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DepressionPhase 4TRY FIRSTNCT00666757

A Study Comparing Duloxetine to Other Antidepressants in the Treatment of Severe Depression

A Phase 4 study testing duloxetine, fluoxetine and citalopram in people with Depression, run by Eli Lilly and Company at 61 sites in United States.

Completed

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

Official record
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Trial summary

The purpose of this study is to compare duloxetine with other antidepressants in the treatment of severe depression. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Depression
What is being tested?
duloxetine, fluoxetine and citalopram
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
750 participants
Where
61 sitesUnited States
Study dates
May 2008to Mar 2009
Phase
Phase 4
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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • At least 18 years of age
  • Have major depression and are currently in a severe depressive episode
  • Have a degree of understanding such that patient can communicate with the investigator and study staff
  • All females must test negative for pregnancy
  • Females of childbearing potential must use reliable method of birth control during the study and for 1 month after taking the last dose of study drug

Who cannot join

  • Have not responded to duloxetine for depression in the past
  • Have a history of bipolar disorder, a psychotic disorder (such as schizophrenia), a cognitive disorder (such as moderate or severe dementia), or obsessive-compulsive disorder (OCD)
  • Are at significant risk for suicide
  • Have not responded to 2 or more adequate trials of antidepressant medications during the current depressive episode
  • Have a serious, unstable medical condition
  • Have a current or recent history of substance abuse or dependence
Show all 9Show fewer
  • Have had electroconvulsive therapy (ECT), transcranial magnetic stimulation (rTMS), or vagus nerve stimulation (VNS) in the past year
  • Have started psychotherapy within 6 weeks prior to study entry
  • Have a serious medical illness or clinically significant laboratory abnormality that is not stabilized or is anticipated, in the judgment of the investigator, to require hospitalization or use of an excluded medication during the course of the study

Trial locations and contacts

61 sites in 1 country.

61 sites in 1 country

United States61 sites
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Atlanta, Georgia, 30338

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    Austin, Texas, 78756

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    Beachwood, Ohio, 44122

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    Bellevue, Washington, 98004

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    Brooklyn, New York, 11223

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    Brown Deer, Wisconsin, 53223

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    Carson, California, 90746

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    Charlottesville, Virginia, 22903

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    Clearwater, Florida, 33765

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    Clementon, New Jersey, 08021

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    Columbia, South Carolina, 29201

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    Concord, North Carolina, 28025

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    Coral Springs, Florida, 33065

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    Dallas, Texas, 75231

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    Dayton, Ohio, 45432

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    Deerfield Beach, Florida, 33064

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    Durham, North Carolina, 27707

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    Eugene, Oregon, 97404

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    Fall River, Massachusetts, 02721

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    Fort Myers, Florida, 33912

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    Fresh Meadows, New York, 11366

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    Friendswood, Texas, 77546

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    Gainesville, Florida, 32607

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    Gaithersburg, Maryland, 20877

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    Glen Burnie, Maryland, 21061

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    Greenwood, Indiana, 46143

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    Havertown, Pennsylvania, 19083

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    Herndon, Virginia, 20170

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    Hialeah, Florida, 33016

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    Houston, Texas, 77074

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    Irvine, California, 92618

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    Joliet, Illinois, 60435

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    Kettering, Ohio, 45429

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    Lake Jackson, Texas, 77566

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    Lincoln, Rhode Island, 02865

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    Media, Pennsylvania, 19063

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    Melbourne, Florida, 32901

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    Miami, Florida, 33173

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    Mount Kisco, New York, 10549

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    Newtown, Pennsylvania, 18940

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    Oak Brook, Illinois, 60523

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    Oklahoma City, Oklahoma, 73119

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    Park Ridge, Illinois, 60068

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    Philadelphia, Pennsylvania, 19139

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    Prairie Village, Kansas, 66206

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    Princeton, New Jersey, 08540

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    Pueblo, Colorado, 81008

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    Rochester, New York, 14618

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    Rockville, Maryland, 20852

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    San Antonio, Texas, 78229

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    San Diego, California, 92108

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Sherman Oaks, California, 91403

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    Sioux Falls, South Dakota, 57105

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    St Louis, Missouri, 63141

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    Staten Island, New York, 10312

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    Terre Haute, Indiana, 47802

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    Torrance, California, 90502

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    Wichita, Kansas, 67203

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    Wichita Falls, Texas, 76309

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    Winter Park, Florida, 32789

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    Woodstock, Vermont, 05091

Other trials in United States

About this study

Official title: TRY FIRST: A 12-Week, Randomized, Open-Label Trial of Duloxetine Versus Generic SSRIs in the Treatment of a Severe Depressive Episode

The purpose of this study is to compare duloxetine with other antidepressants in the treatment of severe depression.

Conditions
Depression
Being tested
duloxetine, fluoxetine, citalopram, paroxetine, sertraline
Keywords
Severe Depressive Episode
Medical subject headings
Depression

What participants receive

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

  • duloxetineDrug

    Also called LY248686, Cymbalta

    30-120 milligrams (mgs) orally daily for 12 weeks

  • fluoxetineDrug

    20-80 mgs orally daily for 12 weeks

  • citalopramDrug

    20-40 mgs orally daily for 12 weeks

  • paroxetineDrug

    20-50 mgs orally daily for 12 weeks

  • sertralineDrug

    50-200 mgs orally daily for 12 weeks

Study groups in NCT00666757
Study groupRoleWhat they receive
duloxetineExperimentalstudy drug
Receives: Drug: duloxetine
citalopramActive comparatorNot described
Receives: Drug: citalopram
fluoxetineActive comparatorNot described
Receives: Drug: fluoxetine
paroxetineActive comparatorNot described
Receives: Drug: paroxetine
sertralineActive comparatorNot described
Receives: Drug: sertraline

What is being measured

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

  1. Probability of Remission [16-item Quick Inventory of Depressive Symptomatology (QIDS-SR) Score Less Than or Equal to 5 at 12-Week Endpoint]

    Visitwise probability of participants per treatment meeting remission criteria (QIDS-SR total score [TS]</=5 at week 12 endpoint) were estimated using a pseudolikelihood-based mixed-models repeated measures analysis for a categorical outcome, model included fixed, categorical effects of treatment group (duloxetine vs. SSRIs), visit, treatment group-by-visit \& continuous, fixed covariate of baseline QIDS-SR TS, and random effect of participant. Primary analysis contrasted remission probability at week 12 endpoint between treatment groups.

    Measured: 12 weeks

Secondary outcomes (20)
  1. Change From Baseline in QIDS-SR Total Score at 12-Week Endpoint (Mood Measure)

    The QIDS-SR is a 16-item, participant-rated short form of the Inventory of Depressive Symptomatology that assesses 9 domains: sad mood, concentration, self-outlook, suicidal ideation, involvement, energy/fatigability, sleep disturbance, appetite/weight increase/decrease and psychomotor agitation/retardation. Scores range from 0 (none) to 27 (very severe). The QIDS-SR total score was used to derive the mean change from baseline to endpoint depression.

    Measured: Baseline, 12 weeks

  2. Probability of Remission [17-item Hamilton Depression Rating Scale (HAMD-17) (Mood Measure) Less Than or Equal to 7 at 12-Week Endpoint]

    Visitwise percentages of participants meeting remission criteria HAMD-17 total score [TS] </=7 at week 12 endpoint) were estimated using a categorical, pseudolike-lihood-based repeated measures approach, \& included fixed, categorical effects of treatment group (duloxetine vs. SSRIs), visit, treatment group-by-visit interaction, \& continuous, fixed covariate of baseline HAMD-17 TS. Primary analysis will be contrast of remission rates at week 12 endpoint between treatment groups, \& represents estimated remission rates for each treatment group had all participants completed 12 weeks of therapy.

    Measured: 12 weeks

  3. Probability of Response [QIDS-SR Total Score (Mood Measure) Greater Than Or Equal To 50 Percent Reduction From Baseline To 12 Week Endpoint]

    Visitwise percentages of participants meeting response criteria (50% reduction from baseline QIDS-SR total score at 12-week endpoint) were estimated using a categorical, pseudolikelihood-based repeated measures approach, \& included fixed, categorical effects of treatment group, visit, treatment group-by-visit interaction, \& continuous, fixed covariate of baseline QIDS-SR. The primary analysis will be the contrast of response rates at week 12 endpoint between treatment groups, and represents estimated response rates for each treatment group had all participants completed 12 weeks of therapy.

    Measured: Baseline, 12-Weeks

  4. Probability of Response [HAMD-17 Total Score (Mood Measure) Greater Than Or Equal To 50 Percent Reduction From Baseline To 12 Week Endpoint]

    Visitwise percentages of participants meeting response criteria 50% reduction from baseline in HAMD-17 total score at 12-Week endpoint) were estimated using a categorical, pseudolike-lihood-based repeated measures approach, \& included fixed, categorical effects of treatment group, visit, treatment group-by-visit interaction, \& continuous, fixed covariate of baseline HAMD-17 TS. Primary analysis will be the contrast of response rates at week 12 endpoint between treatment groups, \& represents estimated response rates for each treatment group had all participants completed 12 weeks of therapy.

    Measured: Baseline, 12-Weeks

  5. Change From Baseline in HAMD-17 Total Score at 12-Week Endpoint (Mood Measure)

    The HAMD-17 is a rater-administered assessment of depression severity and improvement, with total score ranges from 0 (not at all depressed) to 52 (most severely depressed).

    Measured: Baseline, 12 Weeks

  6. Change From Baseline in HAMD-17 Anxiety/Somatization Subscale Score at 12-Week Endpoint (Mood Measure)

    HAMD-17 subscale consists of items 10, 11, 12, 13, 15, and 17 evaluates agitation, and severity of psychic and somatic manifestations of anxiety. Total subscale scores range from 0 (normal) to 18 (severe). Mean change from baseline to endpoint.

    Measured: Baseline, 12 Weeks

  7. Change From Baseline in HAMD-17 Maier Subscale Score at 12-Week Endpoint (Mood Measure)

    HAMD-17 Maier Subscale consists of Items 1, 2, 7, 8, 9, 10 and represents the "core" symptoms of depression. Total subscale scores range from 0 (normal) to 24 (severe).

    Measured: Baseline, 12 weeks

  8. Change From Baseline in HAMD-17 Bech Subscale Score at 12-Week Endpoint (Mood Measure)

    HAMD-17 Bech subscale consists of items 1, 2, 7, 8, 10, and 13 used to evaluate core symptoms of Major Depressive Disorder (MDD). Total subscale scores range from 0 (normal) to 22 (severe).

    Measured: Baseline, 12 Weeks

  9. Change From Baseline in HAMD-17 Retardation Subscale Score at 12-Week Endpoint (Mood Measure)

    The HAMD-17 Retardation subscale consists of Items 1, 7, 8, 14 and evaluates dysfunction in mood, work, and sexual activity, as well as overall motor retardation. Total subscale scores range from 0 (normal) to 14 (severe).

    Measured: Baseline, 12 Weeks

  10. Change From Baseline in HAMD-17 Sleep Subscale Score at 12-Week Endpoint (Mood Measure)

    The HAMD-17 Sleep Subscale consists of Items 4, 5, 6 and evaluates initial, middle, and late insomnia. Total subscale scores range from 0 (no difficulty) to 6 (difficulty).

    Measured: Baseline, 12 Weeks

  11. Change From Baseline in Brief Pain Inventory (BPI) Average 24-hour Pain Score, in Particpants With a Baseline BPI Average 24-hour Pain Score of 3 or Greater, at 12-Week Endpoint (Pain Measure)

    The BPI is a self-reported scale measuring pain severity and pain-specific interference on function on a scale ranging from 0 (no pain) to 10 (pain as bad as you can imagine). The BPI average 24-hour pain measure was used to derive the overall mean change from baseline to endpoint, in those participants who had a BPI average 24-hour pain score of 3 or greater at baseline.

    Measured: Baseline, 12 Weeks

  12. Change From Baseline in BPI Average 24 Hour Pain Score at 12-Week Endpoint (Pain Measure)

    The BPI is a self-reported scale measuring pain severity and pain-specific interference on function, with scores ranging from 0 (does not interfere) to 10 (completely interferes). The BPI average 24-hour pain measure was used to derive the overall mean change from baseline to endpoint.

    Measured: Baseline, 12 weeks

  13. Change From Baseline in Sheehan Disability Scale (SDS) Global Functional Impairment Score at 12-Week Endpoint (Functional Outcome Measure)

    The SDS is a participant-rated anchored visual analog scale to assess disability across the three domains of work/school, social life, and family life, with each item scored from 0 (not at all) to 10 (very severely), with a summarization of the 3 items to evaluate global functioning. The Global Functional Impairment Score is a total score score that ranges from 0 (unimpaired) to 30 (highly impaired), and was used to derived the mean change from baseline to endpoint.

    Measured: Baseline, 12 weeks

  14. Change From Baseline in SDS Work/School Item Score at 12-Week Endpoint (Functional Outcome Measure)

    The SDS is completed by the participant and Item 1 is used to assess the effect of the participant's symptoms on their work/school schedule. Scores range from 0 to 10 with higher values indicating greater disruption in the participant's work/school life.

    Measured: Baseline, 12 Weeks

  15. Change From Baseline in Sheehan Disability Scale (SDS) Family/Home Item Score at Week-12 Endpoint (Functional Outcome Measure)

    The SDS is completed by the participant and Item 3 is used to assess the effect of the participant's symptoms on their family life/home responsibilities. Scores range from 0 to 10 with higher values indicating greater disruption in the participant's family life/home responsibilities.

    Measured: Baseline, 12 Weeks

  16. Change From Baseline in SDS Social Item Score at 12-Week Endpoint (Functional Outcome Measure)

    The SDS is completed by the participant and is used to assess the effect of the participant's symptoms on their work/social/family life. Total scores range from 0 to 30 with higher values indicating greater disruption in the participant's work/social/family life.

    Measured: Baseline, 12 Weeks

  17. Change From Baseline in Systolic Blood Pressure at Week-12 Endpoint

    Mean change from baseline to endpoint in systolic blood pressure

    Measured: Baseline, 12 Weeks

  18. Change From Baseline in Diastolic Blood Pressure at Week-12 Endpoint

    Mean change from baseline to endpoint in diastolic blood pressure

    Measured: Baseline, 12 Weeks

  19. Change From Baseline in Pulse Rate at Week-12 Endpoint

    Mean change from baseline to endpoint in pulse rate

    Measured: Baseline, 12 Weeks

  20. Change From Baseline in Weight at Week-12 Endpoint

    Mean change from baseline to endpoint in weight

    Measured: Baseline, 12 Weeks

Timeline

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

  1. First posted25 Apr 2008 (estimated)
  2. Study startMay 2008
  3. Primary completionFeb 2009
  4. Study completionMar 2009

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
750 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00666757
Sponsor's protocol ID
11715
Other IDs
F1J-US-HMFT
Acronym
TRY FIRST
Status last verified
May 2010
First submitted
23 Apr 2008
Last updated
15 Jun 2010
Data monitoring committee
No

Publications

  • Dodd S, Berk M, Kelin K, Zhang Q, Eriksson E, Deberdt W, Craig Nelson J. Application of the Gradient Boosted method in randomised clinical trials: Participant variables that contribute to depression treatment efficacy of duloxetine, SSRIs or placebo. J Affect Disord. 2014 Oct;168:284-93. doi: 10.1016/j.jad.2014.05.014. Epub 2014 Jun 4.

    PubMed 25080392
  • Martinez JM, Katon W, Greist JH, Kroenke K, Thase ME, Meyers AL, Edwards SE, Marangell LB, Shoemaker S, Swindle R. A pragmatic 12-week, randomized trial of duloxetine versus generic selective serotonin-reuptake inhibitors in the treatment of adult outpatients in a moderate-to-severe depressive episode. Int Clin Psychopharmacol. 2012 Jan;27(1):17-26. doi: 10.1097/YIC.0b013e32834ce11b.

    PubMed 22027844

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing duloxetine, fluoxetine and citalopram in people with Depression, run by Eli Lilly and Company at 61 sites in United States.

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 5 inclusion and 9 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 15 Jun 2010. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 61 sites in United States. 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. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 15 Jun 2010). 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?

Probability of Remission [16-item Quick Inventory of Depressive Symptomatology (QIDS-SR) Score Less Than or Equal to 5 at 12-Week Endpoint] (time frame: 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00666757, which also lists 2 linked publications.

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 15 Jun 2010.

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