European Deep Brain Stimulation (DBS) Depression Study
Study Details
Study Description
Brief Summary
To evaluate the effects of two different programming settings of deep brain stimulation (DBS) in the subgenual white matter (Brodmann Area 25 WM) as an adjunctive treatment for TR-MDD, single or recurrent episode on mood as measured by the MADRS.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Group B Low Programming |
Device: Deep Brain Stimulation
Low Programming
Other Names:
|
Experimental: Group A Normal Programming |
Device: Deep Brain Stimulation
Normal DBS Programming
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Percentage of change from mean baseline values in MADRS score [6 Months]
Secondary Outcome Measures
- Percentage of change from baseline value of HDRS [3, 6, 9, and 12 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Men and women (non-pregnant) age is 21-70 years;
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Diagnosed with non-psychotic major depressive disorder, single or recurrent episode by DSM-IV-TR criteria derived from the MINI;
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First episode onset before age 45;
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Current episode > 12 month duration;
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In the current episode: Documented resistance to a minimum of 4 adequate depression treatments from at least 3 different categories;
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In adult lifetime (>21 year of age) have experience a period of wellness as defined by DSM IV criteria;
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MADRS score ≥22 at 2 separate baseline visits, rated by 2 separate psychiatrists;
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GAF score <50;
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Mini-mental state examination (MMSE) score >24;
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No change in current antidepressant medication regimen or medication free for at least 4 weeks prior to study entry;
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Able to give informed consent in accordance with institutional policies;
Exclusion Criteria:
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A diagnosis of bipolar I or bipolar II disorder by DSM-IV-TR criteria, derived from the MINI;
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Meets criteria for borderline or antisocial personality disorder in the last 12 months by DSM-IV-TR criteria, derived from the Cluster B Personality Disorders Sections 301.7
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301.83, preferably screened via SCID-II at Baseline visit (optional);
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In the current depressive episode, has been diagnosed with General Anxiety Disorder (GAD) - as defined by the DSM-IV-TR, and GAD is the primary diagnosis;
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU Pasteur | Nice | France | 06002 | |
2 | Hôpital La Pitié Salpêtrière | Paris | France | 75651 | |
3 | Hadassah-Hebrew University Medical Center | Jerusalem | Israel | 91120 | |
4 | King's College London | London | United Kingdom | SE5 9RS | |
5 | National Hospital for Neurology and Neurosurgery - UCL | London | United Kingdom | WC1N 3 |
Sponsors and Collaborators
- Abbott Medical Devices
Investigators
- Study Director: DeLea Peichel, Abbott Medical Devices
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NM-09-035-EU-DB