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The objective of this study is to identification of genetic markers and predictors of antidepressant-induced suicidality in youth depression. Participants who take the standardized pharmacotherapy (bupropion or lamotrigine) for depression will be observed for 8 weeks. They will do several scales and genetic tests at visit 1 (week 0), visit 3 (week 4) and visit 4 (week 8)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Increased suicidality | Increase in suicidal ideation after taking the standardized pharmacotherapy (bupropion or lamotrigine) during 8 weeks. |
| |
| Non-increased suicidality | Non-increase of suicidal ideation after taking the standardized pharmacotherapy (bupropion or lamotrigine) during 8 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bupropion or lamotrigine | Drug | Participants who take the standardized pharmacotherapy (bupropion or lamotrigine) for depression will be observed for 8 weeks. Drugs using in this study are the standard treatment for depression, and are NOT administered as part of this study. |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of Suicidal ideation and behavior | Using Columbia-Suicide Severity Rating Scale(C-SSRS) | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of treatment effect of antidepressants(CDRS) | A composite measure consisting of Children's Depression Rating scale(CDRS). Modeled after the Hamilton Rating Scale for Depression, the CDRS is a clinical interview tool designed for assessing 6-12 year-olds, and it has also been used successfully for adolescents. | 8 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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Children and adolescents between 11 years and 18 years in depressed psychiatric outpatients.
increased suicidal ideation: 14 people, non-increased suicidal ideation: 54 people, patient drop-out rate: 20%, total 80 people.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| lee myungeun, BA | Contact | +82-2-3010-7190 | lme23@amc.seoul.kr | |
| Sojung Park, BA | Contact | +82-2-3010-7190 | sojung@amc.seoul.kr |
| Name | Affiliation | Role |
|---|---|---|
| Hyowon Kim, Professor | Asan Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asan Medical Center | Recruiting | Seoul | 05505 | South Korea |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D059020 | Suicidal Ideation |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
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| ID | Term |
|---|---|
| D016642 | Bupropion |
| D000077213 | Lamotrigine |
| ID | Term |
|---|---|
| D011427 | Propiophenones |
| D007659 | Ketones |
| D009930 | Organic Chemicals |
| D014227 | Triazines |
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whole blood sample for GWAS(Genome-Wide Association Study)
|
| Evaluation of treatment effect of antidepressants (YMRS) |
A composite measure consisting of Young Mania Rating Scale(YMRS). The YMRS is an 11-item scale used to assess the severity of mania in children and adolescents ages 5-17.The YMRS has been used in clinical practice since 1978. Ratings are based on child/adolescent self-reporting and clinician observation. This instrument does not assess depressed mood. |
| 8 weeks |
| Evaluation of treatment effect of antidepressants(P-GBI) | The P-GBI is adapted from the General Behavior Inventory, and allows parents to rate depressive, hypomanic, manic, and alternating mood symptoms in their children and adolescents ages 5-17. | 8 weeks |
| Evaluation of treatment effect of antidepressants(CGI-S) | The Clinical Global Impression rating scales(CGI-S) are commonly used measures of symptom severity, treatment response and the efficacy of treatments in treatment studies of patients with mental disorders. | 8 weeks |
| Genome wide association analysis | KNIH Biobank Array | 8 weeks |
| D006573 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |