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Phase 3 N=1,986 Randomized Double-blind Treatment

Brexpiprazole as Adjunctive Treatment in Patients With Major Depressive Disorder With an Inadequate Response to Antidepressant Treatment

Major Depressive Disorder

Enrolled (actual)
1,986
Serious AEs
2.5%
Results posted
Aug 2017
Primary outcome: Primary: Full Remission During the Randomised Treatment Period — 110; 95 participants — p=0.2641

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Placebo (Drug); Brexpiprazole (Drug); ADT (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
H. Lundbeck A/S
Primary completion
Jun 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Full Remission During the Randomised Treatment Period
110; 95 0.2641
SECONDARY
Full Functional Remission During the Randomised Treatment Period
73; 68
SECONDARY
Full Global Score Remission During the Randomised Treatment Period
143; 121
SECONDARY
Total Time in Remission During the Randomised Treatment Period
33.5; 30.0
SECONDARY
Time to Full Remission During the Randomised Treatment Period
NA; NA
SECONDARY
Full Remission Sustained During the Randomised Treatment Period
105; 84
SECONDARY
Change From Randomisation to Week 6 in MADRS Total Score During the Randomised Treatment Period
-5.9; -6.3
SECONDARY
Change From Randomisation to Week 24 in MADRS Total Score During the Randomised Treatment Period
-12.6; -11.5
SECONDARY
Response at Week 6 During the Randomised Treatment Period
76; 82
SECONDARY
Response at Week 24 During the Randomised Treatment Period
236; 223
SECONDARY
Remission at Week 6 During the Randomised Treatment Period
46; 53
SECONDARY
Remission at Week 24 in the Randomised Treatment Period
198; 176
SECONDARY
Change From Randomisation to Week 6 in SDS Total Score During the Randomised Treatment Period
-3.0; -2.9
SECONDARY
Change From Randomisation to Week 24 in SDS Total Score During the Randomised Treatment Period
-6.7; -5.5
SECONDARY
Change From Randomisation to Week 6 in CGI-S Score During the Randomised Treatment Period
-0.8; -0.8
SECONDARY
Change From Randomisation to Week 24 in CGI-S Score During the Randomised Treatment Period
-1.7; -1.5
SECONDARY
Change From Randomisation to Week 6 in Q-LES-Q (SF) Total Score During the Randomised Treatment Period
3.5; 3.2
SECONDARY
Change From Randomisation to Week 24 in Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q (SF)) Total Score During the Randomised Treatment Period
7.7; 6.2

Summary

To evaluate the long-term efficacy and safety of brexpiprazole as an adjunctive treatment to an antidepressant treatment (ADT) for adult patients with Major Depressive Disorder (MDD).

Eligibility Criteria

Inclusion Criteria

  • The patient is an outpatient consulting a psychiatrist.
  • The patient has an MDD diagnosed according to DSM-IV-TR™. The current Major Depressive Episode (MDE) should be confirmed using the Mini International Neuropsychiatric Interview (MINI).
  • The patient has a moderate to severe depression and an insufficient response to at least one and no more than three adequate antidepressant treatments.
  • The patient agrees to protocol-defined use of effective contraception.

Exclusion Criteria

  • The patient has any current psychiatric disorder or Axis I disorder (DSM-IV-TR™ criteria), established as the primary diagnosis, other than MDD.
  • The patient has a current Axis II (DSM-IV-TR™) diagnosis of borderline, antisocial, paranoid, schizoid, schizotypical or histrionic personality disorder.
  • The patient has experienced/experiences hallucinations, delusions or any psychotic symptomatology in the current MDE.
  • The patient suffers from mental retardation, organic mental disorders, or mental disorders due to a general medical condition (DSM-IV-TR™ criteria).
  • The patient, in the opinion of the investigator or according to Columbia-Suicide Severity Rating Scale (C-SSRS), is at significant risk of suicide.
  • The patient has had neuroleptic malignant syndrome.
  • The patient has any relevant medical history or current presence of systemic disease.
  • The patient has, at the Screening Visit an abnormal ECG that is, in the investigator's opinion, clinically significant.
  • The patient has a history of cancer, other than basal cell or Stage 1 squamous cell carcinoma of the skin, that has not been in remission for >5 years prior to the first dose of IMP.
  • The patient is, in the investigator's opinion, unlikely to comply with the protocol or is unsuitable for any reason.

Other inclusion and exclusion criteria may apply.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01838681). 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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