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AnxietyPhase 4NCT03036293

Tenoten® in the Treatment of Somatoform, Stress-related and Other Neurotic Disorders

A Phase 4 study testing Tenoten in people with Anxiety, run by Materia Medica Holding at 22 sites in 2 countries.

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 purposes of this study are: To further examine the efficacy and safety of Tenoten® in the treatment of anxiety in patients with somatoform, stress-related and other neurotic disorders. Read more about this study

Who is it for?
Ages 18 to 45 years
Conditions the study is for
Anxiety
What is being tested?
Tenoten
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
390 participants
Where
22 sitesin 2 countries
Study dates
8 Feb 2017to 22 Sep 2018
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 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Patients of both sexes aged 18-45 years (inclusive).
  • Patients diagnosed with somatoform, stress-related, and other neurotic disorders (F43, F45, and F48), in accordance with the ICD-10 criteria.
  • A moderate and severe anxiety (HADS score ≥ 11) documented at screening.
  • Patients providing signed Informed Consent form for participation in the clinical trial.
  • Patients of reproductive age (of both sexes) using contraceptives and contraceptive methods during the study and for 30 days after the end of participation in the trial.

Who cannot join

  • Moderate and severe depression symptoms recorded at screening (HADS score ≥ 11).
  • Organic, including symptomatic, mental disorders (F00-09).
  • Mental and behavioural disorders due to psychoactive substance use (F10-19).
  • Schizophrenia, schizotypal and delusional disorders (F20-29).
  • Mood [affective] disorders(F30-39).
  • Phobic (F40) and other anxiety disorders (F41), obsessive-compulsive disorder (F42), dissociative [conversion] disorders (F44), depersonalization-derealization syndrome (F48.1).
Show all 23Show fewer
  • Behavioral syndromes associated with physiological disturbances and physical factors (F50-59).
  • Disorders of adult personality and behavior (F60-69).
  • Intellectual disabilities (F70-79).
  • Inflammatory and traumatic brain injuries with permanent neurological deficit.
  • Prior diagnosis of a class III or IV cardiovascular disease (according to the New York Heart Association, 1964)
  • Malignant neoplasms/suspected malignant neoplasms.
  • An allergy/intolerance to any of the components of medications used in the treatment.
  • Malabsorption syndrome (including hereditary or acquired lactase or other disaccharidase deficiency) and galactosemia.
  • Any conditions that, from investigator's point of view, may affect the patient's ability to participate in the trial.
  • Hospitalizations or surgeries scheduled for any date during the participation in the study.
  • Patients who, from investigator's point of view, will fail to comply with the observation requirements of the trial or with the dosing regimen of the study drugs.
  • Use of drugs listed in "Prohibited therapy" within a month prior to enrollment.
  • Drug addiction, alcohol use in the amount over 2 units of alcohol a day.
  • Pregnant or breast-feeding women.
  • Participation in other clinical trials within 3 month prior to the enrollment in this study.
  • Patients are related to the research personnel of the investigative site who are directly involved in the trial, or patients who are the immediate family member of the researcher. The 'immediate family member' includes husband/wife, parents, children or brothers (or sisters), regardless of whether they are natural or adopted.
  • Patients working for OOO "NPF "MATERIA MEDICA HOLDING", i.e. the company's employee, temporary contract worker, or appointed official responsible for carrying out the research (or the immediate relative).

Trial locations and contacts

22 sites in 2 countries.

22 sites in 2 countries

Russia20 sites
  • Municipal Autonomous Healthcare Institution Order of the Red Banner of Labor City Clinical Hospital No. 1

    Chelyabinsk, 454048

  • Federal State Budgetary Educational Institution of Higher Education "Kazan Medical University" of the Ministry of Healthcare of the Russian Federation

    Kazan', 420012

  • The State Autonomic Health Care institution "Interregional clinical and diagnostical center"

    Kazan', 420101

  • LLC "City Center for Neurology and Pain Management"

    Kazan', 420110

  • Limited Liability Company "Family policlinic no. 4"

    Korolyov, 141060

  • State Budget Health Care institution of Moscow the City "Scientific and practical psychoneurological center n.a. Z.P. Solovyov" of the Administration of Health Care of Moscow City

    Moscow, 115419

  • The State Budget Health Care institution of Moscow the City "City clinical hospital No. 12 of the Administration of Health Care of Moscow City"

    Moscow, 115516

  • Pirogov Russian National Research Medical University

    Moscow, 117997

  • The State Budget Educational institution of High Professional Training I.M. Sechenov First Moscow State Medical University of Ministry of Health Care of the Russian Federation, Hospital of nervous diseases A.Y. Kozhevnikov

    Moscow, 119992

  • State budgetary institution of public health services of the Nizhniy Novgorod region "Nizhegorod Regional Clinical Hospital named after NA Semashko"

    Nizhny Novgorod, 603126

  • LLC "City Neurological Center" Sibneyromed "

    Novosibirsk, 630064

  • Pavlov First Saint Petersburg State Medical University/Department of Neurology and Manual Medicine

    Saint Petersburg, 197022

  • Pavlov First Saint Petersburg State Medical University/Department of Neurology with Clinic

    Saint Petersburg, 197022

  • State-Funded Healthcare Institution of the Samara Region "Samara City N.I. Pirogov Clinical Hospital №1"

    Samara, 443096

  • Saratov State Medical University named after V. I. Razumovsky

    Saratov, 410012

  • The State Budget Educational institution of High Professional Training Smolensk State Medical University of Ministry of Health Care of the Russian Federation, Smolensk regional clinical hospital

    Smolensk, 214018

  • The state budgetary health care institution of the Vladimir region "Regional Clinical Hospital"

    Vladimir, 600023

  • Volgograd State Medical University

    Volgograd, 400131

  • State Institution of Health of the Yaroslavl Region Clinical Hospital No. 8

    Yaroslavl, 150030

  • The State Health Care Institution Yaroslavl region "Clinical Hospital №8

    Yaroslavl, 150030

Other trials in Russia

Kazakhstan2 sites
  • Kazakh National Medical University named after S.D. Asfendiyarov

    Almaty, 050000

  • South - Kazakhstan State Pharmaceutical Academy

    Shymkent, 160019

Other trials in Kazakhstan

About this study

Official title: International Multicenter, Double-blind, Randomized Placebo-controlled Phase IV Clinical Trial of Different Dosing Regimens of Tenoten® in the Treatment of Anxiety in Patients With Somatoform, Stress-related and Other Neurotic Disorders

The purposes of this study are:

  • To further examine the efficacy and safety of Tenoten® in the treatment of anxiety in patients with somatoform, stress-related and other neurotic disorders.
  • To compare the efficacy of two dosing regimens of Tenoten® (4 tablets daily vs.8 tablets daily, both for 12 weeks) in the treatment of anxiety in patients with somatoform, stress-related and other neurotic disorders.
Read the detailed description

Design: an international, a multicenter, double-blind, randomized, parallel group placebo-controlled trial to evaluate efficacy and safety of study treatment.

The study will enroll outpatient subjects of both genders aged 18-45 years with verified diagnoses of somatoform, stress-related and other neurotic disorders (F43, F45, F48) and signs of clinically relevant anxiety according to The Hospital Anxiety and Depression scale (HADS).

After signing the informed consent form to participate in the clinical study the subject will be interviewed (complaints, medical history, concomitant therapy) and objective examination will be performed; the subject will fill HADS scale. The severity of anxiety at screening should be ≥ 11 according to HADS. If the subject meets inclusion criteria and has no exclusion criteria he/she will be enrolled into the study. The investigator will determine the severity of anxiety using НАМ-А scale; the subject will fill EQ-5D-3L questionnaire. At Visit 1 (Day 1) the subject will be randomized into one of the treatment groups:

  • Group 1: Tenoten® at 2 tablets twice daily (4 tablets/day);
  • Group 2: Placebo at 2 tablets twice daily (4 tablets/day);
  • Group 3: Tenoten® at 2 tablets 4 daily (8 tablets/day).
  • Group 4: Placebo at 2 tablets 4 daily (8 tablets/day). The first dose should be administered at Visit 1 after the visit procedures are completed. Further administration of the study product will be made according to the dosing scheme. The subject will administer the study product and will be followed for 12 weeks during which additional three visits will be made. At Visit 2 (Week 4), Visit 3 (Week 8) and Visit 4 (Week 12) the physician will record patients' complaints and physical examination data, fill HAM-A scale, check the study and concomitant therapy, assess treatment safety and patient compliance with the study treatment. At the final Visit 4 the subject will fill EQ-5D-3L questionnaire and the investigator will fill the Clinical Global Impression Scale Efficacy Index (CGI-EI).

Subjects will be allowed to take symptomatic therapy and medications for their co-morbidities during the study, except for the medicines listed in "Prohibited therapy".

Conditions
Anxiety
Being tested
Tenoten, Placebo
Medical subject headings
Anxiety Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TenotenDrug

    Tablet for oral use.

  • PlaceboDrug

    Tablet for oral use.

Study groups in NCT03036293
Study groupRoleWhat they receive
Tenoten, 2 tablets twice daily (4 tablets/day)ExperimentalTablet for oral use. Dose per administration: 2 tablets. 2 tablets twice daily (4 tablets/day). The tablets should be held in the mouth until dissolution, without meal.
Receives: Drug: Tenoten
Placebo, 2 tablets twice daily (4 tablets/day)Placebo comparatorTablet for oral use. Dose per administration: 2 tablets. 2 tablets twice daily (4 tablets/day). The tablets should be held in the mouth until dissolution, without meal.
Receives: Drug: Placebo
Tenoten, 2 tablets 4 times daily (8 tablets/day)ExperimentalTablet for oral use. Dose per administration: 2 tablets. 2 tablets 4 times daily (8 tablets/days). The tablets should be held in the mouth until dissolution, without meal.
Receives: Drug: Tenoten
Placebo, 2 tablets 4 times daily (8 tablets/day)Placebo comparatorTablet for oral use. Dose per administration: 2 tablets. 2 tablets 4 times daily (8 tablets/days). The tablets should be held in the mouth until dissolution, without meal.
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 the Mean HAM-A Score at 12 Weeks of Treatment: 1. Group 1 (Tenoten®, 4 Tablets a Day); 2. Group 3 (Tenoten®, 8 Tablets a Day).

    The Hamilton Anxiety Rating Scale (HAM-A). Personality questionnaire designed to identify constitutive anxiety and situational anxiety. The scale consists of 14 items and measures both psychic anxiety and somatic anxiety. Total score is in range 0-56. Includes the symptoms of anxious mood, phobic, emotional, sleep disorders, depressive mood, somatic symptoms - muscular (pain, convulsions, etc.), sensory (e.g. tinnitus), cardiovascular, respiratory, gastrointestinal, genitourinary, neurovegetative. Major role belongs to behaviour during this interview.

    Anxiety scoring:

    ≤13 - no anxiety; 14-17 - mild anxiety disorder; 18-24 - moderate anxiety disorder;

    ≥25 - severe anxiety.

    Higher values represent a worse outcome

    Measured: 12 weeks

Secondary outcomes (6)
  1. Change From Baseline in the Mean HAM-A Score at 4 Weeks of Treatment: 1.1. Group 1 (Tenoten®, 4 Tablets a Day); 1.2. Group 3 (Tenoten®, 8 Tablets a Day).

    The Hamilton Anxiety Rating Scale (HAM-A). Personality questionnaire designed to identify constitutive anxiety and situational anxiety. The scale consists of 14 items and measures both psychic anxiety and somatic anxiety. Total score is in range 0-56. Includes the symptoms of anxious mood, phobic, emotional, sleep disorders, depressive mood, somatic symptoms - muscular (pain, convulsions, etc.), sensory (e.g. tinnitus), cardiovascular, respiratory, gastrointestinal, genitourinary, neurovegetative. Major role belongs to behaviour during this interview.

    Anxiety scoring:

    ≤13 - no anxiety; 14-17 - mild anxiety disorder; 18-24 - moderate anxiety disorder;

    ≥25 - severe anxiety.

    Higher values represent a worse outcome

    Measured: 4 weeks

  2. The Mean HAM-A Score at 8 Weeks of Treatment: 2.1. Group 1 (Tenoten®, 4 Tablets a Day); 2.2. Group 3 (Tenoten®, 8 Tablets a Day).

    The Hamilton Anxiety Rating Scale (HAM-A). Personality questionnaire designed to identify constitutive anxiety and situational anxiety. The scale consists of 14 items and measures both psychic anxiety and somatic anxiety. Total score is in range 0-56. Includes the symptoms of anxious mood, phobic, emotional, sleep disorders, depressive mood, somatic symptoms - muscular (pain, convulsions, etc.), sensory (e.g. tinnitus), cardiovascular, respiratory, gastrointestinal, genitourinary, neurovegetative. Major role belongs to behaviour during this interview.

    Anxiety scoring:

    ≤13 - no anxiety; 14-17 - mild anxiety disorder; 18-24 - moderate anxiety disorder;

    ≥25 - severe anxiety.

    Higher values represent a worse outcome

    Measured: 8 weeks

  3. Percentage of Patients Had at Least a 50% Improvement in the HAM-A Score: 3.1. Group 1 (Tenoten® 4 Tablets a Day): After 4, 8 and 12 Weeks; 3.2. Group 3 (Tenoten® 8 Tablets a Day): After 4, 8 and 12 Weeks.

    The Hamilton Anxiety Rating Scale (HAM-A). Personality questionnaire designed to identify constitutive anxiety and situational anxiety. The scale consists of 14 items and measures both psychic anxiety and somatic anxiety. Total score is in range 0-56. Includes the symptoms of anxious mood, phobic, emotional, sleep disorders, depressive mood, somatic symptoms - muscular (pain, convulsions, etc.), sensory (e.g. tinnitus), cardiovascular, respiratory, gastrointestinal, genitourinary, neurovegetative. Major role belongs to behaviour during this interview.

    Anxiety scoring:

    ≤13 - no anxiety; 14-17 - mild anxiety disorder; 18-24 - moderate anxiety disorder;

    ≥25 - severe anxiety.

    Higher values represent a worse outcome

    Measured: 4,8,12 weeks

  4. Percentage of Patients With no Anxiety (HAM-A Score <14) in: 4.1. Group 1 (Tenoten®, 4 Tablets a Day); After 4, 8 and 12 Weeks; 4.3. Group 3 (Tenoten®, 4 Tablets a Day); After 4, 8 and 12 Weeks.

    The Hamilton Anxiety Rating Scale (HAM-A). Personality questionnaire designed to identify constitutive anxiety and situational anxiety. The scale consists of 14 items and measures both psychic anxiety and somatic anxiety. Total score is in range 0-56. Includes the symptoms of anxious mood, phobic, emotional, sleep disorders, depressive mood, somatic symptoms - muscular (pain, convulsions, etc.), sensory (e.g. tinnitus), cardiovascular, respiratory, gastrointestinal, genitourinary, neurovegetative. Major role belongs to behaviour during this interview.

    Anxiety scoring:

    ≤13 - no anxiety; 14-17 - mild anxiety disorder; 18-24 - moderate anxiety disorder;

    ≥25 - severe anxiety.

    Higher values represent a worse outcome

    Measured: 4,8,12 weeks

  5. Change From Baseline in the Total EQ-5D-3L Score at 12 Weeks of Treatment in Patients From: 5.1. Group 1 (Tenoten®, 4 Tablets a Day); 5.2. Group 3 (Tenoten®, 8 Tablets a Day).

    European Quality of Life Instrument questionnaire (EQ-5D-3L) is designed for the evaluation of the quality of life.The score ranges between 5-15. Higher values represent a worse outcome.

    Measured: 12 weeks

  6. Total CGI Scores in Patients From: 6.1. Group 1 (Tenoten®, 4 Tablets a Day); 6.2. Group 3 (Tenoten®, 8 Tablets a Day).

    Clinical Global Impession (CGI) provides a brief assessment of the clinician's view of the patient's global functioning prior to and after initiating a study medication. Total range 0-16. Higher values represent a worse outcome

    Measured: 12 weeks

Timeline

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

  1. First posted30 Jan 2017 (estimated)
  2. Study start8 Feb 2017
  3. Primary completion22 Sep 2018
  4. Study completion22 Sep 2018

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
390 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03036293
Sponsor's protocol ID
MMH-TN-001
Status last verified
Aug 2019
First submitted
26 Jan 2017
Last updated
31 Dec 2020
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Parfenov VA, Kamchatnov PR, Khasanova DR, Bogdanov EI, Lokshtanova TM, Amelin AV, Maslova NN, Pizova NV, Belskaya GN, Barantsevich ER, Duchshanova GA, Kamenova SU, Kolokolov OV, Glazunov AB. The randomized clinical trial results of the anxiety treatment in patients with somatoform dysfunction and neurotic disorders. Sci Rep. 2021 Dec 20;11(1):24282. doi: 10.1038/s41598-021-03727-5.

    PubMed 34930979

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Tenoten in people with Anxiety, run by Materia Medica Holding at 22 sites in 2 countries.

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 5 inclusion and 23 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 31 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Russia, Kazakhstan. 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 31 Dec 2020). 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 Mean HAM-A Score at 12 Weeks of Treatment: 1. Group 1 (Tenoten®, 4 Tablets a Day); 2. Group 3 (Tenoten®, 8 Tablets a Day). (time frame: 12 weeks). 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 NCT03036293, 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 31 Dec 2020.

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