Depression treatment and A dynamics: A study of Alzheimer s disease risk (ABD Study)
Are you eligible to participate in this study?
You may be eligible for this study if you meet the following criteria:
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Conditions: Depression
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Age: Between 60 Year(s) - 99 Year(s)
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Gender: Male or Female
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Other Inclusion Criteria:
- Male and female subjects, age 60+ years inclusive, at the time of signing the informed consent
- Meeting Structured Clinical Interview (SCID-5-RV) for DSM-5 criteria for Major depressive disorder
- Montgomery-Åsberg Depression Rating Scale (MADRS) = 18
- Have results of a physical examination, neurological examination, vitals, and EKG within normal limits at screening
- Cognitively unimpaired
- Clinical Dementia Rating Scale (CDR) Global of 0
- A score of 85 or greater on the RBANS delayed memory index score
- Fluent in English
- Medically stable with no significant cerebrovascular, neurological, or systemic disease
- Adequate auditory acuity and normal-to-corrected vision
- Have a reliable and competent study partner who can accompany the subject to the Screening Visit to verify absence of impairment in cognitive functions or activities of daily living
- Willing to undergo brain MRI, urine drug screen and blood sampling for routine laboratory testing, lumbar puncture, APOE genotyping and plasma drug levels
- Normal hepatic and renal function
You may not be eligible for this study if the following are true:
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- History of brain tumor, MRI evidence of brain damage or brain disease including significant trauma, hydrocephalus, seizures, or confluent (or more extensive) white matter hyperintensities
- Mental retardation, or other serious neurological disorder
- Subjects with a Fazekas scale >2
- Significant history of alcoholism or drug abuse in the past 2 years
- A current significant risk for suicidality based on the Columbia-Suicide-Severity Rating Scale (C-SSRS)
- Insulin dependent diabetes
- Evidence of clinically relevant or unstable cardiac, pulmonary, endocrine or hematological conditions.
- Any prosthetic devices (e.g., pacemaker or surgical clips) that constitutes a hazard for MRI imaging.
- Positive urine drug screen for illicit drugs.
- History of poor tolerance to, poor response to, or ongoing treatment with escitalopram
- If taking antidepressants, currently taking fluoxetine
- Currently taking medications potentially affecting cognition other than SSRIs; narcotic analgesics,chronic use of medications with anticholinergic activity, Anti-Parkinsonian medications
If you are registered as a volunteer, please log in to contact the study team/express interest in this study.