SPD489 in Combination With an Antidepressant in the Treatment of Adults With Major Depressive Disorder

NCT ID: NCT01435759

Last Updated: 2021-06-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

1197 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2014-01-17

Brief Summary

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This study will examine SPD489 in subjects aged 18-65 with major depressive disorder (MDD) who are taking certain types of antidepressants but continue to have residual depression symptoms. The purpose of this study is to help answer the following questions:

* How safe is SPD489 for the supplemental treatment of depression and what are the side effects that might be related to it?
* Can SPD489 help patients with depression who are also taking an antidepressant?
* How much SPD489 should be given to patients with depression who are also taking an antidepressant?
* How does SPD489 compare to placebo in depressed patients who are also taking an antidepressant?

Detailed Description

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Conditions

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Major Depressive Disorder

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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Antidepressant + SPD489 10 mg

Group Type EXPERIMENTAL

Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 10 mg

Intervention Type DRUG

Antidepressant + SPD489 oral, 10 mg, once daily for 8 weeks

Antidepressant + SPD489 30 mg

Group Type EXPERIMENTAL

Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 30 mg

Intervention Type DRUG

Antidepressant + SPD489 oral, 30 mg, once daily for 8 weeks

Antidepressant + SPD489 50 mg

Group Type EXPERIMENTAL

Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 50 mg

Intervention Type DRUG

Antidepressant + SPD489 oral, 50 mg, once daily for 8 weeks

Antidepressant + SPD489 70 mg

Group Type EXPERIMENTAL

Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 70 mg

Intervention Type DRUG

Antidepressant + SPD489 oral, 70 mg, once daily for 8 weeks

Antidepressant + Placebo

Group Type PLACEBO_COMPARATOR

Antidepressant + Placebo

Intervention Type DRUG

oral, once daily for 8 weeks

Interventions

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Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 10 mg

Antidepressant + SPD489 oral, 10 mg, once daily for 8 weeks

Intervention Type DRUG

Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 30 mg

Antidepressant + SPD489 oral, 30 mg, once daily for 8 weeks

Intervention Type DRUG

Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 50 mg

Antidepressant + SPD489 oral, 50 mg, once daily for 8 weeks

Intervention Type DRUG

Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 70 mg

Antidepressant + SPD489 oral, 70 mg, once daily for 8 weeks

Intervention Type DRUG

Antidepressant + Placebo

oral, once daily for 8 weeks

Intervention Type DRUG

Other Intervention Names

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Vyvanse Vyvanse Vyvanse Vyvanse

Eligibility Criteria

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Inclusion Criteria

1. Subject is able to provide written, personally signed and dated informed consent to participate in the study before completing any study-related procedures.
2. Subject is between 18-65 years of age.
3. Subject has a primary diagnosis of non-psychotic MDD.
4. Subject has a MADRS total score 24
5. Subject is willing and has an understanding and ability to fully comply with study procedures and restrictions defined in this protocol.
6. Subject, who is female, must have a negative serum beta human chorionic gonadotropin (HCG) pregnancy test and a negative urine pregnancy test and agrees to comply with any applicable contraceptive requirements.
7. Subject is able to swallow a capsule.

Exclusion Criteria

1. Subject whose current episode of MDD has not responded to an adequate treatment regimen.
2. Subject who has a lifetime history of treatment resistant depression, defined as having not responded to adequate treatment with 2 or more treatment regimens.
3. Subject has a current comorbid psychiatric disorder that is either controlled with medications prohibited in this study or is uncontrolled and associated with significant symptoms.
4. Subject has been hospitalized (within the last 12 months) for their current MDD episode.
5. Subject has a current or lifetime history of attention-deficit/hyperactivity disorder (ADHD).
6. Subject has a first degree relative that has been diagnosed with bipolar I disorder.
7. Subject has a recent history (within the last 6 months) of suspected substance abuse or dependence disorder.
8. Subject is considered a suicide risk, has previously made a suicide attempt within the past 3 years, or is currently demonstrating active suicidal ideation.
9. Subject has a concurrent chronic or acute illness or unstable medical condition.
10. Subject has a history of seizures (other than infantile febrile seizures), any tic disorder, or a current diagnosis and/or a known family history of Tourette's Disorder, serious neurological disease, history of significant head trauma, dementia, cerebrovascular disease, Parkinson's disease, or intracranial lesions.
11. Subject has known history of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, or other serious cardiac problems that may place them at increased vulnerability to the sympathomimetic effects of a stimulant medication.
12. Subject has a history of thyroid disorder that has not been stabilized on thyroid medication or treatment within 3 months prior to the Screening Visit.
13. Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
14. Subject has glaucoma.
15. Subject has any clinically significant ECG or clinical laboratory abnormalities at the Screening Visit.
16. Subject has a history of moderate to severe hypertension.
17. Current use of any other medication (including over-the-counter \[OTC\], herbal or homeopathic preparations) that has central nervous system effects.
18. Subject has the potential to need to initiate or modify frequency of psychotherapy or to continue or initiate other treatments for depression, outside of those allowed in this protocol.
19. Subject has had electroconvulsive therapy for the current depressive episode 3 months prior to the Lead-in Baseline Visit.
20. The subject has a known or suspected intolerance or hypersensitivity to the investigational product.
21. The subject has a known or suspected intolerance or hypersensitivity to any of the possible antidepressant treatments (escitalopram oxalate or venlafaxine HCL extended release.
22. Subject has a positive urine drug result.
23. Subject has a body mass index of \<18.5 or \>40.
24. Subject is female and is pregnant or nursing.
25. Subject has participated in another clinical study involving SPD489/NRP104 or has previously used commercial lisdexamfetamine dimesylate.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shire

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Study Director

Role: STUDY_DIRECTOR

Takeda

Locations

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Arkansas Psychiatric Clinic Clinical Research Trials

Little Rock, Arkansas, United States

Site Status

South Coast Clinical Trials

Anaheim, California, United States

Site Status

Catalina Research Institute, LLC

Chino, California, United States

Site Status

Shanti Clinical Trials

Colton, California, United States

Site Status

Clinical Innovation, Inc.

Costa Mesa, California, United States

Site Status

Collaborative Neuroscience Network, Inc.

Garden Grove, California, United States

Site Status

Irvine Center for Clinical Research

Irvine, California, United States

Site Status

Omega Clinical Trials

La Habra, California, United States

Site Status

Provate Practice of Andrew Leuchter, MD

Los Angeles, California, United States

Site Status

PCSD - Feighner Research

San Diego, California, United States

Site Status

Artemis Institute for Clinical Research

San Diego, California, United States

Site Status

Neuropsychiatric Research Center of Orange County

Santa Ana, California, United States

Site Status

California Neuroscience Research Medical Group, Inc.

Sherman Oaks, California, United States

Site Status

Western Affiliated Research Institute

Denver, Colorado, United States

Site Status

Connecticut Clinical Research

Cromwell, Connecticut, United States

Site Status

Institute of Living

Hartford, Connecticut, United States

Site Status

The Hospital of Central Connecticut, Psychiatry & Behavioral Health Research

New Britain, Connecticut, United States

Site Status

Gulfcoast Clinical Research Center

Fort Myers, Florida, United States

Site Status

Sarkis Clinical Trials

Gainesville, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Jacksonville, Florida, United States

Site Status

Private Practice - Amit Vijapura MD

Jacksonville, Florida, United States

Site Status

Psychiatric Associates

Lake City, Florida, United States

Site Status

Comprehensive Neuroscience, Inc.

Miramar, Florida, United States

Site Status

Fideltiy Clinical Research, Inc.

North Miami, Florida, United States

Site Status

Ali A. Kashfi, MD, PA

Orlando, Florida, United States

Site Status

Clinical Research of Central Florida

Winter Haven, Florida, United States

Site Status

Kolin Research Group

Winter Park, Florida, United States

Site Status

Institute for Behavioral Medicine, LLC

Smyrna, Georgia, United States

Site Status

Treatment Research Center, Rush University Medical Center

Chicago, Illinois, United States

Site Status

Alexian Brothers Center for Psychiatric Research

Hoffman Estates, Illinois, United States

Site Status

Psychiatric Medicine Associates, LLC

Skokie, Illinois, United States

Site Status

Sleep and Behavior Medicine Institute

Vernon Hills, Illinois, United States

Site Status

Clinical Trials Technology, Inc.

Prairie Village, Kansas, United States

Site Status

Pedia Research, LLC

Owensboro, Kentucky, United States

Site Status

Psyichatric Care and Research Center

O'Fallon, Missouri, United States

Site Status

Mid-America Clinical Research, LLC

St Louis, Missouri, United States

Site Status

Premier Psychiatric Research Institute, LLC.

Lincoln, Nebraska, United States

Site Status

Clinical Research Consortium

Las Vegas, Nevada, United States

Site Status

Center for Emotional Fitness

Cherry Hill, New Jersey, United States

Site Status

CRI Worldwide LLC

Willingboro, New Jersey, United States

Site Status

Albuquerque Neuroscience, Inc.

Albuquerque, New Mexico, United States

Site Status

Clinlabs, Inc.

New York, New York, United States

Site Status

Mount Sinai School of Medicine

New York, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Private Practice - Daniel I. Rifkin MD PC

West Seneca, New York, United States

Site Status

Clinical Trials of America, Inc.

Hickory, North Carolina, United States

Site Status

North Coast Clinical Trials, Inc.

Beachwood, Ohio, United States

Site Status

Ohio State University, Dept. of Psychiatry

Columbus, Ohio, United States

Site Status

Neurology & Neuroscience Center of Ohio

Toledo, Ohio, United States

Site Status

IPS Research Company

Oklahoma City, Oklahoma, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

University Services

West Chester, Pennsylvania, United States

Site Status

Pillar Clinical Research, LLC

Dallas, Texas, United States

Site Status

Bay Area Clinical Services

Friendswood, Texas, United States

Site Status

Houston Clinical Trials, LLC

Houston, Texas, United States

Site Status

Wharton Research Center, Inc.

Wharton, Texas, United States

Site Status

Grayline Clinical Drug Trials

Wichita Falls, Texas, United States

Site Status

Alliance Research Group

Richmond, Virginia, United States

Site Status

Dean Foundation for Health, Research and Education, Inc.

Middleton, Wisconsin, United States

Site Status

Independent Psychiatric Consultants, SC, dba, IPC Research

Waukesha, Wisconsin, United States

Site Status

Instituto Nacional de Psicopatologia

Buenos Aires, , Argentina

Site Status

Cervino

Buenos Aires, , Argentina

Site Status

Centro Medico de Medicina Familiar Mind Out Research

CABA, , Argentina

Site Status

BA Psychiatric Research Center

CABA, , Argentina

Site Status

Instituto Medico SAMIC

Córdoba, , Argentina

Site Status

Peninsula Health Mental Health Services

Frankston, Victoria, Australia

Site Status

Neurotherapy Victoria

Malvern, Victoria, Australia

Site Status

The Alfred, Monash Alfred Psychiatry Research Centre

Melbourne, Victoria, Australia

Site Status

The Melbourne Clinic

Richmond, Victoria, Australia

Site Status

Lyell McEwin Hospital, Mental Health Clinical Trials Unit

Elizabeth Vale, , Australia

Site Status

Psocomed Estudios Medicos

Antofagasta, Il Region, Chile

Site Status

Especialidades Medicas L y S

Las Condes, Santiago Metropolitan, Chile

Site Status

Centro de Estudios y Tratemiento de Enfermedades Psiquiatricas

Las Condes, Santiago Metropolitan, Chile

Site Status

Biomedica Research Group

Providencia, Santiago Metropolitan, Chile

Site Status

Centro de Estudios Clinicos

Providencia, Santiago Metropolitan, Chile

Site Status

Unidad de Salud Mental y Psiquietriea Hospital y CRS El Pino

San Bernardo, Santiago Metropolitan, Chile

Site Status

Hospital Barros Luco Trudsau

San Miguel, Santiago Metropolitan, Chile

Site Status

Hollins Park Hospital

Winwick, Warrington Cheshire, United Kingdom

Site Status

Radbourne Unit

Derby, , United Kingdom

Site Status

ADHD Mental Health Research Unit

Horsham, , United Kingdom

Site Status

Newcastle University, Wolfson Research Centre

Newcastle upon Tyne, , United Kingdom

Site Status

Rushcliffe Mental Health Team

Nottingham, , United Kingdom

Site Status

Countries

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United States Argentina Australia Chile United Kingdom

References

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Richards C, Iosifescu DV, Mago R, Sarkis E, Reynolds J, Geibel B, Dauphin M. A randomized, double-blind, placebo-controlled, dose-ranging study of lisdexamfetamine dimesylate augmentation for major depressive disorder in adults with inadequate response to antidepressant therapy. J Psychopharmacol. 2017 Sep;31(9):1190-1203. doi: 10.1177/0269881117722998. Epub 2017 Aug 31.

Reference Type RESULT
PMID: 28857719 (View on PubMed)

Other Identifiers

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2011-003615-28

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SPD489-209

Identifier Type: -

Identifier Source: org_study_id

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