Modafinil for Atypical Depression

Study Overview
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Brief Summary
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The purposes of the study are to: 1) evaluate the short-term efficacy and safety of modafinil in atypical depression; and 2) to evaluate the efficacy of modafinil in preventing relapse of atypical depression. The hypothesis is that modafinil is safe and effective in the treatment of atypical depression.

Detailed Description
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This study on the safety and efficacy of modafinil on atypical depression has an initial 12-week open label treatment period with modafinil that is followed by a 12-week double-blind, randomized parallel treatment period with either modafinil or matching placebo. Patients who demonstrate at least minimal improvement after 12 weeks are randomly assigned to either continuing treatment at their current dose or switched to matching placebo for 12 weeks.

Official Title
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A Study of Modafinil for Atypical Depression

Conditions
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Atypical Depression

Intervention / Treatment
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* Drug: modafinil


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adults 18-65 years of age DSM-IV criteria for major depressive episode with atypical features as assessed by the Atypical Depression Diagnostic Scale minimum score of 18 on the Hamilton Depression Scale (29-item version) at baseline baseline Clinical Global Impressions Severity score of 4 or more written informed consent negative serum pregnancy test for women of childbearing potential Exclusion Criteria: any current primary DSM-IV Axis I disorder other than depression history of DSM-IV diagnosis of bipolar I disorder, schizophrenia or other psychotic disorder, mental retardation or other pervasive developmental disorder, or cognitive disorder due to a general medical condition history of substance abuse or dependence within the last 3 months suicide risk or serious suicide attempt with the last year clinically significant medical condition or laboratory or EKG abnormality history of non-response to three prior adequate trials of antidepressants women of childbearing potential who are unwilling to practice an acceptable method of contraception history of hypersensitivity to modafinil use of an investigational medication within the last 28 days use of antidepressant medication with 28 days of screening

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Intervention/Treatment |
| --- |
|Drug: modafinil|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HAM-D-29 (Hamilton Depression 29-Item Scale, with Atypical Features) |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ADDS (Atypical Depression Diagnostic Scale) |  |  | 
| CGI-S (Clinical Global Impressions Severity Scale) |  |  | 
| CGI-I (Clinical Global Impressions Improvement Scale) |  |  | 
| SCL-90 (Symptom Checklist 90) |  |  | 
| ESS (Epworth Sleepiness Scale) |  |  | 
| BFI (Brief Fatigue Inventory) |  |  | 
| FSS (Fatigue Severity Scale) |  |  | 
| SOS (Severity of Symptoms Scale) |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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atypical depression, psychostimulants, modafinil