An Open-Label Trial of Riluzole in Patients With Treatment-Resistant Major Depression
OBJECTIVE: This study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression. METHOD: After a 1-week drug-free period, subjects 18 years or older with a diagnosis of recurrent major depression and a Montgomery-Åsberg...
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Published in | The American journal of psychiatry Vol. 161; no. 1; pp. 171 - 174 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Washington, DC
American Psychiatric Publishing
01.01.2004
American Psychiatric Association |
Subjects | |
Online Access | Get full text |
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Abstract | OBJECTIVE: This study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression. METHOD: After a 1-week drug-free period, subjects 18 years or older with a diagnosis of recurrent major depression and a Montgomery-Åsberg Depression Rating Scale score ≥20 received riluzole monotherapy (100-200 mg day) openly for 6 weeks. RESULTS: Nineteen treatment-resistant depressed patients, 53% of whom were classified as having stage 2 treatment resistance or greater, received riluzole at a mean dose of 169 mg day. Significant improvement occurred during weeks 3 through 6 for all patients and weeks 2 through 6 for completers. CONCLUSIONS: Although preliminary, these results indicate that riluzole may have antidepressant properties in some patients. |
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AbstractList | Zarate et al determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression. After discussing the results they conclude that although preliminary, these results indicate that riluzole may have antidepressant properties in some patients. This study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression.OBJECTIVEThis study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression.After a 1-week drug-free period, subjects 18 years or older with a diagnosis of recurrent major depression and a Montgomery-Asberg Depression Rating Scale score > or = 20 received riluzole monotherapy (100-200 mg/day) openly for 6 weeks.METHODAfter a 1-week drug-free period, subjects 18 years or older with a diagnosis of recurrent major depression and a Montgomery-Asberg Depression Rating Scale score > or = 20 received riluzole monotherapy (100-200 mg/day) openly for 6 weeks.Nineteen treatment-resistant depressed patients, 53% of whom were classified as having stage 2 treatment resistance or greater, received riluzole at a mean dose of 169 mg/day. Significant improvement occurred during weeks 3 through 6 for all patients and weeks 2 through 6 for completers.RESULTSNineteen treatment-resistant depressed patients, 53% of whom were classified as having stage 2 treatment resistance or greater, received riluzole at a mean dose of 169 mg/day. Significant improvement occurred during weeks 3 through 6 for all patients and weeks 2 through 6 for completers.Although preliminary, these results indicate that riluzole may have antidepressant properties in some patients.CONCLUSIONSAlthough preliminary, these results indicate that riluzole may have antidepressant properties in some patients. This study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression. After a 1-week drug-free period, subjects 18 years or older with a diagnosis of recurrent major depression and a Montgomery-Asberg Depression Rating Scale score > or = 20 received riluzole monotherapy (100-200 mg/day) openly for 6 weeks. Nineteen treatment-resistant depressed patients, 53% of whom were classified as having stage 2 treatment resistance or greater, received riluzole at a mean dose of 169 mg/day. Significant improvement occurred during weeks 3 through 6 for all patients and weeks 2 through 6 for completers. Although preliminary, these results indicate that riluzole may have antidepressant properties in some patients. OBJECTIVE: This study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression. METHOD: After a 1-week drug-free period, subjects 18 years or older with a diagnosis of recurrent major depression and a Montgomery-Åsberg Depression Rating Scale score ≥20 received riluzole monotherapy (100-200 mg day) openly for 6 weeks. RESULTS: Nineteen treatment-resistant depressed patients, 53% of whom were classified as having stage 2 treatment resistance or greater, received riluzole at a mean dose of 169 mg day. Significant improvement occurred during weeks 3 through 6 for all patients and weeks 2 through 6 for completers. CONCLUSIONS: Although preliminary, these results indicate that riluzole may have antidepressant properties in some patients. |
Author | Luckenbaugh, David Charney, Dennis S. Manji, Husseini K. Quiroz, Jorge Payne, Jennifer L. Zarate, Carlos A. Sporn, Jonathan Denicoff, Kirk K. |
Author_xml | – sequence: 1 givenname: Carlos A. surname: Zarate fullname: Zarate, Carlos A. – sequence: 2 givenname: Jennifer L. surname: Payne fullname: Payne, Jennifer L. – sequence: 3 givenname: Jorge surname: Quiroz fullname: Quiroz, Jorge – sequence: 4 givenname: Jonathan surname: Sporn fullname: Sporn, Jonathan – sequence: 5 givenname: Kirk K. surname: Denicoff fullname: Denicoff, Kirk K. – sequence: 6 givenname: David surname: Luckenbaugh fullname: Luckenbaugh, David – sequence: 7 givenname: Dennis S. surname: Charney fullname: Charney, Dennis S. – sequence: 8 givenname: Husseini K. surname: Manji fullname: Manji, Husseini K. |
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Cites_doi | 10.1038/sj.mp.4001087 10.1016/S0304-3940(01)02098-5 10.1056/NEJM199403033300901 10.1192/bjp.134.4.382 10.1016/S0014-2999(00)00709-3 10.1038/87865 10.4088/JCP.v64n0108 10.1016/S0006-3223(99)00230-9 10.1523/JNEUROSCI.22-08-03251.2002 10.4088/JCP.v60n0203 10.1016/0924-977X(92)90034-6 10.1192/bjp.175.1.12 |
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Snippet | OBJECTIVE: This study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major... This study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression. After a... Zarate et al determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major depression. After discussing the... This study was conducted to determine the efficacy and safety of riluzole, a glutamate-modulating agent, in patients with recurrent major... |
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SubjectTerms | Adolescent Adult Aged Anticonvulsants - administration & dosage Anticonvulsants - therapeutic use Antidepressants Biological and medical sciences Depressive Disorder, Major - diagnosis Depressive Disorder, Major - drug therapy Drug Resistance Drug therapy Female Humans Male Medical sciences Mental depression Middle Aged Neuropharmacology Pharmacology. Drug treatments Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease) Psychology. Psychoanalysis. Psychiatry Psychopharmacology Recurrence Riluzole - administration & dosage Riluzole - therapeutic use Severity of Illness Index Surveys and Questionnaires |
Title | An Open-Label Trial of Riluzole in Patients With Treatment-Resistant Major Depression |
URI | http://dx.doi.org/10.1176/appi.ajp.161.1.171 https://www.ncbi.nlm.nih.gov/pubmed/14702270 https://www.proquest.com/docview/220493502 https://www.proquest.com/docview/80078400 |
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