A Study to Evaluate Sleep Electroencephalogram (EEG) Features (Brain Activity While Sleeping) in Participants With Major Depressive Disorder (MDD)
Purpose
The purpose of this study is to evaluate sleep in participants with Major Depressive Disorder with moderate to severe insomnia symptoms (MDDIS) or MDD with no or mild insomnia symptoms (non-MDDIS), using an at-home sleep Electroencephalogram (EEG; a device that records brain activity during sleep). The study also aims to examine the association between objective sleep EEG features (measured using devices) and subjective sleep measures (self-reported experiences, such as how a person feels about their sleep) in participants with MDDIS or non-MDDIS.
Condition
- Depressive Disorder, Major
Eligibility
- Eligible Ages
- Between 18 Years and 74 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Participants must be medically stable, based on investigator review of medical history, vital signs (including blood pressure), and clinical judgment. In cases of any medical concern, the investigator has the option to perform local 12-lead electrocardiogram (ECG) or local clinical laboratory testing at screening. This determination must be recorded in the participant's source documents and initialed by the investigator - Meet diagnostic and statistical manual of mental disorders (5th edition) (DSM-5) diagnostic criteria for major depressive disorder (MDD), without psychotic features based upon clinical assessment and confirmed by the structured clinical interview for DSM-5 axis I disorders-clinical trials version (SCID-CT). Must be diagnosed with first depressive episode prior to age 60 - Have had an inadequate response to at least 1 but no more than 2 antidepressants, administered at an adequate dose and duration started in the current episode of depression. The current antidepressant cannot be the first antidepressant treatment for the first lifetime episode of depression. An inadequate response is defined as less than (<) 50 percent (%) reduction but with some improvement (that is, improvement greater than [>] 0%) in depressive symptom severity with residual symptoms present, and overall good tolerability, as assessed by the massachusetts general hospital-antidepressant treatment response questionnaire (MGH-ATRQ). An adequate trial is defined as an antidepressant treatment for at least 6 weeks on a stable dose at or above the minimum therapeutic dose specified in the MGH-ATRQ, and this must include the participant's current antidepressant treatment - Is receiving and tolerating well any one of the following selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI) for depressive symptoms at screening, in any formulation and approved by the Food and Drug Administration (FDA): citalopram, duloxetine, escitalopram, fluvoxamine, fluoxetine, milnacipran, levomilnacipran, paroxetine, sertraline, venlafaxine, desvenlafaxine, vilazodone, or vortioxetine at a stable dose (at therapeutic dose level per MGH-ATRQ) for at least 6 weeks - Has a body mass index (BMI) of 18 to 40 kilograms per meter square (Kg/m^2), inclusive
Exclusion Criteria
- Had major surgery (for example, requiring general anesthesia) within 2 weeks before screening, or will not have fully recovered from surgery, or has surgery planned during the time the participant is expected to participate in the study - Has a history of treatment-resistant MDD, defined as a lack of response to 2 or more adequate antidepressant treatments in the current episode, as indicated by no or minimal (less than or equal to [<=] 25%) improvement in symptoms when treated with an antidepressant of adequate dose (per MGH-ATRQ) and duration (at least 6 weeks) - Has a primary DSM-5 diagnosis of panic disorder, generalized anxiety disorder, social anxiety disorder, or specific phobia which has been the primary focus of psychiatric treatment within the past 2 years. These are allowed as secondary diagnoses if MDD is the primary focus of treatment according to the investigator - Has a history or current diagnosis of a psychotic disorder, bipolar disorder, intellectual disability, autism spectrum disorder, borderline personality disorder, or somatoform disorders - Has cognitive impairment per investigator judgment that would render the informed consent invalid or limit the ability of the participant to comply with the study requirements. Participant has neurodegenerative disorder (for example, alzheimer's disease, vascular dementia, parkinson's disease with clinical evidence of cognitive impairment) or evidence of mild cognitive impairment
Study Design
- Phase
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
| Participants With Major Depressive Disorder with Moderate to Severe Insomnia Symptoms (MDDIS) | The MDDIS cohort includes participants with moderate to severe insomnia symptom severity as measured by clinical outcome assessments during the screening phase. | |
| Participants With MDD With No Or Mild Insomnia Symptoms (Non-MDDIS) | The Non-MDDIS cohort includes participants with no or mild insomnia symptoms as measured by clinical outcome assessments during the screening phase. |
Recruiting Locations
IMA Clinical Research PC 1
Phoenix, Arizona 85012
Phoenix, Arizona 85012
Inland Psychiatric Medical Group Inc
Temecula, California 92591
Temecula, California 92591
Sunwise Clinical Research
Walnut Creek, California 94596
Walnut Creek, California 94596
Velocity Clinical Research
Hallandale, Florida 33009
Hallandale, Florida 33009
Wellness Research Center
Miami, Florida 33135
Miami, Florida 33135
Meridian International Research
Miami Gardens, Florida 33014
Miami Gardens, Florida 33014
Cenexel 1
Tampa, Florida 33613
Tampa, Florida 33613
M3 Wake Research
Sandy Springs, Georgia 30328
Sandy Springs, Georgia 30328
Tekton Research Inc.
Suwanee, Georgia 30024
Suwanee, Georgia 30024
IMA Clinical Research PC
Chicago, Illinois 60634
Chicago, Illinois 60634
Adams Clinical
Boston, Massachusetts 02116
Boston, Massachusetts 02116
Adams Clinical 5
Watertown, Massachusetts 02472
Watertown, Massachusetts 02472
Tekton Research Inc 1
St Louis, Missouri 63128
St Louis, Missouri 63128
M3 Wake Research 1
Las Vegas, Nevada 89146
Las Vegas, Nevada 89146
Adams Clinical 3
New York, New York 10029
New York, New York 10029
Adams Clinical 4
The Bronx, New York 10461
The Bronx, New York 10461
Adams Clinical 1
Philadelphia, Pennsylvania 19104
Philadelphia, Pennsylvania 19104
Adams Clinical 2
DeSoto, Texas 75115
DeSoto, Texas 75115
Alpine Research Organization
Clinton, Utah 84015
Clinton, Utah 84015
Inner Space Research LLC
Orem, Utah 84058
Orem, Utah 84058
Northwest Clinical Research Center
Bellevue, Washington 98007
Bellevue, Washington 98007
More Details
- Status
- Recruiting
- Sponsor
- Janssen Research & Development, LLC