The Genome-Based Therapeutic Drugs for Depression study Sample Clauses

The Genome-Based Therapeutic Drugs for Depression study. The Genome-Based Therapeutic Drugs for Depression (GENDEP) study (Xxxx, Xxxxx et al. 2009) was carried out in nine European academic psychiatric centres and was designed to evaluate therapeutic response to two antidepressants with contrasting primary modes of action: Nortriptyline (a tricyclic antidepressant) and Escitalopram (a selective serotonin-reuptake inhibitor). All participants provided a written consent after the procedures were explained. GENDEP is registered at EudraCT (No.2004- 001723-38, xxxxx://xxxxxxx.xxx.xxxxxx.xx/index.html) and ISRCTN (No. 03693000, xxxx://xxx.xxxxxxxxxx-xxxxxx.xxx). The study protocol was approved by the research ethics boards of all participating centres. The GENDEP study included 811 adult men and women with a current diagnosis of major depressive disorder, established using the Clinical Assessment in Neuropsychiatry interview (SCAN version 2.1) (Wing, Sartorius et al. 1998) . Recruitment was restricted to people of white European ethnicity. People with (or had a family history of) bipolar disorder or schizophrenia and active substance dependence were excluded. Participants were also excluded if they had contraindications or a history of lack of efficacy or adverse reaction to both study medications. A total of 468 participants had no contraindications to either drug and were randomly allocated to receive Escitalopram or Nortriptyline. Depression was measured weekly for 12 study weeks using the Xxxxxxxxxx-Xxxxxx Depression Rating Scale (Xxxxxxxxxx and Asberg 1979), Xxxxxxxx Rating Scale for Depression, and Xxxx Depression Inventory. The measures were scored both conventionally and in a more novel way according to dimensions of observed mood, cognitive symptoms and neurovegetative symptom. Mixed-effect linear regression showed no statistically significant evidence of a difference between Escitalopram and Nortriptyline on the three original scales, but symptom dimensions revealed drug- specific advantages. Observed mood and cognitive symptoms improved more with Escitalopram than with Nortriptyline. Neurovegetative symptoms improved more with Nortriptyline than with Escitalopram.
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