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Study M657

Study name

Sun Y 2020

Title

The relationship between plasma serotonin and kynurenine pathway metabolite levels and the treatment response to escitalopram and desvenlafaxine

Overall design

The aim of this study was to investigate differential associations between the antidepressant treatment outcome to escitalopram versus desvenlafaxine with the pre-treatment and post-treatment-changes in serotonin and kynurenine pathway metabolite levels. The levels of serotonin and of kynurenine pathway metabolites were measured in plasma using liquid chromatography-mass spectrometry (LC-MS) in currently depressed patients with MDD (MDD group, n = 161) at baseline and after 8 weeks of treatment with either escitalopram (escitalopram-treated MDD group, n = 78) or desvenlafaxine (desvenlafaxine-treated MDD group, n = 83), and healthy controls (control group, n = 28). Treatment response was defined conventionally by a reduction of at least 50% in the Hamilton Depression Rating Scale 21 item (HAMD-21) total score from baseline; remission was defined by reaching a post-treatment HAMD-21 score <= 7.

Study Type

Type1;

Type2;

Type4;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Depression; Depression;

Criteria for depression

DSM-V diagnosed MDD, HAMD-21 >= 20

Sample size

189

Tissue

Peripheral; Blood; Plasma;

Platform

MS-based; LC-MS: API 5500 QTRAP detector;

PMID

31978524

DOI

10.1016/j.bbi.2020.01.011

Citation

Sun Y, Drevets W, Turecki G, et al. The relationship between plasma serotonin and kynurenine pathway metabolite levels and the treatment response to escitalopram and desvenlafaxine. Brain Behav Immun. 2020;87:404-412.

Metabolite

Serotonin;

Kynurenine/Tryptophan ratio;

Kynurenic acid/3-Hydroxykynurenine ratio;

Quinolinic acid/Tryptophan ratio;