A Study in the Treatment of Children and Adolescents With Major Depressive Disorder
A Double-Blind, Efficacy and Safety Study of Duloxetine Versus Placebo in the Treatment of Children and Adolescents With Major Depressive Disorder
2 other identifiers
interventional
337
7 countries
59
Brief Summary
The purpose of this study is to assess whether duloxetine is superior to placebo in the treatment of children and adolescents with major depressive disorder (MDD)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 major-depressive-disorder
Started Mar 2009
Typical duration for phase_3 major-depressive-disorder
59 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 20, 2009
CompletedFirst Posted
Study publicly available on registry
February 24, 2009
CompletedStudy Start
First participant enrolled
March 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2011
CompletedResults Posted
Study results publicly available
March 6, 2012
CompletedSeptember 11, 2017
September 1, 2017
2 years
February 20, 2009
February 22, 2012
September 7, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 10 Endpoint
CDRS-R Total score measure the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning. Total scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, and scores of 40 to 60 indicate moderate depression. Least Square (LS) means are adjusted for baseline, pooled investigator, age category, visit, treatment, treatment\*visit, age category\*visit and baseline\*visit.
Baseline, Week 10
Secondary Outcomes (11)
Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 36 Endpoint
Week 10, Week 36
Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 10 Endpoint
Baseline, Week 10
Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 36 Endpoint
Week 10, Week 36
Change From Baseline in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 10 Endpoint
Baseline, Week 10
Change From Week 10 in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 36 Endpoint
Week 10, Week 36
- +6 more secondary outcomes
Study Arms (3)
Placebo
PLACEBO COMPARATORFluoxetine
ACTIVE COMPARATORDuloxetine
EXPERIMENTALInterventions
Capsules identical in appearance, color, taste and smell to study drug, orally (PO), once daily (QD). Dose: placebo, 6 capsules, QD for 10 weeks
10-40 milligram (mg), PO, QD, for up to 38 weeks
Eligibility Criteria
You may qualify if:
- Outpatient, diagnosed with major depressive disorder (MDD) as defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) and supported by the Mini International Neuropsychiatric Interview for children and adolescents (MINI-KID).
- Diagnosis of moderate or greater severity of MDD as determined by Children's Depression Rating Scale - Revised (CDRS-R) with a total score greater than or equal to 40 at screen, and randomization and a Clinical Global Impression of Severity (CGI-Severity) rating of greater than or equal to 4 at screen, and randomization.
- Female patients must test negative for pregnancy during screening.
- Judged to be reliable by the investigator to keep all appointments for clinical visits, tests, and procedures required by the protocol.
- Has a degree of understanding such that they can communicate intelligently with the investigator and study coordinator.
- Capable of swallowing study drug whole. It is anticipated the patients will need to swallow up to 6 capsules per day.
- Patients must have venous access sufficient to allow blood sampling and are compliant with blood draws as per the protocol.
You may not qualify if:
- Children of site personnel directly affiliated with this study and/or their immediate families.
- Children of Lilly employees or employees of the designated clinical research organization (CRO) assisting with the conduct of the study.
- Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry.
- Have a current or previous diagnosis of bipolar disorder, psychotic depression, schizophrenia or other psychotic disorder, anorexia, bulimia, obsessive compulsive disorder, or pervasive development disorder, as judged by the investigator.
- Have a history of DSM-IV-TR-defined substance abuse or dependence within the past year, excluding caffeine and nicotine.
- Have a current primary DSM-IV-TR Axis I disorder other than MDD or a current secondary DSM-IV-TR Axis I disorder that requires any pharmacologic treatment
- Have 1 or more first-degree relatives with diagnosed bipolar I disorder.
- Have a significant suicide attempt within 1 year of screening or are currently at risk of suicide in the opinion of the investigator.
- Have a weight less than 20 kilogram (kg) at screening.
- Have a lack of response to 2 or more adequate treatment trials of antidepressants at a clinically appropriate dose for a minimum of 4 weeks for the same MDD episode.
- Have initiated, stopped, or changed the type or intensity of psychotherapy within 6 weeks prior to screening.
- Have a history of seizure disorder (other than febrile seizures).
- Have a history of electroconvulsive therapy within 1 year of screening.
- Have had treatment with a monoamine oxidase inhibitor (MAOI) within 14 days or fluoxetine within 30 days of randomization; or the potential need to use an MAOI during the study or within 5 weeks of discontinuation of study drug.
- Have previously enrolled, completed, or withdrawn from this study or any other study investigating duloxetine or fluoxetine.
- +10 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (59)
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Costa Mesa, California, 92626, United States
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Irvine, California, 92612, United States
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Palo Alto, California, 94306, United States
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Altamonte Springs, Florida, 32701, United States
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Fort Lauderdale, Florida, 33319, United States
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Marietta, Georgia, 30060, United States
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Smyrna, Georgia, 30080, United States
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Coeur d'Alene, Idaho, 83814, United States
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Libertyville, Illinois, 60048, United States
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Rochester Hills, Michigan, 48307, United States
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Saint Charles, Missouri, 63301, United States
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Omaha, Nebraska, 68105, United States
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Las Vegas, Nevada, 89128, United States
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Willingboro, New Jersey, 08046, United States
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Rochester, New York, 14618, United States
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Staten Island, New York, 10312, United States
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Wilmington, North Carolina, 28401, United States
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Beachwood, Ohio, 44122, United States
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Middleburg Heights, Ohio, 44130, United States
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Bartlett, Tennessee, 38134, United States
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Houston, Texas, 77090, United States
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San Antonio, Texas, 78229, United States
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Clinton, Utah, 84015, United States
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Orem, Utah, 84058, United States
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Élancourt, 78990, France
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Paris, 75019, France
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Rouffach, 68250, France
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Cologne, 50931, Germany
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Mannheim, 68159, Germany
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Tübingen, 72076, Germany
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Ulm, 89075, Germany
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Kazan', 420012, Russia
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Moscow, 107076, Russia
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Nizhny Novgorod, 603155, Russia
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Novosibirsk, 1630064, Russia
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Rostov-on-Don, 344010, Russia
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Saint Petersburg, 192019, Russia
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Saratov, 410028, Russia
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Smolensk, 214019, Russia
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Stavropol, 355000, Russia
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Tomsk, 634014, Russia
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Košice, 041 90, Slovakia
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Martin, 03659, Slovakia
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Bloemfontein, 9301, South Africa
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Cape Town, 7530, South Africa
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Centurion, 0046, South Africa
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Johannesburg, 2191, South Africa
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Pretoria, 0042, South Africa
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Vereeniging, 1939, South Africa
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West Cape, 7500, South Africa
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Donetsk, 83037, Ukraine
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Kharkiv, 61153, Ukraine
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Kyiv, 04080, Ukraine
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Luhansk, 91045, Ukraine
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Odesa, 65006, Ukraine
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Poltava, 36006, Ukraine
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Ternopil, 46000, Ukraine
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Uzhhorod, 88000, Ukraine
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Vinnytsia, 21005, Ukraine
Related Publications (3)
Emslie GJ, Wells TG, Prakash A, Zhang Q, Pangallo BA, Bangs ME, March JS. Acute and longer-term safety results from a pooled analysis of duloxetine studies for the treatment of children and adolescents with major depressive disorder. J Child Adolesc Psychopharmacol. 2015 May;25(4):293-305. doi: 10.1089/cap.2014.0076.
PMID: 25978741DERIVEDAtkinson SD, Prakash A, Zhang Q, Pangallo BA, Bangs ME, Emslie GJ, March JS. A double-blind efficacy and safety study of duloxetine flexible dosing in children and adolescents with major depressive disorder. J Child Adolesc Psychopharmacol. 2014 May;24(4):180-9. doi: 10.1089/cap.2013.0146. Epub 2014 May 9.
PMID: 24813026DERIVEDBliznak L, Berg R, Hage A, Dittmann RW. High rate of non-eligibility: methodological factors impacting on recruitment for a multicentre, double-blind study of paediatric patients with major depressive disorder. Pharmacopsychiatry. 2013 Jan;46(1):23-8. doi: 10.1055/s-0032-1314806. Epub 2012 Jun 14.
PMID: 22699956DERIVED
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 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 20, 2009
First Posted
February 24, 2009
Study Start
March 1, 2009
Primary Completion
March 1, 2011
Study Completion
October 1, 2011
Last Updated
September 11, 2017
Results First Posted
March 6, 2012
Record last verified: 2017-09