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interim analysis suggested no differences with whole sample
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The purpose of this study is to examine whether the speed of the clinical antidepressant action of fluoxetine can be accelerated by administering DU125530 a full 5-HT1A antagonist.
SSRI acts by blocking the serotonin transporter (5-HT), increasing the availability of serotonin at the synaptic cleft averting its reuptake. The increment of serotonin activates 5-HT1A presynaptic autoreceptors, resulting in a modulation in the release of serotonin by the presynaptic neuron. It is proposed that 5-HT1A receptor antagonism could accelerate the clinical effect of antidepressants by preventing this negative feedback.Preclinical data obtained with selective 5-HT1A antagonists, such as pindolol, and with mice lacking 5-HT1a receptors supports this hypothesis. Results on partial antagonists (pindolol) are conclusive in accelerating SSRI. It is reasonable to call into question whether a total antagonism of 5-HT1a receptors could imply a more rapid antidepressant response. To test this hypothesis we conducted a double blind, randomised, controlled trial with DU 123550 added to fluoxetine 20 mg/day
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Fluoxetine plus placebo | Placebo Comparator |
| |
| Fluoxetine plus DU125530 | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DU125530 | Drug | 20mg/twice a day |
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| Measure | Description | Time Frame |
|---|---|---|
| Scores on Hamilton Depression Rating Scale | 8 time points through 8 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Victor Pérez, MD, PhD | Psychiatrist, Hospital de Sant Pau | Principal Investigator |
| Enric Álvarez, MD, PhD | Head of Departement, Psiquiatria, Hospital de Sant Pau | Principal Investigator |
| Dolors Puigdemont, MD | Psychiatrist, Hospital de Sant Pau | Study Chair |
| Josefina Pérez, MD | Psychiatrist, Hospital de Sant Pau | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de Sant Pau | Barcelona | Barcelona | 08027 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22050051 | Derived | Scorza MC, Llado-Pelfort L, Oller S, Cortes R, Puigdemont D, Portella MJ, Perez-Egea R, Alvarez E, Celada P, Perez V, Artigas F. Preclinical and clinical characterization of the selective 5-HT(1A) receptor antagonist DU-125530 for antidepressant treatment. Br J Pharmacol. 2012 Nov;167(5):1021-34. doi: 10.1111/j.1476-5381.2011.01770.x. |
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| ID | Term |
|---|---|
| D003865 | Depressive Disorder, Major |
| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C106973 | 1,2-benzisothiazol-3(2H)-one, 2-(4-(4-(7-chloro-2,3-dihydro-1,4-benzodioxin-5-yl)-1-piperazinyl)butyl)-, 1,1-dioxide |
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| Placebo | Drug | Similar pill as active comparator twice a day |
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