Status:

TERMINATED

Prevention of Depression in HIV/HCV Co-infected Substance Abuse Patients

Lead Sponsor:

Icahn School of Medicine at Mount Sinai

Collaborating Sponsors:

National Institute on Drug Abuse (NIDA)

Conditions:

Hepatitis C

Depressive Disorder, Major

Eligibility:

All Genders

21+ years

Phase:

NA

Brief Summary

The purpose of this study is to determine whether cognitive behavioral therapy (CBT) is effective in the prevention of depression during interferon and ribavirin treatment for hepatitis C infection.

Detailed Description

The treatment for active hepatitis C in both HCV mono-infected and HCV/HIV co-infected patients is a long and difficult course, involving combination therapy of interferon and ribavirin for 6 to 12 mo...

Eligibility Criteria

Inclusion

  • \>21 years
  • Speak and read English to 5th grade level of higher.
  • Eligible and ready to begin Peg-Interferon and Ribavirin (PEG-IFN/RBV) therapy for HCV at Mount Sinai's Primary Care practice or JMFC
  • HIV infected patients will need to have a CD4 count \> 100 and have demonstrated compliance to retroviral therapy
  • Not majorly depressed upon entry to study.
  • Signed informed consent to participate in CBT study

Exclusion

  • Majorly depressed (based on administration of the PHQ-9, score considered for Major Depressive Disorder).
  • Admit to actively abusing illicit drugs or alcohol
  • Medical contraindications to a standard course of interferon/ribavirin therapy (eg: severe anemia, uncontrolled congestive heart failure)
  • Less than one year of life expectancy
  • Current participation in CBT related psychotherapy
  • Participation in any psychotherapy beginning less than 6 months before CBT sessions begin.
  • Initiated anti-depressant medication less than 6 months before CBT sessions begin
  • Severe comorbid psychiatric disease including bipolar disorder, severe personality disorder, or psychotic disorder
  • Active suicidal ideation

Key Trial Info

Start Date :

March 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2010

Estimated Enrollment :

26 Patients enrolled

Trial Details

Trial ID

NCT00655226

Start Date

March 1 2008

End Date

May 1 2010

Last Update

August 9 2011

Active Locations (1)

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1

Mount Sinai School of Medicine

New York, New York, United States, 10029