Trial Outcomes & Findings for Comparison of Depression Identification After Acute Coronary Syndrome: Quality of Life and Cost Outcomes (NCT NCT01993017)

NCT ID: NCT01993017

Last Updated: 2023-04-14

Results Overview

Change in QALYs from baseline through 18 months. QALYs are a generic measure of disease burden, including both the quality and the quantity of life lived. One QALY equates to one year in perfect health. To measure change in QALYs, utility scores \[an overall assessment of well-being on a scale from 0 (death) to 1 (perfect health)\], were estimated using the Short Form-6 dimension, with scores derived from responses to the 12-Item Short-Form Health Survey, version 2, at baseline and 6, 12, and 18 months. QALYs for the period from baseline to 18 months were then calculated as the area under the curve by linearly interpolating the utility scores at the 4 assessments. Change in QALYs was then obtained by subtracting the baseline QALY from the observed QALY for an 18-month period, where baseline QALY was calculated under the assumption that the baseline utility score remained constant during the 18-month period.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1501 participants

Primary outcome timeframe

Baseline, 6, 12 and 18 months

Results posted on

2023-04-14

Participant Flow

Recruitment period: November 1, 2013 to March 31, 2017 Recruitment sites: HealthPartners (Minneapolis, Minnesota), Duke University Health System (Durham, North Carolina), Kaiser Permanente Northwest (Portland, Oregon), and New York-Presbyterian/Columbia University Irving Medical Center (New York, New York)

1 participant withdrew consent soon after randomization, and this participant's data was excluded from the study.

Participant milestones

Participant milestones
Measure
AHA Depression Screen, Notify & Treat
Participants randomized to this arm will complete the Depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will be offered treatment. Treatment will be delivered according to participant preference, and will be managed according to "stepped care". Stepped care includes, a) participant preference for either brief, type of cognitive behavioral therapy (CBT) called problem-solving therapy (PST), delivered centrally by telephone, or antidepressant medication managed at the local site, or both, or neither, and b) review of progress at approximately 2-month intervals, with "stepping up" of care if sufficient progress is not being realized.
Depression Screen & Notify
Participants randomized to this arm will complete the depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will have a letter sent to their primary care provider about their positive screen for depressive symptoms, with subsequent actions at the provider's discretion. Standard Care: Participants will receive standard care from either their primary care provider (PCP), or PCP-referred mental health provider in one of the arms, IF depressive symptoms are detected. Depressive symptom screener: 8-item Patient Health Questionnaire, PHQ-8
No Depression Screen
Participants randomized to this arm will not complete a PHQ-8 assessment at randomization, and so will not be screened for depressive symptoms. No intervention
Overall Study
STARTED
499
501
500
Overall Study
COMPLETED
393
411
421
Overall Study
NOT COMPLETED
106
90
79

Reasons for withdrawal

Reasons for withdrawal
Measure
AHA Depression Screen, Notify & Treat
Participants randomized to this arm will complete the Depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will be offered treatment. Treatment will be delivered according to participant preference, and will be managed according to "stepped care". Stepped care includes, a) participant preference for either brief, type of cognitive behavioral therapy (CBT) called problem-solving therapy (PST), delivered centrally by telephone, or antidepressant medication managed at the local site, or both, or neither, and b) review of progress at approximately 2-month intervals, with "stepping up" of care if sufficient progress is not being realized.
Depression Screen & Notify
Participants randomized to this arm will complete the depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will have a letter sent to their primary care provider about their positive screen for depressive symptoms, with subsequent actions at the provider's discretion. Standard Care: Participants will receive standard care from either their primary care provider (PCP), or PCP-referred mental health provider in one of the arms, IF depressive symptoms are detected. Depressive symptom screener: 8-item Patient Health Questionnaire, PHQ-8
No Depression Screen
Participants randomized to this arm will not complete a PHQ-8 assessment at randomization, and so will not be screened for depressive symptoms. No intervention
Overall Study
Death
23
26
18
Overall Study
Could not be contacted
43
42
38
Overall Study
Dropped out
19
6
11
Overall Study
Other reasons
17
11
7
Overall Study
Ineligible after randomization
4
5
5

Baseline Characteristics

PHQ-8 data were not collected at Baseline in the "No Depression Screen" Arm/Group).

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AHA Depression Screen, Notify & Treat
n=499 Participants
Participants randomized to this arm will complete the Depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will be offered treatment. Treatment will be delivered according to participant preference, and will be managed according to "stepped care". Stepped care includes, a) participant preference for either a type of brief, cognitive behavioral therapy (CBT) called problem solving therapy (PST), delivered centrally by telephone, or antidepressant medication managed at the local site, or both, or neither, and b) review of progress at approximately 2-month intervals, with "stepping up" of care if sufficient progress is not being realized.
Depression Screen & Notify
n=501 Participants
Participants randomized to this arm will complete the depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will have a letter sent to their primary care provider about their positive screen for depressive symptoms, with subsequent actions at the provider's discretion. Standard Care: Participants will receive standard care from either their primary care provider (PCP), or PCP-referred mental health provider in one of the arms, IF depressive symptoms are detected. Depressive symptom screener: 8-item Patient Health Questionnaire, PHQ-8
No Depression Screen
n=500 Participants
Participants randomized to this arm will not complete a PHQ-8 assessment at randomization, and so will not be screened for depressive symptoms. No intervention
Total
n=1500 Participants
Total of all reporting groups
Region of Enrollment
United States
499 participants
n=499 Participants
501 participants
n=501 Participants
500 participants
n=500 Participants
1500 participants
n=1500 Participants
PHQ-8 Score >= 10
38 Participants
n=494 Participants • PHQ-8 data were not collected at Baseline in the "No Depression Screen" Arm/Group).
33 Participants
n=501 Participants • PHQ-8 data were not collected at Baseline in the "No Depression Screen" Arm/Group).
71 Participants
n=995 Participants • PHQ-8 data were not collected at Baseline in the "No Depression Screen" Arm/Group).
Age, Continuous
66.2 years
STANDARD_DEVIATION 11.3 • n=499 Participants
65.8 years
STANDARD_DEVIATION 11.7 • n=501 Participants
65.8 years
STANDARD_DEVIATION 11.7 • n=500 Participants
65.9 years
STANDARD_DEVIATION 11.5 • n=1500 Participants
Sex: Female, Male
Female
142 Participants
n=499 Participants
137 Participants
n=501 Participants
145 Participants
n=500 Participants
424 Participants
n=1500 Participants
Sex: Female, Male
Male
357 Participants
n=499 Participants
364 Participants
n=501 Participants
355 Participants
n=500 Participants
1076 Participants
n=1500 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
82 Participants
n=499 Participants
88 Participants
n=501 Participants
74 Participants
n=500 Participants
244 Participants
n=1500 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
406 Participants
n=499 Participants
402 Participants
n=501 Participants
410 Participants
n=500 Participants
1218 Participants
n=1500 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
11 Participants
n=499 Participants
11 Participants
n=501 Participants
16 Participants
n=500 Participants
38 Participants
n=1500 Participants
Race/Ethnicity, Customized
White
353 Participants
n=499 Participants
368 Participants
n=501 Participants
359 Participants
n=500 Participants
1080 Participants
n=1500 Participants
Race/Ethnicity, Customized
Black
47 Participants
n=499 Participants
37 Participants
n=501 Participants
46 Participants
n=500 Participants
130 Participants
n=1500 Participants
Race/Ethnicity, Customized
Other
92 Participants
n=499 Participants
82 Participants
n=501 Participants
85 Participants
n=500 Participants
259 Participants
n=1500 Participants
Race/Ethnicity, Customized
Refused or unknown
7 Participants
n=499 Participants
14 Participants
n=501 Participants
10 Participants
n=500 Participants
31 Participants
n=1500 Participants

PRIMARY outcome

Timeframe: Baseline, 6, 12 and 18 months

Change in QALYs from baseline through 18 months. QALYs are a generic measure of disease burden, including both the quality and the quantity of life lived. One QALY equates to one year in perfect health. To measure change in QALYs, utility scores \[an overall assessment of well-being on a scale from 0 (death) to 1 (perfect health)\], were estimated using the Short Form-6 dimension, with scores derived from responses to the 12-Item Short-Form Health Survey, version 2, at baseline and 6, 12, and 18 months. QALYs for the period from baseline to 18 months were then calculated as the area under the curve by linearly interpolating the utility scores at the 4 assessments. Change in QALYs was then obtained by subtracting the baseline QALY from the observed QALY for an 18-month period, where baseline QALY was calculated under the assumption that the baseline utility score remained constant during the 18-month period.

Outcome measures

Outcome measures
Measure
AHA Depression Screen, Notify & Treat
n=499 Participants
Participants randomized to this arm will complete the Depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will be offered treatment. Treatment will be delivered according to participant preference, and will be managed according to "stepped care". Stepped care includes, a) participant preference for either brief, type of cognitive behavioral therapy (CBT) called problem-solving therapy (PST), delivered centrally by telephone, or antidepressant medication managed at the local site, or both, or neither, and b) review of progress at approximately 2-month intervals, with "stepping up" of care if sufficient progress is not being realized.
Depression Screen & Notify
n=501 Participants
Participants randomized to this arm will complete the depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will have a letter sent to their primary care provider about their positive screen for depressive symptoms, with subsequent actions at the provider's discretion. Standard Care: Participants will receive standard care from either their primary care provider (PCP), or PCP-referred mental health provider in one of the arms, IF depressive symptoms are detected. Depressive symptom screener: 8-item Patient Health Questionnaire, PHQ-8
No Depression Screen
n=500 Participants
Participants randomized to this arm will not complete a PHQ-8 assessment at randomization, and so will not be screened for depressive symptoms. No intervention
Quality-Adjusted Life Years (QALYs)
-0.06 quality-adjusted life years (QALYs)
Standard Deviation 0.20
-0.06 quality-adjusted life years (QALYs)
Standard Deviation 0.20
-0.06 quality-adjusted life years (QALYs)
Standard Deviation 0.18

SECONDARY outcome

Timeframe: Baseline through 18 months

Depression-free days from baseline through 18 months post-randomization

Outcome measures

Outcome measures
Measure
AHA Depression Screen, Notify & Treat
n=499 Participants
Participants randomized to this arm will complete the Depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will be offered treatment. Treatment will be delivered according to participant preference, and will be managed according to "stepped care". Stepped care includes, a) participant preference for either brief, type of cognitive behavioral therapy (CBT) called problem-solving therapy (PST), delivered centrally by telephone, or antidepressant medication managed at the local site, or both, or neither, and b) review of progress at approximately 2-month intervals, with "stepping up" of care if sufficient progress is not being realized.
Depression Screen & Notify
n=501 Participants
Participants randomized to this arm will complete the depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will have a letter sent to their primary care provider about their positive screen for depressive symptoms, with subsequent actions at the provider's discretion. Standard Care: Participants will receive standard care from either their primary care provider (PCP), or PCP-referred mental health provider in one of the arms, IF depressive symptoms are detected. Depressive symptom screener: 8-item Patient Health Questionnaire, PHQ-8
No Depression Screen
n=500 Participants
Participants randomized to this arm will not complete a PHQ-8 assessment at randomization, and so will not be screened for depressive symptoms. No intervention
Depression-free Days
343.1 cumulative depression-free days
Standard Deviation 179.0
351.3 cumulative depression-free days
Standard Deviation 175.0
339.0 cumulative depression-free days
Standard Deviation 176.6

SECONDARY outcome

Timeframe: Baseline through 18 months

Total cost of health care utilization from baseline through 18 months post-randomization

Outcome measures

Outcome measures
Measure
AHA Depression Screen, Notify & Treat
n=499 Participants
Participants randomized to this arm will complete the Depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will be offered treatment. Treatment will be delivered according to participant preference, and will be managed according to "stepped care". Stepped care includes, a) participant preference for either brief, type of cognitive behavioral therapy (CBT) called problem-solving therapy (PST), delivered centrally by telephone, or antidepressant medication managed at the local site, or both, or neither, and b) review of progress at approximately 2-month intervals, with "stepping up" of care if sufficient progress is not being realized.
Depression Screen & Notify
n=501 Participants
Participants randomized to this arm will complete the depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will have a letter sent to their primary care provider about their positive screen for depressive symptoms, with subsequent actions at the provider's discretion. Standard Care: Participants will receive standard care from either their primary care provider (PCP), or PCP-referred mental health provider in one of the arms, IF depressive symptoms are detected. Depressive symptom screener: 8-item Patient Health Questionnaire, PHQ-8
No Depression Screen
n=500 Participants
Participants randomized to this arm will not complete a PHQ-8 assessment at randomization, and so will not be screened for depressive symptoms. No intervention
Cost of Health Care Utilization
6745 US dollars
Standard Error 358
6204 US dollars
Standard Error 332
7440 US dollars
Standard Error 501

Adverse Events

AHA Depression Screen, Notify & Treat

Serious events: 0 serious events
Other events: 386 other events
Deaths: 23 deaths

Depression Screen & Notify

Serious events: 0 serious events
Other events: 398 other events
Deaths: 26 deaths

No Depression Screen

Serious events: 0 serious events
Other events: 399 other events
Deaths: 18 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
AHA Depression Screen, Notify & Treat
n=450 participants at risk;n=499 participants at risk
Participants randomized to this arm will complete the Depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will be offered treatment. Treatment will be delivered according to participant preference, and will be managed according to "stepped care". Stepped care includes, a) participant preference for either brief, type of cognitive behavioral therapy (CBT) called problem-solving therapy (PST), delivered centrally by telephone, or antidepressant medication managed at the local site, or both, or neither, and b) review of progress at approximately 2-month intervals, with "stepping up" of care if sufficient progress is not being realized.
Depression Screen & Notify
n=455 participants at risk;n=501 participants at risk
Participants randomized to this arm will complete the depressive symptom screener (8-item Patient Health Questionnaire, PHQ-8) after randomization. Those with clinically significant score (\>=10) will have a letter sent to their primary care provider about their positive screen for depressive symptoms, with subsequent actions at the provider's discretion. Standard Care: Participants will receive standard care from either their primary care provider (PCP), or PCP-referred mental health provider in one of the arms, IF depressive symptoms are detected. Depressive symptom screener: 8-item Patient Health Questionnaire, PHQ-8
No Depression Screen
n=458 participants at risk;n=500 participants at risk
Participants randomized to this arm will not complete a PHQ-8 assessment at randomization, and so will not be screened for depressive symptoms. No intervention
Blood and lymphatic system disorders
Any bleeding at 6 mo
13.6%
61/450 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
11.2%
51/455 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
15.8%
72/457 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Increased appetite at 6 mo
18.4%
83/450 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
18.5%
84/455 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
19.9%
91/457 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Decreased appetite at 6 mo
16.0%
72/450 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
16.3%
74/455 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
16.6%
76/457 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Drowsiness at 6 mo
48.4%
218/450 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
46.6%
212/455 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
47.4%
217/458 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Gastrointestinal disorders
Gastrointestinal upset at 6 mo
28.4%
128/450 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
25.6%
116/454 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
24.5%
112/457 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Blood and lymphatic system disorders
Any bleeding at 12 mo
12.1%
51/423 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
11.7%
50/429 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
11.7%
50/427 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Increased appetite at 12 mo
16.8%
71/423 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
17.9%
77/431 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
17.8%
76/427 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Decreased appetite at 12 mo
14.9%
63/423 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
15.1%
65/431 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
17.8%
76/427 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Drowsiness at 12 mo
42.3%
179/423 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
43.4%
187/431 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
46.4%
198/427 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Gastrointestinal disorders
Gastrointestinal upset at 12 mo
22.5%
95/423 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
22.0%
95/431 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
25.1%
107/427 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Blood and lymphatic system disorders
Any bleeding at 18 mo
10.2%
40/394 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
11.0%
45/410 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
9.5%
40/419 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Increased appetite at 18 mo
19.3%
76/394 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
15.1%
62/410 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
14.4%
60/418 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Decreased appetite at 18 mo
13.5%
53/394 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
11.0%
45/410 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
14.8%
62/419 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Psychiatric disorders
Drowsiness at 18 mo
38.6%
152/394 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
43.2%
177/410 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
40.8%
171/419 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
Gastrointestinal disorders
Gastrointestinal upset at 18 mo
24.9%
98/394 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
24.1%
99/410 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.
23.9%
100/418 • 18 months
Serious Adverse Events and mortality were assessed in all participants. Other Adverse Events were assessed using a self-report instrument at 6-mo, 12-mo, and 18-mo. As not all participants were reached to complete this questionnaire, fewer participants were assessed for Other Adverse Events than for Serious Adverse Events and mortality. Also, the number of participants who were assessed for Other Adverse Events varies according to the time period of assessment.

Additional Information

Ian Kronish, MD, MPH, Principal Investigator

Center for Behavioral Cardiovascular Health

Phone: 212-342-1335

Results disclosure agreements

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