A Phase 3 interventional study of Desvenlafaxine Succinate Sustained-Release (DVS SR) and Desvenlafaxine Succinate Sustained-Release (DVS SR) in Depressive Disorder, Major, sponsored by Pfizer. Completed at 22 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-03-15.
Sponsored by Pfizer · Phase 3, Interventional, and Treatment
The primary purpose of this study is to evaluate the efficacy and safety of two doses of DVS SR (50 and 100 mg/day) in the treatment of adults with Major Depressive Disorder.
2,805 studies on the registry are indexed under Depressive Disorder, Major; 565 are open to participants now.
This study's enrollment of 638 is above the median of 80 across 2,338 interventional studies indexed under Depressive Disorder, Major.
Browse Depressive Disorder, Major studies →Pfizer is the lead sponsor of 3,323 studies on the registry; 145 are open to participants now.
Of its 597 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.
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Drug: Desvenlafaxine Succinate Sustained-Release (DVS SR)
Drug: Desvenlafaxine Succinate Sustained-Release (DVS SR)
Drug: Placebo
Active control to assess assay sensitivity
Drug: Duloxetine 60 mg/day
50 mg tablet, once daily dosing for 8 weeks
100 mg tablet, once daily dosing for 8 weeks
Matching placebo tablets and capsules, once daily dosing for 8 weeks
Drug page: Duloxetine
60 mg capsule, once daily dosing for 8 weeks
Change From Baseline in HAM-D17 Total Score at Week 8 or Final On-therapy (FOT) Evaluation
HAM-D17: a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0 = none/absent and 4 = most severe, for a maximum total score of 50.
Time frame: Baseline and Week 8 or FOT
Number of Participants With Categorical Scores on CGI-Improvement (CGI-I) Score at Week 8 or FOT Evaluation
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 relative to the baseline assessment. Higher score = more affected.
Time frame: Week 8 or FOT
Change From Baseline in Mean CGI-S Score at Week 8 or FOT Evaluation
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 participants). Higher score = more affected.
Time frame: Baseline and Week 8 or FOT
Change From Baseline in Montgomery and Asberg Depression Rating Scale (MADRS) Total Score at Week 8 or FOT Evaluation
MADRS 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).
Time frame: Baseline and Week 8 or FOT
Change From Baseline in the Lassitude Item of the MADRS Scale at Week 8 or FOT Evaluation
Lassitude item of MADRS represents a difficulty in getting started or slowness in initiating and performing everyday activities. It is rated on a scale of 0-6: 0 = hardly any difficulty in getting started/no sluggishness; 2 = difficulties in starting activities; 4 = difficulties in starting simple routine activities which are carried out with effort; 6 = complete lassitude/unable to do anything without help.
Time frame: Baseline and Week 8 or FOT
Change From Baseline in HAM-D6 Total Score at Week 8 or FOT Evaluation
HAM-D6: a standardized, clinician-administered rating scale that assesses 6 items characteristically associated with major depression and is a subset of HAM-D17. HAM-D6 score ranges from 0-22. The scale uses HAM-D17 items: 1, 2, 7, 8, 10 and 13. Item 13 is scored 0-2 (0=none and 2=severe) and all others are scored 0-4 (0=none/absent and 4=most severe).
Time frame: Baseline and Week 8 or FOT
Change From Baseline in the HAM-D Energy Subscale Score at Week 8 or FOT Evaluation
HAM-D energy subscale is a subset of the HAM-D17 that assesses 4 items associated with major depression. The scale uses HAM- D17 items 1, 7, 8 and 14. Item 14 is scored 0 to 2 (0=none/absent to 2=most severe) and all others are scored 0 to 4 (0=none/absent to 4=most severe).
Time frame: Baseline and Week 8 or FOT
Change From Baseline in Covi Anxiety Scale at Week 8 or FOT Evaluation
COVI anxiety scale measures the severity of anxiety symptoms on 3 items: verbal report, behavior and somatic complaints. Each dimension is assessed using a 5-point scale: 1 = not at all, 2 = somewhat, 3 = moderately, 4 = considerably, to 5 = Very much. Worst value is 15 and best value is 3.
Time frame: Baseline and Week 8 or FOT
Change From Baseline in Visual Analog Scale-Pain Intensity (VAS-PI) Overall and Subcomponent Score at Week 8 or FOT Evaluation
VAS-PI scale assesses intensity of back pain, chest pain, arms, legs or joint pain as well as overall pain intensity where 100 mm line (VAS) is marked by participant and intensity of pain ranges from 0 millimetre (mm) = no pain to 100 mm = worst possible pain. There were separate 0 to 100 mm VAS lines for each subcomponent of VAS-PI.
Time frame: Baseline and Week 8 or FOT
Study was conducted from 27 September 2006 to 28 September 2007 in United States (US) only.
| Milestone | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Started | 164 | 155 | 160 | 159 |
| Treated | 161 | 148 | 150 | 157 |
| Completed | 123 | 120 | 117 | 119 |
| Not completed | 41 | 35 | 43 | 40 |
| Withdrew: Adverse event | 10 | 8 | 11 | 20 |
| Withdrew: Failed to return | 1 | 3 | 2 | 2 |
| Withdrew: Physician decision | 1 | 0 | 0 | 0 |
| Withdrew: Lost to follow-up | 6 | 12 | 7 | 7 |
| Withdrew: Other | 2 | 0 | 0 | 0 |
| Withdrew: Protocol violation | 5 | 0 | 5 | 6 |
| Withdrew: Withdrawal by subject | 6 | 2 | 5 | 2 |
| Withdrew: Lack of efficacy | 7 | 3 | 3 | 1 |
| Withdrew: Randomized but not treated | 3 | 7 | 10 | 2 |
HAM-D17: a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0 = none/absent and 4 = most severe, for a maximum total score of 50.
| Units on a Scale | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Change From Baseline in HAM-D17 Total Score at Week 8 or Final On-therapy (FOT) Evaluation | -8.68 ± 0.58 | -9.75 ± 0.60 | -10.5 ± 0.60 | -10.3 ± 0.60 |
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 relative to the baseline assessment. Higher score = more affected.
| Participants | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| 1 = Very much improved | 31 | 27 | 45 | 45 |
| 2 = Much improved | 32 | 38 | 37 | 35 |
| 3 = Minimally improved | 35 | 47 | 28 | 37 |
| 4 = No change | 57 | 34 | 37 | 37 |
| 5 = Minimally worse | 5 | 2 | 2 | 3 |
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 participants). Higher score = more affected.
| Units on a Scale | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Change From Baseline in Mean CGI-S Score at Week 8 or FOT Evaluation | -1.10 ± 0.09 | -1.25 ± 0.10 | -1.44 ± 0.10 | -1.41 ± 0.10 |
MADRS 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).
| Units on a Scale | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Baseline | 31.10 ± NA | 30.10 ± NA | 30.70 ± NA | 30.80 ± NA |
| Change at Week 8 or FOT | -11.00 ± 0.82 | -12.70 ± 0.85 | -14.40 ± 0.84 | -14.40 ± 0.87 |
Lassitude item of MADRS represents a difficulty in getting started or slowness in initiating and performing everyday activities. It is rated on a scale of 0-6: 0 = hardly any difficulty in getting started/no sluggishness; 2 = difficulties in starting activities; 4 = difficulties in starting simple routine activities which are carried out with effort; 6 = complete lassitude/unable to do anything without help.
| Units on a Scale | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Baseline | 3.49 ± NA | 3.53 ± NA | 3.70 ± NA | 3.50 ± NA |
| Change at Week 8 or FOT | -1.27 ± 0.12 | -1.39 ± 0.13 | -1.54 ± 0.13 | -1.26 ± 0.12 |
HAM-D6: a standardized, clinician-administered rating scale that assesses 6 items characteristically associated with major depression and is a subset of HAM-D17. HAM-D6 score ranges from 0-22. The scale uses HAM-D17 items: 1, 2, 7, 8, 10 and 13. Item 13 is scored 0-2 (0=none and 2=severe) and all others are scored 0-4 (0=none/absent and 4=most severe).
| Units on a Scale | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Baseline | 13.00 ± NA | 12.80 ± NA | 12.90 ± NA | 12.90 ± NA |
| Change at Week 8 or FOT | -4.82 ± 0.33 | -5.41 ± 0.35 | -6.15 ± 0.34 | -5.91 ± 0.36 |
HAM-D energy subscale is a subset of the HAM-D17 that assesses 4 items associated with major depression. The scale uses HAM- D17 items 1, 7, 8 and 14. Item 14 is scored 0 to 2 (0=none/absent to 2=most severe) and all others are scored 0 to 4 (0=none/absent to 4=most severe).
| Units on a Scale | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Baseline | 8.38 ± NA | 8.43 ± NA | 8.51 ± NA | 8.38 ± NA |
| Change at Week 8 or FOT | -3.13 ± 0.23 | -3.66 ± 0.23 | -3.92 ± 0.23 | -3.80 ± 0.24 |
COVI anxiety scale measures the severity of anxiety symptoms on 3 items: verbal report, behavior and somatic complaints. Each dimension is assessed using a 5-point scale: 1 = not at all, 2 = somewhat, 3 = moderately, 4 = considerably, to 5 = Very much. Worst value is 15 and best value is 3.
| Units on a Scale | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Baseline | 6.50 ± NA | 6.30 ± NA | 6.30 ± NA | 6.30 ± NA |
| Change at Week 8 or FOT | -1.02 ± 0.12 | -1.15 ± 0.13 | -1.35 ± 0.13 | -1.47 ± 0.13 |
VAS-PI scale assesses intensity of back pain, chest pain, arms, legs or joint pain as well as overall pain intensity where 100 mm line (VAS) is marked by participant and intensity of pain ranges from 0 millimetre (mm) = no pain to 100 mm = worst possible pain. There were separate 0 to 100 mm VAS lines for each subcomponent of VAS-PI.
| mm | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Overall pain (Baseline) | 26.30 ± NA | 30.80 ± NA | 25.90 ± NA | 26.10 ± NA |
| Stomach pain (Baseline) | 16.70 ± NA | 19.40 ± NA | 17.00 ± NA | 14.00 ± NA |
| Back pain (Baseline) | 25.90 ± NA | 32.90 ± NA | 28.30 ± NA | 25.50 ± NA |
| Chest pain (Baseline) | 9.40 ± NA | 10.90 ± NA | 10.40 ± NA | 6.60 ± NA |
| Arms, legs or joint pain (Baseline) | 25.80 ± NA | 29.10 ± NA | 28.70 ± NA | 22.40 ± NA |
| Overall pain (Change at Week 8 or FOT) | -5.61 ± 1.57 | -9.08 ± 1.64 | -10.30 ± 1.63 | -8.84 ± 1.74 |
| Stomach pain (Change at Week 8 or FOT) | -1.86 ± 1.62 | -4.98 ± 1.69 | -6.42 ± 1.68 | -4.38 ± 1.58 |
| Back pain (Change at Week 8 or FOT) | -7.04 ± 1.67 | -10.70 ± 1.74 | -12.80 ± 1.73 | -9.33 ± 1.83 |
| Chest pain (Change at Week 8 or FOT) | -1.95 ± 1.12 | -3.34 ± 1.17 | -3.90 ± 1.16 | -1.67 ± 1.21 |
| Arms, legs or joint pain (Change at Week 8 or FOT) | -6.99 ± 1.70 | -8.98 ± 1.76 | -11.90 ± 1.76 | -8.35 ± 1.64 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 2/161 (1.2%) | 129/161 (80.1%) |
| DVS SR 50 mg | — | 2/148 (1.4%) | 134/148 (90.5%) |
| DVS SR 100 mg | — | 2/150 (1.3%) | 134/150 (89.3%) |
| Duloxetine 60 mg | — | 1/157 (0.6%) | 141/157 (89.8%) |
| Event | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| Accidental injuryGeneral disorders | 1/161 | 1/148 | 0/150 | 0/157 |
| Suicidal ideationNervous system disorders | 0/161 | 1/148 | 0/150 | 0/157 |
| Gastrointestinal hemorrhageGastrointestinal disorders | 0/161 | 0/148 | 1/150 | 0/157 |
| MenorrhagiaRenal and urinary disorders | 0/161 | 0/148 | 1/150 | 0/157 |
| Suicide attemptGeneral disorders | 0/161 | 0/148 | 0/150 | 1/157 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 1/161 | 0/148 | 0/150 | 0/157 |
| Event | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg |
|---|---|---|---|---|
| NauseaGastrointestinal disorders | 22/161 | 36/148 | 40/150 | 52/157 |
| Withdrawal syndromeGeneral disorders | 24/161 | 42/148 | 42/150 | 49/157 |
| HeadacheGeneral disorders | 38/161 | 27/148 | 28/150 | 30/157 |
| InsomniaNervous system disorders | 9/161 | 23/148 | 28/150 | 37/157 |
| Dry mouthGastrointestinal disorders | 25/161 | 26/148 | 31/150 | 33/157 |
| SomnolenceNervous system disorders | 12/161 | 16/148 | 18/150 | 33/157 |
| AnorexiaGastrointestinal disorders | 7/161 | 14/148 | 14/150 | 29/157 |
| DizzinessNervous system disorders | 15/161 | 15/148 | 26/150 | 27/157 |
| DiarrheaGastrointestinal disorders | 22/161 | 18/148 | 24/150 | 26/157 |
| Upper respiratory infectionRespiratory, thoracic and mediastinal disorders | 20/161 | 24/148 | 20/150 | 25/157 |
| Age Continuous(Years) | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg | Total |
|---|---|---|---|---|---|
| Mean | 39.24 ± 12.74 | 40.67 ± 13.20 | 38.77 ± 12.07 | 38.94 ± 12.01 | 39.39 ± 12.50 |
| Sex: Female, Male(Participants) | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg | Total |
|---|---|---|---|---|---|
| Female | 94 | 102 | 99 | 104 | 399 |
| Male | 67 | 46 | 51 | 53 | 217 |
| Hamilton psychiatric scale for depression-17 item (HAM-D17) total score(Units on a Scale) | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg | Total |
|---|---|---|---|---|---|
| Mean | 23.86 ± 2.68 | 23.49 ± 2.52 | 23.49 ± 2.55 | 22.99 ± 2.45 | 23.46 ± 2.57 |
| Clinical global impressions scale-severity (CGI-S) score(Units on a Scale) | Placebo | DVS SR 50 mg | DVS SR 100 mg | Duloxetine 60 mg | Total |
|---|---|---|---|---|---|
| Mean | 4.39 ± 0.54 | 4.29 ± 0.48 | 4.31 ± 0.49 | 4.28 ± 0.46 | 4.32 ± 0.50 |
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Studies of the drug tested here: Desvenlafaxine