NCT01121484

Brief Summary

A multicenter, 10-week study to evaluate the efficacy and safety of 50 mg of desvenlafaxine succinate sustained-release formulation (DVS SR) versus placebo in the treatment of peri- and postmenopausal women with major depressive disorder

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
439

participants targeted

Target at P75+ for phase_4 major-depressive-disorder

Timeline
Completed

Started Jun 2010

Shorter than P25 for phase_4 major-depressive-disorder

Geographic Reach
1 country

44 active sites

Status
completed

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

May 3, 2010

Completed
9 days until next milestone

First Posted

Study publicly available on registry

May 12, 2010

Completed
20 days until next milestone

Study Start

First participant enrolled

June 1, 2010

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2011

Completed
10 months until next milestone

Results Posted

Study results publicly available

March 30, 2012

Completed
Last Updated

April 4, 2012

Status Verified

January 1, 2012

Enrollment Period

1 year

First QC Date

May 3, 2010

Results QC Date

February 16, 2012

Last Update Submit

March 30, 2012

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Hamilton Depression Scale (HAM-D17) at Week 8

    HAM-D17, clinician-rated interview, measures presence of depressive symptoms in 17 areas (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, \& weight loss). Total score ranges from 0 to 52; higher scores indicate more severe depression. Change from baseline: score at observation minus score at baseline.

    Baseline, Week 8

Secondary Outcomes (5)

  • Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I)

    Week 8

  • Change From Baseline in Clinical Global Impression - Severity (CGI-S) at Week 8

    Baseline, Week 8

  • Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Week 8

    Baseline, Week 8

  • Change From Baseline in Quick Inventory of Depressive Symptoms, 16 Question Self-report (QIDS-SR)

    Baseline, Week 8

  • Change From Baseline in Visual Analogue Scale for Pain (VAS-pain) at Week 8

    Baseline, Week 8

Study Arms (2)

desvenlafaxine succinate sustained-release

EXPERIMENTAL
Drug: desvenlafaxine succinate sustained-release

Placebo

PLACEBO COMPARATOR
Drug: placebo

Interventions

50-mg DVS SR tablets taken orally once daily.

Also known as: Pristiq
desvenlafaxine succinate sustained-release

Placebo tablets taken orally once daily.

Placebo

Eligibility Criteria

Age40 Years - 70 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Peri- and postmenopausal women aged 40 to 70 years who are fluent in both written and spoken English.
  • Postmenopausal status defined by 12 consecutive months of spontaneous amenorrhea; less than 12 consecutive months with at least 6 consecutive months of spontaneous amenorrhea and a pre-baseline follicle-stimulating hormone (FSH) level \>40 mIU/mL; or 6 months postsurgical bilateral oophorectomy (with or without hysterectomy). Perimenopausal women defined by the presence of any of the following within 6 months before baseline:
  • an absolute change of 7 days or more in menstrual cycle length within 6 months before baseline;
  • a change in menstrual flow amount (2 or more flow categories, eg, from light or moderately light to moderately heavy or heavy);
  • a change in duration (absolute change of 2 or more days); or
  • periods of amenorrhea lasting at least 3 months.
  • A primary diagnosis of major depressive disorder (MDD) based on the criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision (DSM-IV-TR), single or recurrent episode, without psychotic features using the modified Mini International Neuropsychiatric Interview (MINI).
  • A Montgomery and Asberg Depression Rating Scale (MADRS) total score \>=25 at the screening and baseline (day -1) visits and no more than a 5-point improvement from screening to baseline.

You may not qualify if:

  • Treatment with DVS SR (Pristiq®) at any time in the past and/or venlafaxine, ie, Effexor® or Effexor XR®, 1 year prior to baseline.
  • Treatment-resistant; eg, in the past 3 years if any of the following treatments have failed: (a) 3 or more previous adequate trials of \>=2 classes of antidepressant medication, (b) electroconvulsive therapy, or (c) 2 adequate trials of psychotherapy (eg, behavior therapy, behavior-marital therapy).
  • History or current evidence of gastrointestinal disease known to interfere with the absorption or excretion of drugs or a history of surgery known to interfere with the absorption or excretion of drugs.
  • Known presence of raised intraocular pressure or history of narrow-angle glaucoma.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (44)

Birmingham Psychiatry Pharmaceutical Studies, Inc.

Birmingham, Alabama, 35226, United States

Location

Arkansas Psychiatric Clinic Clinical Research Trials, P.A.

Little Rock, Arkansas, 72223, United States

Location

Pacific Clinical Research Medical Group

Arcadia, California, 91007-3462, United States

Location

Southwestern Research, Inc.

Beverly Hills, California, 90210, United States

Location

Catalina Research Institute LLC

Chino, California, 91710, United States

Location

Pacific Clinical Research Medical Group

Orange, California, 92868, United States

Location

Pacific Clinical Research Medical Group

Upland, California, 91786, United States

Location

Western Affiliated Research Institute

Denver, Colorado, 80209, United States

Location

Radiant Research, Inc.

Denver, Colorado, 80239, United States

Location

Connecticut Clinical Research

Cromwell, Connecticut, 06416, United States

Location

Comprehensive NeuroScience, Inc.

St. Petersburg, Florida, 33716, United States

Location

Stedman Clinical Trials, LLC

Tampa, Florida, 33613, United States

Location

Janus Center for Psychiatric Research

West Palm Beach, Florida, 33407, United States

Location

Emory University Department of Psychiatry and Behavioral Sciences

Atlanta, Georgia, 30306, United States

Location

Atlanta Center for Medical Research

Atlanta, Georgia, 30308, United States

Location

Northwest Behavioral Research Center

Roswell, Georgia, 30076, United States

Location

Carman Research

Smyrna, Georgia, 30080, United States

Location

Capstone Clinical Research

Libertyville, Illinois, 60048, United States

Location

Deaconess Clinic Gateway Health Center Research Institute

Newburgh, Indiana, 47630, United States

Location

Via Christi Research

Witchita, Kansas, 67214, United States

Location

Westside Family Medical Center, P.C.

Kalamazoo, Michigan, 49009, United States

Location

Radiant Research, Inc.

Las Vegas, Nevada, 89146, United States

Location

Center For Emotional Fitness

Cherry Hill, New Jersey, 08002, United States

Location

Robert Wood Johnson Medical School

Piscataway, New Jersey, 08854, United States

Location

Social Psychiatry Research Institute

Brooklyn, New York, 11235, United States

Location

Medical & Behavioral Health Research PC

New York, New York, 10023, United States

Location

Metrolina Medical Research

Charlotte, North Carolina, 28209, United States

Location

Horizon Medical Services, PC

Bismarck, North Dakota, 58501, United States

Location

Legacy Pharma Research

Bismarck, North Dakota, 58501, United States

Location

North Coast Clinical Trials, Inc.

Beechwood, Ohio, 44122, United States

Location

Midwest Clinical Research Center

Dayton, Ohio, 45417, United States

Location

Summit Research Network (Oregon), Inc.

Portland, Oregon, 97210, United States

Location

Lehigh Center for Clinical Research

Allentown, Pennsylvania, 18104, United States

Location

Omega Medical Research

Warwick, Rhode Island, 02886, United States

Location

Carolina Clinical Research Services, LLC

Columbia, South Carolina, 29201, United States

Location

Holston Medical Group

Bristol, Tennessee, 37620, United States

Location

Holston Medical Group

Kingsport, Tennessee, 37660, United States

Location

Bayou City Research, Ltd.

Houston, Texas, 77007, United States

Location

Radiant Research, Inc.

San Antonio, Texas, 78229, United States

Location

University of Virginia Health System Center for Psychiatric Clinical Research

Charlottesville, Virginia, 22903, United States

Location

Nelson Clinic

Richmond, Virginia, 23298, United States

Location

Northwest Clinical Research Center

Bellevue, Washington, 98007, United States

Location

Summit Research Network (Seattle) LLC

Seattle, Washington, 98104, United States

Location

Independent Psychiatric Consultants, SC dba IPC Research

Waukesha, Wisconsin, 53188, United States

Location

Related Publications (8)

  • Zilcha-Mano S, Wang X, Wajsbrot DB, Boucher M, Fine SA, Rutherford BR. Trajectories of Function and Symptom Change in Desvenlafaxine Clinical Trials: Toward Personalized Treatment for Depression. J Clin Psychopharmacol. 2021 Sep-Oct 01;41(5):579-584. doi: 10.1097/JCP.0000000000001435.

  • Soares CN, Zhang M, Boucher M. Categorical improvement in functional impairment in depressed patients treated with desvenlafaxine. CNS Spectr. 2019 Jun;24(3):322-332. doi: 10.1017/S1092852917000633. Epub 2017 Nov 15.

  • McIntyre RS, Fayyad R, Mackell JA, Boucher M. Effect of metabolic syndrome and thyroid hormone on efficacy of desvenlafaxine 50 and 100 mg/d in major depressive disorder. Curr Med Res Opin. 2016;32(3):587-99. doi: 10.1185/03007995.2015.1136603. Epub 2016 Jan 13.

  • McIntyre RS, Fayyad RS, Guico-Pabia CJ, Boucher M. A Post Hoc Analysis of the Effect of Weight on Efficacy in Depressed Patients Treated With Desvenlafaxine 50 mg/d and 100 mg/d. Prim Care Companion CNS Disord. 2015 Jun 4;17(3):10.4088/PCC.14m01741. doi: 10.4088/PCC.14m01741. eCollection 2015.

  • Kornstein SG, Clayton AH, Bao W, Guico-Pabia CJ. A pooled analysis of the efficacy of desvenlafaxine for the treatment of major depressive disorder in perimenopausal and postmenopausal women. J Womens Health (Larchmt). 2015 Apr;24(4):281-90. doi: 10.1089/jwh.2014.4900.

  • Thase ME, Fayyad R, Cheng RF, Guico-Pabia CJ, Sporn J, Boucher M, Tourian KA. Effects of desvenlafaxine on blood pressure in patients treated for major depressive disorder: a pooled analysis. Curr Med Res Opin. 2015 Apr;31(4):809-20. doi: 10.1185/03007995.2015.1020365. Epub 2015 Mar 26.

  • Soares CN, Endicott J, Boucher M, Fayyad RS, Guico-Pabia CJ. Predictors of functional response and remission with desvenlafaxine 50 mg/d in patients with major depressive disorder. CNS Spectr. 2014 Dec;19(6):519-27. doi: 10.1017/S1092852914000066. Epub 2014 Feb 26.

  • Clayton AH, Kornstein SG, Dunlop BW, Focht K, Musgnung J, Ramey T, Bao W, Ninan PT. Efficacy and safety of desvenlafaxine 50 mg/d in a randomized, placebo-controlled study of perimenopausal and postmenopausal women with major depressive disorder. J Clin Psychiatry. 2013 Oct;74(10):1010-7. doi: 10.4088/JCP.12m08065.

Related Links

MeSH Terms

Conditions

Depressive Disorder, Major

Interventions

Desvenlafaxine Succinate

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental Disorders

Intervention Hierarchy (Ancestors)

CyclohexanolsHexanolsFatty AlcoholsAlcoholsOrganic ChemicalsCyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsPhenolsBenzene DerivativesHydrocarbons, AromaticLipids

Limitations and Caveats

Baseline characteristics are available for all treated participants (434) and not all randomized participants (439).

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer, Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
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
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 3, 2010

First Posted

May 12, 2010

Study Start

June 1, 2010

Primary Completion

June 1, 2011

Study Completion

June 1, 2011

Last Updated

April 4, 2012

Results First Posted

March 30, 2012

Record last verified: 2012-01

Locations