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Dopaminergic Therapy

Dopaminergic Therapy for Depression with Anhedonia

Phase 4
Recruiting
Led By Jennifer Felger, PhD
Research Sponsored by Emory University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
men or women, 25-55 years of age
a primary diagnosis of DSM-V MD, current, as diagnosed by the SCID-I;
Timeline
Screening 3 days
Treatment 6 weeks
Follow Up baseline, 1-week of placebo, and 1-week at each dose of l-dopa
Awards & highlights

Study Summary

This trial is looking at a new treatment for people with depression who also have high inflammation and anhedonia. The study will last for 6 weeks, and participants will be given different doses of the treatment (L-DOPA) or a placebo. They will be assessed through various tests and scans (lab tests, medical and psychiatric assessments, neurocognitive testing, functional MRI scans) to see if the treatment is effective.

Who is the study for?
This trial is for men and women aged 25-55 with depression, specifically those experiencing anhedonia (loss of pleasure) and high inflammation. Participants must have a certain score on the PHQ-9 questionnaire, not be on antidepressants or other psychotropic drugs for at least 4 weeks, and have no history of significant medical conditions or substance abuse.Check my eligibility
What is being tested?
The study tests Carbidopa Levodopa's effectiveness against anhedonia in depressed individuals with high inflammation. Over six weeks, participants will receive varying doses of L-DOPA and placebos in different sequences to assess changes in their condition through lab tests, assessments, neurocognitive testing, and brain scans.See study design
What are the potential side effects?
Potential side effects from Carbidopa Levodopa may include nausea, dizziness upon standing up quickly due to low blood pressure (orthostatic hypotension), involuntary movements (dyskinesia), dry mouth, trouble sleeping (insomnia), constipation or diarrhea.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 25 and 55 years old.
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I have been diagnosed with major depression.
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I am between 25 and 55 years old.
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I have been diagnosed with major depression.

Timeline

Screening ~ 3 days
Treatment ~ 6 weeks
Follow Up ~baseline, 1-week of placebo, and 1-week at each dose of l-dopa
This trial's timeline: 3 days for screening, 6 weeks for treatment, and baseline, 1-week of placebo, and 1-week at each dose of l-dopa for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in targeted ventral striatum to ventromedial prefrontal cortex (VS-vmPFC) connectivity
Secondary outcome measures
Change in Effort-Expenditure for Rewards Task (EEfRT)
Change in Hamilton Depression Rating Scale (HAM-D)
Change in Inventory of Depressive Symptomatology- Self-Report (IDS-SR)
+2 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Placebo followed by Carbidopa LevodopaExperimental Treatment2 Interventions
Participants will receive first placebo, and then Carbidopa Levodopa (L-DOPA) at doses ranging from 150 to 450 mg administered at a ratio of 1 mg carbidopa for every 4 mg L-DOPA with a starting dose of 150 mg/day with dose escalation 150 mg/day per week to a final dose of 450 mg/day.
Group II: Carbidopa Levodopa followed by PlaceboExperimental Treatment2 Interventions
Participants will receive first Carbidopa Levodopa at doses ranging from 150 to 450 mg administered at a ratio of 1 mg carbidopa for every 4 mg L-DOPA with a starting dose of 150 mg/day with dose escalation 150 mg/day per week to a final dose of 450 mg/day; and then placebo.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Placebo
1995
Completed Phase 3
~2670
Carbidopa Levodopa
2018
Completed Phase 1
~20

Find a Location

Logistics

Travel, including flights, are covered

Your expenses for travel tickets for this trial will be reimbursed.

Other reimbursement is provided

Other forms of reimbursement are provided for this trial.

Who is running the clinical trial?

Emory UniversityLead Sponsor
1,638 Previous Clinical Trials
2,560,497 Total Patients Enrolled
4 Trials studying Anhedonia
448 Patients Enrolled for Anhedonia
National Institute of Mental Health (NIMH)NIH
2,784 Previous Clinical Trials
2,689,240 Total Patients Enrolled
17 Trials studying Anhedonia
1,841 Patients Enrolled for Anhedonia
Jennifer Felger, PhDPrincipal Investigator - Emory University
Emory University
3 Previous Clinical Trials
187 Total Patients Enrolled
2 Trials studying Anhedonia
130 Patients Enrolled for Anhedonia

Media Library

Carbidopa Levodopa (Dopaminergic Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT04723147 — Phase 4
Anhedonia Research Study Groups: Carbidopa Levodopa followed by Placebo, Placebo followed by Carbidopa Levodopa
Anhedonia Clinical Trial 2023: Carbidopa Levodopa Highlights & Side Effects. Trial Name: NCT04723147 — Phase 4
Carbidopa Levodopa (Dopaminergic Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04723147 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is this trial accepting new participants presently?

"According to clinicaltrials.gov, this research project is still recruiting patients since it was first posted on January 29th 2021 and updated most recently in March 3rd 2022."

Answered by AI

What are the principal applications of Carbidopa Levodopa?

"Carbidopa Levodopa has been empirically proven to treat manganese intoxication, advanced motor fluctuations, and the often uncomfortable symptoms of restless legs syndrome (RLS)."

Answered by AI

What is the approximate enrollment of this research study?

"Affirmative. The clinicaltrials.gov website displays that this experiment, which was initially posted on January 29th 2021, is currently inviting applicants to participate. 35 participants are needed from one medical centre for the study's completion."

Answered by AI

Has Carbidopa Levodopa been certified by the FDA?

"With Phase 4 trial data available, our team has assigned Carbidopa Levodopa a score of 3 in regards to its safety. This drug is already approved for medical use."

Answered by AI

Have any previous investigations explored the effects of Carbidopa Levodopa?

"Currently, 16 trials related to Carbidopa Levodopa are underway. Of those, 4 have reached Phase 3 of the trial process while the majority take place in Austin, Texas. In total 253 sites across North America are conducting studies for this drug."

Answered by AI

What are the criteria for inclusion in this medical study?

"This clinical trial is actively looking for 35 people, aged 25 to 55 and diagnosed with anhedonia. To be eligible for the study, participants must provide written consent, have a DSM-V MD diagnosis that can be verified through SCID-I assessments, have a PHQ-9 score of more than 10; not take any psychotropic medications such as antidepressant or other therapies like mood stabilizers four weeks prior to visit (eight weeks in case of fluoxetine), CRP levels >/=2 mg/L and PHQ-9 Anhedonin Question Score greater than or equal to 2."

Answered by AI

Is this experiment open to individuals over four decades of age?

"This medical trial limits its recruitment to patients aged 25-55. Separately, there are 193 studies available for minors and 978 trials worldwide accepting senior citizens as participants."

Answered by AI

Who else is applying?

How old are they?
18 - 65
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
What state do they live in?
Tennessee
Georgia
What site did they apply to?
Emory University Hospital
How many prior treatments have patients received?
1
0

Why did patients apply to this trial?

How responsive is this trial?

Typically responds via
Phone Call
Most responsive sites:
  1. Emory University Hospital: < 48 hours
Average response time
  • < 2 Days
~11 spots leftby Nov 2025