Actively Recruiting

Age: 18Years - 65Years
All Genders
ID05616559

The BrainDrugs-Depression Study: A Prospective Precision Psychiatry Cohort Study in the Treatment of Depression

Led by Rigshospitalet, Denmark · Updated on 2024-10-08

800

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

R

Rigshospitalet, Denmark

Lead Sponsor

M

Mental Health Centre Copenhagen, Bispebjerg and Frederiksberg Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying major depressive disorder (MDD) in adults to identify subtypes of the condition and predict how patients respond to standard antidepressant treatments. This observational study uses a combination of neuroimaging, self-report measures, clinical evaluations, and molecular markers. The study includes patients receiving care within mental health services and follows them through nationwide health registries to gather comprehensive data. Participants receive a standardized treatment package for first-episode depression that includes group cognitive-behavioral therapy (CBT), psychoeducation for patients and relatives, medication clinics, and relapse prevention. The study has three groups: a main cohort of 800 patients with clinical and biological data, a subgroup of 600 patients with additional MRI and EEG scans, and a smaller group of 60 unmedicated patients who also undergo PET imaging to measure brain synaptic density. Throughout the study, participants complete questionnaires assessing depression severity, functioning, quality of life, and side effects at multiple follow-up points up to 18 months. Researchers use these data to measure clinical remission and improvement six months after treatment begins, along with longer-term outcomes. Advanced statistical and machine learning methods will help understand patient characteristics, treatment effects, and clinical outcomes over time.

CONDITIONS

Brief Title

Precision Medicine in the Depression Treatment

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 65 years
  • Diagnosis of a primary depressive episode according to International Classification of Diseases version 10
  • Referral to a treatment package for single-episode depression
Not Eligible

You will not qualify if you...

  • Psychosis or psychotic symptoms
  • History of severe head trauma
  • Somatic disease causing brain changes (e.g., brain tumour)
  • Insufficient Danish language skills for questionnaires and testing
  • Severe somatic disease for Cohort II and III
  • Contraindications for MRI (e.g., metal implants, claustrophobia, back problems) for Cohort II and III
  • Exposure to radioactivity over 10 mSv in last year for Cohort III
  • Pregnancy or breastfeeding for Cohort III
  • Use of psychotropic drugs for Cohort III

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring

Duration - Up to 6 months

Participants who undergo routine care are observed while receiving a standardized treatment package for first-episode depression consisting of group CBT, psychoeducation, relapse prevention, and medication or individual psychotherapy as needed. Data on clinical, cognitive, psychometric, genetic, biochemical, and imaging assessments are collected before treatment begins.

Questionnaires at baseline, 6, 12, and 18 months; treatment visits as per clinical practice

Long-term Monitoring

Duration - Up to 18 months after treatment start

Participants are followed through nationwide health registries and periodic assessments to evaluate long-term clinical outcomes including remission and symptom changes.

Questionnaires at 12 and 18 months follow-up

Trial Site Locations

Total: 1 location

1

Neurobiology Research Unit, Rigshospitalet

Copenhagen, Denmark, 2100

Actively Recruiting

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Research Team

K

Kristian HR Jensen, MD

M

Martin B Jørgensen, DMSc

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

3

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Published Research Related To This Trial

Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis.

Andrea Cipriani, Toshi A Furukawa, Georgia Salanti...

https://pubmed.ncbi.nlm.nih.gov/29477251

Deep phenotyping towards precision psychiatry of first-episode depression - the Brain Drugs-Depression cohort.

Kristian Høj Reveles Jensen, Vibeke H Dam, Melanie Ganz...

https://pubmed.ncbi.nlm.nih.gov/36894940