A Study of Flexible-dose Brexpiprazole as Adjunctive Therapy in the Treatment of Adults With Major Depressive Disorder, the Delphinus Trial

This study is currently recruiting participants.
Verified January 2013 by Otsuka Pharmaceutical Development & Commercialization, Inc.
Sponsor:
Information provided by (Responsible Party):
Otsuka Pharmaceutical Development & Commercialization, Inc.
ClinicalTrials.gov Identifier:
NCT01727726
First received: October 31, 2012
Last updated: January 18, 2013
Last verified: January 2013
  Purpose

To compare the efficacy of brexpiprazole (flexible dose) with placebo as adjunctive therapy to an assigned open label antidepressant therapy (ADT) in the proposed subject population with MDD.


Condition Intervention Phase
Depressive Disorder
Depression
Depressive Disorder, Major
Mood Disorders
Mental Disorders
Drug: Brexpiprazole
Drug: Seroquel XR
Drug: Placebo
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Phase 3, Multicenter, Randomized, Double-blind, Placebo and Active Comparator Controlled Trial of Flexible-dose Brexpiprazole (OPC-34712) as Adjunctive Therapy in the Treatment of Adults With Major Depressive Disorder, the Delphinus Trial

Resource links provided by NLM:


Further study details as provided by Otsuka Pharmaceutical Development & Commercialization, Inc.:

Primary Outcome Measures:
  • Montgomery-Asberg Depression Rating Scale (MADRS) [ Time Frame: Randomization Visit to End of Double-Blind Treatment (18 Weeks) ] [ Designated as safety issue: No ]
    The primary outcome is the change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score


Secondary Outcome Measures:
  • Sheejan Disability Scale (SDS) [ Time Frame: Randomization Visit to End of Double-Blind Treatment (18 Weeks) ] [ Designated as safety issue: No ]
    The secondary outcome is the change in Sheehan Disability Scale (SDS) Mean Score


Estimated Enrollment: 1340
Study Start Date: December 2012
Estimated Study Completion Date: December 2015
Estimated Primary Completion Date: November 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo Comparator: Placebo + ADT
Matching Placebo and assigned ADT
Drug: Placebo
tablet/capsule
Experimental: Brexpiprazole + ADT
Brexpiprazole, flexible dose and assigned ADT
Drug: Brexpiprazole
tablet/capsule
Other Name: OPC-34712
Active Comparator: Seroquel XR + ADT
Seroquel XR, flexible dose and assigned ADT
Drug: Seroquel XR
tablet/capsule

Detailed Description:

This is a trial designed to assess the safety and efficacy of brexpiprazole (flexible dose) as adjunctive therapy to an assigned known anti-depressant in depressed subjects. The trial consists of a continuous 18-week double-blind treatment period with a 30-day follow-up. Subjects who complete all trial visits through the Week 18 visit may be offered entry into an optional open-label rollover trial.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male and female outpatients 18 to 65 years of age, inclusive, at the time of informed consent.
  • Subjects with both a diagnosis of MDD, and in a current major depressive episode, as defined by DSM-IV-TR criteria
  • Subjects willing to discontinue all prohibited psychotropic medications to meet protocol-required washouts prior to and during the trial period.

Exclusion Criteria:

  • Females who are breast-feeding and/or who have a positive pregnancy test result during screening prior to receiving trial medication
  • Subject has a current Axis I (DSM-IV-TR) diagnosis of: dementia, Schizophrenia, Bipolar, Eating disorder , Obsessive-compulsive disorder, Panic disorder, Posttraumatic stress disorder
  • Subjects experiencing hallucinations, delusions or any psychotic symptomatology in the current major depressive episode.
  • Subjects who have met DSM-IV-TR criteria for substance abuse or dependence within the past 180 days
  • Subjects currently treated with insulin for diabetes.
  • Subjects with uncontrolled hypertension
  • Subjects with known ischemic heart disease or history of myocardial infarction, congestive heart failure, angioplasty, stenting, or coronary artery bypass Surgery
  • Subjects with a positive drug screen for cocaine, marijuana, or other illicit drugs
  • Inability to swallow tablets or tolerate oral medication
  • Abnormal laboratory test results, vital signs and ECG results
  • Subjects who previously participated in any prior brexpiprazole clinical trial.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01727726

Contacts
Contact: INC Research sm_opdc.ctgov@incresearch.com

Locations
United States, California
Recruiting
Beverly Hills, California, United States
Not yet recruiting
Upland, California, United States
United States, Florida
Recruiting
Coral Gables, Florida, United States
Recruiting
Melbourne, Florida, United States
Recruiting
Oakland Park, Florida, United States
Recruiting
Orange City, Florida, United States
Recruiting
Orlando, Florida, United States
United States, Massachusetts
Not yet recruiting
Belmont, Massachusetts, United States
Recruiting
Boston, Massachusetts, United States
United States, Ohio
Recruiting
Dayton, Ohio, United States
United States, Texas
Recruiting
Dallas, Texas, United States
United States, Utah
Recruiting
Murray, Utah, United States
United States, Virginia
Recruiting
Richmond, Virginia, United States
United States, Washington
Recruiting
Kirkland, Washington, United States
Recruiting
Seattle, Washington, United States
Canada, British Columbia
Not yet recruiting
Penticton, British Columbia, Canada
Sponsors and Collaborators
Otsuka Pharmaceutical Development & Commercialization, Inc.
Investigators
Study Director: James M Youakim, MD Otsuka Pharmaceutical Development & Commercialization, Inc.
  More Information

No publications provided

Responsible Party: Otsuka Pharmaceutical Development & Commercialization, Inc.
ClinicalTrials.gov Identifier: NCT01727726     History of Changes
Other Study ID Numbers: 331-12-282
Study First Received: October 31, 2012
Last Updated: January 18, 2013
Health Authority: United States: Food and Drug Administration
Canada: Health Canada

Keywords provided by Otsuka Pharmaceutical Development & Commercialization, Inc.:
OPC-34712
brexpiprazole
Major Depressive Disorder
Adjunctive Treatment

Additional relevant MeSH terms:
Depression
Depressive Disorder
Depressive Disorder, Major
Mental Disorders
Psychotic Disorders
Mood Disorders
Schizophrenia and Disorders with Psychotic Features
Behavioral Symptoms
Quetiapine
Antipsychotic Agents
Tranquilizing Agents
Central Nervous System Depressants
Physiological Effects of Drugs
Pharmacologic Actions
Central Nervous System Agents
Therapeutic Uses
Psychotropic Drugs

ClinicalTrials.gov processed this record on May 23, 2013