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

NCT ID: NCT01179516

Last Updated: 2013-12-18

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

469 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2012-06-30

Brief Summary

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The purpose of this study is to evaluate the efficacy, safety and tolerability 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 469 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 15 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 14 weeks. Participants made 7 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 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

Vortioxetine 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 15 mg

Vortioxetine 10 mg, encapsulated tablets, orally, once daily for one week, then vortioxetine 15 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 (MDE) recurrent as the primary diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria.
* The reported duration of the current MDE is at least 3 months.
* 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 received any investigational compound \<30 days before Screening or 5 half-lives prior to Screening.
* Has received Lu AA21004 in a previous clinical study.
* Has 1 or more the following:

1. Any current psychiatric disorder other than MDD as defined in the DSM-IV-TR .
2. Current or history of: manic or hypomanic episode, schizophrenia or any other psychotic disorder, including major depression with psychotic features, mental retardation, organic mental disorders, or mental disorders due to a general medical condition as defined in the DSM-IV-TR.
3. Diagnosis of alcohol or other substance abuse or dependence (excluding nicotine or caffeine) as defined in the DSM-IV-TR that had not been in sustained full remission for at least 2 years prior to Screening.
4. Presence or history of a clinically significant neurological disorder (including epilepsy).
5. Neurodegenerative disorder (Alzheimer disease, Parkinson disease, multiple sclerosis, Huntington disease, etc).
6. Any Axis II disorder that might compromise the study.
* The current depressive symptoms of the patient were considered by the investigator to have been resistant to 2 adequate antidepressant treatments of at least 6 weeks duration each.
* Has received electroconvulsive therapy, vagal nerve stimulation, or repetitive transcranial magnetic stimulation within 6 months prior to Screening.
* Was currently receiving formal cognitive or behavioral therapy, systematic psychotherapy, or planned to initiate such therapy during the study.
* Has a significant risk of suicide according to the investigator's clinical judgment or had a score ≥5 on item 10 (suicidal thoughts) of the MADRS or had made a suicide attempt in the previous 6 months.
* Was required to take excluded medications or it was anticipated that would require treatment with at least 1 of the disallowed concomitant medications during the study.
* Has a clinically significant unstable illness, for example hepatic impairment or renal insufficiency, or a cardiovascular, pulmonary, gastrointestinal, endocrine, neurological, rheumatologic, immunologic, hematological, infectious, dermatological disorder or metabolic disturbance. NOTE: For the purposes of this study, the following conditions were considered unstable due to the potential impact on assessment of MDD response: pain disorder, chronic fatigue syndrome, fibromyalgia, and obstructive sleep apnea.
* Has 1 or more laboratory value outside the normal range, based on the blood or urine samples taken at the Screening Visit, that were considered by the investigator to be clinically significant; or the patient has any of the following values at the Screening Visit:

1. A serum creatinine value \>1.5 times the upper limits of normal (× ULN).
2. A total serum total bilirubin value \>1.5 × ULN.
3. A serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST) value \>2 × ULN.
* Has a thyroid stimulating hormone value outside the normal range.
* Has clinically significant abnormal vital signs.
* Has an abnormal electrocardiogram.
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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Little Rock, Arkansas, United States

Site Status

Carson, California, United States

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Cerritos, California, United States

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El Centro, California, United States

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Fresno, California, United States

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Glendale, California, United States

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Los Angeles, California, United States

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Oakland, California, United States

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Oceanside, California, United States

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San Diego, California, United States

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Santa Ana, California, United States

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Sherman Oaks, California, United States

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Stanford, California, United States

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Upland, California, United States

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Denver, Colorado, United States

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Hartford, Connecticut, United States

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Hockessin, Delaware, United States

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Fort Walton Beach, Florida, United States

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Kissimmee, Florida, United States

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Miami, Florida, United States

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Pompano Beach, Florida, United States

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Atlanta, Georgia, United States

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Hoffman Estates, Illinois, United States

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Naperville, Illinois, United States

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Oak Brook, Illinois, United States

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Indianapolis, Indiana, United States

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Lafayette, Indiana, United States

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Newburgh, Indiana, United States

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Prarie Ridge, Kansas, United States

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Wichita, Kansas, United States

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Baltimore, Maryland, United States

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Fall River, Massachusetts, United States

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Watertown, Massachusetts, United States

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Clinton Township, Michigan, United States

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St Louis, Missouri, United States

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Las Vegas, Nevada, United States

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Nashua, New Hampshire, United States

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Albuquerque, New Mexico, United States

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Staten Island, New York, United States

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Avon Lake, Ohio, United States

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Beachwood, Ohio, United States

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Canton, Ohio, United States

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Garfield Heights, Ohio, United States

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Toledo, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Salem, Oregon, United States

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Allentown, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Lincoln, Rhode Island, United States

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Columbia, South Carolina, United States

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Franklin, Tennessee, United States

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Dallas, Texas, United States

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DeSoto, Texas, United States

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Houston, Texas, United States

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Lake Jackson, Texas, United States

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San Antonio, Texas, United States

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The Woodlands, Texas, United States

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Salt Lake City, Utah, United States

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Roanoke, Virginia, United States

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Milwaukee, Wisconsin, United States

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Countries

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United States

References

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Mahableshwarkar AR, Jacobsen PL, Serenko M, Chen Y, Trivedi MH. A randomized, double-blind, placebo-controlled study of the efficacy and safety of 2 doses of vortioxetine in adults with major depressive disorder. J Clin Psychiatry. 2015 May;76(5):583-91. doi: 10.4088/JCP.14m09337.

Reference Type DERIVED
PMID: 26035186 (View on PubMed)

Other Identifiers

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U1111-1116-3223

Identifier Type: REGISTRY

Identifier Source: secondary_id

SU-06032011-7846

Identifier Type: REGISTRY

Identifier Source: secondary_id

LuAA21004_317

Identifier Type: -

Identifier Source: org_study_id