Effect of Antidepressants on White Matter Structure
Study Details
Study Description
Brief Summary
Subjects with major depression will be evaluated and intensively characterized through questionnaires, computerized cognitive evaluation and laboratory investigations. Magnetic resonance imaging will be used to document baseline white matter structure. subjects will then receive desvenlafaxine which will be adjusted as clinically indicated. After 16 weeks the evaluations will be repeated.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
40 subjects will be included in the study. Diagnosis will be confirmed by MINI. Participants will be characterised using questionnaires, pain threshold, cognition, facial expression recording and MRI. Desvenlafaxine will be initiated at 50mg AM. At week 8 Desvenlafaxine may be increased to 100mg as clinically indicated. Measures will be repeated at the end of the study.
Study Design
Outcome Measures
Primary Outcome Measures
- Anisotropy [16 weeks]
Degree of anisotropy will be measured at baseline and 16 weeks and correlated to remission status
Secondary Outcome Measures
- cognitive measures [16 weeks]
cognitive deficits will be measured at baseline and 16 weeks and correlated to anisotropy using computerized neuropsychological testing of memory, speed and executive function.
- Pain threshold [16 weeks]
Pain threshold will be measured at basline and 16 weeks and correlated to inflammatory markers and anisotropy
Eligibility Criteria
Criteria
Inclusion Criteria:
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Major depression
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Age 18 to 55
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Hamilton grater or equal to 20
Exclusion Criteria:
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Major neurologic disorder
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Major cardiovascular disorder
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Unstable medical condition
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Significant psychiatric co-morbidity
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Current substance dependance
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Pregnancy or lactation -Treatment resistance as defined by nonresponse to 2 or more antidepressant treatments (adequate dose and duration) -
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Centre de Recherche Fernand-Seguin | Montreal | Quebec | Canada | H1N3V2 |
Sponsors and Collaborators
- Centre de Recherche de l'Institut Universitaire en santé Mentale de Montréal
- Pfizer
Investigators
- Principal Investigator: Smadar V Tourjman, MDCM, University of Montreal, Centre de recherche Fernand Seguin
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- DTI