Trial Outcomes & Findings for Short-term Study of Combination Treatment of Escitalopram and Gaboxadol in Major Depressive Disorder (NCT NCT00807248)
NCT ID: NCT00807248
Last Updated: 2012-12-17
Results Overview
The MADRS is a 10-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at 2-point intervals. The total score of the 10 items ranges from 0 to 60.
COMPLETED
PHASE2
490 participants
Baseline to 8 weeks
2012-12-17
Participant Flow
The patients were recruited from specialist inpatient and outpatient clinics.
Participant milestones
| Measure |
Placebo (Orally, Once Daily)
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
71
|
140
|
139
|
140
|
|
Overall Study
COMPLETED
|
50
|
128
|
121
|
126
|
|
Overall Study
NOT COMPLETED
|
21
|
12
|
18
|
14
|
Reasons for withdrawal
| Measure |
Placebo (Orally, Once Daily)
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
|
|---|---|---|---|---|
|
Overall Study
Adverse Event
|
1
|
2
|
2
|
6
|
|
Overall Study
Lack of Efficacy
|
14
|
4
|
8
|
3
|
|
Overall Study
Protocol Violation
|
0
|
1
|
1
|
0
|
|
Overall Study
Withdrawal of Consent
|
5
|
5
|
5
|
5
|
|
Overall Study
Lost to Follow-up
|
1
|
0
|
0
|
0
|
|
Overall Study
Other Reason
|
0
|
0
|
2
|
0
|
Baseline Characteristics
Short-term Study of Combination Treatment of Escitalopram and Gaboxadol in Major Depressive Disorder
Baseline characteristics by cohort
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=140 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
Total
n=490 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age Continuous
|
42.6 years
STANDARD_DEVIATION 11.6 • n=5 Participants
|
41.6 years
STANDARD_DEVIATION 12.6 • n=7 Participants
|
42.6 years
STANDARD_DEVIATION 11.8 • n=5 Participants
|
41.5 years
STANDARD_DEVIATION 10.5 • n=4 Participants
|
42.0 years
STANDARD_DEVIATION 11.7 • n=21 Participants
|
|
Sex: Female, Male
Female
|
53 Participants
n=5 Participants
|
96 Participants
n=7 Participants
|
96 Participants
n=5 Participants
|
93 Participants
n=4 Participants
|
338 Participants
n=21 Participants
|
|
Sex: Female, Male
Male
|
18 Participants
n=5 Participants
|
44 Participants
n=7 Participants
|
43 Participants
n=5 Participants
|
47 Participants
n=4 Participants
|
152 Participants
n=21 Participants
|
|
Montgomery and Åsberg Depression Rating Scale (MADRS)
|
34.7 Scores on a scale
STANDARD_DEVIATION 4.2 • n=5 Participants
|
35.4 Scores on a scale
STANDARD_DEVIATION 4.3 • n=7 Participants
|
35.3 Scores on a scale
STANDARD_DEVIATION 3.4 • n=5 Participants
|
34.7 Scores on a scale
STANDARD_DEVIATION 3.8 • n=4 Participants
|
35.1 Scores on a scale
STANDARD_DEVIATION 3.9 • n=21 Participants
|
|
Hospital Anxiety and Depression Scale (HADS)
|
27.5 Scores on a scale
STANDARD_DEVIATION 5.9 • n=5 Participants
|
28.2 Scores on a scale
STANDARD_DEVIATION 5.3 • n=7 Participants
|
28.1 Scores on a scale
STANDARD_DEVIATION 5.5 • n=5 Participants
|
27.4 Scores on a scale
STANDARD_DEVIATION 5.5 • n=4 Participants
|
27.8 Scores on a scale
STANDARD_DEVIATION 5.5 • n=21 Participants
|
|
Insomnia Severity Index (ISI)
|
18.4 Scores on a scale
STANDARD_DEVIATION 5.0 • n=5 Participants
|
18.6 Scores on a scale
STANDARD_DEVIATION 4.7 • n=7 Participants
|
18.2 Scores on a scale
STANDARD_DEVIATION 4.4 • n=5 Participants
|
18.1 Scores on a scale
STANDARD_DEVIATION 4.8 • n=4 Participants
|
18.3 Scores on a scale
STANDARD_DEVIATION 4.7 • n=21 Participants
|
|
Sheehan Disability Scale (SDS): Family Subscale
|
7.0 Scores on a scale
STANDARD_DEVIATION 1.4 • n=5 Participants
|
7.1 Scores on a scale
STANDARD_DEVIATION 1.6 • n=7 Participants
|
7.2 Scores on a scale
STANDARD_DEVIATION 1.3 • n=5 Participants
|
6.9 Scores on a scale
STANDARD_DEVIATION 1.4 • n=4 Participants
|
7.1 Scores on a scale
STANDARD_DEVIATION 1.4 • n=21 Participants
|
|
SDS: Work Subscale
|
7.3 Scores on a scale
STANDARD_DEVIATION 1.2 • n=5 Participants
|
7.4 Scores on a scale
STANDARD_DEVIATION 1.3 • n=7 Participants
|
7.3 Scores on a scale
STANDARD_DEVIATION 1.5 • n=5 Participants
|
7.0 Scores on a scale
STANDARD_DEVIATION 1.4 • n=4 Participants
|
7.2 Scores on a scale
STANDARD_DEVIATION 1.4 • n=21 Participants
|
|
SDS: Social Subscale
|
7.0 Scores on a scale
STANDARD_DEVIATION 1.4 • n=5 Participants
|
7.1 Scores on a scale
STANDARD_DEVIATION 1.4 • n=7 Participants
|
7.1 Scores on a scale
STANDARD_DEVIATION 1.5 • n=5 Participants
|
6.9 Scores on a scale
STANDARD_DEVIATION 1.6 • n=4 Participants
|
7.0 Scores on a scale
STANDARD_DEVIATION 1.5 • n=21 Participants
|
|
Clinical Global Impression - Severity of Illness (CGI-S)
|
4.4 Scores on a scale
STANDARD_DEVIATION 0.9 • n=5 Participants
|
4.5 Scores on a scale
STANDARD_DEVIATION 0.9 • n=7 Participants
|
4.3 Scores on a scale
STANDARD_DEVIATION 0.9 • n=5 Participants
|
4.4 Scores on a scale
STANDARD_DEVIATION 0.9 • n=4 Participants
|
4.4 Scores on a scale
STANDARD_DEVIATION 0.9 • n=21 Participants
|
PRIMARY outcome
Timeframe: Baseline to 8 weeksPopulation: Mean change from baseline to Week 8: Full-analysis Set (FAS), Last Observation Carried Forward (LOCF), Analysis of Covariance (ANCOVA)
The MADRS is a 10-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at 2-point intervals. The total score of the 10 items ranges from 0 to 60.
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
Montgomery and Åsberg Depression Rating Scale (MADRS)
|
-13.4 Scores on a scale
Standard Error 1.1
|
-19.0 Scores on a scale
Standard Error 0.9
|
-18.5 Scores on a scale
Standard Error 0.9
|
-19.4 Scores on a scale
Standard Error 0.9
|
SECONDARY outcome
Timeframe: From baseline to Week 8Population: Mean change from baseline to Week 8 (FAS, LOCF, ANCOVA)
The MADRS is a 10-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at 2-point intervals. The total score of the 10 items ranges from 0 to 60.
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
MADRS
|
-13.4 Scores on a scale
Standard Error 1.1
|
-19.0 Scores on a scale
Standard Error 0.9
|
-18.5 Scores on a scale
Standard Error 0.9
|
-19.4 Scores on a scale
Standard Error 0.9
|
SECONDARY outcome
Timeframe: Mean change from baseline to Week 8Population: Mean change from baseline to Week 8 (FAS, LOCF, ANCOVA)
The HADS is a patient-rated scale designed to screen for anxiety and depressive states in medical patients. It consists of two sub-scales: the D-scale measures depression and the A-scale measures anxiety. Each sub-scale contains 7 items, and each item is rated from 0 (absent) to 3 (maximum severity). The score of each sub-scale ranges from 0 to 21, and are analysed separately. The total HADS score ranges from 0 to 42.
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
Hospital Anxiety and Depression Scale (HADS)
|
-9.7 Scores on a scale
Standard Error 1.0
|
-14.7 Scores on a scale
Standard Error 0.8
|
-14.1 Scores on a scale
Standard Error 0.8
|
-15.0 Scores on a scale
Standard Error 0.7
|
SECONDARY outcome
Timeframe: Mean change from baseline to Week 8Population: Mean change from baseline to Week 8 (FAS, LOCF, ANCOVA)
The ISI is both a brief screening measure of insomnia and an outcomes measure for use in treatment research. It is a brief self-report instrument measuring the patient's perception of his or her insomnia, and it comprises 7 items. Each item is rated on a 0-4 scale and the total score ranges from 0 to 28. 0 = no symptoms and 28 = severe symptoms.
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
Insomnia Severity Index (ISI)
|
-6.9 Scores on a scale
Standard Error 0.7
|
-10.0 Scores on a scale
Standard Error 0.5
|
-9.6 Scores on a scale
Standard Error 0.5
|
-10.6 Scores on a scale
Standard Error 0.5
|
SECONDARY outcome
Timeframe: Mean change from baseline to Week 8Population: Mean change from baseline to Week 8 (FAS, LOCF, ANCOVA)
The SDS comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment.
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
Sheehan Disability Scale (SDS): Family Subscale
|
-2.8 Scores on a scale
Standard Error 0.02
|
-4.0 Scores on a scale
Standard Error 0.02
|
-3.9 Scores on a scale
Standard Error 0.02
|
-4.1 Scores on a scale
Standard Error 0.02
|
SECONDARY outcome
Timeframe: Mean change from baseline to Week 8Population: Mean change from baseline to Week 8 (FAS, LOCF, ANCOVA)
The SDS comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment.
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
SDS: Work Subscale
|
-2.7 Scores on a scale
Standard Error 0.03
|
-3.8 Scores on a scale
Standard Error 0.02
|
-3.8 Scores on a scale
Standard Error 0.02
|
-4.0 Scores on a scale
Standard Error 0.02
|
SECONDARY outcome
Timeframe: Mean change from baseline to Week 8Population: Mean change from baseline to Week 8 (FAS, LOCF, ANCOVA)
The SDS comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment.
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
SDS: Social Subscale
|
-2.7 Scores on a scale
Standard Error 0.03
|
-3.9 Scores on a scale
Standard Error 0.02
|
-3.8 Scores on a scale
Standard Error 0.02
|
-4.1 Scores on a scale
Standard Error 0.02
|
SECONDARY outcome
Timeframe: Mean change from baseline to Week 8Population: Mean change from baseline to Week 8 (FAS, LOCF, ANCOVA)
The CGI-S provides the clinician's impression of the patient's current state of mental illness. The clinician uses his or her clinical experience of this patient population to rate the severity of the patient's current mental illness on a 7-point scale ranging from 1 (Normal - not at all ill) to 7 (among the most extremely ill patients).
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
Clinical Global Impression - Severity of Illness (CGI-S)
|
-1.04 Scores on a scale
Standard Error 0.13
|
-1.65 Scores on a scale
Standard Error 0.10
|
-1.58 Scores on a scale
Standard Error 0.10
|
-1.76 Scores on a scale
Standard Error 0.10
|
SECONDARY outcome
Timeframe: at Week 8Population: At Week 8 (FAS, LOCF, ANCOVA)
The CGI-I provides the clinician's impression of the patient's improvement (or worsening). The clinician assesses the patient's condition relative to a baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse).
Outcome measures
| Measure |
Placebo (Orally, Once Daily)
n=71 Participants
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 Participants
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 Participants
|
|---|---|---|---|---|
|
Clinical Global Impression - Global Improvement (CGI-I)
|
2.97 Scores on a scale
Standard Error 0.12
|
2.21 Scores on a scale
Standard Error 0.09
|
2.35 Scores on a scale
Standard Error 0.09
|
2.26 Scores on a scale
Standard Error 0.09
|
Adverse Events
Placebo (Orally, Once Daily)
Escitalopram 20 mg and Placebo (Orally, Once Daily)
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
Serious adverse events
| Measure |
Placebo (Orally, Once Daily)
n=71 participants at risk
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=140 participants at risk
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 participants at risk
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 participants at risk
|
|---|---|---|---|---|
|
Infections and infestations
Appendicitis
|
1.4%
1/71 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
0.00%
0/139 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
Other adverse events
| Measure |
Placebo (Orally, Once Daily)
n=71 participants at risk
|
Escitalopram 20 mg and Placebo (Orally, Once Daily)
n=140 participants at risk
|
Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)
n=139 participants at risk
|
Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)
n=140 participants at risk
|
|---|---|---|---|---|
|
Nervous system disorders
Headache
|
5.6%
4/71 • 8 weeks
|
5.0%
7/140 • 8 weeks
|
3.6%
5/139 • 8 weeks
|
2.1%
3/140 • 8 weeks
|
|
Nervous system disorders
Psychomotor hyperactivity
|
0.00%
0/71 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
0.00%
0/139 • 8 weeks
|
1.4%
2/140 • 8 weeks
|
|
Nervous system disorders
Somnolence
|
0.00%
0/71 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
2.2%
3/139 • 8 weeks
|
0.71%
1/140 • 8 weeks
|
|
Psychiatric disorders
Anxiety
|
0.00%
0/71 • 8 weeks
|
2.1%
3/140 • 8 weeks
|
1.4%
2/139 • 8 weeks
|
2.1%
3/140 • 8 weeks
|
|
Psychiatric disorders
Insomnia
|
4.2%
3/71 • 8 weeks
|
2.1%
3/140 • 8 weeks
|
2.9%
4/139 • 8 weeks
|
1.4%
2/140 • 8 weeks
|
|
Psychiatric disorders
Suicidal ideation
|
0.00%
0/71 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
0.72%
1/139 • 8 weeks
|
1.4%
2/140 • 8 weeks
|
|
Injury, poisoning and procedural complications
Accidental overdose
|
4.2%
3/71 • 8 weeks
|
2.9%
4/140 • 8 weeks
|
5.8%
8/139 • 8 weeks
|
2.1%
3/140 • 8 weeks
|
|
Investigations
Blood pressure increased
|
0.00%
0/71 • 8 weeks
|
1.4%
2/140 • 8 weeks
|
0.72%
1/139 • 8 weeks
|
0.71%
1/140 • 8 weeks
|
|
Gastrointestinal disorders
Diarrhoea
|
0.00%
0/71 • 8 weeks
|
1.4%
2/140 • 8 weeks
|
0.00%
0/139 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
|
Gastrointestinal disorders
Nausea
|
0.00%
0/71 • 8 weeks
|
0.71%
1/140 • 8 weeks
|
4.3%
6/139 • 8 weeks
|
1.4%
2/140 • 8 weeks
|
|
Infections and infestations
Dermatitis allergic
|
1.4%
1/71 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
0.00%
0/139 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
|
Infections and infestations
Influenza
|
1.4%
1/71 • 8 weeks
|
0.71%
1/140 • 8 weeks
|
0.72%
1/139 • 8 weeks
|
1.4%
2/140 • 8 weeks
|
|
Infections and infestations
Rhinitis allergic
|
1.4%
1/71 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
0.00%
0/139 • 8 weeks
|
0.00%
0/140 • 8 weeks
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee The main publication has to be published before any sub-publications.
- Publication restrictions are in place
Restriction type: OTHER