Cognitive Correlates of Antidepressant Treatment Response in Elders
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Purpose
Major depression is a very common health problem affecting older persons. The present standard of treatment is with medications called "antidepressants". Antidepressants have been studied extensively in older persons with normal brain function and have been shown to be effective. However, certain types of brain dysfunction called "executive impairment" (inability to do higher order thinking) may lead to poor treatment outcomes. This study will compare how older depressed people with different levels of executive impairment respond differently to standard antidepressant treatment. Knowing this information will lead to more rational targeting of available treatments, leading to improved treatment outcomes.
| Condition | Intervention | Phase |
|---|---|---|
|
Depression |
Drug: Zoloft (antidepressant) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Determining the Impact of Dementia and Executive Impairment on Antidepressant Treatment Response in Older Persons |
- depression [ Time Frame: June 1, 2007 - June 1, 2008 ] [ Designated as safety issue: No ]
| Enrollment: | 30 |
| Study Start Date: | June 2007 |
| Study Completion Date: | October 2009 |
| Primary Completion Date: | April 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
zoloft
Both arms of the study will include zoloft. However, the treatment response to zoloft will be compared in two different subgroups.
|
Drug: Zoloft (antidepressant)
Zoloft 50-200 mg po od x 12 weeks
Other Name: Sertraline
|
Eligibility| Ages Eligible for Study: | 65 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- above the age of 65,
- speak English fluently,
- experience depression, AND
- not yet on active treatment.
Exclusion Criteria:
- active delirium,
- substance abuse,
- mental illness other than major depression,
- active CNS disease,
- unstable systematic medical disease, OR
- current of past psychotic disorder.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Dr. Corinne E. Fischer, St. Michael's Hospital |
| ClinicalTrials.gov Identifier: | NCT01477268 History of Changes |
| Other Study ID Numbers: | 06-296 |
| Study First Received: | June 9, 2009 |
| Last Updated: | November 18, 2011 |
| Health Authority: | Canada: Ethics Review Committee |
Keywords provided by St. Michael's Hospital, Toronto:
|
antidepressants depression zoloft psychiatry psychology |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Behavioral Symptoms Mood Disorders Mental Disorders Antidepressive Agents Sertraline 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 21, 2013