Efficacy and Safety Study of SPD489 in Combination With an Antidepressant in the Treatment of Adults With Major Depressive Disorder

NCT ID: NCT01436149

Last Updated: 2021-06-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1262 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-27

Study Completion Date

2013-12-23

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. Eligible patients will remain on their antidepressant but will be randomized to either receive supplemental SPD489 or placebo (i.e. sugar pill). 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 supplemental SPD489 help patients who still have residual depression symptoms while 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

Group Type EXPERIMENTAL

SPD489 (Lisdexamfetamine dimesylate )

Intervention Type DRUG

Antidepressant (either escitalopram oxalate, sertraline hydrochloride, venlafaxine hydrochloride extended release or duloxetine hydrochloride) oral, once daily + SPD489 (oral, 20, 30, 50 or 70 mg, once daily) for 8 weeks

Antidepressant + Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Antidepressant (either escitalopram oxalate, sertraline hydrochloride, venlafaxine hydrochloride extended release or duloxetine hydrochloride) oral, once daily + Placebo (oral, once daily) for 8 weeks

Interventions

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SPD489 (Lisdexamfetamine dimesylate )

Antidepressant (either escitalopram oxalate, sertraline hydrochloride, venlafaxine hydrochloride extended release or duloxetine hydrochloride) oral, once daily + SPD489 (oral, 20, 30, 50 or 70 mg, once daily) for 8 weeks

Intervention Type DRUG

Placebo

Antidepressant (either escitalopram oxalate, sertraline hydrochloride, venlafaxine hydrochloride extended release or duloxetine hydrochloride) oral, once daily + Placebo (oral, once daily) for 8 weeks

Intervention Type DRUG

Other Intervention Names

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Vyvanse

Eligibility Criteria

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Inclusion Criteria

* Subject is able to provide written, personally signed, and dated informed consent to participate in the study.
* Subject is between 18 and 65 years of age.
* Subject has a primary diagnosis of non-psychotic MDD (single or recurrent).
* Subject has a MADRS total score 24.
* Subject who is female, must have a negative serum beta human chorionic gonadotropin (HCG) pregnancy test and a negative urine pregnancy test at the and agrees to comply with any applicable contraceptive requirements of the protocol.
* Subject is able to swallow a capsule.

Exclusion Criteria

* Subject whose current episode of MDD has not responded to an adequate treatment regimen with 2 or more approved single antidepressant agents.
* Subject who has a lifetime history of treatment resistant depression.
* Subject has a current co-morbid psychiatric disorder. Excluded are: any significant Axis II disorder (including borderline personality disorder), any bipolar disorder, any current or lifetime psychosis, post traumatic stress disorder, obsessive compulsive disorder, any pervasive development disorder, anorexia nervosa and bulimia nervosa.
* Subject has been hospitalized (within the last 12 months) for their current MDD episode.
* Subject has a current or lifetime history of attention-deficit/hyperactivity disorder (ADHD).
* Subject has a first degree relative that has been diagnosed with bipolar I disorder.
* Subject has a recent history (within the last 6 months) of suspected substance abuse or dependence disorder
* Subject is considered a suicide risk in the opinion of the Investigator, has previously made a suicide attempt within the past 3 years, or is currently demonstrating active suicidal ideation.
* Subject has a concurrent chronic or acute illness or unstable medical condition.
* 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.
* 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.
* 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.
* Subject has a known family history of sudden cardiac death or ventricular arrhythmia.
* Subject has glaucoma.
* Subject has a history of moderate to severe hypertension.
* Current use of any other medications (including over-the-counter \[OTC\], herbal or homeopathic preparations) that have central nervous system effects.
* Subject has had electroconvulsive therapy (ECT) for the current depressive episode 3 months prior.
* The subject has a known or suspected intolerance, hypersensitivity, or contraindications to their assigned antidepressant treatments (escitalopram oxalate, sertraline HCl, venlafaxine HCl extended release, or duloxetine HCl).
* Subject has a positive urine drug result.
* Subject has a body mass index (BMI) of \<18.5 or \>40.
* Subject is female and is pregnant or nursing.
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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Birmingham Research Group

Birmingham, Alabama, United States

Site Status

AV Institue, Inc.

Carson, California, United States

Site Status

University of California, Irvine Child Development Center

Irvine, California, United States

Site Status

South Coast Clinicals

Norwalk, California, United States

Site Status

North County Clinical Research

Oceanside, California, United States

Site Status

Pasadena Research Institute, LLC

Pasadena, California, United States

Site Status

Affiliated Research Institute

San Diego, California, United States

Site Status

Clinical Innovations, Inc.

San Diego, California, United States

Site Status

Sharp Mesa Vista Hospital

San Diego, California, United States

Site Status

Geriatric and Adult Psychiatry, LLC

Hamden, Connecticut, United States

Site Status

Middlexex Hospital Center for Behavioral Health

Middletown, Connecticut, United States

Site Status

CNS Clinical Research Group

Coral Springs, Florida, United States

Site Status

Emerald Coast Mood & Memory, PA

Fort Walton Beach, Florida, United States

Site Status

Florida Clinical Research Center, LLC.

Maitland, Florida, United States

Site Status

Suncoast Clinical Research

New Port Richey, Florida, United States

Site Status

Compass Research, LLC

Orlando, Florida, United States

Site Status

Meridien Research

St. Petersburg, Florida, United States

Site Status

Stedman Clinical Trials

Tampa, Florida, United States

Site Status

Carman Research

Smyrna, Georgia, United States

Site Status

American Medical Research, Inc.

Oak Brook, Illinois, United States

Site Status

The Davis Clinic

Indianapolis, Indiana, United States

Site Status

Northwest Indiana Center for Clinical Research

Valparaiso, Indiana, United States

Site Status

MCM Clinical Research LLC

Florence, Kentucky, United States

Site Status

Pharmasite Research, Inc.

Baltimore, Maryland, United States

Site Status

Potomac Grove Clinical Research Center

Gaithersburg, Maryland, United States

Site Status

Office of Marc Hertzman, MD

Rockville, Maryland, United States

Site Status

Adams Clinical Trials, LLC

Watertown, Massachusetts, United States

Site Status

St. Charles Psychiatric Associates - Midwest Research Group

Saint Charles, Missouri, United States

Site Status

Bioscience Research, LLC

Mount Kisco, New York, United States

Site Status

Fieve Clinical Research

New York, New York, United States

Site Status

Richmond Behavioral Associates

Staten Island, New York, United States

Site Status

Triangle Neuropsychiatry

Durham, North Carolina, United States

Site Status

Rcihard H. Weisler, MD, PA & Associates

Raleigh, North Carolina, United States

Site Status

Community Research

Cincinnati, Ohio, United States

Site Status

Lindner Center of HOPE

Mason, Ohio, United States

Site Status

SP Research, PLLC

Oklahoma City, Oklahoma, United States

Site Status

Summit Research Network (Oregon) Inc.

Portland, Oregon, United States

Site Status

Paramount Clinical Research

Bridgeville, Pennsylvania, United States

Site Status

Suburban Research Associates

Media, Pennsylvania, United States

Site Status

CRI Worldwide LLC

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh School of Medicine

Pittsburgh, Pennsylvania, United States

Site Status

Rhode Island Mood & Memory Research Institute

East Providence, Rhode Island, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Memphis, Tennessee, United States

Site Status

Clinical Research Associates

Nashville, Tennessee, United States

Site Status

FutureSearch Clinical Trials, LP

Austin, Texas, United States

Site Status

Ericksen Research and Development

Clinton, Utah, United States

Site Status

Summit Research Network (Seattle) LLC

Seattle, Washington, United States

Site Status

Dr. Alexander McIntyre Inc

Penticton, British Columbia, Canada

Site Status

Dr. D. McIntosh & Dr. K. Kjernisted Clinical Research Inc.

Vancouver, British Columbia, Canada

Site Status

Aggarwal & Associates Ltd.

Brampton, Ontario, Canada

Site Status

Depression, Mood Disorders and Schizophrenia Treatment Centre

Burlington, Ontario, Canada

Site Status

Chatham-Kent Clinical Trials Research Center

Chatham, Ontario, Canada

Site Status

Regional Mental Health Care

London, Ontario, Canada

Site Status

Anxiety and Mood Disorder Center

Mississauga, Ontario, Canada

Site Status

Medical Research Associates

Mississauga, Ontario, Canada

Site Status

A.K. Karan Holdings

Oakville, Ontario, Canada

Site Status

International Sleep Clinic, West Parry Sound Health Centre

Parry Sound, Ontario, Canada

Site Status

START Clinic for Mood and Anxiety Disorders

Toronto, Ontario, Canada

Site Status

Univ Health Network, Toronto Western Hospital

Toronto, Ontario, Canada

Site Status

Sleep & Alertness Clinic (Sleep & Alertness Research, Inc.)

Toronto, Ontario, Canada

Site Status

Manna Research

Toronto, Ontario, Canada

Site Status

Windsor Regional Hospital-Tayfour Campus

Windsor, Ontario, Canada

Site Status

Pierre-Janet Hospital

Gatineau, Quebec, Canada

Site Status

l'Hopital Louis H. Lafontaine

Montreal, Quebec, Canada

Site Status

Kells Medical Research Group Inc.

Pointe-Claire, Quebec, Canada

Site Status

ALPHA Recherche Clinique

Québec, Quebec, Canada

Site Status

Q&T Research Sherbrooke

Sherbrooke, Quebec, Canada

Site Status

Poliklinika Neuron

Zagreb, , Croatia

Site Status

Psychiatric Clinic Vrapoe

Zagreb, , Croatia

Site Status

Centro Regiomontano de Investigacion S.C. (CRI)

Monterrey, Nuevo León, Mexico

Site Status

Hospital Aranda de la Parra

León, , Mexico

Site Status

Instituto de Infromacion e Investigación en Salud Mental (INFOSAME)

Nuevo León, , Mexico

Site Status

Consultorio Especializado en Psiquiatria Infantil y Adolescentes

San Luis Potosí City, , Mexico

Site Status

B & B Investigaciones Medicas S.C.

Sinaloa, , Mexico

Site Status

Dharma Institute & Research Center

San Juan, , Puerto Rico

Site Status

INSPIRA Clinical Research

San Juan, , Puerto Rico

Site Status

Hospital de la Santa Creo l Sant Pau

Barcelona, , Spain

Site Status

Hospital Universitari de Bellvitge, Servicio de Psiquiatria

Barcelona, , Spain

Site Status

Hospital Universitario Infanta Leonor

Madrid, , Spain

Site Status

Hospital Fundacion de Alcorcon

Madrid, , Spain

Site Status

Hospital Universitario de Henares

Madrid, , Spain

Site Status

Centro de Salud Mental Il la Corredoria

Oviedo, , Spain

Site Status

Centro Salud Alamedilla Unidad de Salud Mental

Salamanca, , Spain

Site Status

Complejo hospitalario de Zamora

Zamora, , Spain

Site Status

Hospital Clinico Universitario Lozano Blesa

Zaragoza, , Spain

Site Status

Countries

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United States Canada Croatia Mexico Puerto Rico Spain

References

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Richards C, McIntyre RS, Weisler R, Sambunaris A, Brawman-Mintzer O, Gao J, Geibel B, Dauphin M, Madhoo M. Lisdexamfetamine dimesylate augmentation for adults with major depressive disorder and inadequate response to antidepressant monotherapy: Results from 2 phase 3, multicenter, randomized, double-blind, placebo-controlled studies. J Affect Disord. 2016 Dec;206:151-160. doi: 10.1016/j.jad.2016.07.006. Epub 2016 Jul 5.

Reference Type RESULT
PMID: 27474961 (View on PubMed)

Other Identifiers

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2011-003018-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SPD489-322

Identifier Type: -

Identifier Source: org_study_id

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