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Major Depressive DisorderPhase 2NCT01098240

A Study Of The Efficacy And Safety Of CP-601,927 Augmentation Of Antidepressant Therapy In Major Depression

A Phase 2 study testing CP-601,927 in people with Major Depressive Disorder, run by Pfizer at 58 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary objectives of this study are to: 1) Evaluate the efficacy of CP 601,927 compared to placebo in the augmentation of antidepressant therapy (ADT) in patients with Major Depressive Disorder (MDD) using the Montgomery Asberg Depression Rating Scale (MADRS). 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?
CP-601,927
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
297 participants
Where
58 sitesUnited States
Study dates
14 Jun 2010to 12 Sep 2011
Phase
Phase 2
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Medically healthy males or females aged 18-65 (inclusive).
  • Patients must have a primary current diagnosis of MDD without psychotic features.
  • Patients must be receiving ongoing antidepressant therapy at the time of screening. Duration of the current episode of MDD must be at least 8 weeks prior to enrollment without adequate response to treatment.

Who cannot join

  • Patients with other psychiatric disorders.
  • Patients who use tobacco products.
  • Alcohol or substance abuse or dependence.
  • Treatment with a monoamine oxidase inhibitor within 10 weeks of enrollment.
  • Pregnancy or breastfeeding.
  • Clinically significant abnormalities on laboratory tests, electrocardiogram, or physical or neurologic examination.

Trial locations and contacts

58 sites in 1 country.

58 sites in 1 country

United States58 sites
  • Lehigh Valley Health Network

    Allentown, Pennsylvania, 18103

  • Atlanta Center for Medical Research

    Atlanta, Georgia, 30308

  • Atlanta Institute of Medicine and Research

    Atlanta, Georgia, 30328

  • FutureSearch Trials

    Austin, Texas, 78731

  • City Line Family Medicine

    Bala-Cynwyd, Pennsylvania, 19004

  • Southwestern Research Incorporated

    Beverly Hills, California, 90210

  • Massachusetts General Hospital

    Boston, Massachusetts, 02171

  • Social Psychiatry Research Institute

    Brooklyn, New York, 11235

  • Northbrooke Research Center

    Brown Deer, Wisconsin, 53223

  • Erie County Medical Center / State University of New York at Buffalo affiliate

    Buffalo, New York, 14215

  • University of Virginia Health System / Department of Psychiatry and Neurobehavioral Sciences

    Charlottesville, Virginia, 22903

  • Center for Emotional Fitness

    Cherry Hill, New Jersey, 08002

  • Carolina Clinical Research Service LLC

    Columbia, South Carolina, 29201

  • FutureSearch Trials of Dallas, L.P.

    Dallas, Texas, 75231

  • University of Texas (UT) Southwestern Medical Center at Dallas

    Dallas, Texas, 75235

  • University of Texas (UT) Southwestern Medical Center at Dallas

    Dallas, Texas, 75390-9119

  • Midwest Clinical Research Center

    Dayton, Ohio, 45417

  • Radiant Research, Inc.

    Denver, Colorado, 80239

  • InSite Clinical Research

    DeSoto, Texas, 75115

  • AccelRx Research

    Fall River, Massachusetts, 02721

  • Comprehensive NeuroScience, Inc.

    Fresh Meadows, New York, 11366

  • Collaborative Neuroscience Network, Inc.

    Garden Grove, California, 92845

  • Goldpoint Clinical Research, LLC

    Indianapolis, Indiana, 46260

  • Clinical Neuroscience Solutions, Inc.

    Jacksonville, Florida, 32216

  • Lake Charles Clinical Trials

    Lake Charles, Louisiana, 70629

  • Lincoln Research

    Lincoln, Rhode Island, 02865

  • Arkansas Psychiatric Clinic Clinical Research Trials, P.A.

    Little Rock, Arkansas, 72223

  • Florida Clinical Research Center, LLC

    Maitland, Florida, 32751

  • Suburban Research Associates

    Media, Pennsylvania, 19063

  • Dean Foundation for Health, Research and Education

    Middleton, Wisconsin, 53562

  • AMR-Baber Research Inc.

    Naperville, Illinois, 60563

  • Synergy Clinical Research Center

    National City, California, 91950

  • Louisiana Research Associates, Inc.

    New Orleans, Louisiana, 70114

  • Comprehensive Psychiatric Care

    Norwich, Connecticut, 06360

  • William B. Backus Hospital Satellite Blood Draw

    Norwich, Connecticut, 06360

  • IPS Research

    Oklahoma City, Oklahoma, 73103

  • Cutting Edge Research Group

    Oklahoma City, Oklahoma, 73116

  • Clinical Neuroscience Solutions, Inc.

    Orlando, Florida, 32806

  • University of Pennsylvania / Department of Psychiatry

    Philadelphia, Pennsylvania, 19104

  • Frankford Avenue Family Practice, PC

    Philadelphia, Pennsylvania, 19136

  • Summit Research Network (Oregon), Inc.

    Portland, Oregon, 97210

  • Mcguire Hall Annex

    Richmond, Virginia, 23219

  • Nelson Clinic

    Richmond, Virginia, 23219

  • Virginia Commonwealth University (VCU) Medical Center

    Richmond, Virginia, 23298-0155

  • Detroit Bio-Medical Laboratories, Inc.

    Rochester Hills, Michigan, 48307

  • Rochester Center for Behavioral Medicine

    Rochester Hills, Michigan, 48307

  • St. Charles Psychiatric Associates - Midwest Research Group

    Saint Charles, Missouri, 63301

  • Radiant Research, Inc

    Salt Lake City, Utah, 84107

  • University of Utah School of Medicine Department of Psychiatry Mood Disorders Clinic

    Salt Lake City, Utah, 84132

  • Artemis Institute for Clinical Research

    San Diego, California, 92123

  • Louisiana Clinical Research, LLC

    Shreveport, Louisiana, 71115

  • Psychiatric Medicine Associates, LLC.

    Skokie, Illinois, 60076

  • Comprehensive NeuroScience, Inc.

    St. Petersburg, Florida, 33716

  • Clinco

    Terre Haute, Indiana, 47802

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • Kettlie Joseph Daniels, MD, Inc.

    Toledo, Ohio, 43609

  • Neurology and Neuroscience Center of Ohio

    Toledo, Ohio, 43623

  • Heartland Research Associates, LLC

    Wichita, Kansas, 67207

Other trials in United States

About this study

Official title: A RANDOMIZED PHASE 2A, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY OF THE EFFICACY AND SAFETY OF CP-601,927 AUGMENTATION OF ANTIDEPRESSANT THERAPY IN MAJOR DEPRESSION

The primary objectives of this study are to: 1) Evaluate the efficacy of CP 601,927 compared to placebo in the augmentation of antidepressant therapy (ADT) in patients with Major Depressive Disorder (MDD) using the Montgomery Asberg Depression Rating Scale (MADRS). 2) Evaluate the safety and tolerability of CP 601,927 in patients with MDD on ADT.

Read the detailed description

The study was stopped at interim analysis in August 2011, as stopping criteria for futility were met. There was no statistically significant change on the primary efficacy scale in favor of the drug. There was a very small chance that any additional data could change the study overall outcome. There were no concerns regarding subject safety.

Being tested
CP-601,927, Placebo
Keywords
Antidepressant Augmentation
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.

  • CP-601,927Drug

    CP-601,927 1-2 mg twice per day, oral 1 mg tablets, for 6 weeks.

  • PlaceboOther

    Matching placebo tablets, taken orally, twice per day, for 6 weeks.

Study groups in NCT01098240
Study groupRoleWhat they receive
Active TreatmentExperimentalCP-601,927
Receives: Drug: CP-601,927
PlaceboPlacebo comparatorPlacebo
Receives: Other: Placebo

What is being measured

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

  1. Change From Double-blind Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Week 14

    MADRS measures the overall severity of depressive symptoms. The MADRS had a 10-item checklist. Items are rated on a scale of 0-6, for a total numeric range of scores from 0 (depressive symptoms absent) to 60 (numerically highest level of depressive symptoms).

    Measured: Week 8 (double-blind baseline ) and week 14 (week 6 of double-blind phase)

Secondary outcomes (12)
  1. Change From Double-blind Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Weeks 9 Through 13

    MADRS measures the overall severity of depressive symptoms. The MADRS had a 10-item checklist. Items are rated on a scale of 0-6, for a total numeric range of scores from 0 (depressive symptoms absent) to 60 (numerically highest level of depressive symptoms).

    Measured: Week 8 (double-blind baseline) and weeks 9 through 13

  2. Change From Double-blind Baseline in Hamilton Depression Scale 25-item (HAM-D25) - Total Score at Weeks 9 Through 14

    The HAM-D25 is the 25-item version of a scale used to assess the range of depressive symptoms including depressed mood, work and activities, sleep, suicidal thinking, psychomotor agitation/retardation, appetite, sexual interest, anxiety, somatic symptoms, and cognitive symptoms. The items on the HAM-D were rated on a scale of 0-2 or 0-4, for a total numeric range of scores from 0 (depressive symptoms absent) to 72 (numerically highest level of depressive symptoms).

    Measured: Weeks 8 (double-blind baseline) through 14

  3. Change From Double-blind Baseline in Bech Melancholia Subscale Score at Weeks 9 Through 14

    The Bech Melancholia is sum of scores on 6 items (items 1, 2, 7, 8, 10 and 13) pertaining to melancholia within HAM-D. The items are rated on a scale of 0-4, higher scores reflecting greater severity. Total possible score is 0-24.

    Measured: Weeks 8 (double-blind baseline) through 14

  4. Change From Double-blind Baseline in Clinical Global Impression - Severity (CGI-S) at Weeks 9, 10, 12, and 14

    CGI-S was defined as 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: Week 8 (double-blind baseline) and weeks 9, 10, 12, 14

  5. Change From Double-blind Baseline in Sheehan Irritability Scale (SIS) Total Score at Weeks 11 and 14

    The SIS is to rate suffering with regard to irritability symptoms. The degree to which irritability interferes with work, social and family function is also queried. The total SIS score is the sum of 7 items. Each item is rated on a scale of 0-10, for a total numeric range of scores from 0 (not at all) to 70 (extremely). The SIS also records the number of days impaired by irritability.

    Measured: Weeks 8 (double-blind baseline), 11 and 14

  6. Change From Double-blind Baseline in Sheehan Disability Scale (SDS) Total Score at Weeks 11 and 14

    SDS is defined as a self-administered tool that measures functional impairment including work/school, social life, and family life/home responsibilities. Items are rated on a scale of 0-10 visual analog scale (0=not at all impaired, 10=extremely impaired), for a total numeric range of scores from 0 (not at all impaired) to 30 (extremely impaired).

    Measured: Weeks 8 (double-blind baseline), 11 and 14

  7. Change From Double-blind Baseline in Sheehan Disability Scale (SDS) Subscale Score at Weeks 11 and 14

    SDS subscale is defined as a self-administered tool that measures functional impairment in 3-item including work/school, social life, and family life/home responsibilities. Items are rated on a scale of 0-10 visual analog scale, for a total numeric range of scores from 0 (not at all impaired) to 30 (extremely impaired).

    Measured: Weeks 8 (double-blind baseline), 11 and 14

  8. Clinical Global Impression - Improvement (CGI-I) Total Score at Weeks 9, 10, 12 and 14

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

    Measured: Weeks 8 (double-blind baseline) 9, 10, 12 and 14

  9. Number of Participants With Remission at Weeks 9, 10, 12 and 14

    Remission was defined as response plus an absolute MADRS total score of less than or equal to 10 plus a CGI-I score less than 2 ('much' or 'very much' improved).

    Measured: Weeks 9, 10, 12 and 14

  10. Number of Participants With Response at Weeks 9 Through 14

    Response was defined as greater than 50 percent reduction from double-blind baseline in MADRS total score.

    Measured: Weeks 9 through 14

  11. Population Pharmacokinetics

    Population pharmacokinetic analysis involved mixed effects modeling using nonlinear mixed effects modeling (NONMEM) software. The intent of this analysis was to establish a basic population pharmacokinetic model for CP-601,927 and to determine inter-individual and residual variability in population clearance, and volume of distribution of drug. Relationship of demographic variables (gender, age, body weight, height and ethnicity), concomitant medications and measures of altered hepatic and renal function were examined by fitting measured CP-601,927 concentrations

    Measured: Weeks 11,12 and 14

  12. Plasma CP-601,927 Concentration

    Blood samples were collected for plasma CP-601,927 concentration analysis which was summarized by mean and standard deviation.

    Measured: Week 11, 12 and 14

Timeline

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

  1. First posted2 Apr 2010 (estimated)
  2. Study start14 Jun 2010
  3. Primary completion12 Sep 2011
  4. Study completion12 Sep 2011

Why it stopped: See termination reason in detailed description.

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
297 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01098240
Sponsor's protocol ID
A3331017
Status last verified
Apr 2021
First submitted
1 Apr 2010
Last updated
3 May 2021
Data monitoring committee
Yes
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Fava M, Ramey T, Pickering E, Kinrys G, Boyer S, Altstiel L. A randomized, double-blind, placebo-controlled phase 2 study of the augmentation of a nicotinic acetylcholine receptor partial agonist in depression: is there a relationship to leptin levels? J Clin Psychopharmacol. 2015 Feb;35(1):51-6. doi: 10.1097/JCP.0000000000000245.

    PubMed 25422883

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing CP-601,927 in people with Major Depressive Disorder, run by Pfizer at 58 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 6 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: stopped early, as of the sponsor's last update on 3 May 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 58 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 26 Jun 2013). 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 Double-blind Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Week 14 (time frame: Week 8 (double-blind baseline ) and week 14 (week 6 of 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 NCT01098240, which also lists 1 linked publication.

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 3 May 2021.

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