UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003516
Receipt number R000004262
Scientific Title A study of the efficacy of milnacipran in patients with major depressive disorder (MDD) after SSRI treatment failure, and biological research for MDD using peripheral blood.
Date of disclosure of the study information 2010/04/21
Last modified on 2016/04/26 16:57:23

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Basic information

Public title

A study of the efficacy of milnacipran in patients with major depressive disorder (MDD) after SSRI treatment failure, and biological research for MDD using peripheral blood.

Acronym

A study of the efficacy of milnacipran in patients with major depressive disorder (MDD) after SSRI treatment failure, and biological research for MDD using peripheral blood.

Scientific Title

A study of the efficacy of milnacipran in patients with major depressive disorder (MDD) after SSRI treatment failure, and biological research for MDD using peripheral blood.

Scientific Title:Acronym

A study of the efficacy of milnacipran in patients with major depressive disorder (MDD) after SSRI treatment failure, and biological research for MDD using peripheral blood.

Region

Japan


Condition

Condition

Major depressive disorder

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the efficacy and safety of milnacipran in the patients with SSRI-resistant major depresive disorder, and short- and long-term effects of switching to milnacipran on the relationship between clinical outcomes and blood molecules levels.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Exploratory examination of short- and long-term effects of switching to milnacipran on the relationship between clinical outcomes and blood molecules levels.

Key secondary outcomes

1) The rate of Response by Hamilton Depression
Rating Scale (HDRS-17)
2) The rate of Remission by Hamilton Depression Rating Scale (HDRS-17)
3) The rate continuation of treatment
4) Remission and response rate by QIDS-SR
5) Social Adaptation Self-evaluation Scale (SASS).
6) Clinical Global Inpression (CGI).
7) Montogomery-Asberg Depression rating Scale (MADRS).
8) Safety
9) Neurotransmitters, Neuropeptide, and others in peripheral blood.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Switching from prior SSRI (fluvoxamine, paroxetine, sertraline, or escitalopram) to milnacipran. This is a 24-week trial.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >

Gender

Male and Female

Key inclusion criteria

1) Subjects with current DSM-IV Major Depressive Disorder
2) Written informed consent by patients
and more than 19 years old, less than 75 years old
3) unremitted patients by a SSRI(paroxetine, fluvoxamine, sertraline or escitalopram) for six more weeks
4) The score of 17-item Hamilton Depression Rating Scale (HDRS) is 14 or more.

Key exclusion criteria

1) treating with selegiline hydrochloride
2) Allergy against milnacipran
3) patients with urinary retension
4) pregnant or breast-feeding women or women, who may be pregnant
5) significant risk of suicide
6) patients with dementia, bipolar or psychotic disorders, those with a primary diagnosis of obsessive-compulsive disorder or an eating disorder.
7) Patient whom examination doctor judge improper as a trial subject

Target sample size

40


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaomi Iyo

Organization

Chiba University Graduate School of Medicine

Division name

Department of Psychiatry

Zip code


Address

1-8-1 Inohana, Chuo-ku, Chiba, Japan

TEL

+81-43-226-2148

Email

iyom@faculty.chiba-u.jp


Public contact

Name of contact person

1st name
Middle name
Last name Tasuku Hashimoto

Organization

Chiba University Graduate School of Medicine

Division name

Department of Psychiatry

Zip code


Address

1-8-1 Inohana, Chuo-ku, Chiba, Japan

TEL

+81-43-226-2148

Homepage URL


Email

t-hashimoto@faculty.chiba-u.jp


Sponsor or person

Institute

Department of Psychiatry, Chiba University Graduate School of Medicine, Division of Psychiatry, Chiba University Hospital

Institute

Department

Personal name



Funding Source

Organization

Chiba University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

YES

Study ID_1

G21054

Org. issuing International ID_1

IRB committee in Chiba University Hospital

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

千葉大学医学部附属病院 Chiba University Hospital(千葉県, Chiba Pref)、袖ヶ浦さつき台病院 Sodegaura Satsukidai Hospital(千葉県, Chiba Pref)、茂原神経科病院 Mobarashinkeika Hospital(千葉県, Chiba Pref)、銚子こころクリニック Choshikokoro Clinic(千葉県, Chiba Pref)


Other administrative information

Date of disclosure of the study information

2010 Year 04 Month 21 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.dovepress.com/milnacipran-treatment-and-potential-biomarkers-in-depressed-patients-f-pee

Number of participants that the trial has enrolled


Results

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2010 Year 02 Month 15 Day

Date of IRB


Anticipated trial start date

2010 Year 04 Month 01 Day

Last follow-up date

2012 Year 12 Month 25 Day

Date of closure to data entry

2014 Year 09 Month 01 Day

Date trial data considered complete

2014 Year 10 Month 31 Day

Date analysis concluded

2014 Year 11 Month 21 Day


Other

Other related information



Management information

Registered date

2010 Year 04 Month 21 Day

Last modified on

2016 Year 04 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004262