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The purpose of this study is to determine whether pharmaco(epi)genetic study predict selective serotonin reuptake inhibitor (SSRI) responsiveness in advance before the appearance of the drug effect until 4 months(16 weeks), 6 months, and 1 year after administration of SSRIs.
The purpose of this study is to determine the effects of (epi)genetic variants on the response to SSRIs in obsessive-compulsive disorder (OCD) subject.
The investigators will recruit drug-naive or drug-free(> 3 months) OCD subjects (n=200). The participants will get SSRIs for their OCD symptoms. The type and dose of SSRIs will not be restricted and will depend on the individual participant's state. However, the investigators will be recommended to follow usual clinical guideline (the Korean treatment algorithm for OCD, 2004). At baseline, 4 month, 6 months, and 1 year after treatment, the participants will be evaluated by Yale-Brown Obsessive-Compulsive Scale(YBOCS), Montgomery Asberg Depression Rating Scale(MADRS), Dimensional Obsessive-Compulsive Scale(DOCS), Toronto alexithymia scale (TAS), interpersonal reactivity index (IRI), Barratt impulsiveness scale (BIS), and the Measure of Constructs Underlying Perfectionism(M-CUP), Beck Depression Inventory(BDI), Beck Anxiety Inventory(BAI), Intolerance of Uncertainty (IOU), Metacognition, Disgust scale, Early Trauma Inventory (ETI). And a part of participants will be taken resting state functional MRI.
The research participants will donate approximately 10-15 ml of blood, from which we will extract DNA and separate serum. Using various (epi)genetic analyses, proteomics, and microbiome analysis (circulating bacterial extracellular vesicles) methods, we will analyze the association of various (epi)genetic variants, protein profiles, microbiome and the anti-obsessive-compulsive responses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SSRIs treatment as usual OCD gruop | Experimental | SSRIs treatment as usual fluoxetine 40~80 mg dose equivalent (fluoxetine, paroxetine, sertraline, fluvoxamine, escitalopram, clomipramine) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SSRIs | Drug | usual dose SSRI for obsessive-compulsive disorder, i.e. fluoxetine 40~80 mg dose equivalents |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in the Yale-Brown Obsessive-Compulsive Scale | rating scale for obsessive-compulsive symptom severity consisting of 10 items | baseline, 3 or 4 months, 6 months, 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Change from the baseline Montgomery-Asberg Depression Rating Scale | rating scale for depressive symptom severity consisting of 10 items, Various psychometric characteristics | baseline, 3 or 4 months, 6 months, 1 year |
| Occurrence of any side effects during the SSRIs treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Se Joo Kim, M.D. | Contact | +82-2-2228-1627 | kimsejoo@yuhs.ac | |
| Jee In Kang, M.D. | Contact | +82-2-2228-1630 | jeeinkang@yuhs.ac |
| Name | Affiliation | Role |
|---|---|---|
| Se Joo Kim, M.D. | Professor, Department of Psychiactry, Yonsei Univ. College of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yonsei Univ. Health System Severance Hospital | Recruiting | Seoul | 120-752 | South Korea |
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| ID | Term |
|---|---|
| D009771 | Obsessive-Compulsive Disorder |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D017367 | Selective Serotonin Reuptake Inhibitors |
| ID | Term |
|---|---|
| D014179 | Neurotransmitter Uptake Inhibitors |
| D049990 | Membrane Transport Modulators |
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
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Open naturalistic treatment
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Open label study
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any adverse events related to SSRI use |
| 3 or 4 months, 6 months, 1 year |
| D020164 | Chemical Actions and Uses |
| D018377 | Neurotransmitter Agents |
| D018490 | Serotonin Agents |
| D045505 | Physiological Effects of Drugs |