A Study To Assess Adverse Events and Change in Disease Activity With Oral Cariprazine When Added to Antidepressant Therapies (ADTs) Compared to Placebo in Adult Participants With Generalized Anxiety Disorder (GAD) Who Have Had an Inadequate Response to ADTs Alone

NCT ID: NCT04965272

Last Updated: 2022-04-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-18

Study Completion Date

2021-08-24

Brief Summary

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Generalized anxiety disorder (GAD) is usually treated with antidepressant therapy (ADT); however, sometimes ADTs alone are not enough to adequately treat GAD. The purpose of this study is to assess adverse events and the change in disease activity with cariprazine when added to ADTs compared with placebo in adult participants with GAD who have had an inadequate response to 1 or more prior ADTs alone.

Cariprazine is an approved drug being developed for the treatment of GAD. The participants are placed into 1 of 4 groups, called treatment arms. Each group receives a different treatment. There is a 1 in 4 chance that participants will be assigned to placebo. Around 1072 participants age 18-65 with GAD and an inadequate response to ADT alone will be enrolled in the study in the United States.

After a 2-week screening period, participants will receive daily oral capsules of cariprazine of varying doses or placebo for 6 weeks, followed by a 4-week safety follow-up period for a total study duration of 10 weeks.

There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at a hospital or clinic. The effect of the treatment will be checked by medical assessments, blood tests, checking for side effects and completing questionnaires.

Detailed Description

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Conditions

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Generalized Anxiety Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Cariprazine 0.75 mg/day + Antidepressant Therapy

Antidepressant (paroxetine, escitalopram, venlafaxine XR, or duloxetine) + cariprazine 0.75 mg/day oral, once daily for 6 weeks

Group Type EXPERIMENTAL

Cariprazine 0.75 mg/day

Intervention Type DRUG

Oral Capsule

Cariprazine 1.5 mg/day + Antidepressant Therapy

Antidepressant (paroxetine, escitalopram, venlafaxine XR, or duloxetine) + cariprazine 1.5 mg/day oral, once daily for 6 weeks

Group Type EXPERIMENTAL

Cariprazine 1.5 mg/day

Intervention Type DRUG

Oral Capsule

Cariprazine 3.0 mg/day + Antidepressant Therapy

Antidepressant (paroxetine, escitalopram, venlafaxine XR, or duloxetine) + cariprazine 1.5 mg/day oral for 2 weeks followed by cariprazine 3.0 mg/day oral, once daily for 4 weeks.

Group Type EXPERIMENTAL

Cariprazine 3.0 mg/day

Intervention Type DRUG

Oral Capsule

Placebo + Antidepressant Therapy

Antidepressant (paroxetine, escitalopram, venlafaxine XR, or duloxetine) + oral placebo, once daily for 6 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Oral Capsule

Interventions

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Cariprazine 0.75 mg/day

Oral Capsule

Intervention Type DRUG

Cariprazine 1.5 mg/day

Oral Capsule

Intervention Type DRUG

Cariprazine 3.0 mg/day

Oral Capsule

Intervention Type DRUG

Placebo

Oral Capsule

Intervention Type OTHER

Other Intervention Names

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Vraylar Vraylar Vraylar

Eligibility Criteria

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Inclusion Criteria

* Participants with generalized anxiety disorder (GAD).
* Taking one of the FDA-approved antidepressant therapies (ADTs) for the treatment of GAD (i.e., escitalopram, paroxetine, duloxetine, and venlafaxine XR).
* Continuing to exhibit anxiety symptoms (Hamilton Anxiety Scale \[HAM-A\] total score \>= 22) at Visit 1 (Screening) and Visit 2 (Baseline, Week 0) despite being on an adequate dose and duration (at least 6 weeks of continuous use, with a minimum of 3 of 6 weeks above the minimum labeled dose for GAD).
* Documentation of inadequate response to at least 1 ADT must be confirmed on the GAD-Antidepressant Treatment Response Questionnaire (GAD-ATRQ).
* Must have a minimum score of 22 on the rater-administrated HAM-A and a minimum score of 4 on the rater-administered Clinical Global Impression of Severity Scale (CGI-S), at both Visit 1 (Screening) and Visit 2 (Baseline, Week 0).
* A score of less than 12 on the rater-administered Hamilton Depression Rating Scale-17-item (HAMD-17) at Visit 1 (Screening) and Visit 2 (Baseline, Week 0).
* Laboratory values must meet the criteria specified in the protocol within the screening period prior to the first dose of study drug.

Exclusion Criteria

* Psychiatric comorbidities, risk of suicide, self-injury, and/or harm to others; any current Diagnostic and Statistical Manual of Mental Disorders - 5th edition (DSM-5) psychiatric diagnosis other than generalized anxiety disorder (GAD) (other than specific phobias) or history of alcohol or any other substance-related disorders within the 6 months before Visit 1 (Screening).
* Pregnancy, current breastfeeding status, plans to become pregnant or to donate eggs during the study or for approximately 30 days after the last dose of investigational product (female participants).
* History of an allergic reaction, hypersensitivity, or intolerance to constituents of cariprazine (and its excipients) and/or other products of the same class or to any of the protocol-approved rescue medications.
* Any clinically relevant or significant electrocardiogram (ECG) abnormalities, including ECG with QT interval corrected for heart rate (QTc) using Fridericia's formula (QTcF) \>450 msec (males) or \>470 msec (females).
* History of seizure disorder, with the exception of febrile seizure, stroke, significant head injury, tumor of the central nervous system, or any other condition that predisposes to seizure.
* Specific medical conditions precluding study drug use and/or study participation, such as history of neuroleptic malignant syndrome; cataracts or retinal detachment; allergic reactions/hypersensitivity to cariprazine and/or protocol-approved rescue medications; pregnancy per above; cardiovascular disease; seizure history; and any other disease that is clinically unstable or would make the participant an unsuitable candidate to participate in the study, based on the investigator's judgment.
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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ALLERGAN INC.

Role: STUDY_DIRECTOR

Allergan

Locations

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Preferred Research Partners /ID# 232286

Little Rock, Arkansas, United States

Site Status

Axiom Research /ID# 230728

Colton, California, United States

Site Status

ATP Clinical Research, Inc /ID# 230445

Costa Mesa, California, United States

Site Status

ProScience Research Group /ID# 231520

Culver City, California, United States

Site Status

WR-PRI, LLC - Encino /ID# 230434

Encino, California, United States

Site Status

Synergy San Diego /ID# 231006

Lemon Grove, California, United States

Site Status

Pharmacology Research Institute - Wake LLC /ID# 230722

Los Alamitos, California, United States

Site Status

Pharmacology Research Inst /ID# 230869

Newport Beach, California, United States

Site Status

Anderson Clinical Research /ID# 230440

Redlands, California, United States

Site Status

California Neuroscience Research Medical Group, Inc. /ID# 230453

Sherman Oaks, California, United States

Site Status

Viking Clinical Research /ID# 230379

Temecula, California, United States

Site Status

Pacific Clinical Research Management Group /ID# 229725

Upland, California, United States

Site Status

Galiz Research - Palmetto Medical Plaza /ID# 230446

Hialeah, Florida, United States

Site Status

Great Lakes Clinical Trials /ID# 231296

Chicago, Illinois, United States

Site Status

Baber Research Group /ID# 230447

Naperville, Illinois, United States

Site Status

Boston Clinical Trials /ID# 231003

Boston, Massachusetts, United States

Site Status

ActivMed Practices and Research, LLC. /ID# 230441

Methuen, Massachusetts, United States

Site Status

Alivation Research /ID# 230449

Lincoln, Nebraska, United States

Site Status

Center for Emotional Fitness /ID# 230450

Cherry Hill, New Jersey, United States

Site Status

Hassman Research Institute Marlton /ID# 233252

Marlton, New Jersey, United States

Site Status

Integrative Clinical Trials /ID# 230955

Brooklyn, New York, United States

Site Status

SPRI Clinical Trails /ID# 230957

Brooklyn, New York, United States

Site Status

Fieve Clinical Research, Inc. /ID# 230452

New York, New York, United States

Site Status

Clinilabs, Inc. /ID# 230958

New York, New York, United States

Site Status

Manhattan Behavioral Medicine PLLC /ID# 229713

New York, New York, United States

Site Status

Carolina Institute for Clinical Research - Fayetteville /ID# 230961

Fayetteville, North Carolina, United States

Site Status

Ohio State Harding Hospital /ID# 231302

Columbus, Ohio, United States

Site Status

CincyScience /ID# 229719

West Chester, Ohio, United States

Site Status

Sooner Clinical Research /ID# 229731

Oklahoma City, Oklahoma, United States

Site Status

Research Strategies of Memphis /ID# 230443

Memphis, Tennessee, United States

Site Status

Clinical Neuroscience Solutions - Memphis /ID# 230734

Memphis, Tennessee, United States

Site Status

Austin Clinical Trial Partners /ID# 229727

Austin, Texas, United States

Site Status

FutureSearch Trials of Dallas, LP /ID# 230535

Dallas, Texas, United States

Site Status

Earle Research /ID# 230969

Houston, Texas, United States

Site Status

Grayline Research Center /ID# 230455

Wichita Falls, Texas, United States

Site Status

Woodstock Research Center /ID# 231005

Woodstock, Vermont, United States

Site Status

Countries

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United States

Related Links

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https://www.rxabbvie.com

This clinical study may be evaluating a usage that is not currently FDA approved. Please see US Prescribing Information for approved uses.

Other Identifiers

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M21-209

Identifier Type: -

Identifier Source: org_study_id

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