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临床试验/EUCTR2004-004984-32-SK
EUCTR2004-004984-32-SK进行中(未招募)1 期

A Randomised, Double-Blind, Double-Dummy, Parallel-Group, Placebo-Controlled, Forced Dose Titration Study Evaluating the Efficacy and Safety of GW679769 and Paroxetine in Subjects with Major Depressive Disorder - N/A

GlaxoSmithKline Research and Development Limited0 个研究点目标入组 348 人开始时间: 2005年3月7日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
348

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Subjects must have the ability to comprehend the key components of the consent
  • Male or female outpatients aged 18-64, inclusive.
  • Primary diagnosis of MDE associated with MDD, single episode or recurrent,
  • according to DSM-IV-TR (296.2 or296.3), diagnosed through a comprehensive
  • psychiatric evaluation [in conjunction with the Mini International Neuropsychiatric
  • Interview (MINI), Clinician Rated Version 5.0], as assessed by a physician with
  • adequate training in psychiatry (e.g. Postgraduate qualification in psychiatry).
  • Subjects must, in the investigator’s opinion based on the subject’s history, have met
  • DSM-IV-TR criteria for their current MDE for at least 8 weeks prior to the
  • Screening Visit.
  • Subjects with a Carroll Depression Scale-Revised (CDS-R) self-assessment total
  • score of =24 at the Screen Visit and Baseline Visit.
  • Subjects must have a CGI- Severity of Illness score = 4 at the Baseline Visit.
  • Subjects with a history of peptic ulcer disease (PUD) with a known etiology must
  • provide documentation by a gastroenterologist of the etiology of the PUD and that
  • effective treatment was provided with full eradication of ulcers and symptoms. For
  • such subjects appropriate steps must also have been taken to minimize reoccurrence
  • risk (i.e. if PUD was nonsteroidal anti-inflammatory drug [NSAID] induced, the
  • subject should no longer be taking NSAID medications; if cause was H. pylori, the
  • subject should have been appropriately treated). For all subjects, regardless of
  • whether there is a positive history of PUD, sites are required to document their H.
  • pylori status at screening. Entry into the study is permitted for subjects who are
  • seropositive for H. pylori, but treatment is recommended, either before or after study
  • participation at the discretion of the Principal Investigator.
  • Women of childbearing potential must commit to consistent and correct use of an
  • acceptable method of birth control that must be recorded in the source
  • documentation at each visit; GSK acceptable contraceptive methods, when used
  • consistently and in accordance with both the product label and the instructions of a
  • physician, are as follows:
  • a. Non-childbearing potential (i.e., physiologically incapable of becoming pregnant,
  • including any female who is post-menopausal. For purposes of this study,
  • postmenopausal is defined as one year without menses)
  • b. Child-bearing potential, has a negative serum pregnancy test result at screen and a
  • negative urine dipstick pregnancy test at baseline (prior to study drug
  • administration), and agrees to one of the following:
  • Male partner who is sterile prior to the female subject's entry into the study and
  • is the sole sexual partner for that female subject
  • Oral contraceptives (either combined or progestogen only) with double-barrier
  • method of contraception consisting of spermicide with either condom or
  • Double-barrier method of contraception consisting of spermicide with either
  • condom or diaphragm
  • IUD with a documented failure rate of less than 1% per year
  • Complete abstinence from intercourse for two weeks before exposure to the
  • investigational product, throughout the clinical trial, and for a period after the
  • trial to account for elimination of the drug (minimum of three days, equivalent
  • to five half lives)
  • c. If subjects indicate they will remain abstinent during the period described above,
  • they must agree to follow GSK guidelines for the consistent and correct use of an
  • acceptable method of birth control should the

排除标准

  • Subjects whose symptoms of the MDE are better accounted for by another diagnosis
  • Subjects with history of schizophrenia, schizoaffective disorders or bipolar
  • Subjects have positive urine test at screening for illegal drug use and/or a history of substance abuse or dependence
  • Subjects have a blood alcohol level of = 15 mg/dl (0.015%) at the Screening Visit
  • Subjects are currently receiving regularly scheduled psychotherapy, plan to initiate psychotherapy during the trial or have received regularly scheduled psychotherapy during the 12 weeks prior to the Screening Visit
  • Subjects have previously failed to respond to adequate courses of pharmacotherapy from two different classes of antidepressants or have failed to respond to an adequate course of paroxetine
  • Subjects who, in the investigator's judgement, pose a homicidal or serious suicidal
  • risk, have made a suicide attempt within the 6 months preceding screening or who
  • have ever been homicidal
  • Subjects who have received electroconvulsive therapy (ECT) or transcranial
  • magnetic stimulation (TMS) within the 6 months prior to the Screening Visit.
  • Subjects with any history of a seizure disorder
  • Subjects with an unstable medical disorder; or a disorder that would likely interfere
  • with the action, absorption, distribution, metabolism or excretion of GW679769; or
  • paroxetine, may pose a safety concern; or interfere with the accurate assessment of
  • safety or efficacy
  • Subjects with a history of myocardial infarction within 1 year prior to the
  • Screening Visit
  • Subjects have any screening laboratory value outside of the Sponsor-specified ranges at Screening Visit
  • Subjects have any laboratory abnormality that in the investigator's judgement is
  • considered to be clinically significant and not resolved by the Baseline Visit
  • Subjects who are not euthyroid based on lab results at the Screening Visit.
  • Subjects maintained on thyroid medication must be euthyroid for a period of at least 6 months prior to the Screening Visit
  • Subjects have any screening electrocardiography (ECG) parameter outside of the
  • Sponsor-specified ranges
  • Subjects have any ECG finding that in the investigator's judgement is considered to
  • be clinically significant and not resolved by the Baseline Visit
  • Subjects with active PUD and/or history of PUD of an unknown etiology
  • Subjects who will likely require the use of the following medications:
  • NSAIDs (unless administered concomitantly with an anti-secretory agent, i.e., proton-pump inhibitor or histamine-2 receptor antagonist and administered in the absence of concomitant aspirin therapy); or
  • concomitant use of aspirin and COX2 inhibitors.
  • Subjects found to have stool positive for occult blood
  • Subjects with known or suspected iron deficiency
  • Women who have a positive serum HCG pregnancy test at the Screening Visit, a
  • positive urine dipstick test at the Baseline (Randomization) Visit, or who are
  • lactating or planning to become pregnant within the 4 months following the Screen
  • Subjects who have taken other psychoactive drugs within two weeks prior to the
  • Baseline Visit or at any time during the Screening period:
  • all antidepressants including SSRI's
  • Monoamine Oxidase Inhibitors (MAOIs), benzodiazepines, other psychoactive
  • medications (including psychoactive herbal treatments, e.g., St. John's Wort,
  • Hypnotics, and all other sedatives (including sedating antihistamines if used for
  • their sedating and/or hypnotic properties)
  • Subjects who have taken other (non

研究者

发起方
GlaxoSmithKline Research and Development Limited

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