Magnetic Resonance Imaging Study of Geriatric Depression
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Purpose
The purpose of this study was to use Magnetic Resonance Images to further our understanding of predictors and markers of treatment response and non-response in geriatric depression. We hypothesized that concentrations of high energy metabolites would be lower in depressed elderly compared to non-depressed.
| Condition | Intervention |
|---|---|
|
Major Depressive Disorder |
Drug: Sertraline |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Nuclear Magnetic Resonance Imaging Study of Treatment With Sertraline in Geriatric Depression |
- HAM-D 17 (Hamilton Depression Rating Scale) [ Time Frame: baseline at study entry week 0 ] [ Designated as safety issue: No ]
This is a depression severity rating scale measuring symptoms of depression including mood, sleep, appetite, energy, motivation, guilt, suicidal ideation, concentration, physical complaints, paranoia, anxiety, effect on daily functioning and awareness of illness.
Scale is from 0 (no depression symptoms) up to a maximum of 66 (severe depression symptoms).
- Geriatric Depression Scale [ Time Frame: baseline at study entry week 0 ] [ Designated as safety issue: No ]This is a depression severity rating scale measuring symptoms of depression. Scale is from 0 (no depression symptoms) up to a maximum of 15 (severe depression symptoms).
- MRS (Magnetic Resonance Spectroscopy) [ Time Frame: at week 13 ] [ Designated as safety issue: No ]
| Enrollment: | 43 |
| Study Start Date: | November 2004 |
| Study Completion Date: | August 2008 |
| Primary Completion Date: | August 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: Healthy Controls
Healthy Controls undergo MRI and neuropsychological testing
|
|
|
Experimental: Depressed
Depressed subjects receive experimental drug
|
Drug: Sertraline
Oral Sertraline Dosage started at 25 mg a day, with increases up to maximum dosage strength of 200 mg a day. Duration of treatment was 12 weeks. Other Name: Zoloft
|
Eligibility| Ages Eligible for Study: | 55 Years to 89 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- DSM- IV (Diagnostic and Statistical Manual of Mental Disorders, 4th Edition) diagnostic criteria for major depressive disorder
- Hamilton Depression Scale- 17 item version score of 18 or higher
- Must speak English
- Women must be post-menopausal
Exclusion Criteria:
- A current or pervious psychiatric disorder other than MDD
- A current unstable medical condition
- A pacemaker or metal implant
- History of alcohol or drug dependence or abuse within the past year
- Current prescription of excluded medications
- Use of a drug within the last 30 days that was not approved for use by governmental authorities.
- If you or a family member works at McLean Hospital
Contacts and Locations| United States, Massachusetts | |
| McLean Hospital | |
| Belmont, Massachusetts, United States, 02478 | |
| Principal Investigator: | Brent Forester, M.D | Mclean Hospital |
More Information
No publications provided
| Responsible Party: | Brent Forester, Director, Mood Disorders Division, Geriatric Psychiatry Research Program, Mclean Hospital |
| ClinicalTrials.gov Identifier: | NCT00245557 History of Changes |
| Other Study ID Numbers: | 2004P-002540 |
| Study First Received: | October 27, 2005 |
| Results First Received: | September 16, 2009 |
| Last Updated: | May 6, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Mclean Hospital:
|
Depression Geriatric MRI Sertraline |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Depressive Disorder, Major Behavioral Symptoms Mood Disorders Mental Disorders Sertraline Antidepressive Agents Psychotropic Drugs |
Central Nervous System Agents Therapeutic Uses Pharmacologic Actions Serotonin Uptake Inhibitors Neurotransmitter Uptake Inhibitors Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Serotonin Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 22, 2013