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Hypericum vs Fluoxetine for Mild to Moderate Adolescent Depression

This study is not yet open for participant recruitment.
Study NCT00557427.   Last updated on November 13, 2007.   Information provided by Rafa Laboratories

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Descriptive Information Fields
Brief Title  Hypericum vs Fluoxetine for Mild to Moderate Adolescent Depression
Official Title  Open-Labeled Randomized Comparative Study of the Efficacy and Tolerability of Two Times Daily 250mg Hypericum Versus Once Daily 20 - 40 mg Fluoxetine in Adolescent Patients With Mild to Moderate Depression
Brief Summary

The study is a pilot study where adolescents 12 - 18 years of age with mild to moderate depression will be randomized to receive either hypericum 250mg twice daily or fluoxetine 10mg daily increased to 20mg daily after 1 week and the option to increase to 40mg daily after 4 weeks. Patients will be treated for a total of 8 weeks. Efficacy will be measured using the CDRS-R, BDI-II and the CGI scales. Safety parameters include blood tests, urinalysis and ECG.

Detailed Description
Study Phase Phase IV
Study Type  Interventional
Study Design  Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure  Rate of clinical response (defined by CDRS-R < 28) at the final/withdrawal visit [ Time Frame: 8 weeks ]
Secondary Outcome Measure  Percentage of patients with a decrease of CDRS-R score > 30 points from baseline [ Time Frame: 8 weeks ]
Final mean CDRS-R score [ Time Frame: 8 weeks ]
Change in CDRS-R score [ Time Frame: 8 weeks ]
Time to clinical response [ Time Frame: 8 weeks ]
BDI-II change from baseline [ Time Frame: 8 weeks ]
CGI change from baseline [ Time Frame: 8 weeks ]
Condition  Depression
Intervention  Drug: hypericum
Drug: fluoxetine
MEDLINE PMIDs 12874492,   15910213
Links
Recruitment Information Fields
Recruitment Status  Not yet recruiting
Enrollment  30
Start Date  February 2008
Completion Date December 2008
Eligibility Criteria 

Inclusion Criteria:

  • Signed informed consent
  • Adolescents aged 12 to 18 years
  • Patients meeting the criteria for mild to moderate depression according to the DSM-IV scale
  • Physical and laboratory examination at baseline compatible with study criteria
  • ECG at baseline compatible with study criteria
  • Score of at least 40 on the Children's Depression Rating Scale - Revised (CDRS-R) at baseline

Exclusion Criteria:

  • Patients with psychosis, bi-polar disease, schizophrenia or significant developmental disorder
  • Patients with epilepsy
  • Patients with a history of alcohol or substance abuse in the past year
  • Initiation of psychotherapy or behavioral therapy in the 2 months prior to screening or during the study.
  • Patients who have previously failed to respond to SSRI's or SRNI's
  • Patients who have been treated with antidepressants within 2 weeks of screening (4 weeks if fluoxetine)
  • Patients with a contraindication to taking either Remotiv or fluoxetine or taking medication contraindicated when taking Remotiv or fluoxetine
Gender Both
Ages 12 Years to 18 Years
Accepts Healthy Volunteers No
Contacts ††
Contact: Tali Yacobi     03-9253616 /7     taliyacobi@gmail.com    
Location Countries  Israel
Administrative Information Fields
NCT ID  NCT00557427
Organization ID REM-1/MDA
Secondary IDs †† REM-1/MDA
Study Sponsor  Rafa Laboratories
Collaborators ††
Investigators 
Principal Investigator:     Alan Apter, MD     Director, child and adolescent division, Schneider Children's Hospital of Israel, Chairman Dept. of Psychiatry Sackler School of Medicine, Tel-Aviv University    
Information Provided By Rafa Laboratories
Verification Date November 2007
First Received Date  November 13, 2007
Last Updated Date November 13, 2007

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




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