| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Major Depressive Disorder (MDD) or Persistent Depressive Disorder (PDD) |
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| E.1.1.1 | Medical condition in easily understood language |
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| E.1.1.2 | Therapeutic area | Psychiatry and Psychology [F] - Mental Disorders [F03] |
| MedDRA Classification |
| E.1.2 Medical condition or disease under investigation |
| E.1.2 | Version | 21.1 |
| E.1.2 | Level | PT |
| E.1.2 | Classification code | 10057840 |
| E.1.2 | Term | Major depression |
| E.1.2 | System Organ Class | 10037175 - Psychiatric disorders |
|
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| Investigate the safety and tolerability of the long-term use of venlafaxine SR (37.5 to 225 mg/day) in Japanese pediatric patients with Major Depressive Disorder (MDD) or Persistent Depressive Disorder (PDD). |
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| E.2.2 | Secondary objectives of the trial |
| Investigate the efficacy of the long-term use of venlafaxine SR (37.5 to 225 mg/day) in Japanese pediatric patients with Major Depressive Disorder (MDD) or Persistent Depressive Disorder (PDD). |
|
| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
| 1. Japanese pediatric outpatients who had no serious protocol violations and who completed 8-10 weeks of treatment including tapering period in the placebo-controlled, double-blind comparative study of venlafaxine SR and who tolerated the investigational product well. |
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| E.4 | Principal exclusion criteria |
1. Patients with clinically significant abnormalities on physical examinations at approximate Wweek 8-10 Visit of the double-blind comparative study, or patients with clinically significant ECG, clinical laboratory test, or vital sign abnormalities that were recorded before Week 8-10 of the preceding double-blind comparative study and that have not resolved. 2. Patients identified as CYP2D6 poor metabolizers (PM) during the double-blind comparative study (VENL-CAZ-3001). 3. Patients clinically determined to be at risk for suicide. |
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
The safety endpoints include: • Incidence of adverse events (AEs). • Body weight, vital signs, clinical laboratory tests (hematology tests, chemistry tests and urinalysis [qualitative] tests), standard 12-lead electrocardiogram (ECG). • Frequency of participants with suicidal ideation or suicidal behavior using Columbia-Suicide Severity Rating Scale (C-SSRS). |
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| E.5.1.1 | Timepoint(s) of evaluation of this end point |
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| E.5.2 | Secondary end point(s) |
Secondary endpoints include: • Childhood Depression Rating Scale – Revised (CDRS-R) • Clinical Global Impressions-Severity of Illness (CGI-S) • Clinical Global Impressions Global Improvement (CGI-I) |
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| E.5.2.1 | Timepoint(s) of evaluation of this end point |
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| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | No |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | No |
| E.8.1.1 | Randomised | No |
| E.8.1.2 | Open | Yes |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | No |
| E.8.1.5 | Parallel group | No |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | No |
| E.8.2.4 | Number of treatment arms in the trial | 1 |
| E.8.3 |
Will this trial be conducted at a single site globally?
| No |
| E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
| E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
|
| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
| The end of the study (EOS) is defined as the date of the last scheduled procedure shown in the SOA for the last participant in the trial. |
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| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.2 | In all countries concerned by the trial years | 4 |
| E.8.9.2 | In all countries concerned by the trial months | 48 |