Extrait

Background and study aims Depression is currently one of the most frequent psychiatric diseases. Patients with depression suffer very much of depressed mood, loss of interest or pleasure in activity, and they are often impaired emotionally and socially in their daily functioning. Depressed patients also often complain about symptoms of anxiety in combination with their symptoms of depression. The aim of this study is to observe the effects of Valdoxan® , a drug that acts as an antidepressant and specifically resynchronizes circadian rhythms, such as diurnal variation of the mood, disrupted daily rhythms and impaired daytime alertness, as well as disturbed sleep/wake-rhythms. Besides that, the effect on social and emotional functioning is observed, and the effect on anxiety symptoms in combination with depression. We also intend to assess how safe and tolerated this drug is. Who can participate? Ambulatory (who can walk) adult patients (no age and gender limitation) with major depression, who have been prescribed Valdoxan® before entering the study. What does the study involve? All patients observed in this study will be treated with Valdoxan®. The doctor will keep a record of the baseline status of the patient, including other diseases and other medications. The doctor will document the patient and control the symptoms of depression within the further course of treatment. The follow-up visits, according to his clinical routine, will take place after about three weeks, after about six weeks and a last control after about 12 weeks. During these visits a routine practice investigation will be carried out and the doctor will ask about the symptoms of depression and complete a case report form regarding the severity of depression. The patients will be asked to fill out the brief patients' questionnaire for orientation concerning the severity of depressive symptoms (adapted CGI) and social and emotional impairment (Sheehan disability scale) at each visit. According to the antidepressant effect, the dosage of Valdoxan® can be adapted at first follow-up visit (after about week 3) or afterwards in the course of treatment. The duration of the observation of the patients will be three months. What are the possible benefits and risks of participating? There are no particular benefits or risks. The treatment that the patient receives corresponds to the daily routine of the doctor. The doctor prescribes the drug according to the patients' diagnosis and the indication of the drug. Patients are free to withdraw from the study at any time without giving a particular reason and without any consequences on further treatment. Where is the study run from? The study will take place all over Germany. It is planned that the study will be carried out by approximately 1000 doctors, mainly psychiatrists (practice-based or in outpatient clinics). When is the study starting and how long is it expected to run for? From 23 April 2012 until 31 January 2013. The recruitment of participants runs until 31 July 2012. Who is funding the study? Servier Deutschland, GmbH. Who is the main contact? Dr Bettina Barthel [email protected]

Critère d'inclusion

• Episodes of major depression

Liens

• ictrp
• isrctn