CClinicalTrials.gg
Active, not recruitingNCT04950868Updated Mar 5, 2025

The Safety, Tolerability, and Effectiveness of Quetiapine in Postpartum Depression

A Phase 1 interventional study of Quetiapine in Postpartum Depression, sponsored by Verinder Sharma. Active, not recruiting at 1 site in Canada. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-03-05.

Sponsored by Verinder Sharma · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2025, 1 year 4 months ago, but the record still lists the study as active, not recruiting.
Phase
Phase 1
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Postpartum depression is a serious disorder that affects approximately 14% of women who have recently given birth. Postpartum depression is either an episode of major depressive disorder (only low periods) or bipolar disorder (periods of lows and highs).

Untreated postpartum depression can negatively affect the mother, the infant and the family. Antidepressants are the most used treatments; however, for many women these drugs are not useful, resulting in a pressing need for effective treatments for postpartum depression. Lack of sleep is common after delivery and can trigger depression in some women. Quetiapine, a drug used for bipolar disorder, major depressive disorder and occasionally sleeplessness has not been well studied in postpartum depression. This study aims to find out how mothers tolerate the drug and whether it is effective for postpartum depression. Results of this study may help investigators carry out a larger study comparing quetiapine and placebo (a sugar pill) in postpartum depression.

02

Conditions studied

  • Postpartum Depression

Keywords

  • Quetiapine
  • postpartum
  • Drug therapy
  • Major depressive disorder
03

In context

Depression, Postpartum

528 studies on the registry are indexed under Depression, Postpartum; 124 are open to participants now.

This study's enrollment of 22 is below the median of 105 across 425 interventional studies indexed under Depression, Postpartum.

Browse Depression, Postpartum studies →

Lead sponsor

Verinder Sharma is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Outpatient woman between ages 18 - 45
  • Within 6 months of delivery
  • Have a DSM-5 diagnosis of MDD or BD I, BD II or other specified bipolar or related disorder with peripartum onset
  • Have a score of >18 on the 17-item Hamilton Depression Rating Scale (HDRS)
  • Have a score of ≤12 Young Mania Rating Scale (YMRS) at both the screening and baseline visits
  • Able to communicate in English
  • Capable of providing informed consent

Exclusion criteria

Exclusion Criteria:

  • A diagnosis of schizophrenia spectrum or other psychotic disorders, obsessive-compulsive disorder, eating disorders, substance-related and addictive disorders
  • At high risk for suicide (actively suicidal or a score of ≥ 3 on item #3 on the HDRS)
  • Receiving a psychotropic drug such a mood stabilizer, an antidepressant or a sedative/hypnotic.
  • Receiving psychotherapy
  • Have a physical illness that is a contraindication to the use of quetiapine, or who have a history of intolerance or nonresponse to quetiapine
  • Pregnant or planning on becoming pregnant during the study
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Quetiapine

    They will initially be given 25 mg of quetiapine per day. The dose may be increased by 25-50 mg per week, to a maximum dose of 150 mg per day by week 6 of the study.

    Drug: Quetiapine

Interventions

  • DrugQuetiapine

    They will initially be given 25 mg of quetiapine per day. The dose may be increased by 25-50 mg per week, to a maximum dose of 150 mg per day by week 6 of the study.

06

What researchers measure

Primary outcomes

  1. Recruitment and retention rate

    Data on the recruitment rate, refusal rate, retention rate will be used to assess feasibility

    Time frame: 10 weeks

  2. Blood pressure

    The measurement of blood pressure (both systolic and diastolic blood pressure) will be measured in mm HG

    Time frame: 8 weeks

  3. Incidence of Treatment-Emergent Adverse Events as assessed by the Systematic Monitoring of Adverse events Related to TreatmentS (SMARTS) score

    The Systematic Monitoring of Adverse events Related to TreatmentS (SMARTS), will be used to gather information about side effects of quetiapine. It is a check list to identify potential side effects.

    Time frame: 8 weeks

  4. Maternal functioning will be measured by the Barkin Index of Maternal Functioning (BIMF)

    Tolerability described as the degree to which overt adverse effects are tolerated, will be measured using the Barkin Index of Maternal Functioning (BIMF). The Barkin Index of Maternal Functioning score from baseline to week 8 will also be assessed. The sum of the scores is calculated, ranging from 0 to 120. Where a score of 120 means perfect functioning. The different between the scores scores will be looked at and a more positive score (8 week score is greater than baseline score) is a better outcome.

    Time frame: 8 weeks

  5. Pulse

    Pulse will be measured in beats per minute

    Time frame: 8 weeks

  6. Body mass index

    Weight (km) and height (m) will be used to calculate BMI (kg/m\^2)

    Time frame: 8 weeks

  7. Fasting lipid panel test

    The fasting lipid panel will be completed to measure safety of the intervention. This measures lipid levels (Total Cholesterol, High Density Lipoprotein, Low Density Lipoprotein, and Triglycerides). All measured in mg/dL

    Time frame: 8 weeks

  8. glycated haemoglobin (HbA1c) tests

    Glycated haemoglobin (HbA1C) test will be done to measure glycated haemoglobin which will measure the safety of the intervention. It will be measured in mmol/mol and as a percentage.

    Time frame: 8 weeks

  9. Waist circumference

    Waist circumference (cm) will help measure the safety of the intervention

    Time frame: 8 weeks

  10. Returned tablet count

    Adherence will be determined by returned tablet count.

    Time frame: 8 weeks

Secondary outcomes

  1. Hamilton Depression Rating (HDRS) total score

    Secondary outcome will be the mean change from baseline to week 8 in the Hamilton Depression Rating (HDRS) total score, the proportion of participants achieving response (≥50% reduction in HDRS score at baseline) and the proportion of participants achieving remission (HDRS ≤12). The score ranges from 0-53 where a higher score is a worse outcome.

    Time frame: 8 weeks

  2. Edinburgh Postnatal Depression Scale

    The mean change in scores of Edinburgh Postnatal Depression Scale. The scores range from 0 to 30 with 30 indicating more depression symptoms.

    Time frame: 8 weeks

  3. Generalized Anxiety Disorder 7-item scale

    The mean change in scores of Generalized Anxiety Disorder 7-item scale. The scores range from 0 to 21. A higher generalized anxiety score indicates higher anxiety and indicating a worse outcome.

    Time frame: 8 weeks

  4. Young Mania Rating Scale

    The mean change in scores of Young Mania Rating Scale. The YMRS is a rating scale used to evaluate manic symptoms at baseline and over time in individuals with mania. There are four items that are graded on a 0 to 8 scale (irritability, speech, thought content, and disruptive/aggressive behavior), while the remaining seven items are graded on a 0 to 4 scale. These four items are given twice the weight of the others. The score ranges from 0 to 60 where 60 indicates a worse outcome.

    Time frame: 8 weeks

07

Study locations

1 site
  • Parkwood Institute
    London, Ontario N6C 5J1, Canada
08

References and documents

Individual participant data

Plan to share: No — There will be no sharing plan needed because no individual participant data (IPD) will be available to other researchers.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04950868
Lead sponsor
Verinder Sharma
Responsible party
Verinder Sharma (Principal investigator, London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's) — Sponsor-investigator
First posted
Jul 6, 2021
Start date
Mar 18, 2022
Primary completion
Jun 1, 2025 (estimated)
Completion
Jun 1, 2025 (estimated)
Last update
Mar 5, 2025

Study contacts

Verinder Sharma, MB
principal investigator · London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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