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

NCT ID: NCT01436162

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

1105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-10-19

Study Completion Date

2013-12-10

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

Antidepressant + 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

Antidepressant + 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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Antidepressant + 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

Antidepressant + 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

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 and 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 (B-HCG) pregnancy test and a negative urine pregnancy test and agrees to comply with any applicable contraceptive requirements of the protocol.
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 with 2 or more approved single antidepressant agents.
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 co-morbid 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.
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.
16. Subject has a history of moderate to severe hypertension.
17. Current use of any other medications (including over-the-counter \[OTC\], herbal or homeopathic preparations) that have central nervous system effects.
18. Subject has the potential 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 (ECT) 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, hypersensitivity, or contraindications to their assigned antidepressant treatments (escitalopram oxalate, sertraline HCl, venlafaxine HCl extended release, or duloxetine HCl).
22. Subject has a positive urine drug result.
23. Subject has a body mass index (BMI) of \<18.5 or \>40.
24. 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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ResearchOne, Inc.

Scottsdale, Arizona, United States

Site Status

K&S Professional Research Services, LLC

Little Rock, Arkansas, United States

Site Status

ATP Clinical Research, Inc.

Costa Mesa, California, United States

Site Status

Diligent Clinical Trials

Downey, California, United States

Site Status

Synergy Clinical Reserach Center of Escondido

Escondido, California, United States

Site Status

Pacific Research Partners, LLC

Oakland, California, United States

Site Status

Anderson Clinical Research

Redlands, California, United States

Site Status

BreakThrough Clinical Trials, LLC

San Bernardino, California, United States

Site Status

MCB Clinical Research Centers

Colorado Springs, Colorado, United States

Site Status

Florida Clinical Research Center, LLC

Bradenton, Florida, United States

Site Status

Scientific Clinical Research, Inc.

North Miami, Florida, United States

Site Status

Clinical Neuroscience Solutions, Inc.

Orlando, Florida, United States

Site Status

Comprehensive NeuroScience, Inc.

St. Petersburg, Florida, United States

Site Status

Janus Center for Psychiatric Research

West Palm Beach, Florida, United States

Site Status

Atlanta Center for Medical Research

Atlanta, Georgia, United States

Site Status

Atlanta Institute of Medicine & Research

Atlanta, Georgia, United States

Site Status

Pedia Research

Newburgh, Indiana, United States

Site Status

Heartland Research Associates

Wichita, Kansas, United States

Site Status

Louisiana Clinical Research, LLC

Shreveport, Louisiana, United States

Site Status

Comprehensive Psychiatric Associates

Gladstone, Missouri, United States

Site Status

The Center for Pharmaceutical Research

Kansas City, Missouri, United States

Site Status

Mercy Health Research

St Louis, Missouri, United States

Site Status

Bio Behavioral Health

Toms River, New Jersey, United States

Site Status

Brooklyn Medical Institute

Brooklyn, New York, United States

Site Status

Medical & Behavioral Health Research, PC

New York, New York, United States

Site Status

Midwest Clinical Research Center

Dayton, Ohio, United States

Site Status

North Star Medical Research, LLC

Middleburg Heights, Ohio, United States

Site Status

Sooner Clinical Research

Oklahoma City, Oklahoma, United States

Site Status

Lehigh Center for Clinical Research

Allentown, Pennsylvania, United States

Site Status

Belmont Center for Comprehensive Treatment

Philadelphia, Pennsylvania, United States

Site Status

Medical University South Carolina Anxiety Disorder Program

North Charleston, South Carolina, United States

Site Status

Psychiatric Consultants, PC

Franklin, Tennessee, United States

Site Status

Research Strategies of Memphis, LLC

Memphis, Tennessee, United States

Site Status

KRK Medical Research

Dallas, Texas, United States

Site Status

Future Search Trials of Dallas, LP

Dallas, Texas, United States

Site Status

Clinical Trials of Texas, Inc.

San Antonio, Texas, United States

Site Status

Dr Lieven De Weirdt

Sint-Niklaas, , Belgium

Site Status

Saint Anne s.r.o.

Brno, , Czechia

Site Status

Psychiatricka ambulance

Brno, , Czechia

Site Status

Medicana s.r.o.

Hořovice, , Czechia

Site Status

Psychiatrie s.r.o.

Kutná Hora, , Czechia

Site Status

Bialbi s.r.o.

Litoměřice, , Czechia

Site Status

Clintrial s.r.o.

Prague, , Czechia

Site Status

Psychiatry Trial s.r.o.

Prague, , Czechia

Site Status

Prague Medical Services s.r.o.

Prague, , Czechia

Site Status

Ricany s.r.o.

Říčany, , Czechia

Site Status

Parnu Hospital, Psychiatric Clinic

Pärnu, , Estonia

Site Status

North Estonia Medical Centre Foundation Psychiatry Clinic

Tallinn, , Estonia

Site Status

Marienthal Psychiatry and Psychology Center

Tallinn, , Estonia

Site Status

Jaanson & Laane OU

Tartu, , Estonia

Site Status

Tartu University Hospital Psychiatric Clinic

Tartu, , Estonia

Site Status

ARTES Psykiatrinen Palvelukeskus Oy

Helsinki, , Finland

Site Status

Satucon Oy

Kuopio, , Finland

Site Status

Satakunnan Psykiatripalveiu Oy at Mentoria Oy

Tampere, , Finland

Site Status

Puutorin Psykiatripalvelu

Turku, , Finland

Site Status

Gemeinschafstpraxis für Neurologie und Psychiatrie, Psychotherapie

Achim, , Germany

Site Status

Private Praxis Dr. Jana Thomsen

Berlin, , Germany

Site Status

emovis GmbH

Berlin, , Germany

Site Status

Alexander Schulze, MD

Berlin, , Germany

Site Status

Private Practice Drs. Bitter/Schumann

Bochum, , Germany

Site Status

University Hospital Carl Gustav Carus

Dresden, , Germany

Site Status

ZSL Zentrum fuer medizinische Studien in Leipzig

Leipzig, , Germany

Site Status

Studienzentrum Muenchen

München, , Germany

Site Status

Universitaetsklinikum Munster

Münster, , Germany

Site Status

Studienzentrum Klinikum Nuernberg

Nuremberg, , Germany

Site Status

Somni bene GmbH

Schwerin, , Germany

Site Status

Private Practice: Eugen Schlegel

Siegen, , Germany

Site Status

Studiezentrum Nord-West

Westerstede, , Germany

Site Status

Medizinisches Studienzentrum Wuerzburg

Würzburg, , Germany

Site Status

Semmelweis Univ. Dept.of Psychiatry

Budapest, , Hungary

Site Status

Debrecent Egyetem Orvos es Egeszsegtudomanyl Centrum Pszichiatrai

Debrecen, , Hungary

Site Status

Santha Kalman Mentalis Egeszsegkozpont es Szakkorhaz

Nagykálló, , Hungary

Site Status

Josa Andras Teaching Hospital

Nyíregyháza, , Hungary

Site Status

Pecsi Tudomanyegyeiem Pszichiatriai es Pszichoterapias Klinika

Sziget, , Hungary

Site Status

Prywatne Gabinety Lekarskie "Promedicus"

Bialystok, , Poland

Site Status

NZOZ Centrum Kultury, Higieny i Zdrowia Psychicznego

Bydgoszcz, , Poland

Site Status

Zespol Opieki Zdrowotnej w Chelmnie

Chełmno, , Poland

Site Status

Centrum Badan Klinicznuch Pl-House sp. z.o.o.

Gdansk, , Poland

Site Status

Klinika Chorob Psychicznych i Zaburzen Nerwicowych

Gdansk, , Poland

Site Status

Centrum Psychiatrii i Psychoterapli

Gorlice, , Poland

Site Status

NZOZ Syntonia, Poradnia Zdrowia Psychicznego

Kielce, , Poland

Site Status

Osrodek Badafi Klinicznych Prof dr hab n med Meszek Szczepanski Prywatna Praktyka Lekarska

Lublin, , Poland

Site Status

Samodzielny Publiczny Zespol Zakladow Opieki Zdrowotnej w Zurominie

Żuromin, , Poland

Site Status

Spitatul Clinic Judetean de Urgenta Arad, Clinica de Psihiatrie

Arad, , Romania

Site Status

Stefi-Dent SRL

Botoșani, , Romania

Site Status

Spitalui Clinic de Psihiatrie "Prof. Dr. Alexandru Obregia" Sectia Clinica Psihiatrie I

Bucharest, , Romania

Site Status

Crucea Alba

Oradea, , Romania

Site Status

Lorentina 2201 SRL

Târgovişte, , Romania

Site Status

Spitalul Clinic Judetean Mures

Târgu Mureş, , Romania

Site Status

Cape Trial Centre

Bellville, Cape Town, South Africa

Site Status

Flexivest Fourteen Research Centre

Bellville, Cape Town, South Africa

Site Status

Private Practice - Gerta Brink

Johannesburg, Gauten, South Africa

Site Status

Somerset West Clinical Research

Somerset West, Western Cape, South Africa

Site Status

Vista Clinic

Centurion, , South Africa

Site Status

George Medi Clinic Extension

George, , South Africa

Site Status

SU/ Affektiva 1

Gothenburg, , Sweden

Site Status

ProbarE i Lund AB

Lund, , Sweden

Site Status

Ekdahl Medical AB

Malmo, , Sweden

Site Status

INM Psykiatrisk Mottagning

Malmo, , Sweden

Site Status

Medinstructor Lippitz AB

Stockholm, , Sweden

Site Status

Dr. Wahlstedts mottagning

Uppsala, , Sweden

Site Status

Countries

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United States Belgium Czechia Estonia Finland Germany Hungary Poland Romania South Africa Sweden

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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2011-003006-25

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SPD489-323

Identifier Type: -

Identifier Source: org_study_id

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