- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00824291
Study Evaluating Desvenlafaxine Succinate Sustained Release In Outpatients With Major Depressive Disorder
4. marts 2011 opdateret af: Wyeth is now a wholly owned subsidiary of Pfizer
A Multicenter, Double-Blind, Randomized, Placebo-Controlled Study To Evaluate Functional Outcome In Outpatients With Major Depressive Disorder Treated With Desvenlafaxine Succinare Sustained Release
This is a multicenter study to assess the health and well-being in subjects who are outpatients with major depressive disorder that take desvenlafaxine succinate sustained release (DVS SR) or placebo for 12 weeks.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
437
Fase
- Fase 3
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
19 år til 74 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Outpatient men and women, between the ages of 18 to 75 years, fluent in both written and spoken English.
- Employed for 20 hours or more for a minimum of 1 month prior to baseline.
- Primary diagnosis of Major Depressive Disorder with symptoms for at least 30 days prior to baseline.
Exclusion Criteria:
- Treatment with desvenlafaxine succinate sustained release at any time in the past and/or venlafaxine (Effexor or Effexor XR) 1 year prior to baseline.
- Treatment-resistant defined as any of the following failed treatments in the past 3 years: 3 or more previous adequate trials of >=2 classes of antidepressant medication, electroconvulsive therapy, or psychotherapy (2 adequate trials).
- Current (within 12 months prior to the screening visit) psychoactive substance abuse or dependence (including alcohol), manic episode, posttraumatic stress disorder, obsessive-compulsive disorder, or a lifetime diagnosis of bipolar or psychotic disorder.
- Clinically important abnormalities on physical examination, electrocardiogram (ECG), or laboratory evaluations.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: 2
|
CYP2D6 genotyping at randomization
|
|
Placebo komparator: 1
|
50 mg/day oral tablet for 12 weeks
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change From Baseline in Hamilton Depression Scale (HAM-D) at Week 12
Tidsramme: At Baseline and Week 12.
|
HAM-D, clinician-rated interview, measures presence of depressive symptoms in 17 areas (symptoms such as depressed mood, guilt feelings, suicide, sleep disturbances, anxiety levels and weight loss).
Total score ranges from 0 to 52; higher scores indicate more depression.
Change from baseline: mean at observation minus mean at baseline.
|
At Baseline and Week 12.
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 12
Tidsramme: At Baseline and Week 12.
|
Participant rated scale was 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.
Individual item scores range from 0 to 10.
|
At Baseline and Week 12.
|
|
Clinical Global Impression Scale - Improvement (CGI- I) Score at Week 12
Tidsramme: At Baseline and Week 12.
|
CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse).
Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale.
Higher score = more affected.
Change = score at observation minus score at baseline.
|
At Baseline and Week 12.
|
|
Clinical Global Impressions Scale - Severity of Illness (CGI-S) at Week 12
Tidsramme: At Baseline and Week 12.
|
CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients).
Higher score = more affected.
Change: score at observation minus score at baseline.
|
At Baseline and Week 12.
|
|
Change From Baseline on Work and Activities Item of HAM-D17 at Week 12
Tidsramme: At Baseline and Week 12.
|
The Work and Activities Item of the HAM-D17 is item 7 of HAM-D17.
Scoring range from 0 to 4.
|
At Baseline and Week 12.
|
|
Change From Baseline in Adjusted Mean on Montgomery-Asberg Depression Rating Scale (MADRS) at Week 12
Tidsramme: At Baseline and Week 12.
|
Measures the overall severity of depressive symptoms.
The MADRS has a 10-item checklist.
Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms).
|
At Baseline and Week 12.
|
|
Change From Baseline on Worry Anxiety Tension Scale (WATS) at Week 12
Tidsramme: At Baseline and Week 12.
|
WATS: a self-administered, 3-question rating scale assesses worry, anxiety, and tension.
Each item was a visual analog scale on which the participant circles a number from 0 to 10. Higher scores indicated worse function.
WATS total score was the sum of the 3 items.
If 1 item was missing, the total score would be missing.
|
At Baseline and Week 12.
|
|
Change From Baseline on Stress and Social Support Scales at Week 12
Tidsramme: At Baseline and Week 12.
|
Stress and Social Support Scales: self-administered rating scale where item 1 is the stress vulnerability scale measuring how much the subject was set back by stressful events on an 11-point scale ranging from 0 (not at all) to 10 (extremely) and item 2 is an 11-point scale ranging from 0 to 100 percent of the amount of support the subject received from relatives and friends.
|
At Baseline and Week 12.
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Zilcha-Mano S, Wang X, Wajsbrot DB, Boucher M, Fine SA, Rutherford BR. Trajectories of Function and Symptom Change in Desvenlafaxine Clinical Trials: Toward Personalized Treatment for Depression. J Clin Psychopharmacol. 2021 Sep-Oct 01;41(5):579-584. doi: 10.1097/JCP.0000000000001435.
- Soares CN, Zhang M, Boucher M. Categorical improvement in functional impairment in depressed patients treated with desvenlafaxine. CNS Spectr. 2019 Jun;24(3):322-332. doi: 10.1017/S1092852917000633. Epub 2017 Nov 15.
- Reddy S, Fayyad R, Edgar CJ, Guico-Pabia CJ, Wesnes K. The effect of desvenlafaxine on cognitive functioning in employed outpatients with major depressive disorder: a substudy of a randomized, double-blind, placebo-controlled trial. J Psychopharmacol. 2016 Jun;30(6):559-67. doi: 10.1177/0269881116631649. Epub 2016 Mar 23.
- McIntyre RS, Fayyad R, Mackell JA, Boucher M. Effect of metabolic syndrome and thyroid hormone on efficacy of desvenlafaxine 50 and 100 mg/d in major depressive disorder. Curr Med Res Opin. 2016;32(3):587-99. doi: 10.1185/03007995.2015.1136603. Epub 2016 Jan 13.
- McIntyre RS, Fayyad RS, Guico-Pabia CJ, Boucher M. A Post Hoc Analysis of the Effect of Weight on Efficacy in Depressed Patients Treated With Desvenlafaxine 50 mg/d and 100 mg/d. Prim Care Companion CNS Disord. 2015 Jun 4;17(3):10.4088/PCC.14m01741. doi: 10.4088/PCC.14m01741. eCollection 2015.
- Thase ME, Fayyad R, Cheng RF, Guico-Pabia CJ, Sporn J, Boucher M, Tourian KA. Effects of desvenlafaxine on blood pressure in patients treated for major depressive disorder: a pooled analysis. Curr Med Res Opin. 2015 Apr;31(4):809-20. doi: 10.1185/03007995.2015.1020365. Epub 2015 Mar 26.
- Endicott J, Lam RW, Hsu MA, Fayyad R, Boucher M, Guico-Pabia CJ. Improvements in quality of life with desvenlafaxine 50mg/d vs placebo in employed adults with major depressive disorder. J Affect Disord. 2014 Sep;166:307-14. doi: 10.1016/j.jad.2014.05.011. Epub 2014 May 21.
- Lam RW, Endicott J, Hsu MA, Fayyad R, Guico-Pabia C, Boucher M. Predictors of functional improvement in employed adults with major depressive disorder treated with desvenlafaxine. Int Clin Psychopharmacol. 2014 Sep;29(5):239-51. doi: 10.1097/YIC.0000000000000031.
- Soares CN, Endicott J, Boucher M, Fayyad RS, Guico-Pabia CJ. Predictors of functional response and remission with desvenlafaxine 50 mg/d in patients with major depressive disorder. CNS Spectr. 2014 Dec;19(6):519-27. doi: 10.1017/S1092852914000066. Epub 2014 Feb 26.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. februar 2009
Primær færdiggørelse (Faktiske)
1. oktober 2009
Studieafslutning (Faktiske)
1. november 2009
Datoer for studieregistrering
Først indsendt
14. januar 2009
Først indsendt, der opfyldte QC-kriterier
15. januar 2009
Først opslået (Skøn)
16. januar 2009
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
10. marts 2011
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
4. marts 2011
Sidst verificeret
1. marts 2011
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Adfærdsmæssige symptomer
- Psykiske lidelser
- Patologiske processer
- Stemningsforstyrrelser
- Depression
- Depressiv lidelse
- Sygdom
- Depressiv lidelse, major
- Lægemidlers fysiologiske virkninger
- Neurotransmittermidler
- Molekylære mekanismer for farmakologisk virkning
- Psykotropiske stoffer
- Neurotransmitter optagelseshæmmere
- Membrantransportmodulatorer
- Antidepressive midler
- Serotonin- og Noradrenalin-genoptagelseshæmmere
- Desvenlafaxinsuccinat
Andre undersøgelses-id-numre
- 3151A1-4415
- B2061006
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Depressiv lidelse, major
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Rotman Research Institute at BaycrestRekrutteringMajor Depressive Disorder (MDD)Canada
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ACADIA Pharmaceuticals Inc.RekrutteringDepressiv lidelse, behandlingsresistent | Major Depressive Disorder (MDD)Forenede Stater
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University of PretoriaIkke rekrutterer endnuMajor Depressive Disorder (MDD)Saudi Arabien
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Tel Aviv UniversityIkke rekrutterer endnuMajor Depressive Disorder (MDD)Israel
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Yonggui YuanIkke rekrutterer endnuMajor Depressive Disorder (MDD)Kina
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Daniel LindqvistLund University; KetabonRekrutteringMajor Depressive Disorder (MDD)Sverige
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King's College LondonCardiff and Vale University Health Board; South London and Maudsley NHS... og andre samarbejdspartnereRekrutteringMajor Depressive Disorder (MDD)Det Forenede Kongerige
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Supernus Pharmaceuticals, Inc.RekrutteringMajor Depressive Disorder (MDD)Forenede Stater
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University of PennsylvaniaRekruttering
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The Second Hospital of Anhui Medical UniversityIkke rekrutterer endnu
Kliniske forsøg med desvenlafaxine succinate sustained release
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Wyeth is now a wholly owned subsidiary of PfizerPfizerAfsluttetStørre depressiv lidelseForenede Stater
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Seoul National University HospitalPfizer; Seoul National University Bundang Hospital; Korea Cancer Center HospitalAfsluttetBrystneoplasmer | Hot blinkerKorea, Republikken
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Wyeth is now a wholly owned subsidiary of PfizerAfsluttet
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PfizerAfsluttetStørre depressiv lidelseForenede Stater, Japan
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PfizerAfsluttet
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Wyeth is now a wholly owned subsidiary of PfizerAfsluttetDepression | Større depressiv lidelseForenede Stater
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Wyeth is now a wholly owned subsidiary of PfizerAfsluttetDepressiv lidelse, svær depressiv lidelseForenede Stater
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Jiangsu Province Nanjing Brain HospitalRekruttering
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PfizerAfsluttet
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Wyeth is now a wholly owned subsidiary of PfizerAfsluttet