A Ten-week, Multicenter, Randomized, Double-Blind, Placebo-and Active-Controlled, Paralleled-Group, Flexible-Dose Study Evaluating the Efficacy, Safety and Tolerability of GSK372475 or Paroxetine Compared to Placebo in Adult Subjects Diagnosed With Major Depressive Disorder
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 492
- 试验地点
- 1
- 主要终点
- Mean Change From Randomization at the End of the Treatment Phase in the MADRS Total Score
研究概览
简要总结
To evaluate the efficacy, safety and tolerability of GSK372475 compared with placebo in the treatment of outpatients subjects with major depressive disorder to exhibit decreased pleasure, interest and energy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 64 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
GSK372475 Arm
GSK372475 1.0- 1.5 mg/day
干预措施: GSK372475 (Drug)
Paroxetine Arm
Paroxetine 20-30 mg/day
干预措施: Paroxetine (Drug)
Placebo
Placebo to Match
干预措施: Placebo (Other)
结局指标
主要结局
Mean Change From Randomization at the End of the Treatment Phase in the MADRS Total Score
时间窗: Week 0 (Randomization) and Week 10
The MADRS scale measures the depression level of a participant. The total score was derived by adding the scores of the following 10 items: 1, apparent sadness; 2, reported sadness; 3, inner tension; 4, reduced sleep; 5, reduced appetite; 6, concentration difficulties; 7, lassitude; 8, inability to feel; 9, pessimistic thoughts; 10, suicidal thoughts. Each item was scored using a scale of 0 to 6 (a higher score indicates increased severity). The maximum total score is 60; 0, no depression; 60, severely depressed. Randomization value was defined as the assessment value done on Week 0. Change from Randomization in total score was the difference between MADRS total score at the time point being analyzed (Week 10) to Randomization.
Change From Randomization at the End of the Treatment Phase (Week 10) in Bech Scale (6-item of 17-item Hamilton Depression Rating [HAMD-17] Scale) Score
时间窗: Week 0 (Randomization) and Week 10
The HAMD is a rating instrument for evaluating severity of symptoms of depression, was completed by the participant. The rating instrument used in this study was the 17-item version (HAM-D17). The Bech scale of the HAMD-17 is composed of 6 identified items out of the 17 items rated in HAMD-17 scale. Each item is rated on either a 3-point scale (0 to 2) or a 5-point scale (0 to 4). The following symptoms were rated on a 5-point scale (0-4): depressed mood, feeling of guilt, work and interests, psychomotor retardation, and anxiety (psychic). The following symptom was rated on a 3-point scale (0-2): somatic symptoms (general). Total score ranged from 0 to 22, with 0 indicating absence of symptoms and a higher score indicating greater severity of symptoms. Randomization value was defined as the assessment value done on Week 0. Change from Randomization in total score was the difference between Bech total score at the time point being analyzed (Week 10) to Randomization.
Mean Change From Randomization at the End of the Treatment Phase (Week 10) in Inventory of Depressive Symptomatology-Clinician Rated (IDS-CR) Total Score
时间窗: Week 0 (Randomization) and Week 10
The IDS-CR is a standardized 30-item, clinician rated scale to assess the severity of a participant's depressive symptoms. The items were rated on a 4-point scale of 0-3, where 0 indicated absence of symptom and higher score indicated greater severity of symptom. In order to calculate the total score of IDS-CR, the following procedures were used: either item 11 or 12 were scored; either item 13 or 14 were scored; if both items 11 and 12 (or 13 and 14) were scored, the highest of the items was scored. The total score was obtained by adding the scores of 28 items of the 30 items. Total scores range from 0-84, with a score of 0 indicating no depression and a score of 84 indicating the most severe depression. Randomization value was defined as the assessment value done on Week 0. Change from Randomization in total score was the difference between IDS-CR total score at the time point being analyzed (Week 10) to Randomization.
次要结局
- Mean Change From Randomization in IDS- Self-Rated Version (SR) Total Score Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in the 16-item Quick Inventory of Depressive Symptomatology-Clinician-rated Version (QIDS-CR16) Total Score Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in the 16-item Quick Inventory of Depressive Symptomatology-Self-rated Version (QIDS-SR16) Total Score Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in the MADRS Item 2 Score (Reported Sadness) Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in the IDS-CR Scale Item 5 (Feeling Sad) Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization at the End of the Treatment Phase (Week 10) in the HAMD-17 Total Score(Week 0 (Randomization) and Week 10)
- Mean Change From Randomization in the HAMD-17 Scale Item 1 (Depressed Mood) Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in IDS-CR and IDS-SR 5 Item Subscale Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in the Clinical Global Impression-Severity of Illness (CGI-S) Scale Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in the Motivation and Energy Inventory (MEI) 18-Item Short Form (SF) Total Score Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in the Changes in Sexual Functioning Questionnaire 14-item Short Form (CSFQ-14SF) Over Week 10(Week 0 (Randomization) up to Week 10)
- Mean Change From Randomization in the MADRS Total Score Over Week 8(Week 0 (Randomization) up to Week 8)
- Mean Change From Randomization in IDS-CR Total Score Over Week 8(Week 0 (Randomization) up to Week 8)
- Mean Change From Randomization in the in Bech Scale (6-item of HAMD-17 Scale) Score Over Week 8(Week 0 (Randomization) up to Week 8)
- Percentage of Responders and Remitters of MADRS Over Week 10(Up to Week 10)
- Percentage of Responders and Remitters of IDS-CR Over Week 10(Up to Week 10)
- Percentage of Responders and Remitters of HAMD-17 Over Week 10(Up to Week 10)
- Percentage of Participants With Clinical Global Impression - Global Improvement (CGI-I) Over Week 10(Up to Week 10)
- Percentage of Participants Satisfied With Study Medication at Week 10(Week 10)
- Number of Participants With Most Severe Suicidal Behaviour and Ideation in the Suicidal Behavior (SB) and Suicidal Ideation (SI) Subscales of the Columbia Suicide Severity Rating Scale (CSSRS) Over Week 10(Up to Week 10)
