Trial Outcomes & Findings for A 12-Week, Placebo Controlled Trial of Ziprasidone as Monotherapy for Major Depressive Disorder (NCT NCT00555997)

NCT ID: NCT00555997

Last Updated: 2014-07-03

Results Overview

Higher numbers represent more symptoms of a major depressive episode. Minimum is 0. Maximum is 52.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

120 participants

Primary outcome timeframe

6 weeks

Results posted on

2014-07-03

Participant Flow

Participant milestones

Participant milestones
Measure
Phase 1 Ziprasidone
Subjects taking ziprasidone in the first phase.
Phase 1 Placebo
Subjects taking placebo in the first phase.
Phase 2 Ziprasidone
Subjects taking ziprasidone in the second phase.
Phase 2 Placebo
Patients who received placebo in phase 2.
Phase 1 SPCD
STARTED
29
91
0
0
Phase 1 SPCD
COMPLETED
17
76
0
0
Phase 1 SPCD
NOT COMPLETED
12
15
0
0
Phase 2 SPCD
STARTED
0
0
38
25
Phase 2 SPCD
COMPLETED
0
0
31
22
Phase 2 SPCD
NOT COMPLETED
0
0
7
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A 12-Week, Placebo Controlled Trial of Ziprasidone as Monotherapy for Major Depressive Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo/Ziprasidone
n=47 Participants
Received placebo in first phase and ziprasidone in second phase
Placebo
n=44 Participants
Subjects received placebo throughout study
Ziprasidone
n=29 Participants
Subjects received ziprasidone throughout study
Total
n=120 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Categorical
Between 18 and 65 years
47 Participants
n=99 Participants
42 Participants
n=107 Participants
29 Participants
n=206 Participants
118 Participants
n=7 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
2 Participants
n=107 Participants
0 Participants
n=206 Participants
2 Participants
n=7 Participants
Age, Continuous
44.1 years
STANDARD_DEVIATION 11.1 • n=99 Participants
44.6 years
STANDARD_DEVIATION 11.0 • n=107 Participants
41.5 years
STANDARD_DEVIATION 10.6 • n=206 Participants
43.7 years
STANDARD_DEVIATION 11.0 • n=7 Participants
Sex: Female, Male
Female
18 Participants
n=99 Participants
22 Participants
n=107 Participants
13 Participants
n=206 Participants
53 Participants
n=7 Participants
Sex: Female, Male
Male
29 Participants
n=99 Participants
22 Participants
n=107 Participants
16 Participants
n=206 Participants
67 Participants
n=7 Participants
Region of Enrollment
United States
47 participants
n=99 Participants
44 participants
n=107 Participants
29 participants
n=206 Participants
120 participants
n=7 Participants

PRIMARY outcome

Timeframe: 6 weeks

Higher numbers represent more symptoms of a major depressive episode. Minimum is 0. Maximum is 52.

Outcome measures

Outcome measures
Measure
Phase 1 Ziprasidone
n=29 Participants
Subjects taking ziprasidone in the first phase.
Phase 1 Placebo
n=91 Participants
Subjects taking placebo in the first phase.
Phase 2 Ziprasidone
n=21 Participants
Subjects taking ziprasidone in the second phase.
Phase 2 Placebo
n=25 Participants
Patients who received placebo in phase 2.
Hamilton Depression Rating Scale (HAM-D-17) Scores
Mean phase baseline score
20.1 points
Standard Deviation 5.5
19.9 points
Standard Deviation 4.8
14.7 points
Standard Deviation 3.9
15.6 points
Standard Deviation 5.9
Hamilton Depression Rating Scale (HAM-D-17) Scores
Mean phase score reduction
-8.8 points
Standard Deviation 7.3
-7.1 points
Standard Deviation 7.0
-2.1 points
Standard Deviation 5.2
-4.3 points
Standard Deviation 6.0

SECONDARY outcome

Timeframe: 6 weeks

A responder during phase 1 or phase 2 is someone who demonstrated a 50% or greater decrease in HAMD-17 scores during phase 1 or phase 2 (corresponding).

Outcome measures

Outcome measures
Measure
Phase 1 Ziprasidone
n=29 Participants
Subjects taking ziprasidone in the first phase.
Phase 1 Placebo
n=91 Participants
Subjects taking placebo in the first phase.
Phase 2 Ziprasidone
n=21 Participants
Subjects taking ziprasidone in the second phase.
Phase 2 Placebo
n=25 Participants
Patients who received placebo in phase 2.
Responder/Non-responder
44.8 percentage of patients
31.8 percentage of patients
23.8 percentage of patients
28.0 percentage of patients

SECONDARY outcome

Timeframe: 6 weeks

Population: Forms not analyzable due to insufficient standardization across sites.

Outcome measures

Outcome data not reported

Adverse Events

Ziprasidone

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ziprasidone
n=125 participants at risk;n=80 participants at risk
Adverse events experienced by subjects while taking ziprasidone
Placebo
n=80 participants at risk;n=125 participants at risk
Adverse events experienced when taking placebo
Psychiatric disorders
Hospitalization due to suicidal ideation
0.00%
0/80 • 1 year, 4 months
0.80%
1/125 • Number of events 1 • 1 year, 4 months

Other adverse events

Other adverse events
Measure
Ziprasidone
n=125 participants at risk;n=80 participants at risk
Adverse events experienced by subjects while taking ziprasidone
Placebo
n=80 participants at risk;n=125 participants at risk
Adverse events experienced when taking placebo
Psychiatric disorders
Sedation/Fatigue
10.4%
13/125 • 1 year, 4 months
3.8%
3/80 • 1 year, 4 months
Nervous system disorders
Headache
2.4%
3/125 • 1 year, 4 months
2.5%
2/80 • 1 year, 4 months
Psychiatric disorders
Insomnia
1.6%
2/125 • 1 year, 4 months
3.8%
3/80 • 1 year, 4 months
Nervous system disorders
Dizziness
1.6%
2/125 • 1 year, 4 months
2.5%
2/80 • 1 year, 4 months
Nervous system disorders
Blurry/Double Vision
1.6%
2/125 • 1 year, 4 months
2.5%
2/80 • 1 year, 4 months
Psychiatric disorders
Akathisia/Agitation
0.80%
1/125 • 1 year, 4 months
1.2%
1/80 • 1 year, 4 months
Gastrointestinal disorders
Dry mouth
4.8%
6/125 • 1 year, 4 months
7.5%
6/80 • 1 year, 4 months
Gastrointestinal disorders
Constipation
2.4%
3/125 • 1 year, 4 months
3.8%
3/80 • 1 year, 4 months
Gastrointestinal disorders
Increased appetite
2.4%
3/125 • 1 year, 4 months
0.00%
0/80 • 1 year, 4 months
Gastrointestinal disorders
Nausea
0.80%
1/125 • 1 year, 4 months
2.5%
2/80 • 1 year, 4 months
Gastrointestinal disorders
Weight gain
0.00%
0/125 • 1 year, 4 months
1.2%
1/80 • 1 year, 4 months
General disorders
Sexual dysfunction
0.80%
1/125 • 1 year, 4 months
2.5%
2/80 • 1 year, 4 months

Additional Information

Dr. George Papakostas

Massachusetts General Hospital

Phone: 617-726-6697

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place