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Phase 3 N=595 Randomized Triple-blind Treatment

Study Evaluating Desvenlafaxine Succinate Sustained Release (DVS SR) vs. Escitalopram in Postmenopausal Women

Depression · Depressive Disorder · Depressive Disorder, Major

Enrolled (actual)
595
Serious AEs
Results posted
Jun 2010
Primary outcome: Primary: Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Baseline to Week 8 — -13.63; -14.30 units on scale — p=0.243

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Desvenlafaxine succinate sustained-release (DVS SR) (Drug); Escitalopram (Drug)
Age
Adult, Older Adult · 40+ yrs
Sex
Female
Sponsor
Wyeth is now a wholly owned subsidiary of Pfizer
Primary completion
Feb 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Baseline to Week 8
-13.63; -14.30 0.243
SECONDARY
Percentage of Patients Achieving Response to Treatment at Final On-therapy Evaluation (Acute Phase)
64.3; 73.4 0.077
SECONDARY
Percentage of Patients Achieving Remission at Final On-therapy Evaluation (Acute Phase)
37.9; 48.1 0.0054 sig
SECONDARY
Clinical Global Impression Improvement (CGI-I) Score at 8 Weeks
1.93; 1.81 0.260
SECONDARY
Change in Clinical Global Impression Severity (CGI-S) Score From Baseline to Week
-2.09; -2.22 0.239
SECONDARY
Change in Hamilton Psychiatric Rating Scale for Anxiety From Baseline to Week 8 (HAM-A) Score
-11.37; -11.73 0.516
SECONDARY
Change in Dimension Health State EuroQol (EQ-5D) Score From Baseline to Week 8
0.25; 0.24 0.635
SECONDARY
Percentage of Responders Maintaining Response to Treatment at Final On-therapy Evaluation (Double Blind Continuation Phase)
81.8; 80.0 0.702
SECONDARY
Percentage of Responders Achieving Remission at Final On-therapy Evaluation (Double Blind Continuation Phase)
67.9; 61.3 0.234
SECONDARY
Percentage of Responders Improving Response to Remission During 6-month Double Blind Continuation Phase
88.9; 81.8
SECONDARY
Percentage of Non-Responders Achieving Response at Final Evaluation of 6-month Open-Label (OL)Extension Phase
39.1; 50.8
SECONDARY
Percentage of Non-Responders Achieving Remission at Final Evaluation of 6-month Open-Label Extension Phase
40.6; 47.5
SECONDARY
Discontinuation-Emergent Signs and Symptoms (DESS) Total Score
1.49; 1.52; 1.18; 1.68; 2.29; 3.16 0.927

Summary

Desvenlafaxine succinate (DVS) is a potent and selective serotonin and norepinephrine reuptake inhibitor (SNRI). This study will investigate the safety, efficacy, and tolerability of DVS SR versus escitalopram in women with major depressive disorder (MDD) who are postmenopausal.

Eligibility Criteria

Inclusion Criteria

  • Postmenopausal women between the ages of 40 and 70 years, inclusive.
  • A primary diagnosis of MDD, single or recurrent episode, without psychotic features using the modified MINI International Neuropsychiatric Interview (MINI).
  • Montgomery-Asberg Depression Rating Scale (MADRS) total score > or = 22 at the screening and baseline visit.

Exclusion Criteria

  • Use of oral estrogen-, progestin-, androgen-, or Selective Estrogen Receptor Modulator (SERM)-containing drug products 8 weeks before baseline.
  • Current (within 12 months) psychoactive substance abuse or dependence (including alcohol), manic episode, post-traumatic stress disorder, obsessive-compulsive disorder, or a lifetime diagnosis of bipolar or psychotic disorder.
  • A history or active presence of clinically important medical disease.

Additional criteria apply.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00406640). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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