This study is planned to assess the efficacy of SAMEUp versus placebo after six weeks of treatment in subjects characterized by depression symptoms according to ICD-10 (International Classification of Diseases - 10th revision) diagnostic criteria and confirmed by mean of Zung's Self-Rating Depression Scale.
Depression is a common condition of low mood and aversion to activity that can affect a person's thoughts, behaviour, tendencies, feelings, and sense of well-being. Several literature findings suggest that an oral combination of the two food supplements SAMe (S-adenosyl-L-methionine) and probiotic Lactobacillus plantarum might be favourable in relieving some of symptoms of depression, particularly in the mild to moderate forms of this condition. This double blind placebo controlled clinical study aims to evaluate this hypothesis. In particular, the primary objective is to assess, versus placebo, the efficacy of SAMEUp in improving the overall symptomology of depression after 6 weeks of treatment. Subjects with mild to moderate depression were identified according to ICD-10 diagnostic criteria and confirmed by mean of Zung's Self-Rating Depression Scale. SAMEUp, the investigational food supplement, is an oral formulation (tablet) containing S-adenosyl methionine (SAMe) 200 mg and Lactobacillus plantarum HEAL9 1x109 CFU, already notified to the Ministry of Health as food supplement. Placebo is an oral formulation of inert tablet. Placebo and SAMEUp are indistinguishable.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
90
Hippocrates Research
Genoa, Italy
Improvement in the overall depression symptomatology assessed by the Zung's Self-Rating Depression Scale
Absolute change from baseline to six treatment-week of the total score of the Zung's Self-Rating Depression Scale
Time frame: 6 weeks
Improvement in the overall depression symptomatology assessed by the Zung's Self-Rating Depression Scale
Absolute change from baseline to two treatment-week of the total score of the Zung's Self-Rating Depression Scale
Time frame: 2 weeks
Improvement in the core depression symptomatology assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to two treatment-week of the core depressive factor of the Zung's Self-Rating Depression Scale.
Time frame: 2 weeks
Improvement in the core depression symptomatology assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to six treatment-week of the core depressive factor of the Zung's Self-Rating Depression Scale.
Time frame: 6 weeks
Improvement in the patient's cognition assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to two treatment-week of the cognitive factor of the Zung's Self-Rating Depression Scale.
Time frame: 2 weeks
Improvement in the patient's cognition assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to six treatment-week of the cognitive factor of the Zung's Self-Rating Depression Scale.
Time frame: 6 weeks
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Improvement in the anxiety condition assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to two treatment-week of the anxiety factor of the Zung's Self-Rating Depression Scale.
Time frame: 2 weeks
Improvement in the anxiety condition assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to six treatment-week of the anxiety factor of the Zung's Self-Rating Depression Scale.
Time frame: 6 weeks
Improvement in the somatic condition assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to two treatment-week of the somatic factor of the Zung's Self-Rating Depression Scale.
Time frame: 2 weeks
Improvement in the somatic condition assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to six treatment-week of the somatic factor of the Zung's Self-Rating Depression Scale.
Time frame: 6 weeks
Improvement in the overall symptomatology of depression assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to two treatment-week of the total score of the Zung's Self-Rating Anxiety Scale.
Time frame: 2 weeks
Improvement in the overall symptomatology of depression assessed by Zung's Self-Rating Depression Scale
Absolute change from baseline to six treatment-week of the total score of the Zung's Self-Rating Anxiety Scale.
Time frame: 6 weeks
Improvement in the insomnia condition evaluated through the Insomnia Severity Index
Absolute change from baseline to two treatment-week of the total score of the Insomnia Severity Index.
Time frame: 2 weeks
Improvement in the insomnia condition evaluated through the Insomnia Severity Index
Absolute change from baseline to six treatment-week of the total score of the Insomnia Severity Index.
Time frame: 6 weeks
Improvement in IBS (Irritable Bowel Syndrome) symptoms evaluated through the IBS questionnaire
Absolute change from baseline to two treatment-week of the total score of the IBS questionnaire.
Time frame: 2 weeks
Improvement in IBS symptoms evaluated through the IBS questionnaire
Absolute change from baseline to six treatment-week of the total score of the IBS questionnaire.
Time frame: 6 weeks
Improvement in the overall health status as measured by the EQ-5D-3L questionnaire
Absolute change from baseline to two treatment-week of the EQ-5D-3L questionnaire.
Time frame: 2 weeks
Improvement in the overall health status as measured by the EQ-5D-3L questionnaire
Absolute change from baseline to six treatment-week of the EQ-5D-3L questionnaire.
Time frame: 6 weeks
Evaluation of the patient's satisfaction grade
Subject's satisfaction grade at the end of the treatment.
Time frame: 6 weeks
Incidence of adverse events described as per frequency and relationship with the study product
Adverse events occurrence during the study
Time frame: 6 weeks