A Comparison of Tolerability and Efficacy of Different Doses of Duloxetine for the Treatment of Major Depressive Disorder
A Comparison of Duloxetine Dosing Strategies in The Treatment of Patients With Major Depression
2 other identifiers
interventional
640
1 country
32
Brief Summary
The purpose of this study is to compare the tolerability and efficacy of different doses of duloxetine in patients with major depressive disorder.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Oct 2004
32 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2004
CompletedFirst Submitted
Initial submission to the registry
September 12, 2005
CompletedFirst Posted
Study publicly available on registry
September 19, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2006
CompletedJanuary 26, 2007
January 1, 2007
September 12, 2005
January 24, 2007
Conditions
Outcome Measures
Primary Outcomes (4)
The primary objective in the acute phase of this study is to compare the incidence of treatment-emergent nausea
for patients initially dosed at duloxetine 30 mg QD
(once-daily), versus duloxetine 60 mg QD.
The primary objective in the extension phase of this study is to compare efficacy in patients not meeting response criteria during the acute phase for patients dosed at duloxetine 60 mg QD versus duloxetine 120 mg QD.
Secondary Outcomes (14)
The secondary objective of greatest importance is to compare the incidence of treatment-emergent nausea
(as defined for the primary objective) for patients
initially dosed at duloxetine 30 mg QD, versus duloxetine 30 mg BID (twice-daily).
Additional secondary objectives include comparing the three initial dosing groups in regards to:Mean changes from baseline in the category total scores and individual items scores of the AMDP-5
The incidence and severity of adverse events using rates of spontaneously reported treatment-emergent adverse events, rates of discontinuations due to
- +9 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Outpatients at least 18 years of age (male and/or female) who meet criteria for major depressive disorder (MDD) as defined by the Diagnostic and Statistical Manual for Mental Disorders Fourth Edition Text Revision (DSM-IV-TR). Patients may have comorbid Anxiety Disorders, except for Obsessive Compulsive Disorder
- Tests negative for pregnancy at the time of enrollment based on a serum pregnancy test and agrees to use a reliable method of birth control (for example, use of oral contraceptives or Norplant a reliable barrier method of birth control diaphragms with contraceptive jelly; cervical caps with contraceptive jelly; condoms with contraceptive foam; intrauterine devices; partner with vasectomy; or abstinence) during the study and for 1 month following the last dose of study drug.
- Hamilton Depression Rating 17 Item Scale (HAMD-17) greater than 15 at Visits 1 and 2.
You may not qualify if:
- Have any current Axis I disorder other than major depressive disorder (MDD), dysthymia, or any anxiety disorder; however, obsessive-compulsive disorder is excluded.
- Have any previous or current diagnosis of bipolar disorder, obsessive-compulsive disorder, schizophrenia, or other psychotic disorders.
- Lack of response of the current episode of major depression to two or more adequate courses of antidepressant therapy at clinically appropriate dose for a minimum of 4 weeks or, in the judgment of the investigator, the patient meets criteria for treatment-resistant depression.
- DSM-IV-TR-defined history of substance abuse or dependence within the past 6 months, excluding nicotine and caffeine.
- Patients judged to be at serious suicidal risk in the opinion of the investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (32)
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon-Fri from 9AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Little Rock, Arkansas, United States
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Coral Springs, Florida, United States
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Jacksonville, Florida, United States
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Miami, Florida, United States
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Port Charlotte, Florida, United States
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Boise, Idaho, United States
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Edwardsville, Illinois, United States
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Lafayette, Indiana, United States
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Terre Haute, Indiana, United States
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Metairie, Louisiana, United States
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New Orleans, Louisiana, United States
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Glen Burnie, Maryland, United States
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Belmont, Massachusetts, United States
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St Louis, Missouri, United States
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Clementon, New Jersey, United States
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Princeton, New Jersey, United States
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Albuquerque, New Mexico, United States
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New York, New York, United States
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Olean, New York, United States
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Eugene, Oregon, United States
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Portland, Oregon, United States
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Philadelphia, Pennsylvania, United States
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Sioux Falls, South Dakota, United States
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Memphis, Tennessee, United States
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Houston, Texas, United States
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Lake Jackson, Texas, United States
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Charlottesville, Virginia, United States
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Midlothian, Virginia, United States
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Richmond, Virginia, United States
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Seattle, Washington, United States
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Brown Deer, Wisconsin, United States
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West Allis, Wisconsin, United States
Related Publications (3)
Perlis RH, Fijal B, Dharia S, Houston JP. Pharmacogenetic investigation of response to duloxetine treatment in generalized anxiety disorder. Pharmacogenomics J. 2013 Jun;13(3):280-5. doi: 10.1038/tpj.2011.62. Epub 2012 Jan 17.
PMID: 22249355DERIVEDKornstein SG, Dunner DL, Meyers AL, Whitmyer VG, Mallinckrodt CH, Wohlreich MM, Detke MJ, Hollandbeck MS, Greist JH. A randomized, double-blind study of increasing or maintaining duloxetine dose in patients without remission of major depressive disorder after initial duloxetine therapy. J Clin Psychiatry. 2008 Sep;69(9):1383-92. doi: 10.4088/jcp.v69n0905.
PMID: 19193339DERIVEDWhitmyer VG, Dunner DL, Kornstein SG, Meyers AL, Mallinckrodt CH, Wohlreich MM, Gonzales JS, Greist JH. A comparison of initial duloxetine dosing strategies in patients with major depressive disorder. J Clin Psychiatry. 2007 Dec;68(12):1921-30. doi: 10.4088/jcp.v68n1213.
PMID: 18162024DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon-Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
September 12, 2005
First Posted
September 19, 2005
Study Start
October 1, 2004
Study Completion
January 1, 2006
Last Updated
January 26, 2007
Record last verified: 2007-01