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Major Depressive DisorderPhase 4NCT01432457

Study Evaluating Desvenlafaxine Succinate Sustained-Release (DVS SR) in Adult Outpatients With Major Depressive Disorder (MDD)

A Phase 4 study testing desvenlafaxine succinate sustained-release 50 mg/day and desvenlafaxine succinate sustained-release 100 mg/day in people with Major Depressive Disorder, run by Pfizer at 61 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

A multicenter, 8-week study to evaluate the efficacy of 2 doses (50 and 100 mg/day) of desvenlafaxine succinate sustained-release (DVS SR) versus placebo in adult outpatients with major depressive disorder. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Major Depressive Disorder
What is being tested?
desvenlafaxine succinate sustained-release 50 mg/day and desvenlafaxine succinate sustained-release 100 mg/day
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
924 participants
Where
61 sitesUnited States
Study dates
Oct 2011to Aug 2012
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female outpatients aged 18 years or older who are fluent in written and spoken English.
  • A primary diagnosis of MDD based on the criteria in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM- IV-TR), single or recurrent episode, without psychotic features.
  • A HAM-D17 total score ≥20 at the screening and baseline (study day -1) visits and no more than a 4-point improvement from screening to baseline.

Who cannot join

  • Significant risk of suicide based on clinical judgment.
  • 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.
  • Current generalized anxiety disorder, panic disorder, or social anxiety disorder.
  • 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.
  • Any unstable hepatic, renal, pulmonary, cardiovascular, ophthalmologic, neurologic, or other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results.

Trial locations and contacts

61 sites in 1 country.

61 sites in 1 country

United States61 sites
  • Lehigh Center for Clinical Research

    Allentown, Pennsylvania, 18104

  • Pacific Clinical Research Medical Group

    Arcadia, California, 91007

  • Atlanta Center for Medical Research

    Atlanta, Georgia, 30308

  • Comprehensive NeuroScience, Incorporated

    Atlanta, Georgia, 30328

  • FutureSearch Trials

    Austin, Texas, 78731

  • Pharmasite Research Inc

    Baltimore, Maryland, 21208

  • NorthCoast Clinical Trials Inc.

    Beachwood, Ohio, 44122

  • Southwestern Research, Incorporated

    Beverly Hills, California, 90210

  • Social Psychiatry Research Institute

    Brooklyn, New York, 11235

  • Neuro-Behavioral Clinical Research, Inc.

    Canton, Ohio, 44718

  • Neurobehavioral Research, Inc

    Cedarhurst, New York, 11516

  • Patient Priority Clinical Sites, LLC

    Cincinnati, Ohio, 45215

  • Carolina Clinical Research Services

    Columbia, South Carolina, 29201

  • Clinical Innovations, Inc.

    Costa Mesa, California, 92626

  • KRK Medical Research

    Dallas, Texas, 75230

  • FutureSearch Trials of Dallas

    Dallas, Texas, 75231

  • Midwest Clinical Research Center

    Dayton, Ohio, 45417

  • Synergy Clinical Research of Escondido

    Escondido, California, 92027

  • Prairie St. Johns Clinic - Fargo

    Fargo, North Dakota, 58103

  • Odyssey Research

    Fargo, North Dakota, 58104

  • Plains Medical Clinic

    Fargo, North Dakota, 58104

  • Red Oak Psychiatry Associates, PA

    Houston, Texas, 77090

  • Clinical Neuroscience Solutions Incorporated

    Jacksonville, Florida, 32216

  • Joliet Center for Clinical Research

    Joliet, Illinois, 60435

  • Eastside Therapeutic Resource

    Kirkland, Washington, 98033

  • Accurate Clinical Trials, Inc.

    Kissimmee, Florida, 34741

  • Capstone Clinical Research

    Libertyville, Illinois, 60048

  • 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

  • CRI Worldwide, LLC

    Marlton, New Jersey, 08053

  • Suburban Research Associates

    Media, Pennsylvania, 19063

  • Radiant Research, Inc.

    Murray, Utah, 84123

  • AMR-Baber Research Inc.

    Naperville, Illinois, 60563

  • Synergy Clinical Research Center

    National City, California, 91950

  • Eastside Comprehensive Medical Center, LLC

    New York, New York, 10021

  • Medical and Behavioral Health Research Pc

    New York, New York, 10023

  • Heartland Pharma Development

    North Platte, Nebraska, 69101

  • American Medical Research, Inc.

    Oak Brook, Illinois, 60523

  • Pacific Research Partners

    Oakland, California, 94612

  • Cutting Edge Research Group

    Oklahoma City, Oklahoma, 73116

  • Psychiatric Associates

    Overland Park, Kansas, 66211

  • Pasadena Research Institute, LLC

    Pasadena, California, 91106

  • CRI Worldwide, LLC

    Philadelphia, Pennsylvania, 19139

  • Dedicated Clinical Research

    Phoenix, Arizona, 85020

  • Deidcated Clinical Research

    Phoenix, Arizona, 85020

  • Oregon Center for Clinical Investigations, Inc.

    Portland, Oregon, 97210

  • Summit Research Network (Oregon), Inc.

    Portland, Oregon, 97210

  • Clinical Innovations, Inc.

    Riverside, California, 92506

  • Midwest Research Group

    Saint Charles, Missouri, 63301

  • Affiliated Research Institute

    San Diego, California, 92108

  • Clinical Innovations, Inc.

    San Diego, California, 92121

  • Summit Research Network (Seattle) LLC

    Seattle, Washington, 98104

  • California Neuroscience Research Medical Group, Inc

    Sherman Oaks, California, 91403

  • Carman Research

    Smyrna, Georgia, 30080

  • Comprehensive NeuroScience, Inc.

    St. Petersburg, Florida, 33716

  • Viking Clinical Research Center

    Temecula, California, 92591

  • Collaborative Neuroscience Network, Inc. South Bay

    Torrance, California, 90502

  • Pacific Clinical Research Medical Group

    Upland, California, 91786

  • Janus Center for Psychiatric Research

    West Palm Beach, Florida, 33407

  • Via Christi Research

    Wichita, Kansas, 67214

Other trials in United States

About this study

Official title: A Phase IV, Multicenter, Randomized, 8-Week, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy of 2 Fixed Doses (50 and 100 mg/Day) of Desvenlafaxine Succinate Sustained-Release (DVS SR) in Adult Outpatients With Major Depressive Disorder

A multicenter, 8-week study to evaluate the efficacy of 2 doses (50 and 100 mg/day) of desvenlafaxine succinate sustained-release (DVS SR) versus placebo in adult outpatients with major depressive disorder.

Being tested
desvenlafaxine succinate sustained-release 50 mg/day, desvenlafaxine succinate sustained-release 100 mg/day, 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-release 50 mg/dayDrug

    Also called Pristiq

    50 mg tablets of DVS SR taken orally once daily for 8 weeks; 1 week of placebo taper

  • desvenlafaxine succinate sustained-release 100 mg/dayDrug

    100 mg tablets of DVS SR taken orally once daily for 8 weeks (which includes 1 week of titration at 50 mg/day); 1 week of taper at 50 mg/day

  • placeboDrug

    50 mg and 100 mg placebo matching tablets taken orally once daily for 8 weeks; 1 week of placebo taper

Study groups in NCT01432457
Study groupRoleWhat they receive
desvenlafaxine succinate sustained-release 50 mg/dayExperimentalNot described
Receives: Drug: desvenlafaxine succinate sustained-release 50 mg/day
desvenlafaxine succinate sustained-release 100 mg/dayExperimentalNot described
Receives: Drug: desvenlafaxine succinate sustained-release 100 mg/day
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 on the Hamilton Rating Scale for Depression, 17-item Total Score (HAM-D17) at Week 8

    HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. Change from baseline: score at observation minus score at baseline.

    Measured: Baseline to Week 8 (final on-therapy)

  2. Change From Baseline on the Hamilton Rating Scale for Depression, 17-item Total Score (HAM-D17) at Week 8

    HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. Change from baseline: score at observation minus score at baseline

    Measured: Baseline to Week 8 (final on-therapy)

Secondary outcomes (6)
  1. Change From Baseline on the Clinical Global Impression Scale-Improvement (CGI-I)

    CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Higher score = worse outcome.

    Measured: Baseline to Week 8 (final on-therapy)

  2. Change From Baseline on the Clinical Global Impression-Severity Score (CGI-S)

    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 = worse state.

    Measured: Baseline to Week 8 (final on-therapy)

  3. Change From Baseline on the Clinical Global Impression-Severity (CGI-S) Score

    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 = worse state.

    Measured: Baseline to Week 8 (final on-therapy)

  4. Hamilton Rating Scale for Depression, 17-item (HAM-D17) Response Rate

    HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. A response is defined as ≥ 50% decrease from baseline on Hamilton Psychiatric Rating Scale for Depression (HAM-D17) total score.

    Measured: Baseline to Week 8 (final on-therapy)

  5. Hamilton Rating Scale for Depression, 17-item (HAM-D17) Remission Rate

    HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) total score of ≤ 7.

    Measured: Baseline to week 8 (final on-therapy)

  6. Change From Baseline on the Arizona Sexual Experiences (ASEX) Scale Total Score

    The ASEX scale has 5 items to assess sexual functioning with a 1-week recall period. The 5 items assess sex drive, ease of arousal, ease of erection/lubrication, ease of orgasm and orgasm satisfaction. Subjects were encouraged to complete all 5 items regardless of sexual activity during the past week. However, all analyses utilized only the data for the visits where the presence of sexual activity was indicated.

    Each individual score ranged from 1 to 6; the total score (based on the sum of the individual items) ranged from 5 to 30; higher scores indicated worse sexual function.

    Measured: Baseline to Week 8 (final on-therapy)

Timeline

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

  1. First posted13 Sep 2011 (estimated)
  2. Study startOct 2011
  3. Primary completionJul 2012
  4. Study completionAug 2012

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
924 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01432457
Sponsor's protocol ID
B2061028
Other IDs
3151A1-4420
Status last verified
Dec 2013
First submitted
9 Sep 2011
Last updated
20 Jan 2014
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
  • 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
  • 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
  • Clayton AH, Tourian KA, Focht K, Hwang E, Cheng RF, Thase ME. Desvenlafaxine 50 and 100 mg/d versus placebo for the treatment of major depressive disorder: a phase 4, randomized controlled trial. J Clin Psychiatry. 2015 May;76(5):562-9. doi: 10.4088/JCP.13m08978.

    PubMed 25375652

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing desvenlafaxine succinate sustained-release 50 mg/day and desvenlafaxine succinate sustained-release 100 mg/day in people with Major Depressive Disorder, run by Pfizer at 61 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 5 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 20 Jan 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 61 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 20 Jan 2014). 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 on the Hamilton Rating Scale for Depression, 17-item Total Score (HAM-D17) at Week 8 (time frame: Baseline to Week 8 (final on-therapy)). The study lists 2 primary outcomes in all. 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 NCT01432457, which also lists 4 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 20 Jan 2014.

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