Nctid:
NCT00000378
Payload:
{"FullStudy"=>{"Rank"=>498948, "Study"=>{"DerivedSection"=>{"MiscInfoModule"=>{"VersionHolder"=>"June 24, 2024"}, "ConditionBrowseModule"=>{"ConditionMeshList"=>{"ConditionMesh"=>[{"ConditionMeshId"=>"D000003863", "ConditionMeshTerm"=>"Depression"}, {"ConditionMeshId"=>"D000003866", "ConditionMeshTerm"=>"Depressive Disorder"}]}, "ConditionAncestorList"=>{"ConditionAncestor"=>[{"ConditionAncestorId"=>"D000001526", "ConditionAncestorTerm"=>"Behavioral Symptoms"}, {"ConditionAncestorId"=>"D000019964", "ConditionAncestorTerm"=>"Mood Disorders"}, {"ConditionAncestorId"=>"D000001523", "ConditionAncestorTerm"=>"Mental Disorders"}]}, "ConditionBrowseLeafList"=>{"ConditionBrowseLeaf"=>[{"ConditionBrowseLeafId"=>"M7058", "ConditionBrowseLeafName"=>"Depression", "ConditionBrowseLeafAsFound"=>"Depression", "ConditionBrowseLeafRelevance"=>"high"}, {"ConditionBrowseLeafId"=>"M7061", "ConditionBrowseLeafName"=>"Depressive Disorder", "ConditionBrowseLeafAsFound"=>"Melancholia", "ConditionBrowseLeafRelevance"=>"high"}, {"ConditionBrowseLeafId"=>"M4818", "ConditionBrowseLeafName"=>"Behavioral Symptoms", "ConditionBrowseLeafRelevance"=>"low"}, {"ConditionBrowseLeafId"=>"M21835", "ConditionBrowseLeafName"=>"Mood Disorders", "ConditionBrowseLeafRelevance"=>"low"}, {"ConditionBrowseLeafId"=>"M4815", "ConditionBrowseLeafName"=>"Mental Disorders", "ConditionBrowseLeafRelevance"=>"low"}, {"ConditionBrowseLeafId"=>"M14473", "ConditionBrowseLeafName"=>"Psychotic Disorders", "ConditionBrowseLeafRelevance"=>"low"}]}, "ConditionBrowseBranchList"=>{"ConditionBrowseBranch"=>[{"ConditionBrowseBranchName"=>"Behaviors and Mental Disorders", "ConditionBrowseBranchAbbrev"=>"BXM"}, {"ConditionBrowseBranchName"=>"All Conditions", "ConditionBrowseBranchAbbrev"=>"All"}]}}, "InterventionBrowseModule"=>{"InterventionMeshList"=>{"InterventionMesh"=>[{"InterventionMeshId"=>"D000020280", "InterventionMeshTerm"=>"Sertraline"}, {"InterventionMeshId"=>"D000009661", "InterventionMeshTerm"=>"Nortriptyline"}]}, "InterventionAncestorList"=>{"InterventionAncestor"=>[{"InterventionAncestorId"=>"D000000928", "InterventionAncestorTerm"=>"Antidepressive Agents"}, {"InterventionAncestorId"=>"D000011619", "InterventionAncestorTerm"=>"Psychotropic Drugs"}, {"InterventionAncestorId"=>"D000017367", "InterventionAncestorTerm"=>"Selective Serotonin Reuptake Inhibitors"}, {"InterventionAncestorId"=>"D000014179", "InterventionAncestorTerm"=>"Neurotransmitter Uptake Inhibitors"}, {"InterventionAncestorId"=>"D000049990", "InterventionAncestorTerm"=>"Membrane Transport Modulators"}, {"InterventionAncestorId"=>"D000045504", "InterventionAncestorTerm"=>"Molecular Mechanisms of Pharmacological Action"}, {"InterventionAncestorId"=>"D000018377", "InterventionAncestorTerm"=>"Neurotransmitter Agents"}, {"InterventionAncestorId"=>"D000018490", "InterventionAncestorTerm"=>"Serotonin Agents"}, {"InterventionAncestorId"=>"D000045505", "InterventionAncestorTerm"=>"Physiological Effects of Drugs"}, {"InterventionAncestorId"=>"D000000929", "InterventionAncestorTerm"=>"Antidepressive Agents, Tricyclic"}, {"InterventionAncestorId"=>"D000018759", "InterventionAncestorTerm"=>"Adrenergic Uptake Inhibitors"}, {"InterventionAncestorId"=>"D000018663", "InterventionAncestorTerm"=>"Adrenergic Agents"}]}, "InterventionBrowseLeafList"=>{"InterventionBrowseLeaf"=>[{"InterventionBrowseLeafId"=>"M15512", "InterventionBrowseLeafName"=>"Serotonin", "InterventionBrowseLeafRelevance"=>"low"}, {"InterventionBrowseLeafId"=>"M22100", "InterventionBrowseLeafName"=>"Sertraline", "InterventionBrowseLeafAsFound"=>"10%", "InterventionBrowseLeafRelevance"=>"high"}, {"InterventionBrowseLeafId"=>"M4247", "InterventionBrowseLeafName"=>"Antidepressive Agents", "InterventionBrowseLeafRelevance"=>"low"}, {"InterventionBrowseLeafId"=>"M12597", "InterventionBrowseLeafName"=>"Nortriptyline", "InterventionBrowseLeafAsFound"=>"Postoperative Nausea and Vomiting", "InterventionBrowseLeafRelevance"=>"high"}, {"InterventionBrowseLeafId"=>"M4248", "InterventionBrowseLeafName"=>"Antidepressive Agents, Tricyclic", "InterventionBrowseLeafRelevance"=>"low"}, {"InterventionBrowseLeafId"=>"M14474", "InterventionBrowseLeafName"=>"Psychotropic Drugs", "InterventionBrowseLeafRelevance"=>"low"}, {"InterventionBrowseLeafId"=>"M19649", "InterventionBrowseLeafName"=>"Selective Serotonin Reuptake Inhibitors", "InterventionBrowseLeafRelevance"=>"low"}, {"InterventionBrowseLeafId"=>"M20504", "InterventionBrowseLeafName"=>"Neurotransmitter Agents", "InterventionBrowseLeafRelevance"=>"low"}, {"InterventionBrowseLeafId"=>"M20746", "InterventionBrowseLeafName"=>"Adrenergic Agents", "InterventionBrowseLeafRelevance"=>"low"}]}, "InterventionBrowseBranchList"=>{"InterventionBrowseBranch"=>[{"InterventionBrowseBranchName"=>"All Drugs and Chemicals", "InterventionBrowseBranchAbbrev"=>"All"}, {"InterventionBrowseBranchName"=>"Psychotropic Drugs", "InterventionBrowseBranchAbbrev"=>"PsychDr"}]}}}, "ResultsSection"=>{"MoreInfoModule"=>{"PointOfContact"=>{"PointOfContactEMail"=>"spr2@columbia.edu", "PointOfContactPhone"=>"646-774-8661", "PointOfContactTitle"=>"Steven Roose MD", "PointOfContactOrganization"=>"New York State Psychiatric Institute"}, "CertainAgreement"=>{"AgreementPISponsorEmployee"=>"No", "AgreementRestrictiveAgreement"=>"No"}}, "AdverseEventsModule"=>{"EventGroupList"=>{"EventGroup"=>[{"EventGroupId"=>"EG000", "EventGroupTitle"=>"Sertaline", "EventGroupDescription"=>"patients randomized to sertraline 12 week trial does up to 200mgs\n\nSertraline: 12 week trial dose up to 200mgs", "EventGroupOtherNumAtRisk"=>"58", "EventGroupOtherNumAffected"=>"2", "EventGroupSeriousNumAtRisk"=>"58", "EventGroupSeriousNumAffected"=>"0"}, {"EventGroupId"=>"EG001", "EventGroupTitle"=>"Nortriptyline", "EventGroupDescription"=>"patients randomized to nortriptyline dose adjusted to therapeutic level\n\nNortriptyline: 12 week trial dose adjusted to therapeutic level", "EventGroupOtherNumAtRisk"=>"52", "EventGroupOtherNumAffected"=>"4", "EventGroupSeriousNumAtRisk"=>"52", "EventGroupSeriousNumAffected"=>"0"}]}, "OtherEventList"=>{"OtherEvent"=>[{"OtherEventTerm"=>"orthostatic hypotension", "OtherEventStatsList"=>{"OtherEventStats"=>[{"OtherEventStatsGroupId"=>"EG000", "OtherEventStatsNumAtRisk"=>"58", "OtherEventStatsNumAffected"=>"2"}, {"OtherEventStatsGroupId"=>"EG001", "OtherEventStatsNumAtRisk"=>"52", "OtherEventStatsNumAffected"=>"4"}]}, "OtherEventOrganSystem"=>"Cardiac disorders", "OtherEventAssessmentType"=>"Systematic Assessment"}]}, "EventsFrequencyThreshold"=>"5"}, "OutcomeMeasuresModule"=>{"OutcomeMeasureList"=>{"OutcomeMeasure"=>[{"OutcomeClassList"=>{"OutcomeClass"=>[{"OutcomeClassTitle"=>"BASELINE", "OutcomeCategoryList"=>{"OutcomeCategory"=>[{"OutcomeMeasurementList"=>{"OutcomeMeasurement"=>[{"OutcomeMeasurementValue"=>"27.3", "OutcomeMeasurementSpread"=>"6.6", "OutcomeMeasurementGroupId"=>"OG000"}, {"OutcomeMeasurementValue"=>"27.1", "OutcomeMeasurementSpread"=>"4.4", "OutcomeMeasurementGroupId"=>"OG001"}]}}]}}, {"OutcomeClassTitle"=>"12 WEEK DATA", "OutcomeCategoryList"=>{"OutcomeCategory"=>[{"OutcomeMeasurementList"=>{"OutcomeMeasurement"=>[{"OutcomeMeasurementValue"=>"10.7", "OutcomeMeasurementSpread"=>"8.3", "OutcomeMeasurementGroupId"=>"OG000"}, {"OutcomeMeasurementValue"=>"8.4", "OutcomeMeasurementSpread"=>"7.7", "OutcomeMeasurementGroupId"=>"OG001"}]}}]}}]}, "OutcomeDenomList"=>{"OutcomeDenom"=>[{"OutcomeDenomUnits"=>"Participants", "OutcomeDenomCountList"=>{"OutcomeDenomCount"=>[{"OutcomeDenomCountValue"=>"58", "OutcomeDenomCountGroupId"=>"OG000"}, {"OutcomeDenomCountValue"=>"52", "OutcomeDenomCountGroupId"=>"OG001"}]}}]}, "OutcomeGroupList"=>{"OutcomeGroup"=>[{"OutcomeGroupId"=>"OG000", "OutcomeGroupTitle"=>"Sertaline", "OutcomeGroupDescription"=>"patients randomized to sertraline 12 week trial does up to 200mgs\n\nSertraline: 12 week trial dose up to 200mgs"}, {"OutcomeGroupId"=>"OG001", "OutcomeGroupTitle"=>"Nortriptyline", "OutcomeGroupDescription"=>"patients randomized to nortriptyline dose adjusted to therapeutic level\n\nNortriptyline: 12 week trial dose adjusted to therapeutic level"}]}, "OutcomeMeasureType"=>"Primary", "OutcomeAnalysisList"=>{"OutcomeAnalysis"=>[{"OutcomeAnalysisPValue"=>"<0.05", "OutcomeAnalysisCINumSides"=>"2-Sided", "OutcomeAnalysisGroupIdList"=>{"OutcomeAnalysisGroupId"=>["OG000", "OG001"]}, "OutcomeAnalysisPValueComment"=>"actual calculation", "OutcomeAnalysisGroupDescription"=>"logistic regression and mixed effects model", "OutcomeAnalysisStatisticalMethod"=>"Regression, Logistic", "OutcomeAnalysisNonInferiorityType"=>"Superiority or Other", "OutcomeAnalysisTestedNonInferiority"=>"No"}]}, "OutcomeMeasureTitle"=>"HAMILTON Rating Scale for DEPRESSION Range", "OutcomeMeasureParamType"=>"Mean", "OutcomeMeasureTimeFrame"=>"BASELINE COMPARED TO 12 WEEK MEASUREMENT", "OutcomeMeasureDescription"=>"Hamilton scale range 0-40, values below 7 are considered normal. the higher the number the more severe the depression weekly assessments, The primary outcome is a comparison of the baseline Hamilton to the 12 week measurement", "OutcomeMeasureUnitOfMeasure"=>"units on a scale", "OutcomeMeasureDispersionType"=>"Standard Deviation", "OutcomeMeasureReportingStatus"=>"Posted", "OutcomeMeasurePopulationDescription"=>"intent to treat analysis"}]}}, "ParticipantFlowModule"=>{"FlowGroupList"=>{"FlowGroup"=>[{"FlowGroupId"=>"FG000", "FlowGroupTitle"=>"Sertaline", "FlowGroupDescription"=>"patients randomized to sertraline 12 week trial does up to 200mgs\n\nSertraline: 12 week trial dose up to 200mgs"}, {"FlowGroupId"=>"FG001", "FlowGroupTitle"=>"Nortriptyline", "FlowGroupDescription"=>"patients randomized to nortriptyline dose adjusted to therapeutic level\n\nNortriptyline: 12 week trial dose adjusted to therapeutic level"}]}, "FlowPeriodList"=>{"FlowPeriod"=>[{"FlowPeriodTitle"=>"Overall Study", "FlowMilestoneList"=>{"FlowMilestone"=>[{"FlowMilestoneType"=>"STARTED", "FlowAchievementList"=>{"FlowAchievement"=>[{"FlowAchievementGroupId"=>"FG000", "FlowAchievementNumSubjects"=>"58"}, {"FlowAchievementGroupId"=>"FG001", "FlowAchievementNumSubjects"=>"52"}]}}, {"FlowMilestoneType"=>"COMPLETED", "FlowAchievementList"=>{"FlowAchievement"=>[{"FlowAchievementGroupId"=>"FG000", "FlowAchievementNumSubjects"=>"42"}, {"FlowAchievementGroupId"=>"FG001", "FlowAchievementNumSubjects"=>"38"}]}}, {"FlowMilestoneType"=>"NOT COMPLETED", "FlowAchievementList"=>{"FlowAchievement"=>[{"FlowAchievementGroupId"=>"FG000", "FlowAchievementNumSubjects"=>"16"}, {"FlowAchievementGroupId"=>"FG001", "FlowAchievementNumSubjects"=>"14"}]}}]}, "FlowDropWithdrawList"=>{"FlowDropWithdraw"=>[{"FlowReasonList"=>{"FlowReason"=>[{"FlowReasonGroupId"=>"FG000", "FlowReasonNumSubjects"=>"16"}, {"FlowReasonGroupId"=>"FG001", "FlowReasonNumSubjects"=>"14"}]}, "FlowDropWithdrawType"=>"Lack of Efficacy"}]}}]}}, "BaselineCharacteristicsModule"=>{"BaselineDenomList"=>{"BaselineDenom"=>[{"BaselineDenomUnits"=>"Participants", "BaselineDenomCountList"=>{"BaselineDenomCount"=>[{"BaselineDenomCountValue"=>"58", "BaselineDenomCountGroupId"=>"BG000"}, {"BaselineDenomCountValue"=>"52", "BaselineDenomCountGroupId"=>"BG001"}, {"BaselineDenomCountValue"=>"110", "BaselineDenomCountGroupId"=>"BG002"}]}}]}, "BaselineGroupList"=>{"BaselineGroup"=>[{"BaselineGroupId"=>"BG000", "BaselineGroupTitle"=>"Sertaline", "BaselineGroupDescription"=>"patients randomized to sertraline 12 week trial does up to 200mgs\n\nSertraline: 12 week trial dose up to 200mgs"}, {"BaselineGroupId"=>"BG001", "BaselineGroupTitle"=>"Nortriptyline", "BaselineGroupDescription"=>"patients randomized to nortriptyline dose adjusted to therapeutic level\n\nNortriptyline: 12 week trial dose adjusted to therapeutic level"}, {"BaselineGroupId"=>"BG002", "BaselineGroupTitle"=>"Total", "BaselineGroupDescription"=>"Total of all reporting groups"}]}, "BaselineMeasureList"=>{"BaselineMeasure"=>[{"BaselineClassList"=>{"BaselineClass"=>[{"BaselineCategoryList"=>{"BaselineCategory"=>[{"BaselineCategoryTitle"=>"<=18 years", "BaselineMeasurementList"=>{"BaselineMeasurement"=>[{"BaselineMeasurementValue"=>"0", "BaselineMeasurementGroupId"=>"BG000"}, {"BaselineMeasurementValue"=>"0", "BaselineMeasurementGroupId"=>"BG001"}, {"BaselineMeasurementValue"=>"0", "BaselineMeasurementGroupId"=>"BG002"}]}}, {"BaselineCategoryTitle"=>"Between 18 and 65 years", "BaselineMeasurementList"=>{"BaselineMeasurement"=>[{"BaselineMeasurementValue"=>"8", "BaselineMeasurementGroupId"=>"BG000"}, {"BaselineMeasurementValue"=>"4", "BaselineMeasurementGroupId"=>"BG001"}, {"BaselineMeasurementValue"=>"12", "BaselineMeasurementGroupId"=>"BG002"}]}}, {"BaselineCategoryTitle"=>">=65 years", "BaselineMeasurementList"=>{"BaselineMeasurement"=>[{"BaselineMeasurementValue"=>"50", "BaselineMeasurementGroupId"=>"BG000"}, {"BaselineMeasurementValue"=>"48", "BaselineMeasurementGroupId"=>"BG001"}, {"BaselineMeasurementValue"=>"98", "BaselineMeasurementGroupId"=>"BG002"}]}}]}}]}, "BaselineMeasureTitle"=>"Age, Categorical", "BaselineMeasureParamType"=>"Count of Participants", "BaselineMeasureUnitOfMeasure"=>"Participants"}, {"BaselineClassList"=>{"BaselineClass"=>[{"BaselineCategoryList"=>{"BaselineCategory"=>[{"BaselineCategoryTitle"=>"Female", "BaselineMeasurementList"=>{"BaselineMeasurement"=>[{"BaselineMeasurementValue"=>"34", "BaselineMeasurementGroupId"=>"BG000"}, {"BaselineMeasurementValue"=>"30", "BaselineMeasurementGroupId"=>"BG001"}, {"BaselineMeasurementValue"=>"64", "BaselineMeasurementGroupId"=>"BG002"}]}}, {"BaselineCategoryTitle"=>"Male", "BaselineMeasurementList"=>{"BaselineMeasurement"=>[{"BaselineMeasurementValue"=>"24", "BaselineMeasurementGroupId"=>"BG000"}, {"BaselineMeasurementValue"=>"22", "BaselineMeasurementGroupId"=>"BG001"}, {"BaselineMeasurementValue"=>"46", "BaselineMeasurementGroupId"=>"BG002"}]}}]}}]}, "BaselineMeasureTitle"=>"Sex: Female, Male", "BaselineMeasureParamType"=>"Count of Participants", "BaselineMeasureUnitOfMeasure"=>"Participants"}, {"BaselineClassList"=>{"BaselineClass"=>[{"BaselineClassTitle"=>"United States", "BaselineCategoryList"=>{"BaselineCategory"=>[{"BaselineMeasurementList"=>{"BaselineMeasurement"=>[{"BaselineMeasurementValue"=>"58", "BaselineMeasurementGroupId"=>"BG000"}, {"BaselineMeasurementValue"=>"52", "BaselineMeasurementGroupId"=>"BG001"}, {"BaselineMeasurementValue"=>"110", "BaselineMeasurementGroupId"=>"BG002"}]}}]}}]}, "BaselineMeasureTitle"=>"Region of Enrollment", "BaselineMeasureParamType"=>"Number", "BaselineMeasureUnitOfMeasure"=>"participants"}]}}}, "ProtocolSection"=>{"DesignModule"=>{"PhaseList"=>{"Phase"=>["Phase 4"]}, "StudyType"=>"Interventional", "DesignInfo"=>{"DesignAllocation"=>"Randomized", "DesignMaskingInfo"=>{"DesignMasking"=>"Triple", "DesignWhoMaskedList"=>{"DesignWhoMasked"=>["Participant", "Investigator", "Outcomes Assessor"]}}, "DesignPrimaryPurpose"=>"Treatment", "DesignInterventionModel"=>"Parallel Assignment"}, "EnrollmentInfo"=>{"EnrollmentType"=>"Actual", "EnrollmentCount"=>"110"}}, "StatusModule"=>{"OverallStatus"=>"Completed", "StartDateStruct"=>{"StartDate"=>"July 1997"}, "ExpandedAccessInfo"=>{"HasExpandedAccess"=>"No"}, "StatusVerifiedDate"=>"September 2008", "CompletionDateStruct"=>{"CompletionDate"=>"June 2002", "CompletionDateType"=>"Actual"}, "LastUpdateSubmitDate"=>"October 6, 2015", "StudyFirstSubmitDate"=>"November 2, 1999", "ResultsFirstSubmitDate"=>"April 2, 2015", "StudyFirstSubmitQCDate"=>"November 2, 1999", "LastUpdatePostDateStruct"=>{"LastUpdatePostDate"=>"October 7, 2015", "LastUpdatePostDateType"=>"Estimate"}, "ResultsFirstSubmitQCDate"=>"April 17, 2015", "StudyFirstPostDateStruct"=>{"StudyFirstPostDate"=>"November 3, 1999", "StudyFirstPostDateType"=>"Estimate"}, "ResultsFirstPostDateStruct"=>{"ResultsFirstPostDate"=>"April 21, 2015", "ResultsFirstPostDateType"=>"Estimate"}, "PrimaryCompletionDateStruct"=>{"PrimaryCompletionDate"=>"June 2002", "PrimaryCompletionDateType"=>"Actual"}}, "OutcomesModule"=>{"PrimaryOutcomeList"=>{"PrimaryOutcome"=>[{"PrimaryOutcomeMeasure"=>"HAMILTON Rating Scale for DEPRESSION Range", "PrimaryOutcomeTimeFrame"=>"BASELINE COMPARED TO 12 WEEK MEASUREMENT", "PrimaryOutcomeDescription"=>"Hamilton scale range 0-40, values below 7 are considered normal. the higher the number the more severe the depression weekly assessments, The primary outcome is a comparison of the baseline Hamilton to the 12 week measurement"}]}}, "OversightModule"=>{"OversightHasDMC"=>"No"}, "ConditionsModule"=>{"KeywordList"=>{"Keyword"=>["Aged", "Antidepressive Agents, Tricyclic", "Depression", "Female", "Human", "Male", "Middle Age", "Nortriptyline", "Sertraline", "Serotonin Uptake Inhibitors", "Antidepressive Agents, Tricyclic -- *therapeutic use", "Antidepressive Agents, Tricyclic -- adverse effects", "Depression -- *drug therapy", "Nortriptyline -- *therapeutic use", "Nortriptyline -- adverse effects", "Sertraline -- *therapeutic use", "Sertraline -- adverse effects", "Serotonin Uptake Inhibitors -- *therapeutic use", "Serotonin Uptake Inhibitors -- adverse effects"]}, "ConditionList"=>{"Condition"=>["Depression", "Melancholia"]}}, "DescriptionModule"=>{"BriefSummary"=>"The purpose of this study is to compare the safety and effectiveness of a select serotonin re-uptake inhibitor (SSRI, sertraline) and a tricyclic antidepressant (TCA, nortriptyline) in outpatients over the age of 60 who have major depression.\n\nSSRIs are effective in the treatment of major depression. However, there is also evidence that SSRIs may be significantly less effective than TCAs for patients with late-life major depression with melancholia. Since SSRIs seem to be easier to take than TCAs and are more widely prescribed, it is important to determine which of these types of antidepressants works best to treat these patients.\n\nPatients will be assigned randomly to receive either sertraline (a SSRI) or nortriptyline (a TCA) for 12 weeks. Patients will be monitored for symptoms, side effects, and quality of life. If a patient responds to treatment, he/she will participate in a 6-month continuation phase in which he/she will continue to receive the same medication.\n\nAn individual may be eligible for this study if he/she:\n\nHas unipolar major depression (with some exceptions) and is over 60 years old.", "DetailedDescription"=>"To compare the efficacy and safety of a select serotonin re-uptake inhibitor (SSRI, sertraline) and a tricyclic antidepressant (TCA, nortriptyline) in outpatients over the age of 60 who meet Diagnostic and Statistical Manuel-IV criteria for unipolar major depression, excluding patients who meet criteria for psychotic or atypical subtype. To test the hypothesis that medication condition interacts with diagnostic subtype (melancholic vs non-melancholic) in determining antidepressant response. To examine the roles of symptom severity and alternative diagnostic subtyping in contributing to this pattern.\n\nSSRIs are effective in the treatment of major depression. However, there is also evidence that SSRIs may be significantly less effective than TCAs for depressed patients with melancholia. This issue is of particular concern in late-life major depression. SSRIs have important safety advantages with respect to overdose and a benign cardiovascular profile. Furthermore, the SSRIs do not have significant anticholinergic effects, and appear to be better tolerated than the TCAs. Perhaps most important, the SSRIs currently are prescribed widely as the medication treatment of first choice for major depression in late life. Therefore, if it were determined that SSRIs are considerably less effective than TCAs in the treatment of melancholia in the elderly, there would be significant ramifications for clinical practice.\n\nRandomization to sertraline (a SSRI) or nortriptyline (a TCA) is stratified by the presence or absence of melancholia. Outcome measures for the 12-week acute phase include clinician and patient ratings of symptoms, side effects, and an evaluation of the health-related quality of life (HRQOL). At the end of the acute treatment phase, patients who meet criteria for clinical response participate in a 6-month continuation phase."}, "EligibilityModule"=>{"Gender"=>"All", "MaximumAge"=>"95 years", "MinimumAge"=>"60 years", "StdAgeList"=>{"StdAge"=>["Adult", "Older Adult"]}, "HealthyVolunteers"=>"No", "EligibilityCriteria"=>"Inclusion Criteria:\n\n-\n\nPatients must have:\n\nUnipolar major depression (per Diagnostic and Statistical Manuel-IV criteria) with or without melancholia.\n\nExclusion Criteria:\n\n-\n\nPatients with the following symptoms or conditions are excluded:\n\nPsychotic or atypical subtype of unipolar major depression."}, "IdentificationModule"=>{"NCTId"=>"NCT00000378", "BriefTitle"=>"Antidepressant Treatment of Melancholia in Late Life", "Organization"=>{"OrgClass"=>"OTHER", "OrgFullName"=>"New York State Psychiatric Institute"}, "OfficialTitle"=>"Antidepressant Treatment of Melancholia in Late :Ife", "OrgStudyIdInfo"=>{"OrgStudyId"=>"#3105"}, "SecondaryIdInfoList"=>{"SecondaryIdInfo"=>[{"SecondaryId"=>"R01MH055716", "SecondaryIdLink"=>"https://reporter.nih.gov/quickSearch/R01MH055716", "SecondaryIdType"=>"U.S. NIH Grant/Contract"}]}}, "ArmsInterventionsModule"=>{"ArmGroupList"=>{"ArmGroup"=>[{"ArmGroupType"=>"Active Comparator", "ArmGroupLabel"=>"sertaline", "ArmGroupDescription"=>"patients randomized to sertraline 12 week trial does up to 200mgs", "ArmGroupInterventionList"=>{"ArmGroupInterventionName"=>["Drug: Sertraline"]}}, {"ArmGroupType"=>"Active Comparator", "ArmGroupLabel"=>"nortriptyline", "ArmGroupDescription"=>"patients randomized to nortriptyline dose adjusted to therapeutic level", "ArmGroupInterventionList"=>{"ArmGroupInterventionName"=>["Drug: Nortriptyline"]}}]}, "InterventionList"=>{"Intervention"=>[{"InterventionName"=>"Sertraline", "InterventionType"=>"Drug", "InterventionDescription"=>"12 week trial dose up to 200mgs", "InterventionArmGroupLabelList"=>{"InterventionArmGroupLabel"=>["sertaline"]}}, {"InterventionName"=>"Nortriptyline", "InterventionType"=>"Drug", "InterventionDescription"=>"12 week trial dose adjusted to therapeutic level", "InterventionOtherNameList"=>{"InterventionOtherName"=>["nortiptyline"]}, "InterventionArmGroupLabelList"=>{"InterventionArmGroupLabel"=>["nortriptyline"]}}]}}, "ContactsLocationsModule"=>{"LocationList"=>{"Location"=>[{"LocationZip"=>"10032", "LocationCity"=>"New York", "LocationState"=>"New York", "LocationCountry"=>"United States", "LocationFacility"=>"1051 Riverside Drive"}]}, "OverallOfficialList"=>{"OverallOfficial"=>[{"OverallOfficialName"=>"Steven P. Roose, MD", "OverallOfficialRole"=>"Principal Investigator", "OverallOfficialAffiliation"=>"New York State Psychiatric Institute"}]}}, "SponsorCollaboratorsModule"=>{"LeadSponsor"=>{"LeadSponsorName"=>"New York State Psychiatric Institute", "LeadSponsorClass"=>"OTHER"}, "CollaboratorList"=>{"Collaborator"=>[{"CollaboratorName"=>"National Institute of Mental Health (NIMH)", "CollaboratorClass"=>"NIH"}]}, "ResponsibleParty"=>{"ResponsiblePartyType"=>"Sponsor"}}}}}}
