Beta-arrestins and Response to Venlafaxine in Major Depressive Disorder (MDD) (DEPARRESTCLIN)
Study Details
Study Description
Brief Summary
Predictive factors and biomarkers of response to antidepressants in major depressive disorder are scarce. Beta-arrestins are proteins which inhibit G Protein Coupled Receptors and desensitize serotonergic and dopaminergic receptors. The study hypothesis is that Beta-arrestins 1 and 2 are predictive factors and biomarkers of response to antidepressants in major depressive disorder. In a controlled prospective open naturalistic monocentric 3-month study, 60 patients with a major depressive disorder requiring a treatment with venlafaxine will be included and assessed before treatment, 1 month and 3 months post-treatment. 20 controlled healthy subjects matched for age and gender will also be assessed. The Beta-arrestin pathway will be assessed using genetic polymorphisms, Peripheral Blood Mononuclear Cell measures and functional pathway. Antidepressant response will be assessed using depression scales, olfaction and memory as surrogate markers of neurogenesis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
Rationale: Predictive factors and biomarkers of response to antidepressants in major depressive disorder are scarce. Beta-arrestins are proteins which inhibit G Protein Coupled Receptors and desensitize serotonergic and dopaminergic receptors.
Hypothesis: The study hypothesis is that Beta-arrestins 1 and 2 are predictive factors and biomarkers of response to antidepressants in major depressive disorder.
Method: In a controlled prospective open naturalistic monocentric 3-month study, 60 patients with a major depressive disorder requiring a treatment with venlafaxine will be included and assessed before treatment, 1 month and 3 months post-treatment. 20 controlled healthy subjects matched for age and gender will also be assessed.
Assessments:
The Beta-arrestin pathway will be assessed using genetic polymorphisms, Peripheral Blood Mononuclear Cell measures and functional pathway.
Antidepressant response will be assessed using depression scales, olfaction and memory as surrogate markers of neurogenesis.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Other: Venlafaxine extended release Venlafaxine extended-release, flexible dose |
Drug: Venlafaxine extended release
antidepressant drug
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Change from baseline in depressive symptoms on the Hamilton Depression Rating Scale-17 items [3 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Major Depressive Disorder
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current Major Depressive Episode
-
Hamilton Depression Rating Scale score > 18
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requiring a new treatment with venlafaxine
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written informed consent
Exclusion Criteria:
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bipolar disorder
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psychotic disorder
-
unstable somatic condition
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contraindication to cerebral RMI
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current treatment with mood stabilizers
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU de Bicetre | Le Kremlin Bicetre | France | 94275 |
Sponsors and Collaborators
- Institut National de la Santé Et de la Recherche Médicale, France
Investigators
- Principal Investigator: Emmanuelle Corruble, MD, PhD, Inserm U669, APHP
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- C13-25
- 2013-004326-29