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Major Depressive DisorderPhase 3NCT00707980

Safety and Tolerability of Vortioxetine (Lu AA21004) in Adults With Major Depressive Disorder

A Phase 3 study testing Vortioxetine in people with Major Depressive Disorder, run by Takeda at 92 sites in 17 countries.

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 determine the long-term efficacy and safety of vortioxetine, once daily (QD), in adults with major depressive disorder. Read more about this study

Who is it for?
Ages 18 to 76 years
Conditions the study is for
Major Depressive Disorder
What is being tested?
Vortioxetine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
836 participants
Where
92 sitesin 17 countries
Study dates
Jun 2008to Aug 2010
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 to 76 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Has completed the double blind treatment period of either study Lu AA21004_304 (NCT00672620) or LuAA21004_305 (NCT00735709) immediately prior to enrollment in the extension study (ie, the baseline visit is the same visit as the completion visit of the double blind treatment of the preceding protocol).
  • Suffers from a major depressive episode as the primary diagnosis according to Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) criteria (classification code 296.xx) at entry into the prior Lu AA21004_304 or Lu AA21004_305 study.

Who cannot join

  • In addition to meeting the exclusion criteria for studies Lu AA21004_304 or Lu AA21004_305 at the time of enrollment into those studies respectively, with the exception of the criteria prohibiting previous exposure to Lu AA21004 and investigational drugs, and the criteria prohibiting patients with increased intraocular pressure, or risk of acute narrow-angle glaucoma, the following exclusion criteria apply:
  • Has Major Depressive Disorder for whom other psychiatric disorders (mania, bipolar disorder, schizophrenia, or any psychotic disorder) have been diagnosed during the prior study.
  • The participant, in the investigator's opinion, has a significant risk of suicide and/or a score of ≥5 points on item 10 (suicidal thoughts) of the Montgomery Åsberg Depression Rating Scale.
  • The participant, in the opinion of the investigator, is unlikely to comply with the clinical study protocol or is unsuitable for any reason.
  • Has a clinically significant moderate or severe ongoing adverse event related to study medication from the prior study.
  • Has used/uses disallowed concomitant medication.

Trial locations and contacts

92 sites in 17 countries.

92 sites in 17 countries

United States38 sites
  • Study site

    Allenport, Pennsylvania

  • Study site

    Atlanta, Georgia

  • Study site

    Austin, Texas

  • Study site

    Baltimore, Maryland

  • Study site

    Beachwood, Ohio

  • Study site

    Beverly Hills, California

  • Study site

    Bradenton, Florida

  • Study site

    Chicago, Illinois

  • Study site

    Coral Springs, Florida

  • Study site

    Flowood, Mississippi

  • Study site

    Fort Walton Beach, Florida

  • Study site

    Gainesville, Florida

  • Study site

    Irvine, California

  • Study site

    Jacksonville, Florida

  • Study site

    Lancaster, Pennsylvania

  • Study site

    Libertyville, Illinois

  • Study site

    Maitland, Florida

  • Study site

    Memphis, Tennessee

  • Study site

    Milwaukee, Wisconsin

  • Study site

    New York, New York

  • Study site

    Oak Brook, Illinois

  • Study site

    Oklahoma City, Oklahoma

  • Study site

    Olean, New York

  • Study site

    Orlando, Florida

  • Study site

    Owensboro, Kentucky

  • Study site

    Pittsfield, Massachusetts

  • Study site

    Prairie Village, Kansas

  • Study site

    Salt Lake City, Utah

  • Study site

    San Antonio, Texas

  • Study site

    Santa Ana, California

  • Study site

    Seattle, Washington

  • Study site

    Smyrna, Georgia

  • Study site

    South Miami, Florida

  • Study site

    Toledo, Ohio

  • Study site

    Torrance, California

  • Study site

    Upland, California

  • Study site

    West Palm Beach, Florida

  • Study site

    Worcester, Massachusetts

Other trials in United States

Germany8 sites
  • Study site

    Berlin

  • Study site

    Bochum

  • Study site

    Chemnitz

  • Study site

    Hüttenberg

  • Study site

    Leipzig

  • Study site

    München

  • Study site

    Nuremberg

  • Study site

    Wiesbaden

Other trials in Germany

Russia7 sites
  • Study site

    Moscow

  • Study site

    Nizhny Novgorod

  • Study site

    Novosibirsk

  • Study site

    Omsk

  • Study site

    Saint Petersburg

  • Study site

    Stavropol

  • Study site

    Tomsk

Other trials in Russia

Poland6 sites
  • Study site

    Bialystok

  • Study site

    Leszno

  • Study site

    Pruszków

  • Study site

    Skórzewo

  • Study site

    Torun

  • Study site

    Tuszyn

Other trials in Poland

South Africa5 sites
  • Study site

    Bryanston

  • Study site

    Durban

  • Study site

    Lyttelton

  • Study site

    Noordheuwel

  • Study site

    Pretoria

Other trials in South Africa

South Korea4 sites
  • Study site

    Buchon

  • Study site

    Gyeonggi-do

  • Study site

    Incheon

  • Study site

    Seoul

Other trials in South Korea

Ukraine4 sites
  • Study site

    Dnipro

  • Study site

    Kiev

  • Study site

    Luhansk

  • Study site

    Simferopol

Other trials in Ukraine

Australia3 sites
  • Study site

    Elizabeth Vale

  • Study site

    Richmond

  • Study site

    Southport

Other trials in Australia

France3 sites
  • Study site

    Bully-les-Mines

  • Study site

    Marseille

  • Study site

    Strasbourg

Other trials in France

Latvia3 sites
  • Study site

    Liepāja

  • Study site

    Riga

  • Study site

    Sigulda

Other trials in Latvia

Netherlands3 sites
  • Study site

    SchHoogfliet

  • Study site

    Wildervank

  • Study site

    Zwijndrecht

Other trials in Netherlands

Croatia2 sites
  • Study site

    Osijek

  • Study site

    Zagreb

Other trials in Croatia

Lithuania2 sites
  • Study site

    Šiauliai

  • Study site

    Vilnius

Other trials in Lithuania

Malaysia1 site
  • Study site

    Kuala Lumpur

Other trials in Malaysia

Serbia1 site
  • Study site

    Belgrade

Other trials in Serbia

Taiwan1 site
  • Study site

    Kaohsiung City

Other trials in Taiwan

United Kingdom1 site
  • Study site

    Glasgow

Other trials in United Kingdom

About this study

Official title: A Long-Term, Open-Label, Flexible-Dose, Extension Study Evaluating the Safety and Tolerability of Lu AA21004 in Subjects With Major Depressive Disorder

The purpose of this study is to determine the long-term efficacy and safety of vortioxetine, once daily (QD), in adults with major depressive disorder.

Read the detailed description

The drug that was tested in this study is called vortioxetine. Vortioxetine is being tested to treat depression in people who have major depressive disorder (MDD). This study looked at MDD relief in people who took vortioxetine.

The study enrolled 836 patients that had completed one of two other vortioxetine studies. Participants received 5 mg of vortioxetine for the first week of treatment. After completing the first week of treatment, the dose could be increased to 10 mg/day or decreased to 2.5 mg/day based on participant's response as judged by the doctor.

All participants were asked to take one encapsulated tablet at the same time each day throughout the study.

This multi-center trial was conducted worldwide. The overall time to participate in this study was up to 56 weeks. Participants made 13 visits to the clinic, and were contacted by telephone 4 weeks after the last dose of study drug for a follow-up assessment.

Being tested
Vortioxetine
Keywords
Major Depressive Disorder, Depression, Melancholia, Mood Disorder, Dysthymic Disorder, Drug Therapy
Medical subject headings
Depressive Disorder, Major, Depression, Depressive Disorder, Mood Disorders, Dysthymic Disorder

What participants receive

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

  • VortioxetineDrug

    Also called Lu AA21004, Brintellix®

    Encapsulated vortioxetine immediate-release tablets

Study groups in NCT00707980
Study groupRoleWhat they receive
VortioxetineExperimentalVortioxetine 2.5 mg, 5 mg or 10 mg, encapsulated tablets, orally, once daily for up to 52 weeks. For the first week of treatment all participants received 5 mg/day vortioxetine, thereafter, the dose could be increased to 10 mg/day or decreased to 2.5 mg/day, based on participant's response and tolerability as judged by the investigator.
Receives: Drug: Vortioxetine

What is being measured

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

  1. Physical Examination Findings

    Physical examination consisted of the following body systems: (1) appearance; (2) extremities; (3) skin; (4) head and neck; (5) eyes, ears, nose, and throat; (6) lungs and chest; (7) heart and cardiovascular system; (8) abdomen; and (9) musculoskeletal system. An assessment of the nervous system was conducted; any findings were captured under the appropriate body area.

    Each system was assessed as normal or abnormal.

    Measured: Baseline and Week 52

  2. Number of Participants With Potentially Clinically Significant Laboratory Evaluation Findings

    Participants with at least one post-baseline potentially clinically significant (as defined in the table below) serum chemistry, hematology or urinalysis result. ULN = upper limit of normal; LLN = Lower limit of normal.

    Measured: Weeks 4, 8, 12, 20, 28, 36, 44 and 52

  3. Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings

    A standard 12-lead ECG was performed at the designated study visits. The central reader reviewed and recorded the intervals (PR, QRS, RR, QT, and corrected QT interval [QTc]), and interpreted the ECG using 1 of the following categories: within normal limits or abnormal. The number of participants with at least one post-baseline potentially clinically significant ECG finding is reported. bpm = beats per minute; QTcB = QT interval corrected using Bazett's formula; QTcF = QT interval corrected using Fridericia's formula.

    Measured: Weeks 4, 12, 24, 36 and 52

  4. Number of Participants With Adverse Events (AEs)

    The intensity (severity) of each AE was defined as:

    • Mild: caused minimal discomfort and did not interfere in a significant manner with normal activities.
    • Moderate: sufficiently uncomfortable to produce some impairment of normal activities.
    • Severe: incapacitating, preventing the patient from participating in normal activities.

    The causal relationship between an AE and study drug was assessed by the investigator as Probable, Possible or Not Related; Related=AEs with causality of Possibly or Probably. A serious AE (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, led to a congenital anomaly/birth defect, or was an important medical event that either jeopardized the patient, required intervention to prevent any of the SAEs defined above, a suicide attempt or an abortion.

    Measured: From the first dose of open-label study drug until 4 weeks after the last dose (up to 56 weeks)

  5. Number of Participants With Potentially Clinically Significant Vital Sign Findings

    Participants with at least one potentially clinically significant post-baseline vital sign finding. The definition of clinically significant is included in the table below for each parameter. SSBP = supine systolic blood pressure; SDBP = supine diastolic blood pressure.

    Measured: Weeks 1, 2, 4, 8, 12, 16, 20, 24, 28, 36, 44 and 52

Secondary outcomes (7)
  1. Change From Baseline in Hamilton Depression Scale-24 Item (HAM-D24) Total Score

    The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74 where a higher score indicates a greater depressive state. Final Visit includes data from Week 52 or earlier for participants who didn't complete the 52 weeks.

    Measured: Baseline and Weeks 1, 2, 4, 8, 12, 16, 20, 24, 28, 36, 44 and 52.

  2. Change From Baseline in the Montgomery Åsberg Depression Rating Scale (MADRS) Total Score

    The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. Final Visit includes data from Week 52 or earlier for participants who didn't complete the 52 weeks.

    Measured: Baseline and Weeks 4, 24 and 52

  3. Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score

    The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Final Visit includes data from Week 52 or earlier for participants who didn't complete the 52 weeks.

    Measured: Baseline and Weeks 4, 24 and 52

  4. Change From Baseline in the Clinical Global Impression of Severity of Illness Scale

    The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. Final Visit includes data from Week 52 or earlier for participants who didn't complete the 52 weeks.

    Measured: Baseline and Weeks 4, 24 and 52

  5. Change From Baseline to the Final Visit in 36-item Short-form Health Survey (SF-36)

    The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The 8 health concepts are: 1. Limitation in physical activities because of health problems. 2. Limitations in usual role activities because of physical health problems. 3. Bodily pain. 4. Limitations in social activities because of physical or emotional problems. 5. General mental health (psychological distress and well-being). 6. Limitations in usual role activities because of emotional problems. 7. Vitality (energy and fatigue). 8. General health perception. Each scale ranges from 0 (best) - 100 (worst).

    Measured: Baseline and Week 52

  6. Change From Baseline to the Final Visit in the Sheehan Disability Scale

    The Sheehan Disability Scale (SDS) assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment.

    Measured: Baseline and Week 52

  7. Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire

    Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks.

    Measured: Baseline and Week 52

Timeline

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

  1. First posted2 Jul 2008 (estimated)
  2. Study startJun 2008
  3. Primary completionJul 2010
  4. Study completionAug 2010

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
836 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00707980
Sponsor's protocol ID
LuAA21004_301
Other IDs
2008-001581-91, U1111-1113-9564, 2008
Status last verified
Oct 2013
First submitted
27 Jun 2008
Last updated
13 Dec 2013
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Vortioxetine in people with Major Depressive Disorder, run by Takeda at 92 sites in 17 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 6 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 13 Dec 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 92 sites in United States, Germany, Russia, Poland, South Africa and 12 more countries. 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 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 13 Dec 2013). 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?

Physical Examination Findings (time frame: Baseline and Week 52). The study lists 5 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 13 Dec 2013.

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