Trial Outcomes & Findings for Open-label Safety Extension Study of 2.5, 5 and 10 mg of Vortioxetine (Lu AA21004) in Long-term Treatment of Major Depressive Disorder in Adults (NCT NCT00694304)
NCT ID: NCT00694304
Last Updated: 2014-04-01
Results Overview
COMPLETED
PHASE3
535 participants
Baseline to end of the 4-week safety follow-up period
2014-04-01
Participant Flow
Patients eligible to participate in Study 11984B were patients who had completed lead-in Study NCT00635219 / 11984A immediately prior to inclusion into Study 11984B.
The study consisted of a 52-week open-label period and a 4-week Safety Follow-up Period.
Participant milestones
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
tablets; orally
|
|---|---|
|
Overall Study
STARTED
|
535
|
|
Overall Study
COMPLETED
|
328
|
|
Overall Study
NOT COMPLETED
|
207
|
Reasons for withdrawal
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
tablets; orally
|
|---|---|
|
Overall Study
Adverse Event
|
42
|
|
Overall Study
Lack of Efficacy
|
35
|
|
Overall Study
Non-compliance With Study Product
|
16
|
|
Overall Study
Protocol Violation
|
6
|
|
Overall Study
Withdrawal of Consent
|
61
|
|
Overall Study
Lost to Follow-up
|
15
|
|
Overall Study
Administrative or Other Reasons
|
32
|
Baseline Characteristics
Open-label Safety Extension Study of 2.5, 5 and 10 mg of Vortioxetine (Lu AA21004) in Long-term Treatment of Major Depressive Disorder in Adults
Baseline characteristics by cohort
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=535 Participants
tablets; orally
|
|---|---|
|
Age, Continuous
|
45.7 years
STANDARD_DEVIATION 12.3 • n=99 Participants
|
|
Sex: Female, Male
Female
|
366 Participants
n=99 Participants
|
|
Sex: Female, Male
Male
|
169 Participants
n=99 Participants
|
|
MADRS
|
13.5 units on a scale
STANDARD_DEVIATION 8.7 • n=99 Participants
|
|
HAM-D-24
|
13.4 units on a scale
STANDARD_DEVIATION 8.7 • n=99 Participants
|
|
HAM-A
|
11.0 units on a scale
STANDARD_DEVIATION 7.2 • n=99 Participants
|
|
CGI-S
|
2.7 units on a scale
STANDARD_DEVIATION 1.2 • n=99 Participants
|
|
SDS
|
12.42 units on a scale
STANDARD_DEVIATION 8.13 • n=99 Participants
|
PRIMARY outcome
Timeframe: Baseline to end of the 4-week safety follow-up periodPopulation: APTS
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=535 Participants
tablets; orally
|
|---|---|
|
Number of Patients With Adverse Events (AEs)
Patients With AEs
|
391 participants
|
|
Number of Patients With Adverse Events (AEs)
Patients With SAEs
|
18 participants
|
|
Number of Patients With Adverse Events (AEs)
Patients With AEs Leading to Withdrawal
|
42 participants
|
PRIMARY outcome
Timeframe: Baseline to Week 52Population: APTS
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=535 Participants
tablets; orally
|
|---|---|
|
Percentage of Patients Who Withdrew Due to Intolerance to Treatment
|
7.7 percentage of patients
|
SECONDARY outcome
Timeframe: Baseline and Week 52Population: FAS; observed cases (OC)
The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe.
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=329 Participants
tablets; orally
|
|---|---|
|
Change From Baseline in MADRS Total Score After 52 Weeks of Treatment
|
-7.35 units on a scale
Standard Deviation 8.21
|
SECONDARY outcome
Timeframe: Baseline and Week 52Population: FAS; OC
The Hamilton Depression Scale - 24 Items (HAM-D-24) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 76. The higher the score, the more severe.
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=342 Participants
tablets; orally
|
|---|---|
|
Change From Baseline in HAM-D-24 Total Score After 52 Weeks of Treatment
|
-6.86 units on a scale
Standard Deviation 8.45
|
SECONDARY outcome
Timeframe: Baseline and Week 52Population: FAS; OC
The Hamilton Anxiety Rating Scale (HAM-A) consists of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behaviour at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic, and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total score from 0 to 56. The higher the score, the more severe.
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=342 Participants
tablets; orally
|
|---|---|
|
Change From Baseline in HAM-A Total Score After 52 Weeks of Treatment
|
-5.44 units on a scale
Standard Deviation 7.08
|
SECONDARY outcome
Timeframe: Baseline and Week 52Population: FAS; OC
The Clinical Global Impression - Severity of Illness (CGI-S) is a 7-point scale rated from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). The investigator should use his/her total clinical experience with this patient population to judge how mentally ill the patient is at the time of rating.
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=342 Participants
tablets; orally
|
|---|---|
|
Change From Baseline in CGI-S Score After 52 Weeks of Treatment
|
-1.00 units on a scale
Standard Deviation 1.22
|
SECONDARY outcome
Timeframe: Week 52Population: FAS; OC; Baseline from lead-in study NCT00635219 / 11984A
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=329 Participants
tablets; orally
|
|---|---|
|
Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score)
|
94.2 percentage of patients
Standard Deviation 23.4
|
SECONDARY outcome
Timeframe: Week 52Population: FAS; OC; Baseline from lead-in study NCT00635219 / 11984A
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=329 Participants
tablets; orally
|
|---|---|
|
Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10)
|
83.0 percentage of patients
Standard Deviation 37.6
|
SECONDARY outcome
Timeframe: Baseline and Week 52Population: FAS; OC
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=329 Participants
tablets; orally
|
|---|---|
|
Proportion of Patients With a MADRS Total Score >=22 After 52 Weeks of Treatment
|
2.74 percentage of patients
|
SECONDARY outcome
Timeframe: Baseline and Week 52Population: FAS; OC
The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe.
Outcome measures
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=285 Participants
tablets; orally
|
|---|---|
|
Change From Baseline in SDS Total Score After 52 Weeks of Treatment
|
-5.60 units on a scale
Standard Deviation 6.91
|
Adverse Events
Vortioxetine 2.5, 5, or 10 mg/Day
Serious adverse events
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=535 participants at risk
|
|---|---|
|
General disorders
Chest pain
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Infections and infestations
Appendicitis
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Infections and infestations
Pneumonia
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Injury, poisoning and procedural complications
Intentional overdose
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Injury, poisoning and procedural complications
Road traffic accident
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Musculoskeletal and connective tissue disorders
Muscle spasms
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign salivary gland neoplasm
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Psychiatric disorders
Adjustment disorder with mixed anxiety and depressed mood
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Psychiatric disorders
Depression
|
0.56%
3/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Psychiatric disorders
Suicidal ideation
|
0.56%
3/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Psychiatric disorders
Suicide attempt
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Renal and urinary disorders
Nephrolithiasis
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Reproductive system and breast disorders
Menorrhagia
|
0.27%
1/366 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Skin and subcutaneous tissue disorders
Dermatitis herpetiformis
|
0.19%
1/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
Other adverse events
| Measure |
Vortioxetine 2.5, 5, or 10 mg/Day
n=535 participants at risk
|
|---|---|
|
Gastrointestinal disorders
Nausea
|
19.8%
106/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Infections and infestations
Influenza
|
5.0%
27/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Infections and infestations
Nasopharyngitis
|
10.5%
56/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Injury, poisoning and procedural complications
Accidental overdose
|
5.4%
29/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Investigations
Weight increased
|
5.8%
31/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Nervous system disorders
Dizziness
|
6.4%
34/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Nervous system disorders
Headache
|
15.3%
82/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
|
Psychiatric disorders
Insomnia
|
7.1%
38/535 • Serious Adverse Events: 52-week open label period and 4-week safety follow-up period Other Adverse Events: 52-week open label period
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee The main publication has to be published before any sub-publications. H. Lundbeck A/S follows the Vancouver declaration with respect to authorship.
- Publication restrictions are in place
Restriction type: OTHER