A Study in Prevention of Re-emergence of Depression Symptoms
NCT ID: NCT01299272
Last Updated: 2018-04-17
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
1249 participants
INTERVENTIONAL
2011-05-31
2013-11-30
Brief Summary
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This trial consists of two distinct periods: an open-label treatment period, which consists of two parts, 8 weeks acute open-label with movement to 12 weeks open-label stabilization if participants are in remission at end of 8 weeks (open-label for 20 weeks total) followed by a randomized, double-blind, placebo-controlled period for 24 weeks.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
TRIPLE
Study Groups
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LY2216684 + SSRI
Acute Open-label (OL) Period: Participants received a starting dose of 12 milligrams (mg) LY2216684, administered orally, once daily for at least 2 weeks, adjunctive to a selective serotonin reuptake inhibitor (SSRI). Then, based on efficacy and tolerability, the dose could be increased to 18 mg (and decreased back to 12 mg) over the next 6 weeks.
Stabilization OL Period: Participants meeting remission criteria continued on the same dose of LY2216684 for an additional 12 weeks. Participants who discontinued early during either OL Period were discontinued abruptly from LY2216684.
Double-blind (DB) Randomized Withdrawal Period: At 20 weeks, participants meeting criteria for randomization continued their current dose of LY2216684 for another 24 weeks. Participants who completed this period or discontinued early were randomized to abrupt (placebo for 2 weeks) or tapered (12 mg LY2216684 for 4 days, 6 mg LY2216684 for 4 days, then placebo for 6 days) discontinuation of LY2216684.
LY2216684
SSRI
Participants should have been on their SSRI for at least 8 weeks prior and were to continue on their stable dose throughout the study.
Placebo + SSRI
Acute Open-label (OL) Period: Participants received a starting dose of 12 milligrams (mg) LY2216684, administered orally, once daily for at least 2 weeks, adjunctive to a selective serotonin reuptake inhibitor (SSRI). Then, based on efficacy and tolerability, the dose could be increased to 18 mg (and decreased back to 12 mg) over the next 6 weeks.
Stabilization OL Period: Participants meeting remission criteria continued on the same dose of LY2216684 for an additional 12 weeks. Participants who discontinued early during either OL Period were discontinued abruptly from LY2216684.
Double-blind (DB) Randomized Withdrawal Period: At 20 weeks, participants meeting criteria for randomization were tapered from their LY2216684 dose to placebo following the regimen of 12 mg for 7 days, 6 mg for 7 days, and placebo for the remaining 22 weeks. Participants who completed this period or discontinued early continued to receive placebo for an additional 2 weeks
LY2216684
Placebo
SSRI
Participants should have been on their SSRI for at least 8 weeks prior and were to continue on their stable dose throughout the study.
Interventions
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LY2216684
Placebo
SSRI
Participants should have been on their SSRI for at least 8 weeks prior and were to continue on their stable dose throughout the study.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Using a reliable method of birth control
* Are taking a selective serotonin reuptake inhibitor (SSRI) approved for MDD treatment within the participant's country and the SSRI prescribed, including dose, should be consistent with labeling guidelines within the participating country
* Have a partial response to SSRI treatment
* Meet inclusion scores on pre-defined psychiatric scales to assess diagnosis of depression, disease severity, and response to SSRI treatment
* Reliable and able to keep all scheduled appointments
* Have had at least 1 previous episode of MDD prior to the current episode within the past 5 years
Exclusion Criteria
* Have a current or any previous diagnosis of a bipolar disorder, schizophrenia, or other psychotic disorder
* Have a history of substance abuse and/or dependence within the past 1 year (drug categories defined by DSM-IV-TR), not including caffeine and nicotine.
* Have a DSM-IV-TR Axis II disorder that, in the judgment of the investigator, would interfere with compliance with protocol
* Have any diagnosed medical condition which could be exacerbated by noradrenergic agents, including unstable hypertension, unstable heart disease, tachycardia, tachyarrhythmia, narrow-angle glaucoma, or history of urinary hesitation or retention
* Have initiated or discontinued hormone therapy (including birth control or thyroid hormone) within the previous 3 months prior to enrollment
* Have a lifetime history of vagal nerve stimulation (VNS), transcranial magnetic stimulation (TMS), or psychosurgery
* Have received electroconvulsive therapy (ECT) in the past year
* Have a serious or unstable medical condition
* Have a history of seizure disorders
* Have initiated psychotherapy, change in intensity of psychotherapy or other nondrug therapies (such as acupuncture or hypnosis) within 6 weeks prior to enrollment or any time during the study
* Participants who, in the opinion of the investigator, are judged to be at serious risk for harm to self or others
* Are pregnant or breastfeeding
* Meet criteria for treatment-resistant depression
18 Years
ALL
No
Sponsors
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Eli Lilly and Company
INDUSTRY
Responsible Party
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Principal Investigators
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Role: STUDY_DIRECTOR
Eli Lilly and Company
Locations
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Redlands, California, United States
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Sherman Oaks, California, United States
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Atlanta, Georgia, United States
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Libertyville, Illinois, United States
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Lafayette, Indiana, United States
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Terre Haute, Indiana, United States
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Prairie Village, Kansas, United States
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Boston, Massachusetts, United States
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Las Vegas, Nevada, United States
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Cherry Hill, New Jersey, United States
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Albuquerque, New Mexico, United States
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Brooklyn, New York, United States
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New York, New York, United States
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Rochester, New York, United States
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Staten Island, New York, United States
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Charlotte, North Carolina, United States
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Greensboro, North Carolina, United States
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Cincinnati, Ohio, United States
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Oklahoma City, Oklahoma, United States
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Philadelphia, Pennsylvania, United States
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Austin, Texas, United States
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Clinton, Utah, United States
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Spokane, Washington, United States
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Middleton, Wisconsin, United States
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Buenos Aires, , Argentina
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Córdoba, , Argentina
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La Plata, , Argentina
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Heusden-Zolder, , Belgium
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Split, , Croatia
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Zagreb, , Croatia
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Arcachon, , France
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Caen, , France
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Dole, , France
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Douai, , France
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Élancourt, , France
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Fains, , France
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Toulon, , France
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Toulouse, , France
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Dresden, , Germany
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Hamburg, , Germany
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Hanover, , Germany
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Oranienburg, , Germany
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Haidari, , Greece
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Thessaloniki, , Greece
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Tripoli, , Greece
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Camaiore-Viareggio, , Italy
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Catania, , Italy
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Colleferro, , Italy
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Ferrara, , Italy
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Siena, , Italy
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Fracc. Bosques Del Prado Norte, , Mexico
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Guadalajara, , Mexico
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Ponce, , Puerto Rico
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San Juan, , Puerto Rico
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Bucharest, , Romania
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Focşani, , Romania
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Târgu Mureş, , Romania
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Moscow, , Russia
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Saint Petersburg, , Russia
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Smolensk, , Russia
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Stavropol, , Russia
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Tomsk, , Russia
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Banská Bystrica, , Slovakia
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Bratislava, , Slovakia
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Svidník, , Slovakia
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Zvolen, , Slovakia
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Gwangju, , South Korea
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Seoul, , South Korea
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Madrid, , Spain
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Palma de Mallorca, , Spain
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Salamanca, , Spain
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Seville, , Spain
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Adapazarı, , Turkey (Türkiye)
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Diyarbakır, , Turkey (Türkiye)
Countries
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References
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Oakes TM, Dellva MA, Waterman K, Greenbaum M, Poppe C, Goldberger C, Ahl J, Perahia DG. Edivoxetine compared to placebo as adjunctive therapy to selective serotonin reuptake inhibitors in the prevention of symptom re-emergence in major depressive disorder. Curr Med Res Opin. 2015 Jun;31(6):1179-89. doi: 10.1185/03007995.2015.1037732. Epub 2015 May 6.
Other Identifiers
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H9P-MC-LNBN
Identifier Type: OTHER
Identifier Source: secondary_id
11317
Identifier Type: -
Identifier Source: org_study_id
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