Study of Pharmacotherapy of Psychotic Depression (STOP-PD)

This study has been completed.
Sponsor:
Information provided by:
National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier:
NCT00056472
First received: March 14, 2003
Last updated: August 20, 2008
Last verified: August 2008

March 14, 2003
August 20, 2008
January 2003
June 2008   (final data collection date for primary outcome measure)
Remission of depression (Hamilton Depression Scale) and psychosis (Schedule for Affective Disorders in Schizophrenia - delusional item) during the course of the trial [ Time Frame: Weeks 1-6, 8, 10, 12 ] [ Designated as safety issue: No ]
Not Provided
Complete list of historical versions of study NCT00056472 on ClinicalTrials.gov Archive Site
CGI-S scores over the course of the trial [ Time Frame: Weeks 1-6, 8,10,12 ] [ Designated as safety issue: Yes ]
Not Provided
Not Provided
Not Provided
 
Study of Pharmacotherapy of Psychotic Depression
Effectiveness of Selective Serotonin Reuptake Inhibitors Combined With Antipsychotic Medication for the Treatment of Psychotic Depression

This study will determine the effectiveness of combining selective serotonin reuptake inhibitors (SSRIs) with antipsychotic medications in the treatment of psychotic depression.

Approximately 25% of people who are admitted to hospitals for depression suffer from psychotic depression. People with psychotic depression experience not only the standard symptoms of depression, but also hallucinations and delusions. They also often become paranoid, believe that their thoughts are not their own, or think that others can hear their thoughts. This study will determine the effectiveness of combining selective serotonin reuptake inhibitors (SSRIs) with antipsychotic medications in the treatment of psychotic depression. The study will also evaluate the difference in treatment response of young adults versus geriatric patients.

This double-blind study will last a total of 12 weeks. Participants will be randomly assigned to receive either olanzapine, an antipsychotic drug, combined with sertraline, an SSRI, or olanzapine alone. Following baseline assessments, study visits will occur weekly until Week 6, and then bi-weekly until Week 12. Participants who do not respond to either treatment may leave the study at any time. Participants who achieve either partial or full response may participate in an additional 20-week study.

Interventional
Phase 3
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Major Depression With Psychotic Features
  • Drug: Olanzapine
    10-20mg/day
    Other Name: Zyprexa
  • Drug: Sertraline
    150-200mg/day
    Other Name: Zoloft
  • Active Comparator: 1
    sertraline plus olanzapine
    Interventions:
    • Drug: Olanzapine
    • Drug: Sertraline
  • Placebo Comparator: 2
    sertraline placebo plus olanzapine
    Intervention: Drug: Olanzapine

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
259
June 2008
June 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Major depressive disorder, single or recurrent, with psychotic features

Exclusion Criteria:

  • History of substance abuse or dependence within the 3 months prior to enrollment
  • Acute or unstable medical illness
  • Diagnosis of schizophrenia or other psychotic disorders
  • Pregnant
  • Intolerance to SSRIs or olanzapine
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States,   Canada
 
NCT00056472
U01 MH62624, DATR A4-GPX, U01 MH62565, U01 MH62518, U01 MH62446
Yes
Barnett Meyers, M.D., Weill Medical College of Cornell University
National Institute of Mental Health (NIMH)
Not Provided
Principal Investigator: Barnett Meyers, MD Cornell University
National Institute of Mental Health (NIMH)
August 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP