Lamotrigine Augmentation in Resistant Depression

Sponsor

Louisiana State University Health Sciences Center in New Orleans (Other)

Overall Status

Completed

CT.gov ID

NCT00901407

Collaborator

GlaxoSmithKline (Industry)

138

Enrollment

Location

Arms

Duration (Months)

3.5

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study is intended to evaluate the efficacy and safety of lamotrigine as an antidepressant augmentation agent in a sample of individuals with major depression and a history of both prior non-response and prospective failure to respond to at least one adequate trial of an antidepressant (for a total of two failed trials).

Condition or Disease	Intervention/Treatment	Phase
Unipolar Depression	Drug: lamotrigine Drug: placebo Drug: paroxetine	N/A

Detailed Description

The study will consist of four phases: screening, open-label, double-blind and discontinuation phases. After screening to ensure that subjects meet the study criteria, individuals will enter an open-label (flexible-dose) trial of paroxetine-CR given in dosages up to 62.5 mg for a period of eight weeks. Paroxetine may be substituted for paroxetine-CR in dosages up to 50 mg. Subjects may be switched from paroxetine-CR to the bioequivalent dose of paroxetine due to drug supply disruption but should not be switched back to paroxetine-CR. Subjects are not allowed to switch from paroxetine to paroxetine-CR. Subjects who start on paroxetine at the first visit must remain on paroxetine for the duration of the study. At the discretion of the investigator, additional monitoring or interim visits may be needed for subjects who require a switch from paroxetine-CR to paroxetine. Those individuals who fail to respond adequately will then continue into the second phase (double-blind portion) of the study, in which participants will continue on either paroxetine-CR or paroxetine, and will be randomized to either placebo or lamotrigine in a flexible-dose design up to 400mg for a 10-week period. Subjects will remain on the same dose of paroxetine-CR or paroxetine that they were taking at the final visit in the first phase of the study (Visit 5/Week 8). The study medications will be discontinued following the final study visit (Visit 11/Week 18 or the early termination visit). Paroxetine-CR or paroxetine may be continued in the dosages used during the study after completion of the protocol if, in the judgment of the investigator, the subject has shown a partial response to treatment with the drug. The lamotrigine (or placebo) dose will be decreased by half for one week and then discontinued. Subjects will return two weeks post-study and four weeks post study for follow up visits consisting of safety evaluations. In addition, a MADRS and CGI should be performed at the two-week post study follow up visit. The visit at four weeks post study may be omitted if the 3rd and 4th week of taper are not needed. The decision to restart lamotrigine at that time would also be up to the investigator, but the dosage of lamotrigine would have to be titrated in the first month per the manufacturer's clinical trial program. This is necessary since all subjects will be discontinuing from the drug following Visit 11/Week 18 or the early termination visit in order to maintain the blind at the conclusion of each subject's participation in the study. Subjects who are discontinued from paroxetine-CR at dosages of 25 mg/day or higher should undergo a gradual dose reduction of 12.5 mg per week rather than abrupt cessation. Subjects who are discontinued from paroxetine at dosages of 20 mg/day or higher should undergo a gradual dose reduction of 10 mg per week rather than abrupt cessation.

Study Design

Study Type:

Interventional

Actual Enrollment :

138 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Double (Participant, Investigator)

Primary Purpose:

Treatment

Official Title:

Lamotrigine as an Antidepressant Augmentation Agent in Treatment Refractory Unipolar Depression

Study Start Date :

Dec 1, 2003

Actual Primary Completion Date :

Jul 1, 2006

Actual Study Completion Date :

Apr 1, 2007

Arms and Interventions

Arm	Intervention/Treatment
Experimental: 1 lamotrigine	Drug: lamotrigine lamotrigine augmentation 25 to 100 mg tablets, 25 to 200 mg bid,10 weeks Other Names: Lamictal Drug: paroxetine open label paroxetine 10 to 50 mg, at bedtime for 18 weeks (8 weeks prior to randomization and 10 weeks after) Other Names: paxil
Placebo Comparator: 2 placebo	Drug: placebo placebo: 1-2 tablets bid; 10 weeks Drug: paroxetine open label paroxetine 10 to 50 mg, at bedtime for 18 weeks (8 weeks prior to randomization and 10 weeks after) Other Names: paxil

Arm

Intervention/Treatment

Experimental: 1

lamotrigine

Drug: lamotrigine

lamotrigine augmentation 25 to 100 mg tablets, 25 to 200 mg bid,10 weeks

Other Names:

Lamictal

Drug: paroxetine

open label paroxetine 10 to 50 mg, at bedtime for 18 weeks (8 weeks prior to randomization and 10 weeks after)

Other Names:

paxil

Placebo Comparator: 2

placebo

Drug: placebo

placebo: 1-2 tablets bid; 10 weeks

Drug: paroxetine

open label paroxetine 10 to 50 mg, at bedtime for 18 weeks (8 weeks prior to randomization and 10 weeks after)

Other Names:

paxil

Outcome Measures

Primary Outcome Measures

MADRS score [weeks 0 (randomization); 8, 9, 10, 12, 14, 16, 18, and 20]

Secondary Outcome Measures

Ham-D score [weeks 0 (randomization); 2, 4, 6, 8, 9, 10, 12, 14, 16, and 18]
CGI-S and CGI-I [weeks 0 (randomization); 8, 9, 10, 12, 14, 16, 18 and 20]

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 65 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Male or female subjects, age 18-65
A current primary diagnosis of unipolar major depression based on certain criteria
Have a score of > 18 on the 17-item Hamilton Depression scale
A history of prior failure of at least one adequate trial of an FDA-approved antidepressant. The antidepressant failure must have occurred within the current episode of major depression
Females of childbearing potential will be allowed as long as they are taking adequate contraceptive precautions

Exclusion Criteria:

A primary Axis I diagnosis other than primary unipolar major depression
A history suggestive of hypomania or mania during the current episode or during the person's lifetime
A history of psychosis, dementia, organic affective disorders or alcohol and/or substance abuse in the previous six months

Individuals with a current or past diagnosis of schizoid, schizotypal, borderline or antisocial or any other current or past severe personality disorder
Individuals with a current or past diagnosis of schizophrenia or schizoaffective disorder

A history of failure to respond to electroconvulsive therapy during the current or any prior lifetime episode of major depression
A history of failure of a prior adequate trial of paroxetine or paroxetine-CR for the treatment of Major Depression
Significant, coexisting medical conditions that might make it unsafe to take either of the study medications, or in which any average reasonable clinician would assume that the medical condition may, in fact, be exacerbating the current episode of depression or impede the person's ability to recover fully from their depressive illness
Presence of significant medical abnormalities on baseline laboratory values or physical examination, including vital signs

Individuals with any significant abnormalities of thyroid function
Subjects on thyroid supplementation must have been on a stable dose for six months prior to the screening visit

Individuals who will require concomitant psychotropic medications, including benzodiazepines

Subjects with severe insomnia will be allowed to take a maximum of 10 mg of zolpidem on two nights weekly at the investigator's discretion.
Zolpidem may not be taken on the night before the study visit.
Each dose of zolpidem should be listed on the concurrent medication case report form

Medications likely to cause significant effects on mood and anxiety are also excluded
Individuals with a positive urine drug screen for drugs of abuse at the screening visit
Use during the time of the study of any medications known to affect the metabolism of lamotrigine

Individuals on valproate and carbamazepine will be specifically excluded
Investigators should be aware that oral contraceptives have been reported to lower the levels of lamotrigine, but any change in dosing is left to the judgment of the investigator

Subjects who have taken other psychoactive drugs within certain time frames of the screening visit
The presence of significant risk of suicide
Pregnant females or those who are breastfeeding infants
A history of hypersensitivity or intolerance to either of the study medications, lamotrigine or paroxetine or paroxetine-CR
Subjects initiating or terminating psychotherapy within 12 weeks of the screening visit
Individuals who are currently on disability for a psychiatric disorder, or who are in any other way likely to experience considerable secondary gain from the persistence of their psychiatric illness, such as pending legal litigation of any type
Individuals who in the opinion of the investigator would not be able to understand or comply with the study requirements