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Study M037

Study name

Zhu HJ 2013

Title

Pharmacometabolomics of response to sertraline and to placebo in major depressive disorder - possible role for methoxyindole pathway

Overall design

The objective of this study was to analyze changes within methoxyindole and kynurenine (KYN) branches of tryptophan pathway to determine whether differential regulation within these branches may contribute to mechanism of variation in response to treatment. Metabolomics approach was used to characterize early biochemical changes in tryptophan pathway and correlated biochemical changes with treatment outcome. Outpatients with major depressive disorder (MDD) were randomly assigned to sertraline (sertraline treatment group; n = 35) or placebo (placebo treatment group; n = 40) in a double-blind 4-week trial; response to treatment was measured using the 17-item Hamilton Rating Scale for Depression (HAMD-17). Targeted electrochemistry based metabolomic platform (LCECA) was used to profile serum samples from MDD patients.

Study Type

Type2;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-IV diagnosed MDD, HAMD-17 > 22

Sample size

75

Tissue

Peripheral; Blood; Serum;

Platform

MS-based; LCECA: Liquid chromatography electrochemical array (LCECA);

MS-based; GC-MS: gas chromatography time-of-flight-mass spectrometry (GCTOF-MS) platform;

PMID

23874572

DOI

10.1371/journal.pone.0068283

Citation

Zhu H, Bogdanov MB, Boyle SH, et al. Pharmacometabolomics of response to sertraline and to placebo in major depressive disorder - possible role for methoxyindole pathway. PLoS One 2013;8(7):e68283.

Metabolite

L-Tryptophan;

L-Methionine;

L-Tyrosine;

5-Hydroxyindoleacetic acid;

Hydroxyphenyllactic acid;

Serotonin;

Hypoxanthine;

Uric acid;

Delta-Tocopherol;

Hydroxykynurenine;

Xanthine;

5-Methoxytryptamine;

Tryptophanol;

p-Hydroxyphenylacetic acid;

3,4-Dihydroxymandelic acid;

Homogentistic acid;

Alpha-Tocopherol;

Melatonin;