Page last updated: 2024-10-17

bupropion and Depressive Disorder, Treatment-Resistant

bupropion has been researched along with Depressive Disorder, Treatment-Resistant in 16 studies

Bupropion: A propiophenone-derived antidepressant and antismoking agent that inhibits the uptake of DOPAMINE.
bupropion : An aromatic ketone that is propiophenone carrying a tert-butylamino group at position 2 and a chloro substituent at position 3 on the phenyl ring.

Depressive Disorder, Treatment-Resistant: Failure to respond to two or more trials of antidepressant monotherapy or failure to respond to four or more trials of different antidepressant therapies. (Campbell's Psychiatric Dictionary, 9th ed.)

Research Excerpts

ExcerptRelevanceReference
"US Clinical Trials registration was systematically searched for studies examining the effects of dextromethorphan in mood disorders."9.41Combinations of dextromethorphan for the treatment of mood disorders - a review of the evidence. ( Iosifescu, DV; Parincu, Z, 2023)
"Esketamine is a novel treatment for treatment resistant depression (TRD) and was approved by the FDA in early 2019."8.12Adjunctive dopaminergic enhancement of esketamine in treatment-resistant depression. ( Cook, J; Halaris, A, 2022)
"US Clinical Trials registration was systematically searched for studies examining the effects of dextromethorphan in mood disorders."5.41Combinations of dextromethorphan for the treatment of mood disorders - a review of the evidence. ( Iosifescu, DV; Parincu, Z, 2023)
"Esketamine is a novel treatment for treatment resistant depression (TRD) and was approved by the FDA in early 2019."4.12Adjunctive dopaminergic enhancement of esketamine in treatment-resistant depression. ( Cook, J; Halaris, A, 2022)
"Patients diagnosed with PTSD showed more severe depressive symptoms at baseline and were less likely to achieve either remission or response by 12 weeks."2.94Impact of Concurrent Posttraumatic Stress Disorder on Outcomes of Antipsychotic Augmentation for Major Depressive Disorder With a Prior Failed Treatment: VAST-D Randomized Clinical Trial. ( Aslam, M; Chen, P; Davis, L; Hicks, PB; Iranmanesh, A; Johnson, GR; Jurjus, G; Lauro, K; Michalets, J; Mohamed, S; Pilkinton, P; Rao, SD; Sapra, M; Sevilimedu, V; Thase, M; Wilcox, JA; Zisook, S, 2020)
"Approximately 50% of patients with major depressive disorder do not respond adequately to their antidepressant treatment, underscoring the need for more effective treatment options."2.84Switching from Inadequate Adjunctive or Combination Treatment Options to Brexpiprazole Adjunctive to Antidepressant: An Open-Label Study on the Effects on Depressive Symptoms and Cognitive and Physical Functioning. ( Baker, RA; Fava, M; Matsushima, Y; Okame, T; Perry, P; Weiller, E, 2017)
"Overall, both treatments significantly improved depressive symptoms without causing serious adverse events."2.84Comparison of the Efficacy and Safety of Aripiprazole Versus Bupropion Augmentation in Patients With Major Depressive Disorder Unresponsive to Selective Serotonin Reuptake Inhibitors: A Randomized, Prospective, Open-Label Study. ( Cheon, EJ; Koo, BH; Lee, JH; Lee, KH; Lee, SJ; Park, YW; Sung, HM, 2017)
"Bupropion is an antidepressant agent usually reserved as an augmentation strategy for treatment-resistant depression."1.42Hyponatraemia and confusion in a 70-year-old female when bupropion was added to dothiepin and escitalopram. ( Balasubramanian, T; Ferraro, A; Wiggins, A, 2015)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's11 (68.75)24.3611
2020's5 (31.25)2.80

Authors

AuthorsStudies
Cook, J1
Halaris, A1
Parincu, Z1
Iosifescu, DV1
Ebell, MH1
Mohamed, S2
Johnson, GR2
Sevilimedu, V1
Rao, SD1
Hicks, PB1
Chen, P2
Lauro, K1
Jurjus, G1
Pilkinton, P1
Davis, L1
Wilcox, JA2
Iranmanesh, A2
Sapra, M2
Aslam, M1
Michalets, J1
Thase, M1
Zisook, S2
Weissman, CR1
Hadas, I1
Yu, D1
Jones, B1
Kong, D1
Mulsant, BH2
Blumberger, DM2
Daskalakis, ZJ1
Cristancho, P1
Lenard, E1
Lenze, EJ1
Miller, JP1
Brown, PJ1
Roose, SP1
Montes-Garcia, C1
Lavretsky, H2
Rollman, BL1
Reynolds, CF1
Karp, JF1
Wiggins, A1
Balasubramanian, T1
Ferraro, A1
Liu, YW1
Chang, C1
Chen, TY1
Chang, HA1
Kao, YC1
Tzeng, NS1
Fawcett, J1
Rush, AJ1
Vukelich, J1
Diaz, SH1
Dunklee, L1
Romo, P1
Yarns, BC1
Escalona, R1
Tal, I1
Weingart, K1
Hicks, P1
Davis, LL1
Yoon, J1
Vertrees, JE1
Rao, S1
Pilkinton, PD1
Huang, GD1
Arandjelovic, K1
Eyre, HA1
Li, QS1
Tian, C1
Seabrook, GR1
Drevets, WC1
Narayan, VA1
Fava, M1
Okame, T1
Matsushima, Y1
Perry, P1
Weiller, E1
Baker, RA1
Cheon, EJ1
Lee, KH1
Park, YW1
Lee, JH1
Koo, BH1
Lee, SJ1
Sung, HM1
Gaynes, BN1
Dusetzina, SB1
Ellis, AR1
Hansen, RA1
Farley, JF1
Miller, WC1
Stürmer, T1
Quante, A1
Zeugmann, S1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
CSP #576 - VA Augmentation and Switching Treatments for Improving Depression Outcomes (VAST-D)[NCT01421342]Phase 31,522 participants (Actual)Interventional2012-12-31Completed
A Pilot Study of a Single Infusion of Ketamine in Relief of Depressive Symptoms of Elderly Patients With Visual Impairment.[NCT03473431]90 participants (Actual)Interventional2018-04-15Completed
A Phase 3b, Multicenter, Open-label Exploratory Trial to Evaluate the Efficacy, Safety, and Subject Satisfaction With Brexpiprazole as Adjunctive Therapy in the Treatment of Adults With Major Depressive Disorder and an Inadequate Response to Previous Adju[NCT02012218]Phase 361 participants (Actual)Interventional2013-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Rate of Protocol Relapse of Symptoms of Major Depression After Achieving Remission in the Acute Phase

Relapse in symptoms of major depression defined as a QIDS-C16 => 11 among those achieving remission in the acute phase. (NCT01421342)
Timeframe: Within 36 weeks after randomization (initiation of treatment)

InterventionParticipants (Count of Participants)
Switching: Bupropion-SR26
Augmenting: Antidepressant + Bupropion-SR35
Augmenting: Antidepressant + Aripiprazole37

Rate of Protocol Remission of Symptoms of Major Depressive Disorder

Remission of symptoms of major depression during the acute treatment phase (12 weeks) defined as a sustained clinician-rated Quick Inventory of Depressive Symptoms (QIDS-C16) of <= 5 for two consecutive visits. (NCT01421342)
Timeframe: During acute phase (12 weeks)

InterventionParticipants (Count of Participants)
Switching: Bupropion-SR114
Augmenting: Antidepressant + Bupropion-SR136
Augmenting: Antidepressant + Aripiprazole146

Rate of Protocol Response as Reduction in Symptoms of Major Depression (>= 50% Reduction in QIDS-C)

Response measured as reduction in symptom score for major depression defined as: 1. a reduction in QIDS-C16 of 50% or greater (NCT01421342)
Timeframe: During acute phase (up to 12 weeks)

InterventionParticipants (Count of Participants)
Switching: Bupropion-SR319
Augmenting: Antidepressant + Bupropion-SR332
Augmenting: Antidepressant + Aripiprazole375

Rate of Protocol Response Measured as a Change in Clinical Global Impression (CGI) - Improvement Scale

Clinical assessment of a participant's level of depression and treatment response assessed by the Clinical Global Impression - Improvement (CGI -I) Scale, a 7-point clinician rating scale of improvement from baseline in severity of depression (Guy 1976). A secondary outcome measure of response was defined as achieving a score of 2 (much improved) or 1 (very much improved). (NCT01421342)
Timeframe: During acute phase (up to 12 weeks)

InterventionParticipants (Count of Participants)
Switching: Bupropion-SR356
Augmenting: Antidepressant + Bupropion-SR376
Augmenting: Antidepressant + Aripiprazole400

Mean Change From Baseline to Week 6 in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

"The MADRS was used as the primary efficacy assessment of level of depression. The MADRS was administered using the Structured Interview Guide for the MADRS. Detailed instructions were provided.The MADRS consists of 10 items each, with 7 defined grades of severity (ie, 0 to 6, with 0 being the best rating and 6 being the worst rating). The MADRS total score is the sum of ratings for all 10 items; therefore, possible total scores range from 0 to 60. The MADRS total score least squares (LS) mean changes from baseline to Week 6 is mentioned below." (NCT02012218)
Timeframe: Baseline and Week 6

InterventionUnits on a scale (Least Squares Mean)
Group 1A-12.8
Group 1B-18.4
Group 2-19.5
Group 3-19.2
Group 4-16.8

Reviews

1 review available for bupropion and Depressive Disorder, Treatment-Resistant

ArticleYear
Combinations of dextromethorphan for the treatment of mood disorders - a review of the evidence.
    Expert review of neurotherapeutics, 2023, Volume: 23, Issue:3

    Topics: Adult; Bipolar Disorder; Bupropion; Depressive Disorder, Major; Depressive Disorder, Treatment-Resis

2023

Trials

6 trials available for bupropion and Depressive Disorder, Treatment-Resistant

ArticleYear
Impact of Concurrent Posttraumatic Stress Disorder on Outcomes of Antipsychotic Augmentation for Major Depressive Disorder With a Prior Failed Treatment: VAST-D Randomized Clinical Trial.
    The Journal of clinical psychiatry, 2020, 06-23, Volume: 81, Issue:4

    Topics: Adolescent; Adult; Antidepressive Agents; Aripiprazole; Bupropion; Depressive Disorder, Major; Depre

2020
Optimizing Outcomes of Treatment-Resistant Depression in Older Adults (OPTIMUM): Study Design and Treatment Characteristics of the First 396 Participants Randomized.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2019, Volume: 27, Issue:10

    Topics: Aged; Antidepressive Agents; Aripiprazole; Bupropion; Depressive Disorder, Treatment-Resistant; Huma

2019
Characteristics of U.S. Veteran Patients with Major Depressive Disorder who require "next-step" treatments: A VAST-D report.
    Journal of affective disorders, 2016, Volume: 206

    Topics: Adult; Aged; Aged, 80 and over; Antidepressive Agents; Aripiprazole; Bupropion; Comorbidity; Depress

2016
Switching from Inadequate Adjunctive or Combination Treatment Options to Brexpiprazole Adjunctive to Antidepressant: An Open-Label Study on the Effects on Depressive Symptoms and Cognitive and Physical Functioning.
    The international journal of neuropsychopharmacology, 2017, 01-01, Volume: 20, Issue:1

    Topics: Antidepressive Agents; Aripiprazole; Bupropion; Central Nervous System Stimulants; Cognition; Depres

2017
Comparison of the Efficacy and Safety of Aripiprazole Versus Bupropion Augmentation in Patients With Major Depressive Disorder Unresponsive to Selective Serotonin Reuptake Inhibitors: A Randomized, Prospective, Open-Label Study.
    Journal of clinical psychopharmacology, 2017, Volume: 37, Issue:2

    Topics: Adult; Antipsychotic Agents; Aripiprazole; Bupropion; Depressive Disorder, Major; Depressive Disorde

2017
Treating depression after initial treatment failure: directly comparing switch and augmenting strategies in STAR*D.
    Journal of clinical psychopharmacology, 2012, Volume: 32, Issue:1

    Topics: Adolescent; Adult; Aged; Antidepressive Agents, Second-Generation; Bupropion; Buspirone; Citalopram;

2012

Other Studies

9 other studies available for bupropion and Depressive Disorder, Treatment-Resistant

ArticleYear
Adjunctive dopaminergic enhancement of esketamine in treatment-resistant depression.
    Progress in neuro-psychopharmacology & biological psychiatry, 2022, 12-20, Volume: 119

    Topics: Bupropion; Depression; Depressive Disorder, Treatment-Resistant; Dopamine; Humans; Ketamine; N-Methy

2022
Augmentation With Aripiprazole or Bupropion, or a Switch to Nortriptyline, Effective for Treatment-Resistant Depression in Older Adults.
    American family physician, 2023, Volume: 108, Issue:3

    Topics: Aged; Aripiprazole; Bupropion; Depression; Depressive Disorder, Treatment-Resistant; Humans; Nortrip

2023
Predictors of change in suicidal ideation across treatment phases of major depressive disorder: analysis of the STAR*D data.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2021, Volume: 46, Issue:7

    Topics: Antidepressive Agents; Bupropion; Depressive Disorder, Major; Depressive Disorder, Treatment-Resista

2021
Hyponatraemia and confusion in a 70-year-old female when bupropion was added to dothiepin and escitalopram.
    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists, 2015, Volume: 23, Issue:5

    Topics: Aged; Antidepressive Agents; Bupropion; Citalopram; Confusion; Depressive Disorder, Treatment-Resist

2015
Refractory depression with catatonic features was remitted with administration of intravenous dopamine and consequent bupropion as maintenance treatment.
    The Australian and New Zealand journal of psychiatry, 2016, Volume: 50, Issue:6

    Topics: Administration, Intravenous; Aged; Antidepressive Agents, Second-Generation; Bupropion; Catatonia; D

2016
Clinical Experience With High-Dosage Pramipexole in Patients With Treatment-Resistant Depressive Episodes in Unipolar and Bipolar Depression.
    The American journal of psychiatry, 2016, Feb-01, Volume: 173, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Antidepressive Agents; Benzothiazoles; Bipolar Disorder; Bupropion;

2016
Clinicians' Views on Treatment-Resistant Depression: 2016 Survey Reports.
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2016, Volume: 24, Issue:10

    Topics: Aged; Antidepressive Agents; Antipsychotic Agents; Aripiprazole; Attitude of Health Personnel; Bupro

2016
Analysis of 23andMe antidepressant efficacy survey data: implication of circadian rhythm and neuroplasticity in bupropion response.
    Translational psychiatry, 2016, 09-13, Volume: 6, Issue:9

    Topics: Adult; Antidepressive Agents; Bupropion; Chromosomes, Human, Pair 4; Circadian Rhythm; Citalopram; D

2016
Tranylcypromine and bupropion combination therapy in treatment-resistant major depression: a report of 2 cases.
    Journal of clinical psychopharmacology, 2012, Volume: 32, Issue:4

    Topics: Antidepressive Agents, Second-Generation; Bupropion; Depressive Disorder, Treatment-Resistant; Drug

2012