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Cited by 150Treatment of Major DepressionAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and Access

A Randomized, Double-Blind, Placebo-Controlled 8-Week Trial of the Efficacy and Tolerability of Multiple Doses of Lu AA21004 in Adults With Major Depressive Disorder

Henigsberg, Neven, Mahableshwarkar, Atul R., Jacobsen, Paula, Chen, Yinzhong, Thase, Michael E.·2012·The Journal of Clinical Psychiatry
DOI 10.4088/jcp.11m07470
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Abstract

Article AbstractObjective: Lu AA21004 is an investigational multimodal antidepressant. This randomized controlled trial evaluated the efficacy and tolerability of multiple doses of Lu AA21004 versus placebo in adults with major depressive disorder (MDD). Method: Adults diagnosed with MDD (based on DSM-IV-TR criteria) with a Montgomery-Asberg Depression Rating Scale (MADRS) score ≥ 26 were randomly assigned (1:1:1:1) to receive Lu AA21004 1 mg, 5 mg, or 10 mg or placebo for 8 weeks (between August 2008 and August 2009). The primary endpoint was reduction in 24-Item Hamilton Depression Rating Scale (HDRS-24) total score after 8 weeks of treatment compared with placebo for Lu AA21004 10 mg. Additional outcomes included response and remission rates, Sheehan Disability Scale (SDS), Clinical Global Impressions-Global Improvement scale (CGI-I), MADRS total score, and HDRS-24 total score in subjects with baseline Hamilton Anxiety Rating Scale (HARS) score ≥ 20. Adverse events were assessed throughout the study. Results: A total of 560 subjects (mean age = 46.4 years) were randomized. There was a statistically significant reduction from baseline in HDRS-24 total score at week 8 for Lu AA21004 10 mg vs placebo (P < .001). There were improvements (nominal P values < .05 with no adjustment for multiplicity) in HDRS-24 total score, response and remission rates, CGI-I score, MADRS total score, and HDRS-24 total score in subjects with baseline HARS score ≥ 20 at week 8 for all Lu AA21004 treatment groups vs placebo. No significant differences were seen in SDS scores between any dose of Lu AA21004 and placebo. The most common adverse events were nausea, headache, and dizziness. Conclusions: After 8 weeks of treatment with Lu AA21004 10 mg, there was a significant reduction in HDRS-24 total score compared with placebo in adults with MDD. Lu AA21004 was well tolerated in this study. Trial Registration: ClinicalTrials.gov identifier: NCT00735709 J Clin Psychiatry 2012;73(7):953-959 © Copyright 2012 Physicians Postgraduate Press, Inc. Submitted: October 14, 2011; accepted March 7, 2012 (doi:10.4088/JCP.11m07470). Corresponding author: Neven Henigsberg, MD, Poliklinika Neuron, Croatian Institute for Brain Research, Medical School, University of Zagreb, Salata 12, Zagreb, 10000, Croatia (neven.henigsberg@zg.t-com.hr).†‹

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Authors
Henigsberg, N., Mahableshwarkar, A. R., Jacobsen, P., Chen, Y., & Thase, M. E.
Affiliations
University of Zagreb (HR)
Corresponding author
Henigsberg, Neven
ORCID
Venue
The Journal of Clinical Psychiatry
Publisher
Physicians Postgraduate Press, Inc
Published
2012-07-15
Volume
73
Issue
07
Pages
953-959
ISSN
0160-6689 (ISSN-L)
DOI
10.4088/jcp.11m07470
OpenAlex
W2059274457
Cited by
150
References
0
Citations by year
2026: 1 · 2025: 5 · 2024: 6 · 2023: 4 · 2022: 7 · 2021: 10 · 2020: 5 · 2019: 7 · 2018: 13 · 2017: 15 · 2016: 14 · 2015: 28 · 2014: 23 · 2013: 10 · 2012: 2
FWCI
14.83
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Clinical Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
vortioxetine, major depressive disorder, multimodal antidepressant, antidepressant efficacy, antidepressant tolerability, dose comparison, anxiety symptoms, adverse events, nausea, headache, dizziness, Hamilton Depression Rating Scale, Sheehan Disability Scale, Montgomery-Asberg Depression Rating Scale, placebo-controlled
MeSH terms
Vortioxetine, Adult, Affect, Major Depressive Disorder, Dose-Response Relationship, Drug, Double-Blind Method, Humans, Personality Inventory, Piperazines, Psychometrics, Sulfides, Anti-Anxiety Agents

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