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    Clinical Trial Results:
    Interventional, Open-Label Effectiveness Study of Flexible Doses of Vortioxetine on Depressive Symptoms in Patients With Major Depressive Disorder Comorbid With Generalized Anxiety Disorder

    Summary
    EudraCT number
    2019-001325-27
    Trial protocol
    ES   IT  
    Global end of trial date
    09 Mar 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    17 Mar 2022
    First version publication date
    17 Mar 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    18314A
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04220996
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    H. Lundbeck A/S
    Sponsor organisation address
    Ottiliavej 9, Valby, Denmark, 2500
    Public contact
    LundbeckClinicalTrials@lundbeck.com, H. Lundbeck A/S, +45 36301311, LundbeckClinicalTrials@lundbeck.com
    Scientific contact
    LundbeckClinicalTrials@lundbeck.com, H. Lundbeck A/S, +45 36301311, LundbeckClinicalTrials@lundbeck.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
    09 Mar 2021
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    09 Mar 2021
    Global end of trial reached?
    Yes
    Global end of trial date
    09 Mar 2021
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of this trial was to assess the effectiveness of 8-week acute treatment with 10 to 20 milligrams (mg)/day vortioxetine on depressive symptoms in participants with major depressive disorder comorbid with generalized anxiety disorder.
    Protection of trial subjects
    This study was conducted in compliance with Good Clinical Practice and in accordance with the ethical principles described in the Declaration of Helsinki.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    27 Dec 2019
    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
    Estonia: 19
    Country: Number of subjects enrolled
    France: 16
    Country: Number of subjects enrolled
    Korea, Republic of: 6
    Country: Number of subjects enrolled
    Poland: 55
    Country: Number of subjects enrolled
    Spain: 6
    Worldwide total number of subjects
    102
    EEA total number of subjects
    96
    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)
    101
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Of the 102 enrolled participants, 100 participants were treated with vortioxetine, out of which 23 participants received vortioxetine as a first-treatment for the current major depressive episode (MDE) and 77 participants switched to vortioxetine due to inadequate response to the current antidepressant medication treatment.

    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
    Participants received vortioxetine tablets 10 mg/day orally at Week 0. At Week 1, the dose was to be increased to 20 mg/day for all participants. The dose could be adjusted to 10 or 20 mg/day at scheduled or unscheduled visits, depending on the participants’ response as per the investigator's judgement. The treatment was continued for a total of 8 weeks.
    Arm type
    Experimental

    Investigational medicinal product name
    Vortioxetine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Vortioxetine was administered per dose and schedule specified in the arm description.

    Number of subjects in period 1
    Vortioxetine
    Started
    102
    Received at least 1 dose of study drug
    100
    Completed
    97
    Not completed
    5
         Consent withdrawn by subject
    1
         Adverse event, non-fatal
    2
         Enrolled but not treated
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Vortioxetine
    Reporting group description
    Participants received vortioxetine tablets 10 mg/day orally at Week 0. At Week 1, the dose was to be increased to 20 mg/day for all participants. The dose could be adjusted to 10 or 20 mg/day at scheduled or unscheduled visits, depending on the participants’ response as per the investigator's judgement. The treatment was continued for a total of 8 weeks.

    Reporting group values
    Vortioxetine Total
    Number of subjects
    102 102
    Age Categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    101 101
        From 65-84 years
    1 1
        85 years and over
    0 0
    Gender Categorical
    Units: Subjects
        Female
    64 64
        Male
    38 38

    End points

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    End points reporting groups
    Reporting group title
    Vortioxetine
    Reporting group description
    Participants received vortioxetine tablets 10 mg/day orally at Week 0. At Week 1, the dose was to be increased to 20 mg/day for all participants. The dose could be adjusted to 10 or 20 mg/day at scheduled or unscheduled visits, depending on the participants’ response as per the investigator's judgement. The treatment was continued for a total of 8 weeks.

    Primary: Change From Baseline in Montgomery and Åsberg Depression Rating Scale (MADRS) Total Score at Week 8

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    End point title
    Change From Baseline in Montgomery and Åsberg Depression Rating Scale (MADRS) Total Score at Week 8 [1]
    End point description
    The MADRS is a 10-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. The items in the scale are designed to assess apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Symptoms were rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). The total score of the 10 items ranged from 0 to 60, with higher scores reflecting more severe symptoms. The analysis was performed using a mixed model for repeated measurements (MMRM). Full analysis set (FAS) included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Primary
    End point timeframe
    Baseline, Week 8
    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: The statistical comparison between 2 groups was not done.
    End point values
    Vortioxetine
    Number of subjects analysed
    97
    Units: units on a scale
        least squares mean (standard error)
    -16.8 ( 0.800 )
    No statistical analyses for this end point

    Secondary: Percentage of Participants With MADRS Response (Defined as a ≥50% Decrease From Baseline in MADRS Total Score) at Week 8

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    End point title
    Percentage of Participants With MADRS Response (Defined as a ≥50% Decrease From Baseline in MADRS Total Score) at Week 8
    End point description
    The MADRS is a 10-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. The items in the scale are designed to assess apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Symptoms were rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). The total score of the 10 items ranged from 0 to 60, with higher scores reflecting more severe symptoms. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score.
    End point type
    Secondary
    End point timeframe
    Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    100
    Units: percentage of participants
        number (confidence interval 95%)
    60.8 (50.4 to 70.6)
    No statistical analyses for this end point

    Secondary: Percentage of Participants With MADRS Remission (Defined as a MADRS Total Score ≤10) at Week 8

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    End point title
    Percentage of Participants With MADRS Remission (Defined as a MADRS Total Score ≤10) at Week 8
    End point description
    The MADRS is a 10-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. The items in the scale are designed to assess apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Symptoms were rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). The total score of the 10 items ranged from 0 to 60, with higher scores reflecting more severe symptoms. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score.
    End point type
    Secondary
    End point timeframe
    Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    100
    Units: percentage of participants
        number (confidence interval 95%)
    35.1 (25.6 to 45.4)
    No statistical analyses for this end point

    Secondary: Change From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 8

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    End point title
    Change From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 8
    End point description
    The HAM-A is a 14-item rating scale designed to assess the global anxiety. It includes 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behaviour at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic, and somatic (muscular) symptoms. Each symptom was rated from 0 (absent) to 4 (maximum severity). The total score of the 14 items ranged from 0 to 56, with higher scores reflecting more severity. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    97
    Units: units on a scale
        least squares mean (standard error)
    -16.1 ( 0.861 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Hospital Anxiety and Depression Scale (HADS) HADS-Anxiety (HADS-A) Subscales Score at Week 8

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    End point title
    Change From Baseline in Hospital Anxiety and Depression Scale (HADS) HADS-Anxiety (HADS-A) Subscales Score at Week 8
    End point description
    The HADS is a patient-rated scale designed to screen for anxiety and depressive states in participants. The HADS consists of two subscales: the D-scale measures depression, and the A-scale measures anxiety. Each subscale contains 7 items, and each item was rated from 0 (absent) to 3 (maximum severity). The score of each subscale ranged from 0 to 21, with higher scores reflecting more severity. The A-scale score has been reported in this endpoint. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    97
    Units: units on a scale
        least squares mean (standard error)
    -7.2 ( 0.486 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Hospital Anxiety and Depression Scale (HADS) HADS-Depression (HADS-D) Subscales Score at Week 8

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    End point title
    Change From Baseline in Hospital Anxiety and Depression Scale (HADS) HADS-Depression (HADS-D) Subscales Score at Week 8
    End point description
    The HADS is a patient-rated scale designed to screen for anxiety and depressive states in participants. The HADS consists of two subscales: the D-scale measures depression, and the A-scale measures anxiety. Each subscale contains 7 items, and each item was rated from 0 (absent) to 3 (maximum severity). The score of each subscale ranged from 0 to 21, with higher scores reflecting more severity. The D-scale score has been reported in this endpoint. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    97
    Units: units on a scale
        least squares mean (standard error)
    -8.2 ( 0.534 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Functioning Assessment Short Test (FAST) Total Score Week 8

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    End point title
    Change From Baseline in Functioning Assessment Short Test (FAST) Total Score Week 8
    End point description
    The FAST is a clinician-rated scale designed to assess difficulty in functioning. The FAST consists of 24 items in 6 specific areas of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time. Each item was rated on a 4-point scale from 0 (no difficulty) to 3 (severe difficulty). The items were summed to yield a total score ranging from 0 to 72, with higher scores reflecting more serious difficulties. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    98
    Units: units on a scale
        least squares mean (standard error)
    -23.0 ( 1.625 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in FAST Autonomy Score Week 8

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    End point title
    Change From Baseline in FAST Autonomy Score Week 8
    End point description
    The FAST is a clinician-rated scale designed to assess difficulty in functioning. The FAST consists of 24 items in 6 specific areas of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time. Each item was rated on a 4-point scale from 0 (no difficulty) to 3 (severe difficulty). The FAST autonomy score has been reported in this endpoint. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    98
    Units: units on a scale
        least squares mean (standard error)
    -3.4 ( 0.283 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in FAST Occupational Functioning Score Week 8

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    End point title
    Change From Baseline in FAST Occupational Functioning Score Week 8
    End point description
    The FAST is a clinician-rated scale designed to assess difficulty in functioning. The FAST consists of 24 items in 6 specific areas of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time. Each item was rated on a 4-point scale from 0 (no difficulty) to 3 (severe difficulty). The FAST occupational functioning score has been reported in this endpoint. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    98
    Units: units on a scale
        least squares mean (standard error)
    -5.3 ( 0.422 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in FAST Cognitive Functioning Score at Week 8

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    End point title
    Change From Baseline in FAST Cognitive Functioning Score at Week 8
    End point description
    The FAST is a clinician-rated scale designed to assess difficulty in functioning. The FAST consists of 24 items in 6 specific areas of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time. Each item was rated on a 4-point scale from 0 (no difficulty) to 3 (severe difficulty). The FAST cognitive functioning score has been reported in this endpoint. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    98
    Units: units on a scale
        least squares mean (standard error)
    -5.7 ( 0.413 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in FAST Financial Issues Score at Week 8

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    End point title
    Change From Baseline in FAST Financial Issues Score at Week 8
    End point description
    The FAST is a clinician-rated scale designed to assess difficulty in functioning. The FAST consists of 24 items in 6 specific areas of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time. Each item was rated on a 4-point scale from 0 (no difficulty) to 3 (severe difficulty). The FAST financial issues score has been reported in this endpoint. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    98
    Units: units on a scale
        least squares mean (standard error)
    -1.1 ( 0.133 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in FAST Interpersonal Relationships Score at Week 8

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    End point title
    Change From Baseline in FAST Interpersonal Relationships Score at Week 8
    End point description
    The FAST is a clinician-rated scale designed to assess difficulty in functioning. The FAST consists of 24 items in 6 specific areas of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time. Each item was rated on a 4-point scale from 0 (no difficulty) to 3 (severe difficulty). The FAST interpersonal relationships score has been reported in this endpoint. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    98
    Units: units on a scale
        least squares mean (standard error)
    -5.3 ( 0.535 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in FAST Leisure Time Score at Week 8

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    End point title
    Change From Baseline in FAST Leisure Time Score at Week 8
    End point description
    The FAST is a clinician-rated scale designed to assess difficulty in functioning. The FAST consists of 24 items in 6 specific areas of functioning: autonomy, occupational functioning, cognitive functioning, financial issues, interpersonal relationships, and leisure time. Each item was rated on a 4-point scale from 0 (no difficulty) to 3 (severe difficulty). The FAST leisure time score has been reported in this endpoint. The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    98
    Units: units on a scale
        least squares mean (standard error)
    -2.2 ( 0.200 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Clinical Global Impression - Severity of Illness (CGI-S) Score at Week 8

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    End point title
    Change From Baseline in Clinical Global Impression - Severity of Illness (CGI-S) Score at Week 8
    End point description
    The CGI was developed to provide global measures of the severity of a participant’s clinical condition and improvement or worsening during clinical studies. The CGI consist of 2 clinician-rated subscales: severity of illness (CGI-S) and global improvement (CGI-I). The CGI-S provides the clinician’s impression of the participant’s current state of mental illness. The clinician used their clinical experience of this participant population to rate the severity of the participant’s current mental illness on a 7-point scale ranging from 1 (normal - not at all ill) to 7 (among the most extremely ill participants). The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, 'Overall number of participants analyzed' = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    97
    Units: units on a scale
        least squares mean (standard error)
    -2.1 ( 0.127 )
    No statistical analyses for this end point

    Secondary: Clinical Global Impression - Global Improvement (CGI-I) Score at Week 8

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    End point title
    Clinical Global Impression - Global Improvement (CGI-I) Score at Week 8
    End point description
    The CGI was developed to provide global measures of the severity of a participant’s clinical condition and improvement or worsening during clinical studies. The CGI consist of 2 clinician-rated subscales: severity of illness (CGI-S) and global improvement (CGI-I). The CGI-I provides the clinician’s impression of the participant’s improvement (or worsening). The clinician assessed the participant’s condition relative to baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). The analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    97
    Units: units on a scale
        least squares mean (standard error)
    1.9 ( 0.106 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Quality of Life Enjoyment and Satisfaction Questionnaire Long Form (Q-LES-Q LF) Physical Health Activity Score at Week 8

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    End point title
    Change From Baseline in Quality of Life Enjoyment and Satisfaction Questionnaire Long Form (Q-LES-Q LF) Physical Health Activity Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF physical health activity score converted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    96
    Units: percent score
        least squares mean (standard error)
    28.0 ( 2.903 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF Feelings Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF Feelings Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF feeling score covnerted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    96
    Units: percent score
        least squares mean (standard error)
    28.0 ( 2.625 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF Work Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF Work Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF work score converted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    71
    Units: percent score
        least squares mean (standard error)
    29.3 ( 3.701 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF Household Duties Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF Household Duties Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF household duties score converted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    88
    Units: percent score
        least squares mean (standard error)
    28.2 ( 2.645 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF School Course Work Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF School Course Work Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF school course work score converted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    7
    Units: percent score
        least squares mean (standard error)
    38.3 ( 24.325 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF Leisure Time Activities Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF Leisure Time Activities Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF leisure time activities score converted to percent has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    96
    Units: percent score
        least squares mean (standard error)
    34.8 ( 2.726 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF Social Relations Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF Social Relations Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF social relations score converted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    96
    Units: percent score
        least squares mean (standard error)
    26.2 ( 2.611 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF Satisfaction With Medication Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF Satisfaction With Medication Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF satisfaction with medication score converted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    69
    Units: percent score
        least squares mean (standard error)
    33.1 ( 3.477 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF General Activities Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF General Activities Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF general activities score converted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    96
    Units: percent score
        least squares mean (standard error)
    25.7 ( 2.515 )
    No statistical analyses for this end point

    Secondary: Change From Baseline in Q-LES-Q LF Overall Satisfaction and Contentment Score at Week 8

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    End point title
    Change From Baseline in Q-LES-Q LF Overall Satisfaction and Contentment Score at Week 8
    End point description
    The original Q-LES-Q LF is a participant self-rated scale designed to measure the degree of enjoyment and satisfaction experienced by participants in various areas of daily life. It consists of 93 items to measure: physical health, feelings, work, household duties, school, leisure time activities, social relations, and general activities. Each item was rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The Q-LES-Q LF overall satisfaction and contentment score converted to percentage has been reported in this endpoint. Analysis was performed using MMRM. FAS included all enrolled participants who received at least 1 dose of the study drug and had a valid baseline and at least 1 valid post-baseline assessment of the MADRS total score. Here, overall number of participants analyzed = participants evaluable for this endpoint.
    End point type
    Secondary
    End point timeframe
    Baseline, Week 8
    End point values
    Vortioxetine
    Number of subjects analysed
    96
    Units: percent score
        least squares mean (standard error)
    38.3 ( 3.425 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    First dose date up to Week 12
    Adverse event reporting additional description
    All-patients-treated set included all enrolled participants who took at least 1 dose of study drug.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    23.0
    Reporting groups
    Reporting group title
    Vortioxetine
    Reporting group description
    Participants received vortioxetine tablets 10 mg/day orally at Week 0. At Week 1, the dose was to be increased to 20 mg/day for all participants. The dose could be adjusted to 10 or 20 mg/day at scheduled or unscheduled visits, depending on the participants’ response as per the investigator's judgement. The treatment was continued for a total of 8 weeks.

    Serious adverse events
    Vortioxetine
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 100 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Vortioxetine
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    27 / 100 (27.00%)
    Gastrointestinal disorders
    Nausea
         subjects affected / exposed
    21 / 100 (21.00%)
         occurrences all number
    23
    Abdominal pain
         subjects affected / exposed
    6 / 100 (6.00%)
         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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    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.

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