Preventing Depression in Methadone Maintenance Patients Receiving Hepatitis C Treatment - 1

National Institutes of Health (NIH)

Status: Completed

Conditions: Hepatitis C; Depressive Disorder, Major

Treatments: Behavioral: Cognitive behavioral treatment for depression

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00218556

NIDA-16797-1

R01-16797-1

Details and patient eligibility

About

The purpose of this study is develop and test a cognitive-behavioral intervention to prevent depression in methadone maintenance patients receiving medical treatment for hepatitis C.

Full description

The purpose of this study is to develop a CBT-D intervention tailored to meet the needs of MMT patients undergoing antiviral treatment for hepatitis C. In the first phase of this project (Year 1), we will develop and pilot the intervention with 20 patients. In the second phase of the project (Years 2 and 3), we will conduct a preliminary, randomized trial with 60 MMT patients to examine the efficacy of the CBT-D intervention relative to standard care condition (SC).

We expect that, relative to the SC condition, participants randomized to the CBT-D condition will have decreased likelihood of depression-related antiviral treatment failure, will report lower levels of depressive symptoms, will complete more IFN injections, will have lower HCV RNA levels, and will have fewer illicit drug use days. If the efficacy of this intervention can be established in this trial and in subsequent clinical trials, MMT patients who elect to undergo antiviral therapy will have a valuable adjunct or alternative to the use of antidepressants to prevent depression. If found to be efficacious, this intervention will maximize the receipt of IFN treatment by MMT patients, thereby aiding in the prevention of liver failure, hepatocellular carcinoma, and liver-related death among those with HCV.

Enrollment: 42 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Currently undergoing HCV treatment at RIH
• Enrolled in MMT for at least 6 months

Exclusion criteria

• Current major depressive episode
• Current suicidality
• Currently taking antidepressant medication
• Received HCV treatment in past

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Depression prevention

Experimental group

Description:

Cognitive behavioral treatment for depression.

Treatment:

Behavioral: Cognitive behavioral treatment for depression

Control

No Intervention group

Description:

Treatment as usual.