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Better management of depression in cancer / Symptom Management Research Trials 3 Pilot
Source of recordUK Trials
ISRCTNISRCTN16242820
Date ISRCTN assigned13/12/2007
Local reference number(s)NA
Public titleBetter management of depression in cancer / Symptom Management Research Trials 3 Pilot
Scientific title
AcronymSMaRT 3 Pilot
Disease/condition/study domainCancer, major depressive disorder
Study hypothesisA pilot trial to:
1: Test the feasibility and acceptability of procedures
2: Obtain data to inform the sample size calculation for the SMaRT Oncology-3 Trial

SMaRT Oncology-3 Trial: A two-arm parallel group randomised controlled trial to determine the efficacy of adding a multi-component intervention for major depressive disorder to usual care compared to usual care alone in cancer patients who have a limited life expectancy.
Design/methodologyA two-arm parallel group randomised controlled pilot trial.
Research ethics reviewLothian Local Research Ethics Committee approval granted on 13 September 2007 (ref: 07/S1104/33)
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Have a diagnosis of cancer
2. Be aged 18 or over
3. Be under specialist oncology care
4. Have a predicted survival, estimated by their cancer specialist, of between three and twelve months
5. Have symptoms which meet the Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) criteria for Major Depressive Disorder (MDD) (using the inclusive approach to diagnosis)
Participants - exclusion criteria1. Unable to provide informed consent to participate
2. Episode of MDD is chronic (defined as a history of continuous depression for at least two years)
3. Judged to require urgent psychiatric care
4. Receiving active psychiatric or psychological treatment from specialist mental health services
5. Cognitive impairment or communication difficulties which are incompatible with the intervention
6. Known cerebral metastases
7. Unable to attend regularly for treatment sessions
8. Intervention is judged to be inappropriate due to a medical condition which requires alternative treatment
9. Intervention is judged to be inappropriate due to a psychiatric condition which requires alternative treatment (psychotic illness, bipolar affective disorder, obsessive compulsive disorder, substance abuse or dependence)
10. Participation in the trial is judged to be inappropriate on clinical grounds
Patient information materialNot available in web format, please use the contact details below to request a patient information sheet
Anticipated start date03/12/2007
Anticipated end date28/02/2008
Status of trialCompleted
Target number of participants10-20
InterventionsUsual care:
The patients' general practitioner and oncologist will be informed of their diagnosis of MDD. Patients will then receive the usual clinical management of depression as currently practised.

Usual care supplemented with "Depression Care for People with Cancer":
In addition to the above Depression Care for People with Cancer will be implemented.

Components of Depression Care for People with Cancer:
1. Coordination of depression care and provision of information to all relevant health professionals
2. Brief psychological intervention for a maximum of ten sessions over a three-month period including education about depression and its management (behavioural activation and antidepressant medication) and problem-solving training
3. Monthly active follow-up by telephone for a further three-month period
4. Advice to general practitioner regarding the prescription of antidepressant medication
Primary outcome measure(s)Acceptability and feasibility of the trial procedures
Secondary outcome measure(s)The following data will be collected at baseline, 4, 8, 12, 16, 20 and 24 weeks:
1. Hopkin's Symptom Checklist Depression Scale (SCL-20)
2. European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-C30
3. EuroQuol-5D
4. Satisfaction with depression care item
Sources of fundingCancer Research UK (ref: C5547/A7375)
Sponsor nameUniversity of Edinburgh, Lothian Health Board, University Hospitals Division (UK)
Sponsor detailsc/o Dr Marise Bucukoglu
Clinical Trials and Research Governance Manager
College of Medicines and Veterinary Medicine
The Queen's Medical Research Institute
Edinburgh
United Kingdom
EH16 4TJ
Sponsor telephone+44 (0)131 242 9262
Sponsor emailmbrown11@miscorp.ed.ac.uk
Sponsor websitehttp://www.ed.ac.uk/
Contact nameProf Michael Sharpe
Contact detailsPsychological Medicine & Symptoms Research Group
School of Molecular & Clinical Medicine
University of Edinburgh
Kennedy Tower
Royal Edinburgh Hospital
Edinburgh
United Kingdom
EH10 5HF
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN16242820
Date last extracted from ISRCTN register17/04/2008
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