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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
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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In the citing paper
“Vortioxetine (1-[2-(2,4-dimethyl-phenylsulfanyl)-phenyl]-piperazine-hydrobromide, Lu AA21004) is a novel antidepressant that has demonstrated efficacy in doses up to 20 mg/d in short-term studies of 6–8 wk duration in adult patients with MDD (Alvarez et al., 2012; Henigsberg et al., 2012; Boulenger et al., 2014).”
From A randomized, double-blind, placebo-controlled study of vortioxetine on cognitive function in depressed adults (2014) · cites this paper as Henigsberg et al., 2012
In the citing paper
“there has been a tendency across studies to see increasing efficacy at higher doses”
From A randomized, double-blind, duloxetine-referenced study comparing efficacy and tolerability of 2 fixed doses of vortioxetine in the acute treatment of adults with MDD (2015) · cites this paper as Henigsberg et al. 2012
In the citing paper
“Efficacy has been replicated at the 5-, 10-, and 20-mg doses in adults”
From A randomized, double-blind, duloxetine-referenced study comparing efficacy and tolerability of 2 fixed doses of vortioxetine in the acute treatment of adults with MDD (2015) · cites this paper as Henigsberg et al. 2012
In the citing paper
“The efficacy of vortioxetine in reducing depressive symptoms has been demonstrated in patients with MDD in doses from 5 to 20 mg/day (Alvarez et al. 2012;Katona et al. 2012;Henigsberg et al. 2012;Baldwin et al. 2012a;Boulenger et al. 2012;Baldwin et al. 2012b;Jacobsen et al. 2013;Boulenger et al. 2014;Jain et al. 2013;Mahableshwarkar et al. 2013b).”
From A randomized, double-blind, duloxetine-referenced study comparing efficacy and tolerability of 2 fixed doses of vortioxetine in the acute treatment of adults with MDD (2015) · cites this paper as Henigsberg et al. 2012
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Parker, G. B., & Hadži-Pavlović, D. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.05.138 · Cited by 10
Metadata
- Authors
- Henigsberg, N., Mahableshwarkar, A. R., Jacobsen, P., Chen, Y., & Thase, M. E.
- Affiliations
- University of Zagreb (HR)
- Corresponding author
- Henigsberg, Neven
- 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)
- 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 (medical) › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › 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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