Major Depressive DisorderPhase 3NCT00095134
Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard Therapy
A Phase 3 study testing risperidone in people with Major Depressive Disorder, run by Johnson & Johnson Pharmaceutical Research & Development, L.L.C. at 70 sites in United States.
Trial summary
The purpose of this trial is to evaluate the efficacy and safety of risperidone versus placebo in subjects with Major Depressive Disorder with sub-optimal response to antidepressant therapy. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Major Depressive Disorder
- What is being tested?
- risperidone
- How many people
- 630 participants
- Where
- 70 sitesUnited States
- Study dates
- Oct 2004to Nov 2005
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Understand and sign the informed consent form
- Age 18-65
- Healthy on the basis of Physical Exam
- Treatment with a single antidepressant 4 weeks prior to study start and willingness to maintain on stable dose of the same antidepressant throughout the study
- Current diagnosis of Major Depressive Disorder
- Judgement of the clinician that the subject has shown a sub-optimal response to the antidepressant
Who cannot join
- Presence of other serious medical illness(es)
Trial locations and contacts
70 sites in 1 country.
70 sites in 1 country
United States70 sites
ABQ Med., P.C.
Albuquerque, New Mexico, 81709
Alliance Medical Center, PC
Alliance, Nebraska, 69301
Allan B. Aven, MD
Arlington Heights, Illinois, 60005
American Health Network
Avon, Indiana, 46123
DiscoveResearch, Inc.
Beaumont, Texas, 77701
Innovative Clinical Trials, LLC
Birmingham, Alabama, 35205
Greystone Medical Research
Birmingham, Alabama, 35242
Southwestern Research Institute
Burbank, California, 91506
Professional Clinical Research at Great Lakes Family Care
Cadillac, Michigan, 49601
Community Health Care, Inc.
Canal Fulton, Ohio, 44614
Community Research Management Associates, Inc.
Cincinnati, Ohio, 45219
Hightop Medical Research Center
Cincinnati, Ohio, 45224
CFP Research, Inc.
Cincinnati, Ohio, 45242
South Texas Applied Research
Corpus Christi, Texas, 78411
Martin Schear, MD
Dayton, Ohio, 45406
Gateway Medical
Downingtown, Pennsylvania, 19335
Sooner Clinical Research
Edmond, Oklahoma, 73013
Advanced Clinical Trials
Eugene, Oregon, 97401
Research Solutions - Evansville
Evansville, Indiana, 47714
Feasterville Family Health Care
Feasterville, Pennsylvania, 19053
Hartford Research Group
Florence, Kentucky, 41042
Leonard Bass, MD, PA
Fort Lauderdale, Florida, 33311
Sarkis Clinical Trials
Gainesville, Florida, 32607
Clinical Trial Associates
Glendora, New Jersey, 08029
The Family Practice
Greer, South Carolina, 29651
Amy Kaissar, MD
Indianapolis, Indiana, 46260
Chrishard Clinical Research
Inglewood, California, 90301
Roger Miller, MD
Jacksonville, Florida, 32257
Harmony Clinical Research
Johnson City, Tennessee, 37601
Richard Neiman, MD
Kirkland, Washington, 98034
Optimum Health Services
La Mesa, California, 91942
Detweiler Family Medicine
Lansdale, Pennsylvania, 19446
Green & Seidner Family Practice
Lansdale, Pennsylvania, 19466
Woodburne Family Practice
Levittown, Pennsylvania, 19057
Pacific Insititute for Medical Research
Los Angeles, California, 90024
Clinical Research Consultants/Providence Medical
Medford, Oregon, 97504
Medford Medical Clinic, LLP
Medford, Oregon, 97504
New Orleans Medical Institute
Metairie, Louisiana, 70001
Med-line Research
Moore, Oklahoma, 73160
nTouch Research - Chicago
Naperville, Illinois, 60542
Psychiatric Medicine Center
New London, Connecticut, 06320
Eastside Comprehensive Medical Services, LLC
New York, New York, 10021
Glasgow Family Practice
Newark, Delaware, 19702
Pearl Clinical Research
Norristown, Pennsylvania, 19401
BioQuan Research Group, Inc.
North Miami, Florida, 33161
Optimum Health Services
Oceanside, California, 92056
Cutting Edge Research Group
Oklahoma City, Oklahoma, 73120
nTouch Research - Peoria
Peoria, Illinois, 61602
Balanced Health Research Center
Peoria, Illinois, 61614
Joseph Rybicki, MD
Philadelphia, Pennsylvania, 19152
Clinical Trials Research Services, LLC
Pittsburgh, Pennsylvania, 15206
Consolidated Clinical Trials, Inc.
Pittsburgh, Pennsylvania, 15221
Charles Buttz, MD
Pottstown, Pennsylvania, 19465
Raleigh Medical Group
Raleigh, North Carolina, 27609
Research Across America
Reading, Pennsylvania, 19606
International Clinical Research Associates, LLC
Richmond, Virginia, 23294
Behavioral Health 2000, LLC
Riverside, California, 92506
Family Practice - St. Cloud
Saint Cloud, Florida, 34769
nTouch Research
San Diego, California, 92103
Scottsdale Family Health
Scottsdale, Arizona, 85251
Brentwood Research Institute
Shreveport, Louisiana, 71101
Daniel Blizzard, MD
Spokane, Washington, 99216
Sam Hawatmeh, MD, PC
St Louis, Missouri, 63125
Sun Valley Medical
Sun City, Arizona, 85351
Clinco
Terre Haute, Indiana, 47802
Southwest Biomedical Research Foundation
Tucson, Arizona, 85711
Partners in Primary Care
Turnersville, New Jersey, 08012
International Clinical Research Associates
Virgina Beach, Virginia, 23452
Family Practice Center of Wadsworth
Wadsworth, Ohio, 44281
Salem Research Group
Winston-Salem, North Carolina, 27103
About this study
Official title: A Double-Blind Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard Therapy
The purpose of this trial is to evaluate the efficacy and safety of risperidone versus placebo in subjects with Major Depressive Disorder with sub-optimal response to antidepressant therapy.
Read the detailed description
Many patients who suffer from Major Depressive Disorder (MDD) do not benefit or show only partial benefit from current psychotropic therapy. This clinical trial seeks to study the efficacy and safety of adjunctive treatment with risperidone in patients with MDD who failed to adequately respond to standard antidepressant treatment prior to this trial and who prospectively do not respond to adequate treatment with standard antidepressant therapy (SAD).
Patients entering the open label phase of the study will have already taken a commercially available SAD for a minimum of 4 weeks, and provided the dose was optimal, will continue on this dose of SAD throughout the four-week open-label and six-week double-blind phases of the trial.
If the dose in the four weeks prior to entering the study was not optimal (as per standard clinical practice), the dose will be increased to be within the optimal range and continued at that dose through the entire open-label SAD and double-blind phases.
During the double-blind phase, subjects receive an adjunctive dose of risperidone or placebo, once daily, added to their stable dose of SAD. The starting dose of risperidone or placebo is 0.25 mg for the first three days of the double-blind phase, and is increased to 0.5 mg for days 4 through 14. On the 15th day of this phase, the dose is increased to the target dose of 1.0 mg/day. If response to this dose is not optimal by day 29, it is increased to 2.0 mg/day and is maintained for the duration of the 6-week double-blind phase. This dose may be reduced once to 1.0 mg/day, but then must be maintained at that dose for the remainder of the study.
- Conditions
- Major Depressive Disorder
- Being tested
- risperidone
- Medical subject headings
- Depressive Disorder, Major
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
risperidoneDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
Difference in therapeutic effect of risperidone and placebo as measured by change in depression rating scale (HAM-D) at end of week 4 of the double-blind phase.
Secondary outcomes (1)
Safety will be assessed through reported adverse events and vital signs (weight, blood pressure, pulse, and temperature).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Nov 2004 (estimated)
- Study startOct 2004
- Study completionNov 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Major Depressive DisorderStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Enrolment
- 630 participants (actual)
Sponsor and investigators
- Lead sponsor
- Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Janssen, LP
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00095134
- Sponsor's protocol ID
- CR004726
- Status last verified
- Dec 2011
- First submitted
- 1 Nov 2004
- Last updated
- 6 Dec 2011
- Results posted
- No
Publications
Pandina G, Turkoz I, Bossie C. Impact of self-reported juvenile abuse on treatment outcome in patients with major depressive disorder. J Affect Disord. 2013 Oct;151(1):384-91. doi: 10.1016/j.jad.2013.01.053. Epub 2013 Jul 10.
PubMed 23849714Mahmoud RA, Pandina GJ, Turkoz I, Kosik-Gonzalez C, Canuso CM, Kujawa MJ, Gharabawi-Garibaldi GM. Risperidone for treatment-refractory major depressive disorder: a randomized trial. Ann Intern Med. 2007 Nov 6;147(9):593-602. doi: 10.7326/0003-4819-147-9-200711060-00003.
PubMed 17975181
Study at a glance
From the registry record, last updated by the sponsor on 6 Dec 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-Blind Study Comparing Adjunctive Risperidone Versus Placebo in Major Depressive Disorder That Is Not Responding to Standard Therapy
- ClinicalTrials.gov ID
- NCT00095134
- Acronym / sponsor ID
- CR004726
- Conditions
- Major Depressive Disorder
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 630 participants (actual)
- Lead sponsor
- Johnson & Johnson Pharmaceutical Research & Development, L.L.C.Industry (pharma, biotech, devices)
- Collaborators
- Janssen, LP
- Study start
- Oct 2004
- Study completion
- Nov 2005 (actual)
- First posted
- 1 Nov 2004 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this trial is to evaluate the efficacy and safety of risperidone versus placebo in subjects with Major Depressive Disorder with sub-optimal response to antidepressant therapy.
Detailed description
Many patients who suffer from Major Depressive Disorder (MDD) do not benefit or show only partial benefit from current psychotropic therapy. This clinical trial seeks to study the efficacy and safety of adjunctive treatment with risperidone in patients with MDD who failed to adequately respond to standard antidepressant treatment prior to this trial and who prospectively do not respond to adequate treatment with standard antidepressant therapy (SAD).
Patients entering the open label phase of the study will have already taken a commercially available SAD for a minimum of 4 weeks, and provided the dose was optimal, will continue on this dose of SAD throughout the four-week open-label and six-week double-blind phases of the trial.
If the dose in the four weeks prior to entering the study was not optimal (as per standard clinical practice), the dose will be increased to be within the optimal range and continued at that dose through the entire open-label SAD and double-blind phases.
During the double-blind phase, subjects receive an adjunctive dose of risperidone or placebo, once daily, added to their stable dose of SAD. The starting dose of risperidone or placebo is 0.25 mg for the first three days of the double-blind phase, and is increased to 0.5 mg for days 4 through 14. On the 15th day of this phase, the dose is increased to the target dose of 1.0 mg/day. If response to this dose is not optimal by day 29, it is increased to 2.0 mg/day and is maintained for the duration of the 6-week double-blind phase. This dose may be reduced once to 1.0 mg/day, but then must be maintained at that dose for the remainder of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Understand and sign the informed consent form
- Age 18-65
- Healthy on the basis of Physical Exam
- Treatment with a single antidepressant 4 weeks prior to study start and willingness to maintain on stable dose of the same antidepressant throughout the study
- Current diagnosis of Major Depressive Disorder
Key exclusion criteria (1 listed)
- Presence of other serious medical illness(es)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| risperidone | Drug | – |
Primary outcome
Difference in therapeutic effect of risperidone and placebo as measured by change in depression rating scale (HAM-D) at end of week 4 of the double-blind phase.
1 secondary outcome
Safety will be assessed through reported adverse events and vital signs (weight, blood pressure, pulse, and temperature).
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Dec 2011.
- Derived from this study: PubMed 23849714Pandina G, Turkoz I, Bossie C. Impact of self-reported juvenile abuse on treatment outcome in patients with major depressive disorder. J Affect Disord. 2013 Oct;151(1):384-91. doi: 10.1016/j.jad.2013.01.053. Epub 2013 Jul 10.
- Derived from this study: PubMed 17975181Mahmoud RA, Pandina GJ, Turkoz I, Kosik-Gonzalez C, Canuso CM, Kujawa MJ, Gharabawi-Garibaldi GM. Risperidone for treatment-refractory major depressive disorder: a randomized trial. Ann Intern Med. 2007 Nov 6;147(9):593-602. doi: 10.7326/0003-4819-147-9-200711060-00003.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
70 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing risperidone in people with Major Depressive Disorder, run by Johnson & Johnson Pharmaceutical Research & Development, L.L.C. at 70 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Dec 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 70 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Difference in therapeutic effect of risperidone and placebo as measured by change in depression rating scale (HAM-D) at end of week 4 of the double-blind phase.. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00095134, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Dec 2011.