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SSRI and Buprenorphine
This study is currently recruiting participants.
Verified by Rhode Island Hospital, August 2006
Sponsored by: Rhode Island Hospital
Information provided by: Rhode Island Hospital
ClinicalTrials.gov Identifier: NCT00475878
  Purpose

This study is designed to test whether treatment of depressive symptoms using escitalopram improves adherence to Buprenorphine and reduces symptoms of depression for individuals receiving Buprenorphine through their medical provider.


Condition Intervention Phase
Opiate Dependence
Depression
Drug: escitalopram
Drug: placebo
Phase III

MedlinePlus related topics: Antidepressants Depression
Drug Information available for: Escitalopram Benzetimide Citalopram Citalopram hydrobromide Dexetimide Escitalopram oxalate Buprenorphine Buprenorphine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Antidepressants During Office-Based Buprenorphine

Further study details as provided by Rhode Island Hospital:

Primary Outcome Measures:
  • buprenorphine adherence [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • mood symptoms [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 182
Study Start Date: December 2006
Estimated Study Completion Date: April 2009
Arms Assigned Interventions
placebo: Placebo Comparator Drug: placebo
placebo capsule/day for 3 months
escitalopram: Active Comparator Drug: escitalopram
10mg escitalopram/day for 3 months

Detailed Description:

Participants interested in receiving Buprenorphine will be offered the opportunity to enroll in this study. Enrolled study participants will complete interviews at baseline and again every two weeks for a total of 8 interviews over 3 months. In this double-blind randomized controlled trial, participants will either receive a placebo or escitalopram (10mg). All participants will also be followed by their Buprenorphine clinic medical provider. Questions during the face-to-face interviews will assess mood, drug craving, pain, sleep, medication adherence and drug-related experiences. Participants will be compensated for their time. Comparison(s): Participants randomized into the medication component of the study as compared to participants randomized into the placebo component of the study.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • opiate dependence
  • Ham-D > 14

Exclusion Criteria:

  • no psychiatric contraindications to using escitalopram
  • no medical contraindications to using escitalopram
  • methadone dose < 30
  • no current SSRI use
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00475878

Contacts
Contact: Michael D Stein, MD 401-444-3830 mstein@lifespan.org
Contact: Debra S Herman, Ph.D. 401-444-7912 dherman@lifespan.org

Locations
United States, Rhode Island
Rhode Island Hospital Recruiting
Providence, Rhode Island, United States, 02903
Principal Investigator: Michael D Stein, M.D.            
Sponsors and Collaborators
Rhode Island Hospital
Investigators
Principal Investigator: Michael D Stein, M.D. Rhode Island Hospital
  More Information

Responsible Party: RI Hospital ( Michael Stein, M.D./Principal Investigator )
Study ID Numbers: DA022207, 4102-06
Study First Received: May 18, 2007
Last Updated: December 17, 2007
ClinicalTrials.gov Identifier: NCT00475878  
Health Authority: United States: Institutional Review Board

Keywords provided by Rhode Island Hospital:
opiate use
depression
buprenorphine
escitalopram

Study placed in the following topic categories:
Buprenorphine
Depression
Mental Disorders
Substance-Related Disorders
Mood Disorders
Disorders of Environmental Origin
Dexetimide
Opioid-Related Disorders
Depressive Disorder
Citalopram
Serotonin
Behavioral Symptoms

Additional relevant MeSH terms:
Parasympatholytics
Neurotransmitter Agents
Neurotransmitter Uptake Inhibitors
Cholinergic Antagonists
Molecular Mechanisms of Pharmacological Action
Anti-Dyskinesia Agents
Physiological Effects of Drugs
Narcotic Antagonists
Psychotropic Drugs
Antiparkinson Agents
Cholinergic Agents
Sensory System Agents
Therapeutic Uses
Analgesics
Antidepressive Agents, Second-Generation
Antidepressive Agents
Analgesics, Opioid
Central Nervous System Depressants
Narcotics
Serotonin Uptake Inhibitors
Pharmacologic Actions
Muscarinic Antagonists
Serotonin Agents
Autonomic Agents
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 16, 2009