A Phase 3 interventional study of Vortioxetine (Lu AA21004) in Major Depressive Disorder, sponsored by H. Lundbeck A/S. Completed. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2014-02-11.
Sponsored by H. Lundbeck A/S · Phase 3, Interventional, and Treatment
To evaluate the long-term safety and tolerability of flexible doses, 15 and 20 mg/day, of Vortioxetine over a period of 52 weeks in patients with Major Depressive Disorder (MDD)
4,845 studies on the registry are indexed under Depressive Disorder; 514 are open to participants now.
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Patients who completed 8-week short-term treatment study, 13267A (NCT01140906), for Major Depressive Episode immediately prior to enrolment in this extension study
Exclusion Criteria:
Other protocol-defined inclusion and exclusion criteria applied.
Drug: Vortioxetine (Lu AA21004)
15 or 20 mg/day; tablets; orally
Also known as: Brintellix
Number of Patients With Adverse Events (AEs)
Time frame: Baseline to end of the 4-week safety follow-up period
Percentage of Patients Who Withdrew Due to Intolerance to Treatment
Time frame: Baseline to Week 52
Change From Baseline in MADRS Total Score After 52 Weeks of Treatment
The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe.
Time frame: Baseline and Week 52
Change From Baseline in CGI-S Score After 52 Weeks of Treatment
The Clinical Global Impression - Severity of Illness (CGI-S) is a 7-point scale rated from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). The investigator should use his/her total clinical experience with this patient population to judge how mentally ill the patient is at the time of rating.
Time frame: Baseline and Week 52
Change From Baseline in HAM-A Total Score After 52 Weeks of Treatment
The Hamilton Anxiety Rating Scale (HAM-A) consists of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behaviour at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic, and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total score from 0 to 56. The higher the score, the more severe.
Time frame: Baseline and Week 52
Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score)
Time frame: Baseline from lead-in study 13267A (NCT01140906) and Week 52
Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10)
Time frame: Baseline and Week 52
SDS Total Score After 52 Weeks of Treatment
The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe.
Time frame: Week 52
ASEX Total Score After 52 Weeks of Treatment
The Arizona Sexual Experience Scale (ASEX) is a 5-item, patient selfrated scale that evaluates a patient's recent sexual experience. Patients are asked to assess their own experience over the last week (for example, "How strong is your sex drive?", "Are your orgasms satisfying?") and respond on a 6-point scale for each item. The ASEX is used to identify individuals with sexual dysfunction. Possible total score ranges from 5 to 30, with the higher score indicating more patient sexual dysfunction.
Time frame: Week 52
Risk of Suicidality Using C-SSRS Scores
The Columbia-Suicide Severity Rating Scale (C-SSRS) was developed by researchers at Columbia University as a tool to systematically assess suicidal ideation and behaviour in patients during participation in a clinical study. The C-SSRS is composed of questions that address suicidal behaviour and questions that address suicidal ideation, with subquestions that assess severity. The tool was administered via an interview with the patient. Different versions of the C-SSRS are available. In this study, the Since Last Visit Version was used at all visits. In order to assess the potential relationship between Vortioxetine and suicidality more accurately and systematically, C-SSRS data were collected during the Entire Study Period.
Time frame: Up to 52 weeks
Patients eligible to participate in Study 13267B were patients who had completed lead-in Study 13267A (NCT01140906) immediately prior to inclusion into present study, 13267B. The doses of Vortioxetine used in this long-term safety extension study were the same as those used in lead-in Study 13267A (NCT01140906).
| Milestone | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Started | 71 |
| Completed | 47 |
| Not completed | 24 |
| Withdrew: Adverse event | 7 |
| Withdrew: Lack of efficacy | 4 |
| Withdrew: Non-compliance with study product | 3 |
| Withdrew: Protocol violation | 1 |
| Withdrew: Withdrawal of consent | 1 |
| Withdrew: Administrative or other reasons | 8 |
| participants | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Patients With AEs | 56 |
| Patients With Serious AEs (SAEs) | 1 |
| Patients With AEs Leading to Withdrawal | 7 |
| percentage of patients | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Percentage of Patients Who Withdrew Due to Intolerance to Treatment | 9.9 |
The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe.
| units on a scale | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Change From Baseline in MADRS Total Score After 52 Weeks of Treatment | -10.9 ± 9.99 |
The Clinical Global Impression - Severity of Illness (CGI-S) is a 7-point scale rated from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). The investigator should use his/her total clinical experience with this patient population to judge how mentally ill the patient is at the time of rating.
| units on a scale | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Change From Baseline in CGI-S Score After 52 Weeks of Treatment | -1.49 ± 1.46 |
The Hamilton Anxiety Rating Scale (HAM-A) consists of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behaviour at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic, and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total score from 0 to 56. The higher the score, the more severe.
| units on a scale | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Change From Baseline in HAM-A Total Score After 52 Weeks of Treatment | -7.85 ± 7.49 |
| percentage of patients | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score) | 93.6 |
| percentage of patients | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10) | 80.9 |
The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe.
| units on a scale | Vortioxetine 15 or 20 mg/Day |
|---|---|
| SDS Total Score After 52 Weeks of Treatment | 4.85 ± 5.84 |
The Arizona Sexual Experience Scale (ASEX) is a 5-item, patient selfrated scale that evaluates a patient's recent sexual experience. Patients are asked to assess their own experience over the last week (for example, "How strong is your sex drive?", "Are your orgasms satisfying?") and respond on a 6-point scale for each item. The ASEX is used to identify individuals with sexual dysfunction. Possible total score ranges from 5 to 30, with the higher score indicating more patient sexual dysfunction.
| units on a scale | Vortioxetine 15 or 20 mg/Day |
|---|---|
| ASEX Total Score After 52 Weeks of Treatment | 18.60 ± 0.96 |
The Columbia-Suicide Severity Rating Scale (C-SSRS) was developed by researchers at Columbia University as a tool to systematically assess suicidal ideation and behaviour in patients during participation in a clinical study. The C-SSRS is composed of questions that address suicidal behaviour and questions that address suicidal ideation, with subquestions that assess severity. The tool was administered via an interview with the patient. Different versions of the C-SSRS are available. In this study, the Since Last Visit Version was used at all visits. In order to assess the potential relationship between Vortioxetine and suicidality more accurately and systematically, C-SSRS data were collected during the Entire Study Period.
| participants | Vortioxetine 15 or 20 mg/Day |
|---|---|
| No suicidal ideation or behaviour | 67 |
| Any non-suicidal self-injurious behavior | 0 |
| Suicidal Ideation | 4 |
| Preparatory action towards imminent suicidal behav | 0 |
| Not fatal suicide attempt | 0 |
| Completed suicide | 0 |
Collected over Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Vortioxetine 15 or 20 mg/Day | — | 1/71 (1.4%) | 47/71 (66.2%) |
| Event | Vortioxetine 15 or 20 mg/Day |
|---|---|
| CholelithiasisHepatobiliary disorders | 1/71 |
| Event | Vortioxetine 15 or 20 mg/Day |
|---|---|
| NauseaGastrointestinal disorders | 22/71 |
| DizzinessNervous system disorders | 14/71 |
| HeadacheNervous system disorders | 14/71 |
| NasopharyngitisInfections and infestations | 9/71 |
| InsomniaPsychiatric disorders | 7/71 |
| Dry mouthGastrointestinal disorders | 5/71 |
| SinusitisInfections and infestations | 5/71 |
| Viral upper respiratory tract infectionInfections and infestations | 5/71 |
| Accidental overdoseInjury, poisoning and procedural complications | 5/71 |
| Abdominal pain upperGastrointestinal disorders | 4/71 |
Age and Gender: all-patients-treated set (APTS) - all patients who took at least one dose of Vortioxetine. Study Specific Characteristics: full-analysis set (FAS) - all 71 patients in the APTS who had at least one valid post-Baseline assessment of the MADRS total score in present study, 13267B.
| Age, Continuous(years) | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Mean | 44.1 ± 12.7 |
| Sex: Female, Male(Participants) | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Female | 53 |
| Male | 18 |
| MADRS: Baseline present study, 13267B(units on a scale) | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Mean | 16.2 ± 10.0 |
| CGI-S: Baseline present study, 13267B(units on a scale) | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Mean | 3.0 ± 1.3 |
| HAM-A: Baseline present study, 13267B(units on a scale) | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Mean | 11.9 ± 6.6 |
| MADRS: Baseline from lead-in study 13267A (NCT01140906)(units on a scale) | Vortioxetine 15 or 20 mg/Day |
|---|---|
| Mean | 31.1 ± 3.3 |
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H. Lundbeck A/S