Effects of Seroquel XR on Sleep Architecture in Patients With Major Depressive Disorder
Primary Purpose
Major Depressive Disorder
Status
Withdrawn
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Quetiapine Fumarate Extended Release
Sponsored by
About this trial
This is an interventional treatment trial for Major Depressive Disorder
Eligibility Criteria
Patient Inclusion Criteria:
- Men and women aged between 20 and 65
- Diagnosis of major depressive disorder as assessed by Structured Clinical Interview for DSM-IV (SCID-IV)
- A score of 1 or greater on any of the sleep items (items 4, 5, 6) from the Hamilton Depression Rating Scale (HDRS)
- Provision of written informed consent
Healthy Control Subject Inclusion Criteria:
- Healthy Men and Women aged between 20 and 65
- Provision of written informed consent
Exclusion Criteria:
- Presence of any major physical or neurological illness (e.g.,head trauma, epilepsy,seizure,stroke,cerebral tumor,multiple sclerosis,cerebrovascular disease, narrow-angle glaucoma, drug hypersensitivity,etc.)
- Diagnosis of any Axis I disorder other than major depressive disorder or presence of symptoms requiring hospitalization
- Drug abuse in past 3 months
- Women who are pregnant,breastfeeding, or planning pregnancy
- Contraindications to drugs used in the study (e.g., allergy, intolerance, etc.)
- Unstable medical illness or severe abnormality in laboratory test at screening assessment
- Increase in blood glucose, lipid, and calcium levels at screening
- Low blood pressure at screening assessment
- Intelligence quotient below 80
- Use of any of the following cytochrome P450 3A4 inhibitors in the 14 days preceding enrolment including but not limited to: ketoconazole, itraconazole, fluconazole, erythromycin, clarithromycin, troleandomycin, indinavir, nelfinavir, ritonavir, fluvoxamine and saquinavir
- Use of any of the following cytochrome P450 3A4 inducers in the 14 days preceding enrolment including but not limited to: phenytoin, carbamazepine, barbiturates, rifampin, St. John's Wort, and glucocorticoids
- Administration of a depot antipsychotic injection within one dosing interval (for the depot) before randomisation
- Substance or alcohol dependence at enrolment (except dependence in full remission, and except for caffeine or nicotine dependence), as defined by DSM-IV criteria
- Opiates, amphetamine, barbiturate, cocaine, cannabis, or hallucinogen abuse by DSM-IV criteria within 3 months prior to enrolment
- Previous enrolment or randomisation of treatment in the present study.
- Participation in another drug trial within 4 weeks prior enrolment into this study or longer in accordance with local requirements
- Medical conditions that would affect absorption, distribution, metabolism, or excretion of study treatment
- A patient with Diabetes Mellitus
- An absolute neutrophil count (ANC) of <= 1.5 x 10^9 per liter
- Insomnia from other causes of medical or neurological diseases
- Involvement in the planning and conduct of the study
Sites / Locations
- Ewha Womans University Medical Center
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Seroquel XR
healthy control
Arm Description
Patients with MDD receives Seroquel XR.
Outcomes
Primary Outcome Measures
change from baseline Pittsburgh Quality Index total scores at 4 weeks
change from baseline Pittsburgh Quality Index total scores at 2 weeks
change from baseline Pittsburgh Quality Index total scores at 4 days
Secondary Outcome Measures
change from baseline in sleep architecture measured using polysomnography at 4 weeks
number of participants with adverse events
number of participants with adverse events
number of participants with adverse events
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01189318
Brief Title
Effects of Seroquel XR on Sleep Architecture in Patients With Major Depressive Disorder
Official Title
Effects of Seroquel XR (Quetiapine Fumarate Extended-Release) on Sleep Architecture in Patients With Major Depressive Disorder
Study Type
Interventional
2. Study Status
Record Verification Date
August 2015
Overall Recruitment Status
Withdrawn
Study Start Date
March 2012 (undefined)
Primary Completion Date
February 2014 (Actual)
Study Completion Date
February 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Ewha Womans University
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
In this study, patients with major depressive disorder (MDD) who have insomnia symptom are treated with Seroquel XR in an open-label manner for a 4-week period with repeated measurements of insomnia symptoms and sleep parameters using polysomnography.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Seroquel XR
Arm Type
Experimental
Arm Description
Patients with MDD receives Seroquel XR.
Arm Title
healthy control
Arm Type
No Intervention
Intervention Type
Drug
Intervention Name(s)
Quetiapine Fumarate Extended Release
Intervention Description
Day 1 50mg, Day 2 50mg, Day 3 150mg, Day 4~28 50~150mg (increments and deduction of 50mg are allowed)
Primary Outcome Measure Information:
Title
change from baseline Pittsburgh Quality Index total scores at 4 weeks
Time Frame
baseline and 4 weeks
Title
change from baseline Pittsburgh Quality Index total scores at 2 weeks
Time Frame
baseline and 2 weeks
Title
change from baseline Pittsburgh Quality Index total scores at 4 days
Time Frame
baseline and 4 days
Secondary Outcome Measure Information:
Title
change from baseline in sleep architecture measured using polysomnography at 4 weeks
Time Frame
baseline and at 4 weeks
Title
number of participants with adverse events
Time Frame
4 weeks
Title
number of participants with adverse events
Time Frame
2 weeks
Title
number of participants with adverse events
Time Frame
4 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Patient Inclusion Criteria:
Men and women aged between 20 and 65
Diagnosis of major depressive disorder as assessed by Structured Clinical Interview for DSM-IV (SCID-IV)
A score of 1 or greater on any of the sleep items (items 4, 5, 6) from the Hamilton Depression Rating Scale (HDRS)
Provision of written informed consent
Healthy Control Subject Inclusion Criteria:
Healthy Men and Women aged between 20 and 65
Provision of written informed consent
Exclusion Criteria:
Presence of any major physical or neurological illness (e.g.,head trauma, epilepsy,seizure,stroke,cerebral tumor,multiple sclerosis,cerebrovascular disease, narrow-angle glaucoma, drug hypersensitivity,etc.)
Diagnosis of any Axis I disorder other than major depressive disorder or presence of symptoms requiring hospitalization
Drug abuse in past 3 months
Women who are pregnant,breastfeeding, or planning pregnancy
Contraindications to drugs used in the study (e.g., allergy, intolerance, etc.)
Unstable medical illness or severe abnormality in laboratory test at screening assessment
Increase in blood glucose, lipid, and calcium levels at screening
Low blood pressure at screening assessment
Intelligence quotient below 80
Use of any of the following cytochrome P450 3A4 inhibitors in the 14 days preceding enrolment including but not limited to: ketoconazole, itraconazole, fluconazole, erythromycin, clarithromycin, troleandomycin, indinavir, nelfinavir, ritonavir, fluvoxamine and saquinavir
Use of any of the following cytochrome P450 3A4 inducers in the 14 days preceding enrolment including but not limited to: phenytoin, carbamazepine, barbiturates, rifampin, St. John's Wort, and glucocorticoids
Administration of a depot antipsychotic injection within one dosing interval (for the depot) before randomisation
Substance or alcohol dependence at enrolment (except dependence in full remission, and except for caffeine or nicotine dependence), as defined by DSM-IV criteria
Opiates, amphetamine, barbiturate, cocaine, cannabis, or hallucinogen abuse by DSM-IV criteria within 3 months prior to enrolment
Previous enrolment or randomisation of treatment in the present study.
Participation in another drug trial within 4 weeks prior enrolment into this study or longer in accordance with local requirements
Medical conditions that would affect absorption, distribution, metabolism, or excretion of study treatment
A patient with Diabetes Mellitus
An absolute neutrophil count (ANC) of <= 1.5 x 10^9 per liter
Insomnia from other causes of medical or neurological diseases
Involvement in the planning and conduct of the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Inkyoon Lyoo, MD, PhD, MMS
Organizational Affiliation
Ewha Womans University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ewha Womans University Medical Center
City
Seoul
Country
Korea, Republic of
12. IPD Sharing Statement
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Effects of Seroquel XR on Sleep Architecture in Patients With Major Depressive Disorder
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