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Major Depressive DisorderPhase 4NCT01121484

Study Evaluating Desvenlafaxine Succinate Sustained-Release (DVS SR) In The Treatment Of Peri- And Postmenopausal Women With Major Depressive Disorder (DVS 3364)

A Phase 4 study testing desvenlafaxine succinate sustained-release in people with Major Depressive Disorder, run by Pfizer at 44 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

A multicenter, 10-week study to evaluate the efficacy and safety of 50 mg of desvenlafaxine succinate sustained-release formulation (DVS SR) versus placebo in the treatment of peri- and postmenopausal women with major depressive disorder Read more about this study

Who is it for?
Ages 40 to 70 years, women only
Conditions the study is for
Major Depressive Disorder
What is being tested?
desvenlafaxine succinate sustained-release
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
439 participants
Where
44 sitesUnited States
Study dates
Jun 2010to Jun 2011
Phase
Phase 4
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 40 to 70 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Peri- and postmenopausal women aged 40 to 70 years who are fluent in both written and spoken English.
  • Postmenopausal status defined by 12 consecutive months of spontaneous amenorrhea; less than 12 consecutive months with at least 6 consecutive months of spontaneous amenorrhea and a pre-baseline follicle-stimulating hormone (FSH) level >40 mIU/mL; or 6 months postsurgical bilateral oophorectomy (with or without hysterectomy). Perimenopausal women defined by the presence of any of the following within 6 months before baseline:
  • an absolute change of 7 days or more in menstrual cycle length within 6 months before baseline;
  • a change in menstrual flow amount (2 or more flow categories, eg, from light or moderately light to moderately heavy or heavy);
  • a change in duration (absolute change of 2 or more days); or
  • periods of amenorrhea lasting at least 3 months.
  • A primary diagnosis of major depressive disorder (MDD) based on the criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision (DSM-IV-TR), single or recurrent episode, without psychotic features using the modified Mini International Neuropsychiatric Interview (MINI).
  • A Montgomery and Asberg Depression Rating Scale (MADRS) total score >=25 at the screening and baseline (day -1) visits and no more than a 5-point improvement from screening to baseline.

Who cannot join

  • Treatment with DVS SR (Pristiq®) at any time in the past and/or venlafaxine, ie, Effexor® or Effexor XR®, 1 year prior to baseline.
  • Treatment-resistant; eg, in the past 3 years if any of the following treatments have failed: (a) 3 or more previous adequate trials of >=2 classes of antidepressant medication, (b) electroconvulsive therapy, or (c) 2 adequate trials of psychotherapy (eg, behavior therapy, behavior-marital therapy).
  • History or current evidence of gastrointestinal disease known to interfere with the absorption or excretion of drugs or a history of surgery known to interfere with the absorption or excretion of drugs.
  • Known presence of raised intraocular pressure or history of narrow-angle glaucoma.

Trial locations and contacts

44 sites in 1 country.

44 sites in 1 country

United States44 sites
  • Lehigh Center for Clinical Research

    Allentown, Pennsylvania, 18104

  • Pacific Clinical Research Medical Group

    Arcadia, California, 91007-3462

  • Emory University Department of Psychiatry and Behavioral Sciences

    Atlanta, Georgia, 30306

  • Atlanta Center for Medical Research

    Atlanta, Georgia, 30308

  • North Coast Clinical Trials, Inc.

    Beechwood, Ohio, 44122

  • Northwest Clinical Research Center

    Bellevue, Washington, 98007

  • Southwestern Research, Inc.

    Beverly Hills, California, 90210

  • Birmingham Psychiatry Pharmaceutical Studies, Inc.

    Birmingham, Alabama, 35226

  • Horizon Medical Services, PC

    Bismarck, North Dakota, 58501

  • Legacy Pharma Research

    Bismarck, North Dakota, 58501

  • Holston Medical Group

    Bristol, Tennessee, 37620

  • Social Psychiatry Research Institute

    Brooklyn, New York, 11235

  • Metrolina Medical Research

    Charlotte, North Carolina, 28209

  • University of Virginia Health System Center for Psychiatric Clinical Research

    Charlottesville, Virginia, 22903

  • Center For Emotional Fitness

    Cherry Hill, New Jersey, 08002

  • Catalina Research Institute LLC

    Chino, California, 91710

  • Carolina Clinical Research Services, LLC

    Columbia, South Carolina, 29201

  • Connecticut Clinical Research

    Cromwell, Connecticut, 06416

  • Midwest Clinical Research Center

    Dayton, Ohio, 45417

  • Western Affiliated Research Institute

    Denver, Colorado, 80209

  • Radiant Research, Inc.

    Denver, Colorado, 80239

  • Bayou City Research, Ltd.

    Houston, Texas, 77007

  • Westside Family Medical Center, P.C.

    Kalamazoo, Michigan, 49009

  • Holston Medical Group

    Kingsport, Tennessee, 37660

  • Radiant Research, Inc.

    Las Vegas, Nevada, 89146

  • Capstone Clinical Research

    Libertyville, Illinois, 60048

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

    Little Rock, Arkansas, 72223

  • Medical & Behavioral Health Research PC

    New York, New York, 10023

  • Deaconess Clinic Gateway Health Center Research Institute

    Newburgh, Indiana, 47630

  • Pacific Clinical Research Medical Group

    Orange, California, 92868

  • Robert Wood Johnson Medical School

    Piscataway, New Jersey, 08854

  • Summit Research Network (Oregon), Inc.

    Portland, Oregon, 97210

  • Nelson Clinic

    Richmond, Virginia, 23298

  • Northwest Behavioral Research Center

    Roswell, Georgia, 30076

  • Radiant Research, Inc.

    San Antonio, Texas, 78229

  • Summit Research Network (Seattle) LLC

    Seattle, Washington, 98104

  • Carman Research

    Smyrna, Georgia, 30080

  • Comprehensive NeuroScience, Inc.

    St. Petersburg, Florida, 33716

  • Stedman Clinical Trials, LLC

    Tampa, Florida, 33613

  • Pacific Clinical Research Medical Group

    Upland, California, 91786

  • Omega Medical Research

    Warwick, Rhode Island, 02886

  • Independent Psychiatric Consultants, SC dba IPC Research

    Waukesha, Wisconsin, 53188

  • Janus Center for Psychiatric Research

    West Palm Beach, Florida, 33407

  • Via Christi Research

    Witchita, Kansas, 67214

Other trials in United States

About this study

Official title: A Multicenter, Parallel-Group, Randomized, 10-Week, Double-Blind, Placebo-Controlled Study To Evaluate The Efficacy And Safety Of 50 mg Of DVS SR In The Treatment Of Peri- And Postmenopausal Women With Major Depressive Disorder

A multicenter, 10-week study to evaluate the efficacy and safety of 50 mg of desvenlafaxine succinate sustained-release formulation (DVS SR) versus placebo in the treatment of peri- and postmenopausal women with major depressive disorder

Being tested
desvenlafaxine succinate sustained-release, placebo
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.

  • desvenlafaxine succinate sustained-releaseDrug

    Also called Pristiq

    50-mg DVS SR tablets taken orally once daily.

  • placeboDrug

    Placebo tablets taken orally once daily.

Study groups in NCT01121484
Study groupRoleWhat they receive
desvenlafaxine succinate sustained-releaseExperimentalNot described
Receives: Drug: desvenlafaxine succinate sustained-release
PlaceboPlacebo comparatorNot described
Receives: Drug: placebo

What is being measured

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

  1. Change From Baseline in Hamilton Depression Scale (HAM-D17) at Week 8

    HAM-D17, clinician-rated interview, measures presence of depressive symptoms in 17 areas (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, \& weight loss). Total score ranges from 0 to 52; higher scores indicate more severe depression. Change from baseline: score at observation minus score at baseline.

    Measured: Baseline, Week 8

Secondary outcomes (5)
  1. Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I)

    CGI-I: 7-point scale in which the clinician rated how much the participant's condition has changed compared to baseline. Scores ranged from 1 (very much improved) to 7 (very much worse). Improvement defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected.

    Measured: Week 8

  2. Change From Baseline in Clinical Global Impression - Severity (CGI-S) at Week 8

    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 patients). Higher score = more affected. Change: score at observation minus score at baseline.

    Measured: Baseline, Week 8

  3. Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Week 8

    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). Change: score at observation minus score at baseline.

    Measured: Baseline, Week 8

  4. Change From Baseline in Quick Inventory of Depressive Symptoms, 16 Question Self-report (QIDS-SR)

    This is a 16-item self reported questionnaire that measures depressive symptoms. Improvement reported as change in depressive score. Score ranges from 0 to 42, with higher numbers indicating more severe symptom reporting. Change: score at observation minus score at baseline.

    Measured: Baseline, Week 8

  5. Change From Baseline in Visual Analogue Scale for Pain (VAS-pain) at Week 8

    10 centimeter (cm) line (Visual Analog Scale) marked by participant. Intensity of pain range (over past week): 0 = no pain to 10 = worst possible pain. Change: score at observation minus score at baseline.

    Measured: Baseline, Week 8

Timeline

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

  1. First posted12 May 2010 (estimated)
  2. Study startJun 2010
  3. Primary completionJun 2011
  4. Study completionJun 2011

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
439 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01121484
Sponsor's protocol ID
3151A1-3364
Other IDs
B2061029
Status last verified
Jan 2012
First submitted
3 May 2010
Last updated
4 Apr 2012
Data monitoring committee
No

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
  • Kornstein SG, Clayton AH, Bao W, Guico-Pabia CJ. A pooled analysis of the efficacy of desvenlafaxine for the treatment of major depressive disorder in perimenopausal and postmenopausal women. J Womens Health (Larchmt). 2015 Apr;24(4):281-90. doi: 10.1089/jwh.2014.4900.

    PubMed 25860107
  • 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
  • Clayton AH, Kornstein SG, Dunlop BW, Focht K, Musgnung J, Ramey T, Bao W, Ninan PT. Efficacy and safety of desvenlafaxine 50 mg/d in a randomized, placebo-controlled study of perimenopausal and postmenopausal women with major depressive disorder. J Clin Psychiatry. 2013 Oct;74(10):1010-7. doi: 10.4088/JCP.12m08065.

    PubMed 24229754

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing desvenlafaxine succinate sustained-release in people with Major Depressive Disorder, run by Pfizer at 44 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 8 inclusion and 4 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 4 Apr 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 30 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 Hamilton Depression Scale (HAM-D17) at Week 8 (time frame: Baseline, Week 8). 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 NCT01121484, which also lists 8 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 4 Apr 2012.

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