Randomised, Double-blind, Parallel-group, Placebo-controlled, Duloxetine-referenced, Fixed Dose Study Comparing the Efficacy and Safety of [Vortioxetine] Lu AA21004 in Acute Treatment of Major Depressive Disorder in Elderly Patients
Overview
- Phase
- Phase 3
- Intervention
- Placebo
- Conditions
- Major Depressive Disorder
- Sponsor
- H. Lundbeck A/S
- Enrollment
- 453
- Primary Endpoint
- Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
To assess the efficacy of Vortioxetine (5 mg daily) versus placebo in the acute treatment of depression by means of the change from baseline in the 24-item Hamilton Depression Scale (HAM-D24) total score after 8 weeks of double-blind treatment in elderly patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Clinical Diagnosis of recurrent Major Depressive Episode (MDE) according the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) criteria with:
- •Reported duration of the current episode of at least 4 weeks
- •MADRS total score \>=26
- •At least one previous MDE before the age of 60 years
Exclusion Criteria
- •Mini Mental State Exam (MMSE) \<24
- •Any current anxiety disorder as defined in the DSM-IV-TR
- •Current or past history of manic or hypomanic episode, schizophrenia, or any other psychotic disorder, including major depression with psychotic features, mental retardation, organic mental disorders, or mental disorders due to a general medical condition as defined in the DSM-IV-TR
- •Any substance disorder (except nicotine and caffeine) within the previous 6 months as defined in the DSM-IV-TR
- •Presence or history of a clinically significant neurological disorder (including epilepsy)
- •Neurodegenerative disorder (Alzheimer's disease, Parkinson disease, multiple sclerosis, Huntington disease, etc)
- •Any Axis II disorder that might compromise the study
- •Significant risk of suicide according to the investigator's opinion, or has a score \>=5 on item 10 of the MADRS or has made a suicide attempt in the previous 6 months
- •Other inclusion and exclusion criteria may apply.
Arms & Interventions
Placebo
Intervention: Placebo
Vortioxetine 5 mg
Intervention: Vortioxetine (Lu AA21004)
Duloxetine 60 mg
Active reference
Intervention: Duloxetine
Outcomes
Primary Outcomes
Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment
Time Frame: Baseline and Week 8
The Hamilton Depression Scale - 24 Items (HAM-D-24) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 76. The higher the score, the more severe.
Secondary Outcomes
- Change From Baseline in HAM-D-24 Total Score After 6 Weeks of Treatment(Baseline and Week 6)
- Change From Baseline in HAM-D-24 Total Score After 4 Weeks of Treatment(Baseline and Week 4)
- Change From Baseline in HAM-D-24 Total Score After 2 Weeks of Treatment(Baseline and Week 2)
- Change From Baseline in HAM-D-24 Total Score After 1 Week of Treatment(Baseline and Week 1)
- Change From Baseline in MADRS Total Score After 8 Weeks of Treatment(Baseline and Week 8)
- Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment(Baseline and Week 8)
- Change From Baseline in CGI-S Score After 8 Weeks of Treatment(Baseline and Week 8)
- Change in Clinical Status Using CGI-I Score at Week 8(Week 8)
- Change From Baseline in GDS Total Score After 8 Weeks of Treatment(Baseline and Week 8)
- Proportion of Responders at Week 8 (Response Defined as a >=50% Reduction in the HAM-D-24 Total Score)(Week 8)
- Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)(Week 8)
- Risk of Suicidality Using C-SSRS Scores(Up to 8 weeks)