Comparison of Anyu Peibo With Placebo in Treatment of MDD in China

Exclusion Criteria

• •The subject has a current psychiatric diagnosis other than depression.
• •The subject has a suicide attempt within recent 1 year, or has a currently significant risk of suicide, or has a score ≥3 on item 10 (suicidal ideation) of MADRS.
• •The subject has a current depressive episode due to somatic general disease or a neurological disease, such as hypothyroidism.
• •When the MADRS total score of baseline visit compares with the screening visit, the decreasing rate is ≥25%.
• •Known hypersensitivity to Big Leaf Ju, or at least to two kinds of drugs.
• •Any unstable cardiovascular, hepatic, renal, blood, endocrine, or other medical disease.
• •Any neurological disease (such as Parkinson's Disease, cerebrovascular accident and epilepsy) or cerebral injury (traumatic or disease related).
• •Had a history or a high risk related disease or medication of seizure disorder, except infantile febrile convulsion.
• •The subject could not take medication or has a disease affecting drug absorption, distribution, metabolism and excretion.
• •Clinically significant electrocardiographic(ECG) abnormalities in screening visit. Such as QTc ≥450 ms in male or ≥470 ms in female.
• •Clinically significant abnormal laboratory values (eg. ALT or AST value above 2 times of clinical top-limit; Cr value above normal top-limit; thyroid gland function index (≥ 2 items in 5 items) above 1.2 times or below 0.8 times of the normal range, or investigator diagnosed with hypothyroidism or hyperthyroidism).
• •The subject who used at least two different antidepressants with recommended dose and adequate duration (maximum dosage by at least 4 weeks according to label) treatment still had no respond.
• •The subject uses antidepressant drug normally before 2 weeks of screening, and stops using psychotropic drug before randomization less than 5 half-life period (monoamine oxidase inhibitor: at least 2 weeks; fluoxetine: at least 1 month).
• •The subject received systematic light therapy, laser therapy and acupuncture or other Traditional Chinese Medicine, or systemic biofeedback therap within 2 weeks.
• •The subject received modified ECT, trans-cranial magnetic stimulation (TMS), vagus nerve stimulation (VNS) or systematic psychotherapy within 3 months.
• •Women who were pregnant, breast-feeding, or serum-HCG(+) on screening; or planning to become pregnant within 3 months after kick-off of clinical trial.
• •Education level below junior high school.
• •The subject has participated in a drug clinical trial within 1 month before screening.
• •The investigator thinks the subject is unsuitable to enroll in this clinical trial.