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Depressive Disorder, MajorPhase 3NCT00384033

Study Evaluating Desvenlafaxine Succinate Sustained Release (DVS SR) In The Treatment Of Major Depressive Disorder

A Phase 3 study testing Desvenlafaxine Succinate Sustained-Release (DVS SR) and Duloxetine 60 mg/day in people with Depressive Disorder, Major, run by Pfizer at 22 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary purpose of this study is to evaluate the efficacy and safety of two doses of DVS SR (50 and 100 mg/day) in the treatment of adults with Major Depressive Disorder. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Depressive Disorder, Major
What is being tested?
Desvenlafaxine Succinate Sustained-Release (DVS SR) and Duloxetine 60 mg/day
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
638 participants
Where
22 sitesUnited States
Study dates
Sep 2006to Sep 2007
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • Adult, Older adult

Who may be able to join

  • A primary diagnosis of Major Depressive Disorder, single or recurrent episode, without psychotic features.
  • Depressive symptoms for at least 30 days before the screening visit.
  • Outpatient men and women at least 18 years of age.

Who cannot join

  • Significant risk of suicide based on clinical judgment, including common suicidal thoughts and suicide having been considered as a possible solution even without specific plans or intent.
  • Any unstable hepatic, renal, pulmonary, cardiovascular (including uncontrolled hypertension), ophthalmologic, neurologic, or any other medical condition that might confound the study or put the subject at greater risk during study participation.
  • Current (within 12 months before baseline) psychoactive substance abuse or dependence (including alcohol), manic episode, posttraumatic stress disorder, obsessive-compulsive disorder, or a lifetime diagnosis of bipolar or psychotic disorder; b) current (within 12 months before baseline) generalized anxiety disorder, panic disorder, or social anxiety disorder; c) presence (within 12 months before baseline) of a clinically important personality disorder as assessed during the psychiatric assessments.

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

United States22 sites
  • Pfizer Investigational Site

    Beverly Hills, California, 90210

  • Pfizer Investigational Site

    Brown Deer, Wisconsin, 53223

  • Pfizer Investigational Site

    Burbank, California, 91506

  • Pfizer Investigational Site

    Clementon, New Jersey, 08021

  • Pfizer Investigational Site

    Dayton, Ohio, 45408

  • Pfizer Investigational Site

    Edwardsville, Illinois, 62025

  • Pfizer Investigational Site

    Encino, California, 91316

  • Pfizer Investigational Site

    Farmington Hills, Michigan, 48336

  • Pfizer Investigational Site

    Flint, Michigan, 48507

  • Pfizer Investigational Site

    Los Alamitos, California, 90720

  • Pfizer Investigational Site

    Newport Beach, California, 92660

  • Pfizer Investigational Site

    Northridge, California, 91324

  • Pfizer Investigational Site

    Okemos, Michigan, 48864

  • Pfizer Investigational Site

    Orange, California, 92868

  • Pfizer Investigational Site

    Pasadena, California, 91105

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19149

  • Pfizer Investigational Site

    Portland, Oregon, 97210

  • Pfizer Investigational Site

    Salt Lake City, Utah, 84107

  • Pfizer Investigational Site

    Seattle, Washington, 98104

  • Pfizer Investigational Site

    South Miami, Florida, 33143

  • Pfizer Investigational Site

    St. Petersburg, Florida, 33702

  • Pfizer Investigational Site

    Upland, California, 91786

Other trials in United States

About this study

Official title: A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Duloxetine-Referenced, Parallel-Group Study to Evaluate the Efficacy and Safety of 2 Fixed Doses (50mg, 100mg) of Desvenlafaxine Sustained-Release Tablets in Adult Outpatients With Major Depressive Disorder

The primary purpose of this study is to evaluate the efficacy and safety of two doses of DVS SR (50 and 100 mg/day) in the treatment of adults with Major Depressive Disorder.

Being tested
Desvenlafaxine Succinate Sustained-Release (DVS SR), Placebo, Duloxetine 60 mg/day
Keywords
MDD, Major Depressive Disorder, Depression
Medical subject headings
Depressive Disorder, Major, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Desvenlafaxine Succinate Sustained-Release (DVS SR)Drug

    50 mg tablet, once daily dosing for 8 weeks

  • Desvenlafaxine Succinate Sustained-Release (DVS SR)Drug

    100 mg tablet, once daily dosing for 8 weeks

  • PlaceboDrug

    Matching placebo tablets and capsules, once daily dosing for 8 weeks

  • Duloxetine 60 mg/dayDrug

    60 mg capsule, once daily dosing for 8 weeks

Study groups in NCT00384033
Study groupRoleWhat they receive
Desvenlafaxine succinate sustained-release 50 mgExperimentalNot described
Receives: Drug: Desvenlafaxine Succinate Sustained-Release (DVS SR)
Desvenlafaxine succinate sustained-release 100 mgExperimentalNot described
Receives: Drug: Desvenlafaxine Succinate Sustained-Release (DVS SR)
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
Duloxetine 60mgOtherActive control to assess assay sensitivity
Receives: Drug: Duloxetine 60 mg/day

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in HAM-D17 Total Score at Week 8 or Final On-therapy (FOT) Evaluation

    HAM-D17: a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0 = none/absent and 4 = most severe, for a maximum total score of 50.

    Measured: Baseline and Week 8 or FOT

Secondary outcomes (8)
  1. Number of Participants With Categorical Scores on CGI-Improvement (CGI-I) Score at Week 8 or FOT Evaluation

    CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale relative to the baseline assessment. Higher score = more affected.

    Measured: Week 8 or FOT

  2. Change From Baseline in Mean CGI-S Score at Week 8 or FOT Evaluation

    CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill participants). Higher score = more affected.

    Measured: Baseline and Week 8 or FOT

  3. Change From Baseline in Montgomery and Asberg Depression Rating Scale (MADRS) Total Score at Week 8 or FOT Evaluation

    MADRS measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms).

    Measured: Baseline and Week 8 or FOT

  4. Change From Baseline in the Lassitude Item of the MADRS Scale at Week 8 or FOT Evaluation

    Lassitude item of MADRS represents a difficulty in getting started or slowness in initiating and performing everyday activities. It is rated on a scale of 0-6: 0 = hardly any difficulty in getting started/no sluggishness; 2 = difficulties in starting activities; 4 = difficulties in starting simple routine activities which are carried out with effort; 6 = complete lassitude/unable to do anything without help.

    Measured: Baseline and Week 8 or FOT

  5. Change From Baseline in HAM-D6 Total Score at Week 8 or FOT Evaluation

    HAM-D6: a standardized, clinician-administered rating scale that assesses 6 items characteristically associated with major depression and is a subset of HAM-D17. HAM-D6 score ranges from 0-22. The scale uses HAM-D17 items: 1, 2, 7, 8, 10 and 13. Item 13 is scored 0-2 (0=none and 2=severe) and all others are scored 0-4 (0=none/absent and 4=most severe).

    Measured: Baseline and Week 8 or FOT

  6. Change From Baseline in the HAM-D Energy Subscale Score at Week 8 or FOT Evaluation

    HAM-D energy subscale is a subset of the HAM-D17 that assesses 4 items associated with major depression. The scale uses HAM- D17 items 1, 7, 8 and 14. Item 14 is scored 0 to 2 (0=none/absent to 2=most severe) and all others are scored 0 to 4 (0=none/absent to 4=most severe).

    Measured: Baseline and Week 8 or FOT

  7. Change From Baseline in Covi Anxiety Scale at Week 8 or FOT Evaluation

    COVI anxiety scale measures the severity of anxiety symptoms on 3 items: verbal report, behavior and somatic complaints. Each dimension is assessed using a 5-point scale: 1 = not at all, 2 = somewhat, 3 = moderately, 4 = considerably, to 5 = Very much. Worst value is 15 and best value is 3.

    Measured: Baseline and Week 8 or FOT

  8. Change From Baseline in Visual Analog Scale-Pain Intensity (VAS-PI) Overall and Subcomponent Score at Week 8 or FOT Evaluation

    VAS-PI scale assesses intensity of back pain, chest pain, arms, legs or joint pain as well as overall pain intensity where 100 mm line (VAS) is marked by participant and intensity of pain ranges from 0 millimetre (mm) = no pain to 100 mm = worst possible pain. There were separate 0 to 100 mm VAS lines for each subcomponent of VAS-PI.

    Measured: Baseline and Week 8 or FOT

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Oct 2006 (estimated)
  2. Study startSep 2006
  3. Primary completionSep 2007
  4. Study completionSep 2007

Resources

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
638 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00384033
Sponsor's protocol ID
3151A1-335
Status last verified
Feb 2012
First submitted
2 Oct 2006
Last updated
15 Mar 2012

Publications

  • Zilcha-Mano S, Wang X, Wajsbrot DB, Boucher M, Fine SA, Rutherford BR. Trajectories of Function and Symptom Change in Desvenlafaxine Clinical Trials: Toward Personalized Treatment for Depression. J Clin Psychopharmacol. 2021 Sep-Oct 01;41(5):579-584. doi: 10.1097/JCP.0000000000001435.

    PubMed 34183490
  • Soares CN, Zhang M, Boucher M. Categorical improvement in functional impairment in depressed patients treated with desvenlafaxine. CNS Spectr. 2019 Jun;24(3):322-332. doi: 10.1017/S1092852917000633. Epub 2017 Nov 15.

    PubMed 29140227
  • McIntyre RS, Fayyad R, Mackell JA, Boucher M. Effect of metabolic syndrome and thyroid hormone on efficacy of desvenlafaxine 50 and 100 mg/d in major depressive disorder. Curr Med Res Opin. 2016;32(3):587-99. doi: 10.1185/03007995.2015.1136603. Epub 2016 Jan 13.

    PubMed 26709542
  • McIntyre RS, Fayyad RS, Guico-Pabia CJ, Boucher M. A Post Hoc Analysis of the Effect of Weight on Efficacy in Depressed Patients Treated With Desvenlafaxine 50 mg/d and 100 mg/d. Prim Care Companion CNS Disord. 2015 Jun 4;17(3):10.4088/PCC.14m01741. doi: 10.4088/PCC.14m01741. eCollection 2015.

    PubMed 26644956
  • Thase ME, Fayyad R, Cheng RF, Guico-Pabia CJ, Sporn J, Boucher M, Tourian KA. Effects of desvenlafaxine on blood pressure in patients treated for major depressive disorder: a pooled analysis. Curr Med Res Opin. 2015 Apr;31(4):809-20. doi: 10.1185/03007995.2015.1020365. Epub 2015 Mar 26.

    PubMed 25758058
  • Soares CN, Endicott J, Boucher M, Fayyad RS, Guico-Pabia CJ. Predictors of functional response and remission with desvenlafaxine 50 mg/d in patients with major depressive disorder. CNS Spectr. 2014 Dec;19(6):519-27. doi: 10.1017/S1092852914000066. Epub 2014 Feb 26.

    PubMed 24571916
  • Tourian KA, Padmanabhan SK, Groark J, Brisard C, Farrington D. Desvenlafaxine 50 and 100 mg/d in the treatment of major depressive disorder: an 8-week, phase III, multicenter, randomized, double-blind, placebo-controlled, parallel-group trial and a post hoc pooled analysis of three studies. Clin Ther. 2009 Jun;31 Pt 1:1405-23. doi: 10.1016/j.clinthera.2009.07.006.

    PubMed 19698901

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Desvenlafaxine Succinate Sustained-Release (DVS SR) and Duloxetine 60 mg/day in people with Depressive Disorder, Major, run by Pfizer at 22 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 3 inclusion and 3 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 15 Mar 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 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. Some participants in this study may receive a placebo. 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?

Yes. Results are posted in the registry (first posted 15 Mar 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Baseline in HAM-D17 Total Score at Week 8 or Final On-therapy (FOT) Evaluation (time frame: Baseline and Week 8 or FOT). 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 NCT00384033, which also lists 7 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 15 Mar 2012.

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