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Randomized,Controlled and Open-label Study of Buspirone add-on Treatment in Patients With Major Depression Disorder

Primary Purpose

Major Depression Disorder

Status
Unknown status
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Buspirone
Paroxetine
Sponsored by
Si Tianmei
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Major Depression Disorder focused on measuring major depressive disorder, Efficacy and safety of buspirone add-one treatment in patients with major depression disorder, buspirone, paroxetine, anxiety

Eligibility Criteria

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

Inclusion Criteria:

  1. Patients meeting Statistical Manual of Mental Disorders IV (DSM-IV) criteria for major depression disorder , Hamilton Depression Rating Scale(HAM-D) score was 17 or above, Hamilton Anxiety Scale(HAMA)score was 7 or above.
  2. aged 18-65 years( including 18,65 years )
  3. male and female and inpatient as well as outpatient.
  4. Written informed consent was obtained from each patient before therapy. -

Exclusion Criteria:

  1. Patients with pregnant or breast-feeding and not taking effective contraceptive measures
  2. Patients were allergic to buspirone or with a known intolerance to contraindication
  3. Patients with clinically severe and unstable disease ,and not suitable to participate the study judged by the investigators
  4. Patients with nervous system diseases(such as epilepsy, Brain injury, Multiple Sclerosis, Degenerative disease including acute lateral sclerosis, Parkinson's disease, ataxy)
  5. Patients with a mental illness according to the DSM-IV, such as Organic mental disorders, Schizophrenia, Shizoaffective disorder, delusional disorder, Undifferentiated schizophrenia, bipolar disorder, and patients with a history of substance abuse including alcohol and active drug within 12 months of screening.
  6. Patients are taking other Psychiatric drugs (such as Antipsychotic drugs, Anticonvulsant and Mood stabilizer but not include Antihistamine agents) and receiving ECT that might be excluded.
  7. Patients worked on professional drivers or dangerous works
  8. Patients participated in clinical trials within the past 30 days and treated with drugs from sponsors are not eligible.
  9. Patients with clinically significant abnormalities on electrocardiogram or laboratory tests
  10. Patients with Acute Angle-closure Glaucoma
  11. Patients with Myasthenia Gravis
  12. Patients who have used Monoamine oxidase inhibitors (MAOI) within 2 weeks of Screening
  13. Patients who were Refractory depression invalid or non-responsive to adequate dosage (therapeutic dose upper limit) and duration (up 6 weeks) with two or above different antidepressants.
  14. Patients who pose a suicidal risk, HAMD suicide score was 3 or above . -

Sites / Locations

  • Institute of mental health, Peking University
  • Henan mental health centerRecruiting
  • Wuhan mental health centerRecruiting
  • Nanjing Brain HospitalRecruiting
  • Dalian No.7 People's HospitalRecruiting
  • Shanxi Dayi HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

paroxetine and buspirone group

paroxetine group

Arm Description

receive paroxetine (20-60mg/d) and buspirone(30mg/d)

receive paroxetine (20-60mg/d)

Outcomes

Primary Outcome Measures

Rate of onset of effect
defined as ≥20% change in HAMD total scores
clinical response rate
defined as ≥50% change in HAMD total scores
remission rate
Defined as HAMD total score ≤10.

Secondary Outcome Measures

Changes of HAMD scores at week 4 and week 8 compared with baseline
Changes of HAMA scores at week 4 and week 8 compared with baseline

Full Information

First Posted
October 21, 2014
Last Updated
October 22, 2014
Sponsor
Si Tianmei
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1. Study Identification

Unique Protocol Identification Number
NCT02273154
Brief Title
Randomized,Controlled and Open-label Study of Buspirone add-on Treatment in Patients With Major Depression Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
October 2014
Overall Recruitment Status
Unknown status
Study Start Date
August 2014 (undefined)
Primary Completion Date
December 2015 (Anticipated)
Study Completion Date
December 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Si Tianmei

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Multicenter, open lable, parallel randomized controlled clinical trial. This study aimed to evaluate the treatment onset time, efficacy and safety in patients with major depressive disorders , accompanying anxiety receiving Buspirone and Paroxetine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depression Disorder
Keywords
major depressive disorder, Efficacy and safety of buspirone add-one treatment in patients with major depression disorder, buspirone, paroxetine, anxiety

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
240 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
paroxetine and buspirone group
Arm Type
Experimental
Arm Description
receive paroxetine (20-60mg/d) and buspirone(30mg/d)
Arm Title
paroxetine group
Arm Type
Active Comparator
Arm Description
receive paroxetine (20-60mg/d)
Intervention Type
Drug
Intervention Name(s)
Buspirone
Intervention Description
MDD patients with anxiety disorder take paroxetine (20-60mg/d), combining with buspirone (initial dose is 5mg tid, then increase the dose to 10mg tid on 4th day)
Intervention Type
Drug
Intervention Name(s)
Paroxetine
Intervention Description
MDD patients with anxiety disorder take paroxetine (20-60mg/d)
Primary Outcome Measure Information:
Title
Rate of onset of effect
Description
defined as ≥20% change in HAMD total scores
Time Frame
8 weeks
Title
clinical response rate
Description
defined as ≥50% change in HAMD total scores
Time Frame
8 weeks
Title
remission rate
Description
Defined as HAMD total score ≤10.
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Changes of HAMD scores at week 4 and week 8 compared with baseline
Time Frame
4 weeks
Title
Changes of HAMA scores at week 4 and week 8 compared with baseline
Time Frame
4 weeks

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: Patients meeting Statistical Manual of Mental Disorders IV (DSM-IV) criteria for major depression disorder , Hamilton Depression Rating Scale(HAM-D) score was 17 or above, Hamilton Anxiety Scale(HAMA)score was 7 or above. aged 18-65 years( including 18,65 years ) male and female and inpatient as well as outpatient. Written informed consent was obtained from each patient before therapy. - Exclusion Criteria: Patients with pregnant or breast-feeding and not taking effective contraceptive measures Patients were allergic to buspirone or with a known intolerance to contraindication Patients with clinically severe and unstable disease ,and not suitable to participate the study judged by the investigators Patients with nervous system diseases(such as epilepsy, Brain injury, Multiple Sclerosis, Degenerative disease including acute lateral sclerosis, Parkinson's disease, ataxy) Patients with a mental illness according to the DSM-IV, such as Organic mental disorders, Schizophrenia, Shizoaffective disorder, delusional disorder, Undifferentiated schizophrenia, bipolar disorder, and patients with a history of substance abuse including alcohol and active drug within 12 months of screening. Patients are taking other Psychiatric drugs (such as Antipsychotic drugs, Anticonvulsant and Mood stabilizer but not include Antihistamine agents) and receiving ECT that might be excluded. Patients worked on professional drivers or dangerous works Patients participated in clinical trials within the past 30 days and treated with drugs from sponsors are not eligible. Patients with clinically significant abnormalities on electrocardiogram or laboratory tests Patients with Acute Angle-closure Glaucoma Patients with Myasthenia Gravis Patients who have used Monoamine oxidase inhibitors (MAOI) within 2 weeks of Screening Patients who were Refractory depression invalid or non-responsive to adequate dosage (therapeutic dose upper limit) and duration (up 6 weeks) with two or above different antidepressants. Patients who pose a suicidal risk, HAMD suicide score was 3 or above . -
Facility Information:
Facility Name
Institute of mental health, Peking University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100191
Country
China
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Tianmei Si, PhD.
Phone
8610-82801960
Email
si.tian-mei@163.com
First Name & Middle Initial & Last Name & Degree
Tianmei Si, PhD.
Facility Name
Henan mental health center
City
Xinxiang
State/Province
Henan
ZIP/Postal Code
453000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Luxian Lv, MD.
Phone
86-13837320007
Email
lvluxian86@hotmail.com
Facility Name
Wuhan mental health center
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Maosheng Fang, MD.
Phone
86-13553013182
Email
fangmaosheng@126.com
Facility Name
Nanjing Brain Hospital
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhijian Yao, PhD.
Phone
86-13851580276
Email
zhijianyao@163.com
Facility Name
Dalian No.7 People's Hospital
City
Dalian
State/Province
Liaoning
ZIP/Postal Code
116000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shoufu Xie, MD.
Phone
86-18441168381
Email
shoufuxie@126.com
Facility Name
Shanxi Dayi Hospital
City
Taiyuan
State/Province
Shanxi
ZIP/Postal Code
030000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hong Yang, MD.
Phone
86-13903414208
Email
hongyang1964@163.com

12. IPD Sharing Statement

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Randomized,Controlled and Open-label Study of Buspirone add-on Treatment in Patients With Major Depression Disorder

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