PRESIDE Trial: A Randomised Controlled Trial providing antidepressant medication information to patients with mild-to-severe depressive symptoms.

Project Details

The PRESIDE (PhaRmacogEnomicS In Depression) trial is a double-blind randomised controlled trial (RCT) of pharmacogenomically-informed prescribing of antidepressants on depression outcomes in patients with major depressive disorder in primary care. Participants who have depressive symptoms will be recruited to the study in their general practice by University of Melbourne researchers and provide a DNA sample.

Participants are randomly allocated to one of two groups and neither they, nor their GP are aware of which group they are in. One group will receive recommendations for which antidepressant drugs may be most effective for them based on how their DNA impacts how they break these drugs down. The other group will receive recommendations for antidepressant drugs based on current best practice. These reports are generated by the researchers and sent to participants' GPs. All participants, regardless of which group they are in, will decide with their GP which antidepressant, if any, is best for them.

This trial addresses significant knowledge gaps related to how clinically useful this type of pharmacogenomic test may be in managing patients with major depressive disorder in primary care. It will create evidence about the efficacy, safety, and cost-effectiveness of this approach, working with health service delivery partners and research end-users to ensure the findings can be implemented into practice as quickly as possible.

Researchers

Herman Prof Jon Emery, Academic GP, University of Melbourne

Dr. Sibel Saya, Study Coordinator/ Research Fellow, University of Melbourne

Prof. Jane Gunn, Academic GP, University of Melbourne

A/Prof. Chad Bousman, Research Psychiatrist, University of Melbourne

Prof. Graeme Suthers, Geneticist, Sonic Genetics

A/Prof. Victoria Palmer, Research Fellow, University of Melbourne

Prof. Catherine Mihalopoulos, Health Economist, Monash University

Prof. Timothy Chen, Research Fellow, University of Sydney

Dr. Thomas Polasek, Research Fellow, Flinders University

Dr. Patty Chondros, Statistician, University of Melbourne

Mr. Luke Spencer, Research Assistant, University of Melbourne

Ms. Rachel Brooks, Research Nurse, University of Melbourne

Ms. Jamie Jie Mei Liew, Research Support Officer, University of Melbourne

Mr. Raushaan Seychell, Research Assistant, University of Melbourne

Ms. Zoe Siviour, Research, Assistant, University of Melbourne

Ms. Georgia Ramsay, Research Assistant, University of Melbourne

Mr. Matthew Thoenig, Research Officer, University of Melbourne

Mr. Philip Ly, Research Assistant, University of Melbourne

Collaborators

Sonic Genetics (including Melbourne Pathology and Douglass Hanly Moir)

Translational Software

Funding

This study is funded by the Medical Research Future Fund.

Research Outcomes

This randomised controlled trial will provide evidence on the effectiveness and cost-effectiveness of using pharmacogenomic tests to tailor antidepressant prescribing.

Research Group

Cancer in Primary Care



Faculty Research Themes

Cancer

School Research Themes

Cancer in Medicine



Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

General Practice and Primary Care

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