CClinicalTrials.gg
WithdrawnNCT05299398Updated Apr 4, 2025

Prevention of Postpartum Depression: A Pilot Placebo-controlled Trial of Trazodone

A Phase 1 interventional study of Trazodone and Placebo in Postpartum Depression, sponsored by Verinder Sharma. Withdrawn at 1 site in Canada. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-04-04.

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

Why this study was withdrawn
This study was pivoted to be a randomized control trial of trazodone versus quetiapine, under a new NTC identification number (study protocol number 125638).
Phase
Phase 1
Study type
Interventional
Enrollment
0
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Postpartum depression is a serious illness that affects approximately 17% of women who have recently given birth. Untreated depression appears to have negative effects for both the mother and her baby. Postpartum depression is quite common among women with a history of depression. Sleeplessness is a common concern during pregnancy and after delivery, and it can also trigger depression in women with a history of depression. Antidepressants are the most commonly recommended drugs for prevention of postpartum depression; however, there is limited research to understand the effectiveness of the medications in preventing postpartum depression. Trazodone is a weak antidepressant, but it is commonly prescribed for sleeplessness due to physical or psychiatric disorders. We are planning a study to find out whether trazodone in a low dose is more effective than a sugar pill in preventing postpartum depression among women with histories of depression. We expect the results of our study will make it easier for healthcare providers to select the right medication for women who are at risk of developing depression after delivery and thus improve the mental health of mothers and well-being of their babies.

02

Conditions studied

  • Postpartum Depression

Keywords

  • Postpartum depression
  • Trazodone
  • Prevention
03

In context

Depression, Postpartum

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

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

Healthy outpatients with a history of Major depressive disorder who are currently not on any psychotropic medications and who:

  1. are 18- 45 years old,
  2. are pregnant with gestation of 28-34 weeks,
  3. have been in full remission of depression for > 2 months (as per Diagnostic and Statistical Manual-5),
  4. are able to communicate in English,
  5. are capable of providing informed consent,
  6. are planning to deliver at Victoria Hospital in London Ontario, and
  7. live in London and the surrounding area, will be enrolled.

Exclusion criteria

Exclusion Criteria:

  1. current psychiatric disorder other than generalized anxiety,
  2. use of psychotropic medication over the previous 2 months,
  3. history of bipolar disorder or psychosis,
  4. high risk for suicide (actively suicidal or a score of ≥ 3 on item #3 on the Hamilton Depression Rating Scale-17 item [HDRS]),
  5. currently receiving psychotherapy
05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Trazodone

    Trazodone once daily for 24 weeks.

    Drug: Trazodone

  • Placebo comparator
    Placebo

    Placebo once daily for 24 weeks

    Drug: Placebo

Interventions

  • DrugTrazodone

    Trazodone capsule once daily

  • DrugPlacebo

    Placebo capsule once daily

06

What researchers measure

Primary outcomes

  1. Occurrence of Major depressive episode

    Participants having a score of \>7 on the Hamilton Depression Rating Scale (Max 52) will be assessed using the Structured Clinical Interview for the Diagnostic and Statistical Manual for Mental Disorders- 5 (SCID-5) to establish recurrence of an major depressive episode. A higher score indicates recurrence of an MDE

    Time frame: 27 weeks

Secondary outcomes

  1. Time to occurrence of Major Depressive Episode (MDE)

    The time from childbirth until they develop MDE

    Time frame: 27 weeks

  2. Hamilton Depression Rating Scale

    The change in Hamilton Depression Rating Scale and Scale from baseline to 24 weeks to measure change in depressive symptoms. The score ranges from 0-53 where a higher score is a worse outcome.

    Time frame: 24 weeks

  3. Edinburgh Postnatal Depression

    The change in Edinburgh Postnatal Depression Scale from baseline to 24 weeks to measure the change in depressive symptoms. The scores range from 0 to 30 with 30 indicating more depression symptoms.

    Time frame: 24 weeks

  4. Blood pressure

    The systolic and diastolic blood pressure will be measured in mmHG.

    Time frame: 27 weeks

  5. Pulse

    Pulse will be measured in Beats per minute

    Time frame: 27 weeks

  6. Body weight

    Body weight will be measured in kilograms

    Time frame: 27 weeks

  7. Side effects

    Side effects of Trazodone will be measured by the Frequency, Intensity, Burden of Side Effects Rating (FIBSER) scale

    Time frame: 27 weeks

  8. Maternal Functioning

    Maternal Functioning will be measured by Barkin Index of Maternal Functioning. 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: 27 weeks

  9. Development of mania symptoms

    Mania symptoms will be measured by the Young Mania Rating Scale. here 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: 27 weeks

  10. Pill count

    Adherence to intervention

    Time frame: 27 weeks

  11. Retention rate

    The following criteria will be used to determine the success of the study: enrollment of 1 participant every 2 weeks, and recruitment of at least 60% of all patients considered eligible to participate in the study

    Time frame: 27 weeks

  12. Complete blood count (CBC)

    The CBC is a blood test to check the overall health of the participant

    Time frame: 27 weeks

  13. Thyroid Stimulating Hormone test

    a blood test that measures Thyroid Stimulating Hormone measured in the units mIU/L

    Time frame: 27 weeks

  14. Electrocardiogram QT Interval

    test that checks the QT interval of the heart. This will let us know if the participants have heart abnormalities or if the medication has made changes to the heart of the participant.

    Time frame: 27 weeks

07

Study locations

1 site
  • Parkwood Institute Mental Health Care Building
    London, Ontario N6C 0A7, Canada
08

References and documents

Individual participant data

Plan to share: No

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 Apr 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05299398
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
Mar 29, 2022
Start date
Apr 17, 2025 (estimated)
Primary completion
Aug 31, 2025 (estimated)
Completion
Aug 31, 2025 (estimated)
Last update
Apr 4, 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 ↗

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This study is withdrawn, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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