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ibudilast and Depression

ibudilast has been researched along with Depression in 4 studies

Depression: Depressive states usually of moderate intensity in contrast with MAJOR DEPRESSIVE DISORDER present in neurotic and psychotic disorders.

Research Excerpts

ExcerptRelevanceReference
"At 6 months after the start of ibudilast therapy, all patients reported the resolution of dizziness; of the 6 patients with depression at entry, all experienced significant improvement."7.74Effect of ibudilast on non-specific symptoms in patients with chronic cerebral ischemia. Analysis of cerebral blood flow. ( Harada, M; Inoue, N, 2008)
"Ibudilast (IBUD) is a neuroimmune modulator that inhibits phosphodiesterase-4 and -10 and macrophage migration inhibitory factor and was recently found to reduce alcohol intake in rats by ∼50%."6.84Development of the Neuroimmune Modulator Ibudilast for the Treatment of Alcoholism: A Randomized, Placebo-Controlled, Human Laboratory Trial. ( Bujarski, S; Heinzerling, K; Miotto, K; Ray, LA; Roche, DJ; Shoptaw, S, 2017)
"In a phase 2 trial involving patients with progressive multiple sclerosis, ibudilast was associated with slower progression of brain atrophy than placebo but was associated with higher rates of gastrointestinal side effects, headache, and depression."5.27Phase 2 Trial of Ibudilast in Progressive Multiple Sclerosis. ( Alvarez, E; Apperson, M; Ashokkumar, A; Barnes, J; Bashir, K; Bermel, RA; Coffey, CS; Cohen, BA; Conwit, R; Coyle, PK; Cudkowicz, ME; Debbins, JP; Delgado, S; Dewitt, LD; Ecklund, D; Flores, A; Fox, RJ; Giesser, BS; Gleason, T; Goldman, MD; Goodman, A; Huang, X; Jagodnik, P; Jubelt, B; Klawiter, EC; Klingner, E; Koepp, M; Krieger, S; Lava, N; Long, JD; Lowe, MJ; Lynch, SG; Matsuda, K; McGovern, M; Moses, H; Naismith, RT; Nakamura, K; Narayanan, S; Natarajan, S; Ontaneda, D; Perumal, JS; Racke, M; Repovic, P; Riley, CS; Sakaie, KE; Severson, C; Shinnar, S; Suski, V; Thoomukuntla, B; Thornell, B; Weinstock-Guttman, B; Yadav, V; Yankey, J; Zabeti, A; Zhou, X, 2018)
"At 6 months after the start of ibudilast therapy, all patients reported the resolution of dizziness; of the 6 patients with depression at entry, all experienced significant improvement."3.74Effect of ibudilast on non-specific symptoms in patients with chronic cerebral ischemia. Analysis of cerebral blood flow. ( Harada, M; Inoue, N, 2008)
"Ibudilast (IBUD) is a neuroimmune modulator that inhibits phosphodiesterase-4 and -10 and macrophage migration inhibitory factor and was recently found to reduce alcohol intake in rats by ∼50%."2.84Development of the Neuroimmune Modulator Ibudilast for the Treatment of Alcoholism: A Randomized, Placebo-Controlled, Human Laboratory Trial. ( Bujarski, S; Heinzerling, K; Miotto, K; Ray, LA; Roche, DJ; Shoptaw, S, 2017)

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (25.00)29.6817
2010's3 (75.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Fox, RJ1
Coffey, CS1
Conwit, R1
Cudkowicz, ME1
Gleason, T1
Goodman, A1
Klawiter, EC1
Matsuda, K1
McGovern, M1
Naismith, RT1
Ashokkumar, A1
Barnes, J1
Ecklund, D1
Klingner, E1
Koepp, M1
Long, JD1
Natarajan, S1
Thornell, B1
Yankey, J1
Bermel, RA1
Debbins, JP1
Huang, X1
Jagodnik, P1
Lowe, MJ1
Nakamura, K1
Narayanan, S1
Sakaie, KE1
Thoomukuntla, B1
Zhou, X1
Krieger, S1
Alvarez, E1
Apperson, M1
Bashir, K1
Cohen, BA1
Coyle, PK1
Delgado, S1
Dewitt, LD1
Flores, A1
Giesser, BS1
Goldman, MD1
Jubelt, B1
Lava, N1
Lynch, SG1
Moses, H1
Ontaneda, D1
Perumal, JS1
Racke, M1
Repovic, P1
Riley, CS1
Severson, C1
Shinnar, S1
Suski, V1
Weinstock-Guttman, B1
Yadav, V1
Zabeti, A1
Ray, LA1
Bujarski, S1
Shoptaw, S1
Roche, DJ1
Heinzerling, K1
Miotto, K1
Inoue, N2
Harada, M2
Fukuda, S1
Inada, T1
Sameshima, E1
Tokushima, Y1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 2 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Safety, Tolerability and Activity of Ibudilast (MN-166) in Subjects With Progressive Multiple Sclerosis[NCT01982942]Phase 2255 participants (Actual)Interventional2013-11-30Completed
Withdrawal-Related Dysphoria as a Moderator of Ibudilast for Alcohol Use Disorder[NCT03489850]Phase 252 participants (Actual)Interventional2018-07-16Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Covariate-adjusted Mean Rate of Change in Brain Atrophy Over 96 Weeks as Measured by Brain Parenchymal Fraction (BPF).

To evaluate the activity of ibudilast (100 mg/day) versus placebo at 96 weeks as measured by quantitative magnetic resonance imaging (MRI) analysis for whole brain atrophy using brain parenchymal fraction (BPF), calculated as the ratio of brain parenchymal tissue volume to the total volume contained within the brain surface contour. (NCT01982942)
Timeframe: 96 weeks

Interventionratio (Mean)
Ibudilast-0.00168
Placebo Oral Capsule-0.00392

Magnetization Transfer Ratio (MTR) Imaging in Normal-appearing Brain Tissue

A magnetization transfer MRI as a marker of brain myelin content including the cerebral cortex could be useful. MT imaging provides access to the restricted protons, which are located in biologically interesting tissue regions.Cortical and normal appearing grey matter MTR correlates strongly with measures of disability such as the multiple sclerosis functional composite score and can show treatment effects. (NCT01982942)
Timeframe: 96 weeks

Interventionratio (Least Squares Mean)
Ibudilast0.325
Placebo Oral Capsule0.247

New T1 Lesions Since Baseline

New T1 lesions since baseline as measured by least square mean (90% confidence interval). (NCT01982942)
Timeframe: 96 weeks

Interventionlesions (Least Squares Mean)
Ibudilast0.355
Placebo Oral Capsule0.317

Percentage of Participants With Adverse Events.

Safety Measures: percentage of participants who experienced treatment-emergent adverse events, clinically significant abnormal laboratory and electrocardiogram results. (NCT01982942)
Timeframe: 96 weeks

Interventionpercentage receiving study medication (Number)
Ibudilast92.2
Placebo Oral Capsule88.1

Retinal Nerve Fiber Layer as Measured by Optical Coherence Tomography (OCT).

Mean retinal nerve fiber layer thickness from baseline measured by Optical coherence tomography (OCT), a non-invasive imaging technique used to obtain high-resolution cross-sectional images of the retina. Increase in thickness is considered improvement. (NCT01982942)
Timeframe: 96 weeks

Interventionmicrometers (Least Squares Mean)
Ibudilast83.0
Placebo Oral Capsule79.5

Diffusion Tensor Imaging (DTI) in Descending Pyramidal White Matter Tracts

Diffusion tensor imaging estimates the three-dimensional diffusion of water in brain tissue and has been explored as an outcome in MS. (NCT01982942)
Timeframe: 48 weeks

,
Intervention10^3/mm^2/s (Least Squares Mean)
Left axial diffusivity meanLeft radial diffusivity meanRight axial diffusivity meanRight radial diffusivity mean
Ibudilast0.0001-0.00770.0014-0.0029
Placebo Oral Capsule-0.00060.0027-0.00170.0046

Any Drinking

Medication effects on number of days where any drinking was reported. . Values indicate estimated probability of a drinking day across time for each group. (NCT03489850)
Timeframe: 14 days

Interventionpredicted probability in percent (Number)
Ibudilast59.25
Placebo63.63

Heavy Drinking

Medication effects on number of heavy drinking days. Heavy drinking is defined by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) as ≥5 drinks/day for men and ≥4 drinks/day for women. Values indicate estimated probability of a heavy drinking day across time for each group. (NCT03489850)
Timeframe: 14 days

Interventionpredicted probability in percent (Number)
Ibudilast24.16
Placebo36.80

Negative Affect

"Negative affect as measured by self-reported ratings of Downhearted, Discouraged, Uneasy, and Anxious. Each item was rated on a scale from 0 (not at all) to 4 (extremely). The 4 items were summed for the total negative affect score for each day, ranging from 0 - 16. Higher scores indicate more negative mood." (NCT03489850)
Timeframe: Assessed through daily prompts throughout the 2-week study period.

Interventionunits (Least Squares Mean)
Ibudilast2.91
Placebo2.47

Ventral Striatum Activation

Medication effect on alcohol cue-induced ventral striatal activation. Participants completed an fMRI alcohol cue-reactivity paradigm where they viewed pictures of alcoholic beverages, non-alcoholic beverages, blurred images, and a plus sign. The mean percent signal change between the ALC and BEV blocks was extracted from an a priori defined region of interest: bilateral ventral striatum (VS), 6 mm-radius sphere centered at ±12 6 9 in MNI space. (NCT03489850)
Timeframe: Day 8

Interventionpercent signal change (Mean)
Ibudilast-0.08
Placebo0.14

Trials

2 trials available for ibudilast and Depression

ArticleYear
Phase 2 Trial of Ibudilast in Progressive Multiple Sclerosis.
    The New England journal of medicine, 2018, 08-30, Volume: 379, Issue:9

    Topics: Adult; Atrophy; Brain; Depression; Diffusion Tensor Imaging; Disease Progression; Double-Blind Metho

2018
Development of the Neuroimmune Modulator Ibudilast for the Treatment of Alcoholism: A Randomized, Placebo-Controlled, Human Laboratory Trial.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2017, Volume: 42, Issue:9

    Topics: Adult; Affect; Alcohol Deterrents; Alcoholism; Central Nervous System Depressants; Craving; Cross-Ov

2017

Other Studies

2 other studies available for ibudilast and Depression

ArticleYear
Effect of ibudilast on non-specific symptoms in patients with chronic cerebral ischemia. Analysis of cerebral blood flow.
    Arzneimittel-Forschung, 2008, Volume: 58, Issue:6

    Topics: Aged; Brain Ischemia; Cerebrovascular Circulation; Chronic Disease; Depression; Dizziness; Female; F

2008
Effect of ibudilast on the reciprocal inhibitory visual-vestibular interaction closely related to dizziness after cerebral ischemia.
    Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2014, Volume: 23, Issue:1

    Topics: Acetazolamide; Aged; Aged, 80 and over; Brain Ischemia; Cerebrovascular Circulation; Depression; Diu

2014