Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43865   clinical trials with a EudraCT protocol, of which   7286   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    Efficacy and safety of agomelatine (25mg/day with blinded potential adjustment to 50mg/day) versus escitalopram (10mg/day with blinded potential adjustment to 20mg/day) given orally for 12 weeks in non-depressed out-patients with severe Generalized Anxiety Disorder. A 12-week randomised, double-blind, versus escitalopram, 2-arm parallel groups, international multicenter study with a 9-month extension period

    Due to the EudraCT – Results system being out of service between 31 July 2015 and 12 January 2016, these results have been published in compliance with revised timelines.
    Summary
    EudraCT number
    2012-003699-37
    Trial protocol
    CZ   DE   HU   PL   FI   SK  
    Global end of trial date
    11 Feb 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    31 Mar 2016
    First version publication date
    31 Mar 2016
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    CL3-20098-089
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Institut de Recherches Internationales Servier
    Sponsor organisation address
    50 Rue carnot, Suresnes, France, 92284
    Public contact
    Clinical Studies Department, Institut de Recherches Internationales Servier, +33 1 55 72 43 66, clinicaltrials@servier.com
    Scientific contact
    Clinical Studies Department, Institut de Recherches Internationales Servier, +33 1 55 72 43 66, clinicaltrials@servier.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    11 Feb 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    11 Feb 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    11 Feb 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective was to compare the efficacy of agomelatine (25-50 mg/d) versus escitalopram (10-20 mg/d) using HAM-A scale after a 12-week treatment period.
    Protection of trial subjects
    This study was conducted in accordance with Good Clinical Practice standards, ethical principles stated in the Declaration of Helsinki and applicable regulatory requirements. After the subject has ended his/her participation in the trial, the investigator provided appropriate medication and/or arranged access to appropriate care for the patient. Criteria leading to a mandatory withdrawal from the study were: -Absence of written consent or consent withdrawal by the patient. -Suicidal risk, according to investigator's judgment and/or with a suicidal ideation of 4 or 5 on C-SSRS. ­Any suicide attempt during the study whatever its severity. -Pregnancy. ­ALT or AST > 8 x ULN, or ALT or AST > 5 x ULN and sustained after two weeks of close monitoring; for all patients except patients in Czech Republic. ­ALT or AST > 5 x ULN for patients in Czech Republic only. ­ALT or AST > 3 x ULN and total bilirubin > 2x ULN. ­ALT or AST > 3 x ULN with clinical signs of hepatitis. ­Any signs and symptoms of liver problems. ­Occurrence of a serotonin syndrome. ­Occurrence of seizures. ­Signs of cardiac arrhythmia (except isolated supraventricular extrasystolia). Other criteria for premature withdrawal from the study were: ­Any event or circumstance related or unrelated to treatment justifying the discontinuation of the treatment in the investigator's opinion. -Treatment failure, i.e. lack of efficacy which in the opinion of the investigator required the patients to be withdrawn. ­Adverse event. ­Any protocol deviation which jeopardized the patient’s safety. ­Any medical event requiring administration of an unauthorised concomitant treatment. -Lost to follow-up. In order to avoid emergence of discontinuation syndrome following abrupt treatment discontinuation, a 1-week tapering period was used for patients under escitalopram, as recommended in the SmPC.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    23 Apr 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Poland: 49
    Country: Number of subjects enrolled
    Slovakia: 28
    Country: Number of subjects enrolled
    Czech Republic: 125
    Country: Number of subjects enrolled
    Finland: 40
    Country: Number of subjects enrolled
    Germany: 70
    Country: Number of subjects enrolled
    Hungary: 72
    Country: Number of subjects enrolled
    Australia: 25
    Country: Number of subjects enrolled
    Canada: 49
    Country: Number of subjects enrolled
    Russian Federation: 65
    Worldwide total number of subjects
    523
    EEA total number of subjects
    384
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    519
    From 65 to 84 years
    4
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Non-depressed patients suffering from severe Generalized Anxiety Disorder according to DSM-IV-TR, Hamilton Anxiety rating scale (HAM-A) and Montgomery–Åsberg Depression Rating Scale (MADRS). Legal age for majority to 65 years old (inclusive) out-patients of both genders, fulfilling DSM-IV-TR criteria for GAD confirmed by M.I.N.I questionnnaire.

    Period 1
    Period 1 title
    Double-blind treatment period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    agomelatine
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    agomelatine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    one capsule daily: 25 or 50 mg agomelatine (dose adaptation at W4 according to blinded pre-defined criteria)

    Arm title
    escitalopram
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    escitalopram
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    one capsule daily: 10 or 20 mg escitalopram (dose adaptation at W4 according to blinded pre-defined criteria)

    Number of subjects in period 1
    agomelatine escitalopram
    Started
    261
    262
    Completed
    212
    220
    Not completed
    49
    42
         non-medical reason
    21
    15
         Adverse event, non-fatal
    15
    19
         Cure, remission, improvement
    -
    1
         Lack of efficacy
    13
    3
         Protocol deviation
    -
    4
    Period 2
    Period 2 title
    Optional extension period of 12 weeks
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    agomelatine
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    agomelatine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    One capsule daily of agomelatine 25 or 50 mg.

    Arm title
    escitalopram
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    escitalopram
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    One capsule daily of escitalopram 10 or 20 mg.

    Number of subjects in period 2 [1]
    agomelatine escitalopram
    Started
    200
    206
    Completed
    181
    197
    Not completed
    19
    9
         non-medical reason
    8
    5
         Adverse event, non-fatal
    3
    2
         Lost to follow-up
    1
    -
         Lack of efficacy
    5
    2
         Protocol deviation
    2
    -
    Notes
    [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: Overall, 432 patients completed the W0-W12 period whereas 406 patients starting the extension period at W12: the difference was due to 26 patients who did not enter in this optional extension period at W12.
    Period 3
    Period 3 title
    Optional extension period of 40 weeks
    Is this the baseline period?
    No
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    agomelatine
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    agomelatine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    One capsule daily of agomelatine 25 or 50 mg.

    Arm title
    escitalopram
    Arm description
    -
    Arm type
    Active comparator

    Investigational medicinal product name
    escitalopram
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    one capsule daily: 10 or 20 mg escitalopram

    Number of subjects in period 3 [2]
    agomelatine escitalopram
    Started
    77
    82
    Completed
    67
    71
    Not completed
    10
    11
         non-medical reason
    5
    8
         Adverse event, non-fatal
    1
    1
         Cure, remission, improvement
    1
    1
         Lack of efficacy
    3
    -
         Protocol deviation
    -
    1
    Notes
    [2] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: Overall, 378 patients completed the extension period at W24 whereas 159 patients continued in the extension period at W24. The difference was due to 219 patients who stopped the extension period at W24 (all patients having not yet performed W24 visit before the approval of the amendment No. 4 had to stop the extension period at W24).

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    agomelatine
    Reporting group description
    -

    Reporting group title
    escitalopram
    Reporting group description
    -

    Reporting group values
    agomelatine escitalopram Total
    Number of subjects
    261 262 523
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    260 259 519
        From 65-84 years
    1 3 4
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    41.1 ± 12.3 40.9 ± 12 -
    Gender categorical
    Units: Subjects
        Female
    176 185 361
        Male
    85 77 162

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    agomelatine
    Reporting group description
    -

    Reporting group title
    escitalopram
    Reporting group description
    -
    Reporting group title
    agomelatine
    Reporting group description
    -

    Reporting group title
    escitalopram
    Reporting group description
    -
    Reporting group title
    agomelatine
    Reporting group description
    -

    Reporting group title
    escitalopram
    Reporting group description
    -

    Subject analysis set title
    Full analysis Set
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All patients of the randomised set having taken at least one dose of IMP and having a value at baseline (W0) and at least one post-baseline value for the primary efficacy criterion on the W0-W12 period.

    Primary: HAM-A total score

    Close Top of page
    End point title
    HAM-A total score
    End point description
    End point type
    Primary
    End point timeframe
    At each visit from selection to W52 visit i.e.: selection, W0, W2, W4, W8, W12, W16, W24, W32, W40, W48 and W52. The main analysis was on the change from baseline to W12 using the Last Observation Carried Forward (LOCF) approach for missing data at W12.
    End point values
    agomelatine escitalopram
    Number of subjects analysed
    258
    261
    Units: score
        arithmetic mean (standard deviation)
    -16 ± 9.1
    -16.9 ± 8.4
    Statistical analysis title
    Main analysis
    Comparison groups
    agomelatine v escitalopram
    Number of subjects included in analysis
    519
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority [1]
    P-value
    = 0.195
    Method
    ANCOVA
    Parameter type
    Mean difference (final values)
    Point estimate
    -0.91
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -2.26
         upper limit
    0.44
    Variability estimate
    Standard error of the mean
    Dispersion value
    0.69
    Notes
    [1] - Non-inferiority test centred on a non-inferiority margin of 1.5: one-sided p-value to be compared to 0.025

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    Adverse events were reported at each visit over the whole duration of the study. Adverse events presented here at those reported during the W0-W53 treatment period.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    escitalopram
    Reporting group description
    -

    Reporting group title
    agomelatine
    Reporting group description
    -

    Serious adverse events
    escitalopram agomelatine
    Total subjects affected by serious adverse events
         subjects affected / exposed
    16 / 262 (6.11%)
    8 / 260 (3.08%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Anal squamous cell carcinoma
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Uterine leiomyoma
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Impaired healing
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Immune system disorders
    Food allergy
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Social circumstances
    Activities of daily living impaired
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Impaired driving ability
         subjects affected / exposed
    0 / 262 (0.00%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Endometriosis
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Psychiatric disorders
    Nightmare
         subjects affected / exposed
    0 / 262 (0.00%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Schizophrenia
         subjects affected / exposed
    0 / 262 (0.00%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Sleep disorder
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    1 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    1 / 262 (0.38%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Aspartate aminotransferase increased
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Blood bilirubin increased
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Electrocardiogram ST segment elevation
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Injury, poisoning and procedural complications
    Traumatic haematoma
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Cardiac disorders
    Myocardial ischaemia
         subjects affected / exposed
    1 / 262 (0.38%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 1
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Sciatica
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Somnolence
         subjects affected / exposed
    0 / 262 (0.00%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Syncope
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vertigo CNS origin
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Eye disorders
    Abnormal sensation in eye
         subjects affected / exposed
    0 / 262 (0.00%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Amblyopia
         subjects affected / exposed
    0 / 262 (0.00%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Ulcerative keratitis
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Vision blurred
         subjects affected / exposed
    0 / 262 (0.00%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Gastrointestinal disorders
    Alcoholic pancreatitis
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Hepatobiliary disorders
    Cholecystitis acute
         subjects affected / exposed
    0 / 262 (0.00%)
    1 / 260 (0.38%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Skin and subcutaneous tissue disorders
    Swelling face
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Nephrolithiasis
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Osteoarthritis
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pathological fracture
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Infections and infestations
    Escherichia sepsis
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pneumonia bacterial
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Subcutaneous abscess
         subjects affected / exposed
    1 / 262 (0.38%)
    0 / 260 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 3%
    Non-serious adverse events
    escitalopram agomelatine
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    172 / 262 (65.65%)
    146 / 260 (56.15%)
    Investigations
    Weight increased
         subjects affected / exposed
    9 / 262 (3.44%)
    5 / 260 (1.92%)
         occurrences all number
    9
    5
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    11 / 262 (4.20%)
    8 / 260 (3.08%)
         occurrences all number
    12
    8
    Headache
         subjects affected / exposed
    37 / 262 (14.12%)
    33 / 260 (12.69%)
         occurrences all number
    50
    41
    Tension headache
         subjects affected / exposed
    3 / 262 (1.15%)
    8 / 260 (3.08%)
         occurrences all number
    6
    11
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    11 / 262 (4.20%)
    13 / 260 (5.00%)
         occurrences all number
    12
    13
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    0 / 262 (0.00%)
    8 / 260 (3.08%)
         occurrences all number
    0
    8
    Diarrhoea
         subjects affected / exposed
    14 / 262 (5.34%)
    6 / 260 (2.31%)
         occurrences all number
    17
    6
    Dry mouth
         subjects affected / exposed
    6 / 262 (2.29%)
    10 / 260 (3.85%)
         occurrences all number
    6
    11
    Nausea
         subjects affected / exposed
    49 / 262 (18.70%)
    21 / 260 (8.08%)
         occurrences all number
    58
    23
    Skin and subcutaneous tissue disorders
    Hyperhidrosis
         subjects affected / exposed
    13 / 262 (4.96%)
    2 / 260 (0.77%)
         occurrences all number
    13
    2
    Psychiatric disorders
    Anxiety
         subjects affected / exposed
    10 / 262 (3.82%)
    8 / 260 (3.08%)
         occurrences all number
    10
    9
    Insomnia
         subjects affected / exposed
    17 / 262 (6.49%)
    11 / 260 (4.23%)
         occurrences all number
    18
    11
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    14 / 262 (5.34%)
    17 / 260 (6.54%)
         occurrences all number
    15
    17

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    05 Nov 2013
    Applicable to all countries, for all new patients and patients already included, and was set up (mainly) to: - Specify that assessments to be carried out by a psychiatrist in the frame of this study were GAD diagnosis - Add the participation of Finland and Slovakia - Comply with German requirement regarding contraceptive methods - Clarify the non-selection criteria : Patients previously not responder to agomelatine, escitalopram or citalopram during the past 12 months whatever the indication were not selected - Add non-selection criteria due to the Escitalopram SmPC update: Known angle-closure glaucoma or history of glaucoma - Specify that concomitant use of medicinal products inducing hypokalaemia/hypomagnesaemia was to be used with caution as it could induce a risk of malignant arrhythmias with Escitalopram (Escitalopram SmPC update) - Allow the use of rescue medication for occasional sleep disorder during the extension period. Occasional intake of hypnotics limited to zolpidem, zopiclone, eszopiclone were allowed after W12 if needed and according to the investigator’s judgment - Specify technical performance of ePRO - Clarify scoring methods of SHAPS - Ensure a more accurate follow-up and analysis of suicidal ideation and behaviour - Harmonize the management of cases of overdose throughout agomelatine studies - Explain that hospitalisation planned before the study and hospitalisation due to social reason were to be reported in the PROCEDURE form of the eCRF - Insert the last versions of THAT, C-SSRS, DSMIV-TR, HAD and SDS scales which have been used by the patients in the study - Correct some mistake/inaccuracy: *Urinary drug screening was done only at selection, not at the end of the study *Harmonization of the selection condition regarding treatment with thyroid hormones and menopause HRT : they could not be started, stopped or modified within the 3 months prior to inclusion visit and not selection visit.
    31 Mar 2014
    Applicable to all countries for all new patients and patients already included in the 3 month-period. Patients who had reached W24 before approval of this amendment were not concerned. The aim of this amendment was to shorten the optional extension period from a 9-month-period to a 3-month period for all the patients not reaching W24 when the approval for this amendment was obtained (decision taken for strategic reasons from the Sponsor). It allowed to ensure a 6-month treatment period for the patients who were entered in the extension period after approval of the amendment. Patients having already performed W24 visit before this amendment approval were to continue the extension period up to W52. In addition, the interim analysis initially planned was suppressed and all the data were analysed after the end of the study for all patients.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Sat Apr 27 05:14:40 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA