Study to Evaluate the Efficacy and Safety of Adjunctive Pimavanserin in Major Depressive Disorder (CLARITY)

NCT ID: NCT03018340

Last Updated: 2019-11-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

207 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-31

Study Completion Date

2018-10-31

Brief Summary

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To assess the efficacy of pimavanserin compared to placebo when given adjunctively to a selective serotonin reuptake inhibitor (SSRI)/serotonin-norepinephrine reuptake inhibitor (SNRI) antidepressant as treatment of patients with Major Depressive Disorder (MDD) and an inadequate response to antidepressant therapy

Detailed Description

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Conditions

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Adjunctive Treatment of 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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Pimavanserin 34 mg + SSRI/SNRI

Drug- pimavanserin, 34 mg, taken as two 17 mg tablets, once daily by mouth All patients continued to receive selective serotonin reuptake inhibitor/serotonin norepinephrine reuptake inhibitor (SSRI/SNRI) antidepressants at a stable dose for the duration of the study.

Group Type EXPERIMENTAL

Pimavanserin

Intervention Type DRUG

Pimavanserin 34 mg, tablet, taken as two 17 mg tablets, once daily by mouth All patients continued to receive selective serotonin reuptake inhibitor/serotonin norepinephrine reuptake inhibitor (SSRI/SNRI) antidepressants at a stable dose for the duration of the study.

Placebo + SSRI/SNRI

Placebo, taken as two tablets, once daily by mouth All patients continued to receive selective serotonin reuptake inhibitor/serotonin norepinephrine reuptake inhibitor (SSRI/SNRI) antidepressants at a stable dose for the duration of the study.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo, taken as two tablets, once daily by mouth All patients continued to receive selective serotonin reuptake inhibitor/serotonin norepinephrine reuptake inhibitor (SSRI/SNRI) antidepressants at a stable dose for the duration of the study.

Interventions

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Pimavanserin

Pimavanserin 34 mg, tablet, taken as two 17 mg tablets, once daily by mouth All patients continued to receive selective serotonin reuptake inhibitor/serotonin norepinephrine reuptake inhibitor (SSRI/SNRI) antidepressants at a stable dose for the duration of the study.

Intervention Type DRUG

Placebo

Placebo, taken as two tablets, once daily by mouth All patients continued to receive selective serotonin reuptake inhibitor/serotonin norepinephrine reuptake inhibitor (SSRI/SNRI) antidepressants at a stable dose for the duration of the study.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Adult patients, aged 18 years and above
2. A clinical diagnosis of major depressive disorder (MDD)
3. Is being treated with one of the following SSRI or SNRI antidepressants as monotherapy:

* Citalopram
* Escitalopram
* Paroxetine
* Fluoxetine
* Sertraline
* Duloxetine
* Venlafaxine
* Desvenlafaxine
* Venlafaxine XR
4. Has a history of inadequate response to antidepressant treatments

Exclusion Criteria

1. Patient has a psychotic disorder other than MDD
2. Patient has current evidence of a serious and/or unstable neurologic, cardiovascular, respiratory, gastrointestinal, renal, hepatic, hematologic, or other medical disorder, including cancer or malignancies, which would affect the patient's ability to participate in the program
3. Patient has a history or symptoms of long QT syndrome

Patients will be evaluated at screening to ensure that all criteria for study participation are met. Patients may be excluded from the study based on these assessments (and specifically if it is determined that their baseline health and psychiatric condition do not meet all pre-specified entry criteria).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ACADIA Pharmaceuticals Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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UAB

Birmingham, Alabama, United States

Site Status

Woodland Research Northwest

Rogers, Arkansas, United States

Site Status

Collaborative Neuroscience Network, LLC

Garden Grove, California, United States

Site Status

Synergy San Diego

National City, California, United States

Site Status

Pacific Research Partners, LLC

Oakland, California, United States

Site Status

Schuster Medical Research Institute

Sherman Oaks, California, United States

Site Status

Viking Clinical Research

Temecula, California, United States

Site Status

Collaborative Neuroscience Network, LLC

Torrance, California, United States

Site Status

Pacific Clinical Research Medical Group

Upland, California, United States

Site Status

Meridien Research

Bradenton, Florida, United States

Site Status

CNS Health care (Jacksonville)

Jacksonville, Florida, United States

Site Status

Meridien Research

Maitland, Florida, United States

Site Status

CNS Health care (Orlando)

Orlando, Florida, United States

Site Status

Emory University School of Medicine

Atlanta, Georgia, United States

Site Status

iResearch Atlanta

Decatur, Georgia, United States

Site Status

Alam Medical Research, INC

Chicago, Illinois, United States

Site Status

Alexian Brothers Center for Psychiatric Research

Hoffman Estates, Illinois, United States

Site Status

KUMC

Wichita, Kansas, United States

Site Status

St. Louis Clinical Trials

St Louis, Missouri, United States

Site Status

Altea Research

Las Vegas, Nevada, United States

Site Status

Hassman Research Institute

Berlin, New Jersey, United States

Site Status

Manhattan Behavioral Medicine

New York, New York, United States

Site Status

Finger Lakes Clinical Research

Rochester, New York, United States

Site Status

Neuro-Behavioral Clinical Research

Canton, Ohio, United States

Site Status

IPS Research

Oklahoma City, Oklahoma, United States

Site Status

Rivus Wellness & Research Institute

Oklahoma City, Oklahoma, United States

Site Status

Summit Research Network (Oregon)

Portland, Oregon, United States

Site Status

UPenn

Philadelphia, Pennsylvania, United States

Site Status

BTC of Lincoln

Lincoln, Rhode Island, United States

Site Status

Carolina Clinical Trials, Inc.

Charleston, South Carolina, United States

Site Status

FutureSearch Trials of Dallas, L.P.

Dallas, Texas, United States

Site Status

UTSW

Dallas, Texas, United States

Site Status

Baylor College of Medicine

Houston, Texas, United States

Site Status

Pillar Clinical Research

Richardson, Texas, United States

Site Status

Ericksen Research & Development

Clinton, Utah, United States

Site Status

IPC Research

Waukesha, Wisconsin, United States

Site Status

Countries

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United States

References

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Jha MK, Fava M, Freeman MP, Thase ME, Papakostas GI, Shelton RC, Trivedi MH, Dirks B, Liu K, Stankovic S. Effect of Adjunctive Pimavanserin on Sleep/Wakefulness in Patients With Major Depressive Disorder: Secondary Analysis From CLARITY. J Clin Psychiatry. 2020 Dec 1;82(1):20m13425. doi: 10.4088/JCP.20m13425.

Reference Type DERIVED
PMID: 33264819 (View on PubMed)

Fava M, Dirks B, Freeman MP, Papakostas GI, Shelton RC, Thase ME, Trivedi MH, Liu K, Stankovic S. A Phase 2, Randomized, Double-Blind, Placebo-Controlled Study of Adjunctive Pimavanserin in Patients With Major Depressive Disorder and an Inadequate Response to Therapy (CLARITY). J Clin Psychiatry. 2019 Sep 24;80(6):19m12928. doi: 10.4088/JCP.19m12928.

Reference Type DERIVED
PMID: 31556975 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ACP-103-042

Identifier Type: -

Identifier Source: org_study_id

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