Trial Outcomes & Findings for Incorporating Patient Treatment Choice to Improve Treatment Retention in Depressed Hispanics (NCT NCT00742573)

NCT ID: NCT00742573

Last Updated: 2020-03-03

Results Overview

Average number of weeks of retention of Hispanics in the treatment of MDD

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

170 participants

Primary outcome timeframe

52 weeks

Results posted on

2020-03-03

Participant Flow

Participant milestones

Participant milestones
Measure
1 Texas Medication Algorithm
Participants will receive medication treatment according to the Texas Medication Algorithm (TMA) for depression Antidepressants through Texas Medication Algorithm (TMA): Treatment with medication will follow the TMA for depression. Antidepressant medications may include any of the following: citalopram, escitalopram, paroxetine, sertraline, venlafaxine XR, bupropion SR, duloxetine, nortriptyline, and mirtazapine.
2 Patient Choice
Participants will be offered brief interpersonal psychotherapy (IPT-B) alone or combined with the TMA for depression Antidepressants through Texas Medication Algorithm (TMA): Treatment with medication will follow the TMA for depression. Antidepressant medications may include any of the following: citalopram, escitalopram, paroxetine, sertraline, venlafaxine XR, bupropion SR, duloxetine, nortriptyline, and mirtazapine. Brief Interpersonal Psychotherapy (IPT-B): IPT-B consists of twelve 50-minute sessions, divided into three phases, focusing on an interpersonal problem or problems.
Overall Study
STARTED
83
87
Overall Study
Week 12
46
51
Overall Study
Week 24
39
37
Overall Study
Week 52
26
25
Overall Study
COMPLETED
26
25
Overall Study
NOT COMPLETED
57
62

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Incorporating Patient Treatment Choice to Improve Treatment Retention in Depressed Hispanics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1 Texas Medication Algorithm
n=83 Participants
Participants will receive medication treatment according to the Texas Medication Algorithm (TMA) for depression Antidepressants through Texas Medication Algorithm (TMA): Treatment with medication will follow the TMA for depression. Antidepressant medications may include any of the following: citalopram, escitalopram, paroxetine, sertraline, venlafaxine XR, bupropion SR, duloxetine, nortriptyline, and mirtazapine.
2 Patient Choice
n=87 Participants
Participants will be offered brief interpersonal psychotherapy (IPT-B) alone or combined with the TMA for depression Antidepressants through Texas Medication Algorithm (TMA): Treatment with medication will follow the TMA for depression. Antidepressant medications may include any of the following: citalopram, escitalopram, paroxetine, sertraline, venlafaxine XR, bupropion SR, duloxetine, nortriptyline, and mirtazapine. Brief Interpersonal Psychotherapy (IPT-B): IPT-B consists of twelve 50-minute sessions, divided into three phases, focusing on an interpersonal problem or problems.
Total
n=170 Participants
Total of all reporting groups
Age, Categorical
<=18 years
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
79 Participants
n=99 Participants
85 Participants
n=107 Participants
164 Participants
n=206 Participants
Age, Categorical
>=65 years
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Age, Continuous
38.2 years
STANDARD_DEVIATION 12.5 • n=99 Participants
40.8 years
STANDARD_DEVIATION 11.2 • n=107 Participants
39.5 years
STANDARD_DEVIATION 11.9 • n=206 Participants
Sex: Female, Male
Female
48 Participants
n=99 Participants
49 Participants
n=107 Participants
97 Participants
n=206 Participants
Sex: Female, Male
Male
35 Participants
n=99 Participants
38 Participants
n=107 Participants
73 Participants
n=206 Participants
Region of Enrollment
United States
83 participants
n=99 Participants
87 participants
n=107 Participants
170 participants
n=206 Participants

PRIMARY outcome

Timeframe: 52 weeks

Population: Adult Hispanics with MDD

Average number of weeks of retention of Hispanics in the treatment of MDD

Outcome measures

Outcome measures
Measure
1 Texas Medication Algorithm
n=83 Participants
Participants will receive medication treatment according to the Texas Medication Algorithm (TMA) for depression Antidepressants through Texas Medication Algorithm (TMA): Treatment with medication will follow the TMA for depression. Antidepressant medications may include any of the following: citalopram, escitalopram, paroxetine, sertraline, venlafaxine XR, bupropion SR, duloxetine, nortriptyline, and mirtazapine.
2 Patient Choice
n=87 Participants
Participants will be offered brief interpersonal psychotherapy (IPT-B) alone or combined with the TMA for depression Antidepressants through Texas Medication Algorithm (TMA): Treatment with medication will follow the TMA for depression. Antidepressant medications may include any of the following: citalopram, escitalopram, paroxetine, sertraline, venlafaxine XR, bupropion SR, duloxetine, nortriptyline, and mirtazapine. Brief Interpersonal Psychotherapy (IPT-B): IPT-B consists of twelve 50-minute sessions, divided into three phases, focusing on an interpersonal problem or problems.
Mean Time of Retention
27.08 weeks
Standard Deviation 22.4
25.84 weeks
Standard Deviation 20.54

PRIMARY outcome

Timeframe: Baseline

Population: Adult Hispanics with MDD and Non-missing HAMD Total Score

Hamilton Depression Scale (HAMD-17): Scoring is based on the 17-item scale of 0-4, the higher the worse. 0-7 are considered as being normal, 8-16 suggest mild depression, 17-23 moderate depression, over 24 severe depression Minimum is 0 and the maximum score being 52

Outcome measures

Outcome measures
Measure
1 Texas Medication Algorithm
n=37 Participants
Participants will receive medication treatment according to the Texas Medication Algorithm (TMA) for depression Antidepressants through Texas Medication Algorithm (TMA): Treatment with medication will follow the TMA for depression. Antidepressant medications may include any of the following: citalopram, escitalopram, paroxetine, sertraline, venlafaxine XR, bupropion SR, duloxetine, nortriptyline, and mirtazapine.
2 Patient Choice
n=38 Participants
Participants will be offered brief interpersonal psychotherapy (IPT-B) alone or combined with the TMA for depression Antidepressants through Texas Medication Algorithm (TMA): Treatment with medication will follow the TMA for depression. Antidepressant medications may include any of the following: citalopram, escitalopram, paroxetine, sertraline, venlafaxine XR, bupropion SR, duloxetine, nortriptyline, and mirtazapine. Brief Interpersonal Psychotherapy (IPT-B): IPT-B consists of twelve 50-minute sessions, divided into three phases, focusing on an interpersonal problem or problems.
Hamilton Depression Scale (HAMD-17)
23.89 score on a scale
Standard Deviation 3.96
22.42 score on a scale
Standard Deviation 3.64

Adverse Events

1 Texas Medication Algorithm

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

2 Patient Choice

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Mark Olfson, MD, MPH

New York State Psychiatric Institute

Phone: 646-774-6413

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place