Official Title
Biomarkers of Antidepressant Response and Suicidal Events in Depressed Youth
Phase
N/ALead Sponsor
Seoul National UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Depression AdolescentIntervention/Treatment
EscitalopramStudy Participants
152The aims of this study are to (1) identify inflammatory/neurotrophic and neurodevelopmental markers that predict antidepressant response and suicidal risk in depressed youth and (2) predict their treatment response and the occurrence of suicidal events at the individual level using machine learning approach.
Participants with depression were treated with escitalopram(ranging from 5mg to 30mg) for 8 weeks. Escitalopram was initiated at 5mg for 1 week, followed by an increase to 10mg at week 2. After week 2, doses of escitalopram were titrated according to symptoms and adverse effects. Specific, indicated psychotherapy for depression was not allowed during the study.
Inclusion Criteria: clinical diagnosis of major depressive disorder(MDD) according to criteria of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) current episode at least 4 weeks in duration at baseline with a score of at least 40 on the Children's Depression Rating Scale-Revised (CDRS-R), and CGI-Severity ≥4 at baseline Exclusion Criteria: intelligence quotient (IQ) lower than 70 psychotic features or first-degree relatives with a history of bipolar I disorder alcohol or substance abuse within the past 6 months history of schizophrenia, bipolar disorder, eating disorder, or autism history of neurological diseases including convulsive disorders or brain damage concurrent medications with psychotropic effects (other than stimulants for ADHD) chronic medical conditions (e.g., asthma, inflammatory bowel disease, diabetes) and/or chronic medication with psychotropic effects (e.g., anticonvulsants) or chronic use of NSAIDS or other drugs with known impact on inflammatory pathways.