ClinicalTrials.gg
Status unknownNCT02039479Updated Mar 15, 2018

Randomized, Placebo-controlled Multicenter Trial of Lithium Plus Treatment as Usual (TAU) for Acute Suicidal Ideation and Behavior in Patients With Suicidal Major Depressive Episode

An interventional study of Lithium Carbonate and Placebo in Suicidal Ideation/Behavior and Depression, sponsored by Technische Universität Dresden. Status unknown at 5 sites in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-03-15.

Sponsored by Technische Universität Dresden · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
254
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The primary hypothesis of this confirmatory study is that lithium therapy will acutely decrease suicidal ideation and/or suicidal behaviour in inpatients with a major depressive episode (MDE, unipolar and bipolar disorder according to DSM IV criteria). The specific aim is to test the hypothesis that lithium plus treatment as usual (TAU), compared to placebo plus TAU, results in a significantly greater decrease in suicidal ideation and/or behaviour over 5 weeks in inpatients with MDE.

Read the detailed description

The study will consist of 254 adult patients, hospitalized for a major depressive episode with suicidal ideation and/or behaviour who will be randomized to two groups of each 127 participants. All study participants will receive treatment as usual in the hospital, including (psycho)pharmacological treatment and, if needed, psychotherapy plus a 5-week course of lithium or placebo. Rating scales will be used daily resp. weekly to measure suicidal ideation and/or behaviour, depression, anxiety, mixed/manic features and impulsiveness. Experienced clinicians will rate suicidal ideation and/or behaviour as well as depression twice a week and anxiety, mixed/manic features and impulsiveness once a week.

02

Conditions studied

  • Suicidal Ideation/Behavior
  • Depression

Keywords

  • anti-suicide
  • Lithium
  • Depression
  • suicidal Ideation/behavior
03

In context

Suicidal Ideation

530 studies on the registry are indexed under Suicidal Ideation; 198 are open to participants now.

This study's planned enrollment of 254 is above the median of 80 across 440 interventional studies indexed under Suicidal Ideation.

Browse Suicidal Ideation studies →

Lead sponsor

Technische Universität Dresden is the lead sponsor of 247 studies on the registry; 46 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Major depressive episode; inpatient at screening visit; suicidal ideation/behaviour present defined by a clinical rating of 8 on the Sheehan Suicidality Tracking Scale (S-STS) and a rating of ≥20 on the Montgomery Asberg Depression Scale (MADRS) at both screening and baseline visits; both gender, age 18 years.

Exclusion criteria

Exclusion Criteria:

  • Contraindication for and history of lithium treatment within the past 6 months; patient unable to tolerate lithium treatment in the past; comorbid borderline/antisocial personality disorder, currently active substance dependency; patients with acute or unstable severe medical conditions, patients unable to understand the informed consent or involuntary inpatients, positive toxicology screen (illegal drugs), pregnancy and lactation
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
254 participants (estimated)

Study arms

  • Placebo comparator
    TAU + Placebo

    Treatment as Usual + Placebo

    Drug: Placebo

  • Active comparator
    TAU + Lithium

    Treatment as Usual + Lithium

    Drug: Lithium Carbonate

Interventions

  • Lithium as Add on to every necessary treatment as usual

  • DrugPlacebo

    Placebo as ADD-on to every necessary treatment as usual

06

What researchers measure

Primary outcomes

  1. S-STS

    Change in the clinician administered (S-STS=Sheehan Suicidality Tracking Scale) total score between initial and final visit

    Time frame: 5 Weeks

Secondary outcomes

  1. C-SSRS

    Change of the total score of C-SSRS (Columbia-Suicide Severity Rating Scale) between start and final visit

    Time frame: 5 weeks

07

Study locations

4 of 5 sites recruiting
  • Dept. of Psychiatry and Psychotherapy, Hospital of Dresden Neustadt
    Dresden, Saxony 01324, Germany
    • Burkhard Jabs, Prof · Contact · burkhard.jabs@khdh.de · +49 351 856 69
    • Burkhard Jabs, Prof. · Principal investigator
    Not yet recruiting
  • Psychiatrie, Verhaltensmedizin und Psychosomatik
    Chemnitz, 09116, Germany
    Recruiting
  • Klinik für Psychiatrie, Psychosomatik und Psychotherapie Universitätsklinikum Frankfurt
    Frankfurt am Main, 60528, Germany
    Recruiting
  • Psychatrie Universitätsmedizin Göttingen
    Göttingen, 37075, Germany
    Recruiting
  • Universitätsklinikum Heidelberg
    Heidelberg, 69115, Germany
    Recruiting
08

References and documents

Publications

  • Lewitzka U, Jabs B, Fulle M, Holthoff V, Juckel G, Uhl I, Kittel-Schneider S, Reif A, Reif-Leonhard C, Gruber O, Djawid B, Goodday S, Haussmann R, Pfennig A, Ritter P, Conell J, Severus E, Bauer M. Does lithium reduce acute suicidal ideation and behavior? A protocol for a randomized, placebo-controlled multicenter trial of lithium plus Treatment As Usual (TAU) in patients with suicidal major depressive episode. BMC Psychiatry. 2015 May 19;15:117. doi: 10.1186/s12888-015-0499-5. PubMed 25986590 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2014, a primary completion of Mar 2018 and a completion of Jun 2018. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 16, 2014
First posted
Jan 17, 2014
Start
Jan 2014
Primary completionEst.
Mar 2018
CompletionEst.
Jun 2018
Last update
Mar 15, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 15, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02039479
Responsible party
Sponsor
First posted
Jan 17, 2014
Start date
Jan 2014
Primary completion
Mar 2018 (estimated)
Completion
Jun 2018 (estimated)
Last update
Mar 15, 2018

Study contacts

Michael Bauer, Prof.
Contact
michael.bauer@uniklinikum-dresden.de
+49 351 458 ext. 2760
Ute Lewitzka, MD
Contact
ute.lewitzka@uniklinikum-dresden.de
+49 351 458 ext. 3671
Michael Bauer, Prof.
principal investigator · Dept. of Psychiatry and Psychotherapy; TU Dresden
Ute Lewitzka, MD
study director · Dept. of Psychiatry and Psychotherapy, TU Dresden

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Lithium Carbonate

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