An Open Trial of Duloxetine on Comorbid Major Depression and Chronic Headache
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ClinicalTrials.gov Identifier: NCT00531895 |
Recruitment Status :
Completed
First Posted : September 19, 2007
Last Update Posted : September 19, 2007
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Background: Although major depression and chronic headache are strongly associated, there is insufficient evidence on the use of antidepressants for this specific comorbidity. This trial aimed to investigate the efficiency and tolerability of duloxetine for this indication.
Methods: Thirty outpatients of our clinic, with DSM-IV major depression and concurrent primary chronic headache (chronic migraine, chronic tension-type headache or both), 18-55 years, were recruited from April 2006 to March 2007, if they scored >21 on the Montgomery-Äsberg Depression Scale (MADRS) and had no other significant clinical condition. Subjects received duloxetine 60 mg/day for 8 weeks. MADRS scores and a visual analog pain scale (VAS) were the co-primary outcome measures. WHO quality of life scale (WHOQoL BREF) scores and headache days/week were secondary outcome measures.Conclusion: In this preliminary open trial, duloxetine 60 mg/day was effective, fast acting and well tolerated for the treatment of comorbid major depression and chronic headache.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Major Depression Chronic Primary Headache | Drug: duloxetine | Phase 4 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 30 participants |
Allocation: | Non-Randomized |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | An Open Trial of Duloxetine on Comorbid Major Depression and Chronic Headache |
Study Start Date : | April 2006 |
Actual Study Completion Date : | March 2007 |

- Drug: duloxetine
duloxetine 60 mg/dOther Name: Cymbalta
- Montgomery-Äsberg Depression Scale (MADRS) [ Time Frame: 8 weeks ]
- Visual Analog Scale for pain (VAS) [ Time Frame: 8 weeks ]
- WHO Quality of Life Scale (WHOQOL BREF) [ Time Frame: 8 weeks ]

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Ages Eligible for Study: | 18 Years to 55 Years (Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Major depression (according to DSM-IV criteria)
- MADRS scores superior to 21
- Subjects meeting the International Headache Society criteria for chronic primary headache (IHSC-2 codes 1.5.1, 1.6.1, 2.3.1, 2.3.2 and 2.4.3) (ICHS, 2003)
Exclusion Criteria:
- Over 50% reduction on MADRS scores during wash-out period
- Illicit drug or alcohol dependence
- History of multiple allergies or hypersensitivity to duloxetine
- History of epilepsy or significant neurological disorder
- Significant suicide risk
- Pregnancy or lactation
- Sexually active female subjects not using an efficient contraceptive method
- Significant laboratory abnormalities at baseline
- Significant clinical disease
- Subjects meeting DSM-IV criteria for somatisation disorder. (300.81) or presenting with delusional pain symptoms.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00531895
Brazil | |
Hospital SOCOR | |
Belo Horizonte, MG, Brazil, 30000-000 |
Principal Investigator: | Fernando M Volpe, MD, PhD | Hospital SOCOR |
ClinicalTrials.gov Identifier: | NCT00531895 |
Other Study ID Numbers: |
O021 |
First Posted: | September 19, 2007 Key Record Dates |
Last Update Posted: | September 19, 2007 |
Last Verified: | August 2007 |
major depression chronic headache antidepressant duloxetine |
Headache Disorders Headache Depression Depressive Disorder Depressive Disorder, Major Behavioral Symptoms Mood Disorders Mental Disorders Pain Neurologic Manifestations Brain Diseases Central Nervous System Diseases Nervous System Diseases |
Duloxetine Hydrochloride Serotonin and Noradrenaline Reuptake Inhibitors Neurotransmitter Uptake Inhibitors Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Neurotransmitter Agents Physiological Effects of Drugs Analgesics Sensory System Agents Peripheral Nervous System Agents Antidepressive Agents Psychotropic Drugs Dopamine Agents |