Analysis of potentially predictive factors of efficacy of adjunct extended-release quetiapine fumarate in patients with major depressive disorder

Autor: Michael Bauer, Michael E. Thase, Sherry Liu, Willie Earley, Hans Eriksson
Rok vydání: 2014
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
medicine.drug_class
Population
Atypical antipsychotic
Placebo
Severity of Illness Index
Quetiapine Fumarate
Young Adult
Double-Blind Method
Internal medicine
Severity of illness
medicine
Humans
Zusatz
atypisches Antipsychotikum
Quetiapin-Fumarat mit verlängerter Freisetzung
schwere depressive Störung
prädiktive Faktoren

Pharmacology (medical)
ddc:610
Psychiatry
education
Aged
Psychiatric Status Rating Scales
Pharmacology
Depressive Disorder
Major

education.field_of_study
Middle Aged
medicine.disease
Antidepressive Agents
Psychiatry and Mental health
Treatment Outcome
Delayed-Action Preparations
Montgomery–Åsberg Depression Rating Scale
Quetiapine
Major depressive disorder
Drug Therapy
Combination

Female
Psychology
Adjunct
atypical antipsychotic
extended-release quetiapine fumarate
major depressive disorder
predictive factors

Antipsychotic Agents
medicine.drug
Zdroj: Journal of Psychopharmacology. 29:565-574
ISSN: 1461-7285
0269-8811
DOI: 10.1177/0269881114552715
Popis: Identification of predictors of treatment response in patients with major depressive disorder (MDD) may facilitate improved disease management. Data were pooled from two 6-week, double-blind, placebo-controlled studies of extended-release quetiapine (quetiapine XR; 150 or 300 mg/day) as adjunct to ongoing antidepressant therapy. Effects of psychiatric history and baseline demographic and disease characteristics on efficacy outcomes (Week 6 Montgomery Åsberg Depression Rating Scale [MADRS] total score reduction) were evaluated in population subgroups (quetiapine XR both doses pooled, n = 616; placebo, n = 303). Baseline Clinical Global Impressions-Severity (CGI-S) score and previous depressive episodes on Week 6 MADRS total score change, and baseline MADRS individual item scores on Week 6 change in CGI-Improvement score, were also evaluated. No major differences between responders and non-responders to quetiapine XR were observed for patient characteristics or demographic and disease characteristics. No suggestion of a predictive association was found between baseline CGI-S score, number of depressive episodes, and baseline MADRS item scores and efficacy outcomes. These analyses showed no major differences between responders and non-responders, and no predictive association between the parameters assessed and efficacy outcomes for adjunct quetiapine XR in patients with MDD and an inadequate response to prior antidepressant therapy.
Databáze: OpenAIRE