Efficacy and Safety of Vortioxetine (Lu AA21004) in Treating Adults With Major Depressive Disorder

NCT ID: NCT00672958

Last Updated: 2013-12-13

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-30

Study Completion Date

2008-11-30

Brief Summary

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The purpose of this study is to determine the efficacy and safety of once daily vortioxetine (Lu AA21004) in adults with major depressive disorder.

Detailed Description

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The drug that was tested in this study is called Vortioxetine. Vortioxetine is being tested to treat depression in adults who have major depressive disorder (MDD). This study looked at MDD relief in people who took vortioxetine.

The study enrolled 600 patients. Participants were randomly assigned (by chance, like flipping a coin) to one of the two treatment groups-which remained undisclosed to the patient and study doctor during the study (unless there was an urgent medical need):

* Vortioxetine 5 mg
* Placebo (dummy inactive pill) - this was a capsule that looked like the study drug but had no active ingredient.

All participants were asked to take one capsule at the same time each day throughout the study.

This multi-center trial was conducted in the United States. The overall time to participate in this study was approximately 94 days. Participants made 8 visits to the clinic, and were contacted by telephone 1 week, 2 weeks, and 4 weeks after the last dose of study drug for a follow-up assessment.

Conditions

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Major Depressive Disorder

Keywords

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Major Depressive Disorder Depression Drug Therapy Major Depressive Episode

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo

Vortioxetine placebo-matching capsules, orally, once daily for up to 6 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Vortioxetine placebo-matching capsules.

Vortioxetine

Vortioxetine 5 mg, encapsulated tablet, orally, once daily for up to 6 weeks.

Group Type EXPERIMENTAL

Vortioxetine

Intervention Type DRUG

Encapsulated immediate-release tablets.

Interventions

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Vortioxetine

Encapsulated immediate-release tablets.

Intervention Type DRUG

Placebo

Vortioxetine placebo-matching capsules.

Intervention Type DRUG

Other Intervention Names

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Lu AA21004 Brintellix®

Eligibility Criteria

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Inclusion Criteria

* Suffers from a major depressive episode (MDE) as the primary diagnosis according to Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) criteria.
* The reported duration of the current MDE is at least 3 months.
* Has a Montgomery Åsberg Depression Rating Scale total score greater than or equal to 30.
* Females of childbearing potential who are sexually active must agree to use adequate contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.

Exclusion Criteria

* Has received any investigational compound less than 30 days before Screening or 5 half-lives prior to Screening, whichever is longer.
* Has received Lu AA21004 in a previous clinical study.
* Has 1 or more the following:

* Any current psychiatric disorder other than major depressive disorder as defined in the DSM-IV-TR (as assessed by the Mini International Neuropsychiatric Interview)
* Current or past history of: manic or hypomanic episode, schizophrenia, or any other psychotic disorder, including major depression with psychotic features, mental retardation, organic mental disorders, or mental disorders due to a general medical condition as defined in the DSM-IV-TR.
* Any substance disorder (except nicotine and caffeine) within the previous 6 months as defined in the DSM-IV-TR.
* Presence or history of a clinically significant neurological disorder (including epilepsy).
* Neurodegenerative disorder (Alzheimer disease, Parkinson disease, multiple sclerosis, Huntington disease, etc).
* Any Axis II disorder that might compromise the study.
* Is required to take or intends to continue taking any disallowed medication, any prescription medication, herbal treatment or over-the counter medication that may interfere with evaluation of the study medication, including:

* Narcotic analgesics
* Nonsteroidal anti-inflammatory drugs
* Rifampin
* Macrolide antibiotics
* Hormones (only thyroid hormone replacement, contraceptives \[oral, patch\], estrogen and progesterone replacement therapy are allowed in chronic use)
* Hypoglycemic agents (chronic use is allowed)
* Insulin (chronic use is allowed)
* Systemic steroids
* Quinidine
* Antineoplastics
* Antiobesity agents
* Has a significant risk of suicide according to the investigator's opinion or has a score greater than or equal to 5 on item 10 (suicidal thoughts) of the Montgomery Åsberg Depression Rating Scale or has made a suicide attempt in the previous 6 months.
* The current depressive symptoms are considered by the investigator to have been resistant to 2 adequate antidepressant treatments of at least 6 weeks duration each.
* Has received electroconvulsive therapy within 6 months prior to Screening.
* Is currently receiving formal cognitive or behavioral therapy, systematic psychotherapy, or plans to initiate such therapy during the study.
* Has a clinically significant unstable illness, for example, hepatic impairment or renal insufficiency, or a cardiovascular, pulmonary, gastrointestinal, endocrine, neurological, rheumatologic, immunologic, infectious, skin and subcutaneous tissue disorders, or metabolic disturbance.
* Has an alanine aminotransferase, aspartate aminotransferase or total bilirubin level greater than 1.5 times the upper limits of normal.
* Has a serum creatinine greater than 1.5 times the upper limits of normal.
* Has a previous history of cancer that had been in remission for less than 5 years prior to the first dose of study medication. This criterion does not include basal cell or Stage I squamous cell carcinoma of the skin.
* Has clinically significant abnormal vital signs as determined by the investigator.
* Has an abnormal electrocardiogram determined by the central reader and confirmed as clinically significant by the investigator.
* Has 1 or more laboratory values outside the normal range, based on the blood or urine samples taken at the Screening Visit, that are considered by the investigator to be clinically significant.
* Has a thyroid stimulating hormone value outside the normal range at Screening Visit that is determined to be clinically significant by the investigator.
* Has a disease or takes medication that, in the opinion of the investigator, could interfere with the assessments of safety, tolerability, or efficacy.
* Has previously enrolled in this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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H. Lundbeck A/S

INDUSTRY

Sponsor Role collaborator

Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director, Clinical Science

Role: STUDY_DIRECTOR

Takeda

Locations

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Birmingham, Alabama, United States

Site Status

Cerritos, California, United States

Site Status

Encino, California, United States

Site Status

Fresno, California, United States

Site Status

San Diego, California, United States

Site Status

Farmington, Connecticut, United States

Site Status

Jacksonville, Florida, United States

Site Status

North Miami, Florida, United States

Site Status

Tampa, Florida, United States

Site Status

Hoffman Estate, Illinois, United States

Site Status

Lafayette, Indiana, United States

Site Status

Valparaiso, Indiana, United States

Site Status

Shreveport, Louisiana, United States

Site Status

Saint Paul, Minnesota, United States

Site Status

Florissant, Missouri, United States

Site Status

Saint Charles, Missouri, United States

Site Status

Las Vegas, Nevada, United States

Site Status

Rochester, New York, United States

Site Status

Dayton, Ohio, United States

Site Status

Toledo, Ohio, United States

Site Status

Tulsa, Oklahoma, United States

Site Status

Philadelphia, Pennsylvania, United States

Site Status

Lincoln, Rhode Island, United States

Site Status

North Charleston, South Carolina, United States

Site Status

Nashville, Tennessee, United States

Site Status

Houston, Texas, United States

Site Status

Lake Jackson, Texas, United States

Site Status

Wichita Falls, Texas, United States

Site Status

Brown Deer, Wisconsin, United States

Site Status

Middleton, Wisconsin, United States

Site Status

Hull, Quebec, Canada

Site Status

Mexico City, , Mexico

Site Status

San Luis Potosí City, , Mexico

Site Status

Countries

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United States Canada Mexico

References

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Jain R, Mahableshwarkar AR, Jacobsen PL, Chen Y, Thase ME. A randomized, double-blind, placebo-controlled 6-wk trial of the efficacy and tolerability of 5 mg vortioxetine in adults with major depressive disorder. Int J Neuropsychopharmacol. 2013 Mar;16(2):313-21. doi: 10.1017/S1461145712000727. Epub 2012 Sep 11.

Reference Type RESULT
PMID: 22963932 (View on PubMed)

Other Identifiers

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U1111-1114-2328

Identifier Type: REGISTRY

Identifier Source: secondary_id

LuAA21004_303

Identifier Type: -

Identifier Source: org_study_id