Page last updated: 2024-10-25

citalopram and Melanoma

citalopram has been researched along with Melanoma in 2 studies

Citalopram: A furancarbonitrile that is one of the serotonin uptake inhibitors used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia.
citalopram : A racemate comprising equimolar amounts of (R)-citalopram and its enantiomer, escitalopram. It is used as an antidepressant, although only escitalopram is active.
1-[3-(dimethylamino)propyl]-1-(4-fluorophenyl)-1,3-dihydro-2-benzofuran-5-carbonitrile : A nitrile that is 1,3-dihydro-2-benzofuran-5-carbonitrile in which one of the hydrogens at position 1 is replaced by a p-fluorophenyl group, while the other is replaced by a 3-(dimethylamino)propyl group.

Melanoma: A malignant neoplasm derived from cells that are capable of forming melanin, which may occur in the skin of any part of the body, in the eye, or, rarely, in the mucous membranes of the genitalia, anus, oral cavity, or other sites. It occurs mostly in adults and may originate de novo or from a pigmented nevus or malignant lentigo. Melanomas frequently metastasize widely, and the regional lymph nodes, liver, lungs, and brain are likely to be involved. The incidence of malignant skin melanomas is rising rapidly in all parts of the world. (Stedman, 25th ed; from Rook et al., Textbook of Dermatology, 4th ed, p2445)

Research

Studies (2)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (50.00)29.6817
2010's1 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Musselman, D1
Royster, EB2
Wang, M1
Long, Q2
Trimble, LM1
Mann, TK1
Graciaa, DS1
McNutt, MD2
Auyeung, NS1
Oliver, L1
Lawson, DH1
Miller, AH1
Auyeung, SF1
Murthy, S1
Lawson, D1
Miller, A1
Manatunga, A1
Musselman, DL1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
IL-2 Neuropsychiatric Symptoms: Mechanism and Prevention[NCT00352885]Phase 420 participants (Actual)Interventional2006-10-06Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of IL-2 Treatments Tolerated

The mean number of IL-2 doses tolerated (out of the possible 60 total doses) are presented for each study arm. The standard high dose regimen of IL-2 includes 15 doses per cycle. The dose of IL-2 is reduced, or treatment is stopped entirely, if the side effects become severe. This analysis includes the total number of doses taken at the end of Cycle 4, by all participants who began the trial, regardless of how many cycles each participant completed. (NCT00352885)
Timeframe: Cycle 4 (up to 12 weeks of IL-2 treatment)

InterventionIL-2 treatments (Mean)
Escitalopram18.4
Placebo19.8

Hamilton Depression Rating Scale (HAM-D) Score

Hamilton Depression Rating Scale (HAM-D) is a 21-item, observer-rated scale which quantifies the severity of depressive symptoms, including depressed mood, loss of interest in usually pleasurable activities, insomnia, anorexia, fatigue, weight loss, and psychomotor retardation or agitation. Participants rate the severity of their symptoms on a scale of 0-2 or 0-4 (depending on the item), where 0 means that the symptom is absent. Total scores are calculated by summing the first 17 items for a total score between 0 and 50. For this study a score of 0-6 indicates a normal state, a score of 7-17 indicates mild depression, a score of 18-24 indicates moderate depression, and a score of greater than 25 indicates severe depression. The HAM-D was administered at screening (baseline value) and once during days 1-3 of each cycle of the four IL-2 treatments. (NCT00352885)
Timeframe: Screening and Cycles 1 - 4 (up to 14 weeks)

,
Interventionunits on a scale (Mean)
ScreeningCycle 1Cycle 2Cycle 3Cycle 4
Escitalopram7.7711.5612.3314.5614.56
Placebo6.4512.7315.0016.6416.00

Plasma Concentrations of Adrenocorticotropic Hormone (ACTH)

Adrenocorticotropic hormone (ACTH) is a stress hormone that is synthesized by the pituitary in response to corticotropin-releasing hormone (CRH). ACTH stimulates adrenal cortisol production. ACTH levels vary throughout the day and are highest between 6am and 8am. A typical reference range is 10-50 picograms per milliliter (pg/ml) from blood drawn in the morning. Low levels of ACTH can indicate adrenal insufficiency (including adrenal cancers) while high levels may indicate several diseases or stress. IL-2 treatment stimulates the release of ACTH and this stimulation is dose dependent (rising as the dose of IL-2 increases) and tends to increase further with repeated exposure to IL-2. Blood was drawn for measuring ACTH at screening (baseline value) and once during days 1-3 of each cycle of the four IL-2 treatments. (NCT00352885)
Timeframe: Screening and Cycles 1 - 4 (up to 14 weeks)

,
Interventionpg/ml (Mean)
ScreeningCycle 1Cycle 2Cycle 3Cycle 4
Escitalopram27.5545.66112.5987.8991.25
Placebo28.9556.6075.69136.1381.23

Plasma Concentrations of Cortisol

Cortisol is a steroid hormone made in the adrenal glands in response to fear or stressful situations. A typical reference range is 6-23 micrograms/deciliter (mcg/dL) from blood drawn in the morning. Low levels of cortisol can indicate Addison's disease or a problem with the pituitary gland, while high levels may indicate tumors of the adrenal gland, among other illnesses, or increased stress. Chronic elevation of cortisol is associated with reduced immune function and increased risk of heart disease. IL-2 treatment stimulates the release of cortisol and this stimulation is dose dependent (rising as the dose of IL-2 increases) and tends to increase further with repeated exposure to IL-2. Blood was drawn for measuring cortisol at screening (baseline value) and once during days 1-3 of each cycle of the four IL-2 treatments. (NCT00352885)
Timeframe: Screening and Cycles 1 - 4 (up to 14 weeks)

,
Interventionmcg/dL (Mean)
ScreeningCycle 1Cycle 2Cycle 3Cycle 4
Escitalopram11.5120.6019.5322.4420.58
Placebo10.6217.7818.4619.1118.86

Plasma Concentrations of Interleukin 6 (IL-6)

Immune system functioning was assessed by measuring plasma concentrations of interleukin 6 (IL-6). IL-6 is a proinflammatory cytokine that is elevated during times of inflammation, infection, in patients with advanced or metastatic cancer, and is also implicated in mood disorders. IL-2 treatments are associated with increased IL 6 levels, in a dose response manner. IL-6 values in healthy individuals are generally less than 16 pg/ml. Blood was drawn for measuring IL-6 at screening (baseline value) and once during days 1-3 of each cycle of the four IL-2 treatments. (NCT00352885)
Timeframe: Screening and Cycles 1 - 4 (up to 14 weeks)

,
Interventionpg/ml (Mean)
ScreeningCycle 1Cycle 2Cycle 3Cycle 4
Escitalopram11.68290.77210.90305.41283.34
Placebo10.12270.11297.94332.49308.09

Trials

1 trial available for citalopram and Melanoma

ArticleYear
The impact of escitalopram on IL-2-induced neuroendocrine, immune, and behavioral changes in patients with malignant melanoma: preliminary findings.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2013, Volume: 38, Issue:10

    Topics: Adrenocorticotropic Hormone; Adult; Aged; Antidepressive Agents; Antineoplastic Agents; Citalopram;

2013

Other Studies

1 other study available for citalopram and Melanoma

ArticleYear
Sequential multiple-assignment randomized trial design of neurobehavioral treatment for patients with metastatic malignant melanoma undergoing high-dose interferon-alpha therapy.
    Clinical trials (London, England), 2009, Volume: 6, Issue:5

    Topics: Behavioral Symptoms; Citalopram; Dopamine Uptake Inhibitors; Dose-Response Relationship, Drug; Doubl

2009