Multi-Dimensional Diagnosis,Individualized Therapy,and Management Technique for Major Depressive Disorder:Based on Clinical and Pathological Characteristics

PHASE4UnknownINTERVENTIONAL
Enrollment

800

Participants

Timeline

Start Date

August 1, 2017

Primary Completion Date

December 31, 2019

Study Completion Date

December 31, 2020

Conditions
Depressive Disorder
Interventions
DRUG

Fluoxetine

Fluoxetine is one kind of selective serotonin reuptake inhibitor(SSRIs), whose effect is much better than other non-underload subtypes compared with underload subtypes.So patients would be treated with fluoxetine only.

COMBINATION_PRODUCT

fluoxetine + cognitive-behavioral treatment(CBT)

the investigators would recommend fluoxetine to help to cure depressive disorder.And CBT is a very effective way for patients to alleviate or relieve clinical symptoms during episode stage.

DRUG

fluoxetine + Amfebutamone

Amfebutamone is one kind of SNRIs, and it shows much better therapy effect on patients with exhaustion /dizziness.So the investigators recommend these two drugs to help to cure patients with depressive disorder.

COMBINATION_PRODUCT

physical treatment+fluoxetine+amfebutamone

the investigators recommend drug(fluoxetine and amfebutamone) and physical treatment as intervention.

DRUG

Fluvoxamine

Fluvoxamine could inhibit CYP1A2 and CYP2C19 and affect the metabolism of melatonin, and help to release symptoms of depressive disorder with sleep problems.

DRUG

Lithium+fluvoxamine

the investigators recommend lithium as a mood stabilizer and use fluvoxamine to affect the level of melatonin.

COMBINATION_PRODUCT

fluvoxamine + lithium + physical therapy

the investigators recommend depressants and mood stabilizers as well as physical therapy to help to cure depressive disorder.

COMBINATION_PRODUCT

Cognitive behavior treatment +fluvoxamine

the investigators recommend behavioral therapy as well as drugs.

DRUG

Mirtazapine/SNRIs

Mirtazapine is one kind of antagonist of a2 adrenergic receptors and could block 5-hydroxytryptamine2 and 5-hydroxytryptamine3,help to release symptoms like anxiety or somatization.Besides, SNRIs could also make similar effect on patients.Therefore, the investigators recommend mirtazapine/SNRIs to treat patients with depressive disorder.

COMBINATION_PRODUCT

mirtazapine+ Cognitive behavior treatment

the investigators recommend CBT and mirtazapine as interventions.The dosage and frequency would depend on patients' severity of symptoms .

DRUG

mirtazapine + SNRIs

the investigator recommend mirtazapine and SNRIs to treat patients with major depressive disorder.

COMBINATION_PRODUCT

mirtazapine + SNRIs + physical therapy

the investigators would manage to use drugs and physical treatment to help to release the symptoms of depressive disorder.

OTHER

TAU(treat as usual)

patients in this group would receive therapy strategies according to their symptoms and preference.

Trial Locations (1)

Unknown

RECRUITING

ShanghaiMHC, Shanghai

Sponsors
All Listed Sponsors
collaborator

Shanghai Jiao Tong University School of Medicine

OTHER

collaborator

Chinese Academy of Sciences

OTHER_GOV

collaborator

Shanxi Medical University

OTHER

collaborator

Central South University

OTHER

collaborator

Second Military Medical University

OTHER

collaborator

Peking University Sixth Hospital

OTHER

collaborator

First Affiliated Hospital Xi'an Jiaotong University

OTHER

collaborator

First Affiliated Hospital of Kunming Medical University

OTHER

collaborator

Air Force Military Medical University, China

OTHER

collaborator

Zhejiang University

OTHER

collaborator

Wuhan Mental Health Centre

OTHER

collaborator

Corning Hospital, Shenzhen City

UNKNOWN

collaborator

the First Specialized Subject Hospital of Harbin

UNKNOWN

collaborator

Renmin Hospital of Wuhan University

OTHER

collaborator

Seventh People's Hospital of Hangzhou

OTHER

collaborator

Shandong Mental Health Center

OTHER

lead

Shanghai Mental Health Center

OTHER

NCT03219008 - Multi-Dimensional Diagnosis,Individualized Therapy,and Management Technique for Major Depressive Disorder:Based on Clinical and Pathological Characteristics | Biotech Hunter | Biotech Hunter