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Trial registered on ANZCTR
Registration number
ACTRN12621000581864
Ethics application status
Approved
Date submitted
5/03/2021
Date registered
17/05/2021
Date last updated
17/05/2021
Date data sharing statement initially provided
17/05/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Circadian mechanisms for selective serotonin reuptake inhibitor treatment responses
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Scientific title
The effect of selective serotonin reuptake inhibitors on melatonin suppression as a marker of circadian light sensitivity
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Secondary ID [1]
303465
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
LITE - Light informed treatment efficacy
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
depression
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Condition category
Condition code
Mental Health
318598
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
8 weeks of treatment with cipramil 20mg (oral tablet) delivered daily, a selective serotonin reuptake inhibitor.
All patients will undergo at least 8 weeks of treatment before light sensitivity is reassessed, reassessment will take place as close to the 8 week mark as is feasible given patient and resource availability.
Adherence will be monitored daily using a self-report diary.
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Intervention code [1]
319757
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Treatment: Drugs
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Comparator / control treatment
No control group - pre-post design.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Melatonin suppression
Percent melatonin suppression will be calculated by comparing melatonin levels during a 100 lux light exposure to melatonin levels during a dark control (<1 lux).
Melatonin will be assessed from saliva samples taken hourly in the evening using radio-immunoassay (RIA).
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Assessment method [1]
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Timepoint [1]
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Baseline and after 8 weeks of intervention (citalopram treatment)
Saliva samples for melatonin assay will be taken hourly between 3 hours before habitual bedtime, and 3 hours after habitual bedtime (individually timed for each patient).
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Secondary outcome [1]
392023
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Pupil light responses
Sustained pupil responses during darkness following a ~5 minute blue light exposure (monochromatic light, peak nm=480). Assessed using a custom-built desk-mounted pupillometer.
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Assessment method [1]
392023
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Timepoint [1]
392023
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baseline and after 8 weeks of intervention (citalopram treatment)
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Eligibility
Key inclusion criteria
A current diagnosis of depression
Willingness to undergo treatment with citalopram
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Minimum age
18
Years
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Maximum age
30
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Major medical conditions, current use of medications which may affect sleep or circadian rhythms, recent shit-work or travel across time-zones, a history of psychosis or a family history of bipolar disorder, current substance use disorder.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
24/05/2021
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Actual
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Date of last participant enrolment
Anticipated
1/11/2022
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Actual
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Date of last data collection
Anticipated
31/12/2022
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Actual
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Sample size
Target
36
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
33365
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3168 - Notting Hill
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
Wellington Road
Clayton, Victoria, 3800, Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
309343
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None
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Country [1]
309343
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Monash University Human Research Ethics Committee (MUHREC)
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Ethics committee address [1]
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Monash University Human Research Ethics Committee (MUHREC) Room 111, Chancellery Building D, 26 Sports Walk, Clayton Campus Research Office Monash University VIC 3800
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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11/02/2020
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Approval date [1]
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06/04/2020
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Ethics approval number [1]
307882
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22905
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Summary
Brief summary
Depression is a mental illness which is the leading cause of disease burden in middle-income and high-income countries. It is characterised by low mood (i.e., feeling sad or down), loss of interest in or pleasure from things that were previously enjoyable, changes in appetite or weight, fatigue and sleep disturbance, difficulties with different thinking skills, and suicidal thoughts or behaviours. Most people with depression (up to 90%) experience sleep problems, which often precede the onset of mood symptoms. Problems with the circadian system, or ‘body clock,’ can contribute to sleep problems, and may play a role in the development of depression. We have previously found that a single dose of citalopram (an antidepressant) increases the effect of light on the body clock in health persons. This may contribute to variability in treatment outcomes in patient with depression. For example, increased light sensitivity may be beneficial for patients who were previously insensitive to light, or for those who exhibit healthy light exposure patterns (as the positive effects would be enhanced). However, for patients with unhealthy light patterns, or who are already hypersensitive, increased sensitivity due to antidepressant treatment may lead to the exacerbation of symptoms. Here, we aim to investigate the effect of chronic citalopram use on the response of the circadian system to light. Our main outcomes are the suppression of melatonin (a sleep-related hormone) and pupillary markers of light responses.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Sean Cain
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Address
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Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, 18 Innovation Walk, Clayton, VIC, 3800
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Country
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Australia
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Phone
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+61 03 9905 1194
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Elise McGlashan
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Address
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Turner Clinics, 1/270 Ferntree Gully Road, Notting Hill, Victoria, 3168
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Country
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Australia
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Phone
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+61 03 9905 9444
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sean Cain
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Address
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Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, 18 Innovation Walk, Clayton, VIC, 3800
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Country
108808
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Australia
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Phone
108808
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+61 03 9905 1194
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Fax
108808
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Email
108808
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
We do not currently have ethical approval for sharing this kind of data.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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