Efficacy, Safety and Tolerability of Cariprazine as an Adjunctive Treatment to Antidepressant Therapy (ADT) in Patients With Major Depressive Disorder (MDD) Who Have Had an Inadequate Response to Antidepressants Alone

NCT ID: NCT03738215

Last Updated: 2022-10-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

759 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-09

Study Completion Date

2021-09-30

Brief Summary

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The objective of this study is to evaluate the efficacy, safety and tolerability of cariprazine as an adjunctive treatment to antidepressant therapy (ADT) in patients with MDD who have had an inadequate response to antidepressants alone.

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

DOUBLE

Participants Investigators

Study Groups

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Cariprazine 1.5 mg/Day + ADT

During the double blind treatment period (6 weeks), participants will take 1 capsule of cariprazine 1.5mg, orally, per day in addition to their ongoing ADT (Same antidepressant and dose of ADT they were on at the Visit 2 baseline).

Group Type EXPERIMENTAL

Cariprazine

Intervention Type DRUG

Cariprazine supplied in capsules

Cariprazine 3 mg/Day + ADT

During the double blind treatment period (6 weeks), participants will take 1 capsule of cariprazine 1.5mg, orally, per day for two weeks in addition to their ongoing ADT (Same antidepressant and dose of ADT they were on at the Visit 2 baseline). They will then titrate to Cariprazine 3 mg, orally per day, in addition to their ADT starting at Visit 4 (Week 2).

Group Type EXPERIMENTAL

Cariprazine

Intervention Type DRUG

Cariprazine supplied in capsules

Placebo + ADT

During the double blind treatment period (6 weeks), participants will take 1 capsule of placebo, orally, per day in addition to their ongoing ADT (Same antidepressant and dose of ADT they were on at the Visit 2 baseline).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo supplied in capsules

Interventions

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Cariprazine

Cariprazine supplied in capsules

Intervention Type DRUG

Placebo

Placebo supplied in capsules

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Written informed consent has been obtained.
* Written documentation has been obtained in accordance with the relevant country and local privacy requirements, where applicable (eg, Written Authorization for Use and Release of Health and Research Study Information \[US sites\] and written Data Protection consent \[EU sites\]).
* Patient must be an outpatient at the time of Visit 1 (Screening).
* Patient meets the DSM-5 criteria for MDD based on SCID-5, with a current major depressive episode of at least 8 weeks and not exceeding 24 months in duration at Visit 1/Screening. A diagnosis of MDD with psychotic features will be acceptable.
* Diagnosis of MDD confirmed through a formal adjudication process.
* Patient demonstrates ability to follow study instructions and likely to complete all required visits.
* Patient must have an inadequate response, as measured by the modified ATRQ, to 1 to 3 antidepressants administered during the current episode at an adequate dose (as per package insert) and for at least 6 weeks duration, with at least one dose escalation during the current depressive episode.
* Only one antidepressant (of sufficient dose per package insert and taken for at least 6 weeks) will be allowed at randomization and patients must agree to continue taking the same ADT dosing regimen through completion of Visit 6/ET. Patients who are taking more than one antidepressant at Screening, regardless of the indication, will need to discontinue all other antidepressants prior to Visit 2 (Baseline).
* Male and female patients must agree to use a medically acceptable and highly effective method of birth control during the course of the entire study.
* Women of childbearing potential (only) must have a negative serum β-human chorionic gonadotropin pregnancy test prior to Visit 2.

Exclusion Criteria

* Diagnosis of any current psychiatric diagnosis other than MDD (including those with current intellectual development disability) with the exception of specific phobias.
* Patient has a history of intolerance or hypersensitivity to cariprazine or other drugs of the same class or to rescue medications.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Abbvie INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Alea Research /ID# 234789

Phoenix, Arizona, United States

Site Status

Atria Clinical Research /ID# 237988

Little Rock, Arkansas, United States

Site Status

Woodland Research Northwest, LLC /ID# 236641

Rogers, Arkansas, United States

Site Status

California Pharmaceutical Research Institute /ID# 236732

Anaheim, California, United States

Site Status

Advanced Research Center /ID# 237957

Anaheim, California, United States

Site Status

Axiom Research /ID# 236268

Colton, California, United States

Site Status

ATP Clinical Research, Inc /ID# 236619

Costa Mesa, California, United States

Site Status

ProScience Research Group /ID# 236442

Culver City, California, United States

Site Status

Collaborative Neuroscience Research - Orange County /ID# 237639

Garden Grove, California, United States

Site Status

Irvine Clinical Research /ID# 237409

Irvine, California, United States

Site Status

Omega Clinical Trials LLC /ID# 238168

La Habra, California, United States

Site Status

Synergy San Diego /ID# 236654

Lemon Grove, California, United States

Site Status

Anderson Clinical Research /ID# 236627

Redlands, California, United States

Site Status

Sharp Mesa Vista Hospital /ID# 235797

San Diego, California, United States

Site Status

Viking Clinical Research /ID# 236614

Temecula, California, United States

Site Status

Olympian Clinical Research /ID# 237417

Clearwater, Florida, United States

Site Status

MD Clinical

Hallandale, Florida, United States

Site Status

Reliable Clinical Research /ID# 234786

Hialeah, Florida, United States

Site Status

CNS Healthcare - Jacksonville /ID# 238241

Jacksonville, Florida, United States

Site Status

Space Coast Neuropsychiatric Research Institute /ID# 235765

Palm Bay, Florida, United States

Site Status

University of South Florida /ID# 234386

Tampa, Florida, United States

Site Status

Institute for Advanced Medical Research /ID# 236672

Alpharetta, Georgia, United States

Site Status

iResearch Atlanta, LLC /ID# 237389

Decatur, Georgia, United States

Site Status

Psych Atlanta /ID# 235835

Marietta, Georgia, United States

Site Status

Capstone Clinical Research /ID# 236546

Libertyville, Illinois, United States

Site Status

Pillar Clinical Research /ID# 235702

Lincolnwood, Illinois, United States

Site Status

NeuroPsychiatric Research Practice & Associate LTD /ID# 234636

Winfield, Illinois, United States

Site Status

Lake Charles Clinical Trials /ID# 237723

Lake Charles, Louisiana, United States

Site Status

J. Gary Booker MD APMC /ID# 234514

Shreveport, Louisiana, United States

Site Status

Pharmasite Research, Inc. /ID# 237395

Baltimore, Maryland, United States

Site Status

CBH Health LLC /ID# 234536

Gaithersburg, Maryland, United States

Site Status

Michigan Clinical Research Institute /ID# 234792

Ann Arbor, Michigan, United States

Site Status

NeuroBehavioral Medicine Group /ID# 236671

Bloomfield Hills, Michigan, United States

Site Status

Precise Research Centers /ID# 236598

Flowood, Mississippi, United States

Site Status

Millennium Psychiatric Associates LLC /ID# 235989

St Louis, Missouri, United States

Site Status

Alivation Research /ID# 236583

Lincoln, Nebraska, United States

Site Status

Altea Research Institute /ID# 236726

Las Vegas, Nevada, United States

Site Status

Hassman Research Institute /ID# 237501

Berlin, New Jersey, United States

Site Status

Integrative Clinical Trials /ID# 236656

Brooklyn, New York, United States

Site Status

Manhattan Behavioral Medicine PLLC /ID# 236314

New York, New York, United States

Site Status

Finger Lakes Clinical Research /ID# 236578

Rochester, New York, United States

Site Status

New Hope Clinical Research Inc. /ID# 234557

Charlotte, North Carolina, United States

Site Status

Richard Weisler MD, PA & Assoc /ID# 237424

Raleigh, North Carolina, United States

Site Status

Quest Therapeutics of Avon Lake /ID# 236282

Avon Lake, Ohio, United States

Site Status

CTI Clinical Trial and Consulting /ID# 236271

Cincinnati, Ohio, United States

Site Status

The Ohio State University Department of Psychiatry /ID# 234583

Columbus, Ohio, United States

Site Status

CincyScience /ID# 236391

West Chester, Ohio, United States

Site Status

IPS Research Company /ID# 237671

Oklahoma City, Oklahoma, United States

Site Status

Sooner Clinical Research /ID# 236346

Oklahoma City, Oklahoma, United States

Site Status

Oregon Center for Clinical Investigations, Inc. - Portland /ID# 236649

Portland, Oregon, United States

Site Status

Lehigh Center for Clinical Research /ID# 236702

Allentown, Pennsylvania, United States

Site Status

Coastal Carolina Research Center /ID# 235909

North Charleston, South Carolina, United States

Site Status

Psychiatric Consultants PC /ID# 235839

Franklin, Tennessee, United States

Site Status

Clinical Neuroscience Solutions - Memphis /ID# 237476

Memphis, Tennessee, United States

Site Status

Austin Clinical Trial Partners /ID# 236551

Austin, Texas, United States

Site Status

BioBehavioral Research of Austin /ID# 236477

Austin, Texas, United States

Site Status

Houston Clinical Trials /ID# 234442

Bellaire, Texas, United States

Site Status

FutureSearch Trials of Dallas, LP /ID# 236275

Dallas, Texas, United States

Site Status

Earle Research /ID# 236661

Friendswood, Texas, United States

Site Status

Red Oak Psychiatry Associates /ID# 236600

Houston, Texas, United States

Site Status

AIM Trials /ID# 236369

Plano, Texas, United States

Site Status

Pillar Clinical Research LLC /ID# 234465

Richardson, Texas, United States

Site Status

Neuropsychiatric Associates LLC/DBA Woodstock Research Center /ID# 236087

Woodstock, Vermont, United States

Site Status

Northwest Clinical Research Center /ID# 237584

Bellevue, Washington, United States

Site Status

Core Clinical Research /ID# 236405

Everett, Washington, United States

Site Status

UMHAT Alexandrovska EAD /ID# 237834

Sofiya, Sofia, Bulgaria

Site Status

State Psychiatry Hospital-Kardzhali; Third Male Department /ID# 234625

Kardzhali, , Bulgaria

Site Status

MHAT Dr. Hristo Stambolski EOOD; Hospital Pharmacy /ID# 234773

Kazanlak, , Bulgaria

Site Status

UMHAT Dr Georgi Stranski EAD /ID# 237828

Pleven, , Bulgaria

Site Status

Medical Center Mentalcare OOD /ID# 234934

Plovdiv, , Bulgaria

Site Status

Clinic of Psychiatry /ID# 235878

Plovdiv, , Bulgaria

Site Status

Mental health Centre-Ruse EOOD /ID# 234775

Rousse, , Bulgaria

Site Status

Medical Center Sveti Naum EOOD /ID# 236069

Sofia, , Bulgaria

Site Status

Medical Center Hera EOOD /ID# 235859

Sofia, , Bulgaria

Site Status

Medical complex Doverie /ID# 238307

Sofia, , Bulgaria

Site Status

Medical Centre - VAS OOD /ID# 235719

Targovishte, , Bulgaria

Site Status

Diagnostic consultative center Mladost M /ID# 236253

Varna, , Bulgaria

Site Status

Diagnostic consultative center Mladost M /ID# 236254

Varna, , Bulgaria

Site Status

Mental Health Center - Veliko Tarnovo EOOD Veliko Tarnovo /ID# 236078

Veliko Tarnovo, , Bulgaria

Site Status

Mental Health Center - Vratsa EOOD Hospital Pharmacy /ID# 235960

Vratsa, , Bulgaria

Site Status

Tartu University Hospital /ID# 237079

Tartu, Tartu, Estonia

Site Status

West Tallinn Central Hospital /ID# 237078

Tallinn, , Estonia

Site Status

Marienthali Kliinik /ID# 235677

Tallinn, , Estonia

Site Status

OU Jaanson and Laane /ID# 234985

Tartu, , Estonia

Site Status

Universitaetsklinikum Frankfurt /ID# 237292

Frankfurt am Main, Hesse, Germany

Site Status

Private Practice - Dr. Thomsen /ID# 235713

Berlin, , Germany

Site Status

Emovis GmbH /ID# 235010

Berlin, , Germany

Site Status

MVZ LIO Berlin /ID# 235711

Berlin, , Germany

Site Status

BAG Prof. Dr. Kunte / Dr. sc. med. A. Schulze /ID# 235970

Berlin, , Germany

Site Status

Arztpraxis Dr Kirsten Hahn /ID# 235958

Berlin, , Germany

Site Status

Klinikum Chemnitz gGmbH /ID# 237758

Chemnitz, , Germany

Site Status

Studienzentrum Nord-West /ID# 236357

Westerstede, , Germany

Site Status

PsychoTech Kft. /ID# 235008

Pécs, Baranya, Hungary

Site Status

Bacs-Kiskun Megyei Oktatokorhaz Szent-Kereszt Korhaz /ID# 235974

Kalocsa, Bács-Kiskun county, Hungary

Site Status

Bugat Pal Korhaz /ID# 238145

Gyöngyös, Heves County, Hungary

Site Status

Szent Borbala Korhaz /ID# 238293

Tatabánya, Komárom-Esztergom, Hungary

Site Status

Obudai Egeszsegugyi Centrum Kft. /ID# 237495

Budapest, Pest County, Hungary

Site Status

Clinexpert Kft /ID# 237266

Budapest, , Hungary

Site Status

Jozsefvarosi Szent Kozma Egeszsegugyi Kozpont /ID# 235095

Budapest, , Hungary

Site Status

Semmelweis Egyetem /ID# 237096

Budapest, , Hungary

Site Status

Nyiro Gyula Orszagos Pszichiatriai és Addiktologiai Intezet /ID# 235912

Budapest, , Hungary

Site Status

Varoskapu Rendelo - Processus Kft. /ID# 235170

Budapest, , Hungary

Site Status

Cherkasy regional psychiatric hospital of the CRC /ID# 234513

Smila, Cherkasy Oblast, Ukraine

Site Status

Geikivka multidisciplinary hospital for psychiatric care /ID# 234498

Kryvbas Village, Dnipropetrovsk Oblast, Ukraine

Site Status

KNP Prykarpatskyi Regional Clinical Centre of Mental Health /ID# 234999

Ivano-Frankivsk, Ivano-Frankivsk Oblast, Ukraine

Site Status

SI Institution Neurology Psychiatry and Narcology NAMS of Ukraine /ID# 236336

Kharkiv, Kharkivs’ka Oblast’, Ukraine

Site Status

SI Institution Neurology Psychiatry and Narcology NAMS of Ukraine /ID# 236338

Kharkiv, Kharkivs’ka Oblast’, Ukraine

Site Status

SI Institution Neurology Psychiatry and Narcology NAMS of Ukraine /ID# 236340

Kharkiv, Kharkivs’ka Oblast’, Ukraine

Site Status

Kherson Regional Psychiatric Institution for Psychiatric Care /ID# 234509

Stepanivka Village, Kherson Oblast, Ukraine

Site Status

Odesa regional psychiatric hospital 2 of the ORC /ID# 234505

Oleksandrivka Village, Odesa Oblast, Ukraine

Site Status

KNP Zakarpatskyi Regional MC of Mental Health and Medicine of Dependencies /ID# 234499

Uzhhorod, Zakarpattia Oblast, Ukraine

Site Status

KNP Kyiv City Psychoneurological Hospital /ID# 235093

Kyiv, , Ukraine

Site Status

Kyiv Railway Clinical Hosp No.2 /ID# 237405

Kyiv, , Ukraine

Site Status

CNE of LOR Lviv Regional Clinical Psychiatric Hospital /ID# 236270

Lviv, , Ukraine

Site Status

MNCE Odesa Regional Medical Center for Mental Health /ID# 235723

Odesa, , Ukraine

Site Status

Ternopil University Hospital /ID# 236819

Ternopil, , Ukraine

Site Status

Vinnytsia Regional Psycho-Neurological Hospital /ID# 235178

Vinnytsia, , Ukraine

Site Status

Vinnytsia Regional Psycho-Neurological Hospital /ID# 235179

Vinnytsia, , Ukraine

Site Status

Knowle House Surgery /ID# 235025

Plymouth, Devon, United Kingdom

Site Status

St. Peter's Hospital Surrey and Borders Partnership NHS FT /ID# 235725

Chertsey, Surrey, United Kingdom

Site Status

MAC Clinical Research /ID# 235938

Blackpool, , United Kingdom

Site Status

MAC Clinical Research /ID# 235941

Blackpool, , United Kingdom

Site Status

MAC Clinical Research /ID# 235945

Blackpool, , United Kingdom

Site Status

MAC Clinical Research /ID# 239078

Blackpool, , United Kingdom

Site Status

MAC Clinical Research-Manchester /ID# 235940

Manchester, , United Kingdom

Site Status

Countries

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United States Bulgaria Estonia Germany Hungary Ukraine United Kingdom

References

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Sachs GS, Yeung PP, Rekeda L, Khan A, Adams JL, Fava M. Adjunctive Cariprazine for the Treatment of Patients With Major Depressive Disorder: A Randomized, Double-Blind, Placebo-Controlled Phase 3 Study. Am J Psychiatry. 2023 Mar 1;180(3):241-251. doi: 10.1176/appi.ajp.20220504. Epub 2023 Feb 15.

Reference Type DERIVED
PMID: 36789515 (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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2018-002782-19

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

3111-301-001

Identifier Type: -

Identifier Source: org_study_id

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