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Major Depressive DisorderPhase 3NCT03569475

Efficacy, Safety, and Tolerability of Levomilnacipran ER in Pediatric Patients (7-17 Years) With Major Depressive Disorder

A Phase 3 study testing Levomilnacipran ER and Fluoxetine in people with Major Depressive Disorder, run by Allergan at 51 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 objective of this study is to evaluate the efficacy, safety, and tolerability of levomilnacipran compared with placebo in pediatric outpatients (7-17 years) with major depressive disorder (MDD). Read more about this study

Who is it for?
Ages 7 to 17 years
Conditions the study is for
Major Depressive Disorder
What is being tested?
Levomilnacipran ER and Fluoxetine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
501 participants
Where
51 sitesUnited States
Study dates
6 Jul 2018to 1 Mar 2021
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 7 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Patients must meet Diagnostic and statistical manual of mental disorders fifth edition (DSM-5) criteria for MDD, confirmed by Kiddie Schedule for Affective Disorders - Present and Lifetime (K-SADS-PL)
  • Patients must have a score ≥ 40 on the Children's Depression Rating Scale-Revised (CDRS-R) at Visits 1 and 2
  • Patients must have a Clinical Global Impressions-Severity (CGI-S) score ≥ 4 at Visits 1 and 2
  • Patients must have a caregiver who can and is willing to consent to be responsible for safety monitoring of the Patient, provide information about the patient's condition, oversee the administration of investigational product, and accompany the patients to all study visits
  • Female patients of childbearing potential who are sexually active must agree to use a reliable method of contraception that will continue for the duration of the study and within 30 days following the end of study participation.
  • A sexually active male patients must agree to use contraception as detailed below during the treatment period and for at least 30 days after the last dose of investigational product.

Who cannot join

  • DSM-5-based diagnosis of an axis I disorder other than MDD that is the primary focus of treatment.
  • Prior diagnosis of mental retardation or amnestic or other cognitive disorders based on DSM-5 criteria
  • Imminent risk of injuring self or others or causing damage to property as judged by the Investigator
  • Suicide risk as determined by meeting either of the following criteria:
  • Any suicide attempt within the past year
  • Significant risk at Visit 1 (Screening) or Visit 2 (Baseline), as judged by the Investigator based on the psychiatric interview or information collected in the Columbia-Suicide Severity Rating Scale (C-SSRS) treatment-Related Criteria
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  • History of allergy, intolerance, or hypersensitivity to levomilnacipran, milnacipran, fluoxetine, or any other Selective serotonin reuptake inhibitors (SSRI) or Serotonin and norepinephrine reuptake inhibitors (SNRI) or known hypersensitivity to the investigational products' non-medicinal ingredients including gelatin and cellulose
  • Patients requiring prohibited concomitant medication or herbal supplements that could not be discontinued or switched to an allowable alternative medication and stabilized for at least 2 weeks preceding Visit 2 (Baseline)
  • Patients taking any psychoactive drug or psychoactive herbal remedy within 5 half-lives before Baseline (Visit 2), Patients who have ever been treated with a depot antipsychotic must also be excluded
  • Patients who have initiated or terminated psychotherapy or behavior therapy within1 month before Visit 1 (Screening), or who plan to initiate or change such therapies during the course of the study Other Medical criteria
  • A clinically significant disease state that, in the investigator's opinion, might indicate that the patients is unsuitable for the study
  • Any cardiovascular disease or condition that is clinically significant, unstable, or decompensated.
  • Hypo- or hyperthyroidism, unless stabilized on appropriate pharmacotherapy with no change in dosage for at least 3 months before Visit 1 (Screening)
  • Any condition that would be expected to affect drug absorption (eg, gastric bypass surgery)
  • History of seizure disorder (except simple childhood febrile seizures before age 5), unexplained syncope or black-out episodes, stroke, significant head injury, tumor of the central nervous system, or any other condition that predisposes the patient toward a risk for seizure
  • History of drug or alcohol abuse or dependence within the past year
  • Pregnant, breastfeeding, and/or planning to become pregnant and/or breastfeed during the study or within 30 days following the end of study participation
  • Patients who are unable to swallow capsules
  • Treatment with any investigational product within 3 months (or at least 5 half-lives, whichever is longer) of Visit 1. Treatment with any investigational product other than those provided by AGN during study participation will be a protocol violation, and the patient will be terminated from this study
  • Employee or immediate relative of an employee of Allergan (AGN), any of its affiliates or partners, or of the study center
  • Patients or patients whose parent/guardian/ legally authorized representative (LAR) and/or caregivers are unable to speak and understand English (or their native language if this can be accommodated by the site and is approved by the Sponsor) sufficiently to understand the nature of the study, to provide informed assent/consent, or to allow the completion of all study assessments
  • Unable or unlikely to comply with the study protocol or are unsuitable for any other reason, Other Criteriaas judged by the Investigator

Trial locations and contacts

51 sites in 1 country.

51 sites in 1 country

United States51 sites
  • Atlanta Center for Medical Research

    Atlanta, Georgia, 30331

  • Atlanta Behavioral Research, LLC

    Atlanta, Georgia, 30338

  • BioBehavioral Research of Austin

    Austin, Texas, 78759

  • Houston Clinical Trials, LLC

    Bellaire, Texas, 77401

  • Northwest Clinical Research Center

    Bellevue, Washington, 98007

  • Care Access Research, Beverly Hills

    Beverly Hills, California, 90212

  • University of Cincinnati

    Cincinnati, Ohio, 45219

  • The Ohio State University Department of Psychiatry

    Columbus, Ohio, 43210

  • Kindred Medical Institute for Clinical Trials, LLC

    Corona, California, 92879

  • Millennium Center for Clinical Research

    Creve Coeur, Missouri, 63141

  • Roque Medical Trails LLC

    Dallas, Texas, 75243

  • iResearch Atlanta

    Decatur, Georgia, 30030

  • El Campo Clinical Trials

    El Campo, Texas, 77437

  • Mech Healthcare Associates

    Frisco, Texas, 75034

  • Behavioral Research Specialists, LLC

    Glendale, California, 91206

  • Advanced Research Institute of Miami

    Homestead, Florida, 33030

  • Biopharma Informatic, LLC

    Houston, Texas, 77084

  • Red Oak Psychiatry Associates, PA

    Houston, Texas, 77090

  • Sun Valley Research Center

    Imperial, California, 92251

  • Clinical Neuroscience Solutions, Inc

    Jacksonville, Florida, 32256

  • Lake Charles Clinical Trials, LLC

    Lake Charles, Louisiana, 70629

  • Zynak Clinical

    Lauderdale Lakes, Florida, 33313

  • Northpointe Psychiatry

    Lewisville, Texas, 75057

  • Capstone Clinical Research

    Libertyville, Illinois, 60048

  • Alivation Research

    Lincoln, Nebraska, 68526

  • Woodland International Research Group

    Little Rock, Arkansas, 72211

  • Alliance Research

    Long Beach, California, 90807

  • Professional Psychiatric Services

    Mason, Ohio, 45040

  • Metroplex Pulmonary and Sleep Center

    McKinney, Texas, 75069

  • Advanced Clinical Research

    Meridian, Idaho, 83642

  • Columbus Clinical Services, LLC

    Miami, Florida, 33125

  • AMR Conventions Limited

    Naperville, Illinois, 60563

  • AMR-Baber Research, Inc.

    Naperville, Illinois, 60563

  • Manhattan Behavioral Medicine, PLLC

    New York, New York, 10036

  • Excell Research, Inc.

    Oceanside, California, 92056

  • IPS Research

    Oklahoma City, Oklahoma, 73106

  • NRC Research Institute

    Orange, California, 92868

  • Clinical Neuroscience Solutions, Inc.

    Orlando, Florida, 32801

  • AIM Trials

    Plano, Texas, 75093

  • Finger Lake Clinical Research

    Rochester, New York, 14618-1609

  • Rochester Center for Behavioral Medicine

    Rochester Hills, Michigan, 48307

  • Clinical Trials of Texas, Inc. (CTT)

    San Antonio, Texas, 78229

  • Attalla Consultants, LLC

    Smyrna, Georgia, 30082

  • Millennium Psychiatric Associates, LLC

    St Louis, Missouri, 63132

  • Clinical Research Institute

    Stockbridge, Georgia, 30281

  • Family Psychiatry of The Woodlands

    The Woodlands, Texas, 77381

  • Inova Clinical trials and Research Center

    Tyrone, Georgia, 30290

  • Children's National Health System

    Washington D.C., District of Columbia, 20910

  • CincyScience

    West Chester, Ohio, 45069

  • KU Wichita Clinical Trial Unit

    Wichita, Kansas, 67214

  • Elite Clinical Trials, Inc.

    Wildomar, California, 92595

Other trials in United States

About this study

Official title: A Double-blind, Placebo- and Active-controlled Evaluation of the Safety and Efficacy of Levomilnacipran ER in Pediatric Patients 7-17 Years With Major Depressive Disorder

The objective of this study is to evaluate the efficacy, safety, and tolerability of levomilnacipran compared with placebo in pediatric outpatients (7-17 years) with major depressive disorder (MDD).

Being tested
Levomilnacipran ER, Fluoxetine, Placebo
Medical subject headings
Depressive Disorder, Major

What participants receive

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

  • Levomilnacipran ERDrug

    Levomilnacipran extended-release oral capsules

  • FluoxetineDrug

    Fluoxetine oral capsules

  • PlaceboDrug

    Matching placebo oral capsules

Study groups in NCT03569475
Study groupRoleWhat they receive
Levomilnacipran ER 40-80 mg/dayExperimentalLevomilnacipran extended release (ER) capsules, orally, 10 milligram per day (mg/day) on Days 1 to 3, 20 mg/day on Days 4 to 7, and 40 mg/day from Week 2 through Week 8 of the Double-blind Treatment Period followed by levomilnacipran ER 40 mg/day on Days 1 and 2, and then 20 mg/day from Day 3 through Day 7 in the Down-taper Period. Based on therapeutic response and tolerability, an additional dose increase to 80 mg/day was permitted at Week 3 of the Double-blind Treatment Period.
Receives: Drug: Levomilnacipran ER
Fluoxetine 20 mg/dayActive comparatorFluoxetine capsule, orally, 10 mg/day at Week 1, and 20 mg/day from Week 2 through Week 8 of the Double-blind Treatment Period followed by fluoxetine 10 mg/day from Day 1 through Day 7 of the Down-taper Period.
Receives: Drug: Fluoxetine
PlaceboPlacebo comparatorMatching placebo capsules once daily through 8 weeks in the Double-blind Treatment Period and Days 1 through 7 in the Down-taper Period.
Receives: Drug: Placebo

What is being measured

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

  1. Change From Baseline in Children's Depression Rating Scale- Revised (CDRS-R)

    The CDRS-R is a semi-structured, clinician-rated instrument designed for use with children and adolescents between the ages of 6-17 years. It contains 17 ordinally-scaled items that evaluate the presence and severity of symptoms commonly associated with childhood depression and is scored on a 1-to-5- or 1-to-7-point scale. Rating of 1 indicates normal function. The CDRS-R total score ranges from 17 to 113; higher score indicates more severe depression. A negative change from Baseline indicates improvement. Mixed Model for Repeated Measures (MMRM) was used for analysis.

    Measured: Baseline (Week 0) to Week 8

Secondary outcomes (1)
  1. Change From Baseline in Clinical Global Impression-Severity (CGI-S) Scale

    The CGI-S is a clinician-rated scale used to rate the severity of the participant's current state of mental illness compared with MDD population. The participant was rated on a scale from 1 to 7, where 1=normal, not at all ill and 7=among the most extremely ill participants. Higher score indicates worsening of mental illness. A negative change from Baseline indicates improvement. MMRM was used for analysis.

    Measured: Baseline (Week 0) to Week 8

Timeline

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

  1. First posted26 Jun 2018
  2. Study start6 Jul 2018
  3. Primary completion1 Mar 2021
  4. Study completion1 Mar 2021

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
501 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03569475
Sponsor's protocol ID
LVM-MD-14
Status last verified
Mar 2022
First submitted
15 Jun 2018
Last updated
25 Mar 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Publications

  • Radecki DT, Robieson WZ, Gopalkrishnan M, Greenberg E, Aziz M. Safety and Efficacy of Levomilnacipran Extended Release in Pediatric Patients Aged 7-17 Years with Major Depressive Disorder: Results of Two Phase 3, Randomized, Double-Blind Studies. J Child Adolesc Psychopharmacol. 2024 Jun;34(5):241-250. doi: 10.1089/cap.2023.0080. Epub 2024 May 3.

    PubMed 38700708

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Levomilnacipran ER and Fluoxetine in people with Major Depressive Disorder, run by Allergan at 51 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 6 inclusion and 22 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 25 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 51 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. 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 25 Mar 2022). 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?

Change From Baseline in Children's Depression Rating Scale- Revised (CDRS-R) (time frame: Baseline (Week 0) to Week 8). 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 NCT03569475, which also lists 1 linked publication.

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 25 Mar 2022.

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