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    Clinical Trial Results:
    Long-term, open-label, flexible-dose, continuation extension study with vortioxetine in child and adolescent patients with Major Depressive Disorder (MDD) from 7 to 17 years of age

    Summary
    EudraCT number
    2015-002658-11
    Trial protocol
    BE   GB   LV   HU   EE   ES   IT   DE   BG   PL   FR  
    Global end of trial date
    16 Apr 2020

    Results information
    Results version number
    v1(current)
    This version publication date
    21 Oct 2020
    First version publication date
    21 Oct 2020
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    12712B
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03108625
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    H. Lundbeck A/S
    Sponsor organisation address
    Ottiliavej 9, Valby, Denmark, 2500
    Public contact
    Lundbeck Clinical Trials, H. Lundbeck A/S, +45 36 3013 11, LundbeckClinicalTrials@lundbeck.com
    Scientific contact
    Lundbeck Clinical Trials, H. Lundbeck A/S, +45 36 3013 11, LundbeckClinicalTrials@lundbeck.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    Yes
    EMA paediatric investigation plan number(s)
    EMEA-000455-PIP02-10
    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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    16 Apr 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    16 Apr 2020
    Global end of trial reached?
    Yes
    Global end of trial date
    16 Apr 2020
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    Evaluation of the long-term safety and tolerability of vortioxetine in child and adolescent patients with a Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5™) diagnosis of MDD.
    Protection of trial subjects
    The trial was conducted in accordance with the Declaration of Helsinki (2013) and ICH Good Clinical Practice (1996)
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    04 Jan 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 4
    Country: Number of subjects enrolled
    Poland: 18
    Country: Number of subjects enrolled
    United Kingdom: 1
    Country: Number of subjects enrolled
    Bulgaria: 11
    Country: Number of subjects enrolled
    Estonia: 7
    Country: Number of subjects enrolled
    Germany: 2
    Country: Number of subjects enrolled
    Hungary: 2
    Country: Number of subjects enrolled
    Italy: 2
    Country: Number of subjects enrolled
    Latvia: 6
    Country: Number of subjects enrolled
    France: 1
    Country: Number of subjects enrolled
    Russian Federation: 35
    Country: Number of subjects enrolled
    South Africa: 1
    Country: Number of subjects enrolled
    Serbia: 4
    Worldwide total number of subjects
    94
    EEA total number of subjects
    54
    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)
    21
    Adolescents (12-17 years)
    73
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    Recruitment details
    The population enrolled in Study 12712B (78 weeks) were paediatric patients who had completed treatment in Study 12712A (26 weeks). Results are presented by duration of treatment relative to baseline in Study 12712A (104 weeks) and relative to baseline in Study 12712B (78 weeks).

    Pre-assignment
    Screening details
    Subjects who met each of the inclusion and none of the exclusion criteria were eligible to participate in the study.

    Period 1
    Period 1 title
    Overall study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Vortioxetine
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    vortioxetine
    Investigational medicinal product code
    Lu AA21004
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    5, 10, 15 or 20 mg/day oral tablets, 78 weeks of treatment

    Number of subjects in period 1
    Vortioxetine
    Started
    94
    Completed
    58
    Not completed
    36
         Consent withdrawn by subject
    4
         Not specified
    27
         Non-compliant with IMP
    3
         Lack of efficacy
    2

    Baseline characteristics

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

    Reporting group values
    Overall study Total
    Number of subjects
    94 94
    Age categorical
    Units: Subjects
        Children (2-11 years)
    21 21
        Adolescents (12-17 years)
    73 73
    Gender categorical
    Units: Subjects
        Female
    55 55
        Male
    39 39

    End points

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

    Primary: Number of Participants With Treatment-Emergent Adverse Events (Safety)

    Close Top of page
    End point title
    Number of Participants With Treatment-Emergent Adverse Events (Safety) [1]
    End point description
    Based on safety assessments (e.g. paediatric adverse event rating scale (PAERS), clinical safety laboratory tests (including reproductive hormones), vital signs, weight, height, Tanner score, menstrual cycle, ECG, and C-SSRS.
    End point type
    Primary
    End point timeframe
    78 weeks
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive statistics
    End point values
    Vortioxetine
    Number of subjects analysed
    94
    Units: participants
    48
    No statistical analyses for this end point

    Secondary: Change in Children Depression Rating Scale (CDRS-R) total score to Week 104

    Close Top of page
    End point title
    Change in Children Depression Rating Scale (CDRS-R) total score to Week 104
    End point description
    Children Depression Rating Scale, revised version. The CDRS-R is a clinician-rated scale to measure the severity of depression in children and adolescents. The CDRS-R is rated by a clinician following interviews with the child and parent and consists of 17 items out of which 3 items rate nonverbal observations (depressed affect, listless speech, and hypoactivity). Fourteen items are rated on a 7-point scale from 1 to 7, and 3 items (sleep disturbance, appetite disturbance, and listless speech) are scored on a 5-point scale from 1 to 5. The total score ranges from 17 (normal) to 113 (severe depression).
    End point type
    Secondary
    End point timeframe
    Change from study 12712A baseline to Week 104
    End point values
    Vortioxetine
    Number of subjects analysed
    89
    Units: units on a scale
        least squares mean (standard error)
    -21.67 ± 1.26
    No statistical analyses for this end point

    Secondary: Number of relapses during the treatment period (78 weeks)

    Close Top of page
    End point title
    Number of relapses during the treatment period (78 weeks)
    End point description
    CDRS-R total score ≥40 with a history of 2 weeks of clinical deterioration
    End point type
    Secondary
    End point timeframe
    78 weeks
    End point values
    Vortioxetine
    Number of subjects analysed
    24
    Units: Number of relapses
    0
    No statistical analyses for this end point

    Secondary: Loss of remission during the treatment period (78 weeks)

    Close Top of page
    End point title
    Loss of remission during the treatment period (78 weeks)
    End point description
    CDRS-R total score <28 with a history of 2 weeks of clinical deterioration
    End point type
    Secondary
    End point timeframe
    78 weeks
    End point values
    Vortioxetine
    Number of subjects analysed
    24
    Units: patients
    3
    No statistical analyses for this end point

    Secondary: Change in Clinical Global Impression - Severity of Illness (CGI-S) score to Week 104

    Close Top of page
    End point title
    Change in Clinical Global Impression - Severity of Illness (CGI-S) score to Week 104
    End point description
    Clinical Global Impression - Severity of Illness. The CGI-S provides the clinician’s impression of the patient’s current state of mental illness. The clinician uses his or her clinical experience of this patient population to rate the severity of the patient's current mental illness on a 7-point scale ranging from 1 (normal – not at all ill) to 7 (among the most extremely ill patients).
    End point type
    Secondary
    End point timeframe
    Change from study 12712A baseline to Week 104
    End point values
    Vortioxetine
    Number of subjects analysed
    89
    Units: units
        least squares mean (standard error)
    -2.36 ± 0.10
    No statistical analyses for this end point

    Secondary: Clinical Global Impression-Improvement (CGI-I) score at Week 78

    Close Top of page
    End point title
    Clinical Global Impression-Improvement (CGI-I) score at Week 78
    End point description
    The Clinical Global Impression-Improvement (CGI-I) provides the clinician’s impression of the patient’s improvement (or worsening). The clinician assesses the patient’s condition relative to a baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse).
    End point type
    Secondary
    End point timeframe
    Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    65
    Units: units on a scale
        arithmetic mean (standard deviation)
    1.35 ± 0.62
    No statistical analyses for this end point

    Secondary: Children (7-11 years): change in BRIEF using the Global Executive Composite score to Week 104

    Close Top of page
    End point title
    Children (7-11 years): change in BRIEF using the Global Executive Composite score to Week 104
    End point description
    Behaviour Rating Inventory of Executive Function. The BRIEF® is a patient- and carer-rated scale designed to measure executive function behaviour in children and adolescents in an everyday environment. We use BRIEF (parent form) for children aged 7 to 11 years. The BRIEF contains 86 items. Items are rated on a 3-point scale, from N (never) to O (often). These items cover 8 non-overlapping clinical scales: 3 scales in the Behavioural Regulation Index (inhibit, shift, and emotional control) and 5 scales in the Metacognition Index (initiate, working memory, plan/organize, organization of materials, and monitor). The clinical scales also provide the Global Executive Composite score, which represents the child’s overall executive function behaviour. There are 2 validity scales: negativity and inconsistency.
    End point type
    Secondary
    End point timeframe
    Change from 12712A baseline to Week 104
    End point values
    Vortioxetine
    Number of subjects analysed
    17
    Units: units on a scale
        arithmetic mean (standard deviation)
    -15.18 ± 14.48
    No statistical analyses for this end point

    Secondary: Children (7-11 years): change in BRIEF using the Metacognition Index to Week 104

    Close Top of page
    End point title
    Children (7-11 years): change in BRIEF using the Metacognition Index to Week 104
    End point description
    Behaviour Rating Inventory of Executive Function. The BRIEF® is a patient- and carer-rated scale designed to measure executive function behaviour in children and adolescents in an everyday environment. We use BRIEF (parent form) for children aged 7 to 11 years. The BRIEF contains 86 items. Items are rated on a 3-point scale, from N (never) to O (often). These items cover 8 non-overlapping clinical scales: 3 scales in the Behavioural Regulation Index (inhibit, shift, and emotional control) and 5 scales in the Metacognition Index (initiate, working memory, plan/organize, organization of materials, and monitor). The clinical scales also provide the Global Executive Composite score, which represents the child’s overall executive function behaviour. There are 2 validity scales: negativity and inconsistency.
    End point type
    Secondary
    End point timeframe
    Change from study 12712A baseline to Week 104
    End point values
    Vortioxetine
    Number of subjects analysed
    17
    Units: units on a scale
        arithmetic mean (standard deviation)
    -14.35 ± 14.58
    No statistical analyses for this end point

    Secondary: Adolescents (12-17 years): change in BRIEF-SR using the Global Executive Composite score to Week 104

    Close Top of page
    End point title
    Adolescents (12-17 years): change in BRIEF-SR using the Global Executive Composite score to Week 104
    End point description
    Behaviour Rating Inventory of Executive Function, Self-report version. Behaviour Rating Inventory of Executive Function. The BRIEF® is a patient- and carer-rated scale designed to measure executive function behaviour in children and adolescents in an everyday environment. We use BRIEF-SR (self-report) for the adolescents aged 11 to 17 years. The BRIEF contains 86 items. Items are rated on a 3-point scale, from N (never) to O (often). These items cover 8 non-overlapping clinical scales: 3 scales in the Behavioural Regulation Index (inhibit, shift, and emotional control) and 5 scales in the Metacognition Index (initiate, working memory, plan/organize, organization of materials, and monitor). The clinical scales also provide the Global Executive Composite score, which represents the child’s overall executive function behaviour. There are 2 validity scales: negativity and inconsistency.
    End point type
    Secondary
    End point timeframe
    Change from study 12712A baseline to Week 104
    End point values
    Vortioxetine
    Number of subjects analysed
    47
    Units: units on a scale
        arithmetic mean (standard deviation)
    -15.34 ± 15.27
    No statistical analyses for this end point

    Secondary: Adolescents (12-17 years): change in BRIEF-SR using the Metacognition Index to Week 104

    Close Top of page
    End point title
    Adolescents (12-17 years): change in BRIEF-SR using the Metacognition Index to Week 104
    End point description
    Behaviour Rating Inventory of Executive Function, Self-report version. Behaviour Rating Inventory of Executive Function. The BRIEF® is a patient- and carer-rated scale designed to measure executive function behaviour in children and adolescents in an everyday environment. We use BRIEF-SR (self-report) for the adolescents aged 11 to 17 years. The BRIEF contains 86 items. Items are rated on a 3-point scale, from N (never) to O (often). These items cover 8 non-overlapping clinical scales: 3 scales in the Behavioural Regulation Index (inhibit, shift, and emotional control) and 5 scales in the Metacognition Index (initiate, working memory, plan/organize, organization of materials, and monitor). The clinical scales also provide the Global Executive Composite score, which represents the child’s overall executive function behaviour. There are 2 validity scales: negativity and inconsistency.
    End point type
    Secondary
    End point timeframe
    Change from study 12712A baseline to Week 104
    End point values
    Vortioxetine
    Number of subjects analysed
    47
    Units: units on a scale
        arithmetic mean (standard deviation)
    -14.55 ± 15.18
    No statistical analyses for this end point

    Secondary: Change in Pediatric Quality of Life Inventory Present Functioning Visual Analogue Scales (PedsQL VAS) score to Week 104

    Close Top of page
    End point title
    Change in Pediatric Quality of Life Inventory Present Functioning Visual Analogue Scales (PedsQL VAS) score to Week 104
    End point description
    Pediatric Quality of Life Inventory Present Functioning Visual Analogue Scales. The PedsQL VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL™ VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue, and pain using visual analogue scales. The functionality for each domain is measured on a 10cm line with a happy face at one end and a sad face at the other. The patients are asked to mark on the line how they feel. The total score is the average of all 6 items, and the emotional distress summary score is the mean of the anxiety, sadness, anger, and worry items. A lower value represents a better outcome.
    End point type
    Secondary
    End point timeframe
    Change from study 12712A baseline to Week 104
    End point values
    Vortioxetine
    Number of subjects analysed
    65
    Units: units on a scale
        arithmetic mean (standard deviation)
    -1.85 ± 1.74
    No statistical analyses for this end point

    Secondary: Change in Children’s Global Assessment Scale (CGAS) score to Week 104

    Close Top of page
    End point title
    Change in Children’s Global Assessment Scale (CGAS) score to Week 104
    End point description
    Children’s Global Assessment Scale. The CGAS is a clinician-rated global scale to measure the lowest level of functioning for a child (4 to 16 years) during a specified time period. The CGAS contains behaviourally oriented descriptors at each anchor point that depict behaviours and life situations applicable to a child. The score ranges from 1 (most functionally impaired child) to 100 (the healthiest). A score >70 indicates normal function.
    End point type
    Secondary
    End point timeframe
    Change from study 12712A baseline to Week 104
    End point values
    Vortioxetine
    Number of subjects analysed
    65
    Units: units on a scale
        arithmetic mean (standard deviation)
    27.69 ± 10.65
    No statistical analyses for this end point

    Secondary: Change in Children Depression Rating Scale (CDRS-R) total score to Week 78

    Close Top of page
    End point title
    Change in Children Depression Rating Scale (CDRS-R) total score to Week 78
    End point description
    Children Depression Rating Scale, revised version. The CDRS-R is a clinician-rated scale to measure the severity of depression in children and adolescents. The CDRS-R is rated by a clinician following interviews with the child and parent and consists of 17 items out of which 3 items rate nonverbal observations (depressed affect, listless speech, and hypoactivity). Fourteen items are rated on a 7-point scale from 1 to 7, and 3 items (sleep disturbance, appetite disturbance, and listless speech) are scored on a 5-point scale from 1 to 5. The total score ranges from 17 (normal) to 113 (severe depression).
    End point type
    Secondary
    End point timeframe
    Change from study 12712B baseline to Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    89
    Units: units on a scale
        arithmetic mean (standard error)
    -8.88 ± 0.99
    No statistical analyses for this end point

    Secondary: Number of relapses during the treatment period (78 weeks)

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    End point title
    Number of relapses during the treatment period (78 weeks)
    End point description
    CDRS-R total score ≥40 with a history of 2 weeks of clinical deterioration
    End point type
    Secondary
    End point timeframe
    78 weeks
    End point values
    Vortioxetine
    Number of subjects analysed
    24
    Units: Number of relapses
    0
    No statistical analyses for this end point

    Secondary: Loss of remission during the treatment period up to (78 weeks)

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    End point title
    Loss of remission during the treatment period up to (78 weeks)
    End point description
    CDRS-R total score <28 with a history of 2 weeks of clinical deterioration
    End point type
    Secondary
    End point timeframe
    78 weeks
    End point values
    Vortioxetine
    Number of subjects analysed
    24
    Units: patients
    3
    No statistical analyses for this end point

    Secondary: Change in Clinical Global Impression - Severity of Illness (CGI-S) score to Week 78

    Close Top of page
    End point title
    Change in Clinical Global Impression - Severity of Illness (CGI-S) score to Week 78
    End point description
    Clinical Global Impression - Severity of Illness. The CGI-S provides the clinician’s impression of the patient’s current state of mental illness. The clinician uses his or her clinical experience of this patient population to rate the severity of the patient's current mental illness on a 7-point scale ranging from 1 (normal – not at all ill) to 7 (among the most extremely ill patients).
    End point type
    Secondary
    End point timeframe
    Change from study 12712B baseline to Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    89
    Units: units on a scale
        arithmetic mean (standard error)
    -1.34 ± 0.09
    No statistical analyses for this end point

    Secondary: Children (7-11 years): change in BRIEF using the Global Executive Composite score to Week 78

    Close Top of page
    End point title
    Children (7-11 years): change in BRIEF using the Global Executive Composite score to Week 78
    End point description
    Behaviour Rating Inventory of Executive Function. The BRIEF® is a patient- and carer-rated scale designed to measure executive function behaviour in children and adolescents in an everyday environment. We use BRIEF (parent form) for children aged 7 to 11 years. The BRIEF contains 86 items. Items are rated on a 3-point scale, from N (never) to O (often). These items cover 8 non-overlapping clinical scales: 3 scales in the Behavioural Regulation Index (inhibit, shift, and emotional control) and 5 scales in the Metacognition Index (initiate, working memory, plan/organize, organization of materials, and monitor). The clinical scales also provide the Global Executive Composite score, which represents the child’s overall executive function behaviour. There are 2 validity scales: negativity and inconsistency.
    End point type
    Secondary
    End point timeframe
    Change from 12712B baseline to Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    17
    Units: units on a scale
        arithmetic mean (standard error)
    -8.65 ± 8.71
    No statistical analyses for this end point

    Secondary: Children (7-11 years): change in BRIEF using the Metacognition Index to Week 78

    Close Top of page
    End point title
    Children (7-11 years): change in BRIEF using the Metacognition Index to Week 78
    End point description
    Behaviour Rating Inventory of Executive Function. The BRIEF® is a patient- and carer-rated scale designed to measure executive function behaviour in children and adolescents in an everyday environment. We use BRIEF (parent form) for children aged 7 to 11 years. The BRIEF contains 86 items. Items are rated on a 3-point scale, from N (never) to O (often). These items cover 8 non-overlapping clinical scales: 3 scales in the Behavioural Regulation Index (inhibit, shift, and emotional control) and 5 scales in the Metacognition Index (initiate, working memory, plan/organize, organization of materials, and monitor). The clinical scales also provide the Global Executive Composite score, which represents the child’s overall executive function behaviour. There are 2 validity scales: negativity and inconsistency.
    End point type
    Secondary
    End point timeframe
    Change from study 12712B baseline to Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    17
    Units: units on a scale
        arithmetic mean (standard error)
    -7.88 ± 7.92
    No statistical analyses for this end point

    Secondary: Adolescents (12-17 years): change in BRIEF-SR using the Global Executive Composite score to Week 78

    Close Top of page
    End point title
    Adolescents (12-17 years): change in BRIEF-SR using the Global Executive Composite score to Week 78
    End point description
    Behaviour Rating Inventory of Executive Function, Self-report version. Behaviour Rating Inventory of Executive Function. The BRIEF® is a patient- and carer-rated scale designed to measure executive function behaviour in children and adolescents in an everyday environment. We use BRIEF-SR (self-report) for the adolescents aged 11 to 17 years. The BRIEF contains 86 items. Items are rated on a 3-point scale, from N (never) to O (often). These items cover 8 non-overlapping clinical scales: 3 scales in the Behavioural Regulation Index (inhibit, shift, and emotional control) and 5 scales in the Metacognition Index (initiate, working memory, plan/organize, organization of materials, and monitor). The clinical scales also provide the Global Executive Composite score, which represents the child’s overall executive function behaviour. There are 2 validity scales: negativity and inconsistency.
    End point type
    Secondary
    End point timeframe
    Change from study 12712B baseline to Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    47
    Units: units on a scale
        arithmetic mean (standard deviation)
    -11.47 ± 14.10
    No statistical analyses for this end point

    Secondary: Adolescents (12-17 years): change in BRIEF-SR using the Metacognition Index to Week 78

    Close Top of page
    End point title
    Adolescents (12-17 years): change in BRIEF-SR using the Metacognition Index to Week 78
    End point description
    Behaviour Rating Inventory of Executive Function, Self-report version. Behaviour Rating Inventory of Executive Function. The BRIEF® is a patient- and carer-rated scale designed to measure executive function behaviour in children and adolescents in an everyday environment. We use BRIEF-SR (self-report) for the adolescents aged 11 to 17 years. The BRIEF contains 86 items. Items are rated on a 3-point scale, from N (never) to O (often). These items cover 8 non-overlapping clinical scales: 3 scales in the Behavioural Regulation Index (inhibit, shift, and emotional control) and 5 scales in the Metacognition Index (initiate, working memory, plan/organize, organization of materials, and monitor). The clinical scales also provide the Global Executive Composite score, which represents the child’s overall executive function behaviour. There are 2 validity scales: negativity and inconsistency.
    End point type
    Secondary
    End point timeframe
    Change from study 12712B baseline to Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    47
    Units: units on a scale
        arithmetic mean (standard deviation)
    -11.21 ± 13.24
    No statistical analyses for this end point

    Secondary: Change in Pediatric Quality of Life Inventory Present Functioning Visual Analogue Scales (PedsQL VAS) score to Week 78

    Close Top of page
    End point title
    Change in Pediatric Quality of Life Inventory Present Functioning Visual Analogue Scales (PedsQL VAS) score to Week 78
    End point description
    Pediatric Quality of Life Inventory Present Functioning Visual Analogue Scales. The PedsQL VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL™ VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue, and pain using visual analogue scales. The functionality for each domain is measured on a 10cm line with a happy face at one end and a sad face at the other. The patients are asked to mark on the line how they feel. The total score is the average of all 6 items, and the emotional distress summary score is the mean of the anxiety, sadness, anger, and worry items. A lower value represents a better outcome.
    End point type
    Secondary
    End point timeframe
    Change from study 12712B baseline to Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    65
    Units: units on a scale
        arithmetic mean (standard deviation)
    -0.70 ± 1.41
    No statistical analyses for this end point

    Secondary: Change in Children’s Global Assessment Scale (CGAS) score to Week 78

    Close Top of page
    End point title
    Change in Children’s Global Assessment Scale (CGAS) score to Week 78
    End point description
    Children’s Global Assessment Scale. The CGAS is a clinician-rated global scale to measure the lowest level of functioning for a child (4 to 16 years) during a specified time period. The CGAS contains behaviourally oriented descriptors at each anchor point that depict behaviours and life situations applicable to a child. The score ranges from 1 (most functionally impaired child) to 100 (the healthiest). A score >70 indicates normal function.
    End point type
    Secondary
    End point timeframe
    Change from study 12712B baseline to Week 78
    End point values
    Vortioxetine
    Number of subjects analysed
    65
    Units: units on a scale
        arithmetic mean (standard deviation)
    14.26 ± 10.63
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Up to 82 weeks
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.0
    Reporting groups
    Reporting group title
    Vortioxetine 5, 10, 15 or 20 mg/day
    Reporting group description
    -

    Serious adverse events
    Vortioxetine 5, 10, 15 or 20 mg/day
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 94 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Vortioxetine 5, 10, 15 or 20 mg/day
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    30 / 94 (31.91%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    13 / 94 (13.83%)
         occurrences all number
    15
    Gastrointestinal disorders
    Abdominal pain upper
         subjects affected / exposed
    5 / 94 (5.32%)
         occurrences all number
    6
    Nausea
         subjects affected / exposed
    7 / 94 (7.45%)
         occurrences all number
    8
    Vomiting
         subjects affected / exposed
    5 / 94 (5.32%)
         occurrences all number
    6
    Endocrine disorders
    Hyperprolactinaemia
         subjects affected / exposed
    5 / 94 (5.32%)
         occurrences all number
    5
    Infections and infestations
    Nasopharyngitis
         subjects affected / exposed
    6 / 94 (6.38%)
         occurrences all number
    6
    Respiratory tract infection viral
         subjects affected / exposed
    5 / 94 (5.32%)
         occurrences all number
    6

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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
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