Status:

COMPLETED

Desvenlafaxine in Opioid-Dependent Patients

Lead Sponsor:

Centre hospitalier de l'Université de Montréal (CHUM)

Collaborating Sponsors:

Pfizer

Conditions:

Depression

Opioid Dependence

Eligibility:

All Genders

18-65 years

Phase:

PHASE4

Brief Summary

Background: Although substitution therapy has been shown to be highly effective to retain opioid-dependent patients in treatment and reduce drug use, this population is afflicted by numerous condition...

Detailed Description

To assess the feasibility, tolerability and acceptability of 8 weeks of Desvenlafaxine (DESV) administration among opioid-dependent subjects in a methadone-maintenance program, we will collect detaile...

Eligibility Criteria

Inclusion

  • DSM-IV-TR criteria for opioid dependence;
  • Subject is on methadone treatment in the substitution program for at least 4 weeks;
  • Subject is aged between 18 and 65 years old;
  • subject meets the DSM-V TR criteria for major depressive episode, according to the study psychiatrist and confirmed by the Mini International Neuropsychiatric Interview (MINI);
  • Subject reports a score of 20 or higher on the MADRS;
  • Subject is eligible for and consents to the study;
  • subject is able to give valid, informed consent;
  • subject is able to speak and read French or English (grade-nine level of language required)

Exclusion

  • Unstable medical illness, defined as any medical illness which has not been well-controlled with standard-of-care medications;
  • Severe psychiatric condition (e.g., current acute psychosis, past or current hypomania/mania) based on the MINI;
  • Pregnancy or breastfeeding;
  • Inability to use a medically acceptable form of contraception throughout the study duration. A medically acceptable form of contraception is either: (1) contraceptive pill or intrauterine device or depot hormonal preparation (ring, injection, implant); and/or (2) a barrier method of contraception such as diaphragm, sponge with spermicide or condom;
  • Subject currently takes another antidepressant;
  • Treatment with Desvenlafaxine at any time in the past;
  • Known hypersensitivity to venlafaxine;
  • Subject is undergoing psychotherapies for current depression (support therapy or counseling are allowed);
  • Subject failed to respond to two or more Health-Canada-approved antidepressants during current episode;
  • Unstable Axis-II personality disorder or other Axis-II disorder which has been the primary focus of treatment in the past 3 months, as ascertained by a study psychiatrists;
  • Medical diagnosis of kidney and/or liver failure

Key Trial Info

Start Date :

July 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2017

Estimated Enrollment :

18 Patients enrolled

Trial Details

Trial ID

NCT02200406

Start Date

July 1 2014

End Date

January 1 2017

Last Update

October 23 2020

Active Locations (1)

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1

Centre de recherche du Centre Hospitalier de l'Université de Montréal

Montreal, Quebec, Canada, H2X0A9