A Study Evaluating Duloxetine in Patients Hospitalized for Severe Depression
An Eight-Week, Randomized, Double Blind, Two Parallel Groups, Study to Assess Clinical Response of Duloxetine 60 mg and 120 Per Day in Patients Hospitalized for Severe Depression
2 other identifiers
interventional
339
4 countries
35
Brief Summary
An eight-week, randomized, double blind, two parallel groups, study to assess clinical response of duloxetine 60 milligrams (mg) and 120 mg per day in patients hospitalized for severe depression.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 major-depressive-disorder
Started Feb 2007
Shorter than P25 for phase_4 major-depressive-disorder
35 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
First Submitted
Initial submission to the registry
January 11, 2007
CompletedFirst Posted
Study publicly available on registry
January 15, 2007
CompletedStudy Start
First participant enrolled
February 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2008
CompletedResults Posted
Study results publicly available
October 2, 2009
CompletedJuly 26, 2011
July 1, 2011
1.5 years
January 11, 2007
August 25, 2009
July 22, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline to 4 Week Endpoint in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
Measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms).
Baseline to Week 4
Secondary Outcomes (15)
Change in 6-Item Hamilton Depression Scale (HAMD-6) Total Scores From Baseline
Baseline to Weeks 1, 2, 3, 4, 6, 8
Change in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score From Baseline
Baseline to Weeks 1, 2, 3, 4, 6, 8
Evaluation of Rescue Options Based on Changes in the Montgomery-Asberg Depression Rating Scale (MADRS) and the 6-Item Hamilton Depression Scale (HAMD-6)
4 to 8 weeks
Clinical Global Impression of Severity (CGI-S) Scores at Each Visit
Baseline, Weeks 1, 2, 3, 4, 6, 8
Clinical Global Impression of Improvement (CGI-I) at Each Visit
Weeks 1, 2, 3, 4, 6, 8
- +10 more secondary outcomes
Study Arms (2)
Duloxetine Hydrochloride (60 mg)
EXPERIMENTALUp to Week 4: 60 milligrams (mg) every morning and placebo every evening, by mouth (PO). Week 4 to Week 8: Responders continued on same dose as before; Nonresponders received 60 mg every morning and 60 mg every evening added to the placebo
Duloxetine Hydrochloride (120 mg)
EXPERIMENTALUp to Week 4: 60 mg every morning and 60 mg every evening, PO. Week 4 to Week 8: Responders continued on same dose as before; Nonresponders continued as before with a placebo capsule added to the evening dose
Interventions
60 mg once or twice a day, by mouth
placebo capsule by mouth
Eligibility Criteria
You may qualify if:
- Male or female patients of ≥ 18 years of age that meet criteria for severe Major Depressive Disorder, without psychotic features (according to Diagnostic and Statistical Manual of Mental Disorders Fourth Edition, \[DSM-IV\] and confirmed by Mini International Neuropsychiatric Interview \[MINI\]).
- With a total score Montgomery-Asberg Depression Rating Scale (MADRS) ≥ 30 and 6-item Hamilton Depression Rating Scale (HAMD-6) ≥ 12 and Clinical Global Impression of Severity (CGI-Severity) ≥ 4 at both screening and baseline.
- Requirement of hospitalization (not for social or other non-medical reasons) at screening visit and at least up to Visit 4.
- Patients willing and able to comply with the requirement for hospitalization and with all scheduled visits, tests and procedures required by the protocol.
- Informed consent document must be signed at screening visit, in accordance with Good Clinical Practice (GCP) and local regulatory requirements, prior to any study procedure.
You may not qualify if:
- More than two previous episodes of major depression that did not respond (according to investigator's opinion) to adequate doses and duration of two different antidepressant therapies.
- Lack of response to at least two antidepressant therapies given at adequate doses for at least 6 weeks for the current depressive episode.
- Concurrent presence of symptoms fulfilling criteria for any Axis I disorder other than anxiety disorders (with exception of the Obsessive-Compulsive Disorder (OCD)) or Major Depressive Disorder, in the investigator's judgment.
- Any previous diagnosis of a bipolar disorder, schizophrenia or OCD.
- Depression with catatonic features (according to DSM-IV), depression with post-partum onset, or organic mental disorders.
- The presence of an Axis II disorder
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Eli Lilly and Companylead
- Boehringer Ingelheimcollaborator
Study Sites (35)
For additional information regarding investigative sites for this trial contact 1-877-CTLILLY (1-877-285-4559 or 1-317-615-4559), Mon-Fri, 9AM to 5PM Eastern Time (UTC/GMT-5 hours, EST) or speak with your personal physician
Besançon, France
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Bordeaux, France
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Bully-les-Mines, France
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Château-Gontier, France
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Dijon, France
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Dole, France
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Fains-Véel, France
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Jarnac, France
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La Charité-sur-Loire, France
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La Rochelle, France
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Limoges, France
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Marseille, France
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Montberon, France
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Montpellier, France
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Nîmes, France
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Paris, France
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Saint-Dizier, France
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Florence, Italy
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Foggia, Italy
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Messina, Italy
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Milan, Italy
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Pisa, Italy
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Roma, Italy
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Siena, Italy
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Kazan', Russia
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Lipetsk, Russia
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Moscow, Russia
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Nizhny Novgorod, Russia
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Saint Petersburg, Russia
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Saratov, Russia
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Bryanston, South Africa
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Cape Town, South Africa
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George, South Africa
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Krugersdorp, South Africa
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Pretoria, South Africa
Related Publications (2)
Brecht S, Desaiah D, Marechal ES, Santini AM, Podhorna J, Guelfi JD. Efficacy and safety of duloxetine 60 mg and 120 mg daily in patients hospitalized for severe depression: a double-blind randomized trial. J Clin Psychiatry. 2011 Aug;72(8):1086-94. doi: 10.4088/JCP.09m05723blu. Epub 2010 Sep 21.
PMID: 20868642RESULTDemyttenaere K, Desaiah D, Raskin J, Cairns V, Brecht S. Suicidal thoughts and reasons for living in hospitalized patients with severe depression: post-hoc analyses of a double-blind randomized trial of duloxetine. Prim Care Companion CNS Disord. 2014;16(3):PCC.13m01591. doi: 10.4088/PCC.13m01591. Epub 2014 May 1.
PMID: 25317365DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
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
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
January 11, 2007
First Posted
January 15, 2007
Study Start
February 1, 2007
Primary Completion
August 1, 2008
Study Completion
August 1, 2008
Last Updated
July 26, 2011
Results First Posted
October 2, 2009
Record last verified: 2011-07