Status:

COMPLETED

Duloxetine Treatment in Elderly With Dysthymia

Lead Sponsor:

New York State Psychiatric Institute

Collaborating Sponsors:

Eli Lilly and Company

Conditions:

Depression

Dysthymic Disorder

Eligibility:

All Genders

60-95 years

Phase:

PHASE4

Brief Summary

Dysthymic disorder (DD) denotes chronic depression with fewer symptoms than major depressive disorder (MDD), and it affects \~ 2-4 % of adults with a similar prevalence in the elderly. In the elderly,...

Detailed Description

HYPOTHESES: 1. Duloxetine will reduce depressive symptomatology over a period of 12 weeks in elderly DD patients. 2. Duloxetine-treated dysthymic patients will have significant improvement in measure...

Eligibility Criteria

Inclusion

  • Diagnosis of dysthymic disorder (SCID and DSM-IV)
  • Age 60 - 95
  • Mini-Mental State Score ≥ 24
  • 24-item Hamilton Rating Scale for Depression score 12-25
  • Willing and capable of giving informed consent

Exclusion

  • Current major depressive episode (SCID and DSM-IV)
  • Alcohol or substance dependence during the last year (SCID and DSM-IV)
  • Bipolar disorder, schizophrenia and other psychotic disorders(SCID and DSM-IV)
  • Clinical stroke, dementia, Huntington's disease, epilepsy or other major neurological disease
  • Acute unstable medical conditions
  • Active suicidal ideation or plan
  • Non-response to duloxetine (minimum 90 mg/day for 6 weeks) during the past year
  • A positive urine drug screen for substances of abuse or dependence
  • Sensitivity with intolerability to duloxetine
  • Use of other medications that may interact with duloxetine, including inhibitors of cytochrome P450 1A2 (CYP1A2) and cytochrome P450 2D6 (CYP2D6), e.g., quinolone antibiotics and type 1-C anti-arrhythmics. Several antidepressant medications, including most SSRIs, are inhibitors of CYP2D6 but these medications are not permitted during this antidepressant treatment trial.
  • Patients with hypertension (BP \>140/90 mm Hg on 2 consecutive measurements). For patients with treated hypertension and BP \>140/90, written approval must be obtained from patient's internist allowing them to participate in this study.
  • Known liver damage or disease

Key Trial Info

Start Date :

January 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2013

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT01852383

Start Date

January 1 2006

End Date

March 1 2013

Last Update

May 1 2014

Active Locations (1)

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1

New York State Psychiatric Institute

New York, New York, United States, 10032