A Phase 3 interventional study of Placebo and Levomilnacipran in Major Depressive Disorder, sponsored by Forest Laboratories. Completed at 49 sites in 2 countries. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2020-09-07.
Sponsored by Forest Laboratories (part of AbbVie) · Phase 3, Interventional, and Treatment
The purpose of this study is to evaluate the efficacy, safety, and tolerability of levomilnacipran ER relative to placebo in adolescent outpatients (12-17 years) with Major Depressive Disorder (MDD). In addition, the study is designed to obtain pharmacokinetics (PK) data to guide dose selection for future pediatric studies of levomilnacipran.
Study LVM-MD-11 is a randomized, double-blind, placebo- and active-controlled, parallel group, fixed-dose study in adolescent patients, ages 12-17 years. The study will be approximately 10 weeks in duration:
Participants who meet the eligibility criteria at Visit 2 (Baseline) will be randomized to 1 of 4 treatment groups: placebo, levomilnacipran 40 mg/day, levomilnacipran 80 mg/day, or fluoxetine 20 mg/day.
3,041 studies on the registry are indexed under Depressive Disorder, Major; 588 are open to participants now.
This study's enrollment of 552 is above the median of 79 across 2,530 interventional studies indexed under Depressive Disorder, Major.
Browse Depressive Disorder, Major studies →Forest Laboratories is the lead sponsor of 168 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.
First submitted before Forest Laboratories became part of AbbVie.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Key Psychiatric Exclusion Criteria:
Key Treatment-Related Exclusion Criteria:
Other Key Medical Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.
Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.
The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.
“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.
DSM diagnostic criteria
The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ECG (electrocardiogram)
A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Clinically significant
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ALT and AST (liver enzymes)
Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.
Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ULN (upper limit of normal)
The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.
“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants received 2 dose matched over-encapsulated placebo capsules, once daily, orally during the Double-blind Treatment Period up to 8 weeks followed by a 1 week Taper-down Period if applicable as determined by the investigator.
Drug: Placebo
Participants received over-encapsulated levomilnacipran extended release (ER) 40 mg/day capsules orally starting at a dose of 10 mg/day on Day 1-2, 20 mg/day on Days 3-7 and 40 mg/day on Week 2 through Week 8 during the Double-Blind Treatment Period, followed by a 1-week Double-Blind Taper-down Period if applicable as determined by the investigator. Participants received 1 dose matched placebo capsule each day to maintain the blind.
Drug: Levomilnacipran
Participants received over-encapsulated levomilnacipran ER two 40 mg/day capsules (80 mg/day) orally starting at a dose of 10 mg/day on Day 1-2, 20 mg/day on Day 3-4, 40 mg/day on Day 5-7 and 80 mg/day on Week 2 through Week 8 during the Double-blind Treatment Period, followed by a 1-week Double-blind Taper-down Period if applicable as determined by the investigator. Participants received 1 dose matched placebo capsule the first week and during the taper-down period to maintain the blind.
Drug: Levomilnacipran
Participants received over-encapsulated fluoxetine 20 mg/day tablets orally starting at a dose of 10 mg/day in Week 1 and 20 mg/day in Week 2 through Week 8 during the Double-blind Treatment Period, followed by a 1-week Double-blind Taper-down Period if applicable as determined by the investigator. Participants received 1 dose matched placebo capsule each day to maintain the blind.
Drug: Fluoxetine
Matched over-encapsulated placebo capsules administered orally on Day 1 to Week 8.
Over-encapsulated levomilnacipran ER capsules administered orally on Day 1 to Week 8.
Also known as: Fetzima
Over-encapsulated fluoxetine tablets administered orally on Day 1 to Week 8.
Also known as: Prozac
Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Total Score
CDRS-R is a 17-item scale measuring presence and severity of symptoms commonly associated with childhood depression and is scored on a 1-to-5- or 1-to-7-point scale. Rating of 1 indicates normal function. The CDRS-R total score ranges from 17 to 113; higher score indicates more severe depression. A negative change from Baseline indicates improvement. Mixed Model for Repeated Measures (MMRM) was used for analysis.
Time frame: Baseline (Week 0) to Week 8
Change From Baseline in Clinical Global Impression-Severity (CGI-S) Scale
The CGI-S is a clinician-rated scale used to rate the severity of the participants current state of mental illness compared with MDD population. The participant was rated on a scale from 1 to 7, where 1= Very much improved; 2= Much improved; 3= Minimally improved; 4= No change; 5= Minimally worse; 6= Much worse; 7= Very much worse. Higher score indicates worsening of mental illness. A negative change from Baseline indicates improvement. MMRM was used for analysis.
Time frame: Baseline (Week 0) to Week 8
| Milestone | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day |
|---|---|---|---|---|
| Started | 142 | 136 | 139 | 135 |
| Safety population | 141 | 134 | 138 | 134 |
| Completed | 117 | 115 | 107 | 109 |
| Not completed | 25 | 21 | 32 | 26 |
| Withdrew: Did not receive treatment | 1 | 2 | 1 | 1 |
| Withdrew: Adverse event | 4 | 7 | 11 | 7 |
| Withdrew: Lack of efficacy | 2 | 0 | 2 | 2 |
| Withdrew: Withdrawal of consent | 10 | 7 | 5 | 5 |
| Withdrew: Lost to follow-up | 7 | 4 | 5 | 8 |
| Withdrew: Investigational product non-compliance | 1 | 0 | 3 | 1 |
| Withdrew: Reason not specified | 0 | 1 | 5 | 2 |
| Milestone | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day |
|---|---|---|---|---|
| Started | 111 | 109 | 104 | 107 |
| Completed | 111 | 109 | 104 | 107 |
| Not completed | 0 | 0 | 0 | 0 |
CDRS-R is a 17-item scale measuring presence and severity of symptoms commonly associated with childhood depression and is scored on a 1-to-5- or 1-to-7-point scale. Rating of 1 indicates normal function. The CDRS-R total score ranges from 17 to 113; higher score indicates more severe depression. A negative change from Baseline indicates improvement. Mixed Model for Repeated Measures (MMRM) was used for analysis.
| score on a scale | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day |
|---|---|---|---|---|
| Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Total Score | -22.90 ± 1.09 | -23.28 ± 1.11 | -22.64 ± 1.12 | -24.37 ± 1.12 |
The CGI-S is a clinician-rated scale used to rate the severity of the participants current state of mental illness compared with MDD population. The participant was rated on a scale from 1 to 7, where 1= Very much improved; 2= Much improved; 3= Minimally improved; 4= No change; 5= Minimally worse; 6= Much worse; 7= Very much worse. Higher score indicates worsening of mental illness. A negative change from Baseline indicates improvement. MMRM was used for analysis.
| score on a scale | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day |
|---|---|---|---|---|
| Change From Baseline in Clinical Global Impression-Severity (CGI-S) Scale | -1.54 ± 0.10 | -1.52 ± 0.10 | -1.52 ± 0.10 | -1.68 ± 0.10 |
Collected over First dose of study treatment to end of study follow-up (Up to 10 Weeks). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/141 (0%) | 0/141 (0%) | 33/141 (23.4%) |
| Levomilnacipran 40 mg/Day | 0/134 (0%) | 2/134 (1.5%) | 54/134 (40.3%) |
| Levomilnacipran 80 mg/Day | 0/138 (0%) | 0/138 (0%) | 63/138 (45.7%) |
| Fluoxetine 20 mg/Day | 0/134 (0%) | 4/134 (3%) | 41/134 (30.6%) |
| Event | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day |
|---|---|---|---|---|
| OverdoseInjury, poisoning and procedural complications | 0/141 | 1/134 | 0/138 | 0/134 |
| Intentional overdoseInjury, poisoning and procedural complications | 0/141 | 0/134 | 0/138 | 1/134 |
| Suicide attemptPsychiatric disorders | 0/141 | 1/134 | 0/138 | 1/134 |
| Suicidal ideationPsychiatric disorders | 0/141 | 0/134 | 0/138 | 1/134 |
| FaecalomaGastrointestinal disorders | 0/141 | 0/134 | 0/138 | 1/134 |
| Event | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day |
|---|---|---|---|---|
| NauseaGastrointestinal disorders | 8/141 | 19/134 | 22/138 | 5/134 |
| HeadacheNervous system disorders | 15/141 | 20/134 | 19/138 | 13/134 |
| TachycardiaCardiac disorders | 1/141 | 13/134 | 12/138 | 5/134 |
| VomitingGastrointestinal disorders | 3/141 | 11/134 | 11/138 | 4/134 |
| Decreased appetiteMetabolism and nutrition disorders | 2/141 | 7/134 | 9/138 | 10/134 |
| DizzinessNervous system disorders | 5/141 | 5/134 | 9/138 | 3/134 |
| SomnolenceNervous system disorders | 3/141 | 6/134 | 8/138 | 2/134 |
| NasopharyngitisInfections and infestations | 3/141 | 4/134 | 7/138 | 7/134 |
| Abdominal pain upperGastrointestinal disorders | 4/141 | 6/134 | 7/138 | 4/134 |
Safety Population included all participants in the Randomized Population who took at least 1 dose of double-blind investigational product.
| Age, Continuous(years) | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day | Total |
|---|---|---|---|---|---|
| Mean | 14.3 ± 1.59 | 14.8 ± 1.62 | 14.8 ± 1.75 | 14.7 ± 1.67 | 14.7 ± 1.67 |
| Sex: Female, Male(Participants) | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day | Total |
|---|---|---|---|---|---|
| Female | 98 | 94 | 87 | 84 | 363 |
| Male | 43 | 40 | 51 | 50 | 184 |
| Ethnicity (NIH/OMB)(Participants) | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 33 | 36 | 32 | 36 | 137 |
| Not Hispanic or Latino | 108 | 98 | 106 | 98 | 410 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 1 | 1 | 3 |
| Asian | 1 | 1 | 1 | 1 | 4 |
| Native Hawaiian or Other Pacific Islander | 0 | 1 | 0 | 0 | 1 |
| Black or African American | 52 | 46 | 49 | 40 | 187 |
| White | 81 | 81 | 83 | 88 | 333 |
| More than one race | 6 | 4 | 3 | 4 | 17 |
| Unknown or Not Reported | 0 | 1 | 1 | 0 | 2 |
| Children's Depression Rating Scale-Revised (CDRS-R) Total Score(score on a scale) | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day | Total |
|---|---|---|---|---|---|
| Mean | 61.1 (40 to 83) | 61.8 (32 to 88) | 59.4 (41 to 81) | 61.5 (40 to 92) | 60.95 (32 to 92) |
| Clinical Global Impression-Severity (CGI-S) Scale(score on a scale) | Placebo | Levomilnacipran 40 mg/Day | Levomilnacipran 80 mg/Day | Fluoxetine 20 mg/Day | Total |
|---|---|---|---|---|---|
| Mean | 4.7 (4 to 6) | 4.8 (3 to 6) | 4.7 (4 to 6) | 4.7 (4 to 6) | 4.7 (3 to 6) |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Undecided
Ran from Jun 2015 to primary completion in Aug 2019, 49 months.
Results were first posted in Sep 2020, 1 year after primary completion.
Of 95 industry-sponsored phase 3 interventional studies under Depressive Disorder, Major, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 33. This study's 49 months is above that.
Counting every sponsor, half of 124 studies reached it within 27 months; a quarter within 21 and three quarters within 36.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Levomilnacipran