UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057824
Receipt number R000066069
Scientific Title N-of-1 evaluation of the effectiveness and safety of a homeopathy protocol for the treatment of major depression in older adults: N1HomEDep Studies
Date of disclosure of the study information 2025/05/10
Last modified on 2025/05/10 04:29:07

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Basic information

Public title

N-of-1 evaluation of the effectiveness and safety of a homeopathy protocol for the treatment of major depression in older adults

Acronym

N1HomEDep

Scientific Title

N-of-1 evaluation of the effectiveness and safety of a homeopathy protocol for the treatment of major depression in older adults: N1HomEDep Studies

Scientific Title:Acronym

N1HomEDep

Region

South America


Condition

Condition

Major Depressive Disorder in older adults.

Classification by specialty

Medicine in general Gastroenterology Geriatrics
Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the effectiveness and safety of a homeopathy protocol for the treatment of major depressive disorder in older adults.

Basic objectives2

Others

Basic objectives -Others

To evaluate the clinical and physiological effects of individualized homeopathic treatment and he physicochemical properties of the homeopathic medications.

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I,II


Assessment

Primary outcomes

Progression of the depressive symptoms, self-assessed by the participant using the Beck Depression Inventory - Second Edition (BDI-II) at weeks 0-2-4-8-12-16-18-20-24-26-28 and analyzed throughout the study concerning homeopathy and placebo partitions.

Key secondary outcomes

Secondary Measures: Clinical Global Impression scale (CGI); mental and physical health scores from the 12-Item Short-Form Health Survey (SF-12); participant preference for treatment A or B; clinical worsening, defined as an increase of five or more points (minimal clinically important difference on the BDI-II scale) in the depression score, persistent for at least four weeks; heart rate variability; Adverse Events at weeks 0-2-4-8-12-16-18-20-24-26-28 and analyzed throughout the study concerning homeopathy and placebo partitions. Heart rate variability will be assessed at the beginning of the open-label phase and at the beginning and end of each treatment block.


Base

Study type

Interventional


Study design

Basic design

n-of-1

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Homeopathic medication (verum) individualized according to the protocol of the 6th edition of the Organon by Samuel Hahnemann and administered in ascending fifty-millesimal potencies (LM2-LM3-LM4...), dispensed in solution, prepared with 1 globule of the medication diluted in 20 ml of 30% alcohol. The participant should drop one drop onto the tongue once a day, after having applied 10 succussions to the vial. The dosage may be adjusted according to clinical criteria. Placebo: solution containing 20 ml of 30% alcohol, administered in the same dosage as the verum medication.

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

60 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Women and men aged 60 years or older, with a diagnosis of Major Depressive Episode confirmed by a psychiatrist, according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders - 5th edition, and who have presented a therapeutic response (>= 50% reduction in the baseline depression score, maintained for at least four weeks) during a previous open-label homeopathic treatment, with or without concomitant use of psychotropic medications. The ability to understand, agree to, and provide written consent to the terms and procedures of the study will be required for inclusion.

Key exclusion criteria

Depression secondary to a medical condition, suicidal behavior, defined as attempted suicide within 24 months, and psychotic symptoms.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Ubiratan
Middle name Cardinalli
Last name Adler

Organization

Sao Carlos Federal University - Sao Paulo - Brazil

Division name

Medicine Department

Zip code

13565905

Address

Rodovia Washington Luiz, Km 235, Sao Carlos, SP, Brazil

TEL

+55163351-8340

Email

ubiratanadler@ufscar.br


Public contact

Name of contact person

1st name Ubiratan
Middle name Cardinalli
Last name Adler

Organization

Sao Carlos Federal University

Division name

Medicine Department

Zip code

13565905

Address

Rodovia Washington Luiz, Km 235, Sao Carlos, SP, Brazil

TEL

+55163351-8340

Homepage URL

https://www.dmed.ufscar.br/

Email

ubiratanadler@ufscar.br


Sponsor or person

Institute

Department of Clinical Medicine, Faculty of Medicine/Federal University of Ceara, Fortaleza (Ceara), Brazil

Institute

Department

Personal name

Prof. Dr. Lia Lira Olivier Sanders


Funding Source

Organization

National Council for Scientific and Technological Development (CNPq, process number 444634/2023-1, 309011/2022-1 and 175216/2023-1)

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization

Brazilian


Other related organizations

Co-sponsor

Sao Carlos Federal University - Sao Carlos - Sao Paulo - Brazil

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee of the Walter Cantidio University Hospital of the Federal University of Ceara

Address

Rua Coronel Nunes de Melo,1142 - CEP 60.430-270 - Fortaleza - Ceara - Brazil

Tel

+55853366-8589

Email

cephuwc@huwc.ufc.br


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Mental Health Unit of the University Hospital Walter Cantidio of the Ceara Federal University, Fortaleza, Ceara, Brazil.


Other administrative information

Date of disclosure of the study information

2025 Year 05 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


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

Preinitiation

Date of protocol fixation

2025 Year 02 Month 13 Day

Date of IRB

2025 Year 04 Month 13 Day

Anticipated trial start date

2025 Year 05 Month 15 Day

Last follow-up date

2028 Year 04 Month 10 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 05 Month 10 Day

Last modified on

2025 Year 05 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066069