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| ID | Type | Description | Link |
|---|---|---|---|
| 13/SC/0569 | Other Identifier | NRES Ethics Committee | |
| OxH 1005 | Other Identifier | Oxford Health R&D |
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| Name | Class |
|---|---|
| Janssen Research & Development, LLC | INDUSTRY |
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This study will investigate the role of dopaminergic neural systems in the symptoms and treatment of depression. 40 patients who meet DSM-IV criteria for a diagnosis of depression will be compared to a matched sample of healthy controls. The depressed group will receive open label treatment with Bupropion MR (150mg bd) for 6 weeks. The control group will receive no treatment. All participants will be assessed before treatment, after 2 weeks treatment and at 6 weeks treatment. The outcomes assessed will be 1) fMRI estimates of neural response to reward to emotionally valenced stimuli (1st and 2nd assessments), 2) computer based measures of emotional processing (all assessments) and 3) standardised questionnaire measures of depressive symptoms (all assessments). The primary study hypothesis is that altering central dopamine using Bupropion will lead to altered neural responses to rewarding stimuli in the depressed patients (i.e. comparing fMRI outcomes between assessment visits 1 and 2). A secondary hypothesis is that this neural change will predict subsequent symptom response to the bupropion (i.e. comparing symptom scores between assessment visits 1 and 3), Lastly, the study will test the hypothesis that baseline differences in reward circuitry will be particularly associated with symptoms of anhedonia (the inability to experience pleasure).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Depressed patient given bupropion | Experimental | All depressed patients will be given open label bupropion |
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| Control pts given no intervention | No Intervention | Control participants will be assessed at the same time points as the depressed group, but will be given no drug |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupropion | Drug | Bupropion MR will be given open label to all participants in the depression group. Participants will receive 150mg od for one week. The dose will then be increased to 150mg bd for the following 5 weeks. Participants in the control group will recieve no drug. Note that the study is not assessing the safety or efficacy of buprion-- it is using bupropion to assess the neural effects of altering central dopaminergic function in depressed patients. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in haemodynamic (i.e. BOLD signal) response | fMRI data collected during a reward and emotional coding task | Baseline and 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in questionnaire measures of subject mood and anhedonia | Standardised questionnaire measures of depressive symptoms and anhedonia. | baseline, 2 and 6 weeks |
| Change in accuracy and reaction time |
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Inclusion Criteria:
Exclusion Criteria:
The following exclusion criteria apply specifically to the participants in the MDD group:
The following criteria apply specifically to participants in the healthy control group:
• History of or current Axis 1 DSM-V psychiatric disorder
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| Name | Affiliation | Role |
|---|---|---|
| Catherine Harmer, DPhil | University of Oxford | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Oxford | Oxford | Oxfordshire | OX3 7JX | United Kingdom |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D059445 | Anhedonia |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
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| ID | Term |
|---|---|
| D016642 | Bupropion |
| ID | Term |
|---|---|
| D011427 | Propiophenones |
| D007659 | Ketones |
| D009930 | Organic Chemicals |
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Behavioral responses during computer based tasks measures cognition
| baseline, 2 and 6 weeks |
| D009422 |
| Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |