Major Depressive DisorderPhase 4VLZ-MD-01NCT01473381
Safety and Efficacy of Vilazodone in Major Depressive Disorder
A Phase 4 study testing Vilazodone and Citalopram in people with Major Depressive Disorder, run by Forest Laboratories at 54 sites in United States.
Trial summary
The purpose of this study was to evaluate the efficacy, safety, and tolerability of 2 fixed dose levels of vilazodone compared to placebo in patients with major depressive disorder. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Major Depressive Disorder
- What is being tested?
- Vilazodone and Citalopram
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,162 participants
- Where
- 54 sitesUnited States
- Study dates
- Dec 2011to Jun 2013
- 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 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men and women, 18-70 years of age.
- Currently meet the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for Major Depressive Disorder.
- The patient's current major depressive episode must be at least 8 weeks and no longer than 12 months in duration.
Who cannot join
- Women who are pregnant, women who will be breastfeeding during the study, and women of childbearing potential who are not practicing a reliable method of birth control.
- Patients with a history of meeting DSM-IV-TR criteria for:
- Any manic, hypomanic or mixed episode, including bipolar disorder and substance-induced manic, hypomanic, or mixed episode
- Any depressive episode with psychotic or catatonic features
- Panic disorder with or without agoraphobia
- Obsessive-compulsive disorder
Show all 11Show fewer
- Schizophrenia, schizoaffective, or other psychotic disorder
- Bulimia or anorexia nervosa
- Presence of borderline personality disorder or antisocial personality disorder
- Mental retardation, dementia, amnesia, or other cognitive disorders.
- Patients who are considered a suicide risk.
Trial locations and contacts
54 sites in 1 country.
54 sites in 1 country
United States54 sites
Forest Investigative Site 010
Albuquerque, New Mexico, 87109
Forest Investigative Site 011
Albuquerque, New Mexico, 87109
Forest Investigative Site 014
Allentown, Pennsylvania, 18104
Forest Investigative Site 060
Atlanta, Georgia, 30328
Forest Investigative Site 013
Austin, Texas, 78731
Forest Investigative Site 020
Baltimore, Maryland, 21208
Forest Investigative Site 059
Bellevue, Washington, 98007
Forest Investigative Site 036
Birmingham, Alabama, 35216
Forest Investigative Site 031
Boston, Massachusetts, 02135
Forest Investigative Site 049
Bridgeville, Pennsylvania, 15017
Forest Investigative Site 004
Brooklyn, New York, 11214
Forest Investigative Site 007
Cedarhurst, New York, 11516
Forest Investigative Site 029
Cerritos, California, 90703
Forest Investigative Site 037
Chicago, Illinois, 60634
Forest Investigative Site 050
Chicago, Illinois, 60640
Forest Investigative Site 039
Cincinnati, Ohio, 45227
Forest Investigative Site 002
Costa Mesa, California, 92626
Forest Investigative Site 034
Cromwell, Connecticut, 06416
Forest Investigative Site 021
Dallas, Texas, 75230
Forest Investigative Site 016
Dothan, Alabama, 36303
Forest Investigative Site 027
Fayetteville, Arkansas, 72703
Forest Investigative Site 038
Fort Myers, Florida, 33912
Forest Investigative Site 018
Gainsville, Florida, 32607
Forest Investigative Site 055
Hallandale, Florida, 33003
Forest Investigative Site 040
Indianapolis, Indiana, 46260
Forest Investigative Site 063
Jacksonville, Florida, 32256
Forest Investigative Site 012
Lafayette, Indiana, 47905
Forest Investigative Site 061
Las Vegas, Nevada, 89102
Forest Investigative Site 064
Memphis, Tennessee, 38119
Forest Investigative Site 035
Miami, Florida, 33134
Forest Investigative Site 052
Middleton, Wisconsin, 53562
Forest Investigative Site 056
Milwaukee, Wisconsin, 53223
Forest Investigative Site 019
Murrieta, California, 92562
Forest Investigative Site 058
New York, New York, 10003
Forest Investigative Site 047
New York, New York, 10021
Forest Investigative Site 025
Oceanside, California, 90703
Forest Investigative Site 042
Oklahoma City, Oklahoma, 73112
Forest Investigative Site 048
Oklahoma City, Oklahoma, 73112
Forest Investigative Site 043
Orange, California, 92868
Forest Investigative Site 030
Orlando, Florida, 32806
Forest Investigative Site 062
Orlando, Florida, 32806
Forest Investigative Site 045
Pembroke Pines, Florida, 33026
Forest Investigative Site 066
Portland, Oregon, 97210
Forest Investigative Site 053
Prairie Village, Kansas, 66206
Forest Investigative Site 003
Redlands, California, 92374
Forest Investigative Site 033
Scottsdale, Arizona, 85254
Forest Investigative Site 065
Seattle, Washington, 98104
Forest Investigative Site 046
Sherman Oaks, California, 33026
Forest Investigative Site 054
Spokane, Washington, 99204
Forest Investigative Site 051
Tampa, Florida, 33613
Forest Investigative Site 057
Upland, California, 91786
Forest Investigative Site 032
West Palm Beach, Florida, 33407
Forest Investigative Site 024
Willingboro, New Jersey, 08046
Forest Investigative Site 022
Winter Park, Florida, 32789
About this study
Official title: A Double-blind, Placebo- and Active-controlled, Fixed-dose Study of Vilazodone in Patients With Major Depressive Disorder
The purpose of this study was to evaluate the efficacy, safety, and tolerability of 2 fixed dose levels of vilazodone compared to placebo in patients with major depressive disorder.
- Conditions
- Major Depressive Disorder
- Being tested
- Vilazodone, Placebo to citalopram, Placebo to vilazodone, Citalopram
- Keywords
- 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.
VilazodoneDrug
Also called Viibryd
Vilazodone was supplied as film-coated tablets.
Placebo to citalopramDrug
Also called Celexa
Placebo to citalopram was supplied as a capsule.
Placebo to vilazodoneDrug
Placebo to vilazodone was supplied as film-coated tablets.
CitalopramDrug
Also called Celexa
Citalopram was supplied as encapsulated tablets.
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Participants received 2 placebo to vilazodone tablets, and 1 placebo to citalopram capsule orally once daily for the 11 weeks of the study. Receives: Drug: Placebo to citalopram; Drug: Placebo to vilazodone |
| Vilazodone 20 mg/day | Experimental | Participants received 1 vilazodone tablet, 1 placebo to vilazodone tablet, and 1 placebo to citalopram capsule orally once daily for the 11 weeks of the study. Participants received vilazodone 10 mg/day during Week 1, vilazodone 20 mg/day during Weeks 2 to 10, and vilazodone 10 mg/day during Week 11. Receives: Drug: Vilazodone; Drug: Placebo to citalopram; Drug: Placebo to vilazodone |
| Vilazodone 40 mg/day | Experimental | Participants received 1 placebo to vilazodone tablet, 1 vilazodone tablet, and 1 placebo to citalopram capsule orally once daily during Weeks 1 and 2 of the study. Participants received 2 vilazodone tablets and 1 placebo to citalopram capsule orally once daily during Weeks 3 -10 of the study. Participants received vilazodone 10 mg/day during Week 1, vilazodone 20/day mg during Week 2, and vilazodone 40 mg/day during Weeks 3 to 10. During Week 11, participants received vilazodone 20 mg/day for 4 days and 10 mg/day for 3 days. Receives: Drug: Vilazodone; Drug: Placebo to citalopram; Drug: Placebo to vilazodone |
| Citalopram 40 mg/day | Active comparator | Participants received 2 placebo vilazodone tablets, and 1 citalopram capsule once daily for the 11 weeks of the study. Participants received citalopram 20 mg/day during Weeks 1 and 2, citalopram 40 mg/day during Weeks 3 to 10, and citalopram 20 mg/day during Week 11. Receives: Drug: Placebo to vilazodone; Drug: Citalopram |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score at Week 10
The MADRS is a clinician-rated scale based on participant interviews. The scale assesses depressive symptomatology that occurred in participants during the week preceding each interview. Participants were rated on 10 items: Apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Each item was scored on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score was the sum of the scores of the 10 items and ranged from 0 to 60. A higher score indicates more depressive symptomatology. A negative change score indicates improvement.
Measured: Baseline to Week 10
Secondary outcomes (2)
Change From Baseline to Week 10 in the Clinical Global Impressions-Severity (CGI-S) Scale Score
The Clinical Global Impressions-Severity scale is a clinician-rated scale used to rate the severity of the participant's current state of mental illness compared with a patient population with major depressive disorder. In particular, the clinician is asked to respond to the following question: "Considering your total clinical experience with this population, how mentally ill is the patient at this time?" The patient is rated on the following 7-point scale: 1-normal, not at all ill, 2-borderline ill, 3-mildly ill, 4-moderately ill, 5-markedly ill, 6-severely ill, 7-among the most extremely ill patients. A higher score indicates more mental illness. A negative change score indicates improvement.
Measured: Baseline to Week 10
Percentage of Participants With a Montgomery-Åsberg Depression Rating Scale (MADRS) Sustained Response
The MADRS is a clinician-rated scale based on participant interviews. The scale assesses depressive symptomatology that occurred in participants during the week preceding each interview. Participants were rated on 10 items: Apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Each item was scored on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score was the sum of the scores of the 10 items and ranged from 0 to 60. A higher score indicates more depressive symptomatology. A MADRS sustained response was defined as a MADRS total score ≤ 12 for at least the last 2 visits during the double-blind treatment period (Weeks 1-10). A total MADRS score ≤ 12 corresponds to an average score of 1 per item and is indicative of very low level of depressive symptoms.
Measured: Baseline to Week 10
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Nov 2011 (estimated)
- Study startDec 2011
- Primary completionJun 2013
- Study completionJun 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 1,162 participants (actual)
Sponsor and investigators
- Lead sponsor
- Forest Laboratories
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Carl Gommoll, MS, Study director, Forest Laboratories
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01473381
- Sponsor's protocol ID
- VLZ-MD-01
- Acronym
- VLZ-MD-01
- Status last verified
- Aug 2014
- First submitted
- 14 Nov 2011
- Last updated
- 8 Aug 2014
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Kornstein S, Chang CT, Gommoll CP, Edwards J. Vilazodone efficacy in subgroups of patients with major depressive disorder: a post-hoc analysis of four randomized, double-blind, placebo-controlled trials. Int Clin Psychopharmacol. 2018 Jul;33(4):217-223. doi: 10.1097/YIC.0000000000000217.
PubMed 29608461Rele S, Millet R, Kim S, Paik JW, Kim S, Masand PS, Patkar AA. An 8-Week Randomized, Double-Blind Trial Comparing Efficacy, Safety, and Tolerability of 3 Vilazodone Dose-Initiation Strategies Following Switch From SSRIs and SNRIs in Major Depressive Disorder. Prim Care Companion CNS Disord. 2015 Aug 6;17(4):10.4088/PCC.14m01734. doi: 10.4088/PCC.14m01734. eCollection 2015.
PubMed 26693034Clayton AH, Gommoll C, Chen D, Nunez R, Mathews M. Sexual dysfunction during treatment of major depressive disorder with vilazodone, citalopram, or placebo: results from a phase IV clinical trial. Int Clin Psychopharmacol. 2015 Jul;30(4):216-23. doi: 10.1097/YIC.0000000000000075.
PubMed 26039688Mathews M, Gommoll C, Chen D, Nunez R, Khan A. Efficacy and safety of vilazodone 20 and 40 mg in major depressive disorder: a randomized, double-blind, placebo-controlled trial. Int Clin Psychopharmacol. 2015 Mar;30(2):67-74. doi: 10.1097/YIC.0000000000000057.
PubMed 25500685
Study at a glance
From the registry record, last updated by the sponsor on 8 Aug 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-blind, Placebo- and Active-controlled, Fixed-dose Study of Vilazodone in Patients With Major Depressive Disorder
- ClinicalTrials.gov ID
- NCT01473381
- Acronym / sponsor ID
- VLZ-MD-01 / VLZ-MD-01
- Conditions
- Major Depressive Disorder
- Keywords
- Major Depressive Disorder, Depression
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,162 participants (actual)
- Lead sponsor
- Forest LaboratoriesIndustry (pharma, biotech, devices)
- Study start
- Dec 2011
- Primary completion
- Jun 2013 (actual)
- Study completion
- Jun 2013 (actual)
- First posted
- 17 Nov 2011 (estimated)
- Results
- Posted 8 Aug 2014
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 study was to evaluate the efficacy, safety, and tolerability of 2 fixed dose levels of vilazodone compared to placebo in patients with major depressive disorder.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo to citalopram, Drug: Placebo to vilazodoneParticipants received 2 placebo to vilazodone tablets, and 1 placebo to citalopram capsule orally once daily for the 11 weeks of the study. |
| Vilazodone 20 mg/day | Experimental | Drug: Vilazodone, Drug: Placebo to citalopram, Drug: Placebo to vilazodoneParticipants received 1 vilazodone tablet, 1 placebo to vilazodone tablet, and 1 placebo to citalopram capsule orally once daily for the 11 weeks of the study. Participants received vilazodone 10 mg/day during Week 1, vilazodone 20 mg/day during Weeks 2 to 10, and vilazodone 10 mg/day during Week 11. |
| Vilazodone 40 mg/day | Experimental | Drug: Vilazodone, Drug: Placebo to citalopram, Drug: Placebo to vilazodoneParticipants received 1 placebo to vilazodone tablet, 1 vilazodone tablet, and 1 placebo to citalopram capsule orally once daily during Weeks 1 and 2 of the study. Participants received 2 vilazodone tablets and 1 placebo to citalopram capsule orally once daily during Weeks 3 -10 of the study. Participants received vilazodone 10 mg/day during Week 1, vilazodone 20/day mg during Week 2, and vilazodone 40 mg/day during Weeks 3 to 10. During Week 11, participants received vilazodone 20 mg/day for 4 days and 10 mg/day for 3 days. |
| Citalopram 40 mg/day | Active comparator | Drug: Placebo to vilazodone, Drug: CitalopramParticipants received 2 placebo vilazodone tablets, and 1 citalopram capsule once daily for the 11 weeks of the study. Participants received citalopram 20 mg/day during Weeks 1 and 2, citalopram 40 mg/day during Weeks 3 to 10, and citalopram 20 mg/day during Week 11. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Men and women, 18-70 years of age.
- Currently meet the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria for Major Depressive Disorder.
- The patient's current major depressive episode must be at least 8 weeks and no longer than 12 months in duration.
Key exclusion criteria (11 listed)
- Women who are pregnant, women who will be breastfeeding during the study, and women of childbearing potential who are not practicing a reliable method of birth control.
- Patients with a history of meeting DSM-IV-TR criteria for:
- Patients who are considered a suicide risk.
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 |
|---|---|---|
| VilazodoneAlso: ViibrydVilazodone was supplied as film-coated tablets. | Drug | Vilazodone 20 mg/day, Vilazodone 40 mg/day |
| Placebo to citalopramAlso: CelexaPlacebo to citalopram was supplied as a capsule. | Drug | Placebo, Vilazodone 20 mg/day, Vilazodone 40 mg/day |
| Placebo to vilazodonePlacebo to vilazodone was supplied as film-coated tablets. | Drug | Citalopram 40 mg/day, Placebo, Vilazodone 20 mg/day, Vilazodone 40 mg/day |
| CitalopramAlso: CelexaCitalopram was supplied as encapsulated tablets. | Drug | Citalopram 40 mg/day |
Primary outcome
Change From Baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score at Week 10
Time frame: Baseline to Week 10
The MADRS is a clinician-rated scale based on participant interviews. The scale assesses depressive symptomatology that occurred in participants during the week preceding each interview. Participants were rated on 10 items: Apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Each item was scored on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score was the sum of the scores of the 10 items and ranged from 0 to 60. A higher score indicates more depressive symptomatology. A negative change score indicates improvement.
2 secondary outcomes
Change From Baseline to Week 10 in the Clinical Global Impressions-Severity (CGI-S) Scale Score
Time frame: Baseline to Week 10
Percentage of Participants With a Montgomery-Åsberg Depression Rating Scale (MADRS) Sustained Response
Time frame: Baseline to Week 10
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Aug 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 29608461Kornstein S, Chang CT, Gommoll CP, Edwards J. Vilazodone efficacy in subgroups of patients with major depressive disorder: a post-hoc analysis of four randomized, double-blind, placebo-controlled trials. Int Clin Psychopharmacol. 2018 Jul;33(4):217-223. doi: 10.1097/YIC.0000000000000217.
- Derived from this study: PubMed 26693034Rele S, Millet R, Kim S, Paik JW, Kim S, Masand PS, Patkar AA. An 8-Week Randomized, Double-Blind Trial Comparing Efficacy, Safety, and Tolerability of 3 Vilazodone Dose-Initiation Strategies Following Switch From SSRIs and SNRIs in Major Depressive Disorder. Prim Care Companion CNS Disord. 2015 Aug 6;17(4):10.4088/PCC.14m01734. doi: 10.4088/PCC.14m01734. eCollection 2015.
- Derived from this study: PubMed 26039688Clayton AH, Gommoll C, Chen D, Nunez R, Mathews M. Sexual dysfunction during treatment of major depressive disorder with vilazodone, citalopram, or placebo: results from a phase IV clinical trial. Int Clin Psychopharmacol. 2015 Jul;30(4):216-23. doi: 10.1097/YIC.0000000000000075.
- Derived from this study: PubMed 25500685Mathews M, Gommoll C, Chen D, Nunez R, Khan A. Efficacy and safety of vilazodone 20 and 40 mg in major depressive disorder: a randomized, double-blind, placebo-controlled trial. Int Clin Psychopharmacol. 2015 Mar;30(2):67-74. doi: 10.1097/YIC.0000000000000057.
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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.
Carl Gommoll, MS study director
Forest Laboratories
54 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Vilazodone and Citalopram in people with Major Depressive Disorder, run by Forest Laboratories at 54 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 11 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 8 Aug 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 54 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 8 Aug 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 in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score at Week 10 (time frame: Baseline to Week 10). 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 NCT01473381, 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 8 Aug 2014.