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Effects of Cerebral Hypoperfusion and Its Reversal on Late-Life Depression
This pilot proposal will test the hypothesis that altered cerebral vessel reactivity and cerebral hypoperfusion (decreased blood flow to the brain) is a core mechanism underlying the relationship between vascular disease and depression in older adults. The long-term objective of this line of research is to: A) determine the relationship between vascular reactivity, cerebral hypoperfusion and the persistence of late-life depression and B) determine if improving cerebral perfusion with angiotensin receptor blockers (ARBs) improves depression outcomes.
Details
| Lead sponsor | Vanderbilt University |
|---|---|
| Phase | Phase 4 |
| Status | TERMINATED |
| Enrolment | 1 |
| Start date | 2013-05 |
| Completion | 2015-03 |
Conditions
- Depression
- Hypertension
Interventions
- Sertraline
- Candesartan
Primary outcomes
- MRI Arterial Spin Labeling — Change in perfusion from baseline to week 8
MRI arterial spin labeling is a noninvasive approach to measuring cerebral blood flow. This relates to the Phase 1 sertraline arm. - Montgomery Asberg Depression Rating Scale (MADRS) — Week 8
MADRS is a measure of depression severity. This outcome applies to the sertraline Phase 1 arm.
Countries
United States