Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/30231
Title: A Delphi-method-based consensus guideline for definition of treatment-resistant depression for clinical trials.
Austin Authors: Sforzini, Luca;Worrell, Courtney;Kose, Melisa;Anderson, Ian M;Aouizerate, Bruno;Arolt, Volker;Bauer, Michael;Baune, Bernhard T;Blier, Pierre;Cleare, Anthony J;Cowen, Philip J;Dinan, Timothy G;Fagiolini, Andrea;Ferrier, I Nicol;Hegerl, Ulrich;Krystal, Andrew D;Leboyer, Marion;McAllister-Williams, R Hamish;McIntyre, Roger S;Meyer-Lindenberg, Andreas;Miller, Andrew H;Nemeroff, Charles B;Normann, Claus;Nutt, David;Pallanti, Stefano;Pani, Luca;Penninx, Brenda W J H;Schatzberg, Alan F;Shelton, Richard C;Yatham, Lakshmi N;Young, Allan H;Zahn, Roland;Aislaitner, Georgios;Butlen-Ducuing, Florence;Fletcher, Christine;Haberkamp, Marion;Laughren, Thomas;Mäntylä, Fanni-Laura;Schruers, Koen;Thomson, Andrew;Arteaga-Henríquez, Gara;Benedetti, Francesco;Cash-Gibson, Lucinda;Chae, Woo Ri;De Smedt, Heidi;Gold, Stefan M;Hoogendijk, Witte J G;Mondragón, Valeria Jordán;Maron, Eduard;Martynowicz, Jadwiga;Melloni, Elisa;Otte, Christian;Perez-Fuentes, Gabriela;Poletti, Sara;Schmidt, Mark E;van de Ketterij, Edwin;Woo, Katherine;Flossbach, Yanina;Ramos-Quiroga, J Antoni;Savitz, Adam J;Pariante, Carmine M
Affiliation: The Florey Institute of Neuroscience and Mental Health
Albert Einstein College of Medicine, New York, USA
APC Microbiome Ireland, Cork, Ireland
Biomedical Network Research Centre on Mental Health (CIBERSAM), Barcelona, Catalonia, Spain
Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain
Biostatistics, GlaxoSmithKline, London, UK
Brain and Cognition Discovery Foundation, Toronto, ON, Canada
Centre for Neuropsychopharmacology, Division of Psychiatry, Imperial College, London, London, UK
Charité - Universitätsmedizin Berlin, Department of Psychiatry and Psychotherapy, Campus Benjamin Franklin, Berlin, Germany
Charité - Universitätsmedizin Berlin, Department of Psychosomatic Medicine, Campus Benjamin Franklin, Berlin, Germany
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle, UK
Data, Analytics and Methodology Taskforce, European Medicines Agency, Amsterdam, the Netherlands
Department for Psychiatry and Psychotherapy, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Hauptstrasse 5, 79104, Freiburg, Germany
Department of Biomedical, Metabolic & Neural Sciences, University of Modena, Modena, Italy
Department of Cellular and Molecular Medicine, University of Ottawa, Ottawa, ON, Canada
Department of General and Academic Psychiatry, Centre Hospitalier Charles Perrens, Laboratory of Nutrition and Integrative Neurobiology (UMR INRAE 1286), University of Bordeaux, Bordeaux, France
Department of Global Regulatory Affairs, Neuroscience, Janssen Research & Development, LLC, Titusville, NJ, USA
Department of Molecular Medicine, Division of Psychiatry, University of Siena, Siena, Italy
Department of Neuroscience, Janssen Research & Development, LLC, Titusville, NJ, USA
Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, 30322, USA
Department of Psychiatry and Behavioral Sciences, Psychiatry University of Miami, Miami, FL, USA
Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Catalonia, Spain
Department of Psychiatry and Neurobehavioral Sciences, University College Cork, Cork, Ireland
Department of Psychiatry and Psychology, School for Mental Health and Neuroscience, EURON, Maastricht University Medical Centre, Maastricht, the Netherlands
Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Square J5, 68159, Mannheim, Germany
Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Medical Faculty, Technische Universität Dresden, Dresden, Germany
Department of Psychiatry and Psychotherapy, University of Münster, Münster, Germany
Department of Psychiatry, Amsterdam UMC, Vrije Universiteit and GGZinGeest, Amsterdam, the Netherlands
Department of Psychiatry, Erasmus University Medical Centre, Rotterdam, the Netherlands
Department of Psychiatry, Hospital Universitari Vall d'Hebron (HUVH), Barcelona, Catalonia, Spain
Department of Psychiatry, Melbourne Medical School, The University of Melbourne, Parkville, VIC, Australia
Department of Psychiatry, University of Alabama at Birmingham, Birmingham, AL, USA
Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada
Department of Psychiatry, University of California, San Francisco, San Francisco, CA, USA
Department of Psychiatry, University of Ottawa, Ottawa, ON, Canada
Department of Psychiatry, University of Tartu, Tartu, Estonia
Department of Psychiatry, University of Texas at Austin, Dell Medical School, Austin, TX, USA
Department of Psychiatry, University of Toronto, Toronto, ON, Canada
Depression Research Center of the German Depression Foundation and Department of Psychiatry, Psychosomatics and Psychotherapy, Goethe University, Frankfurt, Germany
Division of Neuroscience, Psychiatry and Clinical Psychobiology, IRCCS Scientific Institute Ospedale San Raffaele, Milan, Italy
Documental Ltd, Tallin, Estonia
European Infrastructure for Translational Medicine (EATRIS), Amsterdam, Netherlands
Experimental Medicine, Janssen Research & Development, Janssen Pharmaceutica NV, Beerse, Belgium
Faculty of Medicine, Department of Medicine, Centre for Neuropsychopharmacology, Division of Brain Sciences, Imperial College London, London, UK
Faculty of Psychology, Center for Experimental and Learning Psychology, University of Leuven, Leuven, Belgium
Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte, BfArM), Bonn, Germany
GAMIAN-Europe (Global Alliance of Mental Illness Advocacy Networks-Europe), Brussels, Belgium
Group of Psychiatry, Mental Health and Addictions, Vall d'Hebron Research Institute (VHIR), Barcelona, Catalonia, Spain
Istituto di Neuroscience, University of Florence, Italy
Janssen Research & Development, Beerse, Belgium
King's College London, Institute of Psychiatry, Psychology and Neuroscience, Department of Psychological Medicine, London, UK
Laughren Psychopharm Consulting, LLC, Rockville, MD, USA
Manchester Academic Health Sciences Centre, Manchester, UK
Maudsley NHS Foundation Trust and King's College London, London, UK
Medical Director Neuroscience for Region Europe at Novartis Pharma, Basel, Switzerland
Medical Sciences Division, Department of Psychiatry, University of Oxford, Oxford, UK
Mood Disorders Psychopharmacology Unit, University Health Network, Toronto, ON, Canada
Mood Disorders Research Unit, The Royal's Institute of Mental Health Research, Ottawa, ON, Canada
National Institute for Health Research Mental Health Biomedical Research Centre, South London, UK
Neuroscience and Psychiatry Unit, Division of Neuroscience and Experimental Psychology, School of Biological Sciences, Faculty of Biological, Medical and Human Sciences, The University of Manchester, Manchester, UK
Neuroscience, Global Drug Development, Novartis Pharma AG, Basel, Switzerland
Office of Therapies for Neurological and Psychiatric disorders, Human Medicines Division, European Medicines Agency, Amsterdam, the Netherlands
Otto Creutzfeldt Center for Cognitive and Behavioral Neuroscience, University of Münster, Münster, Germany
Strategic Projects Unit, Vall d 'Hebron Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain
Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK
Universidad Autónoma de Barcelona, Barcelona, Spain
Université Paris Est Creteil (UPEC), AP-HP, Hôpitaux Universitaires Henri Mondor, Département Médico-Universitaire d'Addictologie et Psychiatrie (DMU IMPACT), INSERM U955, IMRB, translational Neuropsychiatry lab, Fondation FondaMental, F-94010, Creteil, France
University Medical Center Hamburg-Eppendorf, Institute of Neuroimmunology and Multiple Sclerosis (INIMS), Center for Molecular Neurobiology, Hamburg, Germany
VeraSci, Durham, NC, USA
Vita-Salute San Raffaele University, Milan, Italy
West Tallinn Central Hospital, Tallinn, Estonia
Issue Date: Mar-2022
Date: 2021-12-15
Publication information: Molecular Psychiatry 2022; 27(3): 1286-1299
Abstract: Criteria for treatment-resistant depression (TRD) and partially responsive depression (PRD) as subtypes of major depressive disorder (MDD) are not unequivocally defined. In the present document we used a Delphi-method-based consensus approach to define TRD and PRD and to serve as operational criteria for future clinical studies, especially if conducted for regulatory purposes. We reviewed the literature and brought together a group of international experts (including clinicians, academics, researchers, employees of pharmaceutical companies, regulatory bodies representatives, and one person with lived experience) to evaluate the state-of-the-art and main controversies regarding the current classification. We then provided recommendations on how to design clinical trials, and on how to guide research in unmet needs and knowledge gaps. This report will feed into one of the main objectives of the EUropean Patient-cEntric clinicAl tRial pLatforms, Innovative Medicines Initiative (EU-PEARL, IMI) MDD project, to design a protocol for platform trials of new medications for TRD/PRD.
URI: https://ahro.austin.org.au/austinjspui/handle/1/30231
DOI: 10.1038/s41380-021-01381-x
ORCID: http://orcid.org/0000-0001-6795-0391
http://orcid.org/0000-0003-0539-2376
http://orcid.org/0000-0002-2666-859X
http://orcid.org/0000-0002-6990-939X
http://orcid.org/0000-0001-5518-6138
http://orcid.org/0000-0002-2316-7220
http://orcid.org/0000-0002-6702-781X
http://orcid.org/0000-0001-5473-3697
http://orcid.org/0000-0001-8260-7997
http://orcid.org/0000-0001-7867-1160
http://orcid.org/0000-0001-5693-8936
http://orcid.org/0000-0002-1286-1401
http://orcid.org/0000-0003-2291-6952
http://orcid.org/0000-0003-4949-856X
http://orcid.org/0000-0002-6326-8333
http://orcid.org/0000-0001-5188-4799
http://orcid.org/0000-0002-4051-997X
http://orcid.org/0000-0001-9594-0246
http://orcid.org/0000-0001-5332-3549
http://orcid.org/0000-0003-1622-0350
http://orcid.org/0000-0002-9132-5091
http://orcid.org/0000-0001-6548-426X
Journal: Molecular Psychiatry
PubMed URL: 34907394
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/34907394/
Type: Journal Article
Appears in Collections:Journal articles

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