A Multicenter, Randomized, 8-Week Double-Blind Acute Phase Followed By a 6-Month Continuation Phase (Open-Label Or Double-Blind) Study to Evaluate the Efficacy, Safety, and Tolerability of DVS SR Versus Escitalopram in Postmenopausal Women With Major Depressive Disorder
Trial Snapshot
- Phase
- Phase 3
- Status
- Completed
- Sponsor
- Enrollment
- 595
- Primary Endpoint
- Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Baseline to Week 8
Study Overview
Brief Summary
Desvenlafaxine succinate (DVS) is a potent and selective serotonin and norepinephrine reuptake inhibitor (SNRI). This study will investigate the safety, efficacy, and tolerability of DVS SR versus escitalopram in women with major depressive disorder (MDD) who are postmenopausal.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Care Provider, Investigator)
Eligibility Criteria
- Ages
- 40 Years to 70 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Postmenopausal women between the ages of 40 and 70 years, inclusive.
- •A primary diagnosis of MDD, single or recurrent episode, without psychotic features using the modified MINI International Neuropsychiatric Interview (MINI).
- •Montgomery-Asberg Depression Rating Scale (MADRS) total score > or = 22 at the screening and baseline visit.
Exclusion Criteria
- •Use of oral estrogen-, progestin-, androgen-, or Selective Estrogen Receptor Modulator (SERM)-containing drug products 8 weeks before baseline.
- •Current (within 12 months) psychoactive substance abuse or dependence (including alcohol), manic episode, post-traumatic stress disorder, obsessive-compulsive disorder, or a lifetime diagnosis of bipolar or psychotic disorder.
- •A history or active presence of clinically important medical disease.
- •Additional criteria apply.
Arms & Interventions
A
Intervention: Desvenlafaxine succinate sustained-release (DVS SR) (Drug)
B
Intervention: Escitalopram (Drug)
Outcomes
Primary Outcomes
Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Baseline to Week 8
Time Frame: Baseline and 8 weeks
HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4) with 0=none/absent and 4=most severe,for a maximum total score of 50. Change= 8 week adjusted mean HAM-D17 minus baseline adjusted mean HAM-D17.
Secondary Outcomes
- Percentage of Patients Achieving Response to Treatment at Final On-therapy Evaluation (Acute Phase)(8 weeks)
- Percentage of Patients Achieving Remission at Final On-therapy Evaluation (Acute Phase)(8 weeks)
- Change in Hamilton Psychiatric Rating Scale for Anxiety From Baseline to Week 8 (HAM-A) Score(Baseline and Week 8)
- Change in Dimension Health State EuroQol (EQ-5D) Score From Baseline to Week 8(Baseline and week 8)
- Discontinuation-Emergent Signs and Symptoms (DESS) Total Score(6 months)
- Change in Clinical Global Impression Severity (CGI-S) Score From Baseline to Week(Baseline and 8 weeks)
- Percentage of Responders Maintaining Response to Treatment at Final On-therapy Evaluation (Double Blind Continuation Phase)(6 months)
- Percentage of Responders Improving Response to Remission During 6-month Double Blind Continuation Phase(6 months)
- Clinical Global Impression Improvement (CGI-I) Score at 8 Weeks(8 weeks)
- Percentage of Non-Responders Achieving Response at Final Evaluation of 6-month Open-Label (OL)Extension Phase(6 months)
- Percentage of Responders Achieving Remission at Final On-therapy Evaluation (Double Blind Continuation Phase)(6 months)
- Percentage of Non-Responders Achieving Remission at Final Evaluation of 6-month Open-Label Extension Phase(6 months)
