Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Comparing Various Treatments for Achieving and Maintaining Remission of Depression
This study has been completed.
Sponsored by: National Institute of Mental Health (NIMH)
Information provided by: National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier: NCT00227955
  Purpose

This study will evaluate the effectiveness of five combinations of drug therapy and psychotherapy in maintaining remission of depression symptoms in people with recurrent major depression.


Condition Intervention Phase
Depression
Drug: Imipramine
Behavioral: Interpersonal Psychotherapy
Phase IV

MedlinePlus related topics: Depression
Drug Information available for: Imipramine Imipramine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Crossover Assignment, Efficacy Study
Official Title: Maintenance Therapies in Recurrent Depression-Study I

Further study details as provided by National Institute of Mental Health (NIMH):

Primary Outcome Measures:
  • Time to recurrence of depression symptoms

Secondary Outcome Measures:
  • Measured at Months 7, 11, and 36: Score on the Raskin Depression and Mania Severity Scales

Estimated Enrollment: 200
Study Start Date: December 1987
Estimated Study Completion Date: December 1993
Detailed Description:

Depression is a serious illness that can interfere with a person’s ability to work, study, sleep, eat, and enjoy activities that once were pleasurable. It is characterized by several symptoms, such as the following: persistent sad, anxious, or "empty" mood; feelings of hopelessness or pessimism; and feelings of guilt, worthlessness, or helplessness. If left untreated, depression symptoms can last for years, and may worsen as time goes on. Even with treatment, however, it is possible for depression to recur. Remission is a main goal in the treatment of depression and it may be accomplished through various strategies. This study will evaluate the effectiveness of five combinations of treatments, including medication therapy and psychotherapy, in maintaining remission of depression symptoms.

All participants in this study will first be treated with imipramine for 7 to 11 months. Once remission of depression symptoms has been achieved and maintained for 20 weeks, participants will be randomly assigned to one of the following five maintenance treatments for 36 months: psychotherapy plus imipramine; psychotherapy plus placebo; psychotherapy alone; medication clinic treatment plus imipramine; or medication clinic treatment plus placebo. Assessments will be made at Weeks 12 and 20 and Months 7, 11, and 36, and will include the time it takes for depression symptoms to recur, as well as scores on depression and mania severity scales.

  Eligibility

Ages Eligible for Study:   21 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosis of recurrent major depression

Exclusion Criteria:

  • Unstable medical illness
  • Any other simultaneous psychiatric or medical illness of greater concern than depression (index episode of depression is not primary)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00227955

Locations
United States, Pennsylvania
Western Psychiatric Institute and Cinic
Pittsburgh, Pennsylvania, United States, 15213
Sponsors and Collaborators
Investigators
Principal Investigator: Ellen Frank, PhD University of Pittsburgh
  More Information

Study ID Numbers: 871250
Study First Received: September 26, 2005
Last Updated: April 21, 2006
ClinicalTrials.gov Identifier: NCT00227955  
Health Authority: United States: Federal Government

Keywords provided by National Institute of Mental Health (NIMH):
Major depression

Study placed in the following topic categories:
Imipramine
Depression
Mental Disorders
Mood Disorders
Depressive Disorder, Major
Depressive Disorder
Recurrence
Behavioral Symptoms

Additional relevant MeSH terms:
Neurotransmitter Uptake Inhibitors
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Adrenergic Agents
Adrenergic Uptake Inhibitors
Therapeutic Uses
Physiological Effects of Drugs
Psychotropic Drugs
Central Nervous System Agents
Pharmacologic Actions
Antidepressive Agents
Antidepressive Agents, Tricyclic

ClinicalTrials.gov processed this record on January 16, 2009