Status:

COMPLETED

Tibolone and Placebo in Adjunct to Antidepressant Medication for Women With Menopausal Depression

Lead Sponsor:

The Alfred

Conditions:

Menopausal Depression

Eligibility:

FEMALE

45-65 years

Phase:

PHASE4

Brief Summary

Longitudinal epidemiological studies have shown that many women experience significant physical and psychological changes as they approach menopause and for a long time following. Vasomotor symptoms (...

Detailed Description

All women experience menopause and a significant number suffer from ongoing, severe depression beginning with the major hormone fluctuations in this middle stage of life. Longitudinal epidemiological ...

Eligibility Criteria

Inclusion

  • Females who are currently physically well and between 45 and 65 years of age
  • Current DSM-IV diagnosis of depression disorder
  • Able to give informed consent
  • Menopausal as determined by standardized classification guidelines for female reproductive aging were proposed at the Stages of Reproductive (STRAW) -Aging Workshop and symptom profile on the STRAW
  • First-onset or relapse depression during menopause
  • Currently taking either an SSRI or SNRI, or no psychotropic medication at all
  • Evidence of a normal mammogram in the preceding 12 months.

Exclusion

  • Patients with known abnormalities in the hypothalamic-pituitary gonadal axis, thyroid dysfunction, central nervous system tumours, active or past history of a venous thromboembolic event, breast pathology, undiagnosed vaginal bleeding or abnormal Pap smear results in the previous 2 years.
  • Patients with any significant unstable medical illness such as epilepsy and diabetes or known active cardiac, renal or liver disease; or the presence of illness causing immobilisation.
  • Patients experiencing severe melancholia, neurovegetative symptoms or current suicidality necessitating acute hospitalisation or intensive psychiatric treatment.
  • Patients with psychotic symptoms or past history of severe mental illness including schizophrenia.
  • Use of any form of estrogen, progestin or androgen as hormonal therapy, or antiandrogen including Tibolone or use of phytoestrogen supplements as powder or tablet
  • Pregnancy / Lactation
  • Smoking cigarettes or other nicotine products
  • Illicit drug use
  • More than 3 standard drinks per day

Key Trial Info

Start Date :

July 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2017

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT01470092

Start Date

July 1 2012

End Date

December 1 2017

Last Update

January 9 2020

Active Locations (1)

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1

The Alfred Hospital

Melbourne, Victoria, Australia, 3181