Trial Outcomes & Findings for Efficacy of Vortioxetine (Lu AA21004) in Treating Generalized Anxiety Disorder (NCT NCT00730691)

NCT ID: NCT00730691

Last Updated: 2013-12-18

Results Overview

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where \<17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

781 participants

Primary outcome timeframe

Baseline to Week 8

Results posted on

2013-12-18

Participant Flow

Participants took part in the study at 71 investigative sites in the United States from 20 June 2008 to 27 February 2009.

Participants with a diagnosis of generalized anxiety disorder were enrolled equally in 1 of 5 treatment groups, once a day placebo, 2.5 mg, 5 mg or 10 mg vortioxetine, or 60 mg duloxetine.

Participant milestones

Participant milestones
Measure
Placebo
Placebo-matching capsules, orally, once daily for up to 9 weeks.
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.
Vortioxetine 5 mg
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
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.
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.
Overall Study
STARTED
157
156
156
156
156
Overall Study
COMPLETED
121
120
117
111
106
Overall Study
NOT COMPLETED
36
36
39
45
50

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo-matching capsules, orally, once daily for up to 9 weeks.
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.
Vortioxetine 5 mg
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
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.
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.
Overall Study
Adverse Event
4
8
11
11
23
Overall Study
Lack of Efficacy
4
4
2
1
1
Overall Study
Non-compliance with Study Drug
6
1
6
3
3
Overall Study
Protocol Deviations
3
5
3
7
5
Overall Study
Withdrawal of Consent
7
9
3
6
3
Overall Study
Lost to Follow-up
11
8
13
15
13
Overall Study
Other
1
1
1
2
2

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=157 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=156 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=156 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=156 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=156 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Total
n=781 Participants
Total of all reporting groups
Age Continuous
36.8 years
STANDARD_DEVIATION 12.12 • n=5 Participants
39.2 years
STANDARD_DEVIATION 11.90 • n=7 Participants
37.7 years
STANDARD_DEVIATION 11.96 • n=5 Participants
39.8 years
STANDARD_DEVIATION 12.33 • n=4 Participants
39.5 years
STANDARD_DEVIATION 12.28 • n=21 Participants
38.6 years
STANDARD_DEVIATION 12.14 • n=10 Participants
Age, Customized
≤55 years
143 participants
n=5 Participants
140 participants
n=7 Participants
147 participants
n=5 Participants
137 participants
n=4 Participants
137 participants
n=21 Participants
704 participants
n=10 Participants
Age, Customized
>55 years
14 participants
n=5 Participants
16 participants
n=7 Participants
9 participants
n=5 Participants
19 participants
n=4 Participants
19 participants
n=21 Participants
77 participants
n=10 Participants
Sex: Female, Male
Female
102 Participants
n=5 Participants
109 Participants
n=7 Participants
100 Participants
n=5 Participants
105 Participants
n=4 Participants
113 Participants
n=21 Participants
529 Participants
n=10 Participants
Sex: Female, Male
Male
55 Participants
n=5 Participants
47 Participants
n=7 Participants
56 Participants
n=5 Participants
51 Participants
n=4 Participants
43 Participants
n=21 Participants
252 Participants
n=10 Participants
Race/Ethnicity, Customized
Caucasian (White, including Hispanic)
118 participants
n=5 Participants
121 participants
n=7 Participants
124 participants
n=5 Participants
120 participants
n=4 Participants
121 participants
n=21 Participants
604 participants
n=10 Participants
Race/Ethnicity, Customized
Black
35 participants
n=5 Participants
31 participants
n=7 Participants
26 participants
n=5 Participants
33 participants
n=4 Participants
31 participants
n=21 Participants
156 participants
n=10 Participants
Race/Ethnicity, Customized
Asian
4 participants
n=5 Participants
0 participants
n=7 Participants
6 participants
n=5 Participants
0 participants
n=4 Participants
4 participants
n=21 Participants
14 participants
n=10 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
2 participants
n=4 Participants
0 participants
n=21 Participants
3 participants
n=10 Participants
Race/Ethnicity, Customized
Native Hawaiian/ Other Pacific Islander
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
2 participants
n=10 Participants
Region of Enrollment
United States
157 participants
n=5 Participants
156 participants
n=7 Participants
156 participants
n=5 Participants
156 participants
n=4 Participants
156 participants
n=21 Participants
781 participants
n=10 Participants
Weight
84.40 kg
STANDARD_DEVIATION 25.426 • n=5 Participants
79.47 kg
STANDARD_DEVIATION 19.893 • n=7 Participants
80.98 kg
STANDARD_DEVIATION 20.312 • n=5 Participants
80.17 kg
STANDARD_DEVIATION 21.420 • n=4 Participants
79.51 kg
STANDARD_DEVIATION 20.090 • n=21 Participants
80.91 kg
STANDARD_DEVIATION 21.558 • n=10 Participants
Height
168.74 cm
STANDARD_DEVIATION 9.605 • n=5 Participants
167.87 cm
STANDARD_DEVIATION 9.139 • n=7 Participants
169.25 cm
STANDARD_DEVIATION 9.282 • n=5 Participants
167.61 cm
STANDARD_DEVIATION 8.378 • n=4 Participants
167.94 cm
STANDARD_DEVIATION 9.300 • n=21 Participants
168.28 cm
STANDARD_DEVIATION 9.147 • n=10 Participants
Body Mass Index (BMI)
29.54 kg/m^2
STANDARD_DEVIATION 8.478 • n=5 Participants
28.19 kg/m^2
STANDARD_DEVIATION 6.651 • n=7 Participants
28.24 kg/m^2
STANDARD_DEVIATION 6.589 • n=5 Participants
28.49 kg/m^2
STANDARD_DEVIATION 7.058 • n=4 Participants
28.10 kg/m^2
STANDARD_DEVIATION 6.325 • n=21 Participants
28.51 kg/m^2
STANDARD_DEVIATION 7.064 • n=10 Participants
Smoking Classification
Never Smoked
92 participants
n=5 Participants
85 participants
n=7 Participants
81 participants
n=5 Participants
85 participants
n=4 Participants
82 participants
n=21 Participants
425 participants
n=10 Participants
Smoking Classification
Current Smoker
41 participants
n=5 Participants
43 participants
n=7 Participants
44 participants
n=5 Participants
43 participants
n=4 Participants
43 participants
n=21 Participants
214 participants
n=10 Participants
Smoking Classification
Ex-smoker
23 participants
n=5 Participants
28 participants
n=7 Participants
31 participants
n=5 Participants
28 participants
n=4 Participants
31 participants
n=21 Participants
141 participants
n=10 Participants
Alcohol Consumption
Never
40 participants
n=5 Participants
49 participants
n=7 Participants
40 participants
n=5 Participants
53 participants
n=4 Participants
44 participants
n=21 Participants
226 participants
n=10 Participants
Alcohol Consumption
Once monthly or less often
71 participants
n=5 Participants
50 participants
n=7 Participants
66 participants
n=5 Participants
49 participants
n=4 Participants
64 participants
n=21 Participants
300 participants
n=10 Participants
Alcohol Consumption
Once a week
27 participants
n=5 Participants
25 participants
n=7 Participants
31 participants
n=5 Participants
29 participants
n=4 Participants
19 participants
n=21 Participants
131 participants
n=10 Participants
Alcohol Consumption
2 to 6 times per week
17 participants
n=5 Participants
30 participants
n=7 Participants
17 participants
n=5 Participants
22 participants
n=4 Participants
22 participants
n=21 Participants
108 participants
n=10 Participants
Alcohol Consumption
Daily
1 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
3 participants
n=4 Participants
7 participants
n=21 Participants
15 participants
n=10 Participants
Hamilton Anxiety Scale Total Score
24.4 scores on a scale
STANDARD_DEVIATION 3.73 • n=5 Participants
25.3 scores on a scale
STANDARD_DEVIATION 4.25 • n=7 Participants
25.0 scores on a scale
STANDARD_DEVIATION 3.57 • n=5 Participants
25.3 scores on a scale
STANDARD_DEVIATION 3.96 • n=4 Participants
25.0 scores on a scale
STANDARD_DEVIATION 3.94 • n=21 Participants
25.0 scores on a scale
STANDARD_DEVIATION 3.90 • n=10 Participants
Clinical Global Impression - Severity scale score
4.3 scores on a scale
STANDARD_DEVIATION 0.56 • n=5 Participants
4.4 scores on a scale
STANDARD_DEVIATION 0.63 • n=7 Participants
4.4 scores on a scale
STANDARD_DEVIATION 0.59 • n=5 Participants
4.4 scores on a scale
STANDARD_DEVIATION 0.59 • n=4 Participants
4.4 scores on a scale
STANDARD_DEVIATION 0.62 • n=21 Participants
4.4 scores on a scale
STANDARD_DEVIATION 0.60 • n=10 Participants
Hospital Anxiety and Depression - Anxiety subscale
13.9 scores on a scale
STANDARD_DEVIATION 3.23 • n=5 Participants
13.8 scores on a scale
STANDARD_DEVIATION 3.40 • n=7 Participants
13.8 scores on a scale
STANDARD_DEVIATION 3.70 • n=5 Participants
14.0 scores on a scale
STANDARD_DEVIATION 3.02 • n=4 Participants
13.4 scores on a scale
STANDARD_DEVIATION 3.70 • n=21 Participants
13.8 scores on a scale
STANDARD_DEVIATION 3.41 • n=10 Participants
Hospital Anxiety and Depression - Depression subscale
8.2 scores on a scale
STANDARD_DEVIATION 4.12 • n=5 Participants
8.2 scores on a scale
STANDARD_DEVIATION 3.83 • n=7 Participants
8.2 scores on a scale
STANDARD_DEVIATION 3.94 • n=5 Participants
8.5 scores on a scale
STANDARD_DEVIATION 3.59 • n=4 Participants
8.2 scores on a scale
STANDARD_DEVIATION 4.00 • n=21 Participants
8.2 scores on a scale
STANDARD_DEVIATION 3.89 • n=10 Participants
Montgomery Åsberg Depression Rating Scale (MADRS) total score
11.83 scores on a scale
STANDARD_DEVIATION 2.787 • n=5 Participants
12.24 scores on a scale
STANDARD_DEVIATION 3.279 • n=7 Participants
12.24 scores on a scale
STANDARD_DEVIATION 2.895 • n=5 Participants
12.47 scores on a scale
STANDARD_DEVIATION 2.868 • n=4 Participants
11.99 scores on a scale
STANDARD_DEVIATION 3.087 • n=21 Participants
12.16 scores on a scale
STANDARD_DEVIATION 2.989 • n=10 Participants

PRIMARY outcome

Timeframe: Baseline to Week 8

Population: The full analysis set (FAS) included all randomized patients who received at least 1 dose of study drug, and had at least 1 postbaseline value for assessment of primary efficacy. A mixed model for repeated measurements (MMRM) based on observed cases was used.

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where \<17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=118 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=114 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=111 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=106 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in the Hamilton Anxiety (HAM-A) Scale Total Score at Week 8
-11.27 scores on a scale
Standard Error 0.595
-12.23 scores on a scale
Standard Error 0.600
-11.57 scores on a scale
Standard Error 0.606
-11.66 scores on a scale
Standard Error 0.606
-13.87 scores on a scale
Standard Error 0.635

SECONDARY outcome

Timeframe: Baseline to Week 8

Population: Full analysis set. A mixed model for repeated measurements (MMRM) based on observed cases was used.

The HAD-Anxiety subscale is completed by the participant and measures anxiety, including anxious mood, restlessness, anxious thoughts, and panic attacks. The subscale is made up of 7 items that are assessed on a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=123 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=120 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=119 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=111 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=108 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Week 8
-4.00 scores on a scale
Standard Error 0.361
-3.89 scores on a scale
Standard Error 0.364
-4.24 scores on a scale
Standard Error 0.366
-5.09 scores on a scale
Standard Error 0.372
-5.54 scores on a scale
Standard Error 0.385

SECONDARY outcome

Timeframe: Baseline to Week 8

Population: Full analysis set. A mixed model for repeated measurements (MMRM) based on observed cases was used.

The Clinical Global Impression - Global Improvement scale measures the participant's improvement (or worsening) as assessed by the investigator relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=120 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=118 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=114 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=111 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=106 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Week 8
2.47 scores on a scale
Standard Error 0.091
2.36 scores on a scale
Standard Error 0.092
2.38 scores on a scale
Standard Error 0.093
2.38 scores on a scale
Standard Error 0.093
2.03 scores on a scale
Standard Error 0.098

SECONDARY outcome

Timeframe: Baseline to Week 8

Population: Full analysis set. A mixed model for repeated measurements (MMRM) based on observed cases was used.

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=97 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=94 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=95 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=94 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=84 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in Sheehan Disability Scale (SDS) at Week 8
-6.35 scores on a scale
Standard Error 0.631
-6.15 scores on a scale
Standard Error 0.647
-6.68 scores on a scale
Standard Error 0.642
-7.95 scores on a scale
Standard Error 0.623
-8.81 scores on a scale
Standard Error 0.675

SECONDARY outcome

Timeframe: Week 8

Population: Full analysis set; Last observation carried forward (LOCF) was used.

Response was defined as participants with a ≥50% decrease from Baseline in the HAM-A total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity).

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=148 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=149 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Percentage of Responders in HAM-A Total Score at Week 8
42.2 percentage of participants
44.8 percentage of participants
42.6 percentage of participants
44.8 percentage of participants
51.0 percentage of participants

SECONDARY outcome

Timeframe: Baseline to Week 8

Population: Full analysis set patients with a HAM-A Baseline score ≥25. A mixed model for repeated measurements (MMRM) based on observed cases was used.

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where \<17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=60 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=60 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=50 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=48 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25
-11.61 scores on a scale
Standard Error 1.008
-14.12 scores on a scale
Standard Error 0.945
-13.87 scores on a scale
Standard Error 0.955
-13.22 scores on a scale
Standard Error 0.999
-16.15 scores on a scale
Standard Error 1.039

SECONDARY outcome

Timeframe: Baseline to Weeks 1, 2, 4 and 6

Population: Full analysis set. A mixed model for repeated measurements (MMRM) based on observed cases was used; "n" indicates the number of patients included in the analysis at each time point.

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where \<17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=148 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=149 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
Week 1 (n= 151, 149, 142, 149, 143)
-4.70 scores on a scale
Standard Error 0.423
-4.56 scores on a scale
Standard Error 0.421
-4.90 scores on a scale
Standard Error 0.430
-5.04 scores on a scale
Standard Error 0.419
-5.48 scores on a scale
Standard Error 0.435
Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
Week 2 (n=147, 145, 143, 147, 130)
-7.30 scores on a scale
Standard Error 0.472
-7.28 scores on a scale
Standard Error 0.471
-8.22 scores on a scale
Standard Error 0.476
-7.63 scores on a scale
Standard Error 0.468
-9.29 scores on a scale
Standard Error 0.494
Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
Week 4 (n= 139, 135, 132, 133, 116)
-8.66 scores on a scale
Standard Error 0.518
-9.77 scores on a scale
Standard Error 0.520
-9.84 scores on a scale
Standard Error 0.525
-9.73 scores on a scale
Standard Error 0.519
-11.13 scores on a scale
Standard Error 0.553
Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
Week 6 (n= 127, 123, 122, 120, 112)
-10.28 scores on a scale
Standard Error 0.547
-10.82 scores on a scale
Standard Error 0.553
-11.26 scores on a scale
Standard Error 0.556
-11.05 scores on a scale
Standard Error 0.552
-12.66 scores on a scale
Standard Error 0.583

SECONDARY outcome

Timeframe: Baseline to Weeks 1 and 4

Population: Full analysis set with available data at Baseline. A mixed model for repeated measurements (MMRM) based on observed cases was used; "n" indicates the number of patients included in the analysis at each time point.

The HAD-Anxiety subscale is completed by the participant and measures anxiety, including anxious mood, restlessness, anxious thoughts, and panic attacks. The subscale is made up of 7 items that are assessed on a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=148 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=148 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Other Weeks Assessed
Week 1 (n=150, 149, 141, 149, 141)
-1.81 scores on a scale
Standard Error 0.273
-1.85 scores on a scale
Standard Error 0.274
-1.89 scores on a scale
Standard Error 0.280
-2.22 scores on a scale
Standard Error 0.272
-2.91 scores on a scale
Standard Error 0.285
Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Other Weeks Assessed
Week 4 (n=141, 142, 139, 141, 126)
-3.24 scores on a scale
Standard Error 0.310
-3.34 scores on a scale
Standard Error 0.310
-3.60 scores on a scale
Standard Error 0.313
-4.01 scores on a scale
Standard Error 0.310
-5.11 scores on a scale
Standard Error 0.328

SECONDARY outcome

Timeframe: Baseline to Weeks 1, 2, 4 and 6

Population: Full analysis set with available data at Baseline. A mixed model for repeated measurements (MMRM) based on observed cases was used; "n" indicates the number of patients included in the analysis at each time point.

The Clinical Global Impression - Global Improvement scale measures the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=147 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=148 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Other Weeks Assessed
Week 1 (n=151, 148, 141, 149, 141)
3.44 scores on a scale
Standard Error 0.067
3.46 scores on a scale
Standard Error 0.068
3.41 scores on a scale
Standard Error 0.069
3.40 scores on a scale
Standard Error 0.067
3.36 scores on a scale
Standard Error 0.070
Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Other Weeks Assessed
Week 2 (n=147, 145, 142, 147, 129)
3.03 scores on a scale
Standard Error 0.072
3.08 scores on a scale
Standard Error 0.072
2.90 scores on a scale
Standard Error 0.073
2.96 scores on a scale
Standard Error 0.072
2.76 scores on a scale
Standard Error 0.077
Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Other Weeks Assessed
Week 4 (n=140, 135, 132, 134, 116)
2.81 scores on a scale
Standard Error 0.079
2.67 scores on a scale
Standard Error 0.080
2.67 scores on a scale
Standard Error 0.081
2.68 scores on a scale
Standard Error 0.080
2.44 scores on a scale
Standard Error 0.085
Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Other Weeks Assessed
Week 6 (n=127, 123, 121, 120, 112)
2.61 scores on a scale
Standard Error 0.082
2.53 scores on a scale
Standard Error 0.083
2.43 scores on a scale
Standard Error 0.084
2.41 scores on a scale
Standard Error 0.083
2.25 scores on a scale
Standard Error 0.088

SECONDARY outcome

Timeframe: Baseline to Weeks 1, 2 and 4

Population: Full analysis set with available data at Baseline. A mixed model for repeated measurements (MMRM) based on observed cases was used; "n" indicates the number of patients included in the analysis at each time point.

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=126 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=121 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=118 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=133 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=119 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in Sheehan Disability Scale (SDS) at Other Weeks Assessed
Week 1 (n=116, 111, 109, 125, 112)
-3.22 scores on a scale
Standard Error 0.506
-2.74 scores on a scale
Standard Error 0.521
-3.28 scores on a scale
Standard Error 0.521
-4.11 scores on a scale
Standard Error 0.483
-4.74 scores on a scale
Standard Error 0.521
Change From Baseline in Sheehan Disability Scale (SDS) at Other Weeks Assessed
Week 2 (n=116, 114, 116, 123, 103)
-4.53 scores on a scale
Standard Error 0.536
-4.18 scores on a scale
Standard Error 0.547
-5.02 scores on a scale
Standard Error 0.542
-5.46 scores on a scale
Standard Error 0.514
-7.09 scores on a scale
Standard Error 0.563
Change From Baseline in Sheehan Disability Scale (SDS) at Other Weeks Assessed
Week 4 (n=108, 106, 106, 115, 91)
-4.55 scores on a scale
Standard Error 0.590
-4.98 scores on a scale
Standard Error 0.604
-5.92 scores on a scale
Standard Error 0.600
-6.47 scores on a scale
Standard Error 0.568
-7.95 scores on a scale
Standard Error 0.632

SECONDARY outcome

Timeframe: Baseline and Weeks 1, 2, 4 and 6

Population: Full analysis set; LOCF was used. "n" indicates the number of patients included in the analysis at each time point.

Response was defined as participants with a ≥50% decrease from Baseline in the HAM-A total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity).

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=148 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=149 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Percentage of Responders in HAM-A Total Score at Other Weeks Assessed
Week 1 (n=151, 149, 142, 149, 143)
11.3 percentage of participants
6.7 percentage of participants
8.5 percentage of participants
10.1 percentage of participants
16.8 percentage of participants
Percentage of Responders in HAM-A Total Score at Other Weeks Assessed
Week 2 (n=154, 154, 147, 154, 149)
20.8 percentage of participants
20.1 percentage of participants
21.1 percentage of participants
21.4 percentage of participants
28.9 percentage of participants
Percentage of Responders in HAM-A Total Score at Other Weeks Assessed
Week 4 (n=154, 154, 148, 154, 149)
26.0 percentage of participants
30.5 percentage of participants
32.4 percentage of participants
35.1 percentage of participants
42.3 percentage of participants
Percentage of Responders in HAM-A Total Score at Other Weeks Assessed
Week 6 (n=154, 154, 148, 154, 149)
36.4 percentage of participants
37.7 percentage of participants
40.5 percentage of participants
40.9 percentage of participants
47.7 percentage of participants

SECONDARY outcome

Timeframe: Baseline to weeks 1, 2, 4 and 6

Population: Full analysis set patients with a HAM-A Baseline score ≥25. A mixed model for repeated measurements (MMRM) based on observed cases was used; "n" indicates the number of patients included in the analysis at each time point.

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where \<17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=65 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=80 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=74 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=73 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=70 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25
Week 1 (n=63, 76, 70, 70, 66)
-5.32 scores on a scale
Standard Error 0.787
-6.07 scores on a scale
Standard Error 0.719
-5.96 scores on a scale
Standard Error 0.749
-5.94 scores on a scale
Standard Error 0.740
-6.78 scores on a scale
Standard Error 0.770
Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25
Week 2 (n=62, 73, 70, 68, 62)
-7.55 scores on a scale
Standard Error 0.856
-8.82 scores on a scale
Standard Error 0.785
-10.18 scores on a scale
Standard Error 0.810
-8.51 scores on a scale
Standard Error 0.808
-10.40 scores on a scale
Standard Error 0.844
Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25
Week 4 (n=60, 68, 67, 63, 54)
-8.61 scores on a scale
Standard Error 0.901
-11.61 scores on a scale
Standard Error 0.837
-12.87 scores on a scale
Standard Error 0.854
-10.98 scores on a scale
Standard Error 0.862
-12.56 scores on a scale
Standard Error 0.914
Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25
Week 6 (n=58, 63, 62, 54, 51)
-10.72 scores on a scale
Standard Error 0.937
-12.86 scores on a scale
Standard Error 0.880
-14.11 scores on a scale
Standard Error 0.895
-12.75 scores on a scale
Standard Error 0.918
-14.35 scores on a scale
Standard Error 0.961

SECONDARY outcome

Timeframe: Weeks 1, 2, 4, 6 and 8

Population: Full analysis set. LOCF was used. "n" indicates the number of patients included in the analysis at each time point.

Remission is defined as a Hamilton Anxiety Scale (HAM-A) total score ≤ 7. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity).

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=148 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=149 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Percentage of Participants in HAM-A Remission at Each Week Assessed
Week 1 (n=151, 149, 142, 149, 143)
4.0 percentage of participants
2.0 percentage of participants
0.7 percentage of participants
2.0 percentage of participants
4.9 percentage of participants
Percentage of Participants in HAM-A Remission at Each Week Assessed
Week 2 (n=154, 154, 147, 154, 149)
6.5 percentage of participants
8.4 percentage of participants
7.5 percentage of participants
3.9 percentage of participants
12.1 percentage of participants
Percentage of Participants in HAM-A Remission at Each Week Assessed
Week 4 (n=154, 154, 148, 154, 149)
10.4 percentage of participants
13.6 percentage of participants
11.5 percentage of participants
13.0 percentage of participants
17.4 percentage of participants
Percentage of Participants in HAM-A Remission at Each Week Assessed
Week 6 (n=154, 154, 148, 154, 149)
16.2 percentage of participants
14.9 percentage of participants
14.9 percentage of participants
16.9 percentage of participants
20.8 percentage of participants
Percentage of Participants in HAM-A Remission at Each Week Assessed
Week 8 (n=154, 154, 148, 154, 149)
22.1 percentage of participants
20.1 percentage of participants
19.6 percentage of participants
20.1 percentage of participants
28.2 percentage of participants

SECONDARY outcome

Timeframe: Baseline to Weeks 1, 2, 4, 6 and 8

Population: Full analysis set with available data at Baseline. A mixed model for repeated measurements (MMRM) based on observed cases was used; "n" indicates the number of patients included in the analysis at each time point.

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=147 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=148 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
Week 1 (n=151, 148, 141, 149, 142)
-0.42 scores on a scale
Standard Error 0.055
-0.37 scores on a scale
Standard Error 0.055
-0.39 scores on a scale
Standard Error 0.056
-0.42 scores on a scale
Standard Error 0.054
-0.54 scores on a scale
Standard Error 0.057
Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
Week 2 (n=147, 145, 142, 147, 130)
-0.71 scores on a scale
Standard Error 0.066
-0.74 scores on a scale
Standard Error 0.066
-0.80 scores on a scale
Standard Error 0.067
-0.75 scores on a scale
Standard Error 0.065
-0.97 scores on a scale
Standard Error 0.069
Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
Week 4 (n=140, 135, 132, 134, 115)
-0.95 scores on a scale
Standard Error 0.076
-1.12 scores on a scale
Standard Error 0.077
-1.02 scores on a scale
Standard Error 0.077
-1.11 scores on a scale
Standard Error 0.076
-1.28 scores on a scale
Standard Error 0.082
Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
Week 6 (n=127, 123, 121, 120, 112)
-1.22 scores on a scale
Standard Error 0.083
-1.32 scores on a scale
Standard Error 0.084
-1.31 scores on a scale
Standard Error 0.084
-1.35 scores on a scale
Standard Error 0.084
-1.55 scores on a scale
Standard Error 0.088
Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
Week 8 (n=120, 118, 114, 111, 106)
-1.42 scores on a scale
Standard Error 0.095
-1.50 scores on a scale
Standard Error 0.096
-1.38 scores on a scale
Standard Error 0.097
-1.44 scores on a scale
Standard Error 0.097
-1.77 scores on a scale
Standard Error 0.101

SECONDARY outcome

Timeframe: Baseline to Weeks 1, 4 and 8

Population: Full analysis set with available data at Baseline. A mixed model for repeated measurements (MMRM) based on observed cases was used; "n" indicates the number of patients included in the analysis at each time point.

The HAD-Depression subscale is completed by the participant and measures depression, focusing on the state of lost interest and diminished pleasure response. The subscale is made up of 7 items that are assessed on a scale from 0 (no depression) to 3 (severe feeling of depression). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. The item scores are summed and the total subscore ranges from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) model with week, Baseline score-by-week and treatment-by-week interaction as factors.

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=148 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=148 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Change From Baseline in Hospital Anxiety and Depression (HAD) - Depression Subscale at All Weeks Assessed
Week 1 (n=150, 149, 141, 149, 141)
-0.81 scores on a scale
Standard Error 0.226
-0.83 scores on a scale
Standard Error 0.226
-0.88 scores on a scale
Standard Error 0.231
-1.25 scores on a scale
Standard Error 0.225
-1.19 scores on a scale
Standard Error 0.235
Change From Baseline in Hospital Anxiety and Depression (HAD) - Depression Subscale at All Weeks Assessed
Week 4 (n=141, 142, 139, 141, 126)
-1.32 scores on a scale
Standard Error 0.268
-1.83 scores on a scale
Standard Error 0.268
-1.70 scores on a scale
Standard Error 0.271
-1.61 scores on a scale
Standard Error 0.268
-2.62 scores on a scale
Standard Error 0.283
Change From Baseline in Hospital Anxiety and Depression (HAD) - Depression Subscale at All Weeks Assessed
Week 8 (n=123, 120, 119, 111, 108)
-2.21 scores on a scale
Standard Error 0.300
-1.82 scores on a scale
Standard Error 0.303
-1.96 scores on a scale
Standard Error 0.305
-1.94 scores on a scale
Standard Error 0.310
-2.77 scores on a scale
Standard Error 0.320

SECONDARY outcome

Timeframe: Baseline and Week 8

Population: Full analysis set

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors the participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks.

Outcome measures

Outcome measures
Measure
Placebo
n=154 Participants
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=154 Participants
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=148 Participants
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=154 Participants
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=149 Participants
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Baseline: Any resource use
34 participants
36 participants
26 participants
43 participants
38 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Baseline: Any hospitalization-related services
0 participants
3 participants
1 participants
0 participants
2 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Baseline: Hospitalization related to anxiety
0 participants
2 participants
1 participants
0 participants
0 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Baseline: Any sick leave
14 participants
16 participants
13 participants
15 participants
12 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Baseline: Sick leave related to anxiety
5 participants
10 participants
9 participants
9 participants
7 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Week 8: Any resource use
26 participants
24 participants
29 participants
23 participants
22 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Week 8: Any hospitalization-related service
0 participants
0 participants
0 participants
1 participants
3 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Week 8: Hospitalization related to anxiety
0 participants
0 participants
0 participants
0 participants
1 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Week 8: Any sick leave
13 participants
6 participants
7 participants
7 participants
11 participants
Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
Week 8: Sick leave related to anxiety
2 participants
2 participants
3 participants
1 participants
4 participants

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 85 other events
Deaths: 0 deaths

Vortioxetine 2.5 mg

Serious events: 1 serious events
Other events: 100 other events
Deaths: 0 deaths

Vortioxetine 5 mg

Serious events: 0 serious events
Other events: 104 other events
Deaths: 0 deaths

Vortioxetine 10 mg

Serious events: 1 serious events
Other events: 111 other events
Deaths: 0 deaths

Duloxetine 60 mg

Serious events: 3 serious events
Other events: 116 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=155 participants at risk
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=156 participants at risk
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=155 participants at risk
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=156 participants at risk
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=154 participants at risk
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Cardiac disorders
Angina pectoris
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Abdominal hernia
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Somnolence
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Reproductive system and breast disorders
Benign prostatic hyperplasia
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Social circumstances
Sexual abuse
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Other adverse events

Other adverse events
Measure
Placebo
n=155 participants at risk
Placebo-matching capsules, orally, once daily for up to 9 weeks.
Vortioxetine 2.5 mg
n=156 participants at risk
Vortioxetine 2.5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Vortioxetine 5 mg
n=155 participants at risk
Vortioxetine 5 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsule, orally, once daily, for 1 week.
Vortioxetine 10 mg
n=156 participants at risk
Vortioxetine 10 mg encapsulated tablets, orally, once daily, for 8 weeks, followed by placebo-matching capsules, orally, once daily, for 1 week.
Duloxetine 60 mg
n=154 participants at risk
Duloxetine 60 mg capsules, orally, once daily, for 8 weeks, followed by duloxetine 30 mg capsules, orally, once daily, for 1 week.
Eye disorders
Vision blurred
3.9%
6/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Nausea
17.4%
27/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
16.7%
26/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
29.0%
45/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
34.0%
53/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
37.0%
57/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Dry mouth
6.5%
10/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
9.0%
14/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
11.0%
17/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
13.5%
21/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
16.2%
25/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Diarrhoea
5.8%
9/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.8%
9/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
11/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
12.8%
20/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.9%
6/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Constipation
3.9%
6/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
6.4%
10/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.7%
12/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.2%
8/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Dyspepsia
1.3%
2/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
11/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
11/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Vomiting
3.9%
6/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.8%
9/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
6.5%
10/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Abdominal pain upper
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Stomach discomfort
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Flatulence
1.9%
3/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Fatigue
1.9%
3/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.8%
6/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.2%
8/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.8%
9/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
9.7%
15/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Irritability
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.8%
6/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Asthenia
3.2%
5/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
General disorders
Feeling jittery
1.3%
2/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Nasopharyngitis
4.5%
7/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
9.0%
14/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
4.5%
7/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.7%
12/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Upper respiratory tract infection
5.8%
9/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.7%
12/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
11/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.7%
12/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.2%
8/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Influenza
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.9%
6/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Viral upper respiratory tract infection
1.9%
3/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.9%
6/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Infections and infestations
Gastroenteritis
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Injury, poisoning and procedural complications
Accidental overdose
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Investigations
Blood creatine phosphokinase increased
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Metabolism and nutrition disorders
Decreased appetite
1.9%
3/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
7.1%
11/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Musculoskeletal and connective tissue disorders
Back pain
1.3%
2/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Headache
12.9%
20/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
11.5%
18/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
12.9%
20/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
16.0%
25/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
16.9%
26/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Somnolence
3.9%
6/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
4.5%
7/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
8.4%
13/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.1%
8/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
11.7%
18/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Dizziness
3.2%
5/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
8.3%
13/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.8%
9/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
9.0%
14/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
11.0%
17/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Tension headache
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Psychiatric disorders
Libido decreased
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
4.5%
7/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
4.5%
7/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Psychiatric disorders
Anorgasmia
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.64%
1/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.9%
6/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Psychiatric disorders
Insomnia
2.6%
4/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.8%
6/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.9%
6/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.9%
6/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Psychiatric disorders
Anxiety
1.3%
2/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Psychiatric disorders
Abnormal dreams
0.00%
0/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.6%
4/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Psychiatric disorders
Restlessness
1.3%
2/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.65%
1/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
3.2%
5/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Skin and subcutaneous tissue disorders
Hyperhidrosis
1.3%
2/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.9%
3/155 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
1.3%
2/156 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
5.2%
8/154 • From the first dose of double-blind study medication through 30 days after permanent discontinuation of double-blind study medication.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Additional Information

Medical Director, Clinical Science

Takeda

Phone: 800-778-2860

Results disclosure agreements

  • Principal investigator is a sponsor employee The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
  • Publication restrictions are in place

Restriction type: OTHER