Study of the Safety and Efficacy of Two Fixed Doses of OPC-34712 as Adjunctive Therapy in the Treatment of Adults With Major Depressive Disorder (the Polaris Trial)

NCT ID: NCT01360632

Last Updated: 2016-01-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1539 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2013-09-30

Brief Summary

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To compare the effect of OPC-34712 (brexpiprazole) to the effect of placebo (an inactive substance) as add on treatment to an assigned FDA approved antidepressant treatment (ADT) in patients with Major Depressive Disorder who demonstrate an incomplete response to a prospective trial of the same assigned FDA approved ADT

Detailed Description

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Conditions

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Depressive Disorder Depression Depressive Disorder, Major Mood Disorders Mental Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Phase B

Drug: OPC-34712 + ADT

Drug: Placebo + ADT

Group Type EXPERIMENTAL

OPC-34712 + ADT

Intervention Type DRUG

Tablets, Oral, 1 or 3 mg OPC-34712 and FDA Approved Antidepressant Therapy (ADT)

Placebo + ADT

Intervention Type DRUG

Placebo + FDA Approved Antidepressant (ADT)

Phase A

Drug: Placebo + ADT

Group Type PLACEBO_COMPARATOR

Placebo + ADT

Intervention Type DRUG

Placebo + FDA Approved Antidepressant (ADT)

Interventions

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OPC-34712 + ADT

Tablets, Oral, 1 or 3 mg OPC-34712 and FDA Approved Antidepressant Therapy (ADT)

Intervention Type DRUG

Placebo + ADT

Placebo + FDA Approved Antidepressant (ADT)

Intervention Type DRUG

Placebo + ADT

Placebo + FDA Approved Antidepressant (ADT)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female subjects between 18 and 65 years of age, with diagnosis of major depressive disorder, as defined by DSM-IV-TR criteria
* The current depressive episode must be equal to or greater than 8 weeks in duration
* Subjects must report a history for the current depressive episode of an inadequate response to no more than three adequate antidepressant treatments

Exclusion Criteria

* Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving study drug
* Subjects who report an inadequate response to more than three adequate trials of antidepressant treatments during current depressive episode at a therapeutic dose for an adequate duration
* Subjects with a current Axis I (DSM-IV-TR) diagnosis of: Delirium, dementia, amnestic or other cognitive disorder, Schizophrenia, schizoaffective disorder, or other psychotic disorder, Bipolar I or II disorder
* Subjects with a clinically significant current Axis II (DSM-IV-TR) diagnosis of borderline, antisocial, paranoid, schizoid, schizotypal or histrionic personality disorder
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Otsuka Pharmaceutical Development & Commercialization, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Birmingham, Alabama, United States

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Costa Mesa, California, United States

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Glendale, California, United States

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Orange, California, United States

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San Diego, California, United States

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Temecula, California, United States

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Jacksonville, Florida, United States

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Jacksonville Beach, Florida, United States

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Miami Springs, Florida, United States

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Tampa, Florida, United States

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Winter Park, Florida, United States

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Atlanta, Georgia, United States

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Smyrna, Georgia, United States

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Chicago, Illinois, United States

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Oak Brook, Illinois, United States

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Lafayette, Indiana, United States

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Owensboro, Kentucky, United States

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Baltimore, Maryland, United States

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Haverhill, Massachusetts, United States

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Weymouth, Massachusetts, United States

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Rochester Hills, Michigan, United States

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Creve Coeur, Missouri, 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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Toms River, New Jersey, United States

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Brooklyn, New York, United States

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Fresh Meadows, New York, United States

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New York, New York, United States

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Staten Island, New York, United States

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Raleigh, North Carolina, United States

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Beachwood, Ohio, United States

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Cincinnati, Ohio, United States

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Columbus, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Salem, Oregon, United States

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Norristown, Pennsylvania, United States

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Philadelphia, 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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Memphis, Tennessee, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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Witchita Falls, Texas, United States

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Charlottesville, Virginia, United States

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Herndon, Virginia, United States

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Bellevue, Washington, United States

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Spokane, Washington, United States

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Brown Deer, Wisconsin, United States

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Middleton, Wisconsin, United States

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Toronto, Ontario, Canada

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Pointe-Claire, Quebec, Canada

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Würzburg, Bavaria, Germany

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Stralsund, Mecklenburg-Vorpommern, Germany

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Bochum, North Rhine-Westphalia, Germany

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Achim, , Germany

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Nyíregyháza, Szabolcs-Szatmár-Bereg, Hungary

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Budapest, , Hungary

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Győr, , Hungary

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Bucharest, , Romania

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Lasi, , Romania

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Târgu Mureş, , Romania

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Moscow, , Russia

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Rostov-on-Don, , Russia

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Saint Petersburg, , Russia

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Chenigiv, , Ukraine

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Kharkiv, , Ukraine

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Kiev, , Ukraine

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Poltava, , Ukraine

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Countries

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United States Canada Germany Hungary Romania Russia Ukraine

References

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Kapadia S, Zhang Z, Ardic F, Patel M, Thase ME, Papakostas GI. Adjunctive brexpiprazole in patients with major depressive disorder who show minimal or partial response to antidepressant treatment: post hoc analysis of randomized controlled trials. Int J Neuropsychopharmacol. 2025 Oct 7:pyaf074. doi: 10.1093/ijnp/pyaf074. Online ahead of print.

Reference Type DERIVED
PMID: 41055581 (View on PubMed)

Ardic F, Zhang Z, Hogan M. Effects of adjunctive brexpiprazole in patients with major depressive disorder and sleep disturbance: a post hoc analysis of three randomized trials. Front Psychiatry. 2025 Aug 7;16:1618176. doi: 10.3389/fpsyt.2025.1618176. eCollection 2025.

Reference Type DERIVED
PMID: 40852147 (View on PubMed)

Kapadia S, Zhang Z, Csoboth C, Patel M, Thase ME, Papakostas GI. Adjunctive brexpiprazole in patients with unresolved symptoms of depression on antidepressant treatment who are early in the disease course: post hoc analysis of randomized controlled trials. Int J Neuropsychopharmacol. 2025 Aug 1;28(8):pyaf050. doi: 10.1093/ijnp/pyaf050.

Reference Type DERIVED
PMID: 40607746 (View on PubMed)

McIntyre RS, Bubolic S, Zhang Z, MacKenzie EM, Therrien F, Miguelez M, Boucher M. Effects of Adjunctive Brexpiprazole on Individual Depressive Symptoms and Functioning in Patients With Major Depressive Disorder and Anxious Distress: Post Hoc Analysis of Three Placebo-Controlled Studies. J Clin Psychopharmacol. 2024 Mar-Apr 01;44(2):133-140. doi: 10.1097/JCP.0000000000001825.

Reference Type DERIVED
PMID: 38421922 (View on PubMed)

Newcomer JW, Meehan SR, Chen D, Brubaker M, Weiss C. Changes in Metabolic Parameters and Body Weight in Patients With Prediabetes Treated With Adjunctive Brexpiprazole for Major Depressive Disorder: Pooled Analysis of Short- and Long-Term Clinical Studies. J Clin Psychiatry. 2023 Aug 28;84(5):23m14786. doi: 10.4088/JCP.23m14786.

Reference Type DERIVED
PMID: 37656180 (View on PubMed)

McIntyre RS, Therrien F, Ismail Z, Meehan SR, Miguelez M, Larsen KG, Chen D, MacKenzie EM, Thase ME. Effects of adjunctive brexpiprazole on patient life engagement in major depressive disorder: Post hoc analysis of Inventory of Depressive Symptomatology Self-Report data. J Psychiatr Res. 2023 Jun;162:71-78. doi: 10.1016/j.jpsychires.2023.04.012. Epub 2023 Apr 12.

Reference Type DERIVED
PMID: 37099968 (View on PubMed)

Newcomer JW, Eriksson H, Zhang P, Meehan SR, Weiss C. Changes in Metabolic Parameters and Body Weight in Patients With Major Depressive Disorder Treated With Adjunctive Brexpiprazole: Pooled Analysis of Phase 3 Clinical Studies. J Clin Psychiatry. 2019 Oct 1;80(6):18m12680. doi: 10.4088/JCP.18m12680.

Reference Type DERIVED
PMID: 31577867 (View on PubMed)

Hobart M, Zhang P, Weiss C, Meehan SR, Eriksson H. Adjunctive Brexpiprazole and Functioning in Major Depressive Disorder: A Pooled Analysis of Six Randomized Studies Using the Sheehan Disability Scale. Int J Neuropsychopharmacol. 2019 Mar 1;22(3):173-179. doi: 10.1093/ijnp/pyy095.

Reference Type DERIVED
PMID: 30508090 (View on PubMed)

McIntyre RS, Weiller E, Zhang P, Weiss C. Brexpiprazole as adjunctive treatment of major depressive disorder with anxious distress: Results from a post-hoc analysis of two randomised controlled trials. J Affect Disord. 2016 Sep 1;201:116-23. doi: 10.1016/j.jad.2016.05.013. Epub 2016 May 12.

Reference Type DERIVED
PMID: 27208498 (View on PubMed)

Thase ME, Youakim JM, Skuban A, Hobart M, Zhang P, McQuade RD, Nyilas M, Carson WH, Sanchez R, Eriksson H. Adjunctive brexpiprazole 1 and 3 mg for patients with major depressive disorder following inadequate response to antidepressants: a phase 3, randomized, double-blind study. J Clin Psychiatry. 2015 Sep;76(9):1232-40. doi: 10.4088/JCP.14m09689.

Reference Type DERIVED
PMID: 26301771 (View on PubMed)

Other Identifiers

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331-10-227

Identifier Type: -

Identifier Source: org_study_id

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