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Efficacy and Safety of S 47445 Versus Placebo as Adjunctive Treatment in Depressed Patients Not Fully Recovered From Depressive Symptoms With a Current Antidepressant Treatment

Code de protocole Servier: CL2-47445-014 Sponsor: Institut de Recherches Internationales Servier Identifiant Clinicaltrials.gov: NCT02805439 Numéro EudraCT: 2015-003867-13

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Comment participer à cette étude
Si vous pensez être éligible pour cette étude (voir
critères d'éligibilité
ci-dessous), vous pouvez identifier le site le plus proche de chez vous et le contacter directement. Si vous ne trouvez pas de site près de chez vous, veuillez contacter l'Institut de Recherches Internationales Servier (I.R.I.S.).
Nom: Institut de Recherches Internationales Servier, Département des études cliniques
Numéro de téléphone: +33 1 55 72 60 00
L'étude a 53 centres

Description de l'étude

The purpose of this study is to assess the efficacy and safety of S47445 versus placebo as adjunctive treatment of Major Depressive Disorder in patients with an inadequate response to antidepressant therapy.
Titre officiel: Efficacy and Safety of S 47445 Versus Placebo as Adjunctive Treatment of Major Depressive Disorder in Patients With an Inadequate Response to Antidepressant Therapy: A Randomised, Double-blind, Placebo Controlled International, Multicentre Study
Indications
Major Depressive Disorder
Interventions / Traitements
  • S47445 15mg
  • S47445 50mg
  • Placebo
Autres numéros d'identification
  • CL2-47445-014

Critères d'éligibilité

Age éligible pour l’étude

18 ans à 65 ans (Adulte, Adulte plus âgé)

Sexe

Homme/Femme

Accepte les volontaires en bonne santé

Non

  • * Outpatients
  • * Fulfilling DSM-5 criteria for Major Depressive Disorder confirmed by the brief structured interview M.I.N.I. (single or recurrent episode, current episode ≤ 12 months, current depressive episode of moderate or severe intensity, with or without anxious distress, with or without melancholic features, without mixed features or atypical features, without seasonal pattern, without psychotic features, without catatonic features, without peripartum onset for the current episode)
  • * Patients treated for the current depressive episode with an antidepressant treatment with SSRI (fluoxetine, citalopram, paroxetine, escitalopram or sertraline) given in monotherapy at recommended dose for at least 6 weeks and no more than 4 months and with a stable dosage for at least 3 weeks
  • * HAM-D total score ≥ 20
  • * Clinical Global Impression Severity of illness (item 1): 6 ≥ CGI-S ≥ 4
  • * Antidepressant Treatment Response Questionnaire (ATQR) < 50% for the current SSRI
  • * Absence of any abnormalities likely to interfere with the conduct of the study (ECG, vital signs, laboratory tests, medical history)

  • * Depressive episode of mild intensity according to DSM-5 criteria
  • * All types of depressive episodes other than those occurring in a Major Depressive Disorder (Persistent Depressive Disorder (Dysthymia) according to DSM-5 criteria, including persistent depressive disorder with intermittent or persistent major depressive episode according to DSM-5, Premenstrual Dysphoric Disorder, Substance Induced Depressive Disorder, Depressive Disorder due to another Medical Condition, Other Specified or Unspecified Depressive Disorder, Bipolar Disorder I or II, depressed episode, Schizoaffective Disorder (Depressive or Bipolar type))
  • * Depression onset within 12 months after a stroke
  • * Suicidal risk defined as a score > 3 on the item 3 of the HAM-D scale or in the investigator's opinion
  • * Lactose intolerance
  • * Patients with hereditary problems of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption
  • * Resistant depression for the current episode (patients who have not responded to 1 previous antidepressant treatment before the SSRI taken at an appropriate dose)
  • * Current panic disorder
  • * Obsessive compulsive disorder
  • * Current post traumatic stress disorder, current acute stress disorder
  • * Current or past psychotic disorder
  • * Any severe personality features

Comment l'étude est-elle conçue ?

Allocation
Randomisé
Modèle d'étude interventionnelle
Parallèle
Groupe de participants / Bras de traitement
Expérimental: S47445 15mg
Intervention / Traitement
Traitement: S47445 15mg
One tablet of S47445 15 mg taken orally once a day during breakfast concomitantly to the current selective serotonin reuptake inhibitor treatment, starting the day after inclusion visit and ending the day of the W8 visit.
Groupe de participants / Bras de traitement
Expérimental: S47445 50mg
Intervention / Traitement
Traitement: S47445 50mg
One tablet of S47445 50 mg taken orally once a day during breakfast concomitantly to the current selective serotonin reuptake inhibitor treatment, starting the day after inclusion visit and ending the day of the W8 visit.
Groupe de participants / Bras de traitement
Comparaison avec le placebo: Placebo
Intervention / Traitement
Traitement: Placebo
One tablet of placebo taken orally once a day during breakfast concomitantly to the current selective serotonin reuptake inhibitor treatment, starting the day after inclusion visit and ending the day of the W8 visit.

Mots clés

Autres termes
Depressive Disorder, Major