The DOI matches its Crossref record; 63 of the 63 references it cites were found in a registry or an index.
Efficacy of agomelatine, a MT1/MT2 receptor agonist with 5-HT2C antagonistic properties, in major depressive disorder
Open accessAbstract
Current antidepressants used in major depressive disorder (MDD) are still not efficacious enough for many patients due to high levels of treatment resistance and bothersome side-effects. Using a novel blinding method (interactive voice response system), this flexible-dosing study examined the effects of therapeutic doses of agomelatine, a new approach to depressive therapy offering potent melatonergic MT1/MT2 receptor agonism with 5-HT2C receptor antagonist properties, in patients with moderate-to-severe MDD. This 6-wk, double-blind, parallel-group study randomized 238 patients to 25 mg/d agomelatine (with dose adjustment at 2 wk to 50 mg/d in patients with insufficient improvement) or placebo. Depression severity was assessed using the Hamilton Depression Rating Scale (HAMD) and the Clinical Global Impression (CGI) scale. Agomelatine was significantly more efficacious than placebo, with an agomelatine-placebo difference of 3.44 (p<0.001) using the HAMD final total score. Compared with placebo, agomelatine also had a significant positive impact on CGI - Improvement (treatment difference=0.45) and CGI - Severity (treatment difference=0.50) (both p=0.006), response rate (54.3% vs. 35.5% with placebo, p<0.05) and time to first response (p=0.008). Similar results were seen in patients with the most severe MDD. Depressed mood and sleep items of the HAMD were also significantly improved with agomelatine, which was well tolerated with a safety profile similar to placebo at both doses. This study confirms that agomelatine is effective in treating major depression, including the most severely depressed patients, with a good safety and tolerability profile, therefore providing physicians with an effective pharmacological approach to antidepressant therapy.
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Cites
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“Agomelatine offered severely depressed patients similar advantages as seen in the ITT population ; an important finding, given that these patients are difficult to treat and frequently fail to recover or suffer recurrent episodes of depression because of inadequate symptom relief with some treatments, including SSRIs…”
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Cited by
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Agomelatine, the first melatonergic antidepressant: discovery, characterization and development
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The role of 5-HT receptors in depression
Yohn, C. N., Gergues, M. M., & Samuels, B. A. (2017) · Molecular Brain · doi:10.1186/s13041-017-0306-y · Cited by 485
Metadata
- Authors
- Pierre Olié, J., & Kasper, S.
- Venue
- The International Journal of Neuropsychopharmacology
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-05-04
- Volume
- 10
- Issue
- 05
- Pages
- 661-73
- ISSN
- 1461-1457 (ISSN-L)
- 1469-5111
- OpenAlex
- W2141979672
- Cited by
- 256
- References
- 63
- FWCI
- 17.43
- Type
- journal article
- Language
- en
- Open access
- bronze
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