scr value is above the upper limit of reference value;
  8. Patients with a history of endocrine diseases such as hyperthyroidism and hypothyroidism who are currently active;
  9. Patients who had undergone psychiatric surgery or electroconvulsive therapy in the past three months;
  10. Anyone with an allergic constitution known or suspected to have an allergic history to Hypericum perforatum L., Eleutherococcus senticosus and Fluoxetine;
  11. Those who have previously failed Shuganjieyu capsule or Fluoxetine treatment;
  12. Women in pregnancy or lactation period. Women who plan to get pregnant during the study and within six months;
  13. Patients with psychoactive substance abuse or dependence in the past 12 months;
  14. Long-term use of caffeine and nicotine;
  15. Patients who have received or are receiving any other clinical trial drug treatment within three months before the trial;
  16. Patients who are taking drugs that interfere with the efficacy evaluation of the investigational drugs, and drugs that are forbidden to be used in combination with the test drugs. Patients who have received antidepressant drugs for systematical treatment within 4 weeks;
  17. Those who are regarded as unsuitable by investigators for this clinical trial.

Sites / Locations

  • Nanjing Brain Hospital, Nanjing Medical University
  • First Hospital, Shanxi Medical University
  • Institute of Mental Health, Peking University Sixth Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

The experimental group: Shuganjieyu capsule

The control group: Shuganjieyu capsule simulator

Arm Description

Shuganjieyu capsule combined with Fluoxetine

Fluoxetine monotherapy

Outcomes

Primary Outcome Measures

17-item Hamilton depression rating scale (HAMD-17) total scores change
The change value of HAMD-17 total scores compared to the baseline (V1) after 8 weeks of treatment

Secondary Outcome Measures

17-item Hamilton depression rating scale (HAMD-17) total scores change at early time points
The change value of HAMD-17 total scores compared to the baseline
Hamilton anxiety rating scale (HAMA) total score change
The change value of HAMA total scores compared to the baseline
Patient Health Questionnaire-15 (PHQ-15) score change
The change value of PHQ-15 total scores compared to the baseline
Clinical Global Impression (CGI) score change
The change value of CGI total scores compared to the baseline
Pittsburgh Sleep Quality Index (PSQI) score change
The change value of PSQI total scores compared to the baseline
Dimensional Anhedonia Rating Scale (DARS) total score change
The change value of DARS total scores compared to the baseline
Temporal Experience of Pleasure Scale (TEPS) total score change
The change value of TEPS total scores compared to the baseline
Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF) total score change
The change value of Q-LES-Q-SF total scores compared to the baseline

Full Information

First Posted
April 20, 2022
Last Updated
May 15, 2022
Sponsor
Peking University
Collaborators
Sichuan Jishengtang Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05361330
Brief Title
A Multicenter Clinical Study on Shuganjieyu Capsule Combined With Fluoxetine in the Treatment of Depression
Official Title
A Multicenter Clinical Study to Evaluate the Efficacy and Safety of Shuganjieyu Capsule Combined With Fluoxetine in the Treatment of Depression
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
May 30, 2022 (Anticipated)
Primary Completion Date
April 30, 2023 (Anticipated)
Study Completion Date
September 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Peking University
Collaborators
Sichuan Jishengtang Pharmaceutical Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study mainly evaluates the efficacy and safety of Shuganjieyu capsule combined with Fluoxetine as well as the Fluoxetine monotherapy for the treatment of depression in the basic study, and also explores the efficacy for the extended study period as well as the efficacy and safety for the full trial period (basic study period and extended study period).
Detailed Description
Whole-course treatment serves as the principle for the treatment of depression, including symptom control in the acute phase, relapse prevention in the consolidation period and recurrence prevention in the maintenance period. Western medicine usually adopts antidepressant drugs combined with psychotherapy, mainly antidepressant SSRI at the current stage. It can selectively inhibit serotonin reuptake, so as to play an antidepressant role, but for somatic symptoms, the effect is general. Based on the overall regulation of body and mind, traditional Chinese medicine aims to achieve individualized treatment combing syndrome differentiation and treatment in a multi-channel, multi-target, and multi-level manner. At present, the combined application of antidepressant chemical drugs and Chinese patent medicines is complementary to each other from the perspective of mechanism and clinical practice. However, the study of Shuganjieyu capsule combined with antidepressant chemical drugs is mostly concentrated in the short term, and the benefits of long-term combined use of Shuganjieyu capsule remain to be further studied. The purpose of this multicenter clinical study is to evaluate the efficacy and safety of Shuganjieyu capsule combined with Fluoxetine as well as the Fluoxetine monotherapy in the basic study period. Besides, the study aims to continue to observe the efficacy and safety in the extended study research period, so as to provide important clinical data for the whole-course medication. Recruitment of outpatients / inpatients with depression. After screening the patients who met the inclusion criteria, the study collected demographic data, recorded symptoms and scale scores and improved relevant laboratory tests. The experimental group was treated with Shuganjieyu capsule combined with Fluoxetine, and the control group was treated with Fluoxetine. The related indexes were evaluated 2 ,4, 8, 12, 16 and 24 weeks later.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Outpatients / Inpatients With Depression
Keywords
Shuganjieyu capsule, depression

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
160 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
The experimental group: Shuganjieyu capsule
Arm Type
Experimental
Arm Description
Shuganjieyu capsule combined with Fluoxetine
Arm Title
The control group: Shuganjieyu capsule simulator
Arm Type
Placebo Comparator
Arm Description
Fluoxetine monotherapy
Intervention Type
Drug
Intervention Name(s)
Shuganjieyu capsule
Intervention Description
2 capsules each time, twice per day. According to the study progress, the intervention can be adjusted to 4 capsules each time, twice per day
Intervention Type
Drug
Intervention Name(s)
Fluoxetine
Intervention Description
Medication in basic study period: Fluoxetine (20 mg, once a day) Medication in the expanded study period: After 8 weeks of basic study period, if the reduction rate of HAMD-17 total scores is below 50 %, for the treatment group, the dosage of Fluoxetine will be adjusted to 40 mg / time, once a day.
Primary Outcome Measure Information:
Title
17-item Hamilton depression rating scale (HAMD-17) total scores change
Description
The change value of HAMD-17 total scores compared to the baseline (V1) after 8 weeks of treatment
Time Frame
Day 0 to Day 56
Secondary Outcome Measure Information:
Title
17-item Hamilton depression rating scale (HAMD-17) total scores change at early time points
Description
The change value of HAMD-17 total scores compared to the baseline
Time Frame
Day 0 to Day 14, Day 0 to Day 28
Title
Hamilton anxiety rating scale (HAMA) total score change
Description
The change value of HAMA total scores compared to the baseline
Time Frame
Day 0 to Day 14, Day 0 to Day 28, Day 0 to Day 56
Title
Patient Health Questionnaire-15 (PHQ-15) score change
Description
The change value of PHQ-15 total scores compared to the baseline
Time Frame
Day 0 to Day 14, Day 0 to Day 28, Day 0 to Day 56
Title
Clinical Global Impression (CGI) score change
Description
The change value of CGI total scores compared to the baseline
Time Frame
Day 0 to Day 14, Day 0 to Day 28, Day 0 to Day 56
Title
Pittsburgh Sleep Quality Index (PSQI) score change
Description
The change value of PSQI total scores compared to the baseline
Time Frame
Day 0 to Day 14, Day 0 to Day 28, Day 0 to Day 56
Title
Dimensional Anhedonia Rating Scale (DARS) total score change
Description
The change value of DARS total scores compared to the baseline
Time Frame
Day 0 to Day 14, Day 0 to Day 28, Day 0 to Day 56
Title
Temporal Experience of Pleasure Scale (TEPS) total score change
Description
The change value of TEPS total scores compared to the baseline
Time Frame
Day 0 to Day 14, Day 0 to Day 28, Day 0 to Day 56
Title
Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF) total score change
Description
The change value of Q-LES-Q-SF total scores compared to the baseline
Time Frame
Day 0 to Day 56
Other Pre-specified Outcome Measures:
Title
17-item Hamilton depression rating scale (HAMD-17) change in the extended period
Description
The change value of total score comared to the Week 8 time point
Time Frame
Day 56 to Day 84, Day 56 to Day 112, Day 56 to Day 168
Title
Relapse rate
Description
When V4 shows clinical benefit after 8 weeks of treatment, the relapse rate of depression symptoms among participants after 12, 16, 24 weeks of treatment compared to V4 of 8-week treatment;
Time Frame
Day 56 to Day 84, Day 56 to Day 112, Day 56 to Day 168
Title
the rate of changing medicines
Description
The rate of changing medicines among participants with 8 weeks of treatment when V4 entering the extended study period
Time Frame
Day 56 to Day 168
Title
Hamilton anxiety rating scale (HAMA) change in the extended period
Description
The change value of total score comared to the Week 8 time point
Time Frame
Day 56 to Day 84, Day 56 to Day 112, Day 56 to Day 168
Title
Clinical Global Impression (CGI) score change in the extended period
Description
The change comared to the Week 8 time point
Time Frame
Day 56 to Day 84, Day 56 to Day 112, Day 56 to Day 168
Title
Patient Health Questionnaire-15 (PHQ-15) score change in the extended period
Description
The change comared to the Week 8 time point
Time Frame
Day 56 to Day 84, Day 56 to Day 112, Day 56 to Day 168
Title
Pittsburgh Sleep Quality Index (PSQI) score change in the extended period
Description
The change comared to the Week 8 time point
Time Frame
Day 56 to Day 84, Day 56 to Day 112, Day 56 to Day 168
Title
Dimensional Anhedonia Rating Scale (DARS) total score change in the extended period
Description
The change comared to the Week 8 time point
Time Frame
Day 56 to Day 84, Day 56 to Day 112, Day 56 to Day 168
Title
Temporal Experience of Pleasure Scale (TEPS) total score change in the extended period
Description
The change comared to the Week 8 time point
Time Frame
Day 56 to Day 84, Day 56 to Day 112, Day 56 to Day 168

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: In line with the diagnostic criteria for depression of Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSM-5); Age: 18-65 (including 18 and 65), gender unlimited; Hamilton Rating Scale for Depression (HAMD-17) score≥18 in the screening period, and the 13th score≥2; For women of childbearing age, pregnancy test must be negative and not in lactation. The contraception measure must be accepted by the Investigators. Participants should agree to maintain this measure throughout the whole process; Sign the informed consent form voluntarily and agree to participate in all visits, examinations and treatment as required by the trial protocol. Exclusion Criteria: Treatment-resistant depression (patients with poor clinical efficacy of antidepressants with two or more different mechanisms after sufficient and full course of treatment); Patients who meet DSM-5 diagnostic criteria for other mental disorders (such as schizophrenia pedigree and other mental disorders, bipolar and related disorders, anxiety disorders, obsessive-compulsive and related disorders, somatic symptoms and related disorders); Depression caused by psychoactive drugs; Patients with severe suicide (HAMD-17 suicide score≥3) and injury tendency; Patients with serious or unstable cardiovascular, cerebrovascular, liver, kidney, endocrine, digestive and blood diseases; Depressive episodes secondary to other mental diseases or somatic diseases at an active stage; ALT and AST values in the liver function examination are more than double the upper limit of reference value, or Scr value is above the upper limit of reference value; Patients with a history of endocrine diseases such as hyperthyroidism and hypothyroidism who are currently active; Patients who had undergone psychiatric surgery or electroconvulsive therapy in the past three months; Anyone with an allergic constitution known or suspected to have an allergic history to Hypericum perforatum L., Eleutherococcus senticosus and Fluoxetine; Those who have previously failed Shuganjieyu capsule or Fluoxetine treatment; Women in pregnancy or lactation period. Women who plan to get pregnant during the study and within six months; Patients with psychoactive substance abuse or dependence in the past 12 months; Long-term use of caffeine and nicotine; Patients who have received or are receiving any other clinical trial drug treatment within three months before the trial; Patients who are taking drugs that interfere with the efficacy evaluation of the investigational drugs, and drugs that are forbidden to be used in combination with the test drugs. Patients who have received antidepressant drugs for systematical treatment within 4 weeks; Those who are regarded as unsuitable by investigators for this clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Tianmei Si, PhD., MD.
Phone
861062723748
Email
sitianmei@bjmu.edu.cn
Facility Information:
Facility Name
Nanjing Brain Hospital, Nanjing Medical University
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210000
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhijian Yao, MD.
Phone
86-025-82296670
Email
zjyao@njmu.edu.cn
Facility Name
First Hospital, Shanxi Medical University
City
Taiyuan
State/Province
Shanxi
ZIP/Postal Code
030000
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhifen Liu, MD.
Phone
86-13703586547
Email
liuzhifen5518@163.com
Facility Name
Institute of Mental Health, Peking University Sixth Hospital
City
Beijing
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tianmei Si, PhD., MD.
Phone
861062723748
Email
sitianmei@bjmu.edu.cn
First Name & Middle Initial & Last Name & Degree
Tianmei Si, PhD., MD

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Multicenter Clinical Study on Shuganjieyu Capsule Combined With Fluoxetine in the Treatment of Depression

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