Design of a real-world, prospective, longitudinal, observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder: a PatientsLikeMe survey

Abstract Background Major depressive disorder (MDD) is a recurrent psychiatric condition that presents challenges in responding to treatment and achieving long-term remission. To improve outcomes, a shared decision-making treatment approach with patient and healthcare practitioner (HCP) engagement i...

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Main Authors: Subhara Raveendran, Deepshikha Singh, Mary C. Burke, Alicia H. McAuliffe-Fogarty, Sagar V. Parikh, Roger S. McIntyre, Anit Roy, Michael Martin, Lambros Chrones, Mark G. A. Opler, Chris Blair, Maggie McCue
Format: Article
Language:English
Published: BMC 2023-06-01
Series:BMC Psychiatry
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Online Access:https://doi.org/10.1186/s12888-023-04922-6
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author Subhara Raveendran
Deepshikha Singh
Mary C. Burke
Alicia H. McAuliffe-Fogarty
Sagar V. Parikh
Roger S. McIntyre
Anit Roy
Michael Martin
Lambros Chrones
Mark G. A. Opler
Chris Blair
Maggie McCue
author_facet Subhara Raveendran
Deepshikha Singh
Mary C. Burke
Alicia H. McAuliffe-Fogarty
Sagar V. Parikh
Roger S. McIntyre
Anit Roy
Michael Martin
Lambros Chrones
Mark G. A. Opler
Chris Blair
Maggie McCue
author_sort Subhara Raveendran
collection DOAJ
description Abstract Background Major depressive disorder (MDD) is a recurrent psychiatric condition that presents challenges in responding to treatment and achieving long-term remission. To improve outcomes, a shared decision-making treatment approach with patient and healthcare practitioner (HCP) engagement is vital. PatientsLikeMe (PLM), a peer community of patients, provides information on MDD, symptoms, and treatment through forums and resources, helping patients stay engaged in their treatment journey. Data on PLM can be harnessed to gain insights into patient perspectives on MDD symptom management, medication switches, and treatment goals and measures. Methods This ongoing, decentralized, longitudinal, observational, prospective study is being conducted using the PLM platform in two parts, enrolling up to 500 patients with MDD in the United States aged ≥ 18 years to compare vortioxetine with other monotherapy antidepressants. The first qualitative component consists of a webinar and discussion forum with PLM community members with MDD, followed by a pilot for functionality testing to improve the study flow and questions in the quantitative survey. The quantitative component follows on the PLM platform, utilizing patient-reported assessments, over a 24-week period. Three surveys will be conducted at baseline and weeks 12 and 24 to collect data on patient global impression of improvement, depression severity, cognitive function, quality of life (QoL) and well-being, medication satisfaction, emotional blunting, symptoms of anhedonia and resilience, as well as goal attainment. Quantitative results will be compared between groups. The qualitative component is complete; patient recruitment is underway for the quantitative component, with results expected in late 2023. Discussion These results will help HCPs understand patient perspectives on the effectiveness of vortioxetine versus other monotherapy antidepressants in alleviating symptoms of MDD and improvements in QoL. Data from the PLM platform will support a patient goal-based treatment approach, as results can be shared by patients with their HCPs, providing them with insights on patient-centric goals, treatment management and adherence, as well as allowing them to observe changes in patient-related outcomes scores. Findings from the study will also help to optimize the PLM platform to build scalable solutions and connectivity within the community to better serve patients with MDD.
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spelling doaj.art-9e84ff1d3fe54217bb30df4f829bdf542023-07-02T11:22:36ZengBMCBMC Psychiatry1471-244X2023-06-0123111310.1186/s12888-023-04922-6Design of a real-world, prospective, longitudinal, observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder: a PatientsLikeMe surveySubhara Raveendran0Deepshikha Singh1Mary C. Burke2Alicia H. McAuliffe-Fogarty3Sagar V. Parikh4Roger S. McIntyre5Anit Roy6Michael Martin7Lambros Chrones8Mark G. A. Opler9Chris Blair10Maggie McCue11PatientsLikeMe, LLCPatientsLikeMe, LLCPatientsLikeMe, LLCPatientsLikeMe, LLCDepartment of Psychiatry, Michigan Medicine, University of MichiganDepartment of Psychiatry, University of Toronto and Centre for Addiction and Mental HealthTakeda Pharmaceuticals U.S.A., Inc.Takeda Pharmaceuticals U.S.A., Inc.Takeda Pharmaceuticals U.S.A., Inc.WCG Clinical Endpoint SolutionsTakeda Pharmaceuticals U.S.A., Inc.Takeda Pharmaceuticals U.S.A., Inc.Abstract Background Major depressive disorder (MDD) is a recurrent psychiatric condition that presents challenges in responding to treatment and achieving long-term remission. To improve outcomes, a shared decision-making treatment approach with patient and healthcare practitioner (HCP) engagement is vital. PatientsLikeMe (PLM), a peer community of patients, provides information on MDD, symptoms, and treatment through forums and resources, helping patients stay engaged in their treatment journey. Data on PLM can be harnessed to gain insights into patient perspectives on MDD symptom management, medication switches, and treatment goals and measures. Methods This ongoing, decentralized, longitudinal, observational, prospective study is being conducted using the PLM platform in two parts, enrolling up to 500 patients with MDD in the United States aged ≥ 18 years to compare vortioxetine with other monotherapy antidepressants. The first qualitative component consists of a webinar and discussion forum with PLM community members with MDD, followed by a pilot for functionality testing to improve the study flow and questions in the quantitative survey. The quantitative component follows on the PLM platform, utilizing patient-reported assessments, over a 24-week period. Three surveys will be conducted at baseline and weeks 12 and 24 to collect data on patient global impression of improvement, depression severity, cognitive function, quality of life (QoL) and well-being, medication satisfaction, emotional blunting, symptoms of anhedonia and resilience, as well as goal attainment. Quantitative results will be compared between groups. The qualitative component is complete; patient recruitment is underway for the quantitative component, with results expected in late 2023. Discussion These results will help HCPs understand patient perspectives on the effectiveness of vortioxetine versus other monotherapy antidepressants in alleviating symptoms of MDD and improvements in QoL. Data from the PLM platform will support a patient goal-based treatment approach, as results can be shared by patients with their HCPs, providing them with insights on patient-centric goals, treatment management and adherence, as well as allowing them to observe changes in patient-related outcomes scores. Findings from the study will also help to optimize the PLM platform to build scalable solutions and connectivity within the community to better serve patients with MDD.https://doi.org/10.1186/s12888-023-04922-6PatientsLikeMeMajor depressive disorderPatient-centric measuresGoal attainmentVortioxetineShared decision-making
spellingShingle Subhara Raveendran
Deepshikha Singh
Mary C. Burke
Alicia H. McAuliffe-Fogarty
Sagar V. Parikh
Roger S. McIntyre
Anit Roy
Michael Martin
Lambros Chrones
Mark G. A. Opler
Chris Blair
Maggie McCue
Design of a real-world, prospective, longitudinal, observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder: a PatientsLikeMe survey
BMC Psychiatry
PatientsLikeMe
Major depressive disorder
Patient-centric measures
Goal attainment
Vortioxetine
Shared decision-making
title Design of a real-world, prospective, longitudinal, observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder: a PatientsLikeMe survey
title_full Design of a real-world, prospective, longitudinal, observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder: a PatientsLikeMe survey
title_fullStr Design of a real-world, prospective, longitudinal, observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder: a PatientsLikeMe survey
title_full_unstemmed Design of a real-world, prospective, longitudinal, observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder: a PatientsLikeMe survey
title_short Design of a real-world, prospective, longitudinal, observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder: a PatientsLikeMe survey
title_sort design of a real world prospective longitudinal observational study to compare vortioxetine with other standard of care antidepressant treatments in patients with major depressive disorder a patientslikeme survey
topic PatientsLikeMe
Major depressive disorder
Patient-centric measures
Goal attainment
Vortioxetine
Shared decision-making
url https://doi.org/10.1186/s12888-023-04922-6
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