The current study is being conducted in patients with major depression. The study aims to 1) investigate the combined effects of selective serotonin reuptake inhibitor (SSRI) and bupropion compared to SSRI alone on the improvements of depressive symptoms, fatigue, hypersomnia, and neurocognitive functions, 2) observe structural/functional/chemical changes using magnetic resonance imaging (MRI), 3) and examine a relationship between the improvements of depressive symptoms, fatigue, and hypersomnia and the neural changes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
60
Week 0-1: Escitalopram 10mg, Bupropion 150mg Week 2-3: Escitalopram 10mg, Bupropion 300mg Week 4-8: Escitalopram 20mg, Bupropion 300mg
Week 0-3: Escitalopram 10mg Week 4-8: Escitalopram 20mg
Seoul National University Hospital, Biomedical Research Institute
Seoul, Seoul, South Korea
Change from Baseline in Depressive Symptom Scores at 8 Weeks
Time frame: Baseline and at 8 Weeks
Change from Baseline in Depressive Symptom Scores at 4 Weeks
Time frame: Baseline and at 4 Weeks
Change from Baseline in Depressive Symptom Scores at 1 Week
Time frame: Baseline and at 1 Week
Number of Participants with Adverse Events
Time frame: 1 Week
Change from Baseline in Neurocognitive Function as Expressed as Z Scores Transformed Using the Control Group Mean and Distribution Values at 8 Weeks
Time frame: Baseline and 8 Weeks
Changes from Baseline in Brain Structure and Function, Analyzed Using the Computational Approach
Time frame: Baseline and 8 Weeks
Number of Participants with Adverse Events
Time frame: 4 Weeks
Number of Participants with Adverse Events
Time frame: 8 Weeks
Changes in Fatigue Severity Scale scores
Time frame: Week 8
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