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RecruitingNCT05431413Updated Nov 15, 2023

Rapid Improvement of Depression of Fluoxetine Combined With ATP

A Phase 2 interventional study of Control group: Fluoxetine and Placebo and Experimental group: Fluoxetine and ATP in Depression, sponsored by Nanfang Hospital, Southern Medical University. Recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-15.

Sponsored by Nanfang Hospital, Southern Medical University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as recruiting.
  • Registered 2 years 5 months after the study started (first participant enrolled Jan 2020, registered Jun 2022).
  • Started Jan 2020; still recruiting 6 years 9 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
195
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The clinical study is a randomized (1:1:1), double-blind, placebo-controlled clinical study. Recruit patients with moderate to severe depression. After signing the informed consent, patients who meet the inclusion criteria will be randomly assigned to the ATP group (fluoxetine combined with ATP) or phosphocreatine group (fluoxetine combined with phosphocreatine) or control group (fluoxetine combined with 0.9% sodium chloride) to received treatment. Then accessed scale, cognitive function and brain function before treatment and at one, two, and four weeks after treatment to initially explore the safety and efficacy of ATP combined with fluoxetine to rapidly improves moderate to severe depression.

02

Conditions studied

03

In context

Depression

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

This study's planned enrollment of 195 is above the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Nanfang Hospital, Southern Medical University is the lead sponsor of 480 studies on the registry; 212 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Meet DSM-V diagnostic criteria for moderate to severe depression.
  • HAMD-24 scores ≥ 20.
  • 18-65 female or male.
  • Subjects who have not used any antipsychotic drugs, antidepressants, mood stabilizers (sodium valproate, lithium carbonate) or fluoxetine treatment within the first month prior to the start of this study
  • Written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Sufferring from various major mental disorders other than depression (such as bipolar disorder, schizophrenia, personality split, etc.).
  • Individuals with neurological disorders such as dementia.
  • Individuals with a high risk of suicide.
  • Pregnant and lactating women.
  • Individuals with alcohol or drug abuse or dependence within one year prior to the start of this study.
  • Contraindications to MRI.
  • Physician evaluation was not suitable for participants in this study.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
195 participants (estimated)

Study arms

  • Placebo comparator
    Control group: Fluoxetine and Placebo

    Cap Fluoxetin 20mg OD for four weeks and injection 100ml normal saline(NS) BD for two weeks.

    Drug: Control group: Fluoxetine and Placebo

  • Experimental
    Experimental group: Fluoxetine and ATP

    Cap Fluoxetin 20mg OD for four weeks and injection ATP 100mg in NS BD for two weeks.

    Drug: Experimental group: Fluoxetine and ATP

  • Active comparator
    Control group: Fluoxetine and Phosphocreatine

    Cap Fluoxetin 20mg OD for four weeks and injection phosphocreatine(1g) in NS BD for two weeks.

    Drug: Control group: Fluoxetine and Phosphocreatine

Interventions

  • DrugControl group: Fluoxetine and Placebo

    Cap Fluoxetin 20mg OD for four weeks and injection 100ml normal saline(NS) BD for two weeks.

  • DrugExperimental group: Fluoxetine and ATP

    Cap Fluoxetin 20mg OD for four weeks and injection ATP 100mg in NS BD for two weeks.

  • DrugControl group: Fluoxetine and Phosphocreatine

    Cap Fluoxetin 20mg OD for four weeks and injection Phosphocreatine 1g in NS BD for two weeks.

06

What researchers measure

Primary outcomes

  1. Hamilton Depression Scale

    Changes in Hamilton Depression Scale(HAMD-24)

    Time frame: Baseline and one, two, four weeks after treatment

Secondary outcomes

  1. structural brain networks

    Changes in diffusion tensor imaging(DTI)and Diffusion Spectral Imaging(DSI)

    Time frame: Baseline and two, four weeks after treatment

  2. functional brain networks

    Changes in functional magnetic resonance imaging(fMRI)and quantitative susceptibility mapping(QSM)

    Time frame: Baseline and two and four weeks after treatment

  3. Hamilton Anxiety Scale

    Changes in Hamilton Anxiety Scale(HAMA)

    Time frame: Baseline and one, two, four weeks after treatment

  4. Clinical Global Impression

    Changes in Clinical Global Impression(CGI)

    Time frame: Baseline and one, two, four weeks after treatment

  5. Snaith-Hamilton Pleasure Scale

    Changes in Snaith-Hamilton Pleasure Scale(SHAPS)

    Time frame: Baseline and one, two, four weeks after treatment

  6. Insomnia Severity Index

    Changes in Insomnia Severity Index(ISI)

    Time frame: Baseline and one, two, four weeks after treatment

  7. Patient Health Questionnaire

    Changes in Patient Health Questionnaire(PHQ-9)

    Time frame: Baseline and one, two, four weeks after treatment

  8. Columbia-Suicide Severity Rating Scale

    Changes in Columbia-Suicide Severity Rating Scale(C-SSRS)

    Time frame: Baseline and one, two, four weeks after treatment

  9. Antidepressants Side Effects

    Number of Participants with antidepressants side effects(SERS)

    Time frame: Baseline and one, two, four weeks after treatment

  10. C-reaction protein

    Changes in C-reaction protein(CRP)

    Time frame: Baseline and two and four weeks after treatment

  11. Tumor Necrosis Factor α

    Changes in Tumor Necrosis Factor(TNF-α)

    Time frame: Baseline and two and four weeks after treatment

  12. interleukin- 6

    Changes in interleukin- 6(IL-6)

    Time frame: Baseline and two and four weeks after treatment

  13. N-back task

    Changes in reaction time and accuracy

    Time frame: Baseline and two and four weeks after treatment

  14. Stroop task

    Changes in reaction time and accuracy

    Time frame: Baseline and two and four weeks after treatment

  15. Psychomotor vigilance task

    Changes in reaction time and accuracy

    Time frame: Baseline and two and four weeks after treatment

  16. Attention network test

    Changes in reaction time and accuracy

    Time frame: Baseline and two and four weeks after treatment

07

Study locations

1 of 1 sites recruiting
  • Nanfang Hospital, Southern Medical University
    Guangzhou, Guangdong 510515, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05431413
Lead sponsor
Nanfang Hospital, Southern Medical University
Responsible party
Sponsor
First posted
Jun 24, 2022
Start date
Jan 7, 2020
Primary completion
Dec 30, 2025 (estimated)
Completion
Dec 30, 2025 (estimated)
Last update
Nov 15, 2023

Study contacts

Bin Zhang, MD & PhD
Contact
zhang73bin@hotmail.com
86-020-62786731
Qianqian Xin
Contact
xinqianqian0126@163.com
86-020-62786731
Bin Zhang, MD & PhD
principal investigator · Nanfang Hospital, Southern Medical University

Oversight

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

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