RECRUITING

Inflammatory and Glutamatergic Mechanisms of Sustained Threat in Adolescents With Depression

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Despite the prevalence and significant public health concern over depression among adolescents, up to 40% of depressed adolescents do not respond to first-line antidepressants (herein termed treatment non-response, TNR). The goal of this project is to recruit and assess 160 treatment-seeking depressed adolescents and test whether acute stress impacts peripheral levels of inflammation and downstream levels of glutamate in corticolimbic regions previously associated with depression, whether these stress-related biomarkers predict TNR to a 12-week trial of either fluoxetine or escitalopram, and whether these stress-related biomarkers predict 18-month clinical course.

Official Title

Inflammatory and Glutamatergic Mechanisms of Sustained Threat in Adolescents With Depression: Toward Predictors of Treatment Response and Clinical Course

Quick Facts

Study Start:2023-07-06
Study Completion:2028-04-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05329441

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:14 Years to 21 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:CHILD, ADULT
Inclusion CriteriaExclusion Criteria
  1. * DSM-V criteria for a depressive disorder
  2. * All sexes and genders
  3. * All ethnicities
  4. * Ages 14-21
  5. * Postpubertal (Tanner stage \> 3)
  6. * No medications that will interfere with the study (including antidepressants, mood stabilizers, hormone supplements, steroids, etc.) for at least 2-6 weeks (depending on exact medication)
  7. * Currently being seen by a clinician who will treat the participant with fluoxetine or escitalopram
  8. * The ability to provide assent, understand, and complete all study procedures
  9. * Caregiver consent (if applicable)
  1. * Primary mental health diagnosis other than a depressive disorder according to DSM-V
  2. * Any contraindications to MRI scanning, phlebotomy, or SSRI treatment
  3. * Stimulant usage
  4. * A concussion within the last 6 weeks or any lifetime concussion with loss of consciousness for at least 10 minutes
  5. * Any inflammatory conditions or use of anti-inflammatory medications that may influence study findings
  6. * Any major neurological or developmental disorders which could impact the participant's ability to comply with study procedure
  7. * Meeting for current or lifetime criteria of mania or psychosis, diagnosis of bipolar disorder, or any substance use disorders
  8. * First-degree relative with current, past, or suspected mania or psychosis

Contacts and Locations

Study Contact

Tiffany Ho, Ph.D.
CONTACT
310-825-2961
tiffany.ho@psych.ucla.edu
Tiffany Widjaja, B.A.
CONTACT
twidjaja@psych.ucla.edu

Principal Investigator

Tiffany Ho, Ph.D.
PRINCIPAL_INVESTIGATOR
University of California, Los Angeles

Study Locations (Sites)

University of California, Los Angeles
Los Angeles, California, 90095
United States

Collaborators and Investigators

Sponsor: University of California, Los Angeles

  • Tiffany Ho, Ph.D., PRINCIPAL_INVESTIGATOR, University of California, Los Angeles

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-07-06
Study Completion Date2028-04-30

Study Record Updates

Study Start Date2023-07-06
Study Completion Date2028-04-30

Terms related to this study

Keywords Provided by Researchers

  • depression
  • adolescence

Additional Relevant MeSH Terms

  • Depression in Adolescence