Literature DB >> 26279130

The VA augmentation and switching treatments for improving depression outcomes (VAST-D) study: Rationale and design considerations.

Somaia Mohamed1, Gary R Johnson2, Julia E Vertrees3, Peter D Guarino4, Kimberly Weingart5, Ilanit Tal Young5, Jean Yoon6, Theresa C Gleason7, Katherine A Kirkwood2, Amy M Kilbourne8, Martha Gerrity9, Stephen Marder10, Kousick Biswas11, Paul Hicks12, Lori L Davis13, Peijun Chen14, AlexandraMary Kelada5, Grant D Huang15, David D Lawrence2, Mary LeGwin2, Sidney Zisook5.   

Abstract

Because two-thirds of patients with Major Depressive Disorder do not achieve remission with their first antidepressant, we designed a trial of three "next-step" strategies: switching to another antidepressant (bupropion-SR) or augmenting the current antidepressant with either another antidepressant (bupropion-SR) or with an atypical antipsychotic (aripiprazole). The study will compare 12-week remission rates and, among those who have at least a partial response, relapse rates for up to 6 months of additional treatment. We review seven key efficacy/effectiveness design decisions in this mixed "efficacy-effectiveness" trial.
Copyright © 2015. Published by Elsevier Ireland Ltd.

Entities:  

Keywords:  Antidepressants; Antipsychotics; Major depression; Methodology; Study design; Treatment resistance

Mesh:

Substances:

Year:  2015        PMID: 26279130     DOI: 10.1016/j.psychres.2015.08.005

Source DB:  PubMed          Journal:  Psychiatry Res        ISSN: 0165-1781            Impact factor:   3.222


  7 in total

1.  Antipsychotic Prescriptions Among Adults With Major Depressive Disorder in Office-Based Outpatient Settings: National Trends From 2006 to 2015.

Authors:  Taeho Greg Rhee; Somaia Mohamed; Robert A Rosenheck
Journal:  J Clin Psychiatry       Date:  2018 Mar/Apr       Impact factor: 4.384

2.  Older Adults' Perspectives on Clinical Research: A Focus Group and Survey Study.

Authors:  Eric J Lenze; Alex Ramsey; Patrick J Brown; Charles F Reynolds; Benoit H Mulsant; Helen Lavretsky; Steven P Roose
Journal:  Am J Geriatr Psychiatry       Date:  2016-07-29       Impact factor: 4.105

3.  Psychotropic polypharmacy reconsidered: Between-class polypharmacy in the context of multimorbidity in the treatment of depressive disorders.

Authors:  Taeho Greg Rhee; Robert A Rosenheck
Journal:  J Affect Disord       Date:  2019-04-08       Impact factor: 4.839

4.  Predictability of Nonremitting Depression After First 2 Weeks of Antidepressant Treatment: A VAST-D Trial Report.

Authors:  Paul B Hicks; Varadan Sevilimedu; Gary R Johnson; Ilanit Tal; Peijun Chen; Lori L Davis; Julia E Vertrees; Somaia Mohamed; Sidney Zisook
Journal:  Psychiatr Res Clin Pract       Date:  2019-10-03

5.  Effect of Antidepressant Switching vs Augmentation on Remission Among Patients With Major Depressive Disorder Unresponsive to Antidepressant Treatment: The VAST-D Randomized Clinical Trial.

Authors:  Somaia Mohamed; Gary R Johnson; Peijun Chen; Paul B Hicks; Lori L Davis; Jean Yoon; Theresa C Gleason; Julia E Vertrees; Kimberly Weingart; Ilanit Tal; Alexandra Scrymgeour; David D Lawrence; Beata Planeta; Michael E Thase; Grant D Huang; Sidney Zisook; Sanjai D Rao; Patricia D Pilkinton; James A Wilcox; Ali Iranmanesh; Mamta Sapra; George Jurjus; James P Michalets; Muhammed Aslam; Thomas Beresford; Keith D Anderson; Ronald Fernando; Sriram Ramaswamy; John Kasckow; Joseph Westermeyer; Gihyun Yoon; D Cyril D'Souza; Gunnar Larson; William G Anderson; Mary Klatt; Ayman Fareed; Shabnam I Thompson; Carlos J Carrera; Solomon S Williams; Timothy M Juergens; Lawrence J Albers; Clifford S Nasdahl; Gerardo Villarreal; Julia L Winston; Cristobal A Nogues; K Ryan Connolly; Andre Tapp; Kari A Jones; Gauri Khatkhate; Sheetal Marri; Trisha Suppes; Joseph LaMotte; Robin Hurley; Aimee R Mayeda; Alexander B Niculescu; Bernard A Fischer; David J Loreck; Nicholas Rosenlicht; Steven Lieske; Mitchell S Finkel; John T Little
Journal:  JAMA       Date:  2017-07-11       Impact factor: 56.272

6.  Pharmacological interventions for treatment-resistant depression in adults.

Authors:  Philippa Davies; Sharea Ijaz; Catherine J Williams; David Kessler; Glyn Lewis; Nicola Wiles
Journal:  Cochrane Database Syst Rev       Date:  2019-12-17

7.  Clinical trials proposed for the VA Cooperative Studies Program: Success rates and factors impacting approval.

Authors:  David R Burnaska; Grant D Huang; Timothy J O'Leary
Journal:  Contemp Clin Trials Commun       Date:  2021-07-09
  7 in total

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