Efficacy and Safety Study of Vortioxetine (Lu AA21004) in Adults With Major Depressive Disorder

NCT ID: NCT01163266

Last Updated: 2013-12-18

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

462 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2012-01-31

Brief Summary

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The purpose of this study is to evaluate the efficacy of vortioxetine, once daily (QD), compared with placebo in adults with major depressive disorder.

Detailed Description

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The drug that was tested in this study is called Vortioxetine. Vortioxetine is being tested to treat depression in adults who have major depressive disorder (MDD). This study looked at MDD relief in people who took varying dosages of vortioxetine.

The study enrolled 462 patients. Participants were randomly assigned (by chance, like flipping a coin) to one of the three treatment groups-which remained undisclosed to the patient and study doctor during the study (unless there was an urgent medical need):

* Vortioxetine 10 mg
* Vortioxetine 20 mg
* Placebo (dummy inactive capsule) - this was a capsule that looked like the study drug but had no active ingredient.

All participants were asked to take one capsule at the same time each day throughout the study.

This multi-center trial was conducted in the United States. The overall time to participate in this study was up to 13 weeks. Participants made 9 visits to the clinic, and were contacted by telephone 4 weeks after the last dose of study drug for a follow-up assessment.

Conditions

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Depressive Disorder, Major

Keywords

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Major Depressive Disorder Depression Melancholia Drug Therapy

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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Placebo

Placebo-matching capsules, orally, once daily for up to 8 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Vortioxetine placebo-matching capsules

Vortioxetine 10 mg

Vortioxetine 10 mg, encapsulated tablets, orally, once daily for up to 8 weeks.

Group Type EXPERIMENTAL

Vortioxetine

Intervention Type DRUG

Encapsulated vortioxetine immediate release tablets

Vortioxetine 20 mg

Vortioxetine 10 mg, encapsulated tablets, orally, once daily for one week then vortioxetine 20 mg, encapsulated tablets, orally, once daily for up to 7 weeks.

Group Type EXPERIMENTAL

Vortioxetine

Intervention Type DRUG

Encapsulated vortioxetine immediate release tablets

Interventions

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Vortioxetine

Encapsulated vortioxetine immediate release tablets

Intervention Type DRUG

Placebo

Vortioxetine placebo-matching capsules

Intervention Type DRUG

Other Intervention Names

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Lu AA21004 Brintellix®

Eligibility Criteria

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Inclusion Criteria

* Suffers from a major depressive episode recurrent as the primary diagnosis according to the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria.
* Has a Montgomery Åsberg Depression Rating Scale (MADRS) total score of 26 or greater at Screening and Baseline Visits.
* Has a Clinical Global Impression - Severity of Illness (CGI-S) score of 4 or greater at Screening and Baseline Visits.

Exclusion Criteria

* Has previously participated in a Lu AA21004 clinical study.
* Has 1 or more the following:

* Any current psychiatric disorder other than Major Depressive Disorder as defined in the DSM-IV
* Current or past history of: manic or hypomanic episode, schizophrenia or any other psychotic disorder defined in the DSM-IV-TR.
* Diagnosis of alcohol or other substance disorder (except nicotine and caffeine) as defined in the DSM-IV-TR that has not been in sustained full remission for at least years prior to screening (participant must also have negative urine drug screen prior to Baseline).
* Presence or history of a clinically significant neurological disorder (including epilepsy)
* Neurodegenerative disorder.
* Any Axis II disorder that might compromise the study.
* Has a thyroid stimulating hormone value outside the normal range at the Screening Visit that is deemed clinically significant by the investigator.
* Has clinically significant abnormal vital signs as determined by the investigator.
* Has an abnormal Electrocardiogram.
* Has an alanine aminotransferase, aspartate aminotransferase or total bilirubin level greater than 1.5 times the upper limits of normal.
* Has a previous history of cancer that had been in remission for less than 5 years prior to the first dose of study medication.
* Has a disease or takes medication that, in the opinion of the investigator, could interfere with the assessments of safety, tolerability, or efficacy.
* Has a known history of or currently has increased intraocular pressure or is at risk of acute narrow-angle glaucoma.
* Has a clinically significant unstable illness, for example, hepatic impairment or renal insufficiency, or a cardiovascular, pulmonary, gastrointestinal, endocrine, neurological, rheumatologic, immunologic, infectious, skin and subcutaneous tissue disorders, or metabolic disturbance. For the purposes of this protocol the following conditions are considered unstable due to the potential impact on assessment of MDD response: pain disorder, chronic fatigue syndrome, fibromyalgia, and obstructive sleep apnea.
* Has a significant risk of suicide according to the investigator's opinion.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Takeda

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director, Clinical Science

Role: STUDY_DIRECTOR

Takeda

Locations

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Anaheim, California, United States

Site Status

Cerritos, California, United States

Site Status

Costa Mesa, California, United States

Site Status

Encino, California, United States

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Garden Grove, California, United States

Site Status

Irvine, California, United States

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Pico Rivera, California, United States

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Riverside, California, United States

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Colorado Springs, Colorado, United States

Site Status

Norwich, Connecticut, United States

Site Status

Maitland, Florida, United States

Site Status

North Miami, Florida, United States

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Orange City, Florida, United States

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Orlando, Florida, United States

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St. Petersburg, Florida, United States

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Smyrna, Georgia, United States

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Chicago, Illinois, United States

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Joliet, Illinois, United States

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Skokie, Illinois, United States

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Wichita, Kansas, United States

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Lake Charles, Louisiana, United States

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Worcester, Massachusetts, United States

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Saint Charles, Missouri, United States

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St Louis, Missouri, United States

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Willingboro, New Jersey, United States

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Buffalo, New York, United States

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New York, New York, United States

Site Status

Rochester, New York, United States

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Cinti, Ohio, United States

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Dayton, Ohio, United States

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Middleburg Heights, Ohio, United States

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Portland, Oregon, United States

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Norristown, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Charleston, South Carolina, United States

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Irving, Texas, United States

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Richmond, Virginia, United States

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Seattle, Washington, United States

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Brown Deer, Wisconsin, United States

Site Status

Countries

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United States

References

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Adair M, Christensen MC, Florea I, Loft H, Fagiolini A. Vortioxetine in patients with major depressive disorder and high levels of anxiety symptoms: An updated analysis of efficacy and tolerability. J Affect Disord. 2023 May 1;328:345-354. doi: 10.1016/j.jad.2023.01.074. Epub 2023 Jan 26.

Reference Type DERIVED
PMID: 36708956 (View on PubMed)

Christensen MC, Florea I, Loft H, McIntyre RS. Efficacy of vortioxetine in patients with major depressive disorder reporting childhood or recent trauma. J Affect Disord. 2020 Feb 15;263:258-266. doi: 10.1016/j.jad.2019.11.074. Epub 2019 Nov 13.

Reference Type DERIVED
PMID: 31818787 (View on PubMed)

Jacobsen PL, Mahableshwarkar AR, Serenko M, Chan S, Trivedi MH. A randomized, double-blind, placebo-controlled study of the efficacy and safety of vortioxetine 10 mg and 20 mg in adults with major depressive disorder. J Clin Psychiatry. 2015 May;76(5):575-82. doi: 10.4088/JCP.14m09335.

Reference Type DERIVED
PMID: 26035185 (View on PubMed)

Other Identifiers

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U1111-1115-8770

Identifier Type: REGISTRY

Identifier Source: secondary_id

LuAA21004_316

Identifier Type: -

Identifier Source: org_study_id