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Study of Mood Effects of Varenicline (Chantix) in Depressed Outpatient Smokers

This study has been completed.
Information provided by Butler Hospital

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Descriptive Information Fields
Brief Title  Study of Mood Effects of Varenicline (Chantix) in Depressed Outpatient Smokers
Official Title  Systematic Assessment of Response to Open-Label Treatment With Varenicline in Depressed Outpatient Smokers
Brief Summary

This study will assess whether varenicline (chantix) has antidepressant properties when used in addition to other psychiatric medication. It will also assess whether varenicline improves the inability to feel pleasure (i.e. anhedonia), and if it is well-tolerated when used with psychiatric medications.

Enrolled patients will be assessed for improved mood, improved anhedonia, overall sense of health, side effects as well as tobacco use for 6-8 weeks.

Medication will be provided free of charge.

Detailed Description

Outpatient smokers who are depressed despite current stable psychiatric medication regimens will be invited to participate.

They will receive varenicline dosed according to FDA-approved smoking cessation regime; patients will be assessed using QIDS-SR16, snaith-hamilton anhedonia rating scale, SAFTEE and clinical global improvement self-report scales and clinician global improvement scales at the above time intervals.

Concurrent medication, psychiatric and non-psychiatric, will be recorded, as will vital signs (BP, HR, weight) and tobacco use.

Study Phase
Study Type  Interventional
Study Design  Treatment, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study
Primary Outcome Measure  Improvement on quick inventory of depressive symptoms, 16 question self-report. [ Time Frame: 6-8 weeks ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Improvement on Snaith-Hamilton anhedonia scale [ Time Frame: 6-8 weeks ] [ Designated as safety issue: No ]
Improvement on patient and clinician clinical global impression rating scale (CGI) [ Time Frame: 6-8 weeks ] [ Designated as safety issue: No ]
Tolerability of varenicline measured by adverse symptoms checklist (SAFTEE-SI LCN modified) [ Time Frame: 6-8 weeks ] [ Designated as safety issue: No ]
Condition  Depressive Disorder
Smoking
Antidepressive Agents
Intervention  Drug: varenicline
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Completed
Enrollment  18
Start Date  September 2007
Completion Date March 2008
Eligibility Criteria 

Inclusion Criteria:

  1. Meets DSM-IV symptoms criteria for a mood disorder including major depression [unipolar or bipolar], depressive disorder NOS, dysthymia, adjustment disorder with depressed mood, or substance-induced mood disorder.
  2. Failed to achieve full symptom remission with previous pharmacotherapy.
  3. Current tobacco users.
  4. Able to give written, informed consent.

Exclusion Criteria:

  1. Past adverse reaction to varenicline.
  2. Renal failure or dialysis.
  3. Current pregnancy or breastfeeding.
Gender Both
Ages 18 Years to 65 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00525837
Organization ID 0707-002
Secondary IDs ††
Study Sponsor  Butler Hospital
Collaborators †† Brown University
Investigators 
Principal Investigator:     Noah S Philip, MD     Butler Hospital    
Study Director:     Lawrence H Price, MD     Butler Hospital    
Information Provided By Butler Hospital
Verification Date May 2008
First Received Date  September 4, 2007
Last Updated Date May 28, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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