Trial Outcomes & Findings for A Study to Assess the Safety and Effect of TC-5214 in Patients With Major Depressive Disorder. (NCT NCT01288079)

NCT ID: NCT01288079

Last Updated: 2012-11-20

Results Overview

A 10-item scale for the evaluation of depressive symptoms. Each Montgomery Asberg Depression Rating Scale (MADRS) item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

145 participants

Primary outcome timeframe

Randomization (Week 8) to end of treatment (Week 16)

Results posted on

2012-11-20

Participant Flow

This multicenter study was conducted in Europe, Asia, and North America between 4 February 2011 and 26 April 2012.

21-day screening/washout and 8-week prospective open-label SSRI(selective serotonin reuptake inhibitors)/SNRI(selective serotonin and norepinephrine reuptake inhibitors) periods to identify population of inadequate responders(\<50% reduction in Hamilton Rating Scale for Depression total score of ≥16 and a Clinical Global Impression-Severity ≥4).

Participant milestones

Participant milestones
Measure
1 mg BID TC-5214
4 mg BID TC-5214
60 mg QD Duloxetine
Placebo
Overall Study
STARTED
37
36
37
35
Overall Study
COMPLETED
17
9
18
18
Overall Study
NOT COMPLETED
20
27
19
17

Reasons for withdrawal

Reasons for withdrawal
Measure
1 mg BID TC-5214
4 mg BID TC-5214
60 mg QD Duloxetine
Placebo
Overall Study
Withdrawal by Subject
2
4
1
0
Overall Study
Adverse Event
2
1
2
3
Overall Study
Severe Non-Compliance to Protocol
1
3
1
3
Overall Study
Condition under Investigation Worsened
0
0
0
1
Overall Study
Lack of Efficacy
2
2
0
2
Overall Study
Study-Specific Withdrawal Criteria
1
1
0
0
Overall Study
Lost to Follow-up
1
1
1
0
Overall Study
Other or Study Termination
11
15
14
8

Baseline Characteristics

A Study to Assess the Safety and Effect of TC-5214 in Patients With Major Depressive Disorder.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1 mg BID TC-5214
n=37 Participants
4 mg BID TC-5214
n=36 Participants
60 mg QD Duloxetine
n=37 Participants
Placebo
n=35 Participants
Total
n=145 Participants
Total of all reporting groups
Age Continuous
44.5 years
STANDARD_DEVIATION 13.03 • n=5 Participants
40.3 years
STANDARD_DEVIATION 12.50 • n=7 Participants
41.8 years
STANDARD_DEVIATION 12.70 • n=5 Participants
40.1 years
STANDARD_DEVIATION 10.49 • n=4 Participants
41.7 years
STANDARD_DEVIATION 12.24 • n=21 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
26 Participants
n=7 Participants
22 Participants
n=5 Participants
19 Participants
n=4 Participants
91 Participants
n=21 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
10 Participants
n=7 Participants
15 Participants
n=5 Participants
16 Participants
n=4 Participants
54 Participants
n=21 Participants
Race/Ethnicity, Customized
White
23 participants
n=5 Participants
20 participants
n=7 Participants
23 participants
n=5 Participants
20 participants
n=4 Participants
86 participants
n=21 Participants
Race/Ethnicity, Customized
Black or African American
1 participants
n=5 Participants
4 participants
n=7 Participants
4 participants
n=5 Participants
5 participants
n=4 Participants
14 participants
n=21 Participants
Race/Ethnicity, Customized
Asian
12 participants
n=5 Participants
10 participants
n=7 Participants
9 participants
n=5 Participants
9 participants
n=4 Participants
40 participants
n=21 Participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
0 participants
n=21 Participants
Race/Ethnicity, Customized
Other
1 participants
n=5 Participants
2 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
5 participants
n=21 Participants
Hamilton Rating Scale for Depression-17 items (HAMD-17) total score at randomization
20.914 Scores on a scale
STANDARD_DEVIATION 3.425 • n=5 Participants
21.371 Scores on a scale
STANDARD_DEVIATION 3.606 • n=7 Participants
21.857 Scores on a scale
STANDARD_DEVIATION 3.499 • n=5 Participants
21.344 Scores on a scale
STANDARD_DEVIATION 4.100 • n=4 Participants
21.372 Scores on a scale
STANDARD_DEVIATION 3.632 • n=21 Participants
Montgomery-Asberg Depression Rating Scale (MADRS) total score at randomization
27.228 Scores on a scale
STANDARD_DEVIATION 5.202 • n=5 Participants
26.857 Scores on a scale
STANDARD_DEVIATION 5.542 • n=7 Participants
28.600 Scores on a scale
STANDARD_DEVIATION 6.796 • n=5 Participants
27.625 Scores on a scale
STANDARD_DEVIATION 5.320 • n=4 Participants
27.577 Scores on a scale
STANDARD_DEVIATION 5.734 • n=21 Participants

PRIMARY outcome

Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Population: Modified intent-to-treat analysis set including all randomized patients who received at least 1 dose of investigational product (TC-5214, duloxetine or placebo) and who had a randomization and at least 1 post-randomization MADRS total score.

A 10-item scale for the evaluation of depressive symptoms. Each Montgomery Asberg Depression Rating Scale (MADRS) item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms.

Outcome measures

Outcome measures
Measure
1 mg BID TC-5214
n=35 Participants
4 mg BID TC-5214
n=35 Participants
60 mg QD Duloxetine
n=35 Participants
Placebo
n=32 Participants
Change in the Montgomery Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment
-9.1 units on a scale
Standard Error 2.15
-11.2 units on a scale
Standard Error 2.56
-11.4 units on a scale
Standard Error 2.14
-7.6 units on a scale
Standard Error 2.19

Adverse Events

1 mg BID TC-5214

Serious events: 1 serious events
Other events: 22 other events
Deaths: 0 deaths

4 mg BID TC-5214

Serious events: 0 serious events
Other events: 27 other events
Deaths: 0 deaths

60 mg QD Duloxetine

Serious events: 0 serious events
Other events: 21 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 24 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1 mg BID TC-5214
n=37 participants at risk
4 mg BID TC-5214
n=35 participants at risk
60 mg QD Duloxetine
n=37 participants at risk
Placebo
n=35 participants at risk
Gastrointestinal disorders
Abdominal Pain
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Infections and infestations
Subcutaneous Abscess
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35

Other adverse events

Other adverse events
Measure
1 mg BID TC-5214
n=37 participants at risk
4 mg BID TC-5214
n=35 participants at risk
60 mg QD Duloxetine
n=37 participants at risk
Placebo
n=35 participants at risk
Blood and lymphatic system disorders
Anaemia Megaloblastic
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Blood and lymphatic system disorders
Eosinophilia
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Blood and lymphatic system disorders
Leukopenia
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Blood and lymphatic system disorders
Neutropenia
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Ear and labyrinth disorders
Tinnitus
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Eye disorders
Vision Blurred
0.00%
0/37
5.7%
2/35 • Number of events 2
0.00%
0/37
0.00%
0/35
Eye disorders
Eye Pain
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Eye disorders
Visual Impairment
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 2
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
Constipation
0.00%
0/37
25.7%
9/35 • Number of events 9
5.4%
2/37 • Number of events 2
5.7%
2/35 • Number of events 2
Gastrointestinal disorders
Nausea
10.8%
4/37 • Number of events 4
8.6%
3/35 • Number of events 3
18.9%
7/37 • Number of events 9
5.7%
2/35 • Number of events 2
Gastrointestinal disorders
Diarrhoea
2.7%
1/37 • Number of events 1
8.6%
3/35 • Number of events 3
2.7%
1/37 • Number of events 1
8.6%
3/35 • Number of events 3
Gastrointestinal disorders
Abdominal Pain
5.4%
2/37 • Number of events 2
5.7%
2/35 • Number of events 2
0.00%
0/37
2.9%
1/35 • Number of events 1
Gastrointestinal disorders
Dry Mouth
0.00%
0/37
5.7%
2/35 • Number of events 2
2.7%
1/37 • Number of events 1
0.00%
0/35
Gastrointestinal disorders
Abdominal Pain Upper
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 2
Gastrointestinal disorders
Dental Caries
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Gastrointestinal disorders
Dyspepsia
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
2.9%
1/35 • Number of events 4
Gastrointestinal disorders
Flatulence
2.7%
1/37 • Number of events 1
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Gastrointestinal disorders
Toothache
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Gastrointestinal disorders
Vomiting
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
General disorders
Asthenia
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
General disorders
Drug Withdrawal Syndrome
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
General disorders
Fatigue
0.00%
0/37
2.9%
1/35 • Number of events 1
2.7%
1/37 • Number of events 1
0.00%
0/35
General disorders
Feeling Abnormal
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
General disorders
Feeling Cold
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
General disorders
Pyrexia
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
General disorders
Thirst
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Hepatobiliary disorders
Hepatic Function Abnormal
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Immune system disorders
Seasonal Allergy
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Infections and infestations
Influenza
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
5.4%
2/37 • Number of events 2
11.4%
4/35 • Number of events 4
Infections and infestations
Nasopharyngitis
8.1%
3/37 • Number of events 3
5.7%
2/35 • Number of events 2
0.00%
0/37
8.6%
3/35 • Number of events 3
Infections and infestations
Urinary Tract Infection
0.00%
0/37
5.7%
2/35 • Number of events 3
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
Infections and infestations
Bronchitis
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Infections and infestations
Gastroenteritis
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Infections and infestations
Hordeolum
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Infections and infestations
Tooth Infection
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Infections and infestations
Urethritis
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Injury, poisoning and procedural complications
Procedural Dizziness
2.7%
1/37 • Number of events 4
0.00%
0/35
5.4%
2/37 • Number of events 5
0.00%
0/35
Injury, poisoning and procedural complications
Fall
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Injury, poisoning and procedural complications
Limb Injury
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Injury, poisoning and procedural complications
Blood Pressure Increased
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
5.7%
2/35 • Number of events 2
Injury, poisoning and procedural complications
Heart Rate Increased
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Injury, poisoning and procedural complications
Weight Decreased
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Injury, poisoning and procedural complications
Weight Increased
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
2.9%
1/35 • Number of events 1
Metabolism and nutrition disorders
Increased Appetite
0.00%
0/37
0.00%
0/35
0.00%
0/37
8.6%
3/35 • Number of events 3
Metabolism and nutrition disorders
Decreased Appetite
0.00%
0/37
0.00%
0/35
0.00%
0/37
5.7%
2/35 • Number of events 2
Metabolism and nutrition disorders
Dyslipidaemia
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Metabolism and nutrition disorders
Folate Deficiency
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Musculoskeletal and connective tissue disorders
Back Pain
2.7%
1/37 • Number of events 1
0.00%
0/35
8.1%
3/37 • Number of events 3
0.00%
0/35
Musculoskeletal and connective tissue disorders
Pain In Extremity
0.00%
0/37
0.00%
0/35
5.4%
2/37 • Number of events 2
0.00%
0/35
Musculoskeletal and connective tissue disorders
Arthralgia
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 2
0.00%
0/37
0.00%
0/35
Musculoskeletal and connective tissue disorders
Joint Swelling
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Musculoskeletal and connective tissue disorders
Muscle Spasms
0.00%
0/37
2.9%
1/35 • Number of events 1
2.7%
1/37 • Number of events 1
0.00%
0/35
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
Musculoskeletal and connective tissue disorders
Neck Pain
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Musculoskeletal and connective tissue disorders
Pain In Jaw
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Nervous system disorders
Dizziness
16.2%
6/37 • Number of events 6
11.4%
4/35 • Number of events 4
13.5%
5/37 • Number of events 8
17.1%
6/35 • Number of events 8
Nervous system disorders
Headache
10.8%
4/37 • Number of events 5
17.1%
6/35 • Number of events 6
8.1%
3/37 • Number of events 8
14.3%
5/35 • Number of events 8
Nervous system disorders
Somnolence
5.4%
2/37 • Number of events 2
2.9%
1/35 • Number of events 1
10.8%
4/37 • Number of events 5
0.00%
0/35
Nervous system disorders
Dizziness Postural
2.7%
1/37 • Number of events 1
0.00%
0/35
2.7%
1/37 • Number of events 1
8.6%
3/35 • Number of events 8
Nervous system disorders
Balance Disorder
0.00%
0/37
0.00%
0/35
5.4%
2/37 • Number of events 2
2.9%
1/35 • Number of events 3
Nervous system disorders
Paraesthesia
5.4%
2/37 • Number of events 2
0.00%
0/35
0.00%
0/37
0.00%
0/35
Nervous system disorders
Disturbance In Attention
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Nervous system disorders
Dysgeusia
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Nervous system disorders
Formication
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Nervous system disorders
Head Discomfort
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 2
Nervous system disorders
Hypoaesthesia
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Nervous system disorders
Memory Impairment
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Nervous system disorders
Stupor
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Nervous system disorders
Tremor
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
Psychiatric disorders
Insomnia
0.00%
0/37
8.6%
3/35 • Number of events 3
10.8%
4/37 • Number of events 4
5.7%
2/35 • Number of events 2
Psychiatric disorders
Agitation
0.00%
0/37
2.9%
1/35 • Number of events 1
2.7%
1/37 • Number of events 1
5.7%
2/35 • Number of events 2
Psychiatric disorders
Nightmare
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
5.7%
2/35 • Number of events 2
Psychiatric disorders
Suicidal Ideation
0.00%
0/37
0.00%
0/35
0.00%
0/37
5.7%
2/35 • Number of events 2
Psychiatric disorders
Abnormal Dreams
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
Psychiatric disorders
Anxiety
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Psychiatric disorders
Bradyphrenia
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Psychiatric disorders
Confusional State
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Psychiatric disorders
Dissociation
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Psychiatric disorders
Hypervigilance
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Psychiatric disorders
Intentional Self-Injury
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Psychiatric disorders
Libido Decreased
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Psychiatric disorders
Mood Swings
0.00%
0/37
0.00%
0/35
0.00%
0/37
2.9%
1/35 • Number of events 1
Psychiatric disorders
Sleep Disorder
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Psychiatric disorders
Tension
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Renal and urinary disorders
Nocturia
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Renal and urinary disorders
Pollakiuria
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
Renal and urinary disorders
Urinary Retention
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Reproductive system and breast disorders
Uterine Polyp
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Skin and subcutaneous tissue disorders
Hyperhidrosis
5.4%
2/37 • Number of events 2
2.9%
1/35 • Number of events 1
2.7%
1/37 • Number of events 1
0.00%
0/35
Skin and subcutaneous tissue disorders
Night Sweats
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35
Skin and subcutaneous tissue disorders
Rash
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/37
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Vascular disorders
Hypertension
2.7%
1/37 • Number of events 1
0.00%
0/35
0.00%
0/37
0.00%
0/35
Vascular disorders
Orthostatic Hypotension
2.7%
1/37 • Number of events 1
2.9%
1/35 • Number of events 1
0.00%
0/37
0.00%
0/35
Vascular disorders
Varicose Vein
0.00%
0/37
0.00%
0/35
2.7%
1/37 • Number of events 1
0.00%
0/35

Additional Information

Gerard Lynch

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60