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ASPREE-D: Aspirin for the prevention of depression in the elderly

Citation

Berk, M and Woods, RL and Nelson, MR and Shah, RC and Reid, CM and Storey, E and Fitzgerald, SM and Lockery, JE and Wolfe, R and Mohebbi, M and Murray, AM and Kirpach, B and Grimm, R and McNeil, JJ, on behalf of the ASPREE investigators, ASPREE-D: Aspirin for the prevention of depression in the elderly, International Psychogeriatrics, 28, (10) pp. 1741-1748. ISSN 1041-6102 (2016) [Refereed Article]

Copyright Statement

Copyright 2016 International Psychogeriatric Association

DOI: doi:10.1017/S104161021600079X

Abstract

Background: Not only is depression associated with increased inflammation but inflammation is a risk factor for the genesis of depression. Many of the environmental risk factors for depression are transduced through inflammatory signaling. Anti-inflammatory agents show promise for the management of depression in preclinical, epidemiological, and early clinical studies. This opens the door to the potential for anti-inflammatory agents to treat and prevent depression. There are no evidence-based pharmacotherapies for depression prevention.

Method: ASPREE-D, aspirin in the prevention of depression in the elderly, is a sub study of ASPREE, which explores the potential of aspirin to prevent a range of inflammation related disorders in the elderly. With a sample size of 19,114, and a duration of 5 years, this placebo controlled study will be one of the largest randomized controlled trials in psychiatry and will provide definitive evidence on the ability of aspirin to prevent depression.

Results: This paper presents the rationale for the study and presents a summary of the study design.

Conclusions: ASPREE-D may not only define novel therapy but will provide mechanistic proof of concept of the role of inflammation in depression.

Item Details

Item Type:Refereed Article
Keywords:immunology, antidepressants, biomarkers, aspirin, inflammation, risk, prevention, depression
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Primary Health Care
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Mental Health
Author:Nelson, MR (Professor Mark Nelson)
ID Code:111029
Year Published:2016
Funding Support:National Health and Medical Research Council (APP1081901)
Deposited By:Medicine (Discipline)
Deposited On:2016-08-26
Last Modified:2017-11-06
Downloads:0

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