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An Open-Label, Randomized Controlled Trial of Pramipexole Versus Escitalopram to Treat Major Depressive Disorder (MDD) and Comorbid MDD With Mild Neurocognitive Disorder (MND) in Persons With HIV

Status: Recruiting
Location: See all (40) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

A phase II, randomized, open-label, two-arm clinical trial evaluating the safety and efficacy of pramipexole extended release (ER) versus escitalopram for the treatment of major depressive disorder (MDD) and comorbid MDD with mild neurocognitive disorder (MND) in persons with HIV (PWH). Participants will be assessed comprehensively and briefly at intercurrent visits to monitor for toxicity, response to therapy, and to assess for dose changes. An optional sub-study to evaluate treatment impact on the cerebrospinal fluid (CSF) profile will be conducted in a subset of 36 participants.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• Documented HIV-1 infection.

• Diagnosis of MDD.

• On current ART regimen for at least 90 days prior to study entry with no interruption in treatment greater than 7 consecutive days.

• No plans to change ART while on study.

• Plasma HIV-1 RNA levels of less than 200 copies/mL obtained within 90 days prior to enrollment.

• Study candidates previously treated for depression are eligible provided the study candidate's last dose of antidepressant taken is at least 4 weeks prior to study entry, with the exception of fluoxetine, which the last dose taken must have been at least 8 weeks prior to study entry.

• Laboratory values obtained within 30 days prior to study entry that meet protocol criteria as determined by the site investigator of record.

• Study candidates of child-bearing potential must have a negative serum or urine pregnancy test performed at screening and within 2 days prior to study entry.

• Study candidates of child-bearing potential who are participating in sexual activity that could lead to pregnancy must agree to use at least one highly effective method for contraception.

• Non-focal neurological examination. Study candidates with focal findings should have expert assessment for mass effect prior to the LP.

• Laboratory values that meet LP protocol criteria as determined by the site investigator.

• No history of a positive syphilis testing per local testing algorithms or clinical documentation of prior syphilis treatment.

Locations
United States
Alabama
Alabama CRS
RECRUITING
Birmingham
California
University of California, Los Angeles CARE Center CRS
RECRUITING
Los Angeles
UCSD Antiviral Research Center CRS
RECRUITING
San Diego
University of California, San Francisco HIV/AIDS CRS
RECRUITING
San Francisco
Harbor University of California, Los Angeles Center CRS
RECRUITING
Torrance
Colorado
University of Colorado Hospital CRS
RECRUITING
Aurora
Washington, D.c.
Whitman-Walker Institute, Inc. CRS
RECRUITING
Washington D.c.
Georgia
The Ponce de Leon Center CRS
RECRUITING
Atlanta
Illinois
Northwestern University CRS
NOT_YET_RECRUITING
Chicago
Massachusetts
Massachusetts General Hospital CRS (MGH CRS)
RECRUITING
Boston
Missouri
Washington University Therapeutics (WT) CRS
RECRUITING
St Louis
North Carolina
Chapel Hill CRS
RECRUITING
Chapel Hill
Greensboro CRS
RECRUITING
Greensboro
New Jersey
New Jersey Medical School Clinical Research Center CRS (Site ID 31786)
RECRUITING
Newark
New York
Columbia Physicians & Surgeons (P&S) CRS
NOT_YET_RECRUITING
New York
Weill Cornell Chelsea CRS
NOT_YET_RECRUITING
New York
Weill Cornell Uptown CRS
NOT_YET_RECRUITING
New York
University of Rochester Adult HIV Therapeutic Strategies Network CRS
NOT_YET_RECRUITING
Rochester
Ohio
Cincinnati CRS
RECRUITING
Cincinnati
Case CRS
NOT_YET_RECRUITING
Cleveland
Ohio State University CRS
RECRUITING
Columbus
Pennsylvania
Penn Therapeutics CRS
RECRUITING
Philadelphia
University of Pittsburgh CRS
RECRUITING
Pittsburgh
Tennessee
Vanderbilt Therapeutics (VT) CRS
NOT_YET_RECRUITING
Nashville
Texas
Houston Advancing Research Team CRS
NOT_YET_RECRUITING
Houston
Other Locations
Botswana
Gaborone CRS
NOT_YET_RECRUITING
Gaborone
Brazil
Instituto de Pesquisa Clinica Evandro Chagas (IPEC) CRS
NOT_YET_RECRUITING
Rio De Janeiro
India
Byramjee Jeejeebhoy Medical College (BJMC) CRS
NOT_YET_RECRUITING
Pune
Kenya
Moi University Clinical Research Center (MUCRC) CRS
NOT_YET_RECRUITING
Eldoret
Kenya Medical Research Institute/Walter Reed Project Clinical Research Center (KEMRI/WRP) CRS
NOT_YET_RECRUITING
Kericho
Malawi
Blantyre CRS
NOT_YET_RECRUITING
Blantyre
Mexico
Nutrición-Mexico CRS
NOT_YET_RECRUITING
Mexico City
Peru
Barranco CRS
NOT_YET_RECRUITING
Lima
Philippines
De La Salle Medical and Health Sciences Institute - Angelo King Medical Research Center (DLSMHSI-AKMRC)
NOT_YET_RECRUITING
Dasmariñas
South Africa
Durban International CRS
NOT_YET_RECRUITING
Mount Edgecombe
Thailand
Chiang Mai University HIV Treatment (CMU HIV Treatment) CRS
NOT_YET_RECRUITING
Chiang Mai
Thai Red Cross AIDS Research Centre (TRC-ARC) CRS
NOT_YET_RECRUITING
Pathum Wan
Uganda
Joint Clinical Research Centre (JCRC)/Kampala CRS
NOT_YET_RECRUITING
Kampala
Viet Nam
Hanoi Medical University (HMU)
NOT_YET_RECRUITING
Hanoi
Zimbabwe
Milton Park CRS
NOT_YET_RECRUITING
Milton Park
Time Frame
Start Date: 2026-04-30
Estimated Completion Date: 2026-12-02
Participants
Target number of participants: 186
Treatments
Experimental: Arm 1: Pramipexole ER
Experimental: Arm 2: Escitalopram
Related Therapeutic Areas
Sponsors
Leads: National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators: Cipla Ltd.

This content was sourced from clinicaltrials.gov