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Depression and unrefreshed sleep are frequent in patients with fibromyalgia. Agomelatine is a new antidepressant with sleep-promoting properties. The objective of this study include the assessment of agomelatine therapy in patients with depression and fibromyalgia both on the severity of depressive symptomatology and sleep quality.
One of the most frequent comorbidities of fibromyalgia is major depression. Agomelatine is a new antidepressant whose mechanims of action include both agonism at melatonin receptores and 5-HT2C blocking properties which, in addition to antidepressant efficacy, has shown sleep-improving properties. As unrefreshed sleep is a common symptom in fibromyalgia we hypothetized that agomelatine treatment of patients with concomitant depression and fibromyalgia could improve both depressive symtomatology and sleep quality. Thus, the objectives of the present study are the following:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| agomelatine | patients diagnosed of fibromyalgia and concomitant major depression receiving agomelatine for this later disease |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| agomelatine | Drug | Agomelatine 25 mg pills. Initial dose 25 mg at bedtime; can be increased up to 50 mg at bedtime; 12 weeks duration |
|
| Measure | Description | Time Frame |
|---|---|---|
| change, from baseline to endpoint, in the Beck's depression inventory score | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| change, from baseline to endpoint, in the Pittsburgh Sleep Quality Inventory | 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients suffering fibromyalgia and concomitant major depression
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| Name | Affiliation | Role |
|---|---|---|
| Elena P Calandre, MD | Universidad de Granada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Instituto de Neurociencias | Granada | Granada | 18012 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24549860 | Result | Calandre EP, Slim M, Garcia-Leiva JM, Rodriguez-Lopez CM, Torres P, Rico-Villademoros F. Agomelatine for the treatment of patients with fibromyalgia and depressive symptomatology: an uncontrolled, 12-week, pilot study. Pharmacopsychiatry. 2014 Mar;47(2):67-72. doi: 10.1055/s-0033-1363659. Epub 2014 Feb 18. |
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| ID | Term |
|---|---|
| D003865 | Depressive Disorder, Major |
| D005356 | Fibromyalgia |
| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D009135 | Muscular Diseases |
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| ID | Term |
|---|---|
| C084711 | agomelatine |
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| D009140 |
| Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |