Trial Outcomes & Findings for Assess the Efficacy and Safety of ASC-01 in Patients With Major Depressive Disorder (NCT NCT02046564)

NCT ID: NCT02046564

Last Updated: 2018-05-21

Results Overview

The MADRS is a clinician-rated scale which evaluates the level of depression. The MADRS consists of 10 items assessing apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thought. Each item is scored from 0 to 6, with higher scores indicating worse condition.Summed subscales are combined to compute a total score. Total score ranges from 0 to 60, with higher score indicating worse condition.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

412 participants

Primary outcome timeframe

8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

Results posted on

2018-05-21

Participant Flow

Participant milestones

Participant milestones
Measure
ASC-01
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
Overall Study
STARTED
209
203
Overall Study
COMPLETED
194
183
Overall Study
NOT COMPLETED
15
20

Reasons for withdrawal

Reasons for withdrawal
Measure
ASC-01
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
Overall Study
Adverse Event
6
3
Overall Study
Physician Decision
0
1
Overall Study
Protocol Violation
3
1
Overall Study
Withdrawal by Subject
4
10
Overall Study
Subject met withdrawal criteria
2
5

Baseline Characteristics

Assess the Efficacy and Safety of ASC-01 in Patients With Major Depressive Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ASC-01
n=208 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
Total
n=411 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
208 Participants
n=93 Participants
203 Participants
n=4 Participants
411 Participants
n=27 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Continuous
38.3 years
STANDARD_DEVIATION 11.8 • n=93 Participants
39.5 years
STANDARD_DEVIATION 11.8 • n=4 Participants
38.9 years
STANDARD_DEVIATION 11.8 • n=27 Participants
Sex: Female, Male
Female
79 Participants
n=93 Participants
72 Participants
n=4 Participants
151 Participants
n=27 Participants
Sex: Female, Male
Male
129 Participants
n=93 Participants
131 Participants
n=4 Participants
260 Participants
n=27 Participants
Region of Enrollment
South Korea
36 participants
n=93 Participants
42 participants
n=4 Participants
78 participants
n=27 Participants
Region of Enrollment
Japan
157 participants
n=93 Participants
142 participants
n=4 Participants
299 participants
n=27 Participants
Region of Enrollment
Taiwan
7 participants
n=93 Participants
10 participants
n=4 Participants
17 participants
n=27 Participants
Region of Enrollment
Malaysia
6 participants
n=93 Participants
5 participants
n=4 Participants
11 participants
n=27 Participants
Region of Enrollment
Australia
2 participants
n=93 Participants
4 participants
n=4 Participants
6 participants
n=27 Participants

PRIMARY outcome

Timeframe: 8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The MADRS is a clinician-rated scale which evaluates the level of depression. The MADRS consists of 10 items assessing apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thought. Each item is scored from 0 to 6, with higher scores indicating worse condition.Summed subscales are combined to compute a total score. Total score ranges from 0 to 60, with higher score indicating worse condition.

Outcome measures

Outcome measures
Measure
ASC-01
n=208 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Mean Change From Baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
-9.2 units on a scale
Standard Error 0.5
-7.2 units on a scale
Standard Error 0.5

SECONDARY outcome

Timeframe: 8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The MADRS is a clinician-rated scale which evaluates the level of depression. The MADRS consists of 10 items assessing apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thought. Each item is scored from 0 to 6, with higher scores indicating worse condition. MADRS Response Rate is the percentage of subjects who achieved a decrease in the MADRS total score by 50% or more.

Outcome measures

Outcome measures
Measure
ASC-01
n=208 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Montgomery-Åsberg Depression Rating Scale (MADRS) Response Rate
37.5 percentage of participants
25.6 percentage of participants

SECONDARY outcome

Timeframe: 8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The MADRS is a clinician-rated scale which evaluates the level of depression. The MADRS consists of 10 items assessing apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thought. Each item is scored from 0 to 6, with higher scores indicating worse condition. MADRS Remission Rate is the percentage of subjects who achieved a decrease in the MADRS total score by 50% or more and whose MADRS total score is 10 points or less.

Outcome measures

Outcome measures
Measure
ASC-01
n=208 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Montgomery-Åsberg Depression Rating Scale (MADRS) Remission Rate
29.3 percentage of participants
20.2 percentage of participants

SECONDARY outcome

Timeframe: 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The CGI-I Scale is a clinician-rated scale which assesses the total improvement of the patient's condition compared to that at baseline. Scores range from 0 to 7: 0 = Not assessed, 1= Very much improved, 2 = Much improved, 3= Minimally improved, 4= No change, 5= Minimally worse, 6= Much worse, 7= Very much worse. Higher scores indicate worse condition. CGI-I Improvement Rate is the percentage of subjects whose CGI-I score is 1 or 2.

Outcome measures

Outcome measures
Measure
ASC-01
n=208 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Clinical Global Impression - Improvement (CGI-I) Improvement Rate
46.2 percentage of participants
34.5 percentage of participants

SECONDARY outcome

Timeframe: 8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The CGI-S Scale is a clinician-rated scale which assesses how mentally ill the patient is at the time. Scores range from 0 to 7: 0 = Not assessed, 1= Normal, not at all ill, 2 =Borderline mentally ill, 3= Mildly ill, 4= Moderately ill, 5= Markedly ill, 6= Severely ill, 7= Among the most extremely ill patients. Higher scores indicate worse condition.

Outcome measures

Outcome measures
Measure
ASC-01
n=208 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Mean Change From Baseline in the Clinical Global Impression - Severity of Illness (CGI-S)
-1.0 units on a scale
Standard Error 0.1
-0.8 units on a scale
Standard Error 0.1

SECONDARY outcome

Timeframe: 8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The HAM-D is a clinician-rated scale which evaluates the level of depression. The HAM-D consists of 17 items such as depression mood, feeling of guilt, suicide, insomnia, work and activities, retardation, and so on. Each item is scored from 0 to 2, 3 or 4, with higher scores indicating worse condition. Summed subscales are combined to compute a total score. Total score ranges from 0 to 52, with higher score indicating worse condition.

Outcome measures

Outcome measures
Measure
ASC-01
n=208 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Mean Change From Baseline in the Hamilton Depression Rating Scale 17 (HAM-D17) Total Score
-6.8 units on a scale
Standard Error 0.4
-5.6 units on a scale
Standard Error 0.4

SECONDARY outcome

Timeframe: 8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The SASS is a self-rating scale which assesses the social motivation and behavior in participants with depression. The SASS consists of 21 items covering the different aspects of social interactions, global social attitude, and self-perception. Each item is scored from 0 to 3, with higher scores indicating better condition.

Outcome measures

Outcome measures
Measure
ASC-01
n=164 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=149 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Mean Change From Baseline in the Social Adaptation Self-evaluation Scale (SASS) Total Score
3.7 units on a scale
Standard Error 0.3
1.5 units on a scale
Standard Error 0.3

SECONDARY outcome

Timeframe: 8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The AS consists of 14 items. Items 1-8 are scored as follows: 3= Not at all, 2= Slightly, 1= Some, 0= A lot. Items 9-14 are scored as follows: 0= Not at all, 1= Slightly, 2= Some, 3= A lot. Total score ranges from 0-42, with higher score indicating worse condition.

Outcome measures

Outcome measures
Measure
ASC-01
n=164 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=149 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Mean Change From Baseline in the Apathy Scale (AS) Total Score
-3.3 units on a scale
Standard Error 0.4
-1.1 units on a scale
Standard Error 0.4

SECONDARY outcome

Timeframe: 8 weeks after the start of the sertraline treatment period (Baseline), 6 weeks after the start of the double-blind period (Last Observation Carried Forward [LOCF])

The MADRS-S is a patient-reported scale based on MADRS, administered to evaluate the level of depression. This scale consists of 9 items assessing patients' mood, feelings of unease, sleep, appetite, ability to concentrate, initiative, emotional involvement, pessimism and zest for life. Each item is scored from 0 to 3, with higher scores indicating worse condition. Summed subscales are combined to compute a total score. Total score ranges from 0 to 27, with higher score indicating worse condition.

Outcome measures

Outcome measures
Measure
ASC-01
n=208 Participants
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 Participants
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
The Mean Change From Baseline in the Self-rating Version of Montgomery-Åsberg Depression Rating Scale (MADRS-S) Total Score
-2.85 units on a scale
Standard Error 0.22
-1.86 units on a scale
Standard Error 0.23

Adverse Events

ASC-01

Serious events: 0 serious events
Other events: 128 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 107 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ASC-01
n=209 participants at risk
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 participants at risk
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
Gastrointestinal disorders
Gastric ulcer
0.00%
0/209 • Double-blind period (6 weeks)
0.49%
1/203 • Number of events 1 • Double-blind period (6 weeks)
Injury, poisoning and procedural complications
Clavicle fracture
0.00%
0/209 • Double-blind period (6 weeks)
0.49%
1/203 • Number of events 1 • Double-blind period (6 weeks)

Other adverse events

Other adverse events
Measure
ASC-01
n=209 participants at risk
* Formulation A: ASC-01 (aripiprazole/sertraline combination) 3 mg/100 mg tablet * Formulation B: ASC-01 (aripiprazole/sertraline combination) 6 mg/100 mg tablet * Formulation C: ASC-01 (aripiprazole/sertraline combination) 9 mg/100 mg tablet * Formulation D: ASC-01 (aripiprazole/sertraline combination) 12 mg/100 mg tablet Formulation A or, B, C, or D was orally administered once daily. For Week 1, Formulation A was administered after which administration was conducted according to the dose-increase criteria. The formulation was fixed from Week 5 to Week 6.
Placebo
n=203 participants at risk
The dose of 0mg/100mg (Placebo/Sertraline Combination )will be orally administered once daily.
Gastrointestinal disorders
Constipation
2.4%
5/209 • Double-blind period (6 weeks)
2.0%
4/203 • Double-blind period (6 weeks)
Gastrointestinal disorders
Diarrhoea
0.96%
2/209 • Double-blind period (6 weeks)
2.0%
4/203 • Double-blind period (6 weeks)
Gastrointestinal disorders
Nausea
4.3%
9/209 • Double-blind period (6 weeks)
4.9%
10/203 • Double-blind period (6 weeks)
Gastrointestinal disorders
Stomatitis
0.48%
1/209 • Double-blind period (6 weeks)
2.0%
4/203 • Double-blind period (6 weeks)
Gastrointestinal disorders
Vomiting
2.4%
5/209 • Double-blind period (6 weeks)
1.5%
3/203 • Double-blind period (6 weeks)
General disorders
Drug withdrawal syndrome
2.4%
5/209 • Double-blind period (6 weeks)
1.5%
3/203 • Double-blind period (6 weeks)
Infections and infestations
Nasopharyngitis
13.4%
28/209 • Double-blind period (6 weeks)
11.3%
23/203 • Double-blind period (6 weeks)
Investigations
Alanine aminotransferase increased
2.9%
6/209 • Double-blind period (6 weeks)
0.99%
2/203 • Double-blind period (6 weeks)
Investigations
Aspartate aminotransferase increased
2.4%
5/209 • Double-blind period (6 weeks)
0.49%
1/203 • Double-blind period (6 weeks)
Investigations
Weight increased
4.3%
9/209 • Double-blind period (6 weeks)
0.49%
1/203 • Double-blind period (6 weeks)
Musculoskeletal and connective tissue disorders
Back pain
0.48%
1/209 • Double-blind period (6 weeks)
2.0%
4/203 • Double-blind period (6 weeks)
Musculoskeletal and connective tissue disorders
Muscle rigidity
0.00%
0/209 • Double-blind period (6 weeks)
2.5%
5/203 • Double-blind period (6 weeks)
Nervous system disorders
Akathisia
12.9%
27/209 • Double-blind period (6 weeks)
3.4%
7/203 • Double-blind period (6 weeks)
Nervous system disorders
Dizziness
4.8%
10/209 • Double-blind period (6 weeks)
4.9%
10/203 • Double-blind period (6 weeks)
Nervous system disorders
Headache
3.8%
8/209 • Double-blind period (6 weeks)
6.4%
13/203 • Double-blind period (6 weeks)
Nervous system disorders
Somnolence
2.4%
5/209 • Double-blind period (6 weeks)
2.5%
5/203 • Double-blind period (6 weeks)
Nervous system disorders
Tremor
5.7%
12/209 • Double-blind period (6 weeks)
5.4%
11/203 • Double-blind period (6 weeks)
Psychiatric disorders
Insomnia
4.3%
9/209 • Double-blind period (6 weeks)
2.5%
5/203 • Double-blind period (6 weeks)

Additional Information

Director of Clinical Trials

Otsuka Pharmaceutical Co. Ltd.

Phone: +81-3-6361-7366

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place