Last updated: 11/07/2018 05:15:16
Controlled-release paroxetine in major depressive disorder (double-blind, placebo-controlled study)
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Completed
Completed
Trial overview
Official title: A Randomized, Double-blind, Placebo Controlled Trial to Evaluate the Clinical Effects of Controlled Release Paroxetine in the Treatment of Major Depressive Disorder
Trial description: This is a randomized, double-blind, placebo-controlled, parallel group study to evaluate the efficacy of controlled-release (CR) formulation of paroxetine orally administered to patients with major depressive disorder (MDD) at a dose level in the range of 25 – 50 mg/day (initial dose level, 12.5 or 25 mg/day) once daily after evening meal for 8 weeks based on the decrease in HAM-D (Hamilton Depression Rating Scale) total score, to evaluate the safety based on adverse events, laboratory data and vital signs, and to describe the efficacy and safety of immediate release (IR) formulation of paroxetine.
Primary purpose:
Treatment
Trial design:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation:
Randomized
Primary outcomes:
Adjusted Mean Change from Baseline in the Hamilton Depression Rating Scale (HAM-D; 17 items) Total Score at Week 8
Timeframe: Baseline (Week 0) and Week 8
Secondary outcomes:
Mean Change from Baseline in the HAM-D Total Score at Weeks 1, 2, 3, 4, 6, and 8
Timeframe: Baseline (Week 0); Weeks 1, 2, 3, 4, 6, and 8
Percentage of HAM-D Responders at Weeks 4 and 8
Timeframe: Weeks 4 and 8
Percentage of HAM-D Remitters at Weeks 4 and 8
Timeframe: Weeks 4 and 8
Mean Change from Baseline in the Clinical Global Impression-Severity of Illness (CGI-SI) Scores at Weeks 1, 2, 3, 4, 6, and 8
Timeframe: Baseline (Week 0); Weeks 1, 2, 3, 4, 6, and 8
Percentage of Responders based on the Clinical Global Impression-Global Improvement (CGI-GI) Scores at Weeks 4 and 8
Timeframe: Weeks 4 and 8
Interventions:
Drug: paroxetine IR 10mg tablet
Drug: paroxetine IR 20mg tablet
Drug: matched placebo to paroxetine IR 10mg or 20mg
Drug: Paroxetine CR 12.5mg tablet
Drug: Paroxetine CR 25mg tablet
Drug: matched placebo to paroxetine CR 12.5mg or 25mg
Enrollment:
416
Observational study model:
Not applicable
Primary completion date:
2010-13-02
Time perspective:
Not applicable
Clinical publications:
"Taro Kunitomi. A randomized, double-blind, placebo controlled trial to evaluate the clinical effects of controlled release paroxetine in the treatment of major depressive disorder - Korea-Japan study -. [Psychiatry Clin Neurosci]. 2011;65:655-663."
Medical condition
Depressive Disorder
Product
paroxetine
Collaborators
Not applicable
Study date(s)
April 2009 to February 2010
Type
Interventional
Phase
3
Participation criteria
Sex
Female & Male
Age
20+ years
Accepts healthy volunteers
No
- <at the start of placebo run-in phase>
- Only the patients who meet all of the following conditions at Week -1 (at the start of placebo run-in phase) will be enrolled in this study. The hospitalization status will be no object. and Gender: No object.
- <at the start of placebo run-in phase>
- The patients who are meeting any of the following conditions at Week -1 (at the start of placebo run-in phase) must not be enrolled in this study.
Inclusion and exclusion criteria
Inclusion criteria:
Only the patients who meet all of the following conditions at Week -1 (at the start of placebo run-in phase) will be enrolled in this study. The hospitalization status will be no object. and Gender: No object. - Target disease: Patients diagnosed as having one of the following depressive disorders based on DSM-IV-TR classification in conjunction with M.I.N.I. (The Mini International Neuropsychiatric Interview, Japanese version 5.0.0. [2003]) and showing currently a symptom of depression or depressed sate -Major depressive disorder, single episode (296.2) (excluding those accompanied by comorbid psychiatric disorders) -Major depressive disorder, recurrent (296.3) (excluding those accompanied by comorbid psychiatric disorders)
- Age: >= 20 years (at the time of obtaining consent)
- Consent: Patients from whom written consent to participate in this study can be obtained
- Gender: -Female patients of childbearing potential can be enrolled. But, such patients who can be enrolled are limited to only those who are negative in the pregnancy test performed at the start of the placebo run-in phase and who agree to receive a pregnancy test at the time point defined in the study period and surely perform any of the contraceptive methods. -Male subjects must abstain from (or use a condom during) sexual intercourse with a pregnant or lactating female. Male subjects must abstain from or use a condom plus spermicidal agent (foam/gel/film/cream/suppository) during sexual intercourse with a female of child-bearing potential.
- Patients whose HAM-D (17 items) total score is >= 20 points
- Patients whose duration of current episode at least 12 weeks but no longer than 24 months
- Patients whose score of “depressed mood” (HAM-D Item 1) is >= 2 points
- QTc<450 millisecond (msec) or <480 msec for patients with Bundle Branch Block – values based on either single ECG values or triplicate ECG averaged QTc values obtained over a brief recording period.
For the purposes of these criteria, QTc B (Bazett's correction) is defined as (QT interval [msec]) /(square root of RR interval [seconds])
Only the patients who meet all of the following conditions at Week -1 (at the start of the placebo run-in phase) and Week 0 (at the start of treatment phase) can be shifted to the treatment phase. - Patients whose HAM-D (17 items) total score is >=20 points
- Patients whose score of “depressed mood” (HAM-D Item 1) is >=2 points
Exclusion criteria:
The patients who are meeting any of the following conditions at Week -1 (at the start of placebo run-in phase) must not be enrolled in this study. - Patients whose primary diagnosis is a disorder classified to Axis I other than major depressive disorder in DSM-IV-TR classification (dysthymic disorder, eating disorder, specific phobia (monophobia), posttraumatic stress disorder, obsessive-compulsive disorder, panic disorder, etc.)
- Patients with a current DSM-IV-TR Axis II diagnosis that suggested non-responsiveness to pharmacotherapy or non- compliance with the protocol (e.g., antisocial or borderline personality disorder)
- Patients with a history or complication of another (non-MDD) mental disorder (schizophrenia, etc.)
- Patients with a history or complication of manic episodes
- Patients diagnosed as having an attentional deficit disorder or hyperactivity disorder
- Patients diagnosed as having a pervasive development disorder or mental retardation
- Patients diagnosed as abusing or dependent on alcohol or drug within one year before the Week -1 visit
- Patients who have undergone electroconvulsive therapy within one year before the Week -1 visit for the treatment of the current episode
- Patients who have a history of treatment with depot neuroleptics
- Patients with a history of serotonin syndrome or neuroleptic malignant syndrome
- Patients with a >= 3-point score of “suicide” (HAM-D Item 3) or patients whose Columbia Suicide Severity Rating Scale (C-SSRS) assessment suggests that they are or have been at significant risk for harming themselves or have actually harmed themselves, or who, in the opinion of the investigator (subinvestigator), are at significant risk for harming self or others.
- Patients with a history of suicide attempt, self-injurious action (excluding action with no intention of suicide) or overdosage (excluding apparently accidental overdosage)
- Patients who have taken another investigational product or a drug used in a post-marketing clinical study within 12 weeks before the Week -1 visit
- Patients with glaucoma
- Patients with a convulsive disorder such as epilepsy or a history of it
- Patients using a drug increasing an onset risk of bleeding, patients with a bleeding tendency or bleeding diathesis
- Patients complicated with severe renal or hepatic dysfunction
- Patients complicated with serious organic brain disorder
- Patients with a history or complication of cancer or malignant tumor
- Patients complicated by chronic hepatitis B or C being positive in test of hepatitis B surface antigen (HbsAg) or hepatitis C antibody
- Pregnant, lactating or possibly pregnant female patients, and female patients wishing to be pregnant during the study period
- Patients who have previously been unresponsive to paroxetine therapy (e.g. >4wks unresponsive to paroxetine for depression).
- Patients with a history of having discontinued treatment due to an adverse event caused by paroxetine
- Patients with a history of hypersensitivity to paroxetine.
- Patients judged ineligible to participate in this study by the investigator or subinvestigator Exclusion criteria < at the start of treatment phase> The patients who are meeting any of the following conditions at Week 0 (at the start of treatment phase) must not be allowed to the treatment phase.
- Patients with a 3 or more-point score of “suicide” (HAM-D Item 3) or with a strong suicidal tendency by C-SSRS and investigator clinical judgement.
- Patients whose HAM-D (17 items) total score at the Week 0 visit has changed ±25 %, or exceeding the range of ±25 % of the score at the Week -1 visit
- Patients whose Drug 1 (run-in placebo) compliance rate in the period from Week -1 to Week 0 has been < 80 %
- Patients judged ineligible as the study subjects by the investigator or subinvestigator
Trial location(s)
Study documents
Scientific result summary
Available language(s): English
If you wish to request for full study report, please contact - [email protected]
Results overview
Results posted on ClinicalTrials.gov
Recruitment status
Completed
Actual primary completion date
2010-13-02
Actual study completion date
2010-13-02
Plain language summaries
Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.
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