Safety and Efficacy of Cariprazine as an Adjunctive to Antidepressant Therapy in Major Depressive Disorder
- Registration Number
- NCT01469377
- Lead Sponsor
- Forest Laboratories
- Brief Summary
An outpatient study to evaluate the safety and efficacy of cariprazine as adjunct to antidepressant therapy (ADT) in participants with major depressive disorder (MDD) who have an inadequate response to ADT alone. This clinical study compared cariprazine + ADT with placebo + ADT in outpatients with a diagnosis of MDD and an inadequate response to ADT. The study consisted of approximately 2 weeks of screening and washout followed by 8 weeks of double-blind treatment followed by a 1 week safety follow-up.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 819
- Male or female outpatients 18 to 65 years of age, inclusive.
- Currently meet the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for moderate to severe major depressive disorder (MDD).
- Current major depressive episode of at least 8 weeks and not exceeding 24 months in duration.
- Ongoing inadequate response to protocol allowed antidepressant therapy (ADT).
-
Principal DSM-IV-TR-based diagnosis of an axis I disorder, other than MDD,
-
Women who are pregnant, or planning to become pregnant or breastfeed during the study or not practicing reliable contraception that will continue through out the study.
-
History of meeting DSM-IV-TR criteria for:
- Depressive episode with psychotic or catatonic features.
- Manic, hypomanic or mixed episode, including bipolar disorder and substance induced manic, hypomanic or mixed episode.
- Schizophrenia, schizoaffective, or other psychotic disorder.
- Obsessive-compulsive disorder.
- Bulimia or anorexia nervosa.
- Dementia, amnesic, or other cognitive disorder.
- Mental retardation.
-
Participants considered a suicide risk.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo Placebo Participants received placebo orally once a day for 8 weeks. Each participant continued to take the same dose of antidepressant therapy (bupropion, citalopram, desvenlafaxine, duloxetine, escitalopram, fluoxetine, sertraline, venlafaxine, or vilazodone) the participant was receiving prior to entering this study throughout treatment. Cariprazine 1-2 mg Cariprazine Participants received cariprazine orally once a day for 8 weeks. Participants received cariprazine 0.5 mg on Days 1 and 2 and 1.0 mg on Days 3-7. At the investigator's discretion dose levels could be increased during Week 2. Dose levels allowed during Week 2 were 1.0 or 1.5 mg. A second dose increase was allowed starting at Week 3. Dose levels allowed during Week 3 and the remainder of the treatment period were 1.0, 1.5, or 2.0 mg. Each participant continued to take the same dose of antidepressant therapy (bupropion, citalopram, desvenlafaxine, duloxetine, escitalopram, fluoxetine, sertraline, venlafaxine, or vilazodone) the participant was receiving prior to entering this study throughout treatment. Cariprazine 2-4.5 mg Cariprazine Participants received cariprazine orally once a day for 8 weeks. Participants received cariprazine 0.5 mg on Days 1 and 2, 1.0 mg on Day 3, 1.5 mg on Day 4, and 2.0 mg on Days 5-7. At the investigator's discretion dose levels could be increased during Week 2. Dose levels allowed during Week 2 were 2.0 or 3.0 mg. A second dose increase was allowed starting at Week 3. Dose levels allowed during Week 3 and the remainder of the treatment period were 2.0, 3.0, or 4.5 mg. Each participant continued to take the same dose of antidepressant therapy (bupropion, citalopram, desvenlafaxine, duloxetine, escitalopram, fluoxetine, sertraline, venlafaxine, or vilazodone) the participant was receiving prior to entering this study throughout treatment.
- Primary Outcome Measures
Name Time Method Change From Baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score at Week 8 Baseline to Week 8 The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.
- Secondary Outcome Measures
Name Time Method Change From Baseline in the Sheehan Disability Scale (SDS) Total Score at Week 8 Baseline to Week 8 The SDS measures an individual's perception of the extent to which his or her emotional symptoms are disrupting his or her functioning in 3 domains, work/school, social life/leisure activities, and family life/home responsibilities. The participant is asked to rate the degree to which their functioning is impaired on an 11-point scale, ranging from 0 (not at all) to 10 (extremely). Scores of 0 to 3 indicate mild functional impairment, 4 to 6 indicate moderate functional impairment, and 7 to 9 indicate marked functional impairment. The scores for the 3 domains are summed into a total score that ranges from 0 (unimpaired) to 30 (highly impaired). A higher score indicates greater impairment. A negative change score indicates improvement.
Trial Locations
- Locations (72)
Forest Investigative Site 070
🇺🇸Houston, Texas, United States
Forest Investigative Site 202
🇪🇪Võru, Estonia
Forest Investigative Site 208
🇪🇪Tartu, Estonia
Forest Investigative Site 308
🇫🇮Oulu, Finland
Forest Investigative Site 603
🇸🇰Bardejov, Slovakia
Forest Investigative Site 604
🇸🇰Bratislava, Slovakia
Forest Investigative Site 705
🇺🇦Stepanivka, Kherson, Ukraine
Forest Investigative Site 709
🇺🇦Odesa, Ukraine
Forest Investigative Site 203
🇪🇪Tallinn, Estonia
Forest Investigative Site 207
🇪🇪Tartu, Estonia
Forest Investigative Site 040
🇺🇸Flowood, Mississippi, United States
Forest Investigative Site 061
🇺🇸Cherry Hill, New Jersey, United States
Forest Investigative Site 201
🇪🇪Tallinn, Estonia
Forest Investigative Site 303
🇫🇮Helsinki, Finland
Forest Investigative Site 305
🇫🇮Kuopio, Finland
Forest Investigative Site 703
🇺🇦Kharkiv, Ukraine
Forest Investigative Site 702
🇺🇦Kyiv, Ukraine
Forest Investigative Site 205
🇪🇪Tallinn, Estonia
Forest Investigative Site 606
🇸🇰Bratislava, Slovakia
Forest Investigative Site 301
🇫🇮Helsinki, Finland
Forest Investigative Site 601
🇸🇰Michalovce, Slovakia
Forest Investigative Site 710
🇺🇦Lugansk, Ukraine
Forest Investigative Site 706
🇺🇦Vinnytsia, Ukraine
Forest Investigative Site 077
🇺🇸Garden Grove, California, United States
Forest Investigative Site 008
🇺🇸Redlands, California, United States
Forest Investigative Site 023
🇺🇸Miami, Florida, United States
Forest Investigative Site 030
🇺🇸Albuquerque, New Mexico, United States
Forest Investigative Site 062
🇺🇸Atlanta, Georgia, United States
Forest Investigative Site 067
🇺🇸New York, New York, United States
Forest Investigative Site 037
🇺🇸Mount Kisco, New York, United States
Forest Investigative Site 066
🇺🇸Sherman Oaks, California, United States
Forest Investigative Site 038
🇺🇸Marlton, New Jersey, United States
Forest Investigative Site 015
🇺🇸Orange, California, United States
Forest Investigative Site 074
🇺🇸Prairie Village, Kansas, United States
Forest Investigative Site 068
🇺🇸Creve Coeur, Missouri, United States
Forest Investigative Site 021
🇺🇸Dayton, Ohio, United States
Forest Investigative Site 022
🇺🇸Portland, Oregon, United States
Forest Investigative Site 024
🇺🇸Austin, Texas, United States
Forest Investigative Site 025
🇺🇸Philadelphia, Pennsylvania, United States
Forest Investigative Site 802
🇸🇪Malmö, Sweden
Forest Investigative Site 302
🇫🇮Helsinki, Finland
Forest Investigative Site 304
🇫🇮Helsinki, Finland
Forest Investigative Site 602
🇸🇰Banska Stiavnica, Slovakia
Forest Investigative Site 048
🇺🇸Memphis, Tennessee, United States
Forest Investigative Site 028
🇺🇸Salt Lake City, Utah, United States
Forest Investigative Site 034
🇺🇸Kirkland, Washington, United States
Forest Investigative Site 803
🇸🇪Lund, Sweden
Forest Investigative Site 801
🇸🇪Stockholm, Sweden
Forest Investigative Site 206
🇪🇪Tallinn, Estonia
Forest Investigative Site 204
🇪🇪Tartu, Estonia
Forest Investigative Site 307
🇫🇮Pori, Finland
Forest Investigative Site 605
🇸🇰Rimavska Sobota, Slovakia
Forest Investigative Site 607
🇸🇰Rimavska Sobota, Slovakia
Forest Investigative Site 701
🇺🇦Kyiv, Ukraine
Forest Investigative Site 704
🇺🇦Kharkiv, Ukraine
Forest Investigative Site 063
🇺🇸Gainesville, Florida, United States
Forest Investigative Site 029
🇺🇸Jacksonville, Florida, United States
Forest Investigative Site 026
🇺🇸Orlando, Florida, United States
Forest Investigative Site 069
🇺🇸Bridgeville, Pennsylvania, United States
Forest Investigative Site 065
🇺🇸Smyrna, Georgia, United States
Forest Investigative Site 031
🇺🇸Reading, Pennsylvania, United States
Forest Investigative Site 032
🇺🇸Bellevue, Washington, United States
Forest Investigative Site 050
🇺🇸Orange, California, United States
Forest Investigative Site 012
🇺🇸Kissimmee, Florida, United States
Forest Investigative Site 019
🇺🇸National City, California, United States
Forest Investigative Site 039
🇺🇸Oceanside, California, United States
Forest Investigative Site 047
🇺🇸Canton, Ohio, United States
Forest Investigative Site 049
🇺🇸New York, New York, United States
Forest Investigative Site 076
🇺🇸Brooklyn, New York, United States
Forest Investigative Site 027
🇺🇸Salem, Oregon, United States
Forest Investigative Site 020
🇺🇸Dallas, Texas, United States
Forest Investigative Site 080
🇺🇸San Antonio, Texas, United States