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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.

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 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

Other trials in United States

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.

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 groups in NCT01473381
Study groupRoleWhat they receive
PlaceboPlacebo comparatorParticipants 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/dayExperimentalParticipants 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/dayExperimentalParticipants 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/dayActive comparatorParticipants 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.

  1. 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)
  1. 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

  2. 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.

  1. First posted17 Nov 2011 (estimated)
  2. Study startDec 2011
  3. Primary completionJun 2013
  4. Study completionJun 2013

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
1,162 participants (actual)
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
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 29608461
  • Rele 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 26693034
  • Clayton 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 26039688
  • Mathews 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

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.

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