Trial Outcomes & Findings for OnabotulinumtoxinA as Treatment for Major Depressive Disorder in Adult Females (NCT NCT02116361)

NCT ID: NCT02116361

Last Updated: 2017-12-19

Results Overview

The MADRS is a 10-item scale completed by clinic personnel that assesses the subject's symptoms of depression. Each question is answered on a 7-point scale ranging from no symptoms to worst possible symptoms. The total score is summed for all responses and ranges from 0 to 60. A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

258 participants

Primary outcome timeframe

Baseline

Results posted on

2017-12-19

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Overall Study
STARTED
69
65
59
65
Overall Study
COMPLETED
38
34
33
34
Overall Study
NOT COMPLETED
31
31
26
31

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Overall Study
Pregnancy
0
0
0
1
Overall Study
Protocol Violation
1
0
0
2
Overall Study
Physician Decision
2
3
0
0
Overall Study
Adverse Event
1
0
0
3
Overall Study
Other Reasons
3
3
3
3
Overall Study
Lack of Efficacy
5
7
4
3
Overall Study
Lost to Follow-up
4
5
7
5
Overall Study
Personal Reasons
6
6
4
9
Overall Study
Investigator Decision - Relapse
9
7
8
5

Baseline Characteristics

OnabotulinumtoxinA as Treatment for Major Depressive Disorder in Adult Females

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=67 Participants
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=65 Participants
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=58 Participants
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=65 Participants
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Total
n=255 Participants
Total of all reporting groups
Age, Customized
<40 years
26 Participants
n=5 Participants
21 Participants
n=7 Participants
21 Participants
n=5 Participants
26 Participants
n=4 Participants
94 Participants
n=21 Participants
Age, Customized
≥ 40 years
41 Participants
n=5 Participants
44 Participants
n=7 Participants
37 Participants
n=5 Participants
39 Participants
n=4 Participants
161 Participants
n=21 Participants
Sex: Female, Male
Female
67 Participants
n=5 Participants
65 Participants
n=7 Participants
58 Participants
n=5 Participants
65 Participants
n=4 Participants
255 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline

Population: Modified Intent to Treat: Enrolled subjects who received treatment with data at the noted time point

The MADRS is a 10-item scale completed by clinic personnel that assesses the subject's symptoms of depression. Each question is answered on a 7-point scale ranging from no symptoms to worst possible symptoms. The total score is summed for all responses and ranges from 0 to 60. A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.

Outcome measures

Outcome measures
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=58 Participants
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=65 Participants
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=67 Participants
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=65 Participants
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Baseline Values for the Clinic 10-Item Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
31.4 Scores on a Scale
Standard Deviation 3.99
32.0 Scores on a Scale
Standard Deviation 4.12
32.4 Scores on a Scale
Standard Deviation 5.34
32.0 Scores on a Scale
Standard Deviation 4.44

PRIMARY outcome

Timeframe: Week 6

Population: Modified Intent to Treat: Enrolled subjects who received treatment with data at the noted time point

The MADRS is a 10-item scale completed by clinic personnel that assesses the subject's symptoms of depression. Each question is answered on a 7-point scale ranging from no symptoms to worst possible symptoms. The total score is summed for all responses and ranges from 0 to 60. A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.

Outcome measures

Outcome measures
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=58 Participants
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=65 Participants
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=67 Participants
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=65 Participants
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Change From Baseline Values in the Clinic 10-Item Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
-7.9 Scores on a Scale
Standard Error 1.4
-11.6 Scores on a Scale
Standard Error 1.4
-12.9 Scores on a Scale
Standard Error 1.2
-11.5 Scores on a Scale
Standard Error 1.2

SECONDARY outcome

Timeframe: Baseline

Population: Modified Intent to Treat: Enrolled subjects who received treatment with data at the noted time point

The CGI-S is a 7-point scale assessed by the clinician to rate the severity of the subject's symptoms. Scores range from 1 to 7, from normal (1, not at all ill) to among the most extremely ill patients (7). A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.

Outcome measures

Outcome measures
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=58 Participants
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=65 Participants
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=67 Participants
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=65 Participants
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Baseline Values for the 7-Item Clinical Global Impression of Severity of Illness (CGI-S) Score
4.2 Scores on a Scale
Standard Deviation 0.43
4.4 Scores on a Scale
Standard Deviation 0.53
4.4 Scores on a Scale
Standard Deviation 0.53
4.5 Scores on a Scale
Standard Deviation 0.50

SECONDARY outcome

Timeframe: 24 Weeks

Population: Modified Intent to Treat: Enrolled subjects who received treatment with data at the noted time point

The CGI-S is a 7-point scale assessed by the clinician to rate the severity of the subject's symptoms. Scores range from 1 to 7, from normal (1, not at all ill) to among the most extremely ill patients (7). A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.

Outcome measures

Outcome measures
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=33 Participants
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=36 Participants
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=38 Participants
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=34 Participants
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Change From Baseline Values in the 7-Item Clinical Global Impression of Severity of Illness (CGI-S) Score
-1.4 Scores on a Scale
Standard Error 0.2
-1.9 Scores on a Scale
Standard Error 0.2
-2.6 Scores on a Scale
Standard Error 0.2
-2.9 Scores on a Scale
Standard Error 0.2

SECONDARY outcome

Timeframe: Baseline

Population: Modified Intent to Treat: Enrolled subjects who received treatment with data at the noted time point

The HAM-D17 is assessed by the clinician based on subject interview. The total scores range from 0 to 53. A higher total score indicates more severe depression. A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.

Outcome measures

Outcome measures
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=58 Participants
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=65 Participants
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=67 Participants
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=65 Participants
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Baseline Values in the Clinic Hamilton Depression Rating Scale 17-Item Version (HAM-D17)
23.7 Scores on a Scale
Standard Deviation 3.15
24.5 Scores on a Scale
Standard Deviation 3.03
23.3 Scores on a Scale
Standard Deviation 2.94
23.0 Scores on a Scale
Standard Deviation 3.32

SECONDARY outcome

Timeframe: 24 Weeks

Population: Modified Intent to Treat: Enrolled subjects who received treatment with data at the noted time point

The HAM-D17 is assessed by the clinician based on subject interview. The total scores range from 0 to 53. A higher total score indicates more severe depression. A negative change from baseline indicates an improvement in symptoms and a positive change from baseline indicates a worsening.

Outcome measures

Outcome measures
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=33 Participants
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=36 Participants
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=38 Participants
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=34 Participants
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Change From Baseline Values in the Clinic Hamilton Depression Rating Scale 17-Item Version (HAM-D17)
-11.5 Scores on a Scale
Standard Error 1.1
-13.4 Scores on a Scale
Standard Error 1.1
-16.1 Scores on a Scale
Standard Error 0.8
-17.4 Scores on a Scale
Standard Error 0.8

Adverse Events

Placebo (Normal Saline) for onabotulinumtoxinA 50 U

Serious events: 5 serious events
Other events: 21 other events
Deaths: 0 deaths

onabotulinumtoxinA 50 U

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Placebo (Normal Saline) for onabotulinumtoxinA 30 U

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

onabotulinumtoxinA 30 U

Serious events: 3 serious events
Other events: 21 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=67 participants at risk
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=65 participants at risk
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=58 participants at risk
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=65 participants at risk
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign Breast Neoplasm
0.00%
0/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
1.7%
1/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Nervous system disorders
Cerebrovascular Accident
0.00%
0/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
1.5%
1/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Injury, poisoning and procedural complications
Fibula Fracture
1.5%
1/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Injury, poisoning and procedural complications
Foot Fracture
1.5%
1/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Injury, poisoning and procedural complications
Ligament Rupture
1.5%
1/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Psychiatric disorders
Hallucination, Auditory
1.5%
1/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Psychiatric disorders
Suicidal Ideation
1.5%
1/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
1.5%
1/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Vascular disorders
Varicose Vein
1.5%
1/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
General disorders
Sudden Death
0.00%
0/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
1.5%
1/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment

Other adverse events

Other adverse events
Measure
Placebo (Normal Saline) for onabotulinumtoxinA 50 U
n=67 participants at risk
Placebo (normal saline) for onabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 50 U
n=65 participants at risk
OnabotulinumtoxinA 50 U injected into protocol-specified areas on Day 1.
Placebo (Normal Saline) for onabotulinumtoxinA 30 U
n=58 participants at risk
Placebo (normal saline) for onabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
onabotulinumtoxinA 30 U
n=65 participants at risk
OnabotulinumtoxinA 30 U injected into protocol-specified areas on Day 1.
Infections and infestations
Sinusitis
0.00%
0/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
6.9%
4/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
6.2%
4/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Infections and infestations
URI
4.5%
3/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
6.2%
4/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
1.7%
1/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
4.6%
3/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Nervous system disorders
Headache
22.4%
15/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
16.9%
11/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
6.9%
4/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
13.8%
9/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Eye disorders
Eyelid Ptosis
0.00%
0/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
3.1%
2/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
0.00%
0/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
6.2%
4/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
Infections and infestations
Nasopharyngitis
9.0%
6/67
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
4.6%
3/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
5.2%
3/58
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment
3.1%
2/65
The Safety Population was used to assess AEs and SAEs and consisted of all randomized patients who received at least 1 injection of the study treatment

Additional Information

Arlene Lum, PMP

Allergan, Inc

Phone: 714-246-5548

Results disclosure agreements

  • Principal investigator is a sponsor employee A disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER