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Pharmacist Guided Pre-emptive Pharmacogenetic Testing in Antidepressant Therapy

RecruitingNAAges 18 Years - anyAllPD Dr. med. Thorsten Mikoteit
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In plain words

What the trial is, and whether it could suit you

In this study at the Solothurn Psychiatric Clinic, the investigators compare the effectiveness and tolerability of antidepressant pharmacotherapy in three groups. In the intervention group, the physician selects and doses the medication for depression based on a pharmacogenetic examination conducted by a clinical pharmacist. In the standard group, the treating physician selects and doses the antidepressant drug without the support of genetic testing, in accordance with current standard practice. If after the first week of hopsitalization no adjustment to a new antidepressant is necessary, the investigators will monitor the progress of these patients until they leave the clinic in an observational arm. The drugs used are all approved in Switzerland for the treatment of depression. Classification into the intervention or standard group is made randomly after the first week of hospitalisati

Sign in to get the eligibility rules as simple questions to take to your doctor.

📋 Eligibility rules (as published)
Inclusion Criteria: * ≥ 18 years old * Diagnosis unipolar moderate or severe depressive episode or recurrent depressive disorder (ICD10: F32.1/32.2/33.1/33.2) * HAM-D17 ≥ 17 Exclusion Criteria: * Acute suicide risk * Psychotic symptomatology * Other acute serious psychiatric disorder other than depression * Excessive consumption of alcohol and/or drugs * Severe acute - or severe chronic somatic diseases * Pregnant / lactating women * Under current treatment with fluoxetine
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What it tests

  • Pharmacist-guided pharmacogenetic (PGx) testing for antidepressant selection and dosing
  • Standard care antidepressant selection and dosing
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Where

4 sites
Privatklinik Wyss
Münchenbuchsee, Switzerland
Psychiatrische Dienste Solothurn
Solothurn, Switzerland
Luzerner Psychiatrie AG
Sankt Urban, Switzerland
Psychiatrische Universitätsklinik Zürich
Zurich, Switzerland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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