Optimized Predictive Treatment In Medications for Unipolar Major Depression (OPTIMUM-D)

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-65
SponsorNova Scotia Health Authority

About this trial

This is a study that will test a predictive biomarker algorithm based on results from a previous study. The goal of this study is to integrate clinical, imaging, EEG, and molecular data across 8 sites to predict treatment outcome for patients experiencing a major depressive episode (MDE).

Eligibility criteria

Qualifiers

Outpatients 18 to 65 years of age.

Meet DSM-5 criteria for MDE in MDD as determined by SCID-5.

Free of psychotropic medications for at least 5 half-lives (e.g. 1 week for most antidepressants, 5 weeks for fluoxetine) before baseline Visit 1 (exceptions: stable use of hypnotics; stable use of stimulants for attention-deficit/hyperactive disorder).

MADRS score ≥ 24.

Disqualifiers

Any diagnosis, other than MDD, that is considered the primary diagnosis.

Bipolar I or Bipolar-II diagnosis.

Presence of a significant Axis II diagnosis (borderline, antisocial).

High suicidal risk, defined by clinician judgment.

Trial design

Treatments tested in this trial

  • Escitalopram
  • Brexpiprazole

Treatment groups

400 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Nova Scotia Health Authority

Lead sponsor

Unity Health Toronto

Collaborator

Centre for Addiction and Mental Health

Collaborator

McMaster University

Collaborator

Queen's University

Collaborator

University of Ottawa

Collaborator

University of British Columbia

Collaborator

University of Calgary

Collaborator

McGill University

Collaborator

Dalhousie University

Collaborator

University of Michigan

Collaborator

Simon Fraser University

Collaborator

Ontario Shores Centre for Mental Health Sciences

Collaborator

University of Saskatchewan

Collaborator