We hypothesize that AndroGel may offer some relief to subjects with low or borderline testosterone levels who suffer from depression and have failed to respond to a trial of a standard antidepressant. During this nine week, outpatient, double-blind study, male subjects between the ages of 30 and 65 years with treatment-refractory depression and low or borderline low testosterone levels will be treated with either AndroGel or placebo. Following this nine week, double-blind phase, eligible subjects will have the option to continue into a six month, open-label phase during which time all subjects will receive the AndroGel patch.
We will recruit 100 men between the ages of 30 and 65 years who have treatment-refractory depression and low or borderline low testosterone levels for participation in this study. For a period of nine weeks subjects will receive double-blind treatment with either AndroGel (testosterone gel) or placebo. During this double-blind treatment phase subjects will come to McLean Hospital for a total of seven visits. Both clinical assessments (including ratings of your levels of depression and anxiety, quality of life, and visuospatial memory)and laboratory tests will be performed at these visits. Following the nine week, double-blind phase, eligible subjects may enter into a six month, open-label treatment phase in which all subject receive AndroGel. If you participate in the open-label phase, you will be asked to return to the site for 8 visits during the six month period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
100
AndroGel 2.5g and 5g sachets at doses ranging from 10g/day for duration of trial.
Placebo
McLean Hospital
Belmont, Massachusetts, United States
The Chaim Sheba Medical Center
Tel Litwinsky, Israel
21-item Hamilton Depression Rating Scale Score (HAM-D)
The HAM-D generates a score ranging from 0 (no depressive symptoms) to 64 (most severe depression).
Time frame: 9 weeks (1-week placebo lead-in and 8 weeks of blinded medication treatment)
Montgomery Asberg Depression Rating Scale (MADRS)
The Montgomery Asberg Depression Rating Scale (MADRS) is a clinician-assessed scale that rates depressive symptoms on a scale from 0 (no depressive symptoms) to 60 (maximal depressive symptoms).
Time frame: 9 weeks (1 week of placebo lead-in and 8 weeks of blinded medication treatment)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.