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Major Depressive DisorderNCT01979289

Computerized Cognitive Remediation for Geriatric Depression

A study testing computerized cognitive remediation in people with Major Depressive Disorder and Major Depressive Episode, run by Weill Medical College of Cornell University at 1 site in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This research study will examine if a targeted computerized cognitive remediation (CCR) training program is better for treating geriatric depression than general computer activity. We will also examine whether this intervention is related to improvement in cognitive and depressive symptoms. Read more about this study

Who is it for?
Ages 60 to 89 years
What is being tested?
computerized cognitive remediation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteUnited States
Study dates
Aug 2012to Jul 2017
Phase
Interventional
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 60 to 89 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Medicated Depressed Participants' Inclusion Criteria
  • Age: 60-89 years
  • Diagnosis: Major depression, unipolar (by DSM-IV criteria);
  • Severity of depression: MADRS >or =15 following at least 8-weeks of controlled antidepressant treatment.
  • No plans to change current antidepressant treatment.
  • Non-Medicated Depressed Participants' Inclusion Criteria
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  • Age: 60-89 years
  • Diagnosis: Major depression, unipolar (by DSM-IV criteria);
  • Severity of depression: MADRS >or =15
  • No antidepressant treatment within the current episode. -

Who cannot join

  • Psychotic depression by DSM-IV, i.e., presence of delusions with a score higher than 2 (questionable delusion) rated by the Scale for Assessment of Positive Symptoms (SAPS) [47];
  • High suicide risk, i.e. intent or plan to attempt suicide in near future;
  • Presence of any Axis I psychiatric disorder (other than unipolar major depression) or substance abuse; Axis II diagnosis of antisocial personality (by SCID-P and DSM-IV);
  • History of psychiatric disorders other than unipolar major depression or generalized anxiety disorder (bipolar disorder, hypomania, and dysthymia are exclusion criteria);
  • Dementia: Mattis Dementia Rating Scale scores below 130 or diagnosis of dementia by DSM-IV; multiple sclerosis, history of head trauma or history of electroconvulsive therapy;
  • Amnestic Mild Cognitive Impairment (a-MCI), or Multiple Domain Mild Cognitive Impairment (md-MCI);
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  • Acute or severe medical illness, i.e., delirium, metastatic cancer, decompensated cardiac, liver or kidney failure, major surgery, stroke or myocardial infarction during the three months prior to entry; or drugs known to cause depression, e.g., reserpine, alpha-methyl-dopa, steroids, sympathomimetics withdrawal;
  • Presence of a neurological brain disease and/or history of electroconvulsive therapy;
  • Current involvement in psychotherapy;
  • Inability to perform any of the ADLs (MAI: ADL subscale) even with assistance, e.g. walking with a cane is not an exclusion criterion;
  • Inability to speak English;
  • Aphasia;
  • Corrected visual acuity < 20/70; Color blindness -

Trial locations and contacts

1 site in 1 country.

Maria Coluccio, M.A. contact

914-997-4327

Institute of Geriatric Psychiatry contact

914-997-4331

United States1 site, 1 recruiting
  • Weill Cornell Medical College

    White Plains, New York, 10605

    Sarah Shizuko Morimoto, Psy.D.

    Recruiting

Other trials in United States

About this study

This research study will examine if a targeted computerized cognitive remediation (CCR) training program is better for treating geriatric depression than general computer activity. We will also examine whether this intervention is related to improvement in cognitive and depressive symptoms. Elderly patients with depression, who have, and who have not been treated with antidepressant medication for their illness, will be recruited to participate in either a 30 hour cognitive remediation program or general computer activity designed to be both challenging and interesting. They will be asked to complete between 1 and 3 hours of remediation per day over 4 weeks. While undergoing the cognitive remediation participants will be asked questions to assess their symptoms of, as well as the severity of, their depression weekly. This will inform researchers about whether or not the CCR is helping to improve depressive symptoms. At the end of the CCR study, participants will be given a battery of cognitive tests design to tell investigators whether or not the CCR improved their thinking in a variety of different ways including improving attention, memory, and organization. Investigators will also determine whether changes in participants' thinking are related to changes in their mood or other depressive symptoms. It is hoped that information gained from this study will help investigators to better understand the brain processes associated with depression, recovery from depression, and will help inform the development of future alternative treatments for this illness.

Being tested
computerized cognitive remediation, computerized cognitive remediation:Control
Keywords
Executive Dysfunction, Cognitive Remediation, Geriatric, Depression
Medical subject headings
Depressive Disorder, Major, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • computerized cognitive remediationOther

  • computerized cognitive remediation:ControlOther

Study groups in NCT01979289
Study groupRoleWhat they receive
Computer Treatment: ActiveExperimentalComputerized Cognitive Remediation: Targeted to underlying cerebral networks associated with remission.
Receives: Other: computerized cognitive remediation
Computer Treatment: ControlActive comparatorComputerized Cognitive Remediation: Non-targeted
Receives: Other: computerized cognitive remediation:Control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Montgomery-Asberg Depression Rating Scale

    10 item measure to assess the core symptoms and cognitive features of clinical depression

    Measured: 4-6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2013 (estimated)
  2. Study startAug 2012
  3. Primary completionJul 2017 (estimated)
  4. Study completionJul 2017 (estimated)

Resources

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01979289
Sponsor's protocol ID
K23MH095830
Status last verified
Feb 2017
First submitted
25 Oct 2013
Last updated
3 Feb 2017
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A study testing computerized cognitive remediation in people with Major Depressive Disorder and Major Depressive Episode, run by Weill Medical College of Cornell University at 1 site in United States.

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 10 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: status not confirmed, as of the sponsor's last update on 3 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Maria Coluccio, M.A. (914-997-4327), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Montgomery-Asberg Depression Rating Scale (time frame: 4-6 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 3 Feb 2017.

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