E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Subjects with Treatment Resistant Major Depression |
Pacientes con depresión mayor resistente al tratamiento |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Psychiatry and Psychology [F] - Mental Disorders [F03] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10057840 |
E.1.2 | Term | Major depression |
E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The purpose of this study is to evaluate the long-term safety and tolerability of BMS-820836 in patients with depression. |
El objetivo principal de este estudio es evaluar la seguridad a largo plazo y tolerabilidad de BMS-820836 en pacientes con depresión resistente al tratamiento |
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E.2.2 | Secondary objectives of the trial |
To assess the long term safety and tolerability of 3 target doses of BMS-820836 (0.5, 1 or 2mg/day) in the treatment of subjects with TRD from randomization baseline through 54 weeks of the rollover study as measured by the frequency and severity of AEs, frequency of SAEs and discontination due to AEs. |
Evaluar la seguridad a largo plazo y la tolerabilidad de 3 dosis diana de BMS-820836 (0,5, 1 y 2mg/día) en el tratamiento de pacientes con Depresión Resistente al Tratamiento (DRT) respecto a la aleatorización basal a lo largo de las 54 semanas del estudio de extensión, determinada por la frecuencia y gravedad de los acontecimientos adversos, frecuencia de acontecimientos adversos graves y retiradas por acontecimientos adversos |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1) Patients randomized in parent study who complete CN162-006 and CN162-007 who consent to enter the rollover study. |
Pacientes incluidos en el estudio principal que hayan completado CN162006 o CN162007 y otorguen su consentimiento informado para participar en el estudio de extensión. |
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E.4 | Principal exclusion criteria |
1) Patients who represent a significant risk of committing suicide based on the clinical judgment of the investigator, history or routine psychiatric status exam. 2) Patients with a Cardiovascular System Organ Class adverse event(s) occurring in patients study (CN162-006 or CN162-007) that in the investigator judgment is clinically significant and would impact safety of the subject inthe current study (including but not limited to left bundle branch block or prolonged QTc) 3)In addition, patients should be excluded if they have any laboratory test, vital signs, ECG or clinical findings that in the investigator's judgment is clinically significantly abnormal and could impact the safety of the patient or the interpretation of study assessments in the current study. |
1) Pacientes que tengan un riesgo importante de suicidio, a juicio clínico del investigador, por los antecedentes o por la evaluación psiquiátrica sistemática 2) Pacientes que presenten uno o varios acontecimientos adversos cardiovasculares en el estudio principal (CN162006 o CN162007) que, a juicio del investigador, sean clínicamente importantes y puedan influir en la seguridad del paciente en el presente estudio (incluyendo, pero no sólo limitado, al bloqueo de rama izquierda o prolongación del intervalo QTc). 3) Pacientes con resultados anormales de las pruebas de laboratorio, las constantes vitales o el ECG o hallazgos clínicos que, a juicio del investigador, sean médicamente importantes porque podrían repercutir en la seguridad del paciente o en la interpretación de los resultados del estudio |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint for this study is to compare the long-term effect of BMS-820836 through 54 weeks in the change from baseline in blood pressure for patients with depression. |
El objetivo principal de este estudio consiste en comparar el efecto a largo plazo de 3 dosis diana de BMS-820836 (0,5, 1 y 2mg/día) a lo largo de 54 semanas de seguimiento en el cambio respecto a la aleatorización basal de la presión arterial en sedestación media en pacientes con depresión resistente al tratamiento |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
Frequency and severity of Adverse Events (AE), frequency of Serious Adverse Events and discontinuations due to AEs. |
frecuencia y gravedad de los acontecimientos adversos, frecuencia de acontecimientos adversos graves y retiradas por acontecimientos adversos. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
From randomization baseline through 54 weeks of the Rollover study |
Desde la aleatorización a lo largo de 54 semanas del estudio de extensión |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 1 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 50 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Brazil |
Canada |
India |
Puerto Rico |
South Africa |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Week 58 will be the last study visit for current study protocol. This visit will be a phone call from the investigator or designee to assess any adverse events the subject may have experienced during the Washout Phase as well as to complete the withdrawal assessments. |
La semana 58 será la última visita del presente protocolo de estudio. Esta visita se realizará mediante una llamada telefónica del investigador o persona designada por él para evaluar los acontecimientos adversos que el paciente pueda haber presentado durante la fase de lavado, así como para completar las evaluaciones de la retirada |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 15 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 15 |