Title

Safety and Efficacy Study of Citalopram and Lithium for the Treatment of Depressive Mood Disorder Symptoms
A Randomized, Double-Blind, Placebo-Controlled, Fixed-Dose Study to Assess the Safety and Efficacy of Citalopram in Combination With Lithium or Placebo in the Treatment of Symptoms in Patients With Depressive Mood Disorders
  • Phase

    Phase 2
  • Study Type

    Interventional
  • Study Participants

    80
The investigators hypothesize that patients receiving citalopram in combination with lithium will have a greater reduction in depressive symptoms than patients receiving citalopram in combination with placebo.
Study Started
Mar 31
2010
Primary Completion
Jan 31
2011
Study Completion
Jan 31
2011
Results Posted
Jun 08
2011
Estimate
Last Update
Aug 24
2011
Estimate

Drug Lithium Carbonate

300 mg one time per day for 4 weeks

Drug Placebo

Take one time daily for 4 weeks

Drug Citalopram

All patients will be administered Citalopram 20 mg to to be taken once daily, by mouth for the duration of the double-blind treatment phase (4 weeks)

  • Other names: Celexa

sugar pill Placebo Comparator

Lithium Active Comparator

Criteria

Inclusion Criteria:

18-75 years of age
Meets criteria for Major Depressive Disorder, Dysthymia, Depression Not Otherwise Specified or Borderline Personality Disorder
Ability to speak, read and understand the English Language and provide written informed consent

Exclusion Criteria:

Current, unstable and significant medical condition or illness
History of Thyroid disorder, seizure disorder, tumors or other CNS condition that predisposes the patient to risk of seizure
Pregnant or lactating females
Abnormal clinical laboratory test results
Intolerance or hypersensitivity to SSRIs or lithium
History or current diagnosis of bipolar mood disorder, psychosis, schizophrenia or dementia
Certain mediations my not be used prior or during the study

Summary

Placebo (Sugar Pill)

Lithium

All Events

Event Type Organ System Event Term Placebo (Sugar Pill) Lithium

Sheehan-Suicidality Tracking Scale (S-STS)

The S-STS is an 14 item clinician administered prospective rating scale that scores both treatment-emergent suicidal ideations and suicidal behaviors with scores ranging from 0-40 points. Patients scoring a 0 are experiencing no suicidal thoughts, ideations, or attempts, while a score of 40 indicates a fatal, completed suicide. Comparison was made between the citalopram with lithium and the citalopram with placebo treatment groups. Outcome measures are expressed as change scores from the baseline visit to week 4.

Placebo (Sugar Pill)

4.8
Scores on a Scale (S-STSS) (Mean)
Standard Deviation: 5.5

Placebo (Sugar Pill)

4.8
Scores on a Scale (S-STSS) (Mean)
Standard Deviation: 5.5

Lithium

5.0
Scores on a Scale (S-STSS) (Mean)
Standard Deviation: 5.1

Lithium

5.0
Scores on a Scale (S-STSS) (Mean)
Standard Deviation: 5.1

Beck Hopelessness Scale (BHS)

The BHS measures the extent of negative attitudes about the future. It has particular utility as an indirect indicator of suicidal risk in depressed examinees or individuals who have made suicide attempts. Comparison between citalopram and lithium and citalopram and placebo groups in the BHS will be made from baseline to week 4

Outcome Measure Data Not Reported

Beck Scale for Suicide Ideation (BSS)

The BSS is a 21-item slef-report instrument used to detect ans measure the severity of suicidal ideation in adults. It measures a broad spectrum of attitudes and behaviors for assessing patient suicide risk, as well as reveals specific suicidal characteristics which require greater scrutiny. Comparison between citalopram and lithium and citalopram and placebo groups in the BSS will be made from baseline to week 4

Outcome Measure Data Not Reported

Total

80
Participants

Age Continuous

41.8
years (Mean)
Standard Deviation: 13.8

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Placebo (Sugar Pill)

Lithium

Drop/Withdrawal Reasons

Placebo (Sugar Pill)

Lithium