Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India

Saili Dharadhar; Amit Sharma; Sagar Karia

doi:10.5455/njppp.2022.12.124668202119012022

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Original Research
Online Published: 31 Jan 2022

Natl J Physiol Pharm Pharmacol. 2022; 12(9): 1399-1407

doi: 10.5455/njppp.2022.12.124668202119012022

Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India

Saili Dharadhar, Amit Sharma, Sagar Karia.

Abstract
Background: Depression is common yet under-reported disorder in the real-world setting. Although antidepressants have demonstrated superiority over placebo in clinical trials, many patients elicit a suboptimal response or relapse. Moreover, real-world data in the Indian population are limited.

Aim and Objective: This study aims to assess and compare the efficacy and safety of escitalopram in patients with newly diagnosed depression (NDD) versus relapse in India.

Materials and Methods: This is an ongoing real-world observational study of escitalopram in patients with NDD or relapse in India. Primary endpoint was change in mean Hamilton Depression Rating Scale (HAM-D 17) scores from baseline to week 8. Secondary endpoints included assessment of response/remission rates, Clinical Global Impression (CGI) scores, quality of life, suicidal tendency, and safety.

Results: Data for the first 50 patients demonstrated a significant reduction in HAM-D 17 scores at week 8 (P < 0.001); patients with NDD (n = 38) elicited significantly higher improvement compared with relapsed patients (n = 12) (P < 0.001). Although patients with NDD had significantly poorer CGI (P < 0.001) and quality of life (anxiety/depression subscale) (P < 0.05) scores at baseline, an improvement was observed in both scales with no significant difference between the groups at week 8. Suicidal tendency reduced from 83.3% to 0%. No new safety concerns were observed in the study.

Conclusion: Escitalopram demonstrated efficacy and was well tolerated in both, NDD and relapsed patients in the real-world setting in India, with better results achieved by NDD patients. However, more studies are required to confirm the difference across the groups.

Key words: Depression; India; Major Depressive Disorder; Observational Study; Real World; Relapse

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Pubmed Style

Dharadhar S, Sharma A, Karia S. Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India. Natl J Physiol Pharm Pharmacol. 2022; 12(9): 1399-1407. doi:10.5455/njppp.2022.12.124668202119012022

Web Style

Dharadhar S, Sharma A, Karia S. Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India. https://www.njppp.com/?mno=139532 [Access: November 01, 2024]. doi:10.5455/njppp.2022.12.124668202119012022

AMA (American Medical Association) Style

Dharadhar S, Sharma A, Karia S. Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India. Natl J Physiol Pharm Pharmacol. 2022; 12(9): 1399-1407. doi:10.5455/njppp.2022.12.124668202119012022

Vancouver/ICMJE Style

Dharadhar S, Sharma A, Karia S. Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India. Natl J Physiol Pharm Pharmacol. (2022), [cited November 01, 2024]; 12(9): 1399-1407. doi:10.5455/njppp.2022.12.124668202119012022

Harvard Style

Dharadhar, S., Sharma, . A. & Karia, . S. (2022) Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India. Natl J Physiol Pharm Pharmacol, 12 (9), 1399-1407. doi:10.5455/njppp.2022.12.124668202119012022

Turabian Style

Dharadhar, Saili, Amit Sharma, and Sagar Karia. 2022. Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India. National Journal of Physiology, Pharmacy and Pharmacology, 12 (9), 1399-1407. doi:10.5455/njppp.2022.12.124668202119012022

Chicago Style

Dharadhar, Saili, Amit Sharma, and Sagar Karia. "Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India." National Journal of Physiology, Pharmacy and Pharmacology 12 (2022), 1399-1407. doi:10.5455/njppp.2022.12.124668202119012022

MLA (The Modern Language Association) Style

Dharadhar, Saili, Amit Sharma, and Sagar Karia. "Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India." National Journal of Physiology, Pharmacy and Pharmacology 12.9 (2022), 1399-1407. Print. doi:10.5455/njppp.2022.12.124668202119012022

APA (American Psychological Association) Style

Dharadhar, S., Sharma, . A. & Karia, . S. (2022) Real-world observational study of escitalopram for newly diagnosed versus relapsed patients with major depressive disorder in India. National Journal of Physiology, Pharmacy and Pharmacology, 12 (9), 1399-1407. doi:10.5455/njppp.2022.12.124668202119012022

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