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

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

535 participants

Primary outcome timeframe

Baseline to end of the 4-week safety follow-up period

Results posted on

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

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

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

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 period

Population: APTS

Outcome measures

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 52

Population: APTS

Outcome measures

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 52

Population: 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

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 52

Population: 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

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 52

Population: 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

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 52

Population: 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

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 52

Population: FAS; OC; Baseline from lead-in study NCT00635219 / 11984A

Outcome measures

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 52

Population: FAS; OC; Baseline from lead-in study NCT00635219 / 11984A

Outcome measures

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 52

Population: FAS; OC

Outcome measures

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 52

Population: 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

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 events: 18 serious events
Other events: 256 other events
Deaths: 0 deaths

Serious adverse events

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

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

H. Lundbeck A/S

H. Lundbeck A/S

Phone: +45 3630 1311

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