| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Major depressive disorder |
| Trastorno depresivo mayor |
|
| E.1.1.1 | Medical condition in easily understood language |
|
| E.1.1.2 | Therapeutic area | Diseases [C] - Nervous System Diseases [C10] |
| MedDRA Classification |
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 19.0 |
| E.1.2 | Level | SOC |
| E.1.2 | Classification code | 10037175 |
| E.1.2 | Term | Psychiatric disorders |
| E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 19.0 |
| E.1.2 | Level | HLGT |
| E.1.2 | Classification code | 10012375 |
| E.1.2 | Term | Depressed mood disorders and disturbances |
| E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 19.0 |
| E.1.2 | Level | HLT |
| E.1.2 | Classification code | 10012401 |
| E.1.2 | Term | Depressive disorders |
| E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
| 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 study objective is to evaluate the efficacy and safety of trazodone OAD vs venlafaxine extended release (venlafaxine XR) after an 8-week treatment period in patients with major depressive disorder. |
| El objetivo del estudio es evaluar la eficacia y la seguridad de trazodona DUD en comparación con venlafaxina de liberación prolongada (venlafaxina LP) tras un período de tratamiento de 8 semanas en pacientes con trastorno depresivo mayor. |
|
| E.2.2 | Secondary objectives of the trial |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
| Outpatients; Men or women 18-75 years of age (limits included); diagnosis of MDD according to DSM-IV; HAMD -17 ? 18 at screening and baseline visits; symptoms of depression for at least 1 month; patients legally capable to give their consent to participate the study, subjects must agree not to start a pregnancy from the signature of the informed consent (childbearing women). |
| Hombres y mujeres 18-75 años de edad (limites incluidos) sin limitación de raza;con un diagnóstico de TDM con arreglo a los criterios de DSM-IV evaluados utilizando la escala MINI; pacientes ambulatorios; escala HAMD > 18 en las visitas de selección e inicial con una disminución no superior al 20 % entre las dos visitas; síntomas de depresión durante un período mínimo de 1 mes; pacientes con capacidad legal para otorgar su consentimiento para participar en el estudio, y capaces de firmar y datar el consentimiento informado escrito antes de la inclusión en el estudio; las mujeres potencialmente fértiles deben comprometerse a no quedarse embarazadas desde el momento de la firma del consentimiento informado hasta 30 días después de la última administración del producto experimental. |
|
| E.4 | Principal exclusion criteria |
| Use of venlafaxine or trazodone within the previous 6 months; liver or renal clinically significant disease; myocardial infarction (within 6 months); positive present history of glaucoma; risk factors for TdP; clinically significant electrolyte values; concomitant treatment with drugs known for QT prolongation; QTcF > 450msec; major depression resistant to medical treatments; seizure events; alcohol or psychoactive abuse or addiction; suicide risk (HAMD, criterion 3 value ? 3); present history of psychiatric disorder rather than MDD; pregnant or lactating women; use of antipsychotic, anxiolytic or sedative hypnotic; use of drugs with psychotropic effect; treatment with CYP3A4 inhibitors; hyperthyroidism;clinically significant alterations at physical examination, vital signs, ECG and laboratory exams; vulnerable subjects. |
| Uso de venlafaxina o trazodona en los 6 meses anteriores; hepatopatía o nefropatía importantes; infarto de miocardio en los 6 meses anteriores al inicio del tratamiento; enfermedad actual de glaucoma; valores de electrolitos fuera de los límites normales de laboratorio y considerados clínicamente trascendentes por el Investigador; tratamiento concomitante con fármacos que prolongan el intervalo QT; valores de QTcF > 450 ms en el ECG realizado en la visita de selección; antecedentes de depresión resistente a tratamientos médicos; antecedentes de epilepsia; antecedentes de consumo excesivo o adicción crónica al alcohol o a psicofármacos; riesgo grave de suicido (escala HAMD, criterio 3 con un valor ? 3); presencia de cualquier trastorno psiquiátrico primario distinto de depresión mayor; antecedentes de presencia de trastorno bipolar, cualquier trastorno psicótico, trastorno mental provocado por afecciones generales; embarazo, lactancia o mujer con resultado positivo en una prueba de embarazo; uso de antipsicóticos, ansiolíticos o sedantes-somníferos; uso de cualquier psicofármaco con efectos sobre el sistema nervioso central; uso de no psicofármacos con efectos psicotrópicos (ej. bloqueantes de los receptores adrenérgicos ?) en los 7 días anteriores a la visita inicial, salvo que se haya mantenido una dosis estable del medicamento durante un período mínimo de 1 mes (3 meses en el caso de medicamentos hormonales o antitiroideos) antes de la visita inicial; tratamiento concomitante con inhibidores de la CYP3A4; hipertiroidismo, aunque esté corregido con fármacos; inicio o interrupción de psicoterapia en los 6 meses anteriores a la visita de selección; anomalías de trascendencia clínica detectadas en la exploración física, los signos vitales, el ECG o las pruebas analíticas correspondientes a la visita de selección; pacientes vulnerables. |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
| Mean change from baseline in HAMD score at final visit |
| Variación media con respecto a la visita inicial en la puntuación HAMD en la visita final. |
|
| E.5.1.1 | Timepoint(s) of evaluation of this end point |
| Treatment day 56 (final visit) |
| Tratamiento del día 56 (visita final) |
|
| E.5.2 | Secondary end point(s) |
| Mean change from baseline in MADRS score at final visit; CGI-Severity of illness and CGI-Global improvement at final visit; rate of responders defined as patients with a 50% decrease with respect to baseline on the HAMD score at final visit; rate of patients with remission (HAMD score ? 7) at final visit. |
| Variación media con respecto a la visita inicial en la puntuación MADRS en la Visita final; impresión clínica global de gravedad (CGI-S) e impresión clínica global de mejoría (CGI-I) en la visita final; tasa de pacientes que respondieron favorablemente al tratamiento, definidos como pacientes con una disminución mínima de un 50 % en la puntuación HAMD con respecto a la visita inicial en la visita final; tasa de pacientes con remisión (puntuación HAMD < 7) en la visita final |
|
| E.5.2.1 | Timepoint(s) of evaluation of this end point |
| Treatment day 56 (final visit) |
| Tratamiento en el día 56 (visita final) |
|
| 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 | Yes |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| 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) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
| 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) | Yes |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | No |
| E.8.2.4 | Number of treatment arms in the trial | 2 |
| 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 | 45 |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | No |
| E.8.7 | Trial has a data monitoring committee | No |
| 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
|
| LVLS |
| Última visita del último sujeto |
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 1 |
| E.8.9.1 | In the Member State concerned months | 9 |
| E.8.9.1 | In the Member State concerned days | 0 |
| E.8.9.2 | In all countries concerned by the trial years | 1 |
| E.8.9.2 | In all countries concerned by the trial months | 9 |
| E.8.9.2 | In all countries concerned by the trial days | 0 |