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CompletedNCT03766867Updated Aug 29, 2019

Vortioxetine Intravenous Infusion at Initiation of Oral Treatment With Vortioxetine in Patients With Depression

A Phase 2 interventional study of Vortioxetine infusion 25 mg and Vortioxetine tablets 10 mg/day in Major Depressive Disorder, sponsored by H. Lundbeck A/S. Completed at 13 sites in 3 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-08-29.

Sponsored by H. Lundbeck A/S · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of vortioxetine given as a single intravenous dose of 25 mg at initiation of an oral vortioxetine regimen of 10 mg/day for 7 days

Read the detailed description

The study consists of a 7-day double-blind Treatment Period (Day 0 to Day 6)

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

Browse Depressive Disorder studies →

Lead sponsor

H. Lundbeck A/S is the lead sponsor of 218 studies on the registry; 10 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 10 (30%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • The patient has recurrent MDD, diagnosed according to DSM-5® and confirmed using the Mini-International Neuropsychiatric Interview (MINI).
  • The patient has a MADRS total score ≥ 30 at the Screening Visit.
  • As part of standard of care treatment, the patient is to be admitted to hospital due to the severity of the depressive symptoms and is willing to remain hospitalized for the duration of the study treatment period.
  • The patient has had the current MDE for ≥3 months but less than 12 months.
  • The patient has received treatment for the current episode with an SSRI/SNRI monotherapy (citalopram, escitalopram, paroxetine, duloxetine, venlafaxine, sertraline) at an approved dose for at least 6 weeks.

Exclusion criteria

Exclusion criteria:

-The patient has any current psychiatric disorder or Axis I disorder (DSM-5® criteria), established as the primary diagnosis, other than MDD, as assessed using the MINI or another diagnostic interview

Other in- and exclusion criteria may apply

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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Vortioxetine

    Drug: Vortioxetine infusion 25 mg · Drug: Vortioxetine tablets 10 mg/day

  • Placebo comparator
    Placebo

    Drug: Placebo infusion · Drug: Placebo tablets

Interventions

  • DrugVortioxetine infusion 25 mg

    1 mg/mL, concentrate for solution for infusion, 25 mL (25 mg) administered in 250 mL saline over 2 hours as single dose for 7 days

  • DrugVortioxetine tablets 10 mg/day

    10 mg, tablets, oral administration once daily

    Also known as: Brintellix ®

  • DrugPlacebo infusion

    concentrate for solution for infusion, 25 mL administered in 250 mL saline over 2 hours as single dose

  • DrugPlacebo tablets

    oral administration once daily

06

What researchers measure

Primary outcomes

  1. Change from baseline (Day 0) to Day 1 (24 h post-infusion) in MADRS-6 subscale score

    The Montgomery and Åsberg Depression Rating Scale (MADRS) is a ten-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Items in the scale assess apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at two-point intervals. The total score of the ten items ranges from 0 to 60. The primary endpoint will be evaluated with MADRS-6 subscale score, calculated based on the scores on MADRS items 1, 2, 3, 7, 8, and 9 which cover core symptoms (apparent sadness, reported sadness, inner tension, lassitude, inability to feel, and pessimistic thoughts) and is more sensitive to the effect of treatment.

    Time frame: From baseline (Day 0) to Day 1 (24 h post-infusion)

Secondary outcomes

  1. Change from baseline (Day 0) to Day 3 in MADRS-6 subscale score

    The Montgomery and Åsberg Depression Rating Scale (MADRS) is a ten-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Items in the scale assess apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at two-point intervals. The total score of the ten items ranges from 0 to 60. The endpoint will be evaluated with MADRS-6 subscale score, calculated based on the scores on MADRS items 1, 2, 3, 7, 8, and 9 which cover core symptoms (apparent sadness, reported sadness, inner tension, lassitude, inability to feel, and pessimistic thoughts) and is more sensitive to the effect of treatment.

    Time frame: From baseline (Day 0) to Day 3

  2. Change from baseline (Day 0) to Day 7 in MADRS-6 subscale score

    The Montgomery and Åsberg Depression Rating Scale (MADRS) is a ten-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Items in the scale assess apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at two-point intervals. The total score of the ten items ranges from 0 to 60. The endpoint will be evaluated with MADRS-6 subscale score, calculated based on the scores on MADRS items 1, 2, 3, 7, 8, and 9 which cover core symptoms (apparent sadness, reported sadness, inner tension, lassitude, inability to feel, and pessimistic thoughts) and is more sensitive to the effect of treatment.

    Time frame: From baseline (Day 0) to Day 7

  3. Change in MADRS total score from baseline to Day 1, Day 3, Day 7

    The Montgomery and Åsberg Depression Rating Scale (MADRS) is a ten-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Items in the scale assess apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at two-point intervals. The total score of the ten items ranges from 0 to 60.

    Time frame: From baseline to Day 1, Day 3, Day 7

  4. ≥50% decrease in MADRS total score from baseline on Day 1 and Day 3

    The Montgomery and Åsberg Depression Rating Scale (MADRS) is a ten-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Items in the scale assess apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at two-point intervals. The total score of the ten items ranges from 0 to 60.

    Time frame: On Day 1 and Day 3

  5. CGI-I score at Day 1, Day 3, Day 7

    The Clinical Global Impression (CGI) provides an overall clinician-determined summary measure that takes into account all available information, including knowledge of the patient's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the patient's ability to function. The CGI consists of two clinician-rated subscales: severity of illness (CGI-S) and global improvement (CGI-I). The CGI-I provides the clinician's impression of the patient's improvement (or worsening). The clinician assesses the patient's condition relative to a baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). In all cases, the assessment should be made independent of whether the rater believes the improvement is drug-related or not.

    Time frame: At Day 1, Day 3, Day 7

  6. CGI-I response (defined as CGI-I score ≤2) on Day 1 and 3

    The Clinical Global Impression (CGI) provides an overall clinician-determined summary measure that takes into account all available information, including knowledge of the patient's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the patient's ability to function. The CGI consists of two clinician-rated subscales: severity of illness (CGI-S) and global improvement (CGI-I). The CGI-I provides the clinician's impression of the patient's improvement (or worsening). The clinician assesses the patient's condition relative to a baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). In all cases, the assessment should be made independent of whether the rater believes the improvement is drug-related or not.

    Time frame: At Day 1 and 3

  7. Change from baseline in CGI-S score to Day 1, Day 3, Day 7

    The Clinical Global Impression (CGI) provides an overall clinician-determined summary measure that takes into account all available information, including knowledge of the patient's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the patient's ability to function. The CGI consists of two clinician-rated subscales: severity of illness (CGI-S) and global improvement (CGI-I). The CGI-S provides the clinician's impression of the patient's current state of mental illness. The clinician uses his or her clinical experience of this patient population to rate the severity of the patient's current mental illness on a 7-point scale ranging from 1 (Normal - not at all ill) to 7 (among the most extremely ill patients).

    Time frame: From baseline to Day 1, Day 3, Day 7

  8. CL/F of vortioxetine

    Total plasma clearance of vortioxetine

    Time frame: Day 0, Day 1, Day 7

  9. Cav

    average plasma concentration during a steady-state day

    Time frame: Day 0, Day 1, Day 7

07

Study locations

13 sites
  • Mental Health Centre 'Prof. Dr. Ivan Temkov', EOOD (BG1004)
    Burgas, Bulgaria
  • SPH - Kardzhali, EOOD (BG1005)
    Kardzhali, Bulgaria
  • MHAT "Dr. Hristo Stambolski", EOOD (BG1001)
    Kazanlak, Bulgaria
  • State Psychiatric Hospital "Sv. Ivan Rilski" (BG1009)
    Novi Iskar, Bulgaria
  • UMHAT 'Dr. Georgi Stranski', EAD (BG1006)
    Pleven, Bulgaria
  • MHC - Ruse, EOOD (BG1007)
    Ruse, Bulgaria
  • State Psychiatric Hospital (BG1008)
    Tsarev Brod, Bulgaria
  • Mental Health Center-Vratsa EOOD (BG1002)
    Vratsa, Bulgaria
  • Marienthali Kliinik (EE2001)
    Tallinn, Estonia
  • Tartu University Hospital (EE2002)
    Tartu, Estonia
  • Psychoneurological Hospital of Daugavpils (LV3003)
    Daugavpils, Latvia
  • Riga Centre of Psychiatry and Narcology (LV3002)
    Riga, Latvia
  • Psychoneurological Hospital of Strenci (LV3001)
    Strenči, Latvia
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References and documents

Publications

  • Rancans E, Zambori J, Dalsgaard M, Baayen C, Areberg J, Ettrup A, Florea I. Intravenous vortioxetine to accelerate onset of effect in major depressive disorder: a 7-day randomized, double-blind, placebo-controlled exploratory study. Int Clin Psychopharmacol. 2020 Nov;35(6):305-312. doi: 10.1097/YIC.0000000000000326. PubMed 32784346 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2019, 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
NCT03766867
Lead sponsor
H. Lundbeck A/S
Responsible party
Sponsor
First posted
Dec 6, 2018
Start date
Dec 3, 2018
Primary completion
Jul 31, 2019
Completion
Aug 28, 2019
Last update
Aug 29, 2019

Study contacts

Email contact via H. Lundbeck A/S
study director · LundbeckClinicalTrials@Lundbeck.com

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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