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Study Evaluating Desvenlafaxine Succinate Sustained-Release (DVS SR) in Adult Outpatients With Major Depressive Disorder (MDD)

Registration Number
NCT01432457
Lead Sponsor
Pfizer
Brief Summary

A multicenter, 8-week study to evaluate the efficacy of 2 doses (50 and 100 mg/day) of desvenlafaxine succinate sustained-release (DVS SR) versus placebo in adult outpatients with major depressive disorder.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
924
Inclusion Criteria
  • Male or female outpatients aged 18 years or older who are fluent in written and spoken English.
  • A primary diagnosis of MDD based on the criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM- IV-TR), single or recurrent episode, without psychotic features.
  • A HAM-D17 total score ≥20 at the screening and baseline (study day -1) visits and no more than a 4-point improvement from screening to baseline.
Exclusion Criteria
  • Significant risk of suicide based on clinical judgment.
  • Current (within 12 months before baseline) psychoactive substance abuse or dependence (including alcohol), manic episode, posttraumatic stress disorder, obsessive compulsive disorder, or a lifetime diagnosis of bipolar or psychotic disorder.
  • Current generalized anxiety disorder, panic disorder, or social anxiety disorder.
  • History or current evidence of gastrointestinal disease known to interfere with the absorption or excretion of drugs or a history of surgery known to interfere with the absorption or excretion of drugs.
  • Any unstable hepatic, renal, pulmonary, cardiovascular, ophthalmologic, neurologic, or other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
desvenlafaxine succinate sustained-release 50 mg/daydesvenlafaxine succinate sustained-release 50 mg/day-
desvenlafaxine succinate sustained-release 100 mg/daydesvenlafaxine succinate sustained-release 100 mg/day-
Placeboplacebo-
Primary Outcome Measures
NameTimeMethod
Change From Baseline on the Hamilton Rating Scale for Depression, 17-item Total Score (HAM-D17) at Week 8Baseline to Week 8 (final on-therapy)

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. Change from baseline: score at observation minus score at baseline

Secondary Outcome Measures
NameTimeMethod
Change From Baseline on the Clinical Global Impression-Severity (CGI-S) ScoreBaseline to Week 8 (final on-therapy)

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = worse state.

Hamilton Rating Scale for Depression, 17-item (HAM-D17) Response RateBaseline to Week 8 (final on-therapy)

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. A response is defined as ≥ 50% decrease from baseline on Hamilton Psychiatric Rating Scale for Depression (HAM-D17) total score.

Hamilton Rating Scale for Depression, 17-item (HAM-D17) Remission RateBaseline to week 8 (final on-therapy)

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) total score of ≤ 7.

Change From Baseline on the Arizona Sexual Experiences (ASEX) Scale Total ScoreBaseline to Week 8 (final on-therapy)

The ASEX scale has 5 items to assess sexual functioning with a 1-week recall period. The 5 items assess sex drive, ease of arousal, ease of erection/lubrication, ease of orgasm and orgasm satisfaction. Subjects were encouraged to complete all 5 items regardless of sexual activity during the past week. However, all analyses utilized only the data for the visits where the presence of sexual activity was indicated.

Each individual score ranged from 1 to 6; the total score (based on the sum of the individual items) ranged from 5 to 30; higher scores indicated worse sexual function.

Change From Baseline on the Clinical Global Impression Scale-Improvement (CGI-I)Baseline to Week 8 (final on-therapy)

CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Higher score = worse outcome.

Change From Baseline on the Clinical Global Impression-Severity Score (CGI-S)Baseline to Week 8 (final on-therapy)

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = worse state.

Trial Locations

Locations (57)

Neuro-Behavioral Clinical Research, Inc.

🇺🇸

Canton, Ohio, United States

Clinical Innovations, Inc.

🇺🇸

San Diego, California, United States

Patient Priority Clinical Sites, LLC

🇺🇸

Cincinnati, Ohio, United States

Red Oak Psychiatry Associates, PA

🇺🇸

Houston, Texas, United States

Summit Research Network (Seattle) LLC

🇺🇸

Seattle, Washington, United States

Prairie St. Johns Clinic - Fargo

🇺🇸

Fargo, North Dakota, United States

Psychiatric Associates

🇺🇸

Overland Park, Kansas, United States

Plains Medical Clinic

🇺🇸

Fargo, North Dakota, United States

Odyssey Research

🇺🇸

Fargo, North Dakota, United States

Pasadena Research Institute, LLC

🇺🇸

Pasadena, California, United States

Synergy Clinical Research Center

🇺🇸

National City, California, United States

Janus Center for Psychiatric Research

🇺🇸

West Palm Beach, Florida, United States

Viking Clinical Research Center

🇺🇸

Temecula, California, United States

Southwestern Research, Incorporated

🇺🇸

Beverly Hills, California, United States

Synergy Clinical Research of Escondido

🇺🇸

Escondido, California, United States

Clinical Neuroscience Solutions Incorporated

🇺🇸

Jacksonville, Florida, United States

Collaborative Neuroscience Network, Inc. South Bay

🇺🇸

Torrance, California, United States

Florida Clinical Research Center, LLC

🇺🇸

Maitland, Florida, United States

Capstone Clinical Research

🇺🇸

Libertyville, Illinois, United States

Deidcated Clinical Research

🇺🇸

Phoenix, Arizona, United States

Cutting Edge Research Group

🇺🇸

Oklahoma City, Oklahoma, United States

Oregon Center for Clinical Investigations, Inc.

🇺🇸

Portland, Oregon, United States

Summit Research Network (Oregon), Inc.

🇺🇸

Portland, Oregon, United States

CRI Worldwide, LLC

🇺🇸

Philadelphia, Pennsylvania, United States

Affiliated Research Institute

🇺🇸

San Diego, California, United States

Joliet Center for Clinical Research

🇺🇸

Joliet, Illinois, United States

California Neuroscience Research Medical Group, Inc

🇺🇸

Sherman Oaks, California, United States

American Medical Research, Inc.

🇺🇸

Oak Brook, Illinois, United States

Accurate Clinical Trials, Inc.

🇺🇸

Kissimmee, Florida, United States

Comprehensive NeuroScience, Inc.

🇺🇸

St. Petersburg, Florida, United States

Atlanta Center for Medical Research

🇺🇸

Atlanta, Georgia, United States

Pacific Clinical Research Medical Group

🇺🇸

Upland, California, United States

Arkansas Psychiatric Clinic Clinical Research Trials, P.A.

🇺🇸

Little Rock, Arkansas, United States

Carman Research

🇺🇸

Smyrna, Georgia, United States

AMR-Baber Research Inc.

🇺🇸

Naperville, Illinois, United States

Comprehensive NeuroScience, Incorporated

🇺🇸

Atlanta, Georgia, United States

Pharmasite Research Inc

🇺🇸

Baltimore, Maryland, United States

Via Christi Research

🇺🇸

Wichita, Kansas, United States

Midwest Research Group

🇺🇸

St. Charles, Missouri, United States

Social Psychiatry Research Institute

🇺🇸

Brooklyn, New York, United States

Heartland Pharma Development

🇺🇸

North Platte, Nebraska, United States

Neurobehavioral Research, Inc

🇺🇸

Cedarhurst, New York, United States

Eastside Comprehensive Medical Center, LLC

🇺🇸

New York, New York, United States

Medical and Behavioral Health Research Pc

🇺🇸

New York, New York, United States

NorthCoast Clinical Trials Inc.

🇺🇸

Beachwood, Ohio, United States

Midwest Clinical Research Center

🇺🇸

Dayton, Ohio, United States

Lehigh Center for Clinical Research

🇺🇸

Allentown, Pennsylvania, United States

FutureSearch Trials

🇺🇸

Austin, Texas, United States

Suburban Research Associates

🇺🇸

Media, Pennsylvania, United States

Carolina Clinical Research Services

🇺🇸

Columbia, South Carolina, United States

Lincoln Research

🇺🇸

Lincoln, Rhode Island, United States

KRK Medical Research

🇺🇸

Dallas, Texas, United States

FutureSearch Trials of Dallas

🇺🇸

Dallas, Texas, United States

Eastside Therapeutic Resource

🇺🇸

Kirkland, Washington, United States

Radiant Research, Inc.

🇺🇸

Murray, Utah, United States

Dedicated Clinical Research

🇺🇸

Phoenix, Arizona, United States

Pacific Research Partners

🇺🇸

Oakland, California, United States

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