Trial Outcomes & Findings for Trial to Compare Time to Response in the Symptoms of Anxiety to Concomitant Treatment With Niravam™ and an SSRI or SNRI to Treatment With an SSRI or SNRI Alone in Subjects With Generalized Anxiety Disorder or Panic Disorder (NCT NCT00266409)

NCT ID: NCT00266409

Last Updated: 2014-10-27

Results Overview

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Thus total possible score is 56. Kaplan-Meier-analysis was performed and Kaplan-Meier estimates (cumulative percent of subjects responding) are presented.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

418 participants

Primary outcome timeframe

10 weeks

Results posted on

2014-10-27

Participant Flow

Participants Flow shows 418 subjects that have been enrolled and randomized. The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.

Baseline Characteristics are only available for the Intent-to-treat population (subjects who received one dose of SSRI/SNRI and/or Niravam and have an assessment beyond the Baseline assessment)

Participant milestones

Participant milestones
Measure
Panic: Niravam+SSRI/SNRI
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Overall Study
STARTED
137
138
72
71
Overall Study
COMPLETED
92
92
55
49
Overall Study
NOT COMPLETED
45
46
17
22

Reasons for withdrawal

Reasons for withdrawal
Measure
Panic: Niravam+SSRI/SNRI
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Overall Study
Lack of Efficacy
2
6
1
2
Overall Study
Adverse Event
7
2
1
1
Overall Study
Lost to Follow-up
18
21
6
8
Overall Study
Withdrawal by Subject
6
10
3
9
Overall Study
Protocol Violation
5
3
4
2
Overall Study
Other
7
4
2
0

Baseline Characteristics

Trial to Compare Time to Response in the Symptoms of Anxiety to Concomitant Treatment With Niravam™ and an SSRI or SNRI to Treatment With an SSRI or SNRI Alone in Subjects With Generalized Anxiety Disorder or Panic Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Panic: Niravam+SSRI/SNRI
n=125 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=120 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=67 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=62 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Total
n=374 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Age, Categorical
Between 18 and 65 years
120 Participants
n=39 Participants
119 Participants
n=41 Participants
66 Participants
n=35 Participants
61 Participants
n=31 Participants
366 Participants
n=146 Participants
Age, Categorical
>=65 years
5 Participants
n=39 Participants
1 Participants
n=41 Participants
1 Participants
n=35 Participants
1 Participants
n=31 Participants
8 Participants
n=146 Participants
Age, Continuous
40.1 years
STANDARD_DEVIATION 12.24 • n=39 Participants
38.1 years
STANDARD_DEVIATION 12.55 • n=41 Participants
40.1 years
STANDARD_DEVIATION 12.64 • n=35 Participants
43.6 years
STANDARD_DEVIATION 12.20 • n=31 Participants
40 years
STANDARD_DEVIATION 12 • n=146 Participants
Sex: Female, Male
Female
102 Participants
n=39 Participants
93 Participants
n=41 Participants
50 Participants
n=35 Participants
42 Participants
n=31 Participants
287 Participants
n=146 Participants
Sex: Female, Male
Male
23 Participants
n=39 Participants
27 Participants
n=41 Participants
17 Participants
n=35 Participants
20 Participants
n=31 Participants
87 Participants
n=146 Participants
Region of Enrollment
United States
125 participants
n=39 Participants
120 participants
n=41 Participants
67 participants
n=35 Participants
62 participants
n=31 Participants
374 participants
n=146 Participants

PRIMARY outcome

Timeframe: 10 weeks

Population: Intent-to-treat population

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Thus total possible score is 56. Kaplan-Meier-analysis was performed and Kaplan-Meier estimates (cumulative percent of subjects responding) are presented.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=125 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=120 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=67 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=62 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Week 1
1.60 cumulative percent of responders
0.83 cumulative percent of responders
1.49 cumulative percent of responders
1.61 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Week 2
3.20 cumulative percent of responders
21.73 cumulative percent of responders
32.93 cumulative percent of responders
27.52 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Week 3
45.83 cumulative percent of responders
39.43 cumulative percent of responders
51.22 cumulative percent of responders
48.89 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Week 4
59.22 cumulative percent of responders
52.40 cumulative percent of responders
57.32 cumulative percent of responders
62.14 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Week 5
69.68 cumulative percent of responders
65.99 cumulative percent of responders
66.47 cumulative percent of responders
65.92 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Week 6
71.57 cumulative percent of responders
69.79 cumulative percent of responders
69.66 cumulative percent of responders
71.94 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Week 7
74.59 cumulative percent of responders
74.11 cumulative percent of responders
74.66 cumulative percent of responders
73.94 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Week 8
76.62 cumulative percent of responders
76.27 cumulative percent of responders
76.47 cumulative percent of responders
73.94 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Intent-to-treat Population (Kaplan-Meier-estimates)
Weeks 9 to 10
83.30 cumulative percent of responders
82.20 cumulative percent of responders
83.82 cumulative percent of responders
76.11 cumulative percent of responders

PRIMARY outcome

Timeframe: 10 weeks

Population: Per Protocol Population (subjects of ITT population who have no major protocol violations)

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Total possible score is 56. Kaplan-Meier-analysis was performed and Kaplan-Meier estimates (cumulative percent of subjects responding) are presented.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=104 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=106 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=49 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 1
1.92 cumulative percent of responders
0.94 cumulative percent of responders
1.89 cumulative percent of responders
2.04 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 2
35.58 cumulative percent of responders
24.53 cumulative percent of responders
33.96 cumulative percent of responders
30.78 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 3
51.23 cumulative percent of responders
41.54 cumulative percent of responders
52.83 cumulative percent of responders
53.16 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 4
63.18 cumulative percent of responders
54.19 cumulative percent of responders
58.49 cumulative percent of responders
67.21 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 5
75.45 cumulative percent of responders
67.59 cumulative percent of responders
67.92 cumulative percent of responders
71.89 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 6
77.59 cumulative percent of responders
71.94 cumulative percent of responders
71.70 cumulative percent of responders
79.56 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 7
79.83 cumulative percent of responders
75.77 cumulative percent of responders
77.70 cumulative percent of responders
79.56 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 8
80.95 cumulative percent of responders
78.32 cumulative percent of responders
79.93 cumulative percent of responders
79.56 cumulative percent of responders
Cumulative Percent of Participants Showing a Response in the Symptoms of Anxiety (Decrease in Total Hamilton Anxiety (HAM-A) -Score of >=50%) in the Per Protocol Population (Kaplan-Meier-estimates)
Week 9 to 10
86.60 cumulative percent of responders
84.82 cumulative percent of responders
86.62 cumulative percent of responders
82.48 cumulative percent of responders

SECONDARY outcome

Timeframe: Baseline and 1 week

Population: ITT population, but only subjects with values at baseline and time point are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=112 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=109 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=63 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=57 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score After 1 Week
-9.3 Units on a scale
Standard Deviation 11.50
-5.8 Units on a scale
Standard Deviation 9.04
-7.8 Units on a scale
Standard Deviation 7.43
-4.6 Units on a scale
Standard Deviation 8.33

SECONDARY outcome

Timeframe: Baseline and 2 Weeks

Population: ITT Population, only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=108 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=103 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=61 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=53 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score After 2 Weeks
-11.6 Units on a scale
Standard Deviation 10.98
-8.2 Units on a scale
Standard Deviation 9.37
-10.0 Units on a scale
Standard Deviation 8.75
-6.1 Units on a scale
Standard Deviation 9.06

SECONDARY outcome

Timeframe: Baseline and 3 weeks

Population: ITT population, only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=101 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=92 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=58 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=52 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score After 3 Weeks
-14.3 Units on a scale
Standard Deviation 11.81
-12.9 Units on a scale
Standard Deviation 11.03
-10.9 Units on a scale
Standard Deviation 9.70
-9.5 Units on a scale
Standard Deviation 9.49

SECONDARY outcome

Timeframe: Baseline and 4 weeks

Population: ITT population, only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=97 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=90 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=54 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score After 4 Weeks
-15.2 Units on a scale
Standard Deviation 11.66
-13.7 Units on a scale
Standard Deviation 10.58
-12.9 Units on a scale
Standard Deviation 9.47
-8.3 Units on a scale
Standard Deviation 8.35

SECONDARY outcome

Timeframe: Baseline and 5 weeks

Population: ITT population, only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=89 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=51 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score After 5 Weeks
-16.7 Units on a scale
Standard Deviation 11.81
-14.4 Units on a scale
Standard Deviation 11.69
-13.3 Units on a scale
Standard Deviation 8.41
-10.3 Units on a scale
Standard Deviation 10.99

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: ITT population, only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=87 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=47 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score After 6 Weeks
-17.7 Units on a scale
Standard Deviation 11.94
-15.1 Units on a scale
Standard Deviation 11.59
-13.4 Units on a scale
Standard Deviation 8.00
-11.0 Units on a scale
Standard Deviation 10.44

SECONDARY outcome

Timeframe: Baseline and 7 weeks

Population: ITT population, only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=83 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=82 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=49 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score After 7 Weeks
-17.7 Units on a scale
Standard Deviation 12.75
-15.6 Units on a scale
Standard Deviation 11.78
-13.3 Units on a scale
Standard Deviation 8.85
-11.3 Units on a scale
Standard Deviation 11.32

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: ITT population, only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=84 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score After 8 Weeks
-18.5 Units on a scale
Standard Deviation 13.38
-16.6 Units on a scale
Standard Deviation 10.72
-13.9 Units on a scale
Standard Deviation 8.71
-12.3 Units on a scale
Standard Deviation 9.49

SECONDARY outcome

Timeframe: Baseline and at endpoint during the 8 week treatment period

Population: ITT population, Last Observation Carried Forward imputation was applied

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum HAM-A Score is 56. Endpoint is last observed value during the 8 week treatment period.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=117 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=117 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=64 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=59 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in the Total HAM-A Score at Endpoint During the 8 Week Treatment Period
-17.3 Units on a scale
Standard Deviation 13.03
-14.3 Units on a scale
Standard Deviation 11.32
-13.6 Units on a scale
Standard Deviation 8.85
-11.5 Units on a scale
Standard Deviation 10.44

SECONDARY outcome

Timeframe: 1 week

Population: ITT population, but only patients with a non-missing value at timepoint are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=112 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=109 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=63 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=57 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 1 Week
Response
39 participants
24 participants
22 participants
16 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 1 Week
No Response
73 participants
85 participants
41 participants
41 participants

SECONDARY outcome

Timeframe: 2 weeks

Population: ITT population, but only patients with a non-missing value at timepoint are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=108 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=103 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=61 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=53 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 2 Weeks
Response
48 participants
38 participants
30 participants
23 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 2 Weeks
No Response
60 participants
65 participants
31 participants
30 participants

SECONDARY outcome

Timeframe: 3 weeks

Population: ITT population, but only patients with a non-missing value at timepoint are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=101 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=92 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=58 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=52 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 3 Weeks
Response
56 participants
51 participants
33 participants
31 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 3 Weeks
No Response
45 participants
41 participants
25 participants
21 participants

SECONDARY outcome

Timeframe: 4 weeks

Population: ITT population, but only patients with a non-missing value at timepoint are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=97 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=90 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=54 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 4 Weeks
Response
58 participants
56 participants
37 participants
25 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 4 Weeks
No Response
39 participants
34 participants
17 participants
23 participants

SECONDARY outcome

Timeframe: 5 weeks

Population: ITT population, but only patients with a non-missing value at timepoint are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=89 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=51 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 5 Weeks
Response
59 participants
51 participants
33 participants
30 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 5 Weeks
Non Response
30 participants
30 participants
18 participants
18 participants

SECONDARY outcome

Timeframe: 6 weeks

Population: ITT population, but only patients with a non-missing value at timepoint are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=87 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=47 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 6 Weeks
No Response
24 participants
25 participants
16 participants
15 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 6 Weeks
Response
63 participants
56 participants
31 participants
32 participants

SECONDARY outcome

Timeframe: 7 weeks

Population: ITT population, but only patients with a non-missing value at timepoint are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=83 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=82 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=49 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 7 Weeks
Response
60 participants
57 participants
37 participants
34 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 7 Weeks
No Response
23 participants
25 participants
16 participants
15 participants

SECONDARY outcome

Timeframe: 8 weeks

Population: ITT population, but only patients with a non-missing value at timepoint are included in the analysis

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=84 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 8 Weeks
Response
61 participants
62 participants
38 participants
35 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) After 8 Weeks
No Response
23 participants
22 participants
15 participants
12 participants

SECONDARY outcome

Timeframe: at endpoint during the 8 week treatment period

Population: ITT population, Last Observation Carried Forward imputation was applied

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Endpoint is last observed value during the 8 week treatment period.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=117 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=117 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=64 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=59 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) at Endpoint During the 8 Week Treatment Period
Response
78 participants
74 participants
44 participants
40 participants
Clinical Response (Decrease From Baseline in Total HAM-A-score >=50%) at Endpoint During the 8 Week Treatment Period
No Response
39 participants
43 participants
20 participants
19 participants

SECONDARY outcome

Timeframe: Baseline and 2 weeks

Population: ITT population, but only patients with non-missing values were included

The Clinical Global Impression Improvement (CGI-I) scale is a 7 point ordinal scale that assesses how the patient's illness has improved ranging from 'very much improved' to 'very much worse'(see definition of categories in results table).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=119 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=107 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=66 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=57 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change in Severity of Illness From Baseline Using the Clinical Global Impression Improvement (CGI-I) Score After 2 Weeks
Very much improved
6 Participants
1 Participants
4 Participants
2 Participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression Improvement (CGI-I) Score After 2 Weeks
much improved
38 Participants
23 Participants
25 Participants
10 Participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression Improvement (CGI-I) Score After 2 Weeks
minimally improved
53 Participants
35 Participants
27 Participants
20 Participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression Improvement (CGI-I) Score After 2 Weeks
No change
17 Participants
40 Participants
9 Participants
18 Participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression Improvement (CGI-I) Score After 2 Weeks
Minimally worse
4 Participants
7 Participants
1 Participants
6 Participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression Improvement (CGI-I) Score After 2 Weeks
Much worse
1 Participants
1 Participants
0 Participants
1 Participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression Improvement (CGI-I) Score After 2 Weeks
Very much worse
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline and 4 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Clinical Global Impression Improvement (CGI-I) scale is a 7 point ordinal scale that assesses how the patient's illness has improved ranging from 'very much improved' to 'very much worse'(see definition of categories in results table).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=107 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=99 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=60 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=46 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 4 Weeks
Very much improved
18 participants
5 participants
12 participants
1 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 4 Weeks
Much improved
40 participants
40 participants
26 participants
18 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 4 Weeks
Minimally improved
35 participants
23 participants
13 participants
17 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 4 Weeks
No change
7 participants
19 participants
7 participants
9 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 4 Weeks
Minimally worse
6 participants
9 participants
1 participants
1 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 4 Weeks
Much worse
1 participants
2 participants
0 participants
0 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 4 Weeks
Very much worse
0 participants
1 participants
1 participants
0 participants

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Clinical Global Impression Improvement (CGI-I) scale is a 7 point ordinal scale that assesses how the patient's illness has improved ranging from 'very much improved' to 'very much worse'(see definition of categories in results table).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=93 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=96 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=57 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=51 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 8 Weeks
No change
3 participants
19 participants
5 participants
4 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 8 Weeks
Very much improved
28 participants
27 participants
14 participants
12 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 8 Weeks
Much improved
44 participants
27 participants
25 participants
22 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 8 Weeks
Minimally improved
16 participants
19 participants
11 participants
13 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 8 Weeks
Minimally worse
2 participants
1 participants
1 participants
0 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 8 Weeks
Much worse
0 participants
2 participants
1 participants
0 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score After 8 Weeks
Very much worse
0 participants
1 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline and at endpoint during the 8 week treatment period

Population: ITT population, but only subjects with non-missing values have been included

The Clinical Global Impression Improvement (CGI-I) scale is a 7 point ordinal scale that assesses how the patient's illness has improved ranging from 'very much improved' to 'very much worse'(see definition of categories in results table). Endpoint is last observed value during the 8 week treatment period.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=122 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=113 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=66 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=59 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score at Endpoint During the 8 Week Treatment Period
Very much improved
31 participants
27 participants
14 participants
12 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score at Endpoint During the 8 Week Treatment Period
Much improved
47 participants
31 participants
29 participants
23 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score at Endpoint During the 8 Week Treatment Period
Minimally improved
30 participants
24 participants
12 participants
16 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score at Endpoint During the 8 Week Treatment Period
No change
7 participants
25 participants
8 participants
5 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score at Endpoint During the 8 Week Treatment Period
Minimally worse
6 participants
2 participants
2 participants
2 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score at Endpoint During the 8 Week Treatment Period
Much worse
1 participants
3 participants
1 participants
1 participants
Change in Severity of Illness From Baseline Using the Clinical Global Impression - Improvement (CGI-I) Score at Endpoint During the 8 Week Treatment Period
Very much worse
0 participants
1 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: 1 week

Population: ITT population, but only patients with non-missing values are included in the analysis

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect ranging from 'very much better' to 'very much worse' (see categories in results tables).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=109 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=102 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=61 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=53 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 1 Week
Very much better
7 participants
0 participants
3 participants
0 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 1 Week
Much better
24 participants
5 participants
10 participants
7 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 1 Week
A little better
35 participants
40 participants
27 participants
9 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 1 Week
Unchanged
39 participants
46 participants
20 participants
31 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 1 Week
A little worse
2 participants
6 participants
1 participants
3 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 1 Week
Much worse
1 participants
5 participants
0 participants
2 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 1 Week
Very much worse
1 participants
0 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: 2 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=110 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=104 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=62 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=54 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 2 Weeks
Very much better
10 participants
2 participants
5 participants
4 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 2 Weeks
Much better
30 participants
16 participants
21 participants
7 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 2 Weeks
A little better
34 participants
38 participants
21 participants
20 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 2 Weeks
Unchanged
29 participants
37 participants
13 participants
17 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 2 Weeks
A little worse
3 participants
3 participants
0 participants
3 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 2 Weeks
Much worse
4 participants
5 participants
1 participants
2 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 2 Weeks
Very much worse
0 participants
3 participants
1 participants
1 participants

SECONDARY outcome

Timeframe: 3 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect ranging from 'very much better' to 'very much worse' (see categories in results tables).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=107 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=95 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=61 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=53 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 3 Weeks
Very much better
22 participants
7 participants
10 participants
2 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 3 Weeks
Much better
23 participants
21 participants
21 participants
14 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 3 Weeks
A little better
33 participants
28 participants
16 participants
22 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 3 Weeks
Unchanged
24 participants
31 participants
12 participants
13 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 3 Weeks
A little worse
2 participants
3 participants
1 participants
0 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 3 Weeks
Much worse
1 participants
5 participants
1 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 3 Weeks
Very much worse
2 participants
0 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: 4 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect ranging from 'very much better' to 'very much worse' (see categories in results tables).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=102 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=93 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=57 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=49 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 4 Weeks
Very much better
18 participants
13 participants
13 participants
6 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 4 Weeks
Much better
38 participants
24 participants
19 participants
14 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 4 Weeks
A little better
26 participants
20 participants
16 participants
18 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 4 Weeks
Unchanged
14 participants
28 participants
5 participants
8 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 4 Weeks
A little worse
2 participants
4 participants
2 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 4 Weeks
Much worse
2 participants
3 participants
2 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 4 Weeks
Very much worse
2 participants
1 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: 5 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect ranging from 'very much better' to 'very much worse' (see categories in results tables).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=94 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=54 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=49 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 5 Weeks
Very much better
21 participants
10 participants
13 participants
5 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 5 Weeks
Much better
32 participants
27 participants
19 participants
20 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 5 Weeks
A little better
16 participants
19 participants
18 participants
10 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 5 Weeks
Unchanged
16 participants
19 participants
4 participants
12 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 5 Weeks
A little worse
3 participants
2 participants
0 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 5 Weeks
Much worse
6 participants
6 participants
0 participants
0 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 5 Weeks
Very much worse
0 participants
1 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: 6 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect ranging from 'very much better' to 'very much worse' (see categories in results tables).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=93 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=50 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 6 Weeks
Very much better
22 participants
16 participants
15 participants
6 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 6 Weeks
Much better
29 participants
24 participants
20 participants
15 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 6 Weeks
A little better
23 participants
17 participants
11 participants
16 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 6 Weeks
Unchanged
16 participants
18 participants
4 participants
8 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 6 Weeks
A little worse
2 participants
2 participants
0 participants
2 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 6 Weeks
Much worse
1 participants
5 participants
0 participants
0 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 6 Weeks
Very much worse
0 participants
2 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: 7 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect ranging from 'very much better' to 'very much worse' (see categories in results tables).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=88 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=56 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=50 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 7 Weeks
Very much better
23 participants
21 participants
12 participants
8 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 7 Weeks
Much better
28 participants
24 participants
23 participants
23 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 7 Weeks
A little better
17 participants
17 participants
11 participants
7 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 7 Weeks
Unchanged
15 participants
18 participants
8 participants
9 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 7 Weeks
A little worse
3 participants
1 participants
2 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 7 Weeks
Much worse
2 participants
1 participants
0 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 7 Weeks
Very much worse
0 participants
2 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: 8 weeks

Population: ITT population, Last Observation Carried Forward imputation was applied

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect ranging from 'very much better' to 'very much worse' (see categories in results tables).

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=88 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=86 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=56 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 8 Weeks
Very much better
28 participants
23 participants
20 participants
13 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 8 Weeks
Much better
28 participants
22 participants
14 participants
13 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 8 Weeks
A little better
17 participants
21 participants
13 participants
12 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 8 Weeks
Unchanged
13 participants
16 participants
8 participants
7 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 8 Weeks
A little worse
2 participants
0 participants
1 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 8 Weeks
Much worse
0 participants
3 participants
0 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score After 8 Weeks
Very much worse
0 participants
1 participants
0 participants
1 participants

SECONDARY outcome

Timeframe: at endpoint during the 8 week treatment period

Population: ITT population, Last Observation Carried Forward imputation was applied

The Patient Global Impression (PGI) scale is a 7 point ordinal scale that rates subject's assessment of treatment effect ranging from 'very much better' to 'very much worse' (see categories in results tables). Endpoint is last observed value during the 8 week treatment period.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=123 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=119 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=66 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=60 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score at Endpoint During the 8 Week Treatment Period
Very much worse
0 participants
1 participants
0 participants
2 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score at Endpoint During the 8 Week Treatment Period
A little better
27 participants
30 participants
17 participants
14 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score at Endpoint During the 8 Week Treatment Period
Unchanged
20 participants
30 participants
12 participants
11 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score at Endpoint During the 8 Week Treatment Period
A little worse
3 participants
0 participants
1 participants
1 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score at Endpoint During the 8 Week Treatment Period
Much worse
3 participants
6 participants
1 participants
3 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score at Endpoint During the 8 Week Treatment Period
Very much better
34 participants
25 participants
21 participants
14 participants
Subject's Assessment of Treatment Effect as Measured by the Patient Global Impression (PGI) Score at Endpoint During the 8 Week Treatment Period
Much better
36 participants
27 participants
14 participants
15 participants

SECONDARY outcome

Timeframe: Baseline and 1 week

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=112 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=109 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=63 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=57 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore After 1 Week
-0.9 Units on a scale
Standard Deviation 1.42
-0.6 Units on a scale
Standard Deviation 1.43
-1.0 Units on a scale
Standard Deviation 1.40
-0.5 Units on a scale
Standard Deviation 1.40

SECONDARY outcome

Timeframe: Baseline and 2 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=108 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=103 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=61 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=53 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore After 2 Weeks
-1.0 Units on a scale
Standard Deviation 1.49
-0.9 Units on a scale
Standard Deviation 1.40
-1.2 Units on a scale
Standard Deviation 1.50
-0.6 Units on a scale
Standard Deviation 1.50

SECONDARY outcome

Timeframe: Baseline and 3 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=101 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=92 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=58 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=52 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore After 3 Weeks
-1.2 Units on a scale
Standard Deviation 1.48
-1.1 Units on a scale
Standard Deviation 1.43
-1.4 Units on a scale
Standard Deviation 1.40
-1.2 Units on a scale
Standard Deviation 1.36

SECONDARY outcome

Timeframe: Baseline and 4 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=97 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=90 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=54 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore After 4 Weeks
-1.3 Units on a scale
Standard Deviation 1.65
-1.4 Units on a scale
Standard Deviation 1.47
-1.6 Units on a scale
Standard Deviation 1.34
-1.1 Units on a scale
Standard Deviation 1.42

SECONDARY outcome

Timeframe: Baseline and 5 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=89 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=51 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore After 5 Weeks
-1.3 Units on a scale
Standard Deviation 1.56
-1.4 Units on a scale
Standard Deviation 1.52
-1.5 Units on a scale
Standard Deviation 1.36
-1.1 Units on a scale
Standard Deviation 1.22

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=87 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=47 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore After 6 Weeks
-1.4 Units on a scale
Standard Deviation 1.64
-1.5 Units on a scale
Standard Deviation 1.52
-1.6 Units on a scale
Standard Deviation 1.25
-1.1 Units on a scale
Standard Deviation 1.39

SECONDARY outcome

Timeframe: Baseline and 7 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=83 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=82 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=49 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore After 7 Weeks
-1.5 Units on a scale
Standard Deviation 1.63
-1.4 Units on a scale
Standard Deviation 1.49
-1.6 Units on a scale
Standard Deviation 1.32
-1.2 Units on a scale
Standard Deviation 1.40

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=84 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore After 8 Weeks
-1.6 Units on a scale
Standard Deviation 1.57
-1.6 Units on a scale
Standard Deviation 1.41
-1.6 Units on a scale
Standard Deviation 1.33
-1.3 Units on a scale
Standard Deviation 1.41

SECONDARY outcome

Timeframe: Baseline and at endpoint during the 8 week treatment period

Population: ITT population, Last Observation Carried Forward imputation was applied

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the insomnia subscore is 4. Endpoint is last observed value during the 8 week treatment period.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=117 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=117 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=64 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=59 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-insomnia Subscore at Endpoint During the 8 Week Treatment Period
-1.6 Units on a scale
Standard Deviation 1.53
-1.4 Units on a scale
Standard Deviation 1.49
-1.5 Units on a scale
Standard Deviation 1.38
-1.3 Units on a scale
Standard Deviation 1.51

SECONDARY outcome

Timeframe: Baseline and 1 week

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=112 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=109 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=63 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=57 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore After 1 Week
-4.9 Units on a scale
Standard Deviation 5.73
-2.9 Units on a scale
Standard Deviation 4.78
-4.5 Units on a scale
Standard Deviation 4.53
-3.3 Units on a scale
Standard Deviation 4.08

SECONDARY outcome

Timeframe: Baseline and 2 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=108 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=103 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=61 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=53 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore After 2 Weeks
-6.0 Units on a scale
Standard Deviation 5.97
-4.5 Units on a scale
Standard Deviation 4.88
-5.8 Units on a scale
Standard Deviation 5.23
-4.1 Units on a scale
Standard Deviation 4.53

SECONDARY outcome

Timeframe: Baseline and 3 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=101 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=92 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=58 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=52 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore After 3 Weeks
-7.3 Units on a scale
Standard Deviation 5.98
-6.8 Units on a scale
Standard Deviation 5.42
-6.4 Units on a scale
Standard Deviation 5.44
-6.1 Units on a scale
Standard Deviation 4.87

SECONDARY outcome

Timeframe: Baseline and 4 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=97 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=90 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=54 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore After 4 Weeks
-7.7 Units on a scale
Standard Deviation 5.95
-7.4 Units on a scale
Standard Deviation 5.57
-7.8 Units on a scale
Standard Deviation 5.14
-5.9 Units on a scale
Standard Deviation 4.80

SECONDARY outcome

Timeframe: Baseline and 5 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=89 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=51 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore After 5 Weeks
-8.7 Units on a scale
Standard Deviation 5.84
-7.7 Units on a scale
Standard Deviation 5.99
-7.9 Units on a scale
Standard Deviation 5.08
-6.8 Units on a scale
Standard Deviation 5.76

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=87 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=47 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore After 6 Weeks
-9.4 Units on a scale
Standard Deviation 5.84
-8.3 Units on a scale
Standard Deviation 5.66
-8.7 Units on a scale
Standard Deviation 4.81
-7.2 Units on a scale
Standard Deviation 5.82

SECONDARY outcome

Timeframe: Baseline and 7 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=83 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=82 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=49 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore After 7 Weeks
-9.6 Units on a scale
Standard Deviation 6.27
-8.4 Units on a scale
Standard Deviation 5.75
-8.1 Units on a scale
Standard Deviation 5.16
-7.6 Units on a scale
Standard Deviation 6.19

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=84 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore After 8 Weeks
-9.9 Units on a scale
Standard Deviation 6.63
-8.9 Units on a scale
Standard Deviation 5.13
-8.5 Units on a scale
Standard Deviation 4.91
-8.5 Units on a scale
Standard Deviation 5.51

SECONDARY outcome

Timeframe: Baseline and at endpoint during the 8 week treatment period

Population: ITT population, Last Observation Carried Forward imputation was applied

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the psychic factors subscore is 4. Endpoint is last observed value during the 8 week treatment period.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=117 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=117 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=64 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=59 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-psychic Factors Subscore at Endpoint During the 8 Week Treatment Period
-9.1 Units on a scale
Standard Deviation 6.58
-7.6 Units on a scale
Standard Deviation 5.82
-7.9 Units on a scale
Standard Deviation 5.19
-7.9 Units on a scale
Standard Deviation 5.81

SECONDARY outcome

Timeframe: Baseline and 1 week

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=112 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=109 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=63 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=57 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore After 1 Week
-4.4 Units on a scale
Standard Deviation 6.95
-2.9 Units on a scale
Standard Deviation 5.80
-3.3 Units on a scale
Standard Deviation 4.46
-1.4 Units on a scale
Standard Deviation 5.43

SECONDARY outcome

Timeframe: Baseline and 2 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=108 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=103 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=61 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=53 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore After 2 Weeks
-5.6 Units on a scale
Standard Deviation 6.31
-3.7 Units on a scale
Standard Deviation 6.18
-4.2 Units on a scale
Standard Deviation 5.52
-2.0 Units on a scale
Standard Deviation 6.05

SECONDARY outcome

Timeframe: Baseline and 3 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=101 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=92 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=58 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=52 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore After 3 Weeks
-7.0 Units on a scale
Standard Deviation 7.03
-6.1 Units on a scale
Standard Deviation 7.55
-4.5 Units on a scale
Standard Deviation 5.85
-3.4 Units on a scale
Standard Deviation 6.27

SECONDARY outcome

Timeframe: Baseline and 4 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=97 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=90 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=54 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore After 4 Weeks
-7.5 Units on a scale
Standard Deviation 6.96
-6.4 Units on a scale
Standard Deviation 6.50
-5.1 Units on a scale
Standard Deviation 5.95
-2.3 Units on a scale
Standard Deviation 5.71

SECONDARY outcome

Timeframe: Baseline and 5 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=89 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=51 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=48 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore After 5 Weeks
-8.0 Units on a scale
Standard Deviation 7.21
-6.8 Units on a scale
Standard Deviation 7.14
-5.4 Units on a scale
Standard Deviation 5.31
-3.4 Units on a scale
Standard Deviation 6.95

SECONDARY outcome

Timeframe: Baseline and 6 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=87 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=81 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=47 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore After 6 Weeks
-8.3 Units on a scale
Standard Deviation 7.41
-6.8 Units on a scale
Standard Deviation 7.32
-4.7 Units on a scale
Standard Deviation 4.83
-3.8 Units on a scale
Standard Deviation 6.19

SECONDARY outcome

Timeframe: Baseline and 7 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=83 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=82 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=49 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore After 7 Weeks
-8.1 Units on a scale
Standard Deviation 7.74
7.2 Units on a scale
Standard Deviation 7.38
-5.2 Units on a scale
Standard Deviation 5.37
-3.7 Units on a scale
Standard Deviation 6.64

SECONDARY outcome

Timeframe: Baseline and 8 weeks

Population: ITT population, but only subjects with non-missing values have been included

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=84 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=53 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=47 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore After 8 Weeks
-8.6 Units on a scale
Standard Deviation 7.98
-7.7 Units on a scale
Standard Deviation 7.43
-5.5 Units on a scale
Standard Deviation 5.53
-3.8 Units on a scale
Standard Deviation 5.76

SECONDARY outcome

Timeframe: Baseline and at endpoint during the 8 week treatment period

Population: ITT population, Last Observation Carried Forward imputation was applied

The Hamilton Anxiety (HAM-A) Rating scale is a test of 14 items measuring the severity of anxiety symptoms. Each item is rated on a 5-point ordinal scale, ranging from 0 (not present) to 4 (severe). Maximum score of the somatic subscore is 4. Endpoint is last observed value during the 8 week treatment period.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=117 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=117 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=64 Participants
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=59 Participants
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Change From Baseline in HAM-A-somatic Subscore at Endpoint During the 8 Week Treatment Period
-8.2 Units on a scale
Standard Deviation 7.86
-6.7 Units on a scale
Standard Deviation 7.18
-5.6 Units on a scale
Standard Deviation 5.72
-3.6 Units on a scale
Standard Deviation 6.24

SECONDARY outcome

Timeframe: 1 week

Population: ITT population, but only patients with non-missing assessments were included

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=118 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=112 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 1 Week
Any panic attack
76 participants
69 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 1 Week
No panic attack
42 participants
43 participants

SECONDARY outcome

Timeframe: 2 weeks

Population: ITT population, but only subjects with non-missing values have been included

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=114 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=106 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 2 Weeks
Any panic attack
60 participants
60 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 2 Weeks
No panic attack
54 participants
46 participants

SECONDARY outcome

Timeframe: 3 weeks

Population: ITT population, but only subjects with non-missing values have been included

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=107 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=95 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 3 Weeks
Any panic attack
41 participants
37 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 3 Weeks
No panic attack
66 participants
58 participants

SECONDARY outcome

Timeframe: 4 weeks

Population: ITT population, but only subjects with non-missing values have been included

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=103 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=93 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 4 Weeks
Any panic attack
43 participants
43 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 4 Weeks
No panic attack
60 participants
50 participants

SECONDARY outcome

Timeframe: 5 weeks

Population: ITT population, but only subjects with non-missing values have been included

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=95 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 5 Weeks
Any panic attack
35 participants
40 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 5 Weeks
No panic attack
60 participants
44 participants

SECONDARY outcome

Timeframe: 6 weeks

Population: ITT population, but only subjects with non-missing values have been included

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=93 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=84 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 6 Weeks
Any panic attack
36 participants
33 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 6 Weeks
No panic attack
57 participants
51 participants

SECONDARY outcome

Timeframe: 7 weeks

Population: ITT population, but only subjects with non-missing values have been included

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=88 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=85 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 7 Weeks
Any panic attack
32 participants
31 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 7 Weeks
No panic attack
56 participants
54 participants

SECONDARY outcome

Timeframe: 8 weeks

Population: ITT population, but only subjects with non-missing values have been included

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=88 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=87 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 8 Weeks
Any panic attack
26 participants
32 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) After 8 Weeks
No panic attack
62 participants
55 participants

SECONDARY outcome

Timeframe: at endpoint during the 8 week treatment period

Population: ITT population, Last Observation Carried Forward imputation was applied

Endpoint is last observed value during the 8 week treatment period.

Outcome measures

Outcome measures
Measure
Panic: Niravam+SSRI/SNRI
n=123 Participants
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=120 Participants
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) at Endpoint During the 8 Week Treatment Period
Any panic attack
47 participants
50 participants
Presence of Any Panic Attack(s) (for Subjects With Panic Disorder Only) at Endpoint During the 8 Week Treatment Period
No panic attack
76 participants
70 participants

Adverse Events

Panic: Niravam+SSRI/SNRI

Serious events: 3 serious events
Other events: 20 other events
Deaths: 0 deaths

Panic: SSRI/SNRI Alone

Serious events: 2 serious events
Other events: 10 other events
Deaths: 0 deaths

GAD : Niravam+SSRI/SNRI

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

GAD: SSRI/SNRI Alone

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Panic: Niravam+SSRI/SNRI
n=137 participants at risk
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=135 participants at risk
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=71 participants at risk
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=71 participants at risk
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Infections and infestations
Bronchitis acute
0.00%
0/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.74%
1/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Infections and infestations
Kidney infection
0.73%
1/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Infections and infestations
Postoperative infection
0.73%
1/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Injury, poisoning and procedural complications
Multiple drug overdose
0.73%
1/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Renal and urinary disorders
Renal Failure
0.73%
1/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Vascular disorders
Temporal Arteritis
0.00%
0/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.74%
1/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Hepatobiliary disorders
Cholecystitis
0.00%
0/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
1.4%
1/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Infections and infestations
Pneumonia
0.00%
0/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
1.4%
1/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Infections and infestations
Sternitis
0.73%
1/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Renal and urinary disorders
Bacterial Pyelonephritis
0.73%
1/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.

Other adverse events

Other adverse events
Measure
Panic: Niravam+SSRI/SNRI
n=137 participants at risk
Panic Disorder: Niravam plus a newly prescribed SSRI or SNRI
Panic: SSRI/SNRI Alone
n=135 participants at risk
Panic Disorder: Newly prescribed SSRI or SNRI alone
GAD : Niravam+SSRI/SNRI
n=71 participants at risk
Generalized Anxiety Disorder: Niravam plus newly prescribed SSRI or SNRI
GAD: SSRI/SNRI Alone
n=71 participants at risk
Generalized Anxiety Disorder: Newly prescribed SSRI or SNRI alone
Nervous system disorders
Headache
5.8%
8/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
3.7%
5/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
5.6%
4/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
5.6%
4/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
Nervous system disorders
Somnolence
6.6%
9/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
1.5%
2/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
4.2%
3/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
0.00%
0/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
General disorders
Fatigue
2.2%
3/137
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
2.2%
3/135
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
7.0%
5/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.
1.4%
1/71
The safety population consists of 414 subjects that received at least one dose of SSRI/SNRI and/or Niravam.

Additional Information

UCB Clinical Trial Call Center

UCB Pharma

Phone: +1 877 822 9493

Results disclosure agreements

  • Principal investigator is a sponsor employee UCB has \> 60 days but \<= 180 days to review results communications prior to public release and may delete information that compromises ongoing studies or is considered proprietary. This restriction is not intended to compromise the objective scientific integrity of the manuscript, it being understood that results shall be published regardless of outcome.
  • Publication restrictions are in place

Restriction type: OTHER