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CompletedNCT02332954AtWoRCUpdated Jan 30, 2018

Assessment in Work Productivity and the Relationship With Cognitive Symptoms in Patients With MDD Taking Vortioxetine

A Phase 4 interventional study of vortioxetine in Major Depressive Disorder, sponsored by Lundbeck Canada Inc.. Completed at 26 sites in Canada. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-01-30.

Sponsored by Lundbeck Canada Inc. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
226
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The purpose of the study is to describe the association/correlation between change in patient-reported cognitive symptoms and work productivity in gainfully employed patients receiving vortioxetine for a Major Depressive Episode (MDE).

Read the detailed description

This is an interventional, Canadian, multi-site, open-label, single cohort, flexible-dose study. The study will emulate a naturalistic real-life setting. Investigators will include Primary Care Physicians and Psychiatrists working in outpatient clinics. The study will include adult patients diagnosed with MDD according to the DSM-5™. Approximately 200 patients will be enrolled in the study. There will be approximately 100 patients who receive vortioxetine as a first treatment for the current MDE and 100 patients switched to vortioxetine due to inadequate response to their current antidepressant medication treatment. All patients will be treated with vortioxetine as per the product monograph, and at the doses determined appropriate by the investigator. The total study duration from Baseline to the end of follow-up will be approximately 56 weeks.

02

Conditions studied

  • Major Depressive Disorder

Keywords

  • Depression
  • Major Depressive Disorder
  • Cognition
  • Cognitive symptoms
  • vortioxetine
  • real life
  • naturalistic
03

In context

Neurobehavioral Manifestations

111 studies on the registry are indexed under Neurobehavioral Manifestations; 28 are open to participants now.

This study's enrollment of 226 is above the median of 71 across 84 interventional studies indexed under Neurobehavioral Manifestations.

Browse Neurobehavioral Manifestations studies →

Lead sponsor

Lundbeck Canada Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

  • The patient is a man or woman, aged ≥18 years and \<65 years (In the province of British Columbia, the patient must be aged 19 years or older in order to give Informed Consent)
  • The patient is engaged in volunteer work or gainful employment (working ≥20 hours per week) or is enrolled full-time in post-secondary studies or vocational training.
  • The patient is an outpatient consulting a Primary Care Physician or a Psychiatrist.
  • Patients must have a diagnosis of MDD according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5™) classification code 296.3x.
  • The current MDE is confirmed by the investigator.
  • The reported duration of the current MDE is at least 3 months.
  • The patient has a Baseline score ≥15 on the QIDS-SR.
  • The patient reports at least a minimal level of cognitive symptoms as defined by Baseline score of ≥30 on the PDQ-D-20.
  • The patient is capable of communicating with the site personnel and is able to conduct the digit-symbol substitution test (DSST).

Exclusion criteria

Exclusion Criteria:

  • The patient score is >69 on the DSST at Screening/Baseline.
  • The patient is, in the opinion of the investigator, not able to complete all the study assessments including, but not limited to, patient-reported assessments and the DSST.
  • The patient has a current diagnosis or history of manic or hypomanic episode, schizophrenia or any other psychotic disorder, including major depression with psychotic features.
  • The current depressive symptoms are considered by the investigator to have been resistant to 2 adequate antidepressant treatments of at least 6 weeks duration each at the maximum recommended dose (according to Canadian labeling).

Other protocol defined inclusion and exclusion criteria do apply.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
226 participants (actual)

Study arms

  • Other
    vortioxetine naive

    vortioxetine 10 mg 100 patients with Major Depressive Disorder who have not been treated with another antidepressant for the current MDE

    Drug: vortioxetine

  • Other
    Switch

    vortioxetine 10 mg 100 patients with Major Depressive Disorder that require a switch from their current antidepressant due to inadequate response

    Drug: vortioxetine

Interventions

  • Drugvortioxetine

    The starting and recommended dose of vortioxetine is 10 mg once daily; film-coated 10 mg tablets for oral use once daily for 52 weeks.Depending on individual patient response, the dose may be increased to a maximum of 20 mg daily.

    Also known as: Trintellix

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What researchers measure

Primary outcomes

  1. the association/correlation between changes in patient-reported cognitive symptoms and work productivity. (Perceived Deficit Questionnaire-Depression)

    Mean change from Baseline to Week 12 in patient-reported cognitive symptoms as measured by Perceived Deficit Questionnaire-Depression-20 questions (PDQ-D-20) and work productivity as measured by Work Limitations Questionnaire (WLQ) in gainfully employed patients receiving vortioxetine for a Major Depressive Episode (MDE).

    Time frame: 12 weeks

Secondary outcomes

  1. Cognitive function (PDQ-D-20)

    Mean change from baseline in cognitive symptoms as measured by PDQ-D-20.

    Time frame: 12 and 52 weeks

  2. Cognitive function (Digit Symbol Substitution Test (DSST)

    Mean change from baseline in cognitive symptoms as measured by Digit Symbol Substitution Test (DSST).

    Time frame: 12 and 52 weeks

  3. Work productivity (WLQ)

    mean change from baseline in work productivity as measured by WLQ.

    Time frame: 12 and 52 weeks

  4. Work productivity (Work Productivity and Activity Impairment (WPAI) questionnaire)

    mean change from baseline in work productivity as measured by Work Productivity and Activity Impairment (WPAI) questionnaire.

    Time frame: 12 and 52 weeks

  5. Work productivity (World Health Organization Disability Assessment Schedule-12 questions (WHODAS-12)

    mean change from baseline in work productivity as measured by World Health Organization Disability Assessment Schedule-12 questions (WHODAS-12).

    Time frame: 12 and 52 weeks

  6. Work productivity (Sheehan Disability Scale (SDS)

    mean change from baseline in work productivity as measured by Sheehan Disability Scale (SDS).

    Time frame: 12 and 52 weeks

  7. Depressive symptoms (Quick Inventory of Depression Symptomatology-Self Report (QIDS-SR)

    mean change from baseline in depressive symptoms as measured by Quick Inventory of Depression Symptomatology-Self Report (QIDS-SR).

    Time frame: 12 and 52 weeks

  8. Depressive symptoms (Clinical Global Impression-Improvement (CGI-I) score)

    mean change in depressive symptoms as measured by Clinical Global Impression-Improvement (CGI-I) score.

    Time frame: 12 and 52 weeks

  9. Depressive symptoms (Clinical Global Impression-Severity (CGI-S)

    mean change from baseline in depressive symptoms as measured by Clinical Global Impression-Severity (CGI-S).

    Time frame: 12 and 52 weeks

07

Study locations

26 sites
  • CA004
    Edmonton, Alberta T6L 6W6, Canada
  • CA005
    Kelowna, British Columbia V1Y 1Z9, Canada
  • CA006
    St. John's, Newfoundland and Labrador A1E 2C2, Canada
  • CA007
    Halifax, Nova Scotia B3S 1M7, Canada
  • CA016
    Burlington, Ontario L7R 4E2, Canada
  • CA013
    Chatham, Ontario N7L 1C1, Canada
  • CA010
    Corunna, Ontario N0N 1G0, Canada
  • CA012
    Fort Erie, Ontario L2A 1Z3, Canada
  • CA017
    Hamilton, Ontario L8M 1K7, Canada
  • CA026
    Hamilton, Ontario L8N 4A6, Canada
  • CA011
    London, Ontario N6H 4P2, Canada
  • CA003
    Mississauga, Ontario L5M 4N4, Canada
  • CA008
    Sarnia, Ontario N7T 4X3, Canada
  • CA009
    Sarnia, Ontario N7T 4X3, Canada
  • CA015
    St. Catharines, Ontario L2T 3Y4, Canada
  • CA022
    Montreal, Quebec H1N 3V2, Canada
  • CA020
    Montreal, Quebec H2R 1V6, Canada
  • CA023
    Montreal, Quebec H3A 0G6, Canada
  • CA018
    Pointe-Claire, Quebec H9R 4S3, Canada
  • CA024
    St-Jean-sur-Richelieu, Quebec J2W 1J1, Canada
  • CA030
    Victoriaville, Quebec G6P 6P6, Canada
  • CA027
    Westmount, Quebec H4A1S9, Canada
  • CA028
    Saskatoon, Saskatchewan S7K 3H3, Canada
  • CA019
    Quebec, G1G 3Y8, Canada
  • CA021
    Quebec, G3K 2P8, Canada
  • CA029
    Quebec, G3K 2P8, Canada
08

References and documents

Publications

  • Chokka P, Bougie J, Proulx J, Tvistholm AH, Ettrup A. Long-term functioning outcomes are predicted by cognitive symptoms in working patients with major depressive disorder treated with vortioxetine: results from the AtWoRC study. CNS Spectr. 2019 Dec;24(6):616-627. doi: 10.1017/S1092852919000786. PubMed 30802419 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 30, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02332954
Lead sponsor
Lundbeck Canada Inc.
Responsible party
Sponsor
First posted
Jan 7, 2015
Start date
Feb 2015
Primary completion
Jul 6, 2017
Completion
Jul 6, 2017
Last update
Jan 30, 2018

Study contacts

Pratap Chokka, M.D.
principal investigator · Chokka Center for Integrative Health

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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