| CTRI Number |
CTRI/2026/01/100712 [Registered on: 09/01/2026] Trial Registered Prospectively |
| Last Modified On: |
08/01/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
Follow Up Study |
| Study Design |
Other |
|
Public Title of Study
|
Study to compare Dextromethorphan-Bupropion and Desvenlafaxine in Patients with Major Depressive Disorder |
|
Scientific Title of Study
|
Prospective, Observational study on Efficacy and Safety of Dextromethorphan-Bupropion in Comparison to Desvenlafaxine in Patients with Major Depressive Disorder |
| 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 Thakur Sakshi Maliksingh |
| Designation |
1st year PG resident |
| Affiliation |
Dr. M.K Shah medical college and research centre |
| Address |
Psychiatry OPD, first floor ,SMS multispecialty hospital,chandkheda, Ahmedabad 382424
Ahmadabad GUJARAT 382424 India |
| Phone |
9099573443 |
| Fax |
|
| Email |
sakshibundela225@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Vishal Patel |
| Designation |
professor and hod |
| Affiliation |
Dr. M.K Shah medical college and research centre |
| Address |
Psychiatry OPD, first floor ,SMS multispecialty hospital,chandkheda, Ahmedabad 382424
Ahmadabad GUJARAT 382424 India |
| Phone |
9228249767 |
| Fax |
|
| Email |
hod_psychiatry@mkshahmcrc.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Thakur Sakshi Maliksingh |
| Designation |
1st year PG resident |
| Affiliation |
Dr. M.K Shah medical college and research centre |
| Address |
Psychiatry OPD, first floor ,SMS multispecialty hospital,chandkheda, Ahmedabad 382424
GUJARAT 382424 India |
| Phone |
9099573443 |
| Fax |
|
| Email |
sakshibundela225@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
SMS multispecialty hospital |
| Address |
SMS multispecialty hospital ,near tapovan circle,gandhinagar-visat highway chandkheda ,Ahmedabad 382424 |
| Type of Sponsor |
Private medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Sakshi Thakur |
SMS multispeciality hospital |
Block B,1st floor,Psychiatry OPD,sms multispeciality hospital,near tapovan circle ,chandkheda , ahmedabad 382424 Ahmadabad GUJARAT |
9099573443
sakshibundela225@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL ETHICS COMMITTEE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: F321||Major depressive disorder, singleepisode, moderate, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Desvenlafaxine |
Desvenlafaxine (50mg/100mg) per oral for 12weeks |
| Intervention |
Dextromethorphan-Bupropion |
Dextromethorphan-Bupropion (45mg-105mg) per oral for 12weeks |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
1 Patients with age of 18 to 60 years.
2 Patients with first episode of Major Depressive Disorder
3 Scores of MADRS more than 19.
4 Patients with MDD who will be prescribed Desvenlafaxine or Dextromethorphan-Bupropion.
5 The participants who will provide written informed consent
|
|
| ExclusionCriteria |
| Details |
1. Non-consent for participation in the study
2.Age less than 18 years and more than 60 year.
3. Primary diagnosis of any ANXIETY DISORDER (GAD), SOCIAL ANXIETY DISORDER, PANIC DISORDER, PTSD, SUBSTANCE USE DISORDER, BIPOLAR DISORDER, current or past comorbid diagnosis of SCHIZOPHRENIA, SCHIZOAFFECTIVE DISORDER, DELUSIONAL DISORDER, PSYCHOTIC DISORDER not otherwise specified, ORGANIC MENTAL DISORDER including DEMENTIA, EATING DISORDER, OCD, SEIZURE DISORDER, comorbid serious comorbid condition hypo or hyperthyroidism.
4.Patients with Risk for suicide
5.Patients who are not on drug Dextromethorphan- Bupropion or drug Desvenlafaxine.
6. Patient with clinically significant condition, pulmonary, central nervous system (stroke, dementia), uncontrolled hypertension and Diabetes at screening, renal disease
7.Patients with cardiac condition in the last six months (including but not limited to the, myocardial infarction, moderate to severe congestive heart failure, congenital prolongation of QT, symptomatic bradycardia, Bazett’s corrected QT (more than 460msec if male or more than 470msec if female)
8. Pregnant or lactating women.
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To study safety and efficacy and Safety of Dextromethorphan-Bupropion in Comparison to Desvenlafaxine in Patients with Major Depressive Disorder |
baseline, 2nd, 4th ,6th and 12th week. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
Target Sample Size
|
Total Sample Size="128" Sample Size from India="128"
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)
|
20/01/2026 |
| 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="2" 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 - NO
|
|
Brief Summary
|
This is prospective observational study and aim of the study is to compare safety and efficacy of two pharmacological treatments Dextromethorphan-Bupropion and Desvenlafaxine in reducing depressive symptoms in patients with MDD. A total of 128 patients who meets the inclusion criteria and who will provide written informed consent will be recruited for the study. The diagnosis and the drug to be prescribed will be decided by the consultant psychiatrist. Patients who will be prescribed drug Desvenlafaxine & drug Dextromethorphan-Bupropion will be taken for study. Both groups will be observed for 12 weeks and follow up will be taken on 2nd, 4th ,6th and 12th week. The symptoms of depression will be assessed on every follow up to know the efficacy of drug using clinical rating scales Montgomery-Asberg Depression Rating Scale (MADRS), Clinical Global Impression- Improvement Scale CGI-I and safety of drugs will be assessed using Frequency, Intensity and burden of Side effects Rating (FIBSER), Arizona Sexual Experience Scale (ASEX), Antidepressant Side Effect Checklist (ASEC). |