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Phase 3 N=598 Randomized Double-blind Treatment

Efficacy Study of Vortioxetine on Cognitive Dysfunction in Adult Patients With Major Depressive Disorder

Major Depressive Disorder

Enrolled (actual)
598
Serious AEs
0.7%
Results posted
Aug 2014
Primary outcome: Primary: Change From Baseline to Week 8 in DSST (Number of Correct Symbols) and RAVLT (Acquisition and Delayed Recall) Using the Composite Z-score Defined as the Weighted Sum of the Individual Patient Z-scores — -0.235; 0.128; 0.095 z score — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Placebo (Drug); Vortioxetine (Lu AA21004) (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
H. Lundbeck A/S
Primary completion
May 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline to Week 8 in DSST (Number of Correct Symbols) and RAVLT (Acquisition and Delayed Recall) Using the Composite Z-score Defined as the Weighted Sum of the Individual Patient Z-scores
-0.235; 0.128; 0.095 <0.0001 sig
SECONDARY
Change From Baseline to Week 8 in DSST (Number of Correct Symbols)
4.83; 9.03; 9.09 <0.0001 sig
SECONDARY
Change From Baseline to Week 8 in RAVLT (Acquisition)
3.06; 4.08; 3.65 0.0287 sig
SECONDARY
Change From Baseline to Week 8 in RAVLT (Delayed Recall)
0.91; 1.63; 1.56 0.0033 sig
SECONDARY
Change From Baseline to Week 8 in the TMT A (Speed of Processing)
-7.07; -10.84; -10.87 0.0061 sig
SECONDARY
Change From Baseline to Week 8 in the TMT B (Executive Function)
-13.84; -21.41; -22.85 0.0058 sig
SECONDARY
Change From Baseline to Week 8 in Congruent STROOP Time to Complete (Executive Function)
-5.97; -9.97; -10.43 0.0018 sig
SECONDARY
Change From Baseline to Week 8 in Incongruent STROOP Time to Complete (Executive Function)
-10.94; -17.69; -17.45 0.0010 sig
SECONDARY
Change From Baseline to Week 8 in the SRT (Speed of Processing)
-0.007; -0.053; -0.037 0.0002 sig
SECONDARY
Change From Baseline to Week 8 in the CRT (Attention)
-0.015; -0.046; -0.023 0.0005 sig
SECONDARY
Change From Baseline to Week 8 in MADRS Total Score
-10.85; -15.56; -17.55 <0.0001 sig
SECONDARY
Change From Baseline to Week 8 in CGI-S Score
-1.15; -1.80; -2.00 <0.0001 sig
SECONDARY
Clinical Status Using CGI-I Score at Week 8
2.85; 2.24; 1.99 <0.0001 sig
SECONDARY
Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline
29.4; 47.7; 58.8 0.0002 sig
SECONDARY
Proportion of Remitters at Week 8 (Remission is Defined as a MADRS Total Score <=10)
17.0; 29.5; 38.2 0.0030 sig
SECONDARY
Change From Baseline to Week 1 Using the MADRS Total Score and the Composite Z-score
-0.079; 0.042 0.0393 sig
SECONDARY
Change From Baseline to Week 8 Using the MADRS Total Score and the Composite Z-score
-0.189; 0.041; -0.036 0.0007 sig
SECONDARY
Risk of Suicidality Using C-SSRS Scores
173; 175; 178; 0; 0; 0

Summary

Major Depressive Disorder (MDD) is a severe and common psychiatric disorder. Although MDD primarily involves mood disturbances, patients also usually present alterations in cognitive function (attention, memory, executive functioning and psychomotor speed). Even though antidepressants are suggested in the literature to potentially improve cognitive dysfunction in patients with MDD to some degree, there is a lack of adequate and well-controlled studies to investigate this effect. This study will evaluate the efficacy, safety and tolerability of a new antidepressant Vortioxetine versus placebo on cognitive dysfunction in adult patients with MDD.

Eligibility Criteria

Inclusion Criteria

  • The patient is an inpatient in a psychiatric hospital or an outpatient at a psychiatric setting at the time of the study entry.
  • The patient is diagnosed with recurrent MDD according to DSM-IV-TR™ criteria (classification code 296.3x). The current Major Depressive Episode (MDE) should be confirmed using the Mini International Neuropsychiatric Interview (MINI).
  • The patient has received prescribed treatment for a previous episode of depression.
  • The patient has a MADRS total score ≥26.
  • The reported duration of the current MDE is at least 3 months.

Exclusion Criteria

  • The patient has a score ≥70 on the DSST (number of correct symbols), or ≥42 on the RAVLT (learning) or ≥14 on the RAVLT (memory) at the Baseline Visit.
  • The patient has any current Axis I disorder (DSM-IV-TR™ criteria) other than MDD, confirmed using the MINI.
  • The patient has a current diagnosis or history of manic or hypomanic episode, schizophrenia or any other psychotic disorder, including major depression with psychotic features.
  • The patient suffers from personality disorders, mental retardation, pervasive development disorder, attention-deficit/hyperactivity disorder, organic mental disorders, or mental disorders due to a general medical condition (DSM-IV-TR™ criteria).
  • The patient has physical, cognitive, or language impairment of such severity as to adversely affect the validity of the data derived from the neuropsychological tests.
  • The patient is diagnosed with reading disability (dyslexia).
  • The patient is at significant risk of suicide or has a score ≥5 on Item 10 (suicidal thoughts) of the MADRS, or has attempted suicide 5 years prior to the first drug dose.
  • The patient has a clinically significant unstable illness, for example:
  • cardiovascular disease
  • seizure disorder or encephalopathy
  • congestive heart failure
  • cardiac hypertrophy
  • arrhythmia
  • bradycardia (pulse <50 bpm)
  • respiratory disease
  • hepatic impairment or renal insufficiency
  • metabolic disorder
  • endocrinological disorder
  • gastrointestinal disorder
  • haematological disorder
  • infectious disorder
  • any clinically significant immunological condition
  • dermatological disorder
  • venereal disease
  • The patient has, at the Screening Visit, an abnormal ECG that is, in the investigator's opinion, clinically significant.
  • The patient is, in the investigator's opinion, unlikely to comply with the protocol or is unsuitable for any reason.
  • The patient has previously been exposed to Vortioxetine.

Other protocol-defined inclusion and exclusion criteria may apply.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01422213). 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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