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RecruitingNCT05851898SNRIUpdated Mar 12, 2026

Serotonin-norepinephrine Reuptake Inhibitor in Prophylaxis of Depression Following Fragility Fractures

A Phase 4 interventional study of Duloxetine 30 mg in Depression in Old Age and Fragility Fracture, sponsored by Wake Forest University Health Sciences. Recruiting at 1 site in United States. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2026-03-12.

Sponsored by Wake Forest University Health Sciences · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Started Apr 2024; still recruiting 2 years 5 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
65 Years and older
Sex
All
01

Study summary

The goal of this pilot study is to learn about the feasibility about prescribing anti-depressants at discharge in patients aged 50 years and older with a lower extremity fragility fracture. The main questions it aims to answer are:

  • What are the obstacles to enrolling patients and prescribing anti-depressants among older adults?
  • Is it possible to start prescribing SNRI medication upon discharge?
  • What is the prevalence of depressive symptoms amongst patients with different types of injuries and weightbearing status?
  • What is a transition of care plan for patients who have geriatric depression and require further care?

Participants will:

  • Undergo screening using the Geriatric Depression Scale
  • Start on Duloxetine 30mg daily at time of discharge
  • Report medication compliance and complete re-screening monthly
  • Complete patient reported outcome measures and 3 months, 6 months, and 1 year
  • Receive a referral to behavioral health, primary care, or psychiatrist for evaluation if they screen positive at any timepoint
Read the detailed description

As with many mental health diagnoses, there continues to be a stigma against receiving treatment and potentially even more so receiving prophylaxis16. Identifying these hurdles at the patient level will allow us to better educate patients and physicians about the benefits of this intervention. Secondly, this pilot study will help us determine if it is possible to start prescribing SNRI medication upon discharge. It will allow us to navigate the procurement of medications through Medicare, prescribing practices at discharge and address patient concerns regarding starting a new medication.

02

Conditions studied

  • Depression in Old Age
  • Fragility Fracture

Keywords

  • Geriatrics
  • Serotonin-norepinephrine
03

In context

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,320 studies on the registry; 199 are open to participants now.

Of its 323 completed or terminated interventional studies of FDA-regulated products, 243 (75%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Geriatric (greater than or equal to 65 years old)
  • Lower extremity fragility fractures managed operatively

Exclusion criteria

Exclusion Criteria:

  • Polytrauma
  • Pathological fractures
  • Patients on hospice
  • Patients with previously diagnosed psychiatric disorders
  • Patients with previously diagnosed dementia
  • Patients already taking Selective serotonin reuptake inhibitors (SSRI)s and Serotonin- norepinephrine reuptake inhibitors (SNRI)s
  • Patients already taking mood stabilizing medication
  • Unable to provide informed consent (no use of a legal authorized representative)
  • Patients with pre-existing life limiting diagnoses (cancer, etc.)
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Duloxetine 30mg

    Duloxetine 30mg daily 90 day supply and 3 refills

    Drug: Duloxetine 30 mg

Interventions

  • DrugDuloxetine 30 mg

    Duloxetine 30mg daily prescribed at discharge

    Also known as: Common brands: Irenka, Cymbalta

06

What researchers measure

Primary outcomes

  1. Geriatric Depression Scale (Short Form) Scores

    This scale will be used as the primary outcome in this study as an indicator of patients who develop depression post-operatively. Scores range from 1-15. A score of 5 or greater indicates depression.

    Time frame: Baseline

  2. Geriatric Depression Scale (Short Form) Scores

    This scale will be used as the primary outcome in this study as an indicator of patients who develop depression post-operatively. Scores range from 1-15. A score of 5 or greater indicates depression.

    Time frame: up to 1 year

Secondary outcomes

  1. PROMIS-29 Subscale Scores - Depression

    The PROMIS-29 scales will be scored using a T-score metric method. A score of 50 points represents the population average for each scale, and 10 points represent one standard deviation. Higher scores means higher depression.

    Time frame: Month 3, Month 6, and Year 1

  2. PROMIS-29 Subscale Scores - Physical Function

    The PROMIS-29 scales will be scored using a T-score metric method. A score of 50 points represents the population average for each scale, and 10 points represent one standard deviation. Possible scores range from 0 to 100, with higher scores representing better health status

    Time frame: Month 3, Month 6, and Year 1

  3. Number of patients who have side effects from the medication

    Number of patients who have side effects from the medication

    Time frame: Baseline, monthly up to 1 year

  4. Number of participants who undergo re-operation

    Number of participants who undergo re-operation

    Time frame: Baseline, monthly up to 1 year

  5. Number of participants who are readmitted to the hospital

    Number of participants who are readmitted to the hospital

    Time frame: Baseline, monthly up to 1 year

  6. Mortality Rate

    Mortality Rate

    Time frame: Baseline, monthly up to 1 year

  7. Number of participants who re-fracture the study injury

    Number of participants who re-fracture

    Time frame: Baseline, monthly up to 1 year

07

Study locations

1 of 1 sites recruiting
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27157, United States
    Recruiting
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 Mar 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05851898
Lead sponsor
Wake Forest University Health Sciences
Responsible party
Sponsor
First posted
May 10, 2023
Start date
Apr 8, 2024
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Mar 12, 2026

Study contacts

Erica Grochowski, MPH
Contact
Erica.Grochowski@advocatehealth.org
704-403-4980
Rachel Seymour, PhD
principal investigator · Wake Forest University Health Sciences

Oversight

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

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