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CTRI Number  CTRI/2025/11/097524 [Registered on: 17/11/2025] Trial Registered Prospectively
Last Modified On: 14/11/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   A follow-up study to explore the effects of Escitalopram treatment on the process of ageing and related disorders in individuals with Major Depressive Disorder (MDD) 
Scientific Title of Study   Study on the Role of Senescence and Neurodegenerative Biomarkers in Major Depressive Disorder subject during Escitalopram treatment 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Neelam Yeram 
Designation  Assistant Professor 
Affiliation  MGM School of Biomedical Sciences, Navi Mumbai 
Address  Department of Biochemistry, MGM School of Biomedical Sciences, MGMIHS, Navi Mumbai

Raigarh
MAHARASHTRA
410209
India 
Phone  08454016003  
Fax    
Email  neelamyeram21@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neelam Yeram 
Designation  Assistant Professor 
Affiliation  MGM School of Biomedical Sciences, Navi Mumbai 
Address  Department of Biochemistry, MGM School of Biomedical Sciences, MGMIHS, Navi Mumbai


MAHARASHTRA
410209
India 
Phone  08454016003  
Fax    
Email  neelamyeram21@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neelam Yeram 
Designation  Assistant Professor 
Affiliation  MGM School of Biomedical Sciences, Navi Mumbai 
Address  Department of Biochemistry, MGM School of Biomedical Sciences, MGMIHS, Navi Mumbai


MAHARASHTRA
410209
India 
Phone  08454016003  
Fax    
Email  neelamyeram21@gmail.com  
 
Source of Monetary or Material Support  
Department of Health Research (ICMR-DHR), Ministry of Health and Family Welfare, Government of India 
MGM Institute of Health Sciences, Navi Mumbai 
 
Primary Sponsor  
Name  Dr. Neelam Yeram 
Address  Department of Biochemistry, MGM School of Biomedical Sciences, MGMIHS, Navi Mumbai 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Mansee Thakur  Department of Biotechnology, MGM School of Biomedical Sciences, MGMIHS, Navi Mumbai 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Neelam Yeram  MGM School of Biomedical Sciences, MGM IHS, Navi Mumbai  Department of Medical Biochemistry
Raigarh
MAHARASHTRA 
08454016003

neelamyeram21@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MGM Biomedical and Allied Health Research Institutional Ethics Committee (IEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F339||Major depressive disorder, recurrent, unspecified, (2) ICD-10 Condition: F329||Major depressive disorder, singleepisode, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Escitalopram  10 mg OD, Oral for 6 months 
Comparator Agent  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1. Individuals diagnosed with Major Depressive Disorder based on structured clinical questionnaire as per DSM 5 criteria (American Psychiatric Association, 2013) and prescribed for Escitalopram treatment by Psychiatrists will be included in the study.
2. Individuals of both sexes in the age group of 18 to 35 years will be included.
3. Individuals willing to participate in the study will be included. 
 
ExclusionCriteria 
Details  1. Individuals suffering from Head injury, cerebral stroke, dementia, chronic diabetes, poisoning, schizophrenia, chronic alcoholism or any other severe mental illness and disease affecting brain except Depression will be excluded from the study.
2. The individuals not willing to participate in the study were excluded from the study.
3. Individuals having the last 2 months history of drug treatment with significant central serotonergic effects or any investigational treatment for MDD will be excluded from the study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Variations in the Neurodegenerative and Senescence Blood Biomarkers in MDD Subjects undergoing Escitalopram treatment  At 0, 3 and 6 months interval 
 
Secondary Outcome  
Outcome  TimePoints 
Expressions of Ras p21, p16 and p53 genes in blood  At 0, 3 and 6 months interval 
Senescence associated beta galactosidase activity in blood  At 0, 3 and 6 months interval 
Serum levels of beta amyloid peptide, Tau protein, neurofilament light and Glial fibrillary acidic protein  At 0, 3 and 6 months interval 
Gene expression of serotonin receptor 2A, apolipoprotein E and amyloid precursor protein in blood  At 0, 3 and 6 months interval 
Blood levels of Cortisol, Serotonin and Homocysteine  At 0, 3 and 6 months interval 
 
Target Sample Size   Total Sample Size="65"
Sample Size from India="65" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   09/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  Proposals should be directed to neelamyeram21@gmail.com

  6. For how long will this data be available start date provided 09-12-2029 and end date provided 09-12-2034?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This study is a non-randomized single arm observational follow up study in which 65 subjects diagnosed with Major Depressive Disorder (single episode / recurrent) prescribed for Escitalopram treatment (10 mg OD, Oral) will be recruited. The participants will be recruited based on the inclusion and exclusion criteria. The study will be conducted at MGM School of Biomedical Sciences, Navi Mumbai. The study has been approved by the Institutional Ethics Committee. Informed consent will be obtained from each participant and their legal representative or family member. The blood samples of the study participants will be evaluated for the levels of senescence and neurodegeneration biomarkers at Baseline (before treatment starts), 3 months interval and 6 months interval. The results obtained for 3 months and 6 months will be compared with the results of baseline data for interpretation.

 
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