A Study to Evaluate Efficacy and Safety of Toludesvenlafaxine Hydrochloride Sustained-release Tablets in Generalized Anxiety Disorder.
A Multicenter, Randomized, Double-blind, Placebo-controlled Phase Ⅲ Study to Evaluate the Efficacy and Safety of Toludesvenlafaxine Hydrochloride Sustained-release Tablets in Participants With Generalized Anxiety Disorder.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Zhang Hongyan
- Phone Number: 13601237138
- Email: hongyanzhang@bjmu.edu.cn
Study Locations
-
-
-
Beijing, China
- Peking University Sixth Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female aged 18 to 65 years subjects;
- Meet the Diagnostic and Statistical Manual of Manual Disorders, fifth Edition(DSM-5) criteria for Generalized Anxiety Disorder;
- Have a Hamilton Anxiety(HAMA) Rating Scale total score ≥21 points at screening and baseline;
- Have a Hamilton Anxiety(HAMA) Rating Scale score ≥2 points on both item 1(anxious mood) and item 2(tension) at screening and baseline;
- Have a clinical Global Impression -severity illness (CGI-S) score≥4 points at screening and baseline.
Exclusion Criteria:
- Meet the diagnostic criteria for other psychotic disorders(defined by DSM-5, except for GAD), including major depression disorder within 6 months prior to screening , presence or history of Schizophrenia Spectrum and Other Psychotic Disorders, Bipolar and Related Disorders, Obsessive-Compulsive and related Disorders, post-traumatic stress disorder, anorexia nervosa or bulimia and personality disorder;
- Meet the diagnostic criteria for substance or alcohol abuse (defined by DSM-5, except for nicotine or caffeine) within 6 months prior to screening;
- Have anxious symtoms secondary to other physical illnesses or mental illnesses and anxious induced by psychoactive substance;
- Withdrawal psychotropic drugs within 5 half-lives (at least 2 weeks for monoamine oxidase inhibitors, at least 1 month for fluoxetine, and at least 2 weeks for benzodiazepines or barbiturates) prior to randomization;
- Have received psychosurgery or physical therapy for psychiatric illness (such as transcranial magnetic stimulation) within 3 months prior to screening;
- Have received systematic psychotherapy or other non-drug therapies for psychiatric disorders (such as acupuncture or light therapy) within 6 weeks prior to screening;
- Concomitant with serious and unstable illness, including cardiovascular, hepatic, renal, hematological, endocrine illness, malignant tumors and other physical illness;
- Have a history of seizures (except for seizures caused by febrile convulsions in childhood);
- Have a history of gastrointestinal disease or surgery known to interfere with investigation product absorption or excretion;
- Known or suspected allergic or severe reaction to investigation product or inactive ingredients; or allergic to venlafaxine or desvenlafaxine; or allergic constitution (defined as allergic to two or more drugs or food) and unfit to participate judged by investigator;
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Toludesvenlafaxine Hydrochloride Sustained-release Tablets 80 mg group
orally once a day
|
orally once a day
|
|
Experimental: Toludesvenlafaxine Hydrochloride Sustained-release Tablets 160 mg group
orally once a day
|
orally once a day
|
|
Sham Comparator: Placebo
orally once a day
|
orally once a day
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in the Hamilton Anxiety(HAMA) Rating Scale total score at endpoint
Time Frame: from baseline to week 8
|
The HAMA Scale consist of 14 items that include psychic, somatic, and behavioral symptoms associated with anxiety.
Each items is rated on a 5-point scale of 0(not present) to 4(very severe) so that scores may range from 0 to 56, with high scores indicating greater illness severity.
|
from baseline to week 8
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of participants with response at endpoint
Time Frame: from baseline to week 8
|
Response was defined as a≥50% reduction from baseline to endpoint in the HAMA total score.
|
from baseline to week 8
|
|
Percentage of participants with remission at endpoint
Time Frame: from baseline to week 8
|
Remission was defined as a HAMA total score ≤7 points at endpoint
|
from baseline to week 8
|
|
Clinical Global Impression Scale - improvement (CGI-I) score at endpoint
Time Frame: from baseline to week 8
|
The CGI-I scale measures the participant's improvement (or worsening) as assessed by the investigator relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse.
|
from baseline to week 8
|
|
Change from baseline in Clinical Global Impression Scale - severity (CGI-S) score at endpoint
Time Frame: from baseline to week 8
|
The CGI-S scale is a 7-point scale to rate the severity of the patient's illness.
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.
|
from baseline to week 8
|
|
Change from baseline in the Sheehan Disability Scale(SDS) score at endpoint
Time Frame: from baseline to week 8
|
The SDS scale consists of 3 items evaluating impairment in work/school, social life/leisure activities, and family life/home responsibilities.
Each item is scored on a scale of 0(unimpaired) to 10(highly impaired).
|
from baseline to week 8
|
|
Change from baseline in the Pittsburgh Sleep Quality Index (PSQI) score at endpoint
Time Frame: from baseline to week 8
|
The scale consists of 3 items evaluating impairment in work/school, social life/leisure activities, and family life/home responsibilities.
Each item is scored on a scale of 0(unimpaired) to 10(highly impaired).
|
from baseline to week 8
|
|
Incidence and severity of adverse effects (AEs)
Time Frame: from baseline to week 8
|
from baseline to week 8
|
|
|
Change from baseline in the Columbia Suicide severity Rating Scale (C-SSRS) score at endpoint
Time Frame: from baseline to week 8
|
The C-SSRS captured the occurrence, severity, and frequency of suicide-related thoughts and behaviors.
Suicidal ideation: a "yes" answer to any 1 of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation.
Suicidal behavior: a "yes" answer to any 1 of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide.
|
from baseline to week 8
|
|
Change from baseline in the Hamilton Anxiety(HAMA) Rating Scale psychic factor score (Items 1~6 and Item 14) at endpoint
Time Frame: from baseline to week 8
|
The psychic factor score is the sum of items 1-6 and items 14(including items such as anxious mood, tension, fear, insomnia, and behavioral symptoms).Each items is rated on a 5-point scale of 0(not present) to 4(very severe) so that scores may range from 0 to 28, with high scores indicating greater illness severity.
|
from baseline to week 8
|
|
Change from baseline in the Hamilton Anxiety(HAMA) Rating Scale somatic factor score (Items 7~13) at endpoint
Time Frame: from baseline to week 8
|
The somatic factor score is the sum of items 7-13(including items such as cardiovascular, respiratory, and gastrointestinal symptoms).Each items is rated on a 5-point scale of 0(not present) to 4(very severe) so that scores may range from 0 to 28, with high scores indicating greater illness severity.
|
from baseline to week 8
|
|
Change from baseline in the Hamilton Anxiety(HAMA) Rating Scale item 1(Anxious mood)Score at endpoint
Time Frame: from baseline to week 8
|
The item is rated on a 5-point scale of 0(not present) to 4(very severe) so that score may range from 0 to 4, with high scores indicating greater illness severity.
|
from baseline to week 8
|
|
Change from baseline in the Hamilton Anxiety(HAMA) Rating Scale item 2(Tension)Score at endpoint
Time Frame: from baseline to week 8
|
The item is rated on a 5-point scale of 0(not present) to 4(very severe) so that score may range from 0 to 4, with high scores indicating greater illness severity.
|
from baseline to week 8
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Zhang Hongyan, Peking University Sixth Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- LY03005/CT-CHN-307
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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