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CTRI Number  CTRI/2020/11/028899 [Registered on: 04/11/2020] Trial Registered Prospectively
Last Modified On: 24/08/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial study to compare antidepressants in mild to moderate depression in person with epilepsy(PWE) 
Scientific Title of Study   A randomized controlled study to compare antidepressants in mild to moderate depression in person with epilepsy (PWE)  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manjari Tripathi 
Designation  Professor, Department of Neurology 
Affiliation  Affiliation All India Institute of Medical Sciences, New Delhi 
Address  Room No 705, Neurosciences Centre ALL INDIA INSTITUTE OF MEDICAL SCIENCES South West DELHI 110029 India

South West
DELHI
110029
India 
Phone  01126594494  
Fax    
Email  manjari.tripathi1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manjari Tripathi 
Designation  Professor, Department of Neurology 
Affiliation  Affiliation All India Institute of Medical Sciences, New Delhi 
Address  Room No 705, Neurosciences Centre ALL INDIA INSTITUTE OF MEDICAL SCIENCES South West DELHI 110029 India

South West
DELHI
110029
India 
Phone  01126594494  
Fax    
Email  manjari.tripathi1@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prashant bhatele 
Designation  Senior Resident, Department of Neurology 
Affiliation  All India Institute of Medical Sciences, New Delhi 
Address  NS 5, Neurosciences Centre ALL INDIA INSTITUTE OF MEDICAL SCIENCES South West DELHI 110029 India

South West
DELHI
110029
India 
Phone  6397885316  
Fax    
Email  prshntbhatele@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Science, New Delhi 
 
Primary Sponsor  
Name  Dr Manjari Tripathi  
Address  Room No 705, Neurosciences Centre ALL INDIA INSTITUTE OF MEDICAL SCIENCES South West DELHI 110029 India 
Type of Sponsor  Other [Principal Investigator] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Manjari Tripathi  All India Institute of Medical science,New Delhi  Room No 705, Neurosciences Centre, Department of Neurology
South West
DELHI 
01126594494

manjari.tripathi1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee for Post Graduate Research,AIIMS,New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G40||Epilepsy and recurrent seizures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Escitalopram   Escitalopram 5mg/day for 1 week then 10mg/day for 3 weeks followed by 20mg/day for 4 weeks in non responders (responders will continue 10mg/day for next 4 weeks)  
Comparator Agent  Venlafaxine  Venlafaxine 37.5mg/day for 1 week then 75 mg/day for 3 weeks followed by 150 mg/day for 4 weeks in non responders (responders will continue 75mg/day for next 4 weeks) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1. Age >18years
2. Patients with generalized and focal epilepsy on antiseizure medications(ASM)
3. Patients eligible using 21 item Hamilton’s depression rating scale.
 
 
ExclusionCriteria 
Details  1. Patients who scored severe and very severe depression score on Hamilton’s depression rating scale
2. Psychogenic non-epileptic seizures
3. Any women who want to conceive or pregnant women
4. Unable to give consent
5. Patients having intellectual disability.
6. Any terminal illness such that the patient would not be expected to survive long.
7. Patient with significant non- neurological co-morbidities like chronic cardiac, renal and other systemic diseases that can also causes depression
8. Patients with hepatic disease ,renal disease and with prolonged QTc interval.
9. Any condition that, in the judgement of the investigator could impose hazards to the patient if study therapy is initiated or affect the participation of the patient in the study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
✔ To study the difference in efficacy and adverse event profile of antidepressants in mild to moderate depression in PWE at 8 weeks follow up.   8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
✔ To study if adjunctive therapy with antidepressants along with standard antiseizure medications has any effect on seizure frequency in PWE at 8 weeks follow up.
✔ To assess quality of life, adherence with antidepressants in PWE at 8 weeks follow up
 
8 weeks 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   10/11/2020 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This study is a randomized, double-blind, parallel active controlled, single-centre trial to compare antidepressants in mild to moderate depression in person with epilepsy(PWE).This study is done to study the difference in efficacy and adverse event profile of antidepressants-Escitalopram and Venlafaxine in mild to moderate depression in person with epilepsy at 8 weeks follow up. This study will also study   if adjunctive therapy with antidepressants along with standard antiseizure medications has any effect on seizure frequency in PWE at 8 weeks follow up and  assess quality of life and adherence with antidepressants in PWE at 8 weeks follow up​.

Patient: Person with epilepsy with mild to moderate depression

Intervention: Escitalopram 

     Comparison: Venlafaxine

     Outcome : 21 item HAMD scale

     Time Period : 8 weeks



 
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