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NCT05628467

Association Between Antidepressant Use and Falls in Older Adults: Analysis of the World Health Organization Global Database

Completed Last updated 28 November 2022
What this trial tests

trial testing Antidepressive Agents in Antidepressants Causing Adverse Effects in Therapeutic Use in 100,000 participants. Completed in 1 August 2022.

Timeline
1 July 2022
Primary endpoint
1 August 2022
1 August 2022

Quick facts

Lead sponsorUniversity Hospital, Caen
StatusCompleted
Study typeOBSERVATIONAL
Enrollment100,000
Start date1 July 2022
Primary completion1 August 2022
Estimated completion1 August 2022
Sites1 location across France

Drugs / interventions tested

Conditions studied

Sponsor

University Hospital, Caen

Who can join

Adults 65 to 120, any sex, with Antidepressants Causing Adverse Effects in Therapeutic Use or Fall. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The incidence of fall in older adults aged 65 and over is estimated at 30%, and 50% of the people aged 80 and over with at least one fall a year. Falls are associated with significant morbidity and mortality. The origin falls is often multifactorial, involving intrinsic and extrinsic factors. Few studies have investigated the association with all antidepressants. Potential adverse effects of antidepressants such as hyponatremia, sedation, orthostatic hypotension, extrapyramidal symptoms are known risk factors for falls. Due to multimorbidity, polypharmacy including interaction risks, and aging-related changes in pharmacokinetic and pharmacodynamic of drugs, antidepressants may further increase this risk in older patients. Based on the World Health Organization global database, the main objective of this study is to investigate the association between antidepressants classes and the occurrence of falls reported in the database. A disproportionality analysis will be performed. It will aim to assess whether some classes of antidepressants, and within these classes some molecules, are associated with a greater risk of falls. A mediation analysis will also be performed. It will aim to examine some of the mediators involved in the association between antidepressants classes and falls.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Association between antidepressant drugs and falls in older adults: A mediation analysis in the World Health Organization's pharmacovigilance database.
    Minoc EM, Villain C, Chrétien B, Benbrika S, et al · · 2025 · cited 1× · PMID 40037976 · DOI 10.1016/j.therap.2025.01.004

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