Efficacy of Vortioxetine (Lu AA21004) in Treating Generalized Anxiety Disorder

NCT ID: NCT00730691

Last Updated: 2013-12-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

781 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2009-02-28

Brief Summary

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The purpose of this study is to determine the safety and efficacy of vortioxetine, once daily (QD), in adults with generalized anxiety disorder.

Detailed Description

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Participants in this study will be randomly assigned to receive either 2.5 mg, 5 mg or 10 mg of vortioxetine, once daily, 60 mg of duloxetine once daily, or a placebo once daily for eight weeks.

Participants will be seen weekly during the first 2 weeks of treatment, and then every 2 weeks up to the end of the 8-week treatment period. Participants who complete the 8-week treatment period will enter a 2-week discontinuation period in order to assess potential discontinuation symptoms. Total commitment time is up to 12 weeks.

Conditions

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Generalized Anxiety Disorder

Keywords

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Generalized Anxiety Disorder Mood Disorder Affective Disorder Anxiety Disorder Drug Therapy

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

Placebo-matching capsules, orally, once daily for up to 9 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo-matching capsules

Vortioxetine 2.5 mg

Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Placebo-matching capsules

Vortioxetine

Intervention Type DRUG

Encapsulated vortioxetine immediate release tablets

Vortioxetine 5 mg

Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Placebo-matching capsules

Vortioxetine

Intervention Type DRUG

Encapsulated vortioxetine immediate release tablets

Vortioxetine 10 mg

Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.

Group Type EXPERIMENTAL

Placebo

Intervention Type DRUG

Placebo-matching capsules

Vortioxetine

Intervention Type DRUG

Encapsulated vortioxetine immediate release tablets

Duloxetine 60 mg

Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.

Group Type ACTIVE_COMPARATOR

Duloxetine

Intervention Type DRUG

Overencapsulated duloxetine capsules

Interventions

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Placebo

Placebo-matching capsules

Intervention Type DRUG

Vortioxetine

Encapsulated vortioxetine immediate release tablets

Intervention Type DRUG

Duloxetine

Overencapsulated duloxetine capsules

Intervention Type DRUG

Other Intervention Names

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Lu AA21004 Brintellix® Cymbalta

Eligibility Criteria

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Inclusion Criteria

* Has a primary diagnosis of generalized anxiety disorder according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR®) criteria (classification code 300.02).
* Has a Hamilton Anxiety Scale total score ≥ 20. Has a Hamilton Anxiety Scale score ≥2 on both item 1 (anxious mood) and item 2 (tension).
* Has a Montgomery-Åsberg Depression Rating Scale total score ≤16.

Exclusion Criteria

* Had received any investigational compound \<30 days before Screening or 5 half-lives prior to Screening, whichever is longer.
* Received Lu AA21004 in a previous clinical study.
* Was a study site employee, or an immediate family member (ie, spouse, parent, child, or sibling) of a study site employee involved in conduct of this study.
* Has 1 or more of the following:

* Any current psychiatric disorder other than Generalized Anxiety Disorder as defined in the DSM-IV-TR® (as assessed by the Mini International Neuropsychiatric Interview \[MINI\]).
* 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® and must have a negative urine drug screen prior to Baseline.
* 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.
* Has known sensitivity to duloxetine.
* Is taking excluded medications
* Has a significant risk of suicide according to the investigator's opinion or has a score ≥5 on item 10 (suicidal thoughts) of the Montgomery-Åsberg Depression Rating Scale or has made a suicide attempt in the previous 6 months.
* Has previously failed to respond to adequate treatment with selective serotonin reuptake inhibitor and/or serotonin-norepinephrine reuptake inhibitors.
* 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 known history of or currently has increased intraocular pressure or is at risk of acute narrow-angle glaucoma.
* 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 \>1.5 times the upper limit of normal.
* Has a serum creatinine level \>1.5 upper limit of normal.
* Has a previous history of cancer that had been in remission for less than 5 years.
* Hasclinically significant abnormal vital signs as determined by the investigator.
* Has a history of lack of response to previous adequate treatment with duloxetine for any Generalized Anxiety Disorder episode.
* Has 1 or more laboratory values outside the normal range, based on the blood or urine samples taken at the Screening Visit
* Has a thyroid stimulating hormone value outside the normal range.
* Has an abnormal electrocardiogram.
* has a disease or was taking medications that, in the opinion of the investigator, could have interfered with the assessments of safety, tolerability, or efficacy.
* The patient, in the opinion of the investigator, was unlikely to comply with the clinical study protocol or was unsuitable for any reason.
* Had previously been enrolled in this study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 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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Anaheim, California, United States

Site Status

Beverly Hills, California, United States

Site Status

Fresno, California, United States

Site Status

Los Angeles, California, United States

Site Status

Oceanside, California, United States

Site Status

San Diego, California, United States

Site Status

Sherman Oaks, California, United States

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Widomar, California, United States

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Denver, Colorado, United States

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Farmington, Connecticut, United States

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Norwalk, Connecticut, United States

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Coral Gables, Florida, United States

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Jacksonville, Florida, United States

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Maitland, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Tampa, Florida, United States

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West Palm Beach, Florida, United States

Site Status

Winter Park, Florida, United States

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Atlanta, Georgia, United States

Site Status

Roswell, Georgia, United States

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Smyrna, Georgia, United States

Site Status

Honolulu, Hawaii, United States

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Oakbrook Ter, Illinois, United States

Site Status

Terre Haute, Indiana, United States

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Owensboro, Kentucky, United States

Site Status

Shreveport, Louisiana, United States

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Rockville, Maryland, United States

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Chesterfield, Missouri, United States

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St Louis, Missouri, United States

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Nashua, New Hampshire, United States

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Clementon, New Jersey, United States

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Princeton, New Jersey, United States

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Albuquerque, New Mexico, United States

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Brooklyn, New York, United States

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Cedarhurst, New York, United States

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New York, New York, United States

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Rochester, New York, United States

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Staten Island, New York, United States

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Charlotte, North Carolina, United States

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Raleigh, North Carolina, United States

Site Status

Beachwood, Ohio, United States

Site Status

Cleveland, Ohio, United States

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Dayton, Ohio, United States

Site Status

Toledo, Ohio, United States

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Eugene, Oregon, United States

Site Status

Portland, Oregon, United States

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Salem, Oregon, United States

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Allentown, Pennsylvania, United States

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Media, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Columbia, South Carolina, United States

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Memphis, Tennessee, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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DeSoto, Texas, United States

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Houston, Texas, United States

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Lake Jackson, Texas, United States

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Wichita Falls, Texas, United States

Site Status

Midvale, Utah, United States

Site Status

Woodstock, Vermont, United States

Site Status

Richmond, Virginia, United States

Site Status

Seattle, Washington, United States

Site Status

Brown Deer, Wisconsin, United States

Site Status

Middleton, Wisconsin, United States

Site Status

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Mahableshwarkar AR, Jacobsen PL, Chen Y, Simon JS. A randomised, double-blind, placebo-controlled, duloxetine-referenced study of the efficacy and tolerability of vortioxetine in the acute treatment of adults with generalised anxiety disorder. Int J Clin Pract. 2014 Jan;68(1):49-59. doi: 10.1111/ijcp.12328.

Reference Type DERIVED
PMID: 24341301 (View on PubMed)

Other Identifiers

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U1111-1114-3966

Identifier Type: REGISTRY

Identifier Source: secondary_id

LuAA21004_308

Identifier Type: -

Identifier Source: org_study_id