A Study in Adult Patients With Major Depressive Disorder

NCT ID: NCT00795821

Last Updated: 2018-03-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

495 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2011-03-31

Brief Summary

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The purpose of this study is to assess whether LY2216684 is superior to placebo in the treatment of adult patients with major depressive disorder.

Detailed Description

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Conditions

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Depressive Disorder, Major

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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LY2216684

10-week Acute Treatment Phase: Day after Week 0=start of 6 milligram (mg) once daily (QD) dosing; Week 1=all participants titrated to 9 mg QD; After Week 1=dose increased, maintained, or decreased to a minimum of 6 mg QD and maximum of 18 mg QD, depending on participant's tolerance of study drug.

1-year Long-term Extension Phase: Day after Week 10=start of same LY2216684 dose participant was taking at the end of acute treatment phase; After Week 11=dose increased, maintained, or decreased to minimum of 6 mg QD and maximum of 18 mg QD based on investigator's judgment of safety and tolerability (up to Week 62).

Group Type EXPERIMENTAL

LY2216684

Intervention Type DRUG

Flexible Dosing: 6 mg, 9 mg, 12 mg and 18 mg (3 tablets) administered QD for up to 62 weeks

Placebo

10-week Acute Treatment Phase: 3 tablets QD for 10 weeks

1-year Long-term Extension Phase: Day after Week 10=6 mg LY2216684 dose; After 1 week=dose escalated to 9 mg QD; After Week 11=dose increased, maintained, or decreased to minimum of 6 mg QD and maximum of 18 mg QD based on investigator's judgment of safety and tolerability (up to Week 62).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Dose: 3 tablets QD for 10 weeks

Interventions

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LY2216684

Flexible Dosing: 6 mg, 9 mg, 12 mg and 18 mg (3 tablets) administered QD for up to 62 weeks

Intervention Type DRUG

Placebo

Dose: 3 tablets QD for 10 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults age 18-65 years
* Meet criteria for major depressive disorder (MDD) as defined by Diagnostic and Statistical Manual of Mental Disorders-fourth edition-text revision (DSM-IV-TR) criteria without psychotic features
* Women of child-bearing potential must test negative for pregnancy and agree to use a reliable method of birth control
* Grid 17-item Hamilton Rating Scale for Depression (GRID-HAMD17) total score ≥18 at Visit 1 and Visit 2
* Clinical global impressions of severity (CGI-S) score ≥4 at Visit 1 and Visit 2

Exclusion Criteria

* Are currently involved in or discontinued within the last 30 days from a clinical trial involving an off-label use of an investigational drug
* Have previously completed or withdrawn from this study or any other study investigating LY2216684
* Have had or currently have any additional ongoing DSM-IV-TR Axis 1 condition other than MDD
* Have had any anxiety disorder preceding the onset of depression that was considered the primary diagnosis within 1 year of Visit 1
* Have an Axis II disorder that would interfere with protocol compliance
* Have a current or previous diagnosis of Bipolar I or II, psychotic depression, schizophrenia, or other psychotic disorder
* Have a history of substance abuse within the past 1 year
* Women who are pregnant or breast-feeding
* Have had a lack of response of the current depressive episode to 2 or more adequate courses of antidepressant therapy, or in the judgment of the investigator, considered to have treatment-resistant depression
* Participants who are judged to be at serious suicidal risk
* Have a serious or unstable medical illness
* Have any diagnosed medical condition which could be exacerbated by noradrenergic agents including unstable hypertension, unstable heart disease, tachycardia or tachyarrhythmia, narrow angle glaucoma, or urinary hesitation or retention
* Have received treatment with a monoamine oxidase inhibitor (MAOI) within 14 days prior to Visit 1
* Have a history of severe allergies to more than 1 class of medication or multiple adverse drug reactions
* Have a history of electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS) or psychosurgery within the last year
* Have a history of any seizure disorder (other than febrile seizures)
* Require psychotropic medication other than sedative/hypnotic medication for sleep
* Have a thyroid stimulating hormone (TSH) level outside the established reference range.
* Are taking or have received treatment with any excluded medication within 7 days prior to Visit 2
* Initiation or change in intensity of psychotherapy or other non-drug therapies within 6 weeks prior to enrollment
* A positive urine drug screen for any substance of abuse at Visit 1
* Have initiated or discontinued hormone therapy within the previous 3 months prior to enrollment
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Birmingham, Alabama, United States

Site Status

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Little Rock, Arkansas, United States

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Beverly Hills, California, United States

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Cerritos, California, United States

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Denver, Colorado, United States

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Hamden, Connecticut, United States

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North Miami, Florida, United States

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Orlando, Florida, United States

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West Palm Beach, Florida, United States

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Atlanta, Georgia, United States

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Smyrna, Georgia, United States

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Overland Park, Kansas, United States

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Baltimore, Maryland, United States

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Willingboro, New Jersey, United States

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Albuquerque, New Mexico, United States

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Portland, Oregon, United States

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Memphis, Tennessee, United States

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San Antonio, Texas, United States

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Bellevue, Washington, United States

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Buenos Aires, , Argentina

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La Plata, , Argentina

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Helsinki, , Finland

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Oulu, , Finland

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Tampere, , Finland

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Turku, , Finland

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Bełchatów, , Poland

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Bialystok, , Poland

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Gdansk, , Poland

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Gorlice, , Poland

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Leszno, , Poland

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Lublin, , Poland

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Torun, , Poland

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Tuszyn, , Poland

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Kazan', , Russia

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Rostov-on-Don, , Russia

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Saint Petersburg, , Russia

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Tomsk, , Russia

Site Status

Countries

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United States Argentina Finland Poland Russia

References

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Stauffer VL, Liu P, Goldberger C, Marangell LB, Nelson C, Gorwood P, Fava M. Is the Noradrenergic Symptom Cluster a Valid Construct in Adjunctive Treatment of Major Depressive Disorder? J Clin Psychiatry. 2017 Mar;78(3):317-323. doi: 10.4088/JCP.15m09972.

Reference Type DERIVED
PMID: 27685842 (View on PubMed)

Other Identifiers

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H9P-MC-LNBI

Identifier Type: OTHER

Identifier Source: secondary_id

11313

Identifier Type: -

Identifier Source: org_study_id

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