An Eight-week Study of SSR411298 as Treatment for Major Depressive Disorder in Elderly Patients - Full Text View

Purpose

The primary objective of this study is to evaluate the efficacy of 3 fixed doses of SSR411298 (10, 50 or 200 mg daily) compared to placebo, in elderly patients with Major Depressive Disorder (MDD), based on the 17-item Hamilton Depression Rating Scale.

Secondary objectives are:

To evaluate the tolerability and safety of an 8-week treatment with SSR411298 versus placebo in elderly patients with MDD.
To evaluate the effect of SSR411298 on disability, anxiety, cognitive function, sleep, pain and somatic symptoms related to depression, and bone markers.
To assess SSR411298 plasma concentrations.
To assess plasma endocannabinoid concentrations.

Condition	Intervention	Phase
Major Depressive Disorder	Drug: SSR411298 Drug: Escitalopram Drug: Placebo (for SSR411298)	Phase 2

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment
Official Title:	An Eight-week, Multicenter, Randomized, Double-blind, Placebo-controlled Dose-finding Study, With Escitalopram (10 mg Daily) as Active Control, to Evaluate the Efficacy, Safety and Tolerability of Three Fixed Doses of SSR411298 (10, 50, or 200 mg Daily) in Elderly Patients With Major Depressive Disorder

Resource links provided by NLM:

MedlinePlus related topics: Anxiety Depression

Drug Information available for: Citalopram hydrobromide Citalopram Escitalopram oxalate

U.S. FDA Resources

Further study details as provided by Sanofi:

Primary Outcome Measures:

17-item Hamilton Depression Rating Scale (HAM-D) total score [ Time Frame: 8 weeks (from D-1 (before randomization) up to D56) ] [ Designated as safety issue: No ]
The HAM-D consists of 17 items assessing signs and symptoms of depression. All items are scored with a severity rating from 0 (not present) to 2 or 4 (very severe), depending on the item. The minimum and maximum possible scores are 0 and 52, respectively.

Secondary Outcome Measures:

Montgomery-Asberg Depression Rating Scale (MADRS) total score [ Time Frame: 8 weeks (from D-1 (before randomization) up to D56) ] [ Designated as safety issue: No ]
The MADRS consists of 10 items assessing signs and symptoms of depression. All items are scored with a severity rating from 0 (not present) to 6 (most severe). The minimum and maximum possible scores are 0 and 60, respectively.
Clinical Global Impression (CGI) scores [ Time Frame: D-1 (before randomization) and D56 ] [ Designated as safety issue: No ]
The CGI-1 Severity of Illness score is rated on a 1 to 7 point scale.

The CGI-2 Improvement score is a component of the CGI; the Improvement score captures the investigator's clinical impression regarding global improvement (or worsening) on a 7-point scale.
HAM-D depressed mood item score, factor scores and core item score [ Time Frame: 8 weeks (from D-1 (before randomization) up to D56) ] [ Designated as safety issue: No ]
Geriatric Depression Scale (GDS) total score [ Time Frame: D-1 (before randomization) and D56 ] [ Designated as safety issue: No ]
The GDS is a 15-item self report scale used to assess the more specific aspects of depression in elderly depressed patients.
Sheehan Disability Scale (SDS) total score [ Time Frame: D-1 (before randomization) and D56 ] [ Designated as safety issue: No ]
The SDS contains 3 questions, which assesses interference in three domains, work and school, family life and home responsibilities, and social life. Each question is answered on a 10-point Likert Scale.
Hamilton Anxiety Rating scale (HAM-A) total score [ Time Frame: D-1 (before randomization) and D56 ] [ Designated as safety issue: No ]
The HAM-A consists of 14 items assessing signs and symptoms of anxiety. All items are scored with a severity rating from 0 (not present) to 2 or 4 (very severe), depending on the item. The minimum and maximum possible scores are 0 and 56 respectively.
Overview of Adverse Events (AE) [ Time Frame: up to 9 weeks (from first study drug intake up to 7 days after last study drug intake) ] [ Designated as safety issue: Yes ]
SSR411298 plasma concentration [ Time Frame: predose and 3-5 hours after study drug intake on Day 21 and Day 56 ] [ Designated as safety issue: No ]
Plasma concentrations of SSR411298 are determined by a validated liquid chromatography tandem mass spectrometry method with a lower limit of quantification of 10 ng/mL.

Enrollment:	527
Study Start Date:	December 2008
Study Completion Date:	February 2010
Primary Completion Date:	February 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: SSR411298 10 mg SSR411298 10 mg, one capsule once daily for 8 weeks	Drug: SSR411298 Form: capsule Route: oral administration with food
Experimental: SSR411298 50 mg SSR411298 50 mg, one capsule once daily for 8 weeks	Drug: SSR411298 Form: capsule Route: oral administration with food
Experimental: SSR411298 200 mg SSR411298 200 mg, one capsule once daily for 8 weeks	Drug: SSR411298 Form: capsule Route: oral administration with food
Active Comparator: Escitalopram 10 mg Escitalopram 10 mg, one capsule once daily for 8 weeks	Drug: Escitalopram Form: capsule (commercial escitalopram tablets were encapsulated within opaque capsules) Route: oral administration with food
Placebo Comparator: Placebo Placebo (for SSR411298), one capsule once daily for 8 weeks	Drug: Placebo (for SSR411298) Form: capsule Route: oral administration with food

Detailed Description:

The study period for a participants is approximately 10 weeks including a screening up to 1 week, 8-week treatment and 1-week follow-up.

Eligibility

Ages Eligible for Study:	60 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Elderly patient with recurrent Major Depressive Disorder

Exclusion Criteria:

Duration of current depressive episode greater than 2 years;
Mild depression as measured by standard clinical research scales;
Cognitive disturbance;
Significant suicide risk;
Other psychiatric conditions that would obscure the results of the study;
History of failure to respond to antidepressant treatment.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00822744

Locations

Chile
Sanofi-Aventis Administrative Office
Santiago, Chile
Mexico
Sanofi-Aventis Administrative Office
Mexico, Mexico
Romania
Sanofi-Aventis Administrative Office
Bucuresti, Romania
Russian Federation
Sanofi-Aventis Administrative Office
Moscow, Russian Federation
Slovakia
Sanofi-Aventis Administrative Office
Brastislava, Slovakia
South Africa
Sanofi-Aventis Administrative Office
Midrand, South Africa
Ukraine
Sanofi-Aventis Administrative Office
Kiev, Ukraine

Sponsors and Collaborators

Sanofi

Investigators

Study Director:

Clinical Sciences & Operations

Sanofi

More Information

No publications provided

Responsible Party:	Sanofi
ClinicalTrials.gov Identifier:	NCT00822744 History of Changes
Other Study ID Numbers:	DFI10560, 2008-001718-26
Study First Received:	January 13, 2009
Last Updated:	March 14, 2013
Health Authority:	Russia: Ethics Committee

Keywords provided by Sanofi:

Depression
Major Depressive Episode
Antidepressant

Additional relevant MeSH terms:

Depressive Disorder
Depression
Depressive Disorder, Major
Mood Disorders
Mental Disorders
Behavioral Symptoms
Dexetimide
Citalopram
Antiparkinson Agents
Anti-Dyskinesia Agents
Central Nervous System Agents
Therapeutic Uses
Pharmacologic Actions
Parasympatholytics

Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Muscarinic Antagonists
Cholinergic Antagonists
Cholinergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Antidepressive Agents, Second-Generation
Antidepressive Agents
Psychotropic Drugs
Serotonin Uptake Inhibitors
Neurotransmitter Uptake Inhibitors
Serotonin Agents

ClinicalTrials.gov processed this record on May 16, 2013

An Eight-week Study of SSR411298 as Treatment for Major Depressive Disorder in Elderly Patients (FIDELIO)