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.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

490 participants

Primary outcome timeframe

Baseline to 8 weeks

Results posted on

2012-12-17

Participant Flow

The patients were recruited from specialist inpatient and outpatient clinics.

Participant milestones

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

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

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 weeks

Population: 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

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 8

Population: 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

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 8

Population: 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

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 8

Population: 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

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 8

Population: 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

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 8

Population: 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

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 8

Population: 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

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 8

Population: 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

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 8

Population: 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

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)

Serious events: 1 serious events
Other events: 12 other events
Deaths: 0 deaths

Escitalopram 20 mg and Placebo (Orally, Once Daily)

Serious events: 0 serious events
Other events: 22 other events
Deaths: 0 deaths

Escitalopram 20 mg and Gaboxadol 5 mg (Orally, Once Daily)

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Escitalopram 20 mg and Gaboxadol 10 mg (Orally, Once Daily)

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

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

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

H. Lundbeck A/S

H. Lundbeck A/S

Phone: +45 3630 1311

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