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CompletedNCT02372799VLZ-MD-22Updated Oct 1, 2019Results posted

Safety and Efficacy of Vilazodone in Pediatric Patients With Major Depressive Disorder (VLZ-MD-22)

A Phase 3 interventional study of Vilazodone and Placebo in Major Depressive Disorder, sponsored by Forest Laboratories. Completed at 60 sites in 2 countries. Open to participants aged 7 Years to 17 Years. Per ClinicalTrials.gov, last updated 2019-10-01.

Sponsored by Forest Laboratories · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
473
Allocation
Randomized
Ages
7 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy, safety, and tolerability of vilazodone compared with placebo in pediatric outpatients (7-17 years of age) with major depressive disorder.

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 473 is above the median of 80 across 3,999 interventional studies indexed under Depressive Disorder.

Browse Depressive Disorder studies →

Lead sponsor

Forest Laboratories is the lead sponsor of 165 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 6 (100%) have results posted.

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

04

Who can participate

Ages eligible
7 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male or Female outpatients between 7-17 years of age
  • Primary diagnosis of Major Depressive Disorder (MDD)
  • Children's Depression Rating Scale-Revised (CDRS-R) score of 40 or greater
  • Clinical Global Impressions-Severity (CGI-S) score of 4 or greater

Exclusion criteria

Exclusion Criteria:

  • Current (past 3 months) principal Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision (DSM-IV-TR) based diagnosis of an axis disorder other than major depressive disorder (MDD) that is the primary focus of treatment.
  • History of suicidal behavior, or requires precaution against suicide
  • Not generally healthy medical condition
  • Seizure disorder
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
473 participants (actual)

Study arms

  • Experimental
    Vilazodone

    Vilazodone tablets, 5mg, 10mg and 20mg. Oral administration, once per day.

    Drug: Vilazodone

  • Placebo comparator
    Placebo

    Dose-matched placebo tablets or capsules, oral administration, once per day.

    Drug: Placebo

  • Active comparator
    Fluoxetine

    Fluoxetine capsules, 10mg and 20 mg. Oral administration, once per day.

    Drug: Fluoxetine

Interventions

  • DrugVilazodone

    Also known as: Viibryd

  • DrugPlacebo
  • DrugFluoxetine

    Also known as: Prozac

06

What researchers measure

Primary outcomes

  1. Change in Children's Depression Rating Scale-Revised (CDRS-R) Total Score

    The Children's Depression Rating Scale-Revised (CDRS-R) total score ranges from 17 (minimal or no symptoms of depression) to 133 (indicative of depression) is a semi-structured, clinician-rated instrument designed for use with children and adolescents between the ages of 6 to 17 years of age and their caregivers. The CDRS-R evaluates the presence and severity of symptoms commonly associated with depression in childhood.

    Time frame: From Baseline to Week 8

Secondary outcomes

  1. Change in Clinical Global Impressions-Severity (CGI-S) Score

    The Clinical Global Impressions-Severity (CGI-S) is a clinician-rated instrument used to rate the severity of the patient's current state of mental illness compared with the clinician's total experience with patients with major depressive disorder (MDD). The severity of the patient's MDD was rated on a scale from 1 to 7, with 1 indicating a normal state and 7 indicating a patient who is among the most extremely ill patients.

    Time frame: From Baseline to Week 8

07

Results

Posted Oct 1, 2019

Participant flow

Treatment Period
Participant flow — Treatment Period
MilestonePlaceboVilazodoneFluoxetine
Started18618797
Completed15215582
Not completed343215
Withdrew: Adverse event3106
Withdrew: Insufficient therapeutic response220
Withdrew: Withdrawal by subject10102
Withdrew: Lost to follow-up1153
Withdrew: Protocol violation300
Withdrew: Non-compliance with study drug444
Withdrew: Miscellaneous reasons110
Down-taper Period
Participant flow — Down-taper Period
MilestonePlaceboVilazodoneFluoxetine
Started15215982
Completed15115780
Not completed122
Withdrew: Lost to follow-up122

Outcome measures

PrimaryChange in Children's Depression Rating Scale-Revised (CDRS-R) Total Score

The Children's Depression Rating Scale-Revised (CDRS-R) total score ranges from 17 (minimal or no symptoms of depression) to 133 (indicative of depression) is a semi-structured, clinician-rated instrument designed for use with children and adolescents between the ages of 6 to 17 years of age and their caregivers. The CDRS-R evaluates the presence and severity of symptoms commonly associated with depression in childhood.

Time frame:
From Baseline to Week 8
Reported as:
Least squares mean · units on a scale
Change in Children's Depression Rating Scale-Revised (CDRS-R) Total Score
units on a scalePlaceboVilazodoneFluoxetine
Change in Children's Depression Rating Scale-Revised (CDRS-R) Total Score-20.32 ± 0.983-20.72 ± 0.977-22.71 ± 1.320
Statistical analysis
  • Placebo vs Vilazodone · MMRM · p = 0.7662 · Lsmd: -0.40 · 95% CI -3.08 to 2.27
  • Placebo vs Fluoxetine · MMRM · p = 0.1433 · Lsmd: -2.39 · 95% CI -5.60 to 0.81
SecondaryChange in Clinical Global Impressions-Severity (CGI-S) Score

The Clinical Global Impressions-Severity (CGI-S) is a clinician-rated instrument used to rate the severity of the patient's current state of mental illness compared with the clinician's total experience with patients with major depressive disorder (MDD). The severity of the patient's MDD was rated on a scale from 1 to 7, with 1 indicating a normal state and 7 indicating a patient who is among the most extremely ill patients.

Time frame:
From Baseline to Week 8
Reported as:
Least squares mean · units on a scale
Change in Clinical Global Impressions-Severity (CGI-S) Score
units on a scalePlaceboVilazodoneFluoxetine
Change in Clinical Global Impressions-Severity (CGI-S) Score-1.52 ± 0.097-1.57 ± 0.096-1.72 ± 0.130
Statistical analysis
  • Placebo vs Vilazodone · MMRM · p = 0.7387 · Lsmd: -0.04 · 95% CI -0.31 to 0.22
  • Placebo vs Fluoxetine · MMRM · p = 0.2158 · Lsmd: -0.20 · 95% CI -0.52 to 0.12

Adverse events

Collected over Adverse event data was collected from the participant's signing of the Informed Consent Forum until 30 days after the last does of study treatment, spanning a period of 10 to 13 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/186 (0%)1/186 (0.5%)54/186 (29%)
Vilazodone0/187 (0%)0/187 (0%)97/187 (51.9%)
Fluoxetine0/97 (0%)6/97 (6.2%)27/97 (27.8%)
Most frequent serious events
Most frequent serious events
EventPlaceboVilazodoneFluoxetine
Suicidal ideationPsychiatric disorders0/1860/1873/97
Depressive symptomPsychiatric disorders0/1860/1871/97
Hallucination, auditoryPsychiatric disorders0/1860/1871/97
OverdoseInjury, poisoning and procedural complications0/1860/1871/97
Croup infectiousInfections and infestations1/1860/1870/97
Most frequent other events
Most frequent other events
EventPlaceboVilazodoneFluoxetine
NauseaGastrointestinal disorders13/18640/1876/97
HeadacheNervous system disorders31/18624/18710/97
VomitingGastrointestinal disorders7/18624/1874/97
DiarrhoeaGastrointestinal disorders6/18616/1872/97
Abdominal pain upperGastrointestinal disorders6/18613/1874/97
SomnolenceNervous system disorders4/18612/1872/97
InsomniaPsychiatric disorders3/18610/1876/97
DizzinessNervous system disorders5/18610/1872/97
Upper respiratory tract infectionInfections and infestations5/1866/1875/97

Baseline characteristics

The Safety Population will consist of all patients in the Randomized Population who received at least 1 dose of double-blind investigational product.

Age, Continuous
Age, Continuous(Years)PlaceboVilazodoneFluoxetineTotal
Mean13 ± 2.913 ± 2.913.2 ± 2.813 ± 2.9
Age, Customized
Age, Customized(Participants)PlaceboVilazodoneFluoxetineTotal
7-11615530146
12-1712513267324
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboVilazodoneFluoxetineTotal
Female10612651283
Male806146187
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboVilazodoneFluoxetineTotal
Hispanic or Latino27251264
Not Hispanic or Latino15916285406
Unknown or Not Reported0000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboVilazodoneFluoxetineTotal
White11812160299
Black or African American575830145
Asian5117
American Indian or Alaska Native0000
Native Hawaiian or Other Pacific Islander1203
Other55515
Missing0011
Weight
Weight(kg)PlaceboVilazodoneFluoxetineTotal
Mean59.13 ± 24.2961.35 ± 24.7959.38 ± 21.1460.07 ± 23.86
Body Mass Index (BMI)
Body Mass Index (BMI)(kg/m2)PlaceboVilazodoneFluoxetineTotal
Mean23.31 ± 6.8524.25 ± 7.5823.48 ± 6.6623.72 ± 7.11
CDRS-R total score
CDRS-R total score(units on a scale)PlaceboVilazodoneFluoxetineTotal
Mean57.3 ± 9.258.3 ± 9.258 ± 8.857.8 ± 9.1

1 further baseline measures are reported on the registry.

08

Study locations

60 sites
  • Alliance Clinical Research
    Birmingham, Alabama 35213, United States
  • Harmonex Neuroscience Research
    Dothan, Alabama 36303, United States
  • Phoenix Children's Hospital
    Phoenix, Arizona 85016, United States
  • Woodland International Research Group, INC
    Little Rock, Arkansas 72211, United States
  • CITrials - Bellflower
    Bellflower, California 90706, United States
  • ATP Clinical Research
    Costa Mesa, California 92626, United States
  • Behavioral Research Specialists, LLC
    Glendale, California 91206, United States
  • PCSD - Feighner Research
    San Diego, California 92108, United States
  • Pacific Clinical Research Medical Group
    Upland, California 91786, United States
  • Hartford Hospital
    Hartford, Connecticut 06106, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010, United States
  • Palm Springs Research, LLC
    Hialeah, Florida 33012, United States
  • IMIC Inc.
    Homestead, Florida 33030, United States
  • Clinical Neuroscience Solutions, Inc.
    Jacksonville, Florida 32256, United States
  • Osceola Mental Health dba Park Place Behavioral Health Care
    Kissimmee, Florida 34741, United States
  • Innovative Clinical Research, Inc.
    Lauderhill, Florida 33319, United States
  • Clinical Neuroscience Solutions, Inc.
    Orlando, Florida 32801, United States
  • Institute for Advanced Medical Research
    Alpharetta, Georgia 30005, United States
  • Atlantic Center for Medical Research
    Atlanta, Georgia 30331, United States
  • Northwest Behavioral Research Center
    Marietta, Georgia 30060, United States
  • Capstone Clinical Research
    Libertyville, Illinois 60048, United States
  • Baber Research Group
    Naperville, Illinois 60563, United States
  • Neuroscience Research Institute Inc.
    Oak Park, Illinois 60301, United States
  • Goldpoint Clinical Research, LLC
    Indianapolis, Indiana 46260, United States
  • Psychiatric Associates
    Overland Park, Kansas 66211, United States
  • Lake Charles Clinical Trials
    Lake Charles, Louisiana 70629, United States
  • Hugo W Moser Research Institute at Kennedy Krieger, Inc.
    Baltimore, Maryland 21205, United States
  • Pharmsite Research Inc.
    Baltimore, Maryland 21208, United States
  • NeuroScientific Insights
    Rockville, Maryland 20852, United States
  • Baystate Medical Center
    Springfield, Massachusetts 01199, United States
  • Adams Clinical Trials, LLC
    Watertown, Massachusetts 02472, United States
  • Millennium Psychiatric Associates
    Creve Coeur, Missouri 63141, United States
  • St. Charles Psychiatric Associates - Midwest Research Group
    Saint Charles, Missouri 63304, United States
  • BioScience Research LLC
    Mount Kisco, New York 10549, United States
  • Manhattan Behavioral Medicine
    New York, New York 10022, United States
  • Finger Lakes Clinical research
    Rochester, New York 14618, United States
  • Richmond Behavioral Associates
    Staten Island, New York 10312, United States
  • Haidar Almhana Nieding LLC
    Avon Lake, Ohio 44012, United States
  • Neuro-Behavioral Clinical Research, Inc
    Canton, Ohio 44718, United States
  • University of Cincinnati
    Cincinnati, Ohio 45219, United States
  • University Hospitals Cleveland Medical Center, Psychiatry
    Cleveland, Ohio 44106, United States
  • Ohio State Univ. Dept of Psychiatry
    Columbus, Ohio 43210, United States
  • Professional Psychiatric Services
    Mason, Ohio 45040, United States
  • IPS Research Company
    Oklahoma City, Oklahoma 73103, United States
  • Cutting Edge Research Group
    Oklahoma City, Oklahoma 73116, United States
  • Research Strategies of Memphis LLC
    Memphis, Tennessee 38119, United States
  • FutureSearch Clinical trials, Inc.
    Austin, Texas 78731, United States
  • BioBehavioral Research of Austin, PC
    Austin, Texas 78759, United States
  • University of TX Southwestern Medical Ctr
    Dallas, Texas 75235, United States
  • Bayou City Research Ltd
    Houston, Texas 77007, United States
  • Houston Endoscopy and Research Ctr
    Houston, Texas 77079, United States
  • Research Across America
    Plano, Texas 75234, United States
  • Focus and Balance
    San Antonio, Texas 78229, United States
  • Family Psychiatry of The Woodlands
    The Woodlands, Texas 77381, United States
  • Ericksen Research and Development
    Clinton, Utah 84015, United States
  • UVA Center for Psychopharmacology Research in Youth
    Charlottesville, Virginia 22903, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Core Clinical Research
    Everett, Washington 98033, United States
  • Okanagan Clinical Trials
    Kelowna, British Columbia V1Y 1Z9, Canada
  • Paediatric Sleep Research Inc
    Toronto, Ontario M5B 1T8, Canada
09

References and documents

Study documents

  • Study protocol · Apr 15, 2015
  • Statistical analysis plan · Oct 5, 2018

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02372799
Lead sponsor
Forest Laboratories
Responsible party
Sponsor
First posted
Feb 26, 2015
Start date
Feb 28, 2015
Primary completion
Sep 11, 2018
Completion
Sep 11, 2018
Results posted
Oct 1, 2019
Last update
Oct 1, 2019

Study contacts

Emily McCusker, PhD
study director · Forest Research Institute, an affiliate of Allergan plc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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