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CompletedNCT00652171Updated Apr 9, 2008

Efficacy and Safety of Antidepressant Augmentation With Lamotrigine

A Phase 3 interventional study of Lamotrigine and Amide in Depression, sponsored by Institute of Social Security of the Civil Servants of Minas Gerais. Completed. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2008-04-09.

Sponsored by Institute of Social Security of the Civil Servants of Minas Gerais · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
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Study summary

This study reports a clinical trial evaluating lamotrigine safety and efficacy as an antidepressant augmentation agent in treatment resistant depression, therefore adding more empirical evidence to the limited number of studies on the use of lamotrigine.

Read the detailed description

Objective: This study reports a clinical trial evaluating lamotrigine safety and efficacy as an antidepressant augmentation agent in treatment resistant depression, therefore adding more empirical evidence to the limited number of studies on the use of lamotrigine.

Method: A double-blind pilot study was conducted with 34 nonbipolar, nonpsychotic patients who had DSM-IV major depressive disorder and were resistant to at least 2 antidepressants. The subjects were on taking antidepressant therapy and were randomly assigned to receive placebo or lamotrigine as an adjunct therapy for 8 weeks. They were evaluated on a biweekly basis in order to access assess the efficacy and the safety of the drug.

02

Conditions studied

  • Depression

Keywords

  • Treatment
  • Augmentation
  • Resistant depression
  • Lamotrigine
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In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's enrollment of 34 is below the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

This is the only study on the registry with Institute of Social Security of the Civil Servants of Minas Gerais as lead sponsor.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • They were selected according to a clinical interview based on DSM-IV criteria for major depressive disorder in single or recurrent episodes, with moderate to severe intensity. Besides
  • They also had a history of treatment-resistant depression stage II or above according to the criteria of by Thase and Rush11

    • failure to respond to treatment with at least 2 antidepressants of different classes
    • at the maximum tolerated dose for at least 6 weeks and absence of psychotic symptoms

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating women or those capable of getting pregnant that who were not using contraceptive methods were excluded as well as patients with severe clinical diseases or organic mental disorder
  • Further exclusion criteria were acute depression with risk of suicide
  • psychosis
  • and bipolar disorder as well as personality disorders and disorders related to alcohol and other drugs
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
34 participants (actual)

Study arms

  • Active comparator
    1

    17 Patients - Mean age of 26 years old, 14 female and 3 male - with major depressive disorder in single or recurrent episodes, with moderate to severe intensity. Besides, They also had a history of treatment-resistant depression stage II or above according to the criteria of by Thase and Rush: failure to respond to treatment with at least 2 antidepressants of different classes, at the maximum tolerated dose for at least 6 weeks and absence of psychotic symptoms.

    Drug: Lamotrigine

  • Placebo comparator
    2

    17 Patients - 11 females and 6 males mean age of 29 years old - with major depressive disorder in single or recurrent episodes, with moderate to severe intensity. Besides, They also had a history of treatment-resistant depression stage II or above according to the criteria of by Thase and Rush: failure to respond to treatment with at least 2 antidepressants of different classes, at the maximum tolerated dose for at least 6 weeks and absence of psychotic symptoms.

    Dietary Supplement: Amide

Interventions

  • DrugLamotrigine

    Lamotrigine was added to the ongoing antidepressant. The doses were titrated to 200mg/day.

  • Dietary supplementAmide

    Capsule of amide were given to this group of patients. They continued the ongoing antidepressants.

06

What researchers measure

Primary outcomes

  1. Montgomery and Asberg Scale for Depression

    Time frame: 8 weeks

Secondary outcomes

  1. Clinical Global Impression

    Time frame: 8 weeks

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Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Barbosa L, Berk M, Vorster M. A double-blind, randomized, placebo-controlled trial of augmentation with lamotrigine or placebo in patients concomitantly treated with fluoxetine for resistant major depressive episodes. J Clin Psychiatry. 2003 Apr;64(4):403-7. doi: 10.4088/jcp.v64n0407. PubMed 12716240 ↗
  • Rocha FL, Hara C. Lamotrigine augmentation in unipolar depression. Int Clin Psychopharmacol. 2003 Mar;18(2):97-9. doi: 10.1097/00004850-200303000-00006. PubMed 12598821 ↗
  • Barbee JG, Jamhour NJ. Lamotrigine as an augmentation agent in treatment-resistant depression. J Clin Psychiatry. 2002 Aug;63(8):737-41. doi: 10.4088/jcp.v63n0813. PubMed 12197456 ↗
  • Santos MA, Rocha FL, Hara C. Efficacy and safety of antidepressant augmentation with lamotrigine in patients with treatment-resistant depression: a randomized, placebo-controlled, double-blind study. Prim Care Companion J Clin Psychiatry. 2008;10(3):187-90. doi: 10.4088/pcc.v10n0302. PubMed 18615166 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 9, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00652171
Lead sponsor
Institute of Social Security of the Civil Servants of Minas Gerais
First posted
Apr 3, 2008
Start date
Jan 2004
Primary completion
Jan 2006
Completion
Jan 2006
Last update
Apr 9, 2008

Study contacts

Milena A Santos, Master
principal investigator · City Hall of Beló Horizonte
Claudia Hara, Master
study chair · Faculdade de Saúde e Ecologia Humana
Fabio L Rocha, PhD
study director · Institute of Social Security of the Civil Servants of Minas Gerais

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2008. You cannot join it, but the record below documents what was studied.

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