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Vasomotor SymptomsPhase 3NCT00401245

The Effect Of Dose Titration And Dose Tapering On The Tolerability Of DVS SR In Women With Vasomotor Symptoms

A Phase 3 study testing desvenlafaxine succinate sustained release in people with Vasomotor Symptoms, run by Pfizer at 74 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Desvenlafaxine succinate (DVS SR) is a serotonin and norepinephrine reuptake inhibitor (SNRI). It is a nonhormonal option for the treatment of Vasomotor Symptoms (VMS) associated with menopause. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Vasomotor Symptoms
What is being tested?
desvenlafaxine succinate sustained release
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
500 participants
Where
74 sitesin 3 countries
Study dates
Dec 2006to Jan 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Generally healthy, postmenopausal woman who seeks treatment for hot flushes.
  • Meets 1 of the following: At least 12 months of spontaneous amenorrhea; At least 6 months of spontaneous amenorrhea with serum follicle-stimulating hormone (FSH) levels > 40 mIU/mL; At least 6 weeks postsurgical bilateral oophorectomy (with or without hysterectomy). Hysterectomized without bilateral oophorectomy and with serum FSH levels >40 mIU/mL.

Who cannot join

  • History of a seizure disorder other than a single childhood febrile seizure.
  • History or presence of clinically important hepatic or renal disease or other medical disease.
  • Presence or recent history of major depressive disorder, bipolar disorder, psychotic disorder, or generalized anxiety disorder requiring therapy.

Trial locations and contacts

74 sites in 3 countries.

74 sites in 3 countries

United States55 sites
  • Pfizer Investigational Site

    Albuquerque, New Mexico, 87106

  • Pfizer Investigational Site

    Albuquerque, New Mexico, 87131

  • Pfizer Investigational Site

    Beverly Hills, California, 90211

  • Pfizer Investigational Site

    Billings, Montana, 59101

  • Pfizer Investigational Site

    Bismarck, North Dakota, 58501

  • Pfizer Investigational Site

    Canton, Michigan, 48187

  • Pfizer Investigational Site

    Carrollton, Texas, 75006

  • Pfizer Investigational Site

    Champaign, Illinois, 61820

  • Pfizer Investigational Site

    Chapel Hill, North Carolina, 27514

  • Pfizer Investigational Site

    Charlotte, North Carolina, 28209

  • Pfizer Investigational Site

    Chicago, Illinois, 60612

  • Pfizer Investigational Site

    Clearwater, Florida, 33761

  • Pfizer Investigational Site

    Cleveland, Ohio, 44122

  • Pfizer Investigational Site

    Crystal River, Florida, 34429

  • Pfizer Investigational Site

    DeLand, Florida, 32720

  • Pfizer Investigational Site

    Denver, Colorado, 80218

  • Pfizer Investigational Site

    Encinitas, California, 92024

  • Pfizer Investigational Site

    Eugene, Oregon, 97401

  • Pfizer Investigational Site

    Fargo, North Dakota, 58104

  • Pfizer Investigational Site

    Foothill Ranch, California, 92610

  • Pfizer Investigational Site

    Gainesville, Florida, 32606

  • Pfizer Investigational Site

    Houston, Texas, 77030

  • Pfizer Investigational Site

    Hurst, Texas, 76054

  • Pfizer Investigational Site

    Idaho Falls, Idaho, 83404

  • Pfizer Investigational Site

    Lake Worth, Florida, 33461

  • Pfizer Investigational Site

    Las Vegas, Nevada, 89128

  • Pfizer Investigational Site

    Lebanon, New Hampshire, 03755

  • Pfizer Investigational Site

    Lexington, Kentucky, 40536

  • Pfizer Investigational Site

    Longmont, Colorado, 80501

  • Pfizer Investigational Site

    Louisville, Kentucky, 40291

  • Pfizer Investigational Site

    Metairie, Louisiana, 70002

  • Pfizer Investigational Site

    Metairie, Louisiana, 70006

  • Pfizer Investigational Site

    Miami, Florida, 33136

  • Pfizer Investigational Site

    Miami, Florida, 33143

  • Pfizer Investigational Site

    Miami, Florida, 33169

  • Pfizer Investigational Site

    Midland, Texas, 79705

  • Pfizer Investigational Site

    New Brunswick, New Jersey, 08901

  • Pfizer Investigational Site

    New York, New York, 10032

  • Pfizer Investigational Site

    Norfolk, Virginia, 23502

  • Pfizer Investigational Site

    Norfolk, Virginia, 23507

  • Pfizer Investigational Site

    Omaha, Nebraska, 68131-2197

  • Pfizer Investigational Site

    Palm Harbor, Florida, 34684

  • Pfizer Investigational Site

    Pittsburgh, Pennsylvania, 15206

  • Pfizer Investigational Site

    San Diego, California, 92108

  • Pfizer Investigational Site

    San Diego, California, 92123

  • Pfizer Investigational Site

    Seattle, Washington, 98105

  • Pfizer Investigational Site

    South Bend, Indiana, 46601

  • Pfizer Investigational Site

    Tampa, Florida, 33606

  • Pfizer Investigational Site

    Tucson, Arizona, 85710

  • Pfizer Investigational Site

    Tucson, Arizona, 85715

  • Pfizer Investigational Site

    Upland, California, 91786

  • Pfizer Investigational Site

    Watertown, South Dakota, 57201

  • Pfizer Investigational Site

    Winston-Salem, North Carolina, 27103-4005

  • Pfizer Investigational Site

    Winston-Salem, North Carolina, 27103

  • Pfizer Investigational Site

    Ypsilanti, Michigan, 48197

Other trials in United States

Canada18 sites
  • Pfizer Investigational Site

    Calgary, Alberta, T2N 4L7

  • Pfizer Investigational Site

    Coquitlam, British Columbia, V3K 3P4

  • Pfizer Investigational Site

    Langley, British Columbia, V3A 4H9

  • Pfizer Investigational Site

    Montreal, Quebec, H2X 1N8

  • Pfizer Investigational Site

    Newmarket, Ontario, L3Y 5G8

  • Pfizer Investigational Site

    Pointe-Claire, Quebec, H9R 4S3

  • Pfizer Investigational Site

    Québec, Quebec, G1V 4X7

  • Pfizer Investigational Site

    Saint Romuald, Quebec, G6W 5M6

  • Pfizer Investigational Site

    Sarnia, Ontario, N7T 4X3

  • Pfizer Investigational Site

    Shawinigan, Quebec, G9N 2H6

  • Pfizer Investigational Site

    Sherbrooke, Quebec, J1H 4J6

  • Pfizer Investigational Site

    St. John's, Newfoundland and Labrador, A1E 2C2

  • Pfizer Investigational Site

    Surrey, British Columbia, V4A 2H9

  • Pfizer Investigational Site

    Toronto, Ontario, M4S 1Y2

  • Pfizer Investigational Site

    Toronto, Ontario, M5C 1R6

  • Pfizer Investigational Site

    Toronto, Ontario, M9W 4L6

  • Pfizer Investigational Site

    Winnipeg, Manitoba, R3A 1M3

  • Pfizer Investigational Site

    Winnipeg, Manitoba, R3T 2E8

Other trials in Canada

Location not given1 site
  • Pfizer Investigational Site

About this study

Official title: The Effect of Dose Titration and Dose Tapering on the Tolerability of DVS SR in Women With Vasomotor Symptoms Associated With Menopause: The PRIMMUS (PRIstiq for Managing Menopause and Understanding Symptoms) Study

Desvenlafaxine succinate (DVS SR) is a serotonin and norepinephrine reuptake inhibitor (SNRI). It is a nonhormonal option for the treatment of Vasomotor Symptoms (VMS) associated with menopause. Nausea is the most common adverse event that is observed in clinical studies and is the main reason for discontinuation during the first week of therapy. Other adverse events (headache, nausea, and dizziness) associated with DVS SR have been noted to occur when subjects abruptly discontinue the medication. The purpose of this study is to evaluate several titration and tapering regimens of DVS SR to ensure a better tolerability profile at the start and completion of treatment. In addition, this study will provide a long posttreatment follow-up to assess any symptoms after treatment is discontinued.

Being tested
desvenlafaxine succinate sustained release, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • desvenlafaxine succinate sustained releaseDrug

    Titration 100 mg

  • desvenlafaxine succinate sustained releaseDrug

    Titration 50 mg

  • desvenlafaxine succinate sustained releaseDrug

    Titration 25 mg, 50mg

  • desvenlafaxine succinate sustained releaseDrug

    Titration 25 mg

  • PlaceboDrug

    Tapering placebo

  • desvenlafaxine succinate sustained releaseDrug

    Tapering 50 mg, placebo

  • desvenlafaxine succinate sustained releaseDrug

    Tapering 50 mg, 25 mg

  • desvenlafaxine succinate sustained releaseDrug

    Tapering 50 mg QOD

Study groups in NCT00401245
Study groupRoleWhat they receive
AActive comparatorNot described
Receives: Drug: desvenlafaxine succinate sustained release
BActive comparatorNot described
Receives: Drug: desvenlafaxine succinate sustained release
CActive comparatorNot described
Receives: Drug: desvenlafaxine succinate sustained release
DActive comparatorNot described
Receives: Drug: desvenlafaxine succinate sustained release
EActive comparatorNot described
Receives: Drug: Placebo
FActive comparatorNot described
Receives: Drug: desvenlafaxine succinate sustained release
GActive comparatorNot described
Receives: Drug: desvenlafaxine succinate sustained release
HPlacebo comparatorNot described
Receives: Drug: desvenlafaxine succinate sustained release

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Nausea During the First 2 Weeks of Treatment

    Nausea by spontaneous reports to the investigators was counted if it was reported during first 2 weeks of treatment, and it was not seen before the first dose of treatment, or if it was seen before the first dose and the symptoms got worse. If multiple incidences occurred on the same participant during the 2 weeks, only 1 incidence was counted.

    Measured: Baseline up to Week 2

  2. Discontinuation Emergent Signs and Symptoms (DESS) Total Score at the End of First Week of Tapering

    DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of "new symptoms" and "old (but worse) symptoms" (1) and 0 for "old and unchanged symptom", "absent", or "old symptom but improved" for a total possible range of 0 to 43. A higher score indicates more symptoms.

    Measured: Week 17

  3. DESS Total Score at End of Second Week of Tapering

    DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of "new symptoms" and "old (but worse) symptoms" (1) and 0 for "old and unchanged symptom", "absent", or "old symptom but improved" for a total possible range of 0 to 43. A higher score indicates more symptoms.

    Measured: Week 18

  4. DESS Total Score at 1 Week After the End of Tapering

    DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of "new symptoms" and "old (but worse) symptoms" (1) and 0 for "old and unchanged symptom", "absent", or "old symptom but improved" for a total possible range of 0 to 43. A higher score indicates more symptoms.

    Measured: Week 19

Secondary outcomes (9)
  1. Number of Participants With Other Spontaneously Reported Adverse Events (AEs) in First 2 Weeks of Treatment

    Any untoward medical occurrence in a participant who received study drug was considered an AE, without regard to possibility of causal relationship.

    Measured: Baseline up to Week 2

  2. Percentage of Participants Discontinuing Treatment Due to AEs in First 2 Weeks of Treatment

    Any untoward medical occurrence in a participant who received study drug was considered an AE, without regard to possibility of causal relationship.

    Measured: Baseline up to Week 2

  3. Number of Participants With Each DESS at the End of First Week of Tapering

    DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article.

    Measured: Week 17

  4. Number of Participants With Each DESS at the End of Second Week of Tapering

    DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article.

    Measured: Week 18

  5. Number of Participants With Each DESS One Week After End of Tapering

    DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article.

    Measured: Week 19

  6. Number of Participants Showing Satisfaction With Tolerability During the First Two Weeks of Treatment

    Satisfaction with tolerability (lack of bothersomeness) was assessed using a questionnaire via an interactive voice response system (IVRS)/interactive web based response system (IWRS), and evaluated based on participants' response of extremely satisfied, satisfied, neutral, dissatisfied or extremely dissatisfied with the study medication.

    Measured: Week 1 and Week 2

  7. Number of Participants Showing Satisfaction With Tolerability at the End of Tapering

    Satisfaction with tolerability (lack of bothersomeness) was assessed using a questionnaire via an IVRS/IWRS and evaluated based on participants' response of extremely satisfied, satisfied, neutral, dissatisfied or extremely dissatisfied with the study medication.

    Measured: Week 19

  8. Menopause Symptoms-treatment Satisfaction Questionnaire (MS-TSQ) Score

    MS-TSQ is a questionnaire assessing participants' degree of satisfaction with regard to the test article which was administered to the participants via an IVRS/IWRS. The questionnaire comprised 8 questions and each was rated on a scale from 0 (extremely dissatisfied) to 4 (extremely satisfied).

    Measured: Week 16

  9. Change From Baseline in Menopause-specific Quality of Life Questionnaire (MenQOL) Score at Week 4, Week 8, Week 12 and Week 16

    MenQOL questionnaire assessed how bothered participants were with 31 symptoms. It contains domains: vasomotor (items 1-3); psychosocial (items 4-10); physical (items 11-26); sexual (items 27-29); in addition to nausea and indigestion. 31 individual symptoms are rated on a scale of 0 (not at all bothered) to 6 (extremely bothered). Total possible score ranged from 0 to 186. MenQOL summary score was calculated as mean of four domain scores (Physical function, Psychosocial function, Sexual function and Vasomotor function) ranging from 1 to 8, with higher scores indicating worse quality of life.

    Measured: Baseline, Week 4, Week 8, Week 12 and Week 16

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Nov 2006 (estimated)
  2. Study startDec 2006
  3. Primary completionJan 2008
  4. Study completionJan 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
500 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00401245
Sponsor's protocol ID
3151A2-405
Status last verified
Oct 2011
First submitted
17 Nov 2006
Last updated
26 Oct 2011
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing desvenlafaxine succinate sustained release in people with Vasomotor Symptoms, run by Pfizer at 74 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Oct 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 74 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Oct 2011). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Nausea During the First 2 Weeks of Treatment (time frame: Baseline up to Week 2). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2011.

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