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Study M217

Study name

Sonawalla SB 1999

Title

Compounds containing cytosolic choline in the basal ganglia: a potential biological marker of true drug response to fluoxetine

Overall design

The aim of this study was to examine the relationship between true drug response and choline-creatine ratios in the basal ganglia of depressed patients treated with fluoxetine. The authors evaluated drug-free outpatients with major depression before (n = 41) and after (n = 15) 8 weeks of fluoxetine 20 mg/day treatment, by using proton magnetic resonance spectroscopy. Choline-creatine and N-acetylaspartate-creatine ratios at baseline and after 8 weeks of fluoxetine treatment among patients with true drug response (responder group) and patients with placebo pattern response/nonresponse (nonresponder group) were compared. Patients were assessed weekly by using the Clinical Global Impression (CGI) severity and improvement scales. A score of 1 ("very much improved") or 2 ("much improved") on the CGI improvement scale in any week was considered improved. Metabolite quantification was reported relative to total creatine as the reference peak.

Study Type

Type2;

Type4;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-III-R diagnosed MDD, HAMD-17 >= 16

Sample size

15

Tissue

Central; Brain; Basal ganglia;

Platform

MRS; MRS: Signa 1.5 T scanner (General Electric Medical Systems, Milwaukee);

PMID

10518178

DOI

10.1176/ajp.156.10.1638

Citation

Sonawalla SB, Renshaw PF, Moore CM, et al. Compounds containing cytosolic choline in the basal ganglia: a potential biological marker of true drug response to fluoxetine. Am J Psychiatry 1999;156(10):1638-40.

Metabolite

Choline-containing compounds/(Creatinine and Phosphocreatinine) ratio;