Trial Outcomes & Findings for Treatment Response of Geriatric Depression (NCT NCT00754936)

NCT ID: NCT00754936

Last Updated: 2019-03-19

Results Overview

A published and widely used scale for measuring severity of depression. Montgomery Asberg Depression Rating Scale scores can range from 0-60. Higher scores indicate greater severity of depression. Total scores are reported with no subscales.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

106 participants

Primary outcome timeframe

14 weeks from enrollment (12 weeks from medication start)

Results posted on

2019-03-19

Participant Flow

Overall flow of study participants

106 participants enrolled in the study; however, 35 exited during the 2-week washout period and did not start study medication.

Participant milestones

Participant milestones
Measure
Escitalopram
12 week open label with 2 week placebo period (14 weeks total) Escitalopram: 20 mg by mouth daily
Overall Study
STARTED
71
Overall Study
COMPLETED
59
Overall Study
NOT COMPLETED
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Escitalopram
12 week open label with 2 week placebo period (14 weeks total) Escitalopram: 20 mg by mouth daily
Overall Study
Lost to Follow-up
3
Overall Study
Physician Decision
1
Overall Study
Withdrawal by Subject
2
Overall Study
Side Effects
3
Overall Study
Inter-current medical events
3

Baseline Characteristics

Treatment Response of Geriatric Depression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Escitalopram
n=71 Participants
12 week open label with 2 week placebo period (14 weeks total) Escitalopram: 20 mg by mouth daily
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=99 Participants
Age, Categorical
>=65 years
58 Participants
n=99 Participants
Age, Continuous
71.91 years
STANDARD_DEVIATION 7.53 • n=99 Participants
Sex: Female, Male
Female
36 Participants
n=99 Participants
Sex: Female, Male
Male
35 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
67 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=99 Participants
Race (NIH/OMB)
White
66 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
71 participants
n=99 Participants
Hamilton Depression Rating Scale (HDRS) 24-Item Total Score
23.83 units on a scale
STANDARD_DEVIATION 4.48 • n=99 Participants
Montgomery and Asberg Depression Rating Scale (MADRS) Total Score
24.08 units on a scale
STANDARD_DEVIATION 5.74 • n=99 Participants

PRIMARY outcome

Timeframe: 14 weeks from enrollment (12 weeks from medication start)

A published and widely used scale for measuring severity of depression. Montgomery Asberg Depression Rating Scale scores can range from 0-60. Higher scores indicate greater severity of depression. Total scores are reported with no subscales.

Outcome measures

Outcome measures
Measure
Escitalopram
n=71 Participants
12 week open label with 2 week placebo period (14 weeks total) Escitalopram: 20 mg by mouth daily
Montgomery Asberg Depression Rating Scale (Depression Severity)
12.23 units on a scale
Standard Deviation 7.67

SECONDARY outcome

Timeframe: 14 weeks from enrollment (12 weeks from medication start)

A published and widely-used scale for rating depression severity, the Hamilton Depression Rating Scale 24 item total scores range from 0-76. Higher scores indicate greater severity of depression. Total scores are reported with no subscales.

Outcome measures

Outcome measures
Measure
Escitalopram
n=71 Participants
12 week open label with 2 week placebo period (14 weeks total) Escitalopram: 20 mg by mouth daily
Hamilton Depression Rating Scale (Depression Severity)
11.47 units on a scale
Standard Deviation 6.64

Adverse Events

Escitalopram

Serious events: 3 serious events
Other events: 47 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Escitalopram
n=71 participants at risk
12 week open label with 2 week placebo period (14 weeks total) Escitalopram: 20 mg by mouth daily
Surgical and medical procedures
Hospitalisation
4.2%
3/71 • Number of events 3 • 14 weeks

Other adverse events

Other adverse events
Measure
Escitalopram
n=71 participants at risk
12 week open label with 2 week placebo period (14 weeks total) Escitalopram: 20 mg by mouth daily
Nervous system disorders
Sinus headache
1.4%
1/71 • Number of events 1 • 14 weeks
Gastrointestinal disorders
Abdominal pain upper
1.4%
1/71 • Number of events 1 • 14 weeks
Psychiatric disorders
Anxiety
1.4%
1/71 • Number of events 1 • 14 weeks
Musculoskeletal and connective tissue disorders
Arthralgia
1.4%
1/71 • Number of events 1 • 14 weeks
Nervous system disorders
Burning sensation
2.8%
2/71 • Number of events 3 • 14 weeks
Nervous system disorders
Cerebrovascular accident
1.4%
1/71 • Number of events 1 • 14 weeks
Gastrointestinal disorders
Colitis ulcerative
1.4%
1/71 • Number of events 1 • 14 weeks
Investigations
Colonoscopy
1.4%
1/71 • Number of events 1 • 14 weeks
Infections and infestations
Conjunctivitis
1.4%
1/71 • Number of events 1 • 14 weeks
Gastrointestinal disorders
Diarrhoea
16.9%
12/71 • Number of events 15 • 14 weeks
Nervous system disorders
Dizziness
4.2%
3/71 • Number of events 3 • 14 weeks
Gastrointestinal disorders
Dry mouth
1.4%
1/71 • Number of events 1 • 14 weeks
Respiratory, thoracic and mediastinal disorders
Epistaxis
1.4%
1/71 • Number of events 1 • 14 weeks
Injury, poisoning and procedural complications
Fall
29.6%
21/71 • Number of events 38 • 14 weeks
Injury, poisoning and procedural complications
Fracture
1.4%
1/71 • Number of events 1 • 14 weeks
Infections and infestations
Gastroenteritis
1.4%
1/71 • Number of events 1 • 14 weeks
Infections and infestations
Gastroenteritis viral
1.4%
1/71 • Number of events 1 • 14 weeks
Infections and infestations
Groin infection
1.4%
1/71 • Number of events 1 • 14 weeks
Endocrine disorders
Hyperparathyroidism
1.4%
1/71 • Number of events 1 • 14 weeks
Renal and urinary disorders
Micturition urgency
1.4%
1/71 • Number of events 1 • 14 weeks
Gastrointestinal disorders
Nausea
2.8%
2/71 • Number of events 2 • 14 weeks
Skin and subcutaneous tissue disorders
Night Sweats
1.4%
1/71 • Number of events 1 • 14 weeks
Renal and urinary disorders
Pollakiuria
1.4%
1/71 • Number of events 1 • 14 weeks
Musculoskeletal and connective tissue disorders
Polymyalgia rheumatica
1.4%
1/71 • Number of events 1 • 14 weeks
Skin and subcutaneous tissue disorders
Rash
2.8%
2/71 • Number of events 2 • 14 weeks
Infections and infestations
Sinusitis
2.8%
2/71 • Number of events 2 • 14 weeks
Skin and subcutaneous tissue disorders
Skin irritation
1.4%
1/71 • Number of events 1 • 14 weeks
Surgical and medical procedures
Surgery
1.4%
1/71 • Number of events 1 • 14 weeks
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
1.4%
1/71 • Number of events 1 • 14 weeks
Infections and infestations
Upper respiratory tract infection
2.8%
2/71 • Number of events 2 • 14 weeks
Infections and infestations
Urinary tract infection
1.4%
1/71 • Number of events 1 • 14 weeks
Gastrointestinal disorders
Vomiting
1.4%
1/71 • Number of events 1 • 14 weeks
Investigations
Weight decreased
1.4%
1/71 • Number of events 1 • 14 weeks

Additional Information

George S Alexopoulos

Weill Cornell Medicine

Phone: 914-997-5767

Results disclosure agreements

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