About this trial
This is a study that will test a predictive biomarker algorithm based on results from a previous study. The goal of this study is to integrate clinical, imaging, EEG, and molecular data across 8 sites to predict treatment outcome for patients experiencing a major depressive episode (MDE).
Eligibility criteria
Qualifiers
Outpatients 18 to 65 years of age.
Meet DSM-5 criteria for MDE in MDD as determined by SCID-5.
Free of psychotropic medications for at least 5 half-lives (e.g. 1 week for most antidepressants, 5 weeks for fluoxetine) before baseline Visit 1 (exceptions: stable use of hypnotics; stable use of stimulants for attention-deficit/hyperactive disorder).
MADRS score ≥ 24.
Disqualifiers
Any diagnosis, other than MDD, that is considered the primary diagnosis.
Bipolar I or Bipolar-II diagnosis.
Presence of a significant Axis II diagnosis (borderline, antisocial).
High suicidal risk, defined by clinician judgment.
Trial design
Treatments tested in this trial
- Escitalopram
- Brexpiprazole
Treatment groups
Sponsors and collaborators
Nova Scotia Health Authority
Lead sponsor
Unity Health Toronto
Collaborator
Centre for Addiction and Mental Health
Collaborator
McMaster University
Collaborator
Queen's University
Collaborator
University of Ottawa
Collaborator
University of British Columbia
Collaborator
University of Calgary
Collaborator
McGill University
Collaborator
Dalhousie University
Collaborator
University of Michigan
Collaborator
Simon Fraser University
Collaborator
Ontario Shores Centre for Mental Health Sciences
Collaborator
University of Saskatchewan
Collaborator