Major Depressive DisorderPhase 4CAMPIONNCT01309776
Comparison of Tianeptine Versus Escitalopram Patients Major Depressive Disorder
A Phase 4 study testing Tianeptine and Escitalopram in people with Major Depressive Disorder, run by Samsung Medical Center at 6 sites in South Korea.
Trial summary
The primary object of this study is to confirm the superiority of tianeptine compared to escitalopram on effects that improves subjective and objective cognitive impairments in patients suffering from major depressive disorder. Read more about this study
- Who is it for?
- Ages 40 years and older
- Conditions the study is for
- Major Depressive Disorder
- What is being tested?
- Tianeptine and Escitalopram
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 164 participants
- Where
- 6 sitesSouth Korea
- Study dates
- Mar 2011to Sep 2012
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 40 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients fulfilling DSM-IV-TR(American Psychiatric Association, 4thedition, 2000) criteria for Major Depressive Disorder diagnosis
- The male or female patients aged more than 40 years
- Patients able to hand in written informed consent before his/her participation in this clinical study
- Women of childbearing potential with negative pregnancy test during screening phase and entire study period (during entire study period, able to clearly agree with effective contraception such as contraceptive pill, progesterone injection, levonorgestrel implant, estrogen ring, transdermal contraceptive agent, intra-uterine contraceptive device, sterilization operation of husband, and double contraceptive method (e.g. combination of condom, pessary, spermicide, etc. ))
- Patients who have subjective cognitive impairment, or who have objective cognitive impairment (MMSE ≤26) without subjective cognitive impairment
- HAM-D(17-items) total score ≥ 16
Who cannot join
- Patients meeting more than one following patient characteristics
- Patients fulfilling DSM-IV-TR current or past diagnosis of any psychiatric disorders other than major depressive disorder (i.e. manic or hypomanic episode, schizophrenia, delirium, dementia, eating disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, major depressive disorder with psychotic features, mental retardation, organic brain disorder, or psychiatric disorders due to general medical condition, according to DSM-IV-TR)
- Patients with any substance-related disorder (excluding nicotine) within the past 12 months, as defined in DSM-IV-TR
- Patients with a history or presence of any neurological disorders (e.g. multiple sclerosis, seizure, etc.)
- Patients with any axis II disorder that prone to interfere with the evaluation of the study
- Patients with a history or presence of any hypersensitivity to tianeptine, escitalopram or other drugs
Show all 13Show fewer
- Patients who receive formal psychotherapy (e.g. cognitive behavioral therapy, insight-oriented psychoanalysis, interpersonal therapy, etc.) and who have a plan for getting psychotherapy
- Patients with any clinically significant abnormality (e.g. hepatic failure, renal failure, cardiovascular disorder, respiratory disorder, gastrointestinal disorder, endocrine disorder, neurological disorder, inflammatory disorder, neoplasm, metabolic disorder, etc.)
- Patients who have abnormal ECG and a significant disease according to the investigator's judgment
- Patients with any chronic liver or kidney disease
- Patients with a family history of long QT syndrome
- Patients previously not responders to tianeptine or escitalopram in the treatment of major depressive disorder
- Patients who have a suicide risk according to the investigator's judgment
Trial locations and contacts
6 sites in 1 country.
6 sites in 1 country
South Korea6 sites
Inje University Paik Hospital
Goyang, 411-706
Inje University Seoul Paik Hospital
Seoul, 100-032
Asan Medical Center
Seoul
Eulji Medical College Hospital
Seoul
Konkuk University Medical Center
Seoul
Samsung Medical Center
Seoul
About this study
Official title: Comparison of Tianeptine Versus Escitalopram for the Treatment of Depression and Cognitive Impairment in Patients With Major Depressive Disorder: A Randomized, Multicenter, Open-label Study
The primary object of this study is to confirm the superiority of tianeptine compared to escitalopram on effects that improves subjective and objective cognitive impairments in patients suffering from major depressive disorder.
Read the detailed description
Along with depressive symptoms, subjective and objective cognitive impairments are frequently complained by the patients with major depressive disorder. Tianeptine acts on glutamate system and is known as a promising drug for improving cognitive impairment.
The present study aims to confirm the superiority of tianeptine compared to escitalopram on effects that improves subjective and objective cognitive impairments after a 12-week treatment in patients suffering from major depressive disorder.
- Conditions
- Major Depressive Disorder
- Being tested
- Tianeptine, Escitalopram
- Medical subject headings
- Depressive Disorder, Major
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TianeptineDrug
Also called Stablon
week1 : 25mg/day q.d., week2: 37.5mg/day b.i.d. (12.5mg 1T, 12.5mg 2T
EscitalopramDrug
week1 : 5mg/day q.d., week2: 10mg/day q.d.
| Study group | Role | What they receive |
|---|---|---|
| Tianeptine | Experimental | Not described Receives: Drug: Tianeptine |
| Escitalopram | Active comparator | Not described Receives: Drug: Escitalopram |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in Hamilton Rating Scale for Depression(HAM-D)score from baseline
Measured: followed up to 2,4,8,12 weeks from baseline
Changes in Korean version-California Verbal Learnign Test(K-CVLT) total score from baseline
Measured: followed up to 4,8,12 weeks from baseline
Changes in Visual Continuous Performance Test(CPT) total score from baseline
Measured: followed up to 4,8,12 weeks from baseline
Changes in Raven Progressive Matrices(RPM) total score from baseline
Measured: followed up to 4,8,12 weeks from baseline
Secondary outcomes (7)
Changes in Hamilton Rating Scale for Anxiety(HAM-A) score from baseline
Measured: followed to 2,4,8,12 weeks from baseline
Changes in Clinical Clinical Global Impression- improvement(CGI-I)
Measured: followed to 2,4,8,12 weeks from baseline
Change in Response Rate from baseline
Measured: followed to 12 weeks from baseline
Change in Mini-Mental status examination(MMSE) total score from baseline
Measured: followed to 4,8,12 weeks from baseline
Change in Sexual Function Scale
Measured: followed to 2,4,8,12 weeks from baseline
Change in Clinical Global Impression- severity(CGI-S)
Measured: followed to 2,4,8,12 weeks from baseline
Change in Remission Rate from baseline
Measured: followed to 12 weeks from baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Mar 2011 (estimated)
- Study startMar 2011
- Primary completionSep 2012
- Study completionSep 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Major Depressive DisorderStudies of the same condition, open and under way.
- More trials run by Samsung Medical CenterThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 164 participants (actual)
Sponsor and investigators
- Lead sponsor
- Samsung Medical Center
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Bum-Hee Yu, Samsung Medical Center
- Investigators
- Bum Hee Yu, Ph.D., Principal investigator, Department of Pyschiatry, Sansung Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01309776
- Sponsor's protocol ID
- 2010-11-029
- Acronym
- CAMPION
- Status last verified
- Jan 2013
- First submitted
- 2 Mar 2011
- Last updated
- 25 Jan 2013
- Results posted
- No
- Data monitoring committee
- No
Publications
Yoo I, Woo JM, Lee SH, Fava M, Mischoulon D, Papakostas GI, Kim EJ, Chung S, Ha JH, Jeon HJ. Influence of anxiety symptoms on improvement of neurocognitive functions in patients with major depressive disorder: A 12-week, multicenter, randomized trial of tianeptine versus escitalopram, the CAMPION study. J Affect Disord. 2015 Oct 1;185:24-30. doi: 10.1016/j.jad.2015.06.038. Epub 2015 Jun 25.
PubMed 26142691
Study at a glance
From the registry record, last updated by the sponsor on 25 Jan 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Tianeptine Versus Escitalopram for the Treatment of Depression and Cognitive Impairment in Patients With Major Depressive Disorder: A Randomized, Multicenter, Open-label Study
- ClinicalTrials.gov ID
- NCT01309776
- Acronym / sponsor ID
- CAMPION / 2010-11-029
- Conditions
- Major Depressive Disorder
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 164 participants (actual)
- Lead sponsor
- Samsung Medical CenterUniversity, hospital or other
- Study start
- Mar 2011
- Primary completion
- Sep 2012 (actual)
- Study completion
- Sep 2012 (actual)
- First posted
- 7 Mar 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary object of this study is to confirm the superiority of tianeptine compared to escitalopram on effects that improves subjective and objective cognitive impairments in patients suffering from major depressive disorder.
Detailed description
Along with depressive symptoms, subjective and objective cognitive impairments are frequently complained by the patients with major depressive disorder. Tianeptine acts on glutamate system and is known as a promising drug for improving cognitive impairment.
The present study aims to confirm the superiority of tianeptine compared to escitalopram on effects that improves subjective and objective cognitive impairments after a 12-week treatment in patients suffering from major depressive disorder.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Tianeptine | Experimental | Drug: Tianeptine |
| Escitalopram | Active comparator | Drug: Escitalopram |
Who may qualify
- Ages
- 40 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Patients fulfilling DSM-IV-TR(American Psychiatric Association, 4thedition, 2000) criteria for Major Depressive Disorder diagnosis
- The male or female patients aged more than 40 years
- Patients able to hand in written informed consent before his/her participation in this clinical study
- Women of childbearing potential with negative pregnancy test during screening phase and entire study period (during entire study period, able to clearly agree with effective contraception such as contraceptive pill, progesterone injection, levonorgestrel implant, estrogen ring, transdermal contraceptive agent, intra-uterine contraceptive device, sterilization operation of husband, and double contraceptive method (e.g. combination of condom, pessary, spermicide, etc. ))
- Patients who have subjective cognitive impairment, or who have objective cognitive impairment (MMSE ≤26) without subjective cognitive impairment
Key exclusion criteria (13 listed)
- Patients meeting more than one following patient characteristics
- Patients with a history or presence of any hypersensitivity to tianeptine, escitalopram or other drugs
- Patients who receive formal psychotherapy (e.g. cognitive behavioral therapy, insight-oriented psychoanalysis, interpersonal therapy, etc.) and who have a plan for getting psychotherapy
- Patients with any clinically significant abnormality (e.g. hepatic failure, renal failure, cardiovascular disorder, respiratory disorder, gastrointestinal disorder, endocrine disorder, neurological disorder, inflammatory disorder, neoplasm, metabolic disorder, etc.)
- Patients who have abnormal ECG and a significant disease according to the investigator's judgment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TianeptineAlso: Stablonweek1 : 25mg/day q.d., week2: 37.5mg/day b.i.d. (12.5mg 1T, 12.5mg 2T | Drug | Tianeptine |
| Escitalopramweek1 : 5mg/day q.d., week2: 10mg/day q.d. | Drug | Escitalopram |
Primary outcome
Changes in Hamilton Rating Scale for Depression(HAM-D)score from baseline
Time frame: followed up to 2,4,8,12 weeks from baseline
Changes in Korean version-California Verbal Learnign Test(K-CVLT) total score from baseline
Time frame: followed up to 4,8,12 weeks from baseline
Changes in Visual Continuous Performance Test(CPT) total score from baseline
Time frame: followed up to 4,8,12 weeks from baseline
Changes in Raven Progressive Matrices(RPM) total score from baseline
Time frame: followed up to 4,8,12 weeks from baseline
7 secondary outcomes
Changes in Hamilton Rating Scale for Anxiety(HAM-A) score from baseline
Time frame: followed to 2,4,8,12 weeks from baseline
Changes in Clinical Clinical Global Impression- improvement(CGI-I)
Time frame: followed to 2,4,8,12 weeks from baseline
Change in Response Rate from baseline
Time frame: followed to 12 weeks from baseline
Change in Mini-Mental status examination(MMSE) total score from baseline
Time frame: followed to 4,8,12 weeks from baseline
Change in Sexual Function Scale
Time frame: followed to 2,4,8,12 weeks from baseline
Change in Clinical Global Impression- severity(CGI-S)
Time frame: followed to 2,4,8,12 weeks from baseline
Change in Remission Rate from baseline
Time frame: followed to 12 weeks from baseline
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jan 2013.
- Derived from this study: PubMed 26142691Yoo I, Woo JM, Lee SH, Fava M, Mischoulon D, Papakostas GI, Kim EJ, Chung S, Ha JH, Jeon HJ. Influence of anxiety symptoms on improvement of neurocognitive functions in patients with major depressive disorder: A 12-week, multicenter, randomized trial of tianeptine versus escitalopram, the CAMPION study. J Affect Disord. 2015 Oct 1;185:24-30. doi: 10.1016/j.jad.2015.06.038. Epub 2015 Jun 25.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bum Hee Yu, Ph.D. principal investigator
Department of Pyschiatry, Sansung Medical Center
6 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Tianeptine and Escitalopram in people with Major Depressive Disorder, run by Samsung Medical Center at 6 sites in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Changes in Hamilton Rating Scale for Depression(HAM-D)score from baseline (time frame: followed up to 2,4,8,12 weeks from baseline). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01309776, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jan 2013.