CClinicalTrials.gg
CompletedNCT00840034Updated Apr 24, 2018Results posted

A Study of Adjunctive Treatment to Antidepressant Therapy for Adults With Major Depressive Disorder

A Phase 2 interventional study of LY2216684 and Placebo in Depressive Disorder, Major, sponsored by Eli Lilly and Company. Completed at 24 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-04-24.

Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
227
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary purpose is to study the efficacy, safety, and tolerability of LY2216684 as an adjunctive treatment for participants with major depressive disorder (MDD), who were identified as partial responders to an adequate course of treatment with a selective serotonin reuptake inhibitor (SSRI) (as defined by history).

Read the detailed description

This is a 12 week multi-center, double-blind, placebo-controlled study on the efficacy of LY2216684 augmentation of selective serotonin reuptake inhibitors (SSRIs) in participants with MDD who have a partial response to treatment with an SSRI. While remaining on a steady dose of their SSRI treatment at entry into the study, participants will be randomly assigned to adjunctive treatment with LY2216684 or placebo in a 1:1 ratio for 10 weeks of acute treatment.

02

Conditions studied

03

In context

Depressive Disorder

4,845 studies on the registry are indexed under Depressive Disorder; 514 are open to participants now.

This study's enrollment of 227 is above the median of 80 across 3,999 interventional studies indexed under Depressive Disorder.

Browse Depressive Disorder studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.

Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Meet criteria for major depressive disorder (MDD) as defined by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision® (DSM-IV-TR criteria)
  • Meet criteria for partial response to an adequate course of treatment defined by the investigator's opinion that participant had attained at least minimal improvement on their current Selective serotonin reuptake inhibitor (SSRI) treatment
  • Women of child-bearing potential must test negative for pregnancy and agree to use a reliable method of birth control
  • Grid Hamilton Rating Scale for Depression (GRID-HAMD17) total score greater than or equal 16 to at both study entry and study enrollment
  • SSRI treatment for at least 6 weeks at a stable dose for at least 2 weeks prior to study enrollment
  • Stated participant preference for augmentation rather than switching antidepressant treatment

Exclusion criteria

Exclusion Criteria:

  • Are currently involved in or discontinued within the last 30 days from a clinical trial involving an off-label use of an investigational drug
  • Have previously completed or withdrawn from this study or any other study investigating LY2216684
  • Have had or currently have any additional ongoing DSM-IV-TR Axis 1 condition other than MDD
  • Have had any anxiety disorder preceding the onset of depression that was considered the primary diagnosis within 1 year of study entry
  • Have a current or previous diagnosis of Bipolar I or II, psychotic depression, schizophrenia or other psychotic disorder
  • Have a history of substance abuse within the past 1 year
  • Have an Axis II disorder which, in the judgment of the investigator, would interfere with compliance with the protocol
  • Have had a lack of response of the current depressive episode to 2 or more adequate courses of antidepressant therapy at a clinically appropriate dose for at least 4 weeks, or in the judgment of the investigator, the participant has treatment-resistant depression
  • Have a history of electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), or psychosurgery within the last year
  • Women who are pregnant or breastfeeding
  • Participants who are judged to be at serious risk for harm to self or others
  • Have a serious or unstable medical illness
  • Have any diagnosed medical condition which could be exacerbated by noradrenergic agents including unstable hypertension, unstable heart disease, tachycardia or tachyarrhythmia, narrow angle glaucoma, or urinary hesitation or retention
  • Have a history of severe allergies to more than 1 class of medication or multiple adverse drug reactions
  • Have a history of any seizure disorder (other than febrile seizures)
  • Are taking noradrenergic psychotropic medications, such as tricyclic antidepressants or serotonin norepinephrine reuptake inhibitors (SNRI)
  • Have received treatment with a monoamine oxidase inhibitor (MAOI) within 14 days prior to study entry
  • Require psychotropic medication other than sedative/hypnotic medication for sleep
  • Are taking or have received treatment with any excluded medication within 7 days prior to study enrollment
  • Have a thyroid stimulating hormone (TSH ) level outside the established reference range
  • Have initiate or discontinued hormone therapy within the previous 3 months prior to enrollment
  • Initiation or change in intensity of psychotherapy or other non-drug therapies within 6 weeks prior to enrollment
  • A positive urine drug screen for any substance of abuse at study entry
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
227 participants (actual)

Study arms

  • Experimental
    LY2216684

    Drug: LY2216684

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugLY2216684

    Starting dose is 6 milligrams (mg), then titrate up to 9 mg, 12 mg, or 18 mg (3 tablets) administered orally (PO), once daily (QD) for up to 10 weeks followed by a 2 week taper.

  • DrugPlacebo

    3 tablets PO QD for up to 12 weeks

06

What researchers measure

Primary outcomes

  1. Change From Baseline to 8 Weeks in Montgomery-Asberg Depression Rating Scale (MADRS)

    The MADRS is a rating scale for severity of depressive mood symptoms. The MADRS is a 10-item checklist with items rated on a scale of 0-6, for a total scores range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) and adjusted for investigator, treatment-by-visit, baseline score, and baseline-by-visit.

    Time frame: Baseline, 8 weeks

Secondary outcomes

  1. Change From Baseline to 8 Weeks in 16-Item Quick Inventory of Depressive Symptomatology-Self Rated (QIDS-SR16) Total Score

    QIDS-SR16 is a 16-item, participant-rated measure of depressive symptomatology with 4 possible answers per question that are specific to the question. Each question (Q) is scored from 0 (no problems) to 3 (increased symptoms). The total score for each visit is the sum of 9 of the 16 items: the highest number from Q1-4 (sleep), number from Q5 (feeling sad), highest number from Q6-9 (appetite and weight), total for Q10-14 (concentration, view of self, thoughts of death or suicide, general interest and energy level respectively) and the highest number from Q15-16 (psychomotor changes). The total score ranges from 0 to 27 with higher scores indicating greater severity of depression. Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

    Time frame: Baseline, 8 weeks

  2. Change From Baseline to 8 Weeks in 16-Item Quick Inventory of Depressive Symptomatology-Self Rated (QIDS-SR16) Individual Items

    QIDS-SR16 is a 16-item, participant-rated measure of depressive symptomatology with 4 possible answers per question that are specific to the question. Each question (Q) is scored from 0 (no problems) to 3 (increased symptoms). The total score for each visit is the sum of 9 of the 16 items: the highest number from Q1-4 (sleep), number from Q5 (feeling sad), highest number from Q6-9 (appetite and weight), total for Q10-14 (concentration, view of self, thoughts of death or suicide, general interest and energy level respectively) and the highest number from Q15-16 (psychomotor changes). Least Squares (LS) means are calculated using mixed model repeated measure (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

    Time frame: Baseline, 8 weeks

  3. Change From Baseline to 8 Weeks in Hospital Anxiety and Depression Scale (HADS)

    HADS is a 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale (0-3), giving maximum scores of 21 for each subscale. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7 is 'normal.' Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, visit, treatment-by-visit, investigator, and baseline score.

    Time frame: Baseline, up to 8 weeks

  4. Change From Baseline to 8 Weeks in Clinical Global Impression of Severity (CGI-S)

    CGI-S measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). Least Squares (LS) means are calculated using mixed model repeated measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by visit, baseline score, and baseline-by-visit.

    Time frame: Baseline, 8 weeks

  5. Change From Baseline to 8 Weeks in Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (CPFQ)

    The CPFQ is a 7-item participant-rated questionnaire pertaining to a participant's cognitive and physical well-being. It assesses motivation, wakefulness, energy, focus, recall, word-finding difficulty, and mental acuity. Each item is scored on a 6-point scale ranging from 1 (greater than normal) to 6 (totally absent). Total score ranges from 7 to 42. Higher scores indicate greater disease severity. Least Squares (LS) means are calculated using mixed model repeated measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

    Time frame: Baseline, 8 weeks

  6. Change From Baseline to 8 Weeks in Fatigue Associated With Depression Participant-Reported Outcome (FAsD PRO)

    The FAsD PRO is a 16-item participant-rated scale. Seven items ask how often the participants experience different aspects of fatigue with each item rated on a 5-point scale: 1 (Never) to 5 (Always). Nine items ask how often fatigue impacts various aspects of the participants lives with each item rated on a 5-point scale: 1 (Not at all) to 5 (Very much). The Fatigue Experience Score is the mean of Items 1-5, and 7, the Fatigue Impact Score is the mean of Items 8-12, 14, and 16, and the Overall Average Score is the mean of Items 1-5, 7-12, 14 and 16. The Experience, Impact and Overall Mean Scores range from 1 to 5, lower scores indicate less experience/impact. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

    Time frame: Baseline, up to 8 weeks

  7. Change From Baseline to 8 Weeks in Visual Analog Scale for Fatigue (VAS-F)

    VAS-F is a self-rated assessment on 2 items: the overall severity of fatigue and the interferences with daily activities due to fatigue. For the overall severity of fatigue the participant is asked to place a vertical mark on a 100 millimeter (mm) line between 2 anchors: 0 (not at all) and 100 (as severe as I can imagine). For the interference with daily activities due to fatigue, the participant is asked to place a vertical mark on a 100 mm line between 2 anchors: 0 (not at all) and 100 \[complete disability (unable to do any activities)\]. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

    Time frame: Baseline, up to 8 weeks

  8. Change From Baseline to 8 Weeks in Visual Analog Scale for Pain (VAS-P)

    VAS-P is a self-rated assessment for 2 items: the overall severity of pain and the interferences with daily activities due to pain. For the overall severity of pain the participant is asked to place a vertical mark on a 100 millimeter (mm) line between 2 anchors: 0 (not at all) and 100 (as severe as I can imagine). For the interference with daily activities due to pain, the participant is asked to place a vertical mark on a 100-mm line between 2 anchors: 0 (not at all) and 100 \[complete disability (unable to do any activities)\]. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

    Time frame: Baseline, up to 8 weeks

  9. Change From Baseline to 8 Weeks in Sheehan Disability Scale (SDS)

    The SDS is a 3-item, participant completed assessment and is used to assess the effect of the participant's symptoms on their work/social/family life. The Global Functional Impairment Total Score is a total of the 3 individual item scores, each with a scores range from 0 (not at all) to 10 (extremely). The Global Functional Impairment Total Scores range from 0 to 30 with higher values indicating greater disruption in the participant's work/social/family life. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

    Time frame: Baseline, up to 8 weeks

  10. Change From Baseline to 8 Weeks in Quality of Life Enjoyment and Satisfaction Survey-Short Form (Q-LES-Q-SF)

    The Q-LES-Q-SF is a self-administered 16-item questionnaire measuring degree of enjoyment and satisfaction experienced in various areas of daily life during the past week, and is rated on a 5-point Likert scale: 1 (very poor) to 5 (very good). The Q-LES-Q-SF Total Raw Score is the sum of Items 1 to 14 and ranges from 14 to 70. The Q-LES-Q-SF Raw Scores are converted to, and expressed as the percentage of the maximum possible score. Higher scores indicate higher levels of enjoyment/satisfaction. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

    Time frame: Baseline, up to 8 weeks

  11. Change From Baseline to 8 Weeks Massachusetts General Hospital Sexual Functioning Questionnaire (MGH-SFQ)

    The MGH-SFQ is a 6-item participant-rated scale quantifying sexual interest, arousal (subjective excitement), ability to reach orgasm, erectile function (for males), and overall satisfaction and are scored on a 6-point scale: 1 (greater than normal) to 6 (totally absent); and overall improvement since last medication change is scored on a 6-point scale: 1 (very much improved) to 6 (much worse). Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

    Time frame: Baseline, up to 8 weeks

  12. Colombia-Suicide Severity Rating Scale (C-SSRS)

    Percent of participants with suicidal ideation, behavior and acts based on C-SSRS. The C-SSRS scale captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. 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). 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 act: a "yes" answer to actual attempt or completed suicide.

    Time frame: Baseline, 8 weeks

Other outcomes

  1. Change From Baseline to 8 Weeks in Supine Systolic and Diastolic Blood Pressure

    Blood pressure is collected while the participant is in the supine position. Least Squares (LS) means are calculated using mixed model repeated measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

    Time frame: Baseline, 8 weeks

  2. Change From Baseline to 8 Weeks in Supine Pulse

    Pulse is collected while the participant is in the supine position. Least Squares (LS) means are calculated using mixed model repeated measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

    Time frame: Baseline, 8 weeks

07

Results

Posted Apr 24, 2018

Participant flow

Acute Treatment Phase
Participant flow — Acute Treatment Phase
MilestoneLY2216684Placebo
Started111116
Completed9080
Not completed2136
Withdrew: Adverse event68
Withdrew: Lack of efficacy20
Withdrew: Lost to follow-up512
Withdrew: Physician decision01
Withdrew: Protocol violation24
Withdrew: Withdrawal by subject611
Taper Phase
Participant flow — Taper Phase
MilestoneLY2216684Placebo
Started9082
Completed8780
Not completed32
Withdrew: Adverse event10
Withdrew: Lost to follow-up11
Withdrew: Withdrawal by subject11

Outcome measures

SecondaryChange From Baseline to 8 Weeks in 16-Item Quick Inventory of Depressive Symptomatology-Self Rated (QIDS-SR16) Total Score

QIDS-SR16 is a 16-item, participant-rated measure of depressive symptomatology with 4 possible answers per question that are specific to the question. Each question (Q) is scored from 0 (no problems) to 3 (increased symptoms). The total score for each visit is the sum of 9 of the 16 items: the highest number from Q1-4 (sleep), number from Q5 (feeling sad), highest number from Q6-9 (appetite and weight), total for Q10-14 (concentration, view of self, thoughts of death or suicide, general interest and energy level respectively) and the highest number from Q15-16 (psychomotor changes). The total score ranges from 0 to 27 with higher scores indicating greater severity of depression. Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

Time frame:
Baseline, 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in 16-Item Quick Inventory of Depressive Symptomatology-Self Rated (QIDS-SR16) Total Score
units on a scaleLY2216684Placebo
Change From Baseline to 8 Weeks in 16-Item Quick Inventory of Depressive Symptomatology-Self Rated (QIDS-SR16) Total Score-4.71 ± 0.625-2.97 ± 0.628
SecondaryChange From Baseline to 8 Weeks in 16-Item Quick Inventory of Depressive Symptomatology-Self Rated (QIDS-SR16) Individual Items

QIDS-SR16 is a 16-item, participant-rated measure of depressive symptomatology with 4 possible answers per question that are specific to the question. Each question (Q) is scored from 0 (no problems) to 3 (increased symptoms). The total score for each visit is the sum of 9 of the 16 items: the highest number from Q1-4 (sleep), number from Q5 (feeling sad), highest number from Q6-9 (appetite and weight), total for Q10-14 (concentration, view of self, thoughts of death or suicide, general interest and energy level respectively) and the highest number from Q15-16 (psychomotor changes). Least Squares (LS) means are calculated using mixed model repeated measure (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

Time frame:
Baseline, 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in 16-Item Quick Inventory of Depressive Symptomatology-Self Rated (QIDS-SR16) Individual Items
units on a scaleLY2216684Placebo
Highest Score from Items 1-4-0.49 ± 0.113-0.26 ± 0.115
Item 5-0.88 ± 0.124-0.45 ± 0.126
Highest Score from Items 6-9-0.32 ± 0.131-0.29 ± 0.133
Item 10-0.61 ± 0.094-0.33 ± 0.095
Item 11-0.77 ± 0.127-0.39 ± 0.129
Item 12-0.21 ± 0.048-0.19 ± 0.049
Item 13-0.55 ± 0.139-0.48 ± 0.140
Item 14-0.65 ± 0.109-0.28 ± 0.110
Highest Score from Items 15-16-0.53 ± 0.129-0.14 ± 0.130
PrimaryChange From Baseline to 8 Weeks in Montgomery-Asberg Depression Rating Scale (MADRS)

The MADRS is a rating scale for severity of depressive mood symptoms. The MADRS is a 10-item checklist with items rated on a scale of 0-6, for a total scores range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) and adjusted for investigator, treatment-by-visit, baseline score, and baseline-by-visit.

Time frame:
Baseline, 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in Montgomery-Asberg Depression Rating Scale (MADRS)
units on a scaleLY2216684Placebo
Change From Baseline to 8 Weeks in Montgomery-Asberg Depression Rating Scale (MADRS)-8.13 ± 1.251-5.76 ± 1.249
SecondaryChange From Baseline to 8 Weeks in Hospital Anxiety and Depression Scale (HADS)

HADS is a 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale (0-3), giving maximum scores of 21 for each subscale. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7 is 'normal.' Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, visit, treatment-by-visit, investigator, and baseline score.

Time frame:
Baseline, up to 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in Hospital Anxiety and Depression Scale (HADS)
units on a scaleLY2216684Placebo
Anxiety Subscale Score-2.19 ± 0.484-1.42 ± 0.483
Depression Subscale Score-3.28 ± 0.549-1.93 ± 0.551
SecondaryChange From Baseline to 8 Weeks in Clinical Global Impression of Severity (CGI-S)

CGI-S measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). Least Squares (LS) means are calculated using mixed model repeated measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by visit, baseline score, and baseline-by-visit.

Time frame:
Baseline, 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in Clinical Global Impression of Severity (CGI-S)
units on a scaleLY2216684Placebo
Change From Baseline to 8 Weeks in Clinical Global Impression of Severity (CGI-S)-0.74 ± 0.135-0.71 ± 0.135
SecondaryChange From Baseline to 8 Weeks in Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (CPFQ)

The CPFQ is a 7-item participant-rated questionnaire pertaining to a participant's cognitive and physical well-being. It assesses motivation, wakefulness, energy, focus, recall, word-finding difficulty, and mental acuity. Each item is scored on a 6-point scale ranging from 1 (greater than normal) to 6 (totally absent). Total score ranges from 7 to 42. Higher scores indicate greater disease severity. Least Squares (LS) means are calculated using mixed model repeated measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

Time frame:
Baseline, 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (CPFQ)
units on a scaleLY2216684Placebo
Change From Baseline to 8 Weeks in Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (CPFQ)-5.69 ± 0.831-2.62 ± 0.833
SecondaryChange From Baseline to 8 Weeks in Fatigue Associated With Depression Participant-Reported Outcome (FAsD PRO)

The FAsD PRO is a 16-item participant-rated scale. Seven items ask how often the participants experience different aspects of fatigue with each item rated on a 5-point scale: 1 (Never) to 5 (Always). Nine items ask how often fatigue impacts various aspects of the participants lives with each item rated on a 5-point scale: 1 (Not at all) to 5 (Very much). The Fatigue Experience Score is the mean of Items 1-5, and 7, the Fatigue Impact Score is the mean of Items 8-12, 14, and 16, and the Overall Average Score is the mean of Items 1-5, 7-12, 14 and 16. The Experience, Impact and Overall Mean Scores range from 1 to 5, lower scores indicate less experience/impact. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

Time frame:
Baseline, up to 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in Fatigue Associated With Depression Participant-Reported Outcome (FAsD PRO)
units on a scaleLY2216684Placebo
Overall Average Score-0.75 ± 0.124-0.41 ± 0.127
Fatigue Experience Score-0.60 ± 0.126-0.42 ± 0.129
Fatigue Impact Score-0.92 ± 0.140-0.41 ± 0.140
SecondaryChange From Baseline to 8 Weeks in Visual Analog Scale for Fatigue (VAS-F)

VAS-F is a self-rated assessment on 2 items: the overall severity of fatigue and the interferences with daily activities due to fatigue. For the overall severity of fatigue the participant is asked to place a vertical mark on a 100 millimeter (mm) line between 2 anchors: 0 (not at all) and 100 (as severe as I can imagine). For the interference with daily activities due to fatigue, the participant is asked to place a vertical mark on a 100 mm line between 2 anchors: 0 (not at all) and 100 \[complete disability (unable to do any activities)\]. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

Time frame:
Baseline, up to 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in Visual Analog Scale for Fatigue (VAS-F)
units on a scaleLY2216684Placebo
Severity-16.42 ± 3.407-13.81 ± 3.412
Interference-18.91 ± 3.698-10.33 ± 3.701
SecondaryChange From Baseline to 8 Weeks in Visual Analog Scale for Pain (VAS-P)

VAS-P is a self-rated assessment for 2 items: the overall severity of pain and the interferences with daily activities due to pain. For the overall severity of pain the participant is asked to place a vertical mark on a 100 millimeter (mm) line between 2 anchors: 0 (not at all) and 100 (as severe as I can imagine). For the interference with daily activities due to pain, the participant is asked to place a vertical mark on a 100-mm line between 2 anchors: 0 (not at all) and 100 \[complete disability (unable to do any activities)\]. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

Time frame:
Baseline, up to 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in Visual Analog Scale for Pain (VAS-P)
units on a scaleLY2216684Placebo
Severity-4.17 ± 3.450-0.91 ± 3.448
Interference-9.56 ± 3.611-0.13 ± 3.613
SecondaryChange From Baseline to 8 Weeks in Sheehan Disability Scale (SDS)

The SDS is a 3-item, participant completed assessment and is used to assess the effect of the participant's symptoms on their work/social/family life. The Global Functional Impairment Total Score is a total of the 3 individual item scores, each with a scores range from 0 (not at all) to 10 (extremely). The Global Functional Impairment Total Scores range from 0 to 30 with higher values indicating greater disruption in the participant's work/social/family life. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

Time frame:
Baseline, up to 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks in Sheehan Disability Scale (SDS)
units on a scaleLY2216684Placebo
Change From Baseline to 8 Weeks in Sheehan Disability Scale (SDS)-5.95 ± 1.116-2.63 ± 1.123
SecondaryChange From Baseline to 8 Weeks in Quality of Life Enjoyment and Satisfaction Survey-Short Form (Q-LES-Q-SF)

The Q-LES-Q-SF is a self-administered 16-item questionnaire measuring degree of enjoyment and satisfaction experienced in various areas of daily life during the past week, and is rated on a 5-point Likert scale: 1 (very poor) to 5 (very good). The Q-LES-Q-SF Total Raw Score is the sum of Items 1 to 14 and ranges from 14 to 70. The Q-LES-Q-SF Raw Scores are converted to, and expressed as the percentage of the maximum possible score. Higher scores indicate higher levels of enjoyment/satisfaction. Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

Time frame:
Baseline, up to 8 weeks
Reported as:
Least squares mean · percentage of the maximum possible score
Change From Baseline to 8 Weeks in Quality of Life Enjoyment and Satisfaction Survey-Short Form (Q-LES-Q-SF)
percentage of the maximum possible scoreLY2216684Placebo
Change From Baseline to 8 Weeks in Quality of Life Enjoyment and Satisfaction Survey-Short Form (Q-LES-Q-SF)12.94 ± 2.0735.44 ± 2.078
SecondaryChange From Baseline to 8 Weeks Massachusetts General Hospital Sexual Functioning Questionnaire (MGH-SFQ)

The MGH-SFQ is a 6-item participant-rated scale quantifying sexual interest, arousal (subjective excitement), ability to reach orgasm, erectile function (for males), and overall satisfaction and are scored on a 6-point scale: 1 (greater than normal) to 6 (totally absent); and overall improvement since last medication change is scored on a 6-point scale: 1 (very much improved) to 6 (much worse). Least Squares (LS) means are calculated using analysis of covariance (ANCOVA) and adjusted for treatment, investigator, and baseline score.

Time frame:
Baseline, up to 8 weeks
Reported as:
Least squares mean · units on a scale
Change From Baseline to 8 Weeks Massachusetts General Hospital Sexual Functioning Questionnaire (MGH-SFQ)
units on a scaleLY2216684Placebo
Interest-0.70 ± 0.133-0.25 ± 0.136
Arousal-0.74 ± 0.130-0.27 ± 0.132
Ability to Reach Orgasm-0.81 ± 0.142-0.36 ± 0.144
Erectile Function - Males Only-0.30 ± 0.237-0.48 ± 0.233
Overall Satisfaction-0.63 ± 0.141-0.48 ± 0.144
Overall Improvement3.45 ± 0.1193.62 ± 0.121
SecondaryColombia-Suicide Severity Rating Scale (C-SSRS)

Percent of participants with suicidal ideation, behavior and acts based on C-SSRS. The C-SSRS scale captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. 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). 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 act: a "yes" answer to actual attempt or completed suicide.

Time frame:
Baseline, 8 weeks
Reported as:
Number · percentage of participants
Colombia-Suicide Severity Rating Scale (C-SSRS)
percentage of participantsLY2216684Placebo
Suicidal Ideation11.27.3
Suicidal Behavior0.90.0
Suicidal Acts0.00.0
Other pre-specifiedChange From Baseline to 8 Weeks in Supine Systolic and Diastolic Blood Pressure

Blood pressure is collected while the participant is in the supine position. Least Squares (LS) means are calculated using mixed model repeated measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

Time frame:
Baseline, 8 weeks
Reported as:
Least squares mean · millimeters of mercury (mm Hg)
Change From Baseline to 8 Weeks in Supine Systolic and Diastolic Blood Pressure
millimeters of mercury (mm Hg)LY2216684Placebo
Systolic Blood Pressure3.61 ± 1.1311.31 ± 1.195
Diastolic Blood Pressure2.67 ± 0.7300.77 ± 0.772
Other pre-specifiedChange From Baseline to 8 Weeks in Supine Pulse

Pulse is collected while the participant is in the supine position. Least Squares (LS) means are calculated using mixed model repeated measures (MMRM) and adjusted for treatment, investigator, visit, treatment-by-visit, baseline score, and baseline-by-visit.

Time frame:
Baseline, 8 weeks
Reported as:
Least squares mean · beats per minute (bpm)
Change From Baseline to 8 Weeks in Supine Pulse
beats per minute (bpm)LY2216684Placebo
Change From Baseline to 8 Weeks in Supine Pulse6.74 ± 0.9860.65 ± 1.038

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
LY2216684—3/111 (2.7%)65/111 (58.6%)
Placebo—2/116 (1.7%)48/116 (41.4%)
LY2216684-Taper Phase—1/90 (1.1%)8/90 (8.9%)
Placebo-Taper Phase—0/82 (0%)8/82 (9.8%)
Most frequent serious events
Most frequent serious events
EventLY2216684PlaceboLY2216684-Taper PhasePlacebo-Taper Phase
Haemoglobin decreasedInvestigations1/1110/1161/900/82
Angina pectorisCardiac disorders1/1110/1160/900/82
ParaesthesiaNervous system disorders1/1110/1160/900/82
Colon cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/1111/1160/900/82
Suicidal ideationPsychiatric disorders0/1111/1160/900/82
Most frequent other events
Showing 10 of 140
Most frequent other events
EventLY2216684PlaceboLY2216684-Taper PhasePlacebo-Taper Phase
NauseaGastrointestinal disorders8/1113/1161/900/82
HyperhidrosisSkin and subcutaneous tissue disorders8/1111/1160/900/82
Erectile dysfunctionReproductive system and breast disorders2/320/370/270/23
Testicular painReproductive system and breast disorders2/320/370/270/23
DizzinessNervous system disorders5/1111/1160/900/82
Upper respiratory tract infectionInfections and infestations3/1111/1160/903/82
InfluenzaInfections and infestations4/1111/1160/900/82
Urinary hesitationRenal and urinary disorders4/1110/1160/900/82
HeadacheNervous system disorders1/1114/1160/901/82
InsomniaPsychiatric disorders0/1114/1160/900/82

Baseline characteristics

All randomized participants.

Age, Continuous
Age, Continuous(years)LY2216684PlaceboTotal
Mean46.1 ± 10.7144.1 ± 10.9045.0 ± 10.83
Sex: Female, Male
Sex: Female, Male(Participants)LY2216684PlaceboTotal
Female7979158
Male323769
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)LY2216684PlaceboTotal
Hispanic or Latino202242
Not Hispanic or Latino9194185
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)LY2216684PlaceboTotal
American Indian or Alaska Native123
Asian325
Native Hawaiian or Other Pacific Islander000
Black or African American313061
White6771138
More than one race7714
Unknown or Not Reported246
Region of Enrollment
Region of Enrollment(Participants)LY2216684PlaceboTotal
United States111116227
08

Study locations

24 sites
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    Birmingham, Alabama 35216, United States
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    Little Rock, Arkansas 72223, United States
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    Carson, California 90746, United States
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    Costa Mesa, California 92626, United States
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    Santa Ana, California 92701, United States
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    Torrance, California 90502, United States
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    Denver, Colorado 80239, United States
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    Coral Springs, Florida 33067, United States
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    Jacksonville, Florida 32216, United States
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    Miami, Florida 33173, United States
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    Orlando, Florida 32806, United States
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    Smyrna, Georgia 30080, United States
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    Oak Brook, Illinois 60523, United States
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    Lafayette, Indiana 47905, United States
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    Baltimore, Maryland 21285, United States
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    Saint Charles, Missouri 63301, United States
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    Willingboro, New Jersey 08046, United States
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    Albuquerque, New Mexico 87102, United States
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    Fresh Meadows, New York 11366, United States
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    Rochester, New York 14618, United States
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    Philadelphia, Pennsylvania 19139, United States
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    Austin, Texas 78756, United States
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    Dallas, Texas 75231, United States
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    San Antonio, Texas 78229, United States
09

References and documents

Publications

  • Stauffer VL, Liu P, Goldberger C, Marangell LB, Nelson C, Gorwood P, Fava M. Is the Noradrenergic Symptom Cluster a Valid Construct in Adjunctive Treatment of Major Depressive Disorder? J Clin Psychiatry. 2017 Mar;78(3):317-323. doi: 10.4088/JCP.15m09972. PubMed 27685842 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00840034
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Feb 10, 2009
Start date
Feb 2009
Primary completion
Jan 2010
Completion
Jan 2010
Results posted
Apr 24, 2018
Last update
Apr 24, 2018

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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