Assessment in Work Productivity and the Relationship With Cognitive Symptoms in Patients With MDD Taking Vortioxetine
AtWoRC
Interventional, Open-Label, Single Cohort, Canadian Study to Describe the Relationship Between Cognitive Symptoms and Work Productivity in Working Adults Treated With Vortioxetine for Major Depressive Disorder (MDD)
1 other identifier
interventional
226
1 country
26
Brief Summary
The purpose of the study is to describe the association/correlation between change in patient-reported cognitive symptoms and work productivity in gainfully employed patients receiving vortioxetine for a Major Depressive Episode (MDE).
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 2015
26 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
January 5, 2015
CompletedFirst Posted
Study publicly available on registry
January 7, 2015
CompletedStudy Start
First participant enrolled
February 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 6, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 6, 2017
CompletedJanuary 30, 2018
January 1, 2018
2.4 years
January 5, 2015
January 26, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
the association/correlation between changes in patient-reported cognitive symptoms and work productivity. (Perceived Deficit Questionnaire-Depression)
Mean change from Baseline to Week 12 in patient-reported cognitive symptoms as measured by Perceived Deficit Questionnaire-Depression-20 questions (PDQ-D-20) and work productivity as measured by Work Limitations Questionnaire (WLQ) in gainfully employed patients receiving vortioxetine for a Major Depressive Episode (MDE).
12 weeks
Secondary Outcomes (9)
Cognitive function (PDQ-D-20)
12 and 52 weeks
Cognitive function (Digit Symbol Substitution Test (DSST)
12 and 52 weeks
Work productivity (WLQ)
12 and 52 weeks
Work productivity (Work Productivity and Activity Impairment (WPAI) questionnaire)
12 and 52 weeks
Work productivity (World Health Organization Disability Assessment Schedule-12 questions (WHODAS-12)
12 and 52 weeks
- +4 more secondary outcomes
Study Arms (2)
vortioxetine naive
OTHERvortioxetine 10 mg 100 patients with Major Depressive Disorder who have not been treated with another antidepressant for the current MDE
Switch
OTHERvortioxetine 10 mg 100 patients with Major Depressive Disorder that require a switch from their current antidepressant due to inadequate response
Interventions
The starting and recommended dose of vortioxetine is 10 mg once daily; film-coated 10 mg tablets for oral use once daily for 52 weeks.Depending on individual patient response, the dose may be increased to a maximum of 20 mg daily.
Eligibility Criteria
You may qualify if:
- The patient is a man or woman, aged ≥18 years and \<65 years (In the province of British Columbia, the patient must be aged 19 years or older in order to give Informed Consent)
- The patient is engaged in volunteer work or gainful employment (working ≥20 hours per week) or is enrolled full-time in post-secondary studies or vocational training.
- The patient is an outpatient consulting a Primary Care Physician or a Psychiatrist.
- Patients must have a diagnosis of MDD according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5™) classification code 296.3x.
- The current MDE is confirmed by the investigator.
- The reported duration of the current MDE is at least 3 months.
- The patient has a Baseline score ≥15 on the QIDS-SR.
- The patient reports at least a minimal level of cognitive symptoms as defined by Baseline score of ≥30 on the PDQ-D-20.
- The patient is capable of communicating with the site personnel and is able to conduct the digit-symbol substitution test (DSST).
You may not qualify if:
- The patient score is \>69 on the DSST at Screening/Baseline.
- The patient is, in the opinion of the investigator, not able to complete all the study assessments including, but not limited to, patient-reported assessments and the DSST.
- The patient has a current diagnosis or history of manic or hypomanic episode, schizophrenia or any other psychotic disorder, including major depression with psychotic features.
- The current depressive symptoms are considered by the investigator to have been resistant to 2 adequate antidepressant treatments of at least 6 weeks duration each at the maximum recommended dose (according to Canadian labeling).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (26)
CA004
Edmonton, Alberta, T6L 6W6, Canada
CA005
Kelowna, British Columbia, V1Y 1Z9, Canada
CA006
St. John's, Newfoundland and Labrador, A1E 2C2, Canada
CA007
Halifax, Nova Scotia, B3S 1M7, Canada
CA016
Burlington, Ontario, L7R 4E2, Canada
CA013
Chatham, Ontario, N7L 1C1, Canada
CA010
Corunna, Ontario, N0N 1G0, Canada
CA012
Fort Erie, Ontario, L2A 1Z3, Canada
CA017
Hamilton, Ontario, L8M 1K7, Canada
CA026
Hamilton, Ontario, L8N 4A6, Canada
CA011
London, Ontario, N6H 4P2, Canada
CA003
Mississauga, Ontario, L5M 4N4, Canada
CA008
Sarnia, Ontario, N7T 4X3, Canada
CA009
Sarnia, Ontario, N7T 4X3, Canada
CA015
St. Catharines, Ontario, L2T 3Y4, Canada
CA022
Montreal, Quebec, H1N 3V2, Canada
CA020
Montreal, Quebec, H2R 1V6, Canada
CA023
Montreal, Quebec, H3A 0G6, Canada
CA018
Pointe-Claire, Quebec, H9R 4S3, Canada
CA024
Saint-Jean-sur-Richelieu, Quebec, J2W 1J1, Canada
CA030
Victoriaville, Quebec, G6P 6P6, Canada
CA027
Westmount, Quebec, H4A1S9, Canada
CA028
Saskatoon, Saskatchewan, S7K 3H3, Canada
CA019
Québec, G1G 3Y8, Canada
CA021
Québec, G3K 2P8, Canada
CA029
Québec, G3K 2P8, Canada
Related Publications (1)
Chokka P, Bougie J, Proulx J, Tvistholm AH, Ettrup A. Long-term functioning outcomes are predicted by cognitive symptoms in working patients with major depressive disorder treated with vortioxetine: results from the AtWoRC study. CNS Spectr. 2019 Dec;24(6):616-627. doi: 10.1017/S1092852919000786.
PMID: 30802419DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Pratap Chokka, M.D.
Chokka Center for Integrative Health
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 5, 2015
First Posted
January 7, 2015
Study Start
February 1, 2015
Primary Completion
July 6, 2017
Study Completion
July 6, 2017
Last Updated
January 30, 2018
Record last verified: 2018-01