The objective of the study is to compare the effect of a 6-week supplementation with a dietary supplement based on plant extracts to the effect of placebo, in patients with a moderate depressive episode (F32.1 by ICD10 definition) and with moderate symptoms (score HAM-D ≥ 16 and ≤ 23).
Longitudinal, comparative, randomized, placebo-controlled interventional study in 2 parallel groups, double-blind, monocentre, aimed at demonstrating the superiority of the combination of plants over placebo on depressive symptoms. Each patient will be followed for a maximum of 6 weeks, with 3 visits to the doctor.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
126
Dietary supplement under study is based on Rhodiola rosea L. and Crocus sativus L. extracts
Placebo of the dietary supplement
CICN - Université Catholique de Louvain
Louvain-la-Neuve, Belgium
Evolution of depressive symptoms through Hamilton Depression Scale (HAM-D) at the end of the study
Score HAM-D at D42, adjusted to the value at D0 minimum = 0 and maximum = 53 higher score means a worse outcome
Time frame: 42 days
Evolution of depressive symptoms through HAM-D during the study
Evolution of score HAM-D between D0, D21 and D42
Time frame: 42 days
Evolution of depressive symptoms through HAM-D sub-scores during the study
Evolution of sub-scores HAM-D between D0, D21 and D42
Time frame: 42 days
Rate of responding participants (decrease of ≥ 3 points) at D21
HAM-D score showing a decrease of ≥ 3 points compared to D0
Time frame: 21 days
Rate of responding participants (decrease of ≥ 3 points) at D42
HAM-D score showing a decrease of ≥ 3 points compared to D0
Time frame: 42 days
Rate of responding participants (decrease of ≥ 5 points) at D21
HAM-D score showing a decrease of ≥ 5 points compared to D0
Time frame: 21 days
Rate of responding participants (decrease of ≥ 5 points) at D42
HAM-D score showing a decrease of ≥ 5 points compared to D0
Time frame: 42 days
Rate of participants in remission at D21
score HAM-D ≤ 7
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Time frame: 21 days
Rate of participants in remission at D42
score HAM-D ≤ 7
Time frame: 42 days
Evolution of depressive symptoms through Hospital Anxiety and Depression Scale - Depression (HADS-D) during the study
Evolution of sub-scores HADS-D between D0, D21 and D42 minimum = 0 and maximum = 21 higher score means a worse outcome
Time frame: 42 days
Evolution of depressive symptoms through Hospital Anxiety and Depression Scale - Anxiety (HADS-A) during the study
Evolution of sub-scores HADS-A between D0, D21 and D42 minimum = 0 and maximum = 21 higher score means a worse outcome
Time frame: 42 days
Evolution of physician's general impression of the symptoms during the study
Evolution of Clinical Global Impression-Severity (CGI-S) between D0, D21 and D42 minimum = 1 and maximum = 7 higher score means a worse outcome
Time frame: 42 days
Evolution of physician's general impression of the symptoms evolution during the study
Evolution of Clinical Global Impression-Improvement (CGI-I) between D0, D21 and D42 minimum = 1 and maximum = 7 higher score means a worse outcome
Time frame: 42 days
Evolution of patient's general impression of the symptoms evolution during the study
Evolution of Patient Global Impression-Improvement (PGI-I) between D0, D21 and D42 minimum = 1 and maximum = 7 higher score means a worse outcome
Time frame: 42 days
Adverse events
Number and type of adverse events
Time frame: 42 days
Evolution of patient's functional disability in his or her professional, social and family life during the study
Evolution of Sheehan Disability Score (SDS) between D0, D21 and D42 minimum = 0 and maximum = 44 higher score means a worse outcome
Time frame: 42 days
Patient satisfaction with complementation at D21
5-point Likert scale (minimum = 1 and maximum = 5) higher score means a better satisfaction
Time frame: 21 days
Patient satisfaction with complementation at D42
5-point Likert scale
Time frame: 42 days
Number of intercurrent visits
Number of intercurrent visits
Time frame: 42 days
Concomitant drug use
Number and type of concomitant drugs
Time frame: 42 days
Compliance at D21
Counting of therapeutic units at D21
Time frame: 21 days
Compliance at D42
Counting of therapeutic units at D42
Time frame: 42 days
Management prescribed or advised at the end of follow-up
Rate of participants on the same dietary supplement, antidepressant medication, other or without treatment at the end of the study
Time frame: 42 days