To evaluate the efficacy of choline alphoscerate on improving symptoms related to depression, anxiety, and subjective memory complaints compared to placebo in patients with Major Depressive Disorder(MDD) accompanied with subjective cognitive decline, who are over the age of 60.
This clinical trial will include the participants over age 60, diagnosed as MDD under treatment of antidepressant longer than 1 month's period, assessed as Hamilton Rating Scale for Depression(HAM-D) ≥ 14, and Mini-Mental State Examination(MMSE) ≥ 20, and those who are accompanied with subjective memory complaints. The investigators will evaluate the clinical efficacy of symptomatic improvement in depression, anxiety, and subjective memory complaints. The investigators will assess these outcomes including memory function, depression, anxiety, and satisfaction on medication with scales comparing control group with treatment group under 8 weeks of medication. This is a multi-center, randomized, double-blind, placebo-controlled, Phase IV trial to evaluate the efficacy. Participants in the treatment group will take the choline alfoscerate as adjunctive therapy with their own antidepressants. Participants in the control group will take the placebo, which would not affect their medical condition, for the adjunctive therapy is the choice of agreement between clinician and participants. If there is the necessity of change in antidepressant or of adjustment of their dosage, investigator can stop the clinical trial and proceed to another treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
120
400mg bid/day
Placebo 1T bid/day
Change of the total score of Korean version of Perceived Deficits Questionnaire-Depression
Change of the total score of Korean version of Perceived Deficits Questionnaire-Depression between the baseline and visit 5, higher scores mean a worse outcome
Time frame: between baseline and 8weeks
The difference between baseline and each period of visit in the score of the first questionnaire of Memory Functioning Questionnaire (MFQ)
first questionnaire of Memory Functioning Questionnaire (MFQ)
Time frame: between baseline and each 2weeks, 4weeks, 6weeks, 8weeks
The difference between baseline and each period of visit in the score of the total Geriatric Depression Scale (GDS)
total Geriatric Depression Scale (GDS), higher scores mean a worse outcome
Time frame: between baseline and each 2weeks, 4weeks, 6weeks, 8weeks
The difference between baseline and each period of visit in the score of the Mini-Mental State Examination(MMSE)
Mini-Mental State Examination(MMSE)
Time frame: between baseline and each 2weeks, 4weeks, 6weeks, 8weeks
The difference between baseline and each period of visit in the score of the Hamilton Rating Scale for Depression(HAM-D)
Hamilton Rating Scale for Depression(HAM-D), normal: 0\~6 score, mild: 7\~18 score, moderate: 18-24 score, severe: above 25 score
Time frame: between baseline and each 2weeks, 4weeks, 6weeks, 8weeks
The difference between baseline and each period of visit in the score of the Hamilton Rating Scale for Anxiety (HAM-A)
Hamilton Rating Scale for Anxiety (HAM-A), mild: below17 score, moderate: 18-24 score, severe: above 30 score
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Time frame: between baseline and each 2weeks, 4weeks, 6weeks, 8weeks
The difference the score
The difference between baseline and each period of visit in the score of the Korea version of montreal cognitive assessment (K-MoCA)
Time frame: between baseline and each 2weeks, 4weeks, 6weeks, 8weeks
The difference between baseline and each period of visit in the score of the total score of Medication Satisfaction Questionnaire (MSQ)
total score of Medication Satisfaction Questionnaire (MSQ)
Time frame: between baseline and each 2weeks, 4weeks, 6weeks, 8weeks
assessement AE
collected all Adverse events
Time frame: between baseline and each 2weeks, 4weeks, 6weeks, 8weeks