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desvenlafaxine succinate

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth

Description

Desvenlafaxine Succinate: A cyclohexanol and phenol derivative and metabolite of venlafaxine that functions as a SEROTONIN AND NORADRENALINE REUPTAKE INHIBITOR (SNRI) and is used as an ANTIDEPRESSIVE AGENT. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID9800068
CHEMBL ID1201728
SCHEMBL ID272654
MeSH IDM0521993

Synonyms (36)

Synonym
o-desmethylvenlafaxine succinate
desvenlafaxine succinate
CHEMBL1201728
desvenlafaxine succinate anhydrous
dvs anhydrous
wy45233
AKOS005145772
HMS3264F16
S4112
448904-47-0
h9e1t0bi90 ,
butanedioic acid, compound with 4-(2-(dimethylamino)-1-(1-hydroxycyclohexyl)ethyl)phenol (1:1)
1-((1rs)-2-(dimethylamino)-1-(4-hydroxyphenyl)ethyl)cyclohexanol hydrogen butanedioate
CCG-213300
SCHEMBL272654
desvenlafaxine succinate anhydrous [mi]
desvenlafaxine succinate [who-dd]
c16h25no2.c4h6o4
dvs 233 succinate
o-desvenlafaxine succinate
4-(2-(dimethylamino)-1-(1-hydroxycyclohexyl)ethyl)phenol succinate
wy 45233 succinate
4-[2-(dimethylamino)-1-(1-hydroxycyclohexyl)ethyl]phenol succinate
HMS3652I16
o-desmethylvenlafaxine succinate hydrate
SW219514-1
HB1781
AS-17711
SB17445
HMS3885D05
desvenlafaxine succinate (tn)
D11619
Q27279801
butanedioic acid;4-[2-(dimethylamino)-1-(1-hydroxycyclohexyl)ethyl]phenol
YSA90447
DTXSID701044359

Research Excerpts

Toxicity

ExcerptReferenceRelevance
" The most commonly reported adverse events were nausea, insomnia, somnolence, dry mouth, dizziness, sweating, nervousness, anorexia, constipation, asthenia, and abnormal ejaculation/orgasm."( A double-blind, placebo-controlled study of the efficacy and safety of desvenlafaxine succinate in the treatment of major depressive disorder.
DeMartinis, NA; Entsuah, R; Manley, AL; Yeung, PP, 2007
)
0.34
" The most common adverse events (incidence > or =10% in either desvenlafaxine group and twice the rate of placebo) were dry mouth, constipation, insomnia, decreased appetite, hyperhidrosis, and dizziness."( Efficacy, safety, and tolerability of desvenlafaxine 50 mg/day and 100 mg/day in outpatients with major depressive disorder.
Ganguly, R; Liebowitz, MR; Manley, AL; Padmanabhan, SK; Tourian, KA; Tummala, R, 2008
)
0.35
" Desvenlafaxine groups reported significantly more adverse events compared with placebo during week 1 only."( A double-blind, randomly assigned, placebo-controlled study of desvenlafaxine efficacy and safety for the treatment of vasomotor symptoms associated with menopause.
Archer, DF; Constantine, GD; Olivier, S; Pickar, JH; Seidman, L, 2009
)
0.35
" Significantly more desvenlafaxine-treated subjects than placebo-treated subjects discontinued because of adverse events during week 1 only."( Desvenlafaxine for the treatment of vasomotor symptoms associated with menopause: a double-blind, randomized, placebo-controlled trial of efficacy and safety.
Archer, DF; Constantine, GD; Dupont, CM; Olivier, S; Pickar, JH, 2009
)
0.35
" Discontinuation rates due to adverse events (AEs) were 12% and 3% for desvenlafaxine and placebo, respectively (P=."( A placebo-controlled study evaluating the efficacy and safety of flexible-dose desvenlafaxine treatment in outpatients with major depressive disorder.
Feiger, AD; Padmanabhan, SK; Rosas, GR; Tourian, KA, 2009
)
0.35
" Rates of taper/poststudy-emergent adverse events were summarized."( Discontinuation symptoms and taper/poststudy-emergent adverse events with desvenlafaxine treatment for major depressive disorder.
Fava, M; Guico-Pabia, CJ; Montgomery, SA; Padmanabhan, SK; Tourian, KA, 2009
)
0.35
"2%) placebo-treated patients discontinued due to adverse events."( Short-term efficacy and safety of desvenlafaxine in a randomized, placebo-controlled study of perimenopausal and postmenopausal women with major depressive disorder.
Guico-Pabia, CJ; Jiang, Q; Kornstein, SG; Musgnung, JJ; Reddy, S, 2010
)
0.36
" Tolerability and safety were compared by an evaluation of reported adverse events."( An indirect comparison of the efficacy and safety of desvenlafaxine and venlafaxine using placebo as the common comparator.
Canny, LM; Coleman, KA; Meaney, JV; Palmer, TL; Radalj, LM; Xavier, VY, 2012
)
0.38
" Potential ischemic cardiovascular events (coronary heart disease-related death, new-onset myocardial infarction or unstable angina requiring hospitalization, and unscheduled revascularization procedures) and cerebrovascular events (definite stroke or probable stroke) identified by investigator reports and periodic adverse event review based on Standardized medical dictionary for regulatory activities Query were reviewed by blinded adjudication boards."( Cardiovascular, cerebrovascular, and hepatic safety of desvenlafaxine for 1 year in women with vasomotor symptoms associated with menopause.
Archer, DF; Cheng, RF; Guico-Pabia, CJ; Hwang, E; Pinkerton, JV, 2013
)
0.39
" Desvenlafaxine appears both safe and effective for treating hot flushes for up to 12 months."( Efficacy and safety of desvenlafaxine treatment for hot flashes associated with menopause: a meta-analysis of randomized controlled trials.
Hao, Y; Sun, Z; Zhang, M, 2013
)
0.39
" Safety was evaluated according to adverse events, physical examination, vital signs, and laboratory assessments."( An open-label, single-dose, parallel-group study of the effects of chronic hepatic impairment on the safety and pharmacokinetics of desvenlafaxine.
Baird-Bellaire, S; Behrle, JA; Nichols, AI; Parker, VD; Patat, A; Paul, J, 2013
)
0.39
" The most common adverse events were nausea (n = 2, healthy subjects; n = 3, hepatically impaired subjects) and vomiting (n = 1, healthy subjects; n = 2, hepatically impaired subjects)."( An open-label, single-dose, parallel-group study of the effects of chronic hepatic impairment on the safety and pharmacokinetics of desvenlafaxine.
Baird-Bellaire, S; Behrle, JA; Nichols, AI; Parker, VD; Patat, A; Paul, J, 2013
)
0.39
" Desvenlafaxine was generally safe and well tolerated."( Efficacy and safety of desvenlafaxine 50 mg/d in a randomized, placebo-controlled study of perimenopausal and postmenopausal women with major depressive disorder.
Bao, W; Clayton, AH; Dunlop, BW; Focht, K; Kornstein, SG; Musgnung, J; Ninan, PT; Ramey, T, 2013
)
0.39
" Treatment-emergent adverse events (AEs), withdrawals because of AEs, laboratory tests, vital signs, and the Columbia Suicide-Severity Rating Scale (C-SSRS) were collected."( Safety and tolerability of desvenlafaxine in children and adolescents with major depressive disorder.
Chiles, D; Findling, RL; Groark, J; Ramaker, S; Tourian, KA; Yang, L, 2014
)
0.4
"Long-term (8 month) treatment with desvenlafaxine was generally safe and well tolerated in depressed children and adolescents."( Safety and tolerability of desvenlafaxine in children and adolescents with major depressive disorder.
Chiles, D; Findling, RL; Groark, J; Ramaker, S; Tourian, KA; Yang, L, 2014
)
0.4
" Safety and tolerability was evaluated by changes in routine laboratory parameters, vital signs, and adverse events reported by the subject and/or observed by the clinician."( Clinical effectiveness and safety of escitalopram and desvenlafaxine in patients of depression with anxiety: a randomized, open-label controlled trial.
Chakraborty, S; Chatterjee, S; Ghosal, MK; Gupta, A; Maity, N; Sil, A,
)
0.13
" However, the rate of desvenlafaxine treatment discontinuation because of adverse events was a significantly higher than placebo treated women and the risk ratios of adverse events like asthenia, hypertension, anorexia, constipation, diarrhea, dry mouth, nausea, dizziness, insomnia, somnolence and mydriasis were very high."( Is desvenlafaxine effective and safe in the treatment of menopausal vasomotor symptoms? A meta-analysis and meta-regression of randomized double-blind controlled studies.
Berhan, A; Berhan, Y, 2014
)
0.4
"Desvenlafaxine is effective in the treatment of hot flashes but it is strongly associated with several adverse events and treatment discontinuation."( Is desvenlafaxine effective and safe in the treatment of menopausal vasomotor symptoms? A meta-analysis and meta-regression of randomized double-blind controlled studies.
Berhan, A; Berhan, Y, 2014
)
0.4
" Both the antidepressants were found to be safe and well tolerated."( Comparison of efficacy, safety and brain derived neurotrophic factor (BDNF) levels in patients of major depressive disorder, treated with fluoxetine and desvenlafaxine.
Bhatia, MS; Ghosh, R; Gupta, LK; Gupta, R; Tripathi, AK, 2015
)
0.42
" Treatment with desvenlafaxine 50 and 100 mg/day was generally safe and well tolerated."( An integrated analysis of the efficacy and safety of desvenlafaxine in the treatment of major depressive disorder.
Boucher, M; Carrasco, JL; Fayyad, R; Kornstein, SG; Mackell, J; McIntyre, RS; Prieto, R; Salas, M, 2016
)
0.43
" Adverse events (AEs) were collected throughout the studies."( Safety, Tolerability, and Efficacy of Desvenlafaxine in Children and Adolescents with Major Depressive Disorder: Results from Two Open-Label Extension Trials.
Atkinson, S; Buckley, G; England, R; Jones, SR; Ramaker, S; Thurman, L; Wajsbrot, D, 2019
)
0.51
"Desvenlafaxine 20 to 50 mg/d was generally safe and well tolerated with no new safety signals identified in children and adolescents with MDD who received up to 6 months of treatment in these studies."( Safety, Tolerability, and Efficacy of Desvenlafaxine in Children and Adolescents with Major Depressive Disorder: Results from Two Open-Label Extension Trials.
Atkinson, S; Buckley, G; England, R; Jones, SR; Ramaker, S; Thurman, L; Wajsbrot, D, 2019
)
0.51

Pharmacokinetics

ExcerptReferenceRelevance
" Analysis of variance showed no significant differences between the two venlafaxine regimens for peak concentration (Cmax), area under the curve during 24 hours (AUC0-24), trough concentration, or fluctuation ratio for venlafaxine or O-desmethylvenlafaxine in plasma."( The pharmacokinetics of venlafaxine when given in a twice-daily regimen.
Chiang, ST; Fruncillo, RJ; Parker, VD; Troy, SM, 1995
)
0.29
" Other species differences were seen, including an elimination half-life of venlafaxine that was longer in dog and rhesus monkey (2-4 h) than in rodent (around 1 h)."( Pharmacokinetics of venlafaxine and O-desmethylvenlafaxine in laboratory animals.
Hicks, DR; Howell, SR; Scatina, JA; Sisenwine, SF, 1994
)
0.29
" Thus, there were no clinically significant pharmacokinetic interactions between venlafaxine and lithium."( Pharmacokinetic interaction between multiple-dose venlafaxine and single-dose lithium.
Boudino, FD; Chiang, ST; Hicks, DR; Parker, VD; Troy, SM, 1996
)
0.29
"This single- and multiple-dose, nonrandomized, inpatient study was conducted to determine the effects of age and gender on the pharmacokinetic profiles of the antidepressant venlafaxine and its equally active metabolite, O-desmethylvenlafaxine."( Effects of age and gender on venlafaxine and O-desmethylvenlafaxine pharmacokinetics.
Chiang, ST; Derivan, AT; Klamerus, KJ; Parker, VD; Rudolph, RL,
)
0.13
" This open-label study evaluated the effect of steady-state venlafaxine on CYP1A2-dependent metabolism, as measured by the pharmacokinetic disposition of caffeine, and urinary caffeine metabolite ratios (CMRs)."( Effect of venlafaxine on CYP1A2-dependent pharmacokinetics and metabolism of caffeine.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
"An open-label study evaluated the effect of steady-state venlafaxine on the single-dose pharmacokinetic profile of risperidone, a CYP2D6 substrate; its active metabolite, 9-hydroxyrisperidone; and the total active moiety (risperidone plus 9-hydroxyrisperidone)."( Effect of venlafaxine on the pharmacokinetics of risperidone.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
" Previous studies have documented the pharmacokinetic and pharmacodynamic profiles of DVS in male rats."( Pharmacokinetic and pharmacodynamic profiles of the novel serotonin and norepinephrine reuptake inhibitor desvenlafaxine succinate in ovariectomized Sprague-Dawley rats.
Alfinito, PD; Chen, X; Deecher, DC; Huselton, C, 2006
)
0.33
" Comparisons of AUC and Cmax between cytochrome P450 2D6 EMs and PMs were calculated using a Wilcoxon exact test."( Comparison of the pharmacokinetics of venlafaxine extended release and desvenlafaxine in extensive and poor cytochrome P450 2D6 metabolizers.
Ahmed, S; Burczynski, ME; Isler, JA; Jiang, Q; Nichols, AI; Patroneva, A; Paul, J; Preskorn, S; Silman, H, 2009
)
0.35
" This reduced pharmacokinetic variability of desvenlafaxine may translate into better uniformity of response for patients receiving desvenlafaxine versus venlafaxine, but additional studies are required to test this hypothesis."( Comparison of the pharmacokinetics of venlafaxine extended release and desvenlafaxine in extensive and poor cytochrome P450 2D6 metabolizers.
Ahmed, S; Burczynski, ME; Isler, JA; Jiang, Q; Nichols, AI; Patroneva, A; Paul, J; Preskorn, S; Silman, H, 2009
)
0.35
" The method herein described was superior to previous methods in sensitivity and sample throughput and successfully applied to clinical pharmacokinetic study of venlafaxine sustained-release capsule in healthy male volunteers after oral administration."( Simultaneous quantification of venlafaxine and O-desmethylvenlafaxine in human plasma by ultra performance liquid chromatography-tandem mass spectrometry and its application in a pharmacokinetic study.
Li, F; Li, N; Qin, F; Qin, T; Zhang, Y, 2010
)
0.36
"Genetically driven variations in the level of cytochrome P450 (CYP) 2D6 metabolic activity have been shown to significantly affect the pharmacokinetic behaviour of medications that are substrates of this enzyme."( Pharmacokinetics of venlafaxine extended release 75  mg and desvenlafaxine 50  mg in healthy CYP2D6 extensive and poor metabolizers: a randomized, open-label, two-period, parallel-group, crossover study.
Focht, K; Jiang, Q; Kane, CP; Nichols, AI; Preskorn, SH, 2011
)
0.37
" Blood samples for pharmacokinetic analyses were collected during the 120 hours following administration of each study drug."( Pharmacokinetics of venlafaxine extended release 75  mg and desvenlafaxine 50  mg in healthy CYP2D6 extensive and poor metabolizers: a randomized, open-label, two-period, parallel-group, crossover study.
Focht, K; Jiang, Q; Kane, CP; Nichols, AI; Preskorn, SH, 2011
)
0.37
"To assess the effects of venlafaxine extended-release (XR) capsules and desvenlafaxine extended-release (XR) tablets upon indinavir pharmacokinetic properties when co-administrated to healthy volunteers."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
" Indinavir pharmacokinetic parameters were calculated by noncompartmental analysis using validated computer software."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
"No pharmacokinetic drug-drug interaction was demonstrated between venlafaxine XR and indinavir or between desvenlafaxine XR and indinvair."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
" Mechanistic pharmacokinetic simulations suggested that the low metabolite ratio was the result of combined poor metabolizer (PM) status of cytochrome P450 (CYP) 2C19 and CYP2D6."( A poor metabolizer of both CYP2C19 and CYP2D6 identified by mechanistic pharmacokinetic simulation in a fatal drug poisoning case involving venlafaxine.
Ahlner, J; Boel, LW; Brock, B; Jornil, J; Nielsen, TS; Rosendal, I; Zackrisson, AL, 2013
)
0.39
"The objectives of this study were to assess the pharmacokinetic profile, safety, and tolerability of desvenlafaxine in adults with chronic Child-Pugh class A, B, and C hepatic impairment."( An open-label, single-dose, parallel-group study of the effects of chronic hepatic impairment on the safety and pharmacokinetics of desvenlafaxine.
Baird-Bellaire, S; Behrle, JA; Nichols, AI; Parker, VD; Patat, A; Paul, J, 2013
)
0.39
" Median Tmax was similar for all groups (range, 6-9 hours)."( An open-label, single-dose, parallel-group study of the effects of chronic hepatic impairment on the safety and pharmacokinetics of desvenlafaxine.
Baird-Bellaire, S; Behrle, JA; Nichols, AI; Parker, VD; Patat, A; Paul, J, 2013
)
0.39
" The impact of venlafaxine on ticagrelor pharmacokinetic parameters was also investigated."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.4
" Plasma concentrations of ticagrelor, venlafaxine, and their metabolites (AR-C124910XX and O-desmethylvenlafaxine [ODV], respectively) were quantified for pharmacokinetic analyses."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.4
" Venlafaxine Cmax was increased by 22% in the presence of ticagrelor (121."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.4
" Period 1, day 1, subjects were administered tamoxifen 40 mg followed by 23 days of blood sampling for pharmacokinetic analyses."( Open-label, 2-period sequential drug interaction study to evaluate the effect of a 100-mg dose of desvenlafaxine on the pharmacokinetics of tamoxifen when coadministered in healthy postmenopausal female subjects.
Braley, G; Liang, Y; Lubaczewski, S; Matschke, K; Nichols, AI; Ramey, T, 2014
)
0.4
"To evaluate the ability of two biomarkers in reflecting venlafaxine pharmacokinetic variations, and to further examine their relationship with venlafaxine treatment outcomes."( The influences of CYP2D6 genotypes and drug interactions on the pharmacokinetics of venlafaxine: exploring predictive biomarkers for treatment outcomes.
Choi, JY; Chung, MW; Ha, JH; Jiang, F; Kim, HD; Kim, YH; Lee, SY; Na, HS; Seo, DW; Shin, HJ, 2015
)
0.42
"Two well-defined influencing factors: CYP2D6 genotypes and drug interactions were enriched into a three-period crossover study to produce venlafaxine pharmacokinetic variations: In each period, healthy CYP2D6 extensive metabolizers (EM group; n = 12) and CYP2D6*10/*10 intermediate metabolizers (IM group; n = 12) were pretreated with clarithromycin (CYP3A4 inhibitor), or nothing (control), or clarithromycin + paroxetine (CYP3A4 + CYP2D6 inhibitors), before administration of a single-dose of 75 mg venlafaxine."( The influences of CYP2D6 genotypes and drug interactions on the pharmacokinetics of venlafaxine: exploring predictive biomarkers for treatment outcomes.
Choi, JY; Chung, MW; Ha, JH; Jiang, F; Kim, HD; Kim, YH; Lee, SY; Na, HS; Seo, DW; Shin, HJ, 2015
)
0.42
"A chiral LC-MS/MS method for the simultaneous analysis of desvenlafaxine (DVS) enantiomers in human plasma was developed and applied to a pharmacokinetic study on 12 Chinese healthy volunteers."( [The enantioselective pharmacokinetic study of desvenlafaxine sustained release tablet in Chinese healthy male volunteers after oral administration].
Chen, XY; Chen, YX; Du, JB; Zhang, YF; Zhong, DF, 2015
)
0.42
"To investigate the safety and pharmacokinetic profile of ascending doses of desvenlafaxine in children and adolescents with major depressive disorder."( Pharmacokinetics and Tolerability of Single-Ascending Doses of Desvenlafaxine Administered to Children and Adolescents with Major Depressive Disorder.
Chiles, D; Findling, RL; Groark, J; Nichols, AI; Ramaker, SA; Tourian, KA; Yang, L, 2016
)
0.43
"To uncover pharmacokinetic interactions between venlafaxine and doxepin or mirtazapine in a naturalistic sample."( Antidepressant polypharmacy and the potential of pharmacokinetic interactions: Doxepin but not mirtazapine causes clinically relevant changes in venlafaxine metabolism.
Fay, B; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Unholzer, S, 2018
)
0.48
"Desvenlafaxine exposure in Korean and US populations was compared using population pharmacokinetic (PK) analysis."( Population Pharmacokinetics of Desvenlafaxine: Pharmacokinetics in Korean Versus US Populations.
Abbas, R; Liao, S; Nichols, AI, 2018
)
0.48
"9 kg/m²), and high-BMI (≥30 kg/m²) groups, higher values of some pharmacokinetic variables in the lower BMI group did not remain significant after controlling for sex."( Sex and body weight are major determinants of venlafaxine pharmacokinetics.
Correll, CU; Fay, B; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Unholzer, S, 2018
)
0.48
" We also investigated potential pharmacokinetic correlates of the four UKU categories by comparing patients complaining ADRs with those who did not."( Pharmacokinetic correlates of venlafaxine: associated adverse reactions.
Endres, K; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Ridders, F; Schoretsanitis, G; Veselinovic, T, 2019
)
0.51
" The pharmacokinetic profile of desvenlafaxine succinate at the clinically recommended dose of 50 mg in Chinese healthy subjects has been reported rarely."( The Pharmacokinetics and Bioequivalence of Desvenlafaxine Succinate in Chinese Healthy Subjects Under Fasting and Fed States.
Chen, Y; Hu, W; Wang, M; Wang, Y; Yang, Y; Zhang, X, 2023
)
0.91

Compound-Compound Interactions

ExcerptReferenceRelevance
"A number of antidepressants inhibit the activity of the cytochrome P450 2D6 enzyme system, which can lead to drug-drug interactions."( An assessment of drug-drug interactions: the effect of desvenlafaxine and duloxetine on the pharmacokinetics of the CYP2D6 probe desipramine in healthy subjects.
Burczynski, ME; Connolly, SM; Fatato, P; Guico-Pabia, C; Isler, JA; Jiang, Q; Nichols, AI; Patroneva, A; Paul, J; Pedersen, R, 2008
)
0.35
" In conclusion, the high suicide potential of VEN in combination with the high prevalence of drugs causing adverse interactions could be the reason for the observed high FTI."( Fatal venlafaxine poisonings are associated with a high prevalence of drug interactions.
Launiainen, T; Ojanperä, I; Rasanen, I; Vuori, E, 2011
)
0.37
"No pharmacokinetic drug-drug interaction was demonstrated between venlafaxine XR and indinavir or between desvenlafaxine XR and indinvair."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
" During period 2, subjects received desvenlafaxine 100 mg/d for 28 days; a single dose of tamoxifen 40 mg was administered with desvenlafaxine 100 mg on day 7, followed by 23 days of blood sampling."( Open-label, 2-period sequential drug interaction study to evaluate the effect of a 100-mg dose of desvenlafaxine on the pharmacokinetics of tamoxifen when coadministered in healthy postmenopausal female subjects.
Braley, G; Liang, Y; Lubaczewski, S; Matschke, K; Nichols, AI; Ramey, T, 2014
)
0.4
" The technique has potential to identify drug-drug interaction involving VX and O-DVX enantiomers while administering indinivar therapy."( Development of an enantioselective assay for simultaneous separation of venlafaxine and O-desmethylvenlafaxine by micellar electrokinetic chromatography-tandem mass spectrometry: Application to the analysis of drug-drug interaction.
Eap, CB; Jann, M; Liu, Y; Shamsi, SA; Vandenberg, C, 2015
)
0.42

Bioavailability

ExcerptReferenceRelevance
"The comparative bioavailability of the novel antidepressant venlafaxine and its pharmacologically active metabolite O-desmethylvenlafaxine was assessed when venlafaxine was given orally twice daily (75 mg bid) or 3 times daily (50 mg tid)."( The pharmacokinetics of venlafaxine when given in a twice-daily regimen.
Chiang, ST; Fruncillo, RJ; Parker, VD; Troy, SM, 1995
)
0.29
" Absolute bioavailability was low in rat and rhesus monkey (12."( Pharmacokinetics of venlafaxine and O-desmethylvenlafaxine in laboratory animals.
Hicks, DR; Howell, SR; Scatina, JA; Sisenwine, SF, 1994
)
0.29
" Bioavailability is high at 80% after oral administration and is not affected by food."( Clinical utility of desvenlafaxine 50 mg/d for treating MDD: a review of two randomized placebo-controlled trials for the practicing physician.
Guico-Pabia, CJ; Kane, C; Musgnung, J; Ninan, PT; Pitrosky, B; Reddy, S, 2010
)
0.36
"06 mmol/kg, orally) rapidly penetrated rat brain and hypothalamus, translated into desvenlafaxine within 1 h, and demonstrated higher bioavailability and better pharmacokinetic properties than desvenlafaxine succinate (DVS)."( Preclinical pharmacology of TP1, a novel potent triple reuptake inhibitor with antidepressant properties.
Gai, Y; Hou, J; Jiang, WL; Li, YX; Meng, Q; Tian, JW; Xing, Y; Zhong, Y; Zhu, HB, 2011
)
0.37
" However, in the periphery, venlafaxine treatment significantly reduced the topotecan oral bioavailability by nearly 40%, whereas the impact of desvenlafaxine on topotecan plasma levels was more modest (23%)."( Effect of venlafaxine and desvenlafaxine on drug efflux protein expression and biodistribution in vivo.
Bachmeier, C; Beaulieu-Abdelahad, D; Levin, GM; Mullan, M; Reed, J, 2013
)
0.39
" The four compounds producing the highest relative bioavailability of ODV in rat (compounds 1c, 1e, 1n, 1o) were then studied to evaluate their brain uptake."( Phenolic esters of O-desmethylvenlafaxine with improved oral bioavailability and brain uptake.
Fawcett, JP; Gu, J; Li, Y; Sun, T; Yang, H; Yang, Y; Yang, Z; Zhang, Y; Zhao, S, 2013
)
0.39
" If their bioavailability is increased, this communication and the state of homeostasis may be disrupted."( NMR-based metabonomic analysis of normal rat urine and faeces in response to (±)-venlafaxine treatment.
García-Pérez, I; Meléndez-Camargo, ME; Serrano-Contreras, JI; Zepeda-Vallejo, LG, 2016
)
0.43

Dosage Studied

ExcerptRelevanceReference
" In conclusion, the disposition of venlafaxine and O-desmethylvenlafaxine is markedly altered in renal disease; therefore dosage adjustment is warranted for patients with creatinine clearance values below 30 ml/min."( The effect of renal disease on the disposition of venlafaxine.
Blum, RA; Chiang, ST; Parker, VD; Schultz, RW; Troy, SM, 1994
)
0.29
" Exposure of venlafaxine decreased with repeated dosing in mouse and rat, but was unchanged in dog."( Pharmacokinetics of venlafaxine and O-desmethylvenlafaxine in laboratory animals.
Hicks, DR; Howell, SR; Scatina, JA; Sisenwine, SF, 1994
)
0.29
" We conclude that venlafaxine dosage adjustments for age or gender are not necessary based on pharmacokinetics."( Effects of age and gender on venlafaxine and O-desmethylvenlafaxine pharmacokinetics.
Chiang, ST; Derivan, AT; Klamerus, KJ; Parker, VD; Rudolph, RL,
)
0.13
" Samples were collected before and for 24 hours after caffeine dosing for the determination of caffeine in plasma and 1,7-dimethylxanthine, 3,7-dimethylxanthine, 1,7-dimethyluric acid (17U), 1-methylxanthine (1X) and 1-methyluric acid (1U), and 5-acetylamino-6-amino-3-methyluracil (AAMU) in urine."( Effect of venlafaxine on CYP1A2-dependent pharmacokinetics and metabolism of caffeine.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
" Thirty healthy subjects received a 1 mg oral dose of risperidone before and after venlafaxine dosing to steady state."( Effect of venlafaxine on the pharmacokinetics of risperidone.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
"Considering its modest sample size, naturalistic design and limited observation period, the present study provided preliminary indication that earlier clinical response may occur with higher V+ODV plasma level, extending previous dose-response studies."( Time course of clinical response to venlafaxine: relevance of plasma level and chirality.
Balant, LP; Balant-Gorgia, AE; Bertschy, G; Gex-Fabry, M; Rudaz, S; Veuthey, JL, 2004
)
0.32
" Advantages compared to other antidepressants include once daily dosing at effective doses, no CYP450 metabolism and low drug-drug interactions."( Desvenlafaxine succinate for the treatment of major depressive disorder.
Lohoff, FW; Rickels, K, 2008
)
0.35
" Clearance rates are reduced in the elderly, those with severe renal dysfunction and those with moderate to severe hepatic dysfunction, which may require dosage adjustments."( Desvenlafaxine succinate for major depressive disorder.
Hazra, M; Pollock, BG; Sproule, BA, 2008
)
0.35
" The CYP2D6 substrate desipramine (50 mg) was administered alone on day 1 and coadministered on day 6 of dosing with either desvenlafaxine or paroxetine."( The effects of desvenlafaxine and paroxetine on the pharmacokinetics of the cytochrome P450 2D6 substrate desipramine in healthy adults.
Ahmed, S; Fatato, P; Isler, JA; Jiang, Q; Nichols, AI; Patroneva, A; Paul, J; Pedersen, RD; Shenouda, M, 2009
)
0.35
" Current evidence indicates that DVS has proven efficacy, acceptable safety and tolerability profiles, convenient once-daily dosing and minimal impact on cytochrome P450 enzyme system and adverse event-prone neuroreceptors."( Desvenlafaxine: a new antidepressant or just another one?
Pae, CU, 2009
)
0.35
" Alternate-day dosing should be implemented in patients with severe renal impairment (creatinine clearance, < or =30 mL/min) and those with end-stage renal disease."( Desvenlafaxine: a new serotonin-norepinephrine reuptake inhibitor for the treatment of adults with major depressive disorder.
Cassagnol, M; Perry, R, 2009
)
0.35
"05); there was no evidence of a dose-response relationship."( Assessing the efficacy of desvenlafaxine for improving functioning and well-being outcome measures in patients with major depressive disorder: a pooled analysis of 9 double-blind, placebo-controlled, 8-week clinical trials.
Guico-Pabia, CJ; Jiang, Q; Kornstein, SG; Soares, CN; Thase, ME, 2009
)
0.35
", make a patient an outlier on the usual dose-response curve)."( Understanding outliers on the usual dose-response curve: venlafaxine as a way to phenotype patients in terms of their CYP 2D6 status and why it matters.
Preskorn, SH, 2010
)
0.36
" Significant points of difference, compared with venlafaxine, are once-daily dosing and the achievement of steady-state plasma concentrations within 4 to 5 days."( Desvenlafaxine succinate: a newer antidepressant for the treatment of depression and somatic symptoms.
Masand, PS; Pae, CU; Patkar, AA; Seo, HJ; Sohi, MS, 2010
)
0.36
"HAM-D (17) effect sizes were negative (favoured placebo) for higher desvenlafaxine doses (200-400 mg/d) at week 1, but were positive for all doses after week 2, with no clear dose-response pattern."( HAM-D17 and HAM-D6 sensitivity to change in relation to desvenlafaxine dose and baseline depression severity in major depressive disorder.
Bech, P; Boyer, P; Germain, JM; Haudiquet, V; Padmanabhan, K; Pitrosky, B; Tourian, KA, 2010
)
0.36
" Trials of citalopram and escitalopram were associated with reports of persistent nausea and gastric reflux unresolved by changes in dosing schedule or positioning."( Antidepressant-mediated gastroesophageal reflux disease.
Brahm, NC; Kelly-Rehm, MC, 2011
)
0.37
" In dose-response assays, oral administration of TP1 reduced the time of immobility in a dose-dependent manner during tail suspension test and forced swimming test (FST)."( Preclinical pharmacology of TP1, a novel potent triple reuptake inhibitor with antidepressant properties.
Gai, Y; Hou, J; Jiang, WL; Li, YX; Meng, Q; Tian, JW; Xing, Y; Zhong, Y; Zhu, HB, 2011
)
0.37
" Currently available data show that DESV has proven efficacy, acceptable safety and tolerability profiles, convenient once-daily dosing and minimal impact on the cytochrome P450 enzyme system in patients with MDD."( Desvenlafaxine in the treatment of major depressive disorder.
Pae, CU, 2011
)
0.37
" Starting on day 2, venlafaxine XR was dosed at 37."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
" It is concluded that sex, age and smoking should be considered for optimal dosing of patients with VEN."( The effect of age, sex, smoking and co-medication on serum levels of venlafaxine and O-desmethylvenlafaxine under naturalistic conditions.
Deckert, J; Greiner, C; Haen, E; Hiemke, C; Jabs, B; Pfuhlmann, B; Unterecker, S, 2012
)
0.38
"Patients with major depression were randomized to either active or placebo pindolol 20 mg retard daily dosage and concomitantly treated with venlafaxine for 19 days."( A short-term double-blind randomized controlled pilot trial with active or placebo pindolol in patients treated with venlafaxine for major depression.
Bech, P; Lunde, M; Martiny, K; Plenge, P, 2012
)
0.38
"Consistent with other clinical studies, desvenlafaxine 50▒mg/day demonstrated antidepressant efficacy and appears to be the minimally effective dosage for MDD."( Efficacy and safety of desvenlafaxine 25 and 50▒mg/day in a randomized, placebo-controlled study of depressed outpatients.
Hwang, E; Iwata, N; Mele, L; Tourian, KA; Vialet, C, 2013
)
0.39
" This was a phase 3, multicenter, 10-month, open-label study with flexible dosing of desvenlafaxine (25, 50, 100 mg/day)."( A 10-month, open-label evaluation of desvenlafaxine in Japanese outpatients with major depressive disorder.
Ii, Y; Tourian, K; Wang, Y, 2013
)
0.39
" The developed and validated method can be successfully applied for the bioequivalence/pharmacokinetic studies of desvenlafaxine in pharmaceutical dosage forms."( Novel LC- ESI-MS/MS method for desvenlafaxine estimation human plasma: application to pharmacokinetic study.
Dannana, GS; Kancharla, PK; Kondru, VG, 2016
)
0.43
"Pharmacogenetic-based dosing support tools have been developed to personalize antidepressant-prescribing practice."( Concordance between actual and pharmacogenetic predicted desvenlafaxine dose needed to achieve remission in major depressive disorder: a 10-week open-label study.
Berk, M; Bousman, CA; Byron, K; Müller, DJ; Ng, CH; Singh, AB, 2017
)
0.46
" A positive correlation was detected between body weight and daily dosage (rs=0."( Sex and body weight are major determinants of venlafaxine pharmacokinetics.
Correll, CU; Fay, B; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Unholzer, S, 2018
)
0.48
" Hence, a different dosing strategy is required among smoking and nonsmoking patients."( Analysis of smoking behavior on the pharmacokinetics of antidepressants and antipsychotics: evidence for the role of alternative pathways apart from CYP1A2.
Deckert, J; Hommers, LG; Menke, A; Samanski, L; Scherf-Clavel, M; Unterecker, S, 2019
)
0.51
" Unlike the selective serotonin (5-HT) reuptake inhibitors (SSRIs), most of these antidepressants have an ascending rather than a flat dose-response curve."( Serotonin and Norepinephrine Reuptake Inhibitors.
Shelton, RC, 2019
)
0.51
" Venlafaxine daily dosage did not differ between responders and non-responders (217."( Pharmacokinetics of venlafaxine in treatment responders and non-responders: a retrospective analysis of a large naturalistic database.
Correll, CU; Endres, K; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Ridders, F; Schoretsanitis, G, 2019
)
0.51
"Median daily dosage of venlafaxine was 75 mg (range 37."( Pregnancy exposure to venlafaxine-Therapeutic drug monitoring in maternal blood, amniotic fluid and umbilical cord blood and obstetrical outcomes.
Augustin, M; Franz, C; Gründer, G; Paulzen, M; Schoretsanitis, G; Stingl, JC, 2020
)
0.56
" This finding is of clinical relevance when adjusting dosing of CYP2D6 substrates during comedication with BUP."( Dose-Dependent Inhibition of CYP2D6 by Bupropion in Patients With Depression.
Arnestad, M; Haslemo, T; Hole, K; Molden, E,
)
0.13
"This study strongly suggests that TDM could represent a more appropriate tool than the oral dosage to optimise the treatment with VEN."( Venlafaxine and O-desmethylvenlafaxine serum levels are positively associated with antidepressant response in elder depressed out-patients.
Conca, A; De Donatis, D; Florio, V; Giupponi, G; Mercolini, L; Porcelli, S; Serretti, A; Zernig, G, 2022
)
0.72
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (322)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's10 (3.11)18.2507
2000's70 (21.74)29.6817
2010's205 (63.66)24.3611
2020's37 (11.49)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials90 (26.32%)5.53%
Reviews51 (14.91%)6.00%
Case Studies29 (8.48%)4.05%
Observational4 (1.17%)0.25%
Other168 (49.12%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (74)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A 10 Month Open-Label Evaluation Of The Long-Term Safety Of DVS-233 SR In Outpatients With Major Depressive Disorder. [NCT01309542]Phase 31,403 participants (Actual)Interventional2003-08-31Completed
A Randomized, Open-Label, 2-Treatment, 2-Sequence, 2-Period Crossover Trial to Assess the Bioequivalence of 80 mg LY03005 to 50 mg Pristiq After Single Dose Administration Under Fasting Conditions to Healthy Subjects [NCT03733574]Phase 156 participants (Actual)Interventional2018-06-19Completed
A MULTICENTER, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, FLUOXETINE-REFERENCED, PARALLEL-GROUP STUDY TO EVALUATE THE EFFICACY, SAFETY AND TOLERABILITY OF DESVENLAFAXINE SUCCINATE SUSTAINED RELEASE (DVS SR) IN THE TREATMENT OF CHILDREN AND ADOLESCENT O [NCT01372150]Phase 3340 participants (Actual)Interventional2011-11-17Completed
Phenotype Predictors of Cognitive Outcomes in Geriatric Depression [NCT05273996]Phase 475 participants (Anticipated)Interventional2021-09-28Recruiting
Effectiveness of the Dual Serotonin Norepinephrine Reuptake Inhibitor Desvenlafaxine Succinate in Healthy Females and Males [NCT01101152]Phase 120 participants (Anticipated)Interventional2010-04-30Recruiting
A Multi-center, Randomized, Double-blind, Double-simulation, Duloxetine Hydrochloride Enteric-coated Positive-control Phase III Study of Desvenlafaxine Succinate Sustained-Release in the Treatment of Major Depressive Disorder. [NCT04364997]Phase 3420 participants (Actual)Interventional2020-06-18Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel Group, Single Ascending Dose Study in Healthy Subjects to Evaluate the Safety, Tolerability and Pharmacokinetics of LY03005 [NCT02055300]Phase 188 participants (Actual)Interventional2014-02-28Completed
An Open-Label Pilot Study of Desvenlafaxine for Opioid-Dependent Patients With Comorbid Depression [NCT02200406]Phase 418 participants (Actual)Interventional2014-07-31Completed
An Open Label, Non-interventional Study Of The Safety Of Desvenlafaxine Succinate (Pristiq) In The Treatment Of Major Depressive Disorder (Mdd) And Vasomotor Symptoms (Vms) Associated With Menopause In Filipino Adult Patients: A Post Marketing Surveillanc [NCT01353963]13 participants (Actual)Observational2012-03-31Terminated
Serotonin-norepinephrine Reuptake Inhibitors and Acute Kidney Injury [NCT02320240]3,255,526 participants (Actual)Observational2013-06-30Completed
A Retrospective Study To Evaluate The Current Utilization Of Desvenlafaxine Among Psychiatrists And Primary Care Physicians In The Treatment Of Patients With Major Depressive Disorder [NCT01221935]2,701 participants (Actual)Observational2009-09-30Completed
A Randomized, Open-label, Cross-over, 2-period Study to Assess the Relative Bioavailability Between 80 mg LY03005 Versus 50 mg Desvenlafaxine Comparator (Pristiq®) Under Fasting Condition After Single Dose Administration in Healthy Subjects [NCT03357796]Phase 120 participants (Actual)Interventional2017-11-27Completed
A Randomized, Double-Blind, Parallel Group Study To Compare Discontinuation Symptoms In Abrupt Discontinuation Versus A 1-Week Tapering Regimen In Subjects With MDD Treated For 24 Weeks With Open-Label 50 mg DVS SR Formulation [NCT01056289]Phase 4480 participants (Actual)Interventional2010-03-31Completed
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Pregabalin-Referenced, Parallel-Group, Adaptive Design Study of DVS SR in Adult Female Outpatients With Fibromyalgia Syndrome [NCT00696787]Phase 2125 participants (Actual)Interventional2008-06-30Terminated
Ascending Single Dose Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Desvenlafaxine Succinate Sustained Release Administered Orally to Healthy Chinese Subjects. [NCT00818155]Phase 136 participants (Actual)Interventional2009-01-31Completed
Effects of Genetic Polymorphisms in the Organic Cation Transporter OCT1 on Cellular Uptake and Metabolism of Antidepressants and Other Organic Cationic Drugs [NCT02054299]Phase 148 participants (Actual)Interventional2013-04-30Completed
Desvenlafaxine for the Treatment of Hot Flashes in Women With Breast Cancer Taking Tamoxifen: a Randomized, Double-blind, Placebo-controlled Study [NCT02819921]Phase 459 participants (Actual)Interventional2017-11-10Terminated(stopped due to Difficulty in Recruiting Research Participants)
Final Report: Multicenter, Open-Label, Safety, Tolerability, And Pharmacokinetic Study To Evaluate Single Ascending Doses And Subsequent Short-Term Administration Of Fixed Doses Of DVS SR Tablets In The Treatment Of Child And Adolescent Outpatients With M [NCT00619619]Phase 259 participants (Actual)Interventional2008-02-29Completed
A Phase IV, Longitudinal, Observational Study Examining Real-World Outcomes of Non-Hormonal Pharmacotherapies Among Individuals Treated for Bothersome Vasomotor Symptoms [NCT06049797]1,000 participants (Anticipated)Observational2023-11-15Recruiting
A Phase 3, Randomized, Double-Blind Study Comparing the Efficacy and Safety of SAGE-217 Plus an Antidepressant Versus Placebo Plus an Antidepressant in Adults With Major Depressive Disorder [NCT04476030]Phase 3440 participants (Actual)Interventional2020-11-09Completed
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Duloxetine-Referenced, Parallel-Group Study to Evaluate the Efficacy and Safety of 2 Fixed Doses (50mg, 100mg) of Desvenlafaxine Sustained-Release Tablets in Adult Outpatients With Major Depress [NCT00384033]Phase 3638 participants (Actual)Interventional2006-09-30Completed
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study To Evaluate The Efficacy And Safety Of 2 Fixed Doses (10 And 50 mg/Day) Of DVS SR Tablets In Adult Outpatients With Major Depressive Disorder [NCT00863798]Phase 3682 participants (Actual)Interventional2009-04-30Completed
A Multicenter, Double-Blind, Randomized, Placebo-Controlled Study To Evaluate Functional Outcome In Outpatients With Major Depressive Disorder Treated With Desvenlafaxine Succinare Sustained Release [NCT00824291]Phase 3437 participants (Actual)Interventional2009-02-28Completed
A Double-Blind, Randomized, Placebo-Controlled Study Assessing The Safety And Efficacy Of DVS SR For The Treatment Of Vasomotor Symptoms Associated With Menopause [NCT00683800]Phase 32,186 participants (Actual)Interventional2008-06-30Completed
A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled Study of the Safety and Efficacy of OPC-34712 as Adjunctive Therapy in the Treatment of Patients With Major Depressive Disorder [NCT00797966]Phase 2850 participants (Actual)Interventional2009-05-31Completed
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of 2 Fixed Doses (25 and 50 mg/Day) of DVS SR Tablets in Adult Outpatients With Major Depressive Disorder [NCT00798707]Phase 3709 participants (Actual)Interventional2008-12-31Completed
Phase 1, Open-Label, Randomized, Single-Dose, 4-Treatment, 4-Period Crossover Bioequivalence Study Comparing 25 Mg and 50 Mg Formulations of DVS-233 SR and Investigate Food Effect on 50 Mg Formulations of DVS-233 SR Tablet Under Fed and Fasted Conditions [NCT01190514]Phase 141 participants (Actual)Interventional2010-09-30Completed
A Multicenter, Parallel-Group, Randomized, 10-Week, Double-Blind, Placebo-Controlled Study To Evaluate The Efficacy And Safety Of 50 mg Of DVS SR In The Treatment Of Peri- And Postmenopausal Women With Major Depressive Disorder [NCT01121484]Phase 4439 participants (Actual)Interventional2010-06-30Completed
Desvenlafaxine Succinate in Major Depressive Disorder: Effects on Structural and Functional Imaging, Cognition, and Functional Outcomes in Midlife Women and Men [NCT00888862]Phase 390 participants (Anticipated)Interventional2009-06-30Recruiting
The Effect of Dose Titration and Dose Tapering on the Tolerability of DVS SR in Women With Vasomotor Symptoms Associated With Menopause: The PRIMMUS (PRIstiq for Managing Menopause and Understanding Symptoms) Study [NCT00401245]Phase 3500 participants (Actual)Interventional2006-12-31Completed
An Open-Label, 2-Period Sequential Drug Interaction Study To Evaluate The Effect Of A 100 Mg Dose Of Desvenlafaxine SR On The Pharmacokinetics Of Aripiprazole When Coadministered In Healthy Subjects [NCT01188668]Phase 438 participants (Actual)Interventional2010-08-31Completed
A 10-Month Open-Label Evaluation Of The Long-Term Safety Of Desvenlafaxine Succinate Sustained Release In Japanese Adults With Major Depressive Disorder [NCT00831415]Phase 3304 participants (Actual)Interventional2009-03-31Completed
A Multicenter, Randomized, 8-week, Double-blind, Placebo-controlled Study Followed by a 6-month Open-label Extension to Evaluate the Efficacy and Safety of DVS SR in Peri- and Postmenopausal Women With Major Depressive Disorder [NCT00369343]Phase 3381 participants (Actual)Interventional2006-09-30Completed
6-Month, Multicenter, Open-Label, Flexible-Dose Study To Evaluate Safety, Efficacy, And Tolerability Of Desvenlafaxine Succinate Sustained-Release Tablets In The Treatment Of Child And Adolescent Outpatients With Major Depressive Disorder [NCT00669110]Phase 240 participants (Actual)Interventional2008-05-31Completed
An 8-week Open-Label Flexible-Dose Study Of Desvenlafaxine as Monotherapy In The Treatment Of Dysthymia [NCT01948895]30 participants (Actual)Interventional2012-08-31Completed
A 12 Week, Open Label, Efficacy and Safety Study of Desvenlafaxine in the Treatment of Vascular Depression [NCT01974934]Phase 430 participants (Anticipated)Interventional2013-12-31Recruiting
Efficacy of Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) Treatment on Prefrontality in Patients With Generalized Anxiety Disorder (GAD) and Other Comorbidities [NCT01975480]Phase 429 participants (Actual)Interventional2013-01-31Completed
A Double-Blind,Venlafaxine-Controlled Study of Efficacy and Safety of Sustained-Release Desvenlafaxine Hydrochloride in the Treatment of Major Depressive Disorder [NCT01977378]Phase 2/Phase 3300 participants (Anticipated)Interventional2013-10-31Recruiting
A Dimensional Approach to Evaluate Reward Processing in Major Depressive Disorder Before and After Treatment With Desvenlafaxine [NCT02859103]Phase 456 participants (Actual)Interventional2017-06-01Completed
Longitudinal Comparative Effectiveness of Bipolar Disorder Therapies [NCT02893371]1,037,352 participants (Actual)Observational2016-09-30Completed
A Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study To Evaluate The Efficacy, Safety And Tolerability Of Desvenlafaxine Succinate Sustained-release (Dvs Sr) In The Treatment Of Children And Adolescent Outpatients With Major D [NCT01371734]Phase 3363 participants (Actual)Interventional2011-08-31Completed
An Open-Label, 2-Period Sequential Drug Interaction Study To Evaluate The Effect Of A 100 Mg Dose Of Desvenlafaxine SR On The Pharmacokinetics Of Tamoxifen When Co-Administered In Healthy Post-Menopausal Female Subjects [NCT01189500]Phase 430 participants (Actual)Interventional2010-08-31Completed
A Multicenter, Double-Blind, Placebo-Controlled, Randomized Withdrawal, Parallel Group Study To Evaluate The Efficacy And Safety Of 50 mg/Day Of DVS SR In Adult Outpatients With Major Depressive Disorder [NCT00887224]Phase 3874 participants (Actual)Interventional2009-06-30Completed
A Randomized, Open-Label, Two-Period, Parallel Group, Crossover Study to Evaluate the Pharmacokinetics of Venlafaxine Extended-Release and DVS SR in Healthy Subjects Who Are Extensive or Poor Cytochrome P450 2D6 Substrate Metabolizers [NCT00329186]Phase 314 participants (Actual)Interventional2006-05-31Completed
A Multicenter, Randomized, 8-Week Double-Blind Acute Phase Followed By a 6-Month Continuation Phase (Open-Label Or Double-Blind) Study to Evaluate the Efficacy, Safety, and Tolerability of DVS SR Versus Escitalopram in Postmenopausal Women With Major Depr [NCT00406640]Phase 3595 participants (Actual)Interventional2006-12-31Completed
White Matter Structure and Response to Treatment With Antidepressants: a Study of Desvenlafaxine in Major Depression. A Pilot Study [NCT01492621]Phase 440 participants (Anticipated)Interventional2011-11-30Recruiting
A 12-Month Open-Label Evaluation of the Long-Term Safety of DVS-233 SR in Outpatients With Major Depressive Disorder [NCT00452595]Phase 30 participants Interventional2004-01-31Completed
An Open-Label, Two-Period, Sequential Drug Interaction Study to Evaluate the Effect of Multiple Doses of Desvenlafaxine Succinate Sustained Release (DVS SR) on the Pharmacokinetics of Midazolam When Coadministered in Healthy Subjects [NCT00952653]Phase 428 participants (Actual)Interventional2010-06-30Completed
A Randomized, Open-Label, 3-Period Crossover Study to Evaluate the Effect of Multiple Doses of DVS SR and Paroxetine on the CYP2D6 Biotransformation of Codeine to Morphine in Healthy Subjects. [NCT00456898]Phase 140 participants Interventional2007-01-31Completed
A Randomized, Open-Label, Single-Dose Study to Assess the Relative Bioavailability of LY03005 Oral Tablets Versus Pristiq Oral Tablets Under Fasting Conditions in Healthy Subjects [NCT02988024]Phase 120 participants (Actual)Interventional2016-12-07Completed
A Randomized, Open-Label, Cross-Over Drug Interaction Study to Evaluate the Effects of Desvenlafaxine (DVS SR) and Paroxetine on the Pharmacokinetics of Desipramine in Healthy Subjects [NCT00329147]Phase 320 participants (Anticipated)Interventional2006-05-31Completed
A Randomized, Open-Label, Single-Dose Parallel Group Study of the Pharmacokinetic Profile, Safety, and Tolerability of 25- and 50-mg Desvenlafaxine Sustained Release (DVS SR) in Healthy Subjects [NCT00440427]Phase 112 participants Interventional2007-02-28Completed
A Pilot Study of Functional Outcome in Postpartum Depression in Women Treated With Desvenlafaxine [NCT01527786]Phase 325 participants (Actual)Interventional2010-11-30Completed
Ascending, Single Dose Study of the Safety, Tolerability, and Pharmacokinetics of DVS SR Administered Orally to Healthy Japanese Female Subjects [NCT00397176]Phase 132 participants Interventional2006-11-30Completed
A Placebo-controlled Study of MD-120 in Patients With Depression [NCT04345471]Phase 3615 participants (Actual)Interventional2020-05-18Completed
A Randomized, Open-Label, Crossover, Drug Interaction Study to Evaluate the Effects of DVS SR And Duloxetine on the Pharmacokinetics of Desipramine in Healthy Subjects [NCT00366652]Phase 320 participants (Anticipated)Interventional2006-09-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Multiple Ascending Dose Study in Healthy Subjects to Evaluate the Safety, Tolerability, and Pharmacokinetics of LY03005 [NCT02271412]Phase 158 participants (Actual)Interventional2014-10-31Completed
A 6-Month Open-Label Extension Study of the Long-Term Safety of DVS SR in Outpatients With Fibromyalgia Syndrome. [NCT00424892]Phase 2/Phase 3600 participants InterventionalCompleted
A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy and Safety of 2 Fixed Doses (50 mg, 100 mg) of Desvenlafaxine Sustained-Release Tablets in Adult Outpatients With Major Depressive Disorder [NCT00300378]Phase 3480 participants (Anticipated)Interventional2006-03-31Completed
A Phase 1, Randomized, Subject- and Investigator-Blind, Placebo-Controlled, Parallel-Group, Single and Multiple-Dose Study of Desvenlafaxine in Korean Healthy Subjects [NCT01443208]Phase 136 participants (Actual)Interventional2011-11-30Completed
Neurocognition and Work Productivity in Major Depressive Disorder [NCT01468610]47 participants (Actual)Interventional2012-01-31Completed
A Randomized, Open-Label, 2-Period, Crossover Trial to Assess the Relative Bioavailability of 80 mg LY03005 After Single Dose Administration to Healthy Subjects Under Fed Versus Fasted Conditions [NCT03822065]Phase 134 participants (Actual)Interventional2019-01-16Completed
A 9-Month Open-Label Extension Study of the Long-Term Safety of DVS SR in Outpatients With Pain Associated With Diabetic Peripheral Neuropathy [NCT01050218]Phase 3237 participants (Actual)Interventional2006-07-31Terminated(stopped due to Business reasons)
A 12-Week Double-Blind, Placebo-Controlled, Flexible-Dose Trial of Pristiq® (Desvenlafaxine) Extended-Release Tablets in Generalized Social Anxiety Disorder [NCT01316302]Phase 463 participants (Actual)Interventional2011-04-30Completed
Comparison of Antidepressants in the Real-World: Retrospective Cohort Study Using Big Data [NCT04446039]405,349 participants (Actual)Observational2022-07-04Completed
A Double-Blind, Randomized, Placebo-Controlled, Efficacy and Safety Study of DVS SR for Treatment of Vasomotor Symptoms Associated With Menopause [NCT00369434]Phase 3450 participants (Anticipated)Interventional2006-06-30Completed
A Phase IV, Multicenter, Randomized, 8-Week, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy of 2 Fixed Doses (50 and 100 mg/Day) of Desvenlafaxine Succinate Sustained-Release (DVS SR) in Adult Outpatients With Major Depres [NCT01432457]Phase 4924 participants (Actual)Interventional2011-10-31Completed
Effects of Treatment on Decision-making in Major Depression [NCT01916824]Phase 453 participants (Actual)Interventional2013-08-31Completed
A Randomized, Open-Label, Two-Period, Parallel Group, Crossover Study to Evaluate the Pharmacokinetics of Venlafaxine Extended-Release and DVS SR in Healthy Subjects Who Are Extensive or Poor Cytochrome P450 2D6 Substrate Metabolizers [NCT00727064]Phase 114 participants (Actual)Interventional2008-06-30Completed
Desvenlafaxine (Pristiq) vs. Placebo in the Treatment of Chronic Depression [NCT01537068]Phase 459 participants (Actual)Interventional2012-02-29Completed
Prediction of Individual Treatment Response Based on Brain Changes at the Early Phase of Antidepressant Treatment in Major Depressive Disorder Using Machine Learning Classification Analysis [NCT02330679]Phase 461 participants (Anticipated)Interventional2014-12-31Recruiting
A Randomised, Double-blind, Parallel-group, Active Controlled Study Evaluating the Efficacy of Vortioxetine Versus Desvenlafaxine in Adult Patients Suffering From Major Depressive Disorder With Partial Response to SSRI Treatment [NCT04448431]Phase 4605 participants (Actual)Interventional2020-06-18Completed
Efficacy Of Switching From SSRI to Desvenlafaxine on Cognitive Function In Patients With an Acute Episode of Major Depression [NCT03432221]36 participants (Anticipated)Observational2018-04-03Recruiting
A Randomized, Double-Blind Placebo-controlled Study Evaluating the Efficacy of Omega 3 Fatty Acid Augmentation of Desvenlafaxine for the Treatment of Major Depressive Disorder in Patients With Medical Illness. [NCT01803711]Phase 2/Phase 36 participants (Actual)Interventional2013-02-28Terminated(stopped due to Lack of recruitment and no resources)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00369343 (13) [back to overview]Percentage of Patients Achieving Remission
NCT00369343 (13) [back to overview]Percentage of Patients Achieving Response to Treatment
NCT00369343 (13) [back to overview]Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Open Label Baseline to 6 Months
NCT00369343 (13) [back to overview]Percentage of Patients Achieving Remission
NCT00369343 (13) [back to overview]Percentage of Patients With Each Clinical Global Impression Improvement (CGI-I) Score
NCT00369343 (13) [back to overview]Discontinuation-Emergent Signs and Symptoms (DESS) Total Score
NCT00369343 (13) [back to overview]Clinical Global Impression Improvement (CGI-I) Score
NCT00369343 (13) [back to overview]Percentage of Patients Achieving a Response to Treatment
NCT00369343 (13) [back to overview]Change in Hamilton Psychiatric Rating Scale for Anxiety (HAM-A) Score From Baseline to Week 8
NCT00369343 (13) [back to overview]Change in Dimension Health State EuroQol (EQ-5D) Score From Baseline to Week 8
NCT00369343 (13) [back to overview]Change in Dimension Health State EuroQol (EQ-5D) Score From Open Label Baseline to 6 Months
NCT00369343 (13) [back to overview]Change in Hamilton Psychiatric Rating Scale for Anxiety (HAM-A) Score From Open Label Baseline to 6 Months
NCT00369343 (13) [back to overview]Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Baseline to Week 8.
NCT00384033 (9) [back to overview]Number of Participants With Categorical Scores on CGI-Improvement (CGI-I) Score at Week 8 or FOT Evaluation
NCT00384033 (9) [back to overview]Change From Baseline in HAM-D17 Total Score at Week 8 or Final On-therapy (FOT) Evaluation
NCT00384033 (9) [back to overview]Change From Baseline in Mean CGI-S Score at Week 8 or FOT Evaluation
NCT00384033 (9) [back to overview]Change From Baseline in Covi Anxiety Scale at Week 8 or FOT Evaluation
NCT00384033 (9) [back to overview]Change From Baseline in HAM-D6 Total Score at Week 8 or FOT Evaluation
NCT00384033 (9) [back to overview]Change From Baseline in Montgomery and Asberg Depression Rating Scale (MADRS) Total Score at Week 8 or FOT Evaluation
NCT00384033 (9) [back to overview]Change From Baseline in the HAM-D Energy Subscale Score at Week 8 or FOT Evaluation
NCT00384033 (9) [back to overview]Change From Baseline in the Lassitude Item of the MADRS Scale at Week 8 or FOT Evaluation
NCT00384033 (9) [back to overview]Change From Baseline in Visual Analog Scale-Pain Intensity (VAS-PI) Overall and Subcomponent Score at Week 8 or FOT Evaluation
NCT00401245 (15) [back to overview]Percentage of Participants Discontinuing Treatment Due to AEs in First 2 Weeks of Treatment
NCT00401245 (15) [back to overview]DESS Total Score at 1 Week After the End of Tapering
NCT00401245 (15) [back to overview]DESS Total Score at End of Second Week of Tapering
NCT00401245 (15) [back to overview]Discontinuation Emergent Signs and Symptoms (DESS) Total Score at the End of First Week of Tapering
NCT00401245 (15) [back to overview]Mean Age of the Participants in Tapering Phase
NCT00401245 (15) [back to overview]Number of Participants With Nausea During the First 2 Weeks of Treatment
NCT00401245 (15) [back to overview]Number of Participants With Other Spontaneously Reported Adverse Events (AEs) in First 2 Weeks of Treatment
NCT00401245 (15) [back to overview]Number of Participants Showing Satisfaction With Tolerability at the End of Tapering
NCT00401245 (15) [back to overview]Number of Participants With Each DESS One Week After End of Tapering
NCT00401245 (15) [back to overview]Number of Participants With Each DESS at the End of Second Week of Tapering
NCT00401245 (15) [back to overview]Number of Participants With Each DESS at the End of First Week of Tapering
NCT00401245 (15) [back to overview]Number of Participants Showing Satisfaction With Tolerability During the First Two Weeks of Treatment
NCT00401245 (15) [back to overview]Menopause Symptoms-treatment Satisfaction Questionnaire (MS-TSQ) Score
NCT00401245 (15) [back to overview]Gender of the Participants in Tapering Phase
NCT00401245 (15) [back to overview]Change From Baseline in Menopause-specific Quality of Life Questionnaire (MenQOL) Score at Week 4, Week 8, Week 12 and Week 16
NCT00406640 (13) [back to overview]Clinical Global Impression Improvement (CGI-I) Score at 8 Weeks
NCT00406640 (13) [back to overview]Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Baseline to Week 8
NCT00406640 (13) [back to overview]Change in Dimension Health State EuroQol (EQ-5D) Score From Baseline to Week 8
NCT00406640 (13) [back to overview]Change in Clinical Global Impression Severity (CGI-S) Score From Baseline to Week
NCT00406640 (13) [back to overview]Percentage of Patients Achieving Response to Treatment at Final On-therapy Evaluation (Acute Phase)
NCT00406640 (13) [back to overview]Percentage of Non-Responders Achieving Remission at Final Evaluation of 6-month Open-Label Extension Phase
NCT00406640 (13) [back to overview]Change in Hamilton Psychiatric Rating Scale for Anxiety From Baseline to Week 8 (HAM-A) Score
NCT00406640 (13) [back to overview]Percentage of Non-Responders Achieving Response at Final Evaluation of 6-month Open-Label (OL)Extension Phase
NCT00406640 (13) [back to overview]Percentage of Patients Achieving Remission at Final On-therapy Evaluation (Acute Phase)
NCT00406640 (13) [back to overview]Percentage of Responders Achieving Remission at Final On-therapy Evaluation (Double Blind Continuation Phase)
NCT00406640 (13) [back to overview]Percentage of Responders Improving Response to Remission During 6-month Double Blind Continuation Phase
NCT00406640 (13) [back to overview]Percentage of Responders Maintaining Response to Treatment at Final On-therapy Evaluation (Double Blind Continuation Phase)
NCT00406640 (13) [back to overview]Discontinuation-Emergent Signs and Symptoms (DESS) Total Score
NCT00619619 (9) [back to overview]Area Under the Curve From Time Zero to Infinity (AUC0-∞)
NCT00619619 (9) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax)
NCT00619619 (9) [back to overview]Plasma Decay Half-Life (t1/2)
NCT00619619 (9) [back to overview]Percentage of Participants With a Categorical Clinical Global Impressions Scale-Severity (CGI-S) Score at Every Visit
NCT00619619 (9) [back to overview]Number of Participants With Adverse Events AEs) and Serious Adverse Events (SAEs)
NCT00619619 (9) [back to overview]Percentage of Participants With a Categorical Clinical Global Impressions Scale-Improvement(CGI-I) Score at Every Visit
NCT00619619 (9) [back to overview]Change From Baseline in Hamilton Rating Scale for Depression 17-item (HAMD-D17) Total Score
NCT00619619 (9) [back to overview]Change From Baseline in Children's Depression Ratings Scale-Revised (CDRS-R) Total Score
NCT00619619 (9) [back to overview]Maximum Observed Plasma Concentration (Cmax)
NCT00669110 (16) [back to overview]Percentage of Participants With a Categorical Clinical Global Impressions Scales - Severity (CGI-S) Score
NCT00669110 (16) [back to overview]Percentage of Participants With a Categorical Clinical Global Impressions Scales - Improvement (CGI-I) Score
NCT00669110 (16) [back to overview]Number of Participants With Vital Sign Results of Potential Clinical Importance (PCI): Weight
NCT00669110 (16) [back to overview]Number of Participants With Vital Sign Results of Potential Clinical Importance (PCI): Pulse Rate
NCT00669110 (16) [back to overview]Number of Participants With Vital Sign Results of Potential Clinical Importance (PCI): Blood Pressure (BP)
NCT00669110 (16) [back to overview]Number of Participants With Laboratory Test Results of Potential Clinical Importance (PCI)
NCT00669110 (16) [back to overview]Change From Baseline (Bsl) in Hamilton Rating Scale for Depression 17-item (HAM-D17) Total Score
NCT00669110 (16) [back to overview]Number of Participants With Electrocardiogram (ECG) Results of Potential Clinical Importance (PCI)
NCT00669110 (16) [back to overview]Number of Participants With Adverse Events AEs) and Serious Adverse Events (SAEs)
NCT00669110 (16) [back to overview]Change From Baseline in Number of Participants for Tanner Assessment at Week 26: Males
NCT00669110 (16) [back to overview]Change From Baseline in Number of Participants for Tanner Assessment at Week 26: Females
NCT00669110 (16) [back to overview]Change From Baseline (Bsl) in Children's Depression Rating Scale - Revised (CDRS-R) Total Score at Final On-therapy Visit
NCT00669110 (16) [back to overview]Number of Participants With Electrocardiogram (ECG) Results of Potential Clinical Importance (PCI): Heart Rate (Low)
NCT00669110 (16) [back to overview]Number of Participants for Columbia Suicide-Severity Rating Scale (C-SSRS) According to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) Categories
NCT00669110 (16) [back to overview]Percentage of Participants With Remission (Total Score ≤28) Based on Children's Depression Rating Scale - Revised (CDRS-R)
NCT00669110 (16) [back to overview]Percentage of Participants With a Response of Much Improved or Very Much Improved Based on the Clinical Global Impressions Scales - Improvement (CGI-I) Score
NCT00683800 (30) [back to overview]Change From Baseline in the Average Daily Severity of Hot Flushes at Week 4
NCT00683800 (30) [back to overview]Median Time to the First Day of 3 Consecutive Days of at Least 50% Reduction in Hot Flushes
NCT00683800 (30) [back to overview]Number of Participants With a Minimal Clinically Meaningful Decrease in the Average Daily Number of Hot Flushes
NCT00683800 (30) [back to overview]Number of Participants With Adjudicated Cerebrovascular Events - Probable TIA
NCT00683800 (30) [back to overview]Number of Participants With Hepatic Events
NCT00683800 (30) [back to overview]Number of Participants With Ischemic Heart Disease
NCT00683800 (30) [back to overview]Change From Baseline in Adjusted Means in the Hot Flush Severity Score at Month 6 and Month 12
NCT00683800 (30) [back to overview]Change From Baseline in Adjusted Means in the Number of Moderate and Severe Hot Flushes at Month 6 and Month 12
NCT00683800 (30) [back to overview]Change From Baseline in the Total Greene Climacteric Scale (GCS) Score and GCS Subscores at Month 12
NCT00683800 (30) [back to overview]Change From Baseline in the Total Greene Climacteric Scale (GCS) Score and GCS Subscores at Month 6
NCT00683800 (30) [back to overview]Change From Baseline in the Total Greene Climacteric Scale (GCS) Score and GCS Subscores at Week 12
NCT00683800 (30) [back to overview]Number of Participants With Adjudicated Cerebrovascular Events - Any Stroke
NCT00683800 (30) [back to overview]Number of Participants With All Adjudicated Ischemic Cardiovascular (CV) Events
NCT00683800 (30) [back to overview]Percentage of Participants With at Least 50% Reduction From Baseline in the Number of Moderate and Severe Hot Flushes
NCT00683800 (30) [back to overview]Percentage of Participants With at Least 75% Reduction From Baseline in the Number of Moderate and Severe Hot Flushes
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores Based on Patient Global Impression Change (PGI-C) for Main Study Efficacy Population at Month 12
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores Based on Patient Global Impression Change (PGI-C) for MITT Population of Efficacy Substudy at Month 12
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Change (PGI-C) for Main Study Efficacy Population at Month 6
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Change (PGI-C) for Main Study Efficacy Population at Week 12
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Change (PGI-C) for MITT Population of Efficacy Substudy at Month 6
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Change (PGI-C) for MITT Population of Efficacy Substudy at Week 12
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for Main Study Efficacy Population at Month 12
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for Main Study Efficacy Population at Month 6
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for Main Study Efficacy Population at Week 12
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for MITT Population of Efficacy Substudy at Month 12
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for MITT Population of Efficacy Substudy at Month 6
NCT00683800 (30) [back to overview]Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for MITT Population of Efficacy Substudy at Week 12
NCT00683800 (30) [back to overview]Change From Baseline in the Average Daily Number of Moderate to Severe Hot Flushes at Week 12
NCT00683800 (30) [back to overview]Change From Baseline in the Average Daily Number of Moderate to Severe Hot Flushes at Week 4
NCT00683800 (30) [back to overview]Change From Baseline in the Average Daily Severity of Hot Flushes at Week 12
NCT00696787 (2) [back to overview]Change From Baseline on the Numeric Rating Scale (NRS) in the Treatment of Pain Associated With Fibromyalgia in Adult Female Outpatients
NCT00696787 (2) [back to overview]Change From Baseline on the Numeric Rating Scale (NRS)
NCT00727064 (6) [back to overview]Area Under the Concentration-time Curve (AUC) of Desvenlafaxine After Single Dose of DVS SR by Metabolizer Status
NCT00727064 (6) [back to overview]Area Under the Concentration-time Curve (AUC) of Desvenlafaxine After Single Dose of VEN ER by Metabolizer Status
NCT00727064 (6) [back to overview]Area Under the Concentration-time Curve (AUC) of Venlafaxine After Single Dose of VEN ER by Metabolizer Status
NCT00727064 (6) [back to overview]Maximum Concentration (Cmax) of Desvenlafaxine After Single Dose of Desvenlafaxine Succinate Sustained-Release (DVS SR) by Metabolizer Status
NCT00727064 (6) [back to overview]Maximum Concentration (Cmax) of Desvenlafaxine After Single Dose of VEN ER by Metabolizer Status
NCT00727064 (6) [back to overview]Maximum Concentration (Cmax) of Venlafaxine After Single Dose of Venlafaxine Extended-release (VEN ER) by Metabolizer Status
NCT00797966 (14) [back to overview]Percentage of Participants With MADRS Remission From End of Phase A (Week 8 Visit).
NCT00797966 (14) [back to overview]Percentage of Participants With MADRS Response From End of Phase A (Week 8 Visit).
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Mean Q-LES-Q-SF Item 16 Score (Overall Life Satisfaction).
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Hamilton Depression Rating Scale (HAM-D17) Score.
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Mean Clinical Global Impression - Severity of Illness Scale (CGI-S) Score.
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Mean Q-LES-Q-SF Item 15 Score (Satisfaction With Medication).
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Mean Quality of Life, Enjoyment, and Satisfaction Questionnaire - Short Form (QLES-Q-SF) Subscale Score - the Overall General Subscore (Sum of First 14 Items).
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Sheehan Disability Scale (SDS) Mean Score (the Mean of 3 Individual Item Scores).
NCT00797966 (14) [back to overview]Change From the End of Phase A (Week 8 Visit) to the End of Phase B (Week 14 Visit) in Montgomery Asberg Depression Rating Scale (MADRS) Total Score.
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) for Every Study Week Visit in Phase B in Inventory of Depressive Symptomatology (Self-Report) (IDS-SR) Total Score.
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than the Week 14 Visit.
NCT00797966 (14) [back to overview]Change From End of Phase A (Week 8 Visit) in Mean CGI-S Score for Every Study Week Visit in Phase B Other Than the Week 14 Visit.
NCT00797966 (14) [back to overview]Clinical Global Impression-Improvement Scale (CGI-I) Score at Each Study Week Visit in Phase B.
NCT00797966 (14) [back to overview]Percentage of Participants With CGI-I Response From End of Phase A (Week 8 Visit).
NCT00798707 (14) [back to overview]Discontinuation-Emergent Signs and Symptoms (DESS) Total Score
NCT00798707 (14) [back to overview]Number of Participants With Categorical Scores on CGI-Improvement (CGI-I) at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Number of Participants With Categorical Scores on the C-SSRS at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Change From Baseline in SDS at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Percentage of Participants With Sexual Dysfunction at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Number of Participants With a Response on the MADRS Score at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Number of Participants With a Response on the HAM-D17 at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Number of Participants With a Response on the CGI-I Score at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Change From Baseline in WHO-5 Total Score at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Change From Baseline in Mean CGI-S Score at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Number of Participants in Remission Based on the HAM-D17 at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Change From Baseline in MADRS Total Score at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Change From Baseline in HAM-D6 Total Score at FOT Evaluation (Week 8 or ET)
NCT00798707 (14) [back to overview]Change From Baseline in HAM-D17 Total Score at the Final On-therapy (FOT)Evaluation (Week 8 or ET)
NCT00824291 (8) [back to overview]Change From Baseline on Worry Anxiety Tension Scale (WATS) at Week 12
NCT00824291 (8) [back to overview]Change From Baseline on Work and Activities Item of HAM-D17 at Week 12
NCT00824291 (8) [back to overview]Change From Baseline on Stress and Social Support Scales at Week 12
NCT00824291 (8) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 12
NCT00824291 (8) [back to overview]Change From Baseline in Hamilton Depression Scale (HAM-D) at Week 12
NCT00824291 (8) [back to overview]Change From Baseline in Adjusted Mean on Montgomery-Asberg Depression Rating Scale (MADRS) at Week 12
NCT00824291 (8) [back to overview]Clinical Global Impressions Scale - Severity of Illness (CGI-S) at Week 12
NCT00824291 (8) [back to overview]Clinical Global Impression Scale - Improvement (CGI- I) Score at Week 12
NCT00831415 (4) [back to overview]Change From Baseline in Hamilton Psychiatric Scale for Depression-17 Item (HAM-D17) Score
NCT00831415 (4) [back to overview]Change From Baseline in Clinical Global Impression-Severity of Illness [CGI-S] Score
NCT00831415 (4) [back to overview]Percentage of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs)
NCT00831415 (4) [back to overview]Number of Participants With Categorical Scores on Clinical Global Impression-Improvement (CGI-I)
NCT00863798 (14) [back to overview]Change From Baseline in HAM-D17 Total Score at Final On-therapy (FOT) Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Number of Participants With Categorical Scores on the C-SSRS at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Number of Participants With Categorical Scores on CGI-Improvement (CGI-I) at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Discontinuation-Emergent Signs and Symptoms (DESS)
NCT00863798 (14) [back to overview]Percentage of Participants With Sexual Dysfunction at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Number of Participants With a Response on the MADRS Score at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Number of Participants With a Response on the HAM-D17 at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Number of Participants With a Response on the CGI-I Score at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Number of Participants in Remission Based on the HAM-D17 at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Change From Baseline in WHO-5 Total Score at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Change From Baseline in Mean CGI-S Score at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Change From Baseline in MADRS Total Score at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Change From Baseline in HAM-D6 Total Score at FOT Evaluation (Week 8 or ET)
NCT00863798 (14) [back to overview]Change From Baseline in SDS at FOT Evaluation (Week 8 or ET)
NCT00887224 (8) [back to overview]Number of Participants With Remission Based on Hamilton Psychiatric Scale for Depression-17 Item (HAM-D17) Score at Double-blind Phase Week 26
NCT00887224 (8) [back to overview]Time to Relapse Following Randomization to the Double-blind (DB) Phase: Estimated Probability (Percent) of Relapse at DB Day 185
NCT00887224 (8) [back to overview]Change From Baseline in Clinical Global Impression-Severity of Illness [CGI-S] Score in the Double-blind Phase
NCT00887224 (8) [back to overview]Change From Baseline in Hamilton Psychiatric Scale for Depression-17 Item (HAM-D17) Score in the Double-blind Phase
NCT00887224 (8) [back to overview]Change From Baseline in Hamilton Psychiatric Scale for Depression-6 Item (HAM-D6) Score in the Double-blind Phase
NCT00887224 (8) [back to overview]Change From Baseline of Double-blind Phase in World Health Organization (Five-Item) Well-Being Index
NCT00887224 (8) [back to overview]Number of Participants Per Categorical Score for Change From Baseline on Clinical Global Impression-Improvement (CGI-I) Scale
NCT00887224 (8) [back to overview]Change From Baseline in Work Productivity and Activity Impairment Questionnaire (WPAI) Score in the Double-blind Phase
NCT00952653 (10) [back to overview]Midazolam Area Under the Plasma Concentration-time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]Midazolam Maximum Observed Plasma Concentration (Cmax) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]Midazolam Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]1-Hydroxy-Midazolam (Analyte) Time to Cmax (Tmax) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]1-Hydroxy-Midazolam (Analyte) Terminal Half-life (t 1/2) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]1-Hydroxy-Midazolam (Analyte) Maximum Observed Plasma Concentration (Cmax) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]1-Hydroxy-Midazolam (Analyte) Area Under the Plasma Concentration-time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]1-Hydroxy-Midazolam (Analyte) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]Midazolam Terminal Half-life (t 1/2) Following Midazolam Alone and When Coadministered With DVS SR
NCT00952653 (10) [back to overview]Midazolam Time to Cmax (Tmax) Following Midazolam Alone and When Coadministered With DVS SR
NCT01056289 (3) [back to overview]Percentage of Participants Who Were Unable to Successfully Complete Tapering of the Study Drug Because of the Number and/or Severity of Their Discontinuation Symptoms
NCT01056289 (3) [back to overview]Percentage of Participants With Taper Adverse Events (AEs) in the Double-blind Phase
NCT01056289 (3) [back to overview]Total Discontinuation - Emergent Signs and Symptoms (DESS) Score Over the First 2 Weeks of the Double-blind Phase
NCT01121484 (6) [back to overview]Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I)
NCT01121484 (6) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S) at Week 8
NCT01121484 (6) [back to overview]Change From Baseline in Visual Analogue Scale for Pain (VAS-pain) at Week 8
NCT01121484 (6) [back to overview]Change From Baseline in Quick Inventory of Depressive Symptoms, 16 Question Self-report (QIDS-SR)
NCT01121484 (6) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Week 8
NCT01121484 (6) [back to overview]Change From Baseline in Hamilton Depression Scale (HAM-D17) at Week 8
NCT01188668 (12) [back to overview]Dehydro-aripiprazole (Metabolite) Terminal Half-life (t 1/2) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Plasma Dehydro-aripiprazole (Metabolite) Concentration Versus Time Summary: Aripiprazole 5mg, DVS SR 100 mg, Aripiprazole 5 mg
NCT01188668 (12) [back to overview]Aripiprazole Apparent Volume of Distribution (Vz/F) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Plasma Aripiprazole Concentration Versus Time Summary: Aripiprazole 5mg, DVS SR 100 mg + Aripiprazole 5 mg
NCT01188668 (12) [back to overview]Aripiprazole Maximum Observed Plasma Concentration (Cmax) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Aripiprazole Apparent Clearance (CL/F) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Aripiprazole Time for Cmax (Tmax) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Aripiprazole Terminal Half-life (t 1/2) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Dehydro-aripiprazole (Metabolite) Time for Cmax (Tmax) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Dehydro-aripiprazole (Metabolite) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Dehydro-aripiprazole (Metabolite) Maximum Observed Plasma Concentration (Cmax) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01188668 (12) [back to overview]Aripiprazole Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Aripiprazole Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Tamoxifen Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Tamoxifen Maximum Observed Concentration (Cmax) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Tamoxifen Terminal Half-life (t 1/2) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Tamoxifen Time for Cmax (Tmax) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Plasma 4-hydroxy-tamoxifen (Metabolite) Concentration Versus Time Summary: Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Plasma Endoxifen (Metabolite) Concentration Versus Time Summary: Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Plasma N-desmethyl-tamoxifen (Metabolite) Concentration Versus Time Summary: Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Plasma Tamoxifen Concentration Versus Time Summary: Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]4-hydroxy-tamoxifen (Metabolite) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]4-hydroxy-tamoxifen (Metabolite) Maximum Observed Concentration (Cmax) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]4-hydroxy-tamoxifen (Metabolite) Terminal Half-life (t 1/2) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]4-hydroxy-tamoxifen (Metabolite) Time for Cmax (Tmax) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Endoxifen (Metabolite) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Endoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Endoxifen (Metabolite) Maximum Observed Concentration (Cmax) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Endoxifen (Metabolite) Terminal Half-life (t 1/2) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Endoxifen (Metabolite) Time for Cmax (Tmax) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]N-desmethyl-tamoxifen (Metabolite) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]N-desmethyl-tamoxifen (Metabolite) Maximum Observed Concentration (Cmax) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]N-desmethyl-tamoxifen (Metabolite) Terminal Half-life (t 1/2) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]N-desmethyl-tamoxifen (Metabolite) Time for Cmax (Tmax) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Tamoxifen Apparent Clearance (CL/F) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01189500 (22) [back to overview]Tamoxifen Apparent Volume of Distribution (Vz/F) Following Tamoxifen Alone and When Coadministered With DVS SR
NCT01190514 (6) [back to overview]Time to Reach Maximum Observed Plasma Concentration (Tmax)
NCT01190514 (6) [back to overview]Terminal Elimination Half-life (t 1/2)
NCT01190514 (6) [back to overview]Maximum Plasma Concentration (Cmax)
NCT01190514 (6) [back to overview]Area Under the Plasma Concentration-time Profile From Time 0 to 48 Hours (AUC48)
NCT01190514 (6) [back to overview]Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Time of the Last Quantifiable Concentration (AUClast)
NCT01190514 (6) [back to overview]Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf)
NCT01316302 (3) [back to overview]Change in the Liebowitz Social Anxiety Scale (LSAS) Total Score
NCT01316302 (3) [back to overview]Clinical Global Impression of Improvement Scale (CGI-I)
NCT01316302 (3) [back to overview]Patient Global Impression of Change
NCT01353963 (7) [back to overview]Change From Baseline in Weight at Week 8.
NCT01353963 (7) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (TEAEs) or Serious Adverse Events (SAEs), or Discontinuation Due to Adverse Events (AEs)
NCT01353963 (7) [back to overview]Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Week 8.
NCT01353963 (7) [back to overview]Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Week 4.
NCT01353963 (7) [back to overview]Change From Baseline in Weight at Week 4.
NCT01353963 (7) [back to overview]Change From Baseline in Heart Rate at Week 8.
NCT01353963 (7) [back to overview]Change From Baseline in Heart Rate at Week 4.
NCT01371734 (4) [back to overview]Percentage of Participants by Clinical Global Impression Improvement (CGI-I) Score at Weeks 1, 2, 3, 4, 6, and 8
NCT01371734 (4) [back to overview]Percentage of Participants With a CGI-I Response Defined as a Score of 'Very Much Improved' or 'Much Improved'
NCT01371734 (4) [back to overview]Change From Baseline to Week 8 in the Children's Depression Rating Scale, Revised (CDRS-R) Total Score (n=102, 104, 106)
NCT01371734 (4) [back to overview]Change From Baseline to Week 8 in the Clinical Global Impression of Severity (CGI-S) Score (n=102, 105, 106)
NCT01372150 (4) [back to overview]Percentage of Participants With a CGI-I Response Defined as a Score of 'Very Much Improved' or 'Much Improved'
NCT01372150 (4) [back to overview]Percentage of Participants by Clinical Global Impression Improvement (CGI-I) Score at Weeks 1, 2, 3, 4, 6, and 8
NCT01372150 (4) [back to overview]Change From Baseline to Week 8 in the Children's Depression Rating Scale, Revised (CDRS-R) Total Score
NCT01372150 (4) [back to overview]Change From Baseline to Week 8 in the Clinical Global Impression of Severity (CGI-S) Score
NCT01432457 (8) [back to overview]Change From Baseline on the Arizona Sexual Experiences (ASEX) Scale Total Score
NCT01432457 (8) [back to overview]Change From Baseline on the Clinical Global Impression-Severity (CGI-S) Score
NCT01432457 (8) [back to overview]Change From Baseline on the Clinical Global Impression-Severity Score (CGI-S)
NCT01432457 (8) [back to overview]Change From Baseline on the Hamilton Rating Scale for Depression, 17-item Total Score (HAM-D17) at Week 8
NCT01432457 (8) [back to overview]Change From Baseline on the Hamilton Rating Scale for Depression, 17-item Total Score (HAM-D17) at Week 8
NCT01432457 (8) [back to overview]Hamilton Rating Scale for Depression, 17-item (HAM-D17) Remission Rate
NCT01432457 (8) [back to overview]Hamilton Rating Scale for Depression, 17-item (HAM-D17) Response Rate
NCT01432457 (8) [back to overview]Change From Baseline on the Clinical Global Impression Scale-Improvement (CGI-I)
NCT01537068 (3) [back to overview]Response Rate
NCT01537068 (3) [back to overview]Hamilton Rating Scale for Depression (HDRS24)
NCT01537068 (3) [back to overview]Hamilton Rating Scale for Depression (HDRS24)
NCT01916824 (1) [back to overview]Money Earned
NCT04476030 (16) [back to overview]Change From Baseline in Depressive Symptoms at Day 15, as Assessed by PHQ-9
NCT04476030 (16) [back to overview]Change From Baseline in CGI-S Score at Day 15
NCT04476030 (16) [back to overview]Change From Baseline in HAM-A Total Score at Day 15
NCT04476030 (16) [back to overview]Percentage of Participants With HAMD-17 Remission at Day 15 and Day 42
NCT04476030 (16) [back to overview]Percentage of Participants With CGI-I Response, at Day 3 and Day 15
NCT04476030 (16) [back to overview]Change From Baseline in the HAMD-17 Total Score at Days 15 and 42
NCT04476030 (16) [back to overview]Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
NCT04476030 (16) [back to overview]Percentage of Participants With TEAEs, Graded by Severity
NCT04476030 (16) [back to overview]Percentage of Participants With HAMD-17 Response at Day 15 and Day 42
NCT04476030 (16) [back to overview]Time to First HAMD-17 Response
NCT04476030 (16) [back to overview]Percentage of Participants With MADRS Response at Day 15
NCT04476030 (16) [back to overview]Percentage of Participants With MADRS Remission at Day 15
NCT04476030 (16) [back to overview]Change From Baseline in the HAMD-17 Total Score at Day 3
NCT04476030 (16) [back to overview]Change From Baseline in the HAMD-17 Total Score Around End of Blinded Treatment
NCT04476030 (16) [back to overview]Change From Baseline in MADRS Total Score at Day 15
NCT04476030 (16) [back to overview]Change From Baseline in the HAMD-17 Total Score Over the Double-Blind Treatment Period

Percentage of Patients Achieving Remission

Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score of ≤ 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on a 0 to 2-4 scale (0=none/absent and 4=most severe) with a maximum total score of 50. (NCT00369343)
Timeframe: 8 weeks

Interventionpercentage of patients (Number)
Desvenlafaxine Succinate Sustained-Release (DVS SR)38.2
Placebo22.4

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Percentage of Patients Achieving Response to Treatment

A response is defined as ≥ 50% decrease from baseline on Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on a 0 to 2-4 scale (0=none/absent and 4=most severe) with a maximum total score of 50. (NCT00369343)
Timeframe: 8 weeks

Interventionpercentage of patients (Number)
Desvenlafaxine Succinate Sustained-Release (DVS SR)58.6
Placebo31.6

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Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Open Label Baseline to 6 Months

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on a 0 to 2-4 scale (0=none/absent and 4=most severe) with a maximum total s core of 50. Change= Final Evaluation mean HAM-D17 minus baseline mean HAM-D17. (NCT00369343)
Timeframe: open label baseline and 6 months

Interventionunits on scale (Mean)
DVS SR / DVS SR-12.52
Placebo / DVS SR-12.45

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Percentage of Patients Achieving Remission

Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score of ≤ 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on a 0 to 2-4 scale (0=none/absent and 4=most severe) with a maximum total s core of 50. (NCT00369343)
Timeframe: 6 months

Interventionpercentage of patients (Number)
DVS SR / DVS SR55.6
Placebo / DVS SR48.5

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Percentage of Patients With Each Clinical Global Impression Improvement (CGI-I) Score

CGI-I is a global rating scale that measures disease improvement. Using a 7-point scale, the clinician rates how much the patient's illness has improved or worsened relative to the baseline status (1= very much improved; 7= very much worse). (NCT00369343)
Timeframe: 8 weeks

,
Interventionpercentage of patients (Number)
1 (very much improved)2 (much improved)3 (minimally improved)4 (no change)5 (minimally worse)6 (much worse)7 (very much worse)
Desvenlafaxine Succinate Sustained-Release (DVS SR)42.525.316.713.41.10.50.5
Placebo22.718.617.532.07.22.10.0

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Discontinuation-Emergent Signs and Symptoms (DESS) Total Score

"DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of new symptoms and old (but worse) symptoms (1) and 0 for old and unchanged symptom, absent, or old symptom but improved for a total possible range of 0 to 43. A higher score indicates more symptoms." (NCT00369343)
Timeframe: 6 months

,,
Interventionunits on scale (Mean)
End of 8 week DB / OL phase or early terminationTaper week 1Taper week 2Post-taper
0 mg4.002.001.400.60
100 mg2.073.325.291.41
200 mg1.272.473.762.46

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Clinical Global Impression Improvement (CGI-I) Score

CGI-I is a global rating scale that measures disease improvement. Using a 7-point scale the clinician rates how much the patient's illness has improved or worsened relative to the baseline status (1= very much improved; 7= very much worse) (NCT00369343)
Timeframe: 6 months

Interventionunits on scale (Mean)
DVS SR / DVS SR1.55
Placebo / DVS SR1.56

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Percentage of Patients Achieving a Response to Treatment

A responder is defined as a patient with ≥ 50% decrease from baseline on Hamilton Psychiatric Rating Scale for Depression - 17-item (HAM-D17) score. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on a 0 to 2-4 scale (0=none/absent and 4=most severe) with a maximum total score of 50. (NCT00369343)
Timeframe: 6 months

Interventionpercentage of patients responding (Number)
DVS SR / DVS SR70.5
Placebo / DVS SR66.0

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Change in Hamilton Psychiatric Rating Scale for Anxiety (HAM-A) Score From Baseline to Week 8

The HAM-A is a standardized, clinician-administered rating scale that assesses 14 items characteristically associated with major anxiety disorders. Items are scaled 0 - 4 (0=none and 4=very severe), with a maximum total score of 56. Change= 8 week adjusted mean HAM-A score minus baseline adjusted mean score. (NCT00369343)
Timeframe: Baseline to 8 weeks

Interventionunits on scale (Mean)
Desvenlafaxine Succinate Sustained-Release (DVS SR)-8.62
Placebo-5.89

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Change in Dimension Health State EuroQol (EQ-5D) Score From Baseline to Week 8

EQ-5D is a standardized, subject-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme problems) and a single index value characterizing current health status using a 100-point visual analog scale (0=worst, 100=best). EQ-5D summary index is obtained with a formula that weights each level of the dimensions. The index-based score is interpreted along a continuum of 0 (death) to 1 (perfect health). Change=8 week score minus baseline score. (NCT00369343)
Timeframe: Baseline to 8 weeks

Interventionunits on scale (Mean)
Desvenlafaxine Succinate Sustained-Release (DVS SR)0.18
Placebo0.06

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Change in Dimension Health State EuroQol (EQ-5D) Score From Open Label Baseline to 6 Months

EQ-5D is a standardized, subject-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme problems) and a single index value characterizing current health status using a 100-point visual analog scale (0=worst, 100=best). EQ-5D summary index is obtained with a formula that weights each level of the dimensions. The index-based score is interpreted along a continuum of 0 (death) to 1 (perfect health). Change=8 week score minus baseline score. (NCT00369343)
Timeframe: open label baseline to 6 months

Interventionunits on scale (Mean)
DVS SR / DVS SR0.19
Placebo / DVS SR0.22

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Change in Hamilton Psychiatric Rating Scale for Anxiety (HAM-A) Score From Open Label Baseline to 6 Months

The HAM-A is a standardized, clinician-administered rating scale that assesses 14 items characteristically associated with major anxiety disorders. Items are scaled 0 - 4 (0=none and 4=very severe), with a maximum total score of 56. Change= Final Evaluation mean HAM-A score minus baseline mean score. (NCT00369343)
Timeframe: open label baseline to 6 months

Interventionunits on scale (Mean)
DVS SR / DVS SR-10.95
Placebo / DVS SR-10.38

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Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Baseline to Week 8.

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on a 0 to 2-4 scale (0=none/absent and 4=most severe) with a maximum total score of 50. Change= 8 week adjusted mean HAM-D17 minus baseline adjusted mean HAM-D17 (NCT00369343)
Timeframe: Baseline to 8 weeks

Interventionunits on scale (Mean)
Desvenlafaxine Succinate Sustained-Release (DVS SR)-12.64
Placebo-8.33

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Number of Participants With Categorical Scores on CGI-Improvement (CGI-I) Score at Week 8 or FOT Evaluation

CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale relative to the baseline assessment. Higher score = more affected. (NCT00384033)
Timeframe: Week 8 or FOT

,,,
InterventionParticipants (Number)
1 = Very much improved2 = Much improved3 = Minimally improved4 = No change5 = Minimally worse
Duloxetine 60 mg453537373
DVS SR 100 mg453728372
DVS SR 50 mg273847342
Placebo313235575

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Change From Baseline in HAM-D17 Total Score at Week 8 or Final On-therapy (FOT) Evaluation

HAM-D17: a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0 = none/absent and 4 = most severe, for a maximum total score of 50. (NCT00384033)
Timeframe: Baseline and Week 8 or FOT

InterventionUnits on a Scale (Mean)
Placebo-8.68
DVS SR 50 mg-9.75
DVS SR 100 mg-10.5
Duloxetine 60 mg-10.3

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Change From Baseline in Mean CGI-S Score at Week 8 or FOT Evaluation

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill participants). Higher score = more affected. (NCT00384033)
Timeframe: Baseline and Week 8 or FOT

InterventionUnits on a Scale (Mean)
Placebo-1.10
DVS SR 50 mg-1.25
DVS SR 100 mg-1.44
Duloxetine 60 mg-1.41

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Change From Baseline in Covi Anxiety Scale at Week 8 or FOT Evaluation

COVI anxiety scale measures the severity of anxiety symptoms on 3 items: verbal report, behavior and somatic complaints. Each dimension is assessed using a 5-point scale: 1 = not at all, 2 = somewhat, 3 = moderately, 4 = considerably, to 5 = Very much. Worst value is 15 and best value is 3. (NCT00384033)
Timeframe: Baseline and Week 8 or FOT

,,,
InterventionUnits on a Scale (Mean)
BaselineChange at Week 8 or FOT
Duloxetine 60 mg6.30-1.47
DVS SR 100 mg6.30-1.35
DVS SR 50 mg6.30-1.15
Placebo6.50-1.02

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Change From Baseline in HAM-D6 Total Score at Week 8 or FOT Evaluation

HAM-D6: a standardized, clinician-administered rating scale that assesses 6 items characteristically associated with major depression and is a subset of HAM-D17. HAM-D6 score ranges from 0-22. The scale uses HAM-D17 items: 1, 2, 7, 8, 10 and 13. Item 13 is scored 0-2 (0=none and 2=severe) and all others are scored 0-4 (0=none/absent and 4=most severe). (NCT00384033)
Timeframe: Baseline and Week 8 or FOT

,,,
InterventionUnits on a Scale (Mean)
BaselineChange at Week 8 or FOT
Duloxetine 60 mg12.90-5.91
DVS SR 100 mg12.90-6.15
DVS SR 50 mg12.80-5.41
Placebo13.00-4.82

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Change From Baseline in Montgomery and Asberg Depression Rating Scale (MADRS) Total Score at Week 8 or FOT Evaluation

MADRS measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). (NCT00384033)
Timeframe: Baseline and Week 8 or FOT

,,,
InterventionUnits on a Scale (Mean)
BaselineChange at Week 8 or FOT
Duloxetine 60 mg30.80-14.40
DVS SR 100 mg30.70-14.40
DVS SR 50 mg30.10-12.70
Placebo31.10-11.00

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Change From Baseline in the HAM-D Energy Subscale Score at Week 8 or FOT Evaluation

HAM-D energy subscale is a subset of the HAM-D17 that assesses 4 items associated with major depression. The scale uses HAM- D17 items 1, 7, 8 and 14. Item 14 is scored 0 to 2 (0=none/absent to 2=most severe) and all others are scored 0 to 4 (0=none/absent to 4=most severe). (NCT00384033)
Timeframe: Baseline and Week 8 or FOT

,,,
InterventionUnits on a Scale (Mean)
BaselineChange at Week 8 or FOT
Duloxetine 60 mg8.38-3.80
DVS SR 100 mg8.51-3.92
DVS SR 50 mg8.43-3.66
Placebo8.38-3.13

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Change From Baseline in the Lassitude Item of the MADRS Scale at Week 8 or FOT Evaluation

Lassitude item of MADRS represents a difficulty in getting started or slowness in initiating and performing everyday activities. It is rated on a scale of 0-6: 0 = hardly any difficulty in getting started/no sluggishness; 2 = difficulties in starting activities; 4 = difficulties in starting simple routine activities which are carried out with effort; 6 = complete lassitude/unable to do anything without help. (NCT00384033)
Timeframe: Baseline and Week 8 or FOT

,,,
InterventionUnits on a Scale (Mean)
BaselineChange at Week 8 or FOT
Duloxetine 60 mg3.50-1.26
DVS SR 100 mg3.70-1.54
DVS SR 50 mg3.53-1.39
Placebo3.49-1.27

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Change From Baseline in Visual Analog Scale-Pain Intensity (VAS-PI) Overall and Subcomponent Score at Week 8 or FOT Evaluation

VAS-PI scale assesses intensity of back pain, chest pain, arms, legs or joint pain as well as overall pain intensity where 100 mm line (VAS) is marked by participant and intensity of pain ranges from 0 millimetre (mm) = no pain to 100 mm = worst possible pain. There were separate 0 to 100 mm VAS lines for each subcomponent of VAS-PI. (NCT00384033)
Timeframe: Baseline and Week 8 or FOT

,,,
Interventionmm (Mean)
Overall pain (Baseline)Stomach pain (Baseline)Back pain (Baseline)Chest pain (Baseline)Arms, legs or joint pain (Baseline)Overall pain (Change at Week 8 or FOT)Stomach pain (Change at Week 8 or FOT)Back pain (Change at Week 8 or FOT)Chest pain (Change at Week 8 or FOT)Arms, legs or joint pain (Change at Week 8 or FOT)
Duloxetine 60 mg26.1014.0025.506.6022.40-8.84-4.38-9.33-1.67-8.35
DVS SR 100 mg25.9017.0028.3010.4028.70-10.30-6.42-12.80-3.90-11.90
DVS SR 50 mg30.8019.4032.9010.9029.10-9.08-4.98-10.70-3.34-8.98
Placebo26.3016.7025.909.4025.80-5.61-1.86-7.04-1.95-6.99

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Percentage of Participants Discontinuing Treatment Due to AEs in First 2 Weeks of Treatment

Any untoward medical occurrence in a participant who received study drug was considered an AE, without regard to possibility of causal relationship. (NCT00401245)
Timeframe: Baseline up to Week 2

InterventionPercentage of participants (Number)
DVS 25 mg, Then 100 mg4.0
DVS 25/50 mg, Then 100 mg9.1
DVS 50 mg, Then 100 mg6.5
DVS 100 mg, Then 100 mg14.8

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DESS Total Score at 1 Week After the End of Tapering

"DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of new symptoms and old (but worse) symptoms (1) and 0 for old and unchanged symptom, absent, or old symptom but improved for a total possible range of 0 to 43. A higher score indicates more symptoms." (NCT00401245)
Timeframe: Week 19

InterventionUnits on a scale (Mean)
DVS 50 mg QOD3.22
DVS 50/25 mg4.11
DVS 50 mg/Placebo1.70
Placebo1.78

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DESS Total Score at End of Second Week of Tapering

"DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of new symptoms and old (but worse) symptoms (1) and 0 for old and unchanged symptom, absent, or old symptom but improved for a total possible range of 0 to 43. A higher score indicates more symptoms." (NCT00401245)
Timeframe: Week 18

InterventionUnits on a scale (Mean)
DVS 50 mg QOD1.19
DVS 50/25 mg2.44
DVS 50 mg/Placebo4.46
Placebo2.44

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Discontinuation Emergent Signs and Symptoms (DESS) Total Score at the End of First Week of Tapering

"DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of new symptoms and old (but worse) symptoms (1) and 0 for old and unchanged symptom, absent, or old symptom but improved for a total possible range of 0 to 43. A higher score indicates more symptoms." (NCT00401245)
Timeframe: Week 17

InterventionUnits on a scale (Mean)
DVS 50 mg QOD2.26
DVS 50/25 mg2.28
DVS 50 mg/Placebo1.84
Placebo7.07

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Mean Age of the Participants in Tapering Phase

Participants were re-randomized to tapering phase after OL phase. (NCT00401245)
Timeframe: Week 17

InterventionYears (Mean)
DVS 50 mg QOD53.72
DVS 50/25 mg54.56
DVS 50 mg/Placebo54.20
Placebo54.14

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Number of Participants With Nausea During the First 2 Weeks of Treatment

Nausea by spontaneous reports to the investigators was counted if it was reported during first 2 weeks of treatment, and it was not seen before the first dose of treatment, or if it was seen before the first dose and the symptoms got worse. If multiple incidences occurred on the same participant during the 2 weeks, only 1 incidence was counted. (NCT00401245)
Timeframe: Baseline up to Week 2

InterventionParticipants (Number)
DVS 25 mg, Then 100 mg24
DVS 25/50 mg, Then 100 mg31
DVS 50 mg, Then 100 mg28
DVS 100 mg, Then 100 mg43

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Number of Participants With Other Spontaneously Reported Adverse Events (AEs) in First 2 Weeks of Treatment

Any untoward medical occurrence in a participant who received study drug was considered an AE, without regard to possibility of causal relationship. (NCT00401245)
Timeframe: Baseline up to Week 2

InterventionParticipants (Number)
DVS 25 mg, Then 100 mg67
DVS 25/50 mg, Then 100 mg69
DVS 50 mg, Then 100 mg72
DVS 100 mg, Then 100 mg80

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Number of Participants Showing Satisfaction With Tolerability at the End of Tapering

Satisfaction with tolerability (lack of bothersomeness) was assessed using a questionnaire via an IVRS/IWRS and evaluated based on participants' response of extremely satisfied, satisfied, neutral, dissatisfied or extremely dissatisfied with the study medication. (NCT00401245)
Timeframe: Week 19

,,,
InterventionParticipants (Number)
Extremely dissatisfiedDissatisfiedNeutralSatisfiedExtremely satisfied
DVS 50 mg QOD710101610
DVS 50 mg/Placebo3351910
DVS 50/25 mg5752312
Placebo6571918

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Number of Participants With Each DESS One Week After End of Tapering

DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. (NCT00401245)
Timeframe: Week 19

,,,
InterventionParticipants (Number)
AgitationBlurred visionBouts of crying or tearfulnessBurning, numbness, tingling sensationsChillsConfusion or trouble concentratingDiarrheaDizziness, lightheadedness, sensation of spinningElevated mood, feeling highFatigue, tirednessFeeling unreal or detachedFeverForgetfulness or problems with memoryHeadachesIncreased dreaming or nightmaresIncreased saliva in mouthIrritabilityMood swingsMuscle aches or painsMuscle cramps, spasms, or twitchingMuscle tension or stiffnessNauseaNervousness or anxietyNose runningProblems with speech or speaking clearlyRestless feeling in legsRinging or noises in the earsShaking, tremblingShortness of breath, gasping for airSore eyesStomach bloatingStomach crampsSudden outbursts of angerSudden panic or anxiety attacksSudden worsening of moodSweating more than usualTrouble sleeping, insomniaUncontrolled mouth/tongue movementsUnsteady gait or incoordinationUnusual sensitivity to soundUnusual tastes or smellsUnusual visual sensationsVomiting
DVS 50 mg QOD62723631319625470114555591013313324172112041101
DVS 50 mg/Placebo6020141202102301765130530300111032545000000
DVS 50/25 mg40793731721050311101958595102268314433541913152330
Placebo51323210083035316431213101010242525127011010

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Number of Participants With Each DESS at the End of Second Week of Tapering

DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. (NCT00401245)
Timeframe: Week 18

,,,
InterventionParticipants (Number)
AgitationBlurred visionBouts of crying or tearfulnessBurning, numbness, tingling sensationsChillsConfusion or trouble concentratingDiarrheaDizziness, lightheadedness, sensation of spinningElevated mood, feeling highFatigue, tirednessFeeling unreal or detachedFeverForgetfulness or problems with memoryHeadachesIncreased dreaming or nightmaresIncreased saliva in mouthIrritabilityMood swingsMuscle aches or painsMuscle cramps, spasms, or twitchingMuscle tension or stiffnessNauseaNervousness or anxietyNose runningProblems with speech or speaking clearlyRestless feeling in legsRinging or noises in the earsShaking, tremblingShortness of breath, gasping for airSore eyesStomach bloatingStomach crampsSudden outbursts of angerSudden panic or anxiety attacksSudden worsening of moodSweating more than usualTrouble sleeping, insomniaUncontrolled mouth/tongue movementsUnsteady gait or incoordinationUnusual sensitivity to soundUnusual tastes or smellsUnusual visual sensationsVomiting
DVS 50 mg QOD62201022330014415327134104110212406198000100
DVS 50 mg/Placebo107183811521514914810218149671512444631364125182322053435
DVS 50/25 mg46523721231250655110783866534432453535179175100
Placebo93644417311312484135757487142345508182319132120

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Number of Participants With Each DESS at the End of First Week of Tapering

DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. (NCT00401245)
Timeframe: Week 17

,,,
InterventionParticipants (Number)
AgitationBlurred visionBouts of crying or tearfulnessBurning, numbness, tingling sensationsChillsConfusion or trouble concentratingDiarrheaDizziness, lightheadedness, sensation of spinningElevated mood, feeling highFatigue, tirednessFeeling unreal or detachedFeverForgetfulness or problems with memoryHeadachesIncreased dreaming or nightmaresIncreased saliva in mouthIrritabilityMood swingsMuscle aches or painsMuscle cramps, spasms, or twitchingMuscle tension or stiffnessNauseaNervousness or anxietyNose runningProblems with speech or speaking clearlyRestless feeling in legsRinging or noises in the earsShaking, tremblingShortness of breath, gasping for airSore eyesStomach bloatingStomach crampsSudden outbursts of angerSudden panic or anxiety attacksSudden worsening of moodSweating more than usualTrouble sleeping, insomniaUncontrolled mouth/tongue movementsUnsteady gait or incoordinationUnusual sensitivity to soundUnusual tastes or smellsUnusual visual sensationsVomiting
DVS 50 mg QOD145535718196268140645561423356413563032313141114
DVS 50 mg/Placebo626332490611391206432757300621550204148001100
DVS 50/25 mg74332437011206513065866753242433644261911115201
Placebo1813249921204113242041228354261919121828197641411681911119224437016741011

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Number of Participants Showing Satisfaction With Tolerability During the First Two Weeks of Treatment

Satisfaction with tolerability (lack of bothersomeness) was assessed using a questionnaire via an interactive voice response system (IVRS)/interactive web based response system (IWRS), and evaluated based on participants' response of extremely satisfied, satisfied, neutral, dissatisfied or extremely dissatisfied with the study medication. (NCT00401245)
Timeframe: Week 1 and Week 2

,,,
InterventionParticipants (Number)
Week 1: Extremely dissatisfied (n=124,119,120,111)Week 1: Dissatisfied (n=124,119,120,111)Week 1: Neutral (n=124,119,120,111)Week 1: Satisfied (n=124,119,120,111)Week 1: Extremely satisfied (n=124,119,120,111)Week 2: Extremely dissatisfied (n=115,105,113,94)Week 2: Dissatisfied (n=115,105,113,94)Week 2: Neutral (n=115,105,113,94)Week 2: Satisfied (n=115,105,113,94)Week 2: Extremely satisfied (n=115,105,113,94)
DVS 100 mg, Then 100 mg41619393301154038
DVS 25 mg, Then 100 mg2120475423174350
DVS 25/50 mg, Then 100 mg3613484904173549
DVS 50 mg, Then 100 mg1828434008184146

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Menopause Symptoms-treatment Satisfaction Questionnaire (MS-TSQ) Score

MS-TSQ is a questionnaire assessing participants' degree of satisfaction with regard to the test article which was administered to the participants via an IVRS/IWRS. The questionnaire comprised 8 questions and each was rated on a scale from 0 (extremely dissatisfied) to 4 (extremely satisfied). (NCT00401245)
Timeframe: Week 16

InterventionUnits on a scale (Mean)
Ability to control hot flushes during the dayAbility to control hot flushes during the nightEffect on quality of sleepEffect on mood or emotionsEffect on interest in sexEffect on ability to concentrateTolerability to side effectsOverall satisfaction
DVS 100 mg2.642.712.593.022.372.673.042.81

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Gender of the Participants in Tapering Phase

Participants were re-randomized to tapering phase after OL phase. (NCT00401245)
Timeframe: Week 17

,,,
InterventionParticipants (Number)
FemaleMale
DVS 50 mg QOD1010
DVS 50 mg/Placebo870
DVS 50/25 mg940
Placebo1020

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Change From Baseline in Menopause-specific Quality of Life Questionnaire (MenQOL) Score at Week 4, Week 8, Week 12 and Week 16

MenQOL questionnaire assessed how bothered participants were with 31 symptoms. It contains domains: vasomotor (items 1-3); psychosocial (items 4-10); physical (items 11-26); sexual (items 27-29); in addition to nausea and indigestion. 31 individual symptoms are rated on a scale of 0 (not at all bothered) to 6 (extremely bothered). Total possible score ranged from 0 to 186. MenQOL summary score was calculated as mean of four domain scores (Physical function, Psychosocial function, Sexual function and Vasomotor function) ranging from 1 to 8, with higher scores indicating worse quality of life. (NCT00401245)
Timeframe: Baseline, Week 4, Week 8, Week 12 and Week 16

InterventionUnits on a scale (Mean)
BaselineWeek 4 (n=385)Week 8 (n=364)Week 12 (n=354)Week 16 (n=277)
DVS 100 mg4.462.992.852.762.67

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Clinical Global Impression Improvement (CGI-I) Score at 8 Weeks

CGI-I is a global rating scale that measures disease improvement. Using a 7-point scale, the clinician rates how much the patient's illness has improved or worsened relative to the baseline status (1= very much improved; 7= very much worse). (NCT00406640)
Timeframe: 8 weeks

Interventionunits on scale (Mean)
Desvenlafaxine Succinate Sustained-release (DVS SR)1.93
Escitalopram1.81

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Change in Hamilton Psychiatric Rating Scale for Depression (HAM-D17) Score From Baseline to Week 8

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4) with 0=none/absent and 4=most severe,for a maximum total score of 50. Change= 8 week adjusted mean HAM-D17 minus baseline adjusted mean HAM-D17. (NCT00406640)
Timeframe: Baseline and 8 weeks

Interventionunits on scale (Mean)
Desvenlafaxine Succinate Sustained-release (DVS SR)-13.63
Escitalopram-14.30

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Change in Dimension Health State EuroQol (EQ-5D) Score From Baseline to Week 8

EQ-5D is a standardized, subject-administered measure of health outcome. It provides a descriptive profile for 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression), using 3 levels (no, moderate, or extreme problems) and a single index value characterizing current health status using a 100-point visual analog scale (0=worst, 100=best). EQ-5D summary index is obtained with a formula that weights each level of the dimensions. The index-based score is interpreted along a continuum of 0 (death) to 1 (perfect health). Change=8 week score minus baseline score. (NCT00406640)
Timeframe: Baseline and week 8

Interventionunits on scale (Mean)
Desvenlafaxine Succinate Sustained-release (DVS SR)0.25
Escitalopram0.24

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Change in Clinical Global Impression Severity (CGI-S) Score From Baseline to Week

CGI-S is a global rating scale that measures the severity of a patient's disease. Using a 7-point scale, the clinician rates the severity of the patient's mental illness at the time of the assessment, relative to the clinician's experience with patients who have the same diagnosis (1= normal; 7= extremely ill). (NCT00406640)
Timeframe: Baseline and 8 weeks

Interventionunits on scale (Mean)
Desvenlafaxine Succinate Sustained-release (DVS SR)-2.09
Escitalopram-2.22

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Percentage of Patients Achieving Response to Treatment at Final On-therapy Evaluation (Acute Phase)

A response is defined as ≥ 50% decrease from baseline on Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on a 0 to 2 or 4 scale (0=none/absent and 4=most severe) for a maximum total score of 50. (NCT00406640)
Timeframe: 8 weeks

Interventionpercentage of patients (Number)
Desvenlafaxine Succinate Sustained-release (DVS SR)64.3
Escitalopram73.4

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Percentage of Non-Responders Achieving Remission at Final Evaluation of 6-month Open-Label Extension Phase

Patients who did not achieve a response to treatment at the end of the 8-week acute double blind phase entered into an open label (OL) treatment phase with DVS SR for 6 months and were evaluated to see if remission was achieved. Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score of ≤ 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on a 0 to 2 or 4 scale (0=none/absent and 4=most severe) for a maximum total score of 50. (NCT00406640)
Timeframe: 6 months

InterventionPercentage of Non-Responders (Number)
DVS SR Non-Responders / DVS SR OL40.6
ESC Non-Responders / DVS SR OL47.5

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Change in Hamilton Psychiatric Rating Scale for Anxiety From Baseline to Week 8 (HAM-A) Score

The HAM-A is a standardized, clinician-administered rating scale that assesses 14 items characteristically associated with major anxiety disorders. Items are scaled 0 - 4 (0=none and 4=very severe), with a maximum total score of 56. Change= 8 week adjusted mean HAM-A total score minus baseline adjusted mean total score. (NCT00406640)
Timeframe: Baseline and Week 8

Interventionunits on scale (Mean)
Desvenlafaxine Succinate Sustained-release (DVS SR)-11.37
Escitalopram-11.73

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Percentage of Non-Responders Achieving Response at Final Evaluation of 6-month Open-Label (OL)Extension Phase

Patients who didn't achieve a response to treatment at the end of the 8-week acute double blind phase entered into an OL treatment phase with DVS SR for 6 months and were evaluated to see if a response was achieved. A response is defined as ≥ 50% decrease from baseline on Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on a 0 to 2 or 4 scale (0=none/absent and 4=most severe) for a maximum total score of 50. (NCT00406640)
Timeframe: 6 months

InterventionPercentage of Non-Responders (Number)
DVS SR Non-Responders / DVS SR OL39.1
ESC Non-Responders / DVS SR OL50.8

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Percentage of Patients Achieving Remission at Final On-therapy Evaluation (Acute Phase)

Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score of ≤ 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on a 0 to 2 or 4 scale (0=none/absent and 4=most severe) for a maximum total score of 50. (NCT00406640)
Timeframe: 8 weeks

InterventionPercentage of patients (Number)
Desvenlafaxine Succinate Sustained-release (DVS SR)37.9
Escitalopram48.1

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Percentage of Responders Achieving Remission at Final On-therapy Evaluation (Double Blind Continuation Phase)

Patients achieving a response to treatment at the end of the 8-week acute double blind (DB) phase continued the same treatment in a 6-month DB continuation phase and were evaluated to see if remission was achieved. Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score of ≤ 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on a 0 to 2 or 4 scale (0=none/absent and 4=most severe) for a maximum total score of 50. (NCT00406640)
Timeframe: 6 months

Interventionpercentage of responders (Number)
DVS SR Responders / DVS SR DB67.9
ESC Responders / ESC DB61.3

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Percentage of Responders Improving Response to Remission During 6-month Double Blind Continuation Phase

Patients achieving a response to treatment (Responders) at the end of the 8-week acute double blind (DB) phase continued into a 6-month DB phase. Responders without remission at 8 weeks were assessed for remission status during the 6-month continuation. Remission defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score ≤ 7. HAM-D17 is a standardized, clinician-administered rating scale assessing 17 items characteristically associated with major depression. Individual items scored on a 0 to 2 or 4 scale (0=none/absent and 4=most severe) for a maximum total score of 50. (NCT00406640)
Timeframe: 6 months

Interventionpercentage of responders (Number)
DVS SR Responders / DVS SR DB88.9
ESC Responders / ESC DB81.8

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Percentage of Responders Maintaining Response to Treatment at Final On-therapy Evaluation (Double Blind Continuation Phase)

Patients achieving a response to treatment at the end of the 8-week acute double blind (DB) phase continued the same treatment in a 6-month DB continuation phase and were evaluated to see if the response was maintained. A response is defined as ≥ 50% decrease from baseline on Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on a 0 to 2 or 4 scale (0=none/absent and 4=most severe) for a maximum total score of 50. (NCT00406640)
Timeframe: 6 months

Interventionpercentage of responders (Number)
DVS SR Responders / DVS SR DB81.8
ESC Responders / ESC DB80.0

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Discontinuation-Emergent Signs and Symptoms (DESS) Total Score

DESS is a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of new symptoms and old (but worse) symptoms that appeared during tapering of the test article. A higher score indicates more symptoms. The DESS score was assessed by status of taper. (NCT00406640)
Timeframe: 6 months

,
Interventionunits on scale (Mean)
End of TherapyTaper week 1Taper week 2Post-taper
Desvenlafaxine Succinate Sustained-Release (DVS SR)1.491.182.291.61
Escitalopram (ESC)1.521.683.161.48

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Area Under the Curve From Time Zero to Infinity (AUC0-∞)

AUC (0-∞) = Area under the plasma concentration versus time curve from time zero (pre-dose) to infinity. Noncompartmental PK parameter obtained using 0 to 72 hour concentration data from venous blood samples measured as nanograms multiplied by hours divided by milliliters (ng*hr/mL). (NCT00619619)
Timeframe: Pre-dose (0 hour) and Post-dose (0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, and 72 hours) on Days 28 and 56

Interventionng*hr/mL (Mean)
Desvenlafaxine 10 mg Children628
Desvenlafaxine 25 mg Children1704
Desvenlafaxine 50 mg Children2414
Desvenlafaxine 100 mg Children6732
Desvenlafaxine 25 mg Adolescent1123
Desvenlafaxine 50 mg Adolescent2281
Desvenlafaxine 100 mg Adolescent5290
Desvenlafaxine 200 mg Adolescent11730

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Time to Reach Maximum Observed Plasma Concentration (Tmax)

Noncompartmental PK parameter obtained using 0 to 72 hour concentration data from venous blood samples measured as hours (hr). (NCT00619619)
Timeframe: Pre-dose (0 hour) and Post-dose (0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, and 72 hours) on Days 28 and 56

Interventionhr (Mean)
Desvenlafaxine 10 mg Children4.7
Desvenlafaxine 25 mg Children4.3
Desvenlafaxine 50 mg Children5.1
Desvenlafaxine 100 mg Children5.0
Desvenlafaxine 25 mg Adolescent4.3
Desvenlafaxine 50 mg Adolescent8.7
Desvenlafaxine 100 mg Adolescent7.6
Desvenlafaxine 200 mg Adolescent7.5

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Plasma Decay Half-Life (t1/2)

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Noncompartmental PK parameter obtained using 0 to 72 hour concentration data from venous blood samples measured as hours (hr). (NCT00619619)
Timeframe: Pre-dose (0 hour) and Post-dose (0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, and 72 hours) on Days 28 and 56

Interventionhr (Mean)
Desvenlafaxine 10 mg Children7.8
Desvenlafaxine 25 mg Children8.6
Desvenlafaxine 50 mg Children9.4
Desvenlafaxine 100 mg Children9.0
Desvenlafaxine 25 mg Adolescent12
Desvenlafaxine 50 mg Adolescent10.2
Desvenlafaxine 100 mg Adolescent9.6
Desvenlafaxine 200 mg Adolescent9.8

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Percentage of Participants With a Categorical Clinical Global Impressions Scale-Severity (CGI-S) Score at Every Visit

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1=normal, not ill at all, 2=borderline mentally ill, 3=mildly ill, 4=moderately ill, 5=markedly ill, 6=severely ill, 7=among the most extremely ill patients. Higher scores reflect higher severity of current illness states. (NCT00619619)
Timeframe: Baseline, Inpatient Days 1 to 4, Outpatient Days 5 to 7, Outpatient Weeks 2 through 8 and Outpatient Week >8 (or early termination)

,,,,,,,
Interventionpercentage of participants (Number)
Inpatient Days 1 to 4: not ill at allInpatient Days 1 to 4: borderline illInpatient Days 1 to 4: mildly illInpatient Days 1 to 4: moderately illInpatient Days 1 to 4: markedly illOutpatient Days 5 to 7: not ill at allOutpatient Days 5 to 7: borderline illOutpatient Days 5 to 7: mildly illOutpatient Days 5 to 7: moderately illOutpatient Days 5 to 7: markedly illOutpatient Week 2: not ill at allOutpatient Week 2: borderline illOutpatient Week 2: mildly illOutpatient Week 2: moderately illOutpatient Week 2: markedly illOutpatient Week 3: not ill at allOutpatient Week 3: borderline illOutpatient Week 3: mildly illOutpatient Week 3: moderately illOutpatient Week 3: markedly illOutpatient Week 4: not ill at allOutpatient Week 4: borderline illOutpatient Week 4: mildly illOutpatient Week 4: moderately illOutpatient Week 4: markedly illOutpatient Week 5: not ill at allOutpatient Week 5: borderline illOutpatient Week 5: mildly illOutpatient Week 5: moderately illOutpatient Week 5: markedly illOutpatient Week 6: not ill at allOutpatient Week 6: borderline illOutpatient Week 6: mildly illOutpatient Week 6: moderately illOutpatient Week 6: markedly illOutpatient Week 7: not ill at allOutpatient Week 7: borderline illOutpatient Week 7: mildly illOutpatient Week 7: moderately illOutpatient Week 7: markedly illOutpatient Week 8: not ill at allOutpatient Week 8: borderline illOutpatient Week 8: mildly illOutpatient Week 8: moderately illOutpatient Week 8: markedly illOutpatient Week >8: not ill at allOutpatient Week >8: borderline illOutpatient Week >8: mildly illOutpatient Week >8: moderately illOutpatient Week >8: markedly ill
Desvenlafaxine 10 mg Children0.00.00.01000.00.00.00.01000.00.00.066.733.30.00.00.066.733.30.00.016.766.716.70.00.016.766.716.70.00.050500.00.00.050500.00.00.066.733.30.00.00.066.733.30.00.0
Desvenlafaxine 100 mg Adolescent0.00.00.01000.00.00.00.01000.00.00.050500.00.02537.537.50.00.05012.537.50.00.05012.537.50.00.062.512.5250.00.062.52512.50.012.5502512.50.012.5502512.50.0
Desvenlafaxine 100 mg Children0.00.014.385.70.00.00.00.01000.00.00.00.01000.00.00.00.01000.00.00.014.385.70.00.00.014.385.70.00.00.028.671.40.00.00.028.671.40.00.00.071.428.60.00.00.071.428.60.0
Desvenlafaxine 200 mg Adolescent0.00.012.587.50.00.00.012.587.50.00.00.012.587.50.00.00.012.587.50.00.00.037.562.50.00.00.037.562.50.00.00.050500.00.00.050500.00.00.062.537.50.00.00.062.537.50.0
Desvenlafaxine 25 mg Adolescent0.00.00.01000.00.00.00.01000.00.00.00.01000.00.00.028.671.40.00.00.028.671.40.00.00.028.671.40.00.00.057.142.90.00.00.057.142.90.00.00.057.142.90.00.00.057.142.90.0
Desvenlafaxine 25 mg Children0.00.00.01000.00.00.042.957.10.00.014.357.128.60.00.057.142.90.00.014.357.128.60.00.014.357.128.60.00.00.057.142.90.00.00.042.957.10.00.00.042.957.10.00.00.057.142.90.00.0
Desvenlafaxine 50 mg Adolescent0.00.00.01000.00.00.014.385.70.00.00.028.671.40.00.00.057.142.90.00.00.085.714.30.00.00.085.714.30.00.014.357.128.60.00.014.357.128.60.00.028.671.40.00.00.028.671.40.00.0
Desvenlafaxine 50 mg Children0.00.00.088.911.10.00.044.455.60.00.011.155.633.30.00.00.088.911.10.00.011.166.722.20.011.111.155.622.20.011.111.166.711.10.011.111.177.80.00.011.122.266.70.00.011.133.355.60.00.0

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Number of Participants With Adverse Events AEs) and Serious Adverse Events (SAEs)

AEs are any untoward, undesired, or unplanned event in the form of signs, symptoms, disease, or laboratory or physiologic observations occurring in a person given study treatment. The event does not need to be causally related to the study treatment. SAEs are adverse events that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in persistent or significant disability or incapacity, result in cancer, or result in a congenital anomaly or birth defect. (NCT00619619)
Timeframe: Baseline to Follow-up (up to Day 77)

,,,,,,,
Interventionparticipants (Number)
Serious Adverse EventsNon-serious Adverse Events
Desvenlafaxine 10 mg Children01
Desvenlafaxine 100 mg Adolescent07
Desvenlafaxine 100 mg Children07
Desvenlafaxine 200 mg Adolescent08
Desvenlafaxine 25 mg Adolescent14
Desvenlafaxine 25 mg Children03
Desvenlafaxine 50 mg Adolescent02
Desvenlafaxine 50 mg Children03

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Percentage of Participants With a Categorical Clinical Global Impressions Scale-Improvement(CGI-I) Score at Every Visit

CGI-I: 7-point clinician rated scale ranging from 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, to 7=very much worse. Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Scores above 4 reflect worsening of illness state as compared to baseline. (NCT00619619)
Timeframe: Baseline, Inpatient Days 1 to 4, Outpatient Days 5 to 7, Outpatient Weeks 2 through 8 and Outpatient Week >8 (or early termination)

,,,,,,,
Interventionpercentage of participants (Number)
Inpatient Days 1 to 4: very much improvedInpatient Days 1 to 4: much improvedInpatient Days 1 to 4: minimally improvedInpatient Days 1 to 4: no changeInpatient Days 1 to 4: minimally worseOutpatient Days 5 to 7: very much improvedOutpatient Days 5 to 7: much improvedOutpatient Days 5 to 7: minimally improvedOutpatient Days 5 to 7: no changeOutpatient Days 5 to 7: minimally worseOutpatient Week 2: very much improvedOutpatient Week 2: much improvedOutpatient Week 2: minimally improvedOutpatient Week 2: no changeOutpatient Week 2: minimally worseOutpatient Week 3: very much improvedOutpatient Week 3: much improvedOutpatient Week 3: minimally improvedOutpatient Week 3: no changeOutpatient Week 3: minimally worseOutpatient Week 4: very much improvedOutpatient Week 4: much improvedOutpatient Week 4: minimally improvedOutpatient Week 4: no changeOutpatient Week 4: minimally worseOutpatient Week 5: very much improvedOutpatient Week 5: much improvedOutpatient Week 5: minimally improvedOutpatient Week 5: no changeOutpatient Week 5: minimally worseOutpatient Week 6: very much improvedOutpatient Week 6: much improvedOutpatient Week 6: minimally improvedOutpatient Week 6: no changeOutpatient Week 6: minimally worseOutpatient Week 7: very much improvedOutpatient Week 7: much improvedOutpatient Week 7: minimally improvedOutpatient Week 7: no changeOutpatient Week 7: minimally worseOutpatient Week 8: very much improvedOutpatient Week 8: much improvedOutpatient Week 8: minimally improvedOutpatient Week 8: no changeOutpatient Week 8: minimally worseOutpatient Week >8: very much improvedOutpatient Week >8: much improvedOutpatient Week >8: minimally improvedOutpatient Week >8: no changeOutpatient Week >8: minimally worse
Desvenlafaxine 10 mg Children0.00.00.01000.00.00.050500.00.033.35016.70.00.050500.00.00.050500.00.00.050500.00.00.050500.00.00.050500.00.00.083.316.70.00.00.083.316.70.00.0
Desvenlafaxine 100 mg Adolescent0.00.012.587.50.00.00.025750.00.00.075250.00.037.537.5250.00.05037.512.50.00.05037.512.50.00.07512.512.50.00.07512.512.50.012.5750.012.50.012.5750.012.50.0
Desvenlafaxine 100 mg Children0.014.30.085.70.00.00.042.957.10.00.014.342.942.90.00.014.357.128.60.00.028.657.114.30.00.028.671.40.00.00.028.671.40.00.00.028.671.40.00.00.071.428.60.00.00.071.428.60.00.0
Desvenlafaxine 200 mg Adolescent0.012.537.5500.00.012.52562.50.00.02550250.00.02562.512.50.00.037.537.512.512.50.037.537.512.512.50.05025250.00.05037.512.50.00.062.537.50.00.00.062.537.50.00.0
Desvenlafaxine 25 mg Adolescent0.014.30.0085.70.00.00.042.957.10.00.00.042.957.10.00.028.657.114.30.00.028.657.114.30.00.028.657.114.30.00.057.128.614.30.00.057.128.614.30.00.057.128.614.30.00.057.128.614.30.0
Desvenlafaxine 25 mg Children0.00.00.01000.00.014.314.371.40.00.028.642.928.60.00.085.714.30.00.014.371.414.30.00.014.385.70.00.00.014.357.128.60.00.014.342.942.90.00.014.371.414.30.00.014.371.414.30.00.0
Desvenlafaxine 50 mg Adolescent0.00.00.01000.00.00.057.142.90.00.00.057.142.90.00.00.071.428.60.00.00.085.714.30.00.00.085.714.30.00.071.428.60.00.00.071.428.60.00.00.071.428.60.00.00.071.428.60.00.0
Desvenlafaxine 50 mg Children0.00.011.188.90.00.011.155.633.30.011.144.411.133.30.00.044.444.411.10.00.055.622.211.111.111.155.622.20.011.111.166.722.20.00.011.155.633.30.00.022.222.255.60.00.022.233.344.40.00.0

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Change From Baseline in Hamilton Rating Scale for Depression 17-item (HAMD-D17) Total Score

HAM-D, clinician-rated interview, measures presence of depressive symptoms in 17 areas (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, & weight loss). Total score ranges from 0 to 52; higher scores reflect higher severity of current illness states. (NCT00619619)
Timeframe: Baseline, Inpatient Days 1 to 4, Outpatient Days 5 to 7, Outpatient Weeks 2 through 8 and Outpatient Week >8 (or early termination)

,,,,,,,
InterventionScore on a scale (Mean)
Inpatient Days 1 to 4Outpatient Days 5 to 7Outpatient Week 2Outpatient Week 3Outpatient Week 4Outpatient Week 5Outpatient Week 8Outpatient Week >8
Desvenlafaxine 10 mg Children-6.00-6.00-9.33-9.33-11.00-11.00-12.17-12.17
Desvenlafaxine 100 mg Adolescent-1.50-1.50-8.13-8.13-12.13-12.25-14.25-13.00
Desvenlafaxine 100 mg Children-2.43-2.43-5.57-5.57-7.57-9.00-11.14-11.14
Desvenlafaxine 200 mg Adolescent-5.63-5.63-9.38-8.88-9.00-9.00-11.63-11.63
Desvenlafaxine 25 mg Adolescent-2.29-2.00-2.71-2.71-7.29-7.29-11.14-11.14
Desvenlafaxine 25 mg Children-5.43-5.43-10.71-10.29-13.00-14.14-14.00-13.86
Desvenlafaxine 50 mg Adolescent-0.57-0.57-5.71-5.71-7.57-7.57-9.86-9.86
Desvenlafaxine 50 mg Children-0.33-0.33-6.11-6.11-7.22-7.56-8.44-9.11

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Change From Baseline in Children's Depression Ratings Scale-Revised (CDRS-R) Total Score

CDRS-R total score: scale measures 17 depressive symptoms, of which 3 are rated 1 to 5 and 14 are rated 1 to 7 (1 = no symptom difficulties; 5 or 7 = severe clinically significant difficulties) for a total score range of 17 to 113. Lower total scores indicate lower intensity of symptoms. (NCT00619619)
Timeframe: Baseline, Inpatient Days 1 to 4, Outpatient Days 5 to 7, Outpatient Weeks 2 through 8 and Outpatient Week >8 (or early termination)

,,,,,,,
Interventionscores on a scale (Mean)
Inpatient Days 1 to 4Outpatient Days 5 to 7Outpatient Week 2Outpatient Week 3Outpatient Week 4Outpatient Week 5Outpatient Week 6Outpatient Week 7Outpatient Week 8Outpatient Week >8
Desvenlafaxine 10 mg Children-6.83-10.67-17.67-19.67-19.50-19.50-21.83-21.83-22.00-22.00
Desvenlafaxine 100 mg Adolescent-8.25-9.50-18.13-21.25-23.50-23.88-24.63-25.38-27.25-26.75
Desvenlafaxine 100 mg Children-6.43-7.86-9.57-10.43-10.00-10.29-12.00-12.00-14.14-14.14
Desvenlafaxine 200 mg Adolescent-10.38-11.25-13.13-13.13-12.50-12.50-14.38-14.50-15.38-15.38
Desvenlafaxine 25 mg Adolescent-7.00-8.00-8.29-11.71-14.57-14.57-20.57-20.57-21.43-21.43
Desvenlafaxine 25 mg Children-9.86-13.86-18.86-18.57-20.86-23.00-19.86-20.43-20.29-20.00
Desvenlafaxine 50 mg Adolescent-4.57-8.29-11.29-14.57-19.43-19.43-17.14-17.14-22.29-22.29
Desvenlafaxine 50 mg Children-2.78-10.44-14.44-16.89-17.56-19.56-18.44-19.11-19.78-19.89

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Maximum Observed Plasma Concentration (Cmax)

Noncompartmental pharmacokinetic (PK) parameter obtained using 0 to 72 hour concentration data from venous blood samples measured as nanograms per milliliter (ng/mL). (NCT00619619)
Timeframe: Pre-dose (0 hour) and Post-dose (0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 60, and 72 hours) on Days 28 and 56

Interventionng/mL (Mean)
Desvenlafaxine 10 mg Children33.9
Desvenlafaxine 25 mg Children98
Desvenlafaxine 50 mg Children108
Desvenlafaxine 100 mg Children263
Desvenlafaxine 25 mg Adolescent46.1
Desvenlafaxine 50 mg Adolescent93.9
Desvenlafaxine 100 mg Adolescent202
Desvenlafaxine 200 mg Adolescent449

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Percentage of Participants With a Categorical Clinical Global Impressions Scales - Severity (CGI-S) Score

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1=normal, not ill at all, 2=borderline mentally ill, 3=mildly ill, 4=moderately ill, 5=markedly ill, 6=severely ill, 7=among the most extremely ill patients. Higher scores reflect higher severity of current illness states. (NCT00669110)
Timeframe: Extension study Outpatient Weeks 1, 2, 4, 6, 10, 14, 18, 22, 26, and >26 (up to Week 29)

,
Interventionpercentage of participants (Number)
Outpatient Week 1: not ill at allOutpatient Week 1: borderline illOutpatient Week 1: mildly illOutpatient Week 1: moderately illOutpatient Week 2: not ill at allOutpatient Week 2: borderline illOutpatient Week 2: mildly illOutpatient Week 2: moderately illOutpatient Week 4: not ill at allOutpatient Week 4: borderline illOutpatient Week 4: mildly illOutpatient Week 4: moderately illOutpatient Week 6: not ill at allOutpatient Week 6: borderline illOutpatient Week 6: mildly illOutpatient Week 6: moderately illOutpatient Week 10: not ill at allOutpatient Week 10: borderline illOutpatient Week 10: mildly illOutpatient Week 10: moderately illOutpatient Week 14: not ill at allOutpatient Week 14: borderline illOutpatient Week 14: mildly illOutpatient Week 14: moderately illOutpatient Week 18: not ill at allOutpatient Week 18: borderline illOutpatient Week 18: mildly illOutpatient Week 18: moderately illOutpatient Week 22: not ill at allOutpatient Week 22: borderline illOutpatient Week 22: mildly illOutpatient Week 22: moderately illOutpatient Week 26: not ill at allOutpatient Week 26: borderline illOutpatient Week 26: mildly illOutpatient Week 26: moderately illOutpatient Week >26: not ill at allOutpatient Week >26: borderline illOutpatient Week >26: mildly illOutpatient Week >26: moderately ill
DVS SR - Adolescents10.510.557.921.1102045251030352510205020103545105553010555355555355550405550405
DVS SR - Children13.353.326.76.710404551050301010404551545355555355570205560305575155575155

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Percentage of Participants With a Categorical Clinical Global Impressions Scales - Improvement (CGI-I) Score

CGI-I: 7-point clinician rated scale ranging from 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, to 7=very much worse. Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Scores above 4 reflect worsening of illness state as compared to baseline. (NCT00669110)
Timeframe: Baseline (Core study NCT00619619), Extension study Outpatient Weeks 1, 2, 4, 6, 10, 14, 18, 22, 26, and >26 (up to Week 29)

,
Interventionpercentage of participants (Number)
Outpatient Week 1: very much improvedOutpatient Week 1: much improvedOutpatient Week 1: minimally improvedOutpatient Week 1: minimally worseOutpatient Week 2: very much improvedOutpatient Week 2: much improvedOutpatient Week 2: minimally improvedOutpatient Week 4: very much improvedOutpatient Week 4: much improvedOutpatient Week 4: minimally improvedOutpatient Week 4: minimally worseOutpatient Week 6: very much improvedOutpatient Week 6: much improvedOutpatient Week 6: minimally improvedOutpatient Week 10: very much improvedOutpatient Week 10: much improvedOutpatient Week 10: minimally improvedOutpatient Week 10: no changeOutpatient Week 14: very much improvedOutpatient Week 14: much improvedOutpatient Week 14: minimally improvedOutpatient Week 14: no changeOutpatient Week 18: very much improvedOutpatient Week 18: much improvedOutpatient Week 18: minimally improvedOutpatient Week 22: very much improvedOutpatient Week 22: much improvedOutpatient Week 22: minimally improvedOutpatient Week 26: very much improvedOutpatient Week 26: much improvedOutpatient Week 26: minimally improvedOutpatient Week >26: very much improvedOutpatient Week >26: much improvedOutpatient Week >26: minimally improved
DVS SR - Adolescents10454051555302055250.020651530501554040155404515454015404515404515
DVS SR - Children2555200.025551535451553535303040300.02550205305515305020404515404515

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Number of Participants With Vital Sign Results of Potential Clinical Importance (PCI): Weight

Vitals signs meeting the PCI criteria for weight categorized according to an increase of ≥7 percent or a decrease of ≥3.5 percent in body weight. (NCT00669110)
Timeframe: Baseline (Extension study) up to Week 26 (Extension study)

,
Interventionparticipants (Number)
Increase ≥7 percent in body weightDecrease of ≥3.5 percent in body weight
DVS SR - Adolescents43
DVS SR - Children111

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Number of Participants With Vital Sign Results of Potential Clinical Importance (PCI): Pulse Rate

PCI criteria for females: supine pulse rate (beats per minute [bpm]) ranges from <68 or >126 at age 6 to pulse <63 or >121 at age 11; pulse from <63 or >121 at age 12 to <54 or >110 at age 17; pulse from <50 or >104 at age 18. Criteria for males: pulse ranges from <68 or >126 at age 6 to pulse <63 or >121 at age 11; pulse from <58 or >116 at age 12 to <50 or >104 at age 17; pulse from <45 or >99 at age 18. Vitals signs meeting criteria for PCI categorized as Low or as postural change in pulse (increase in pulse ≥20 bpm for last supine to first standing pulse [supine to standing]). (NCT00669110)
Timeframe: Baseline (Extension study) up to Week 26 (Extension study)

,
Interventionparticipants (Number)
Low supine pulse rateIncrease in pulse rate ≥20 mmHg supine to standing
DVS SR - Adolescents212
DVS SR - Children114

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Number of Participants With Vital Sign Results of Potential Clinical Importance (PCI): Blood Pressure (BP)

PCI criteria for females: systolic BP [SBP] ranges from >110 and diastolic BP [DBP] >73 (>110/73) at age 6 up to BP >124/81 at age 11; BP from >121/79 at age 12 up to BP >132/86 at age 17. Criteria for males: BP ranges from >112/73 at age 6 up to BP >123/82 at age 10; BP from >119/79 at age 11 up to BP >140/89 at age 17. Vitals signs meeting the criteria for PCI categorized as BP elevation for 3 consecutive visits or as postural change in BP (decrease in SBP ≥20 millimeters of mercury [mmHg] or in DBP ≥15 mmHg for the last supine to first standing BP [supine to standing]). (NCT00669110)
Timeframe: Baseline (Extension study) up to Week 26 (Extension study)

,
Interventionparticipants (Number)
Elevated supine SBP, 3 consecutive visitsDecrease SBP ≥20 mmHg supine to standingDecrease DBP ≥15 mmHg supine to standing
DVS SR - Adolescents003
DVS SR - Children420

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Number of Participants With Laboratory Test Results of Potential Clinical Importance (PCI)

Laboratory test results meeting the criteria for PCI categorized as bicarbonate increase or decrease from baseline of ≥4 millimoles per liter (mmol/L); hematocrit <0.32 or >0.50 (females) or <0.37 or >0.55 (males) liters per liter (L/L); high density lipoprotein (HDL) cholesterol (fasting or nonfasting / unknown) decrease >0.21 mmol/L and test value ≥1.16 mmol/L; triglycerides (fasting or nonfasting / unknown) ≥2.258 mmol/L or increase ≥1.13 mmol/L and test value ≥3.39 mmol/L; urine specific gravity <1.001 or >1.035; and positive urinalysis result for protein (albumin), hemoglobin, or ketones. (NCT00669110)
Timeframe: Baseline (Extension study) up to Week 26 (Extension study)

,
Interventionparticipants (Number)
Bicarbonate: increaseBicarbonate: decreaseHematocrit: lowHDL cholesterol: decreaseTriglycerides: highUrine specific gravity: highUrine protein albumin: positive resultUrine ketones: positive resultUrine hemoglobin: positive result
DVS SR - Adolescents012113911
DVS SR - Children204243900

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Change From Baseline (Bsl) in Hamilton Rating Scale for Depression 17-item (HAM-D17) Total Score

HAM-D17 is a clinician-rated interview to measure presence of depressive symptoms in 17 areas (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Total score ranges from 0 to 52; higher scores reflect higher severity of current illness states. (NCT00669110)
Timeframe: Baseline (Extension study), Extension study Outpatient Weeks 1, 2, 4, 6, 10, 14, 18, 22, 26, and >26 (up to Week 29)

,
Interventionscores on a scale (Mean)
Baseline meanChange from Bsl Outpatient Week 1Change from Bsl Outpatient Week 2Change from Bsl Outpatient Week 4Change from Bsl Outpatient Week 6Change from Bsl Outpatient Week 10Change from Bsl Outpatient Week 14Change from Bsl Outpatient Week 18Change from Bsl Outpatient Week 22Change from Bsl Outpatient Week 26Change from Bsl Outpatient Week >26
DVS SR - Adolescents7.451.790.70-0.95-0.70-1.40-1.65-2.45-2.15-2.35-2.10
DVS SR - Children5.150.53-0.50-0.40-0.45-1.30-0.45-1.65-1.05-1.65-1.65

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Number of Participants With Electrocardiogram (ECG) Results of Potential Clinical Importance (PCI)

ECG results meeting the criteria for PCI categorized as PR interval ≥200 milliseconds (msec); QT interval ≥480msec; QRS interval ≥120 msec; corrected QT (QTc) ≥500 msec ); >450 msec for males and >470 msec for females or increase of ≥60 msec or ≥30 msec change from baseline QTcB=QT corrected using Bazett formula; QTcF=QT corrected using the Fridericia formula. (NCT00669110)
Timeframe: Baseline (Extension study) up to Week 26 (Extension study)

,
Interventionparticipants (Number)
PR interval ≥200 msecQRS interval ≥120 msecQTcF interval ≥30 msec change from baselineQTcB interval ≥30 msec change from baselineQTcB interval ≥60 msec change from baselineQTcB interval >470 or increase ≥60 msec (females)
DVS SR - Adolescents111100
DVS SR - Children005611

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Number of Participants With Adverse Events AEs) and Serious Adverse Events (SAEs)

AEs are any untoward, undesired, or unplanned event in the form of signs, symptoms, disease, or laboratory or physiologic observations occurring in a person given study treatment. The event does not need to be causally related to the study treatment. SAEs are adverse events that result in death, are life threatening, require hospitalization or prolongation of hospitalization, result in persistent or significant disability or incapacity, result in cancer, or result in a congenital anomaly or birth defect. (NCT00669110)
Timeframe: Baseline (Extension study) up to Extension study Week 29 Follow up visit

,
Interventionparticipants (Number)
Adverse eventsSerious adverse events
DVS SR - Adolescents150
DVS SR - Children131

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Change From Baseline in Number of Participants for Tanner Assessment at Week 26: Males

Tanner Children and Adolescent Pubertal Staging questionnaire used to document the stage of development of secondary sexual characteristics. Male pubertal development staged by size of the genitalia and development of pubic hair (test categories). Rated in 5 stages: stage 1 (no development) to 5 (adult-like development in quantity and size). Change categories: 0=no change in stage, 1=change of 1 stage, 2=change of 2 stages, 3=change of 3 stages, and 4=change of 4 stages. Participants may be represented in more than 1 test category. (NCT00669110)
Timeframe: Baseline (Extension study), Week 26 (Extension study)

,
Interventionparticipants (Number)
Penis: 0=no stage changePenis: 1=change of 1 stagePenis: 2=change of 2 stagesPubic hair: 0=no stage changePubic hair: 1=change of 1 stagePubic hair: 2=change of 2 stagesTestes: 0=no stage changeTestes: 1=change of 1 stageTestes: 2=change of 2 stages
DVS SR - Adolescents301211301
DVS SR - Children410230320

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Change From Baseline in Number of Participants for Tanner Assessment at Week 26: Females

Tanner Children and Adolescent Pubertal Staging questionnaire used to document the stage of development of secondary sexual characteristics. Female pubertal development staged by pubic hair development and breast size (test categories). Rated in 5 stages: stage 1 (no development) to 5 (adult-like development in quantity and size). Change categories: 0=no change in stage, 1=change of 1 stage, 2=change of 2 stages, 3=change of 3 stages, and 4=change of 4 stages. Participants may be represented in more than 1 test category. (NCT00669110)
Timeframe: Baseline (Extension study), Week 26 (Extension study)

,
Interventionparticipants (Number)
Breasts: 0=no stage changeBreasts: 1=change of 1 stageBreasts: 2=change of 2 stagesPubic hair: 0=no stage changePubic hair: 1=change of 1 stagePubic hair: 2=change of 2 stages
DVS SR - Adolescents111201
DVS SR - Children511610

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Change From Baseline (Bsl) in Children's Depression Rating Scale - Revised (CDRS-R) Total Score at Final On-therapy Visit

CDRS-R total score: scale measures 17 depressive symptoms, of which 3 are rated 1 to 5 and 14 are rated 1 to 7 (1 = no symptom difficulties; 5 to 7 = severe clinically significant difficulties) for a total score range of 17 to 113. Lower total scores indicate lower intensity of symptoms. (NCT00669110)
Timeframe: Baseline (Extension study), Extension study Outpatient Weeks 26 and >Week 26 (up to Week 29 or early termination)

,
Interventionscores on a scale (Mean)
Baseline meanChange from Bsl Outpatient Week 26Change from Bsl Outpatient Week >26
DVS SR - Adolescents33.70-1.95-1.70
DVS SR - Children32.40-1.85-1.85

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Number of Participants With Electrocardiogram (ECG) Results of Potential Clinical Importance (PCI): Heart Rate (Low)

PCI criteria for females: heart rate (bpm) ranges from <68 and >126 at age 6 to <63 and >121 at age 11; heart rate from <63 and >121 at age 12 to <54 and >110 at age 17; heart rate <50 and >104 at age 18. Criteria for males: heart rate ranges from < 68 and >126 at age 6 to <63 and >121 at age 11; heart rate <58 and >116 at age 12 up <50 and >104 at age 17; heart rate <45 and >99 at age 18. Heart rates meeting the criteria for PCI categorized as low (less than the lower limit specified for age). (NCT00669110)
Timeframe: Baseline (Extension study) up to Week 26 (Extension study)

Interventionparticipants (Number)
DVS SR - Children0
DVS SR - Adolescents2

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Number of Participants for Columbia Suicide-Severity Rating Scale (C-SSRS) According to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) Categories

C-SSRS is a participant rated questionnaire to assess suicidal ideation, suicidal behavior, actual attempts (yes or no responses), and intensity of ideation (rated 1=low severity to 5=high severity). Yes/No responses are mapped to Columbia Classification Algorithm of Suicide Assessment (C-CASA) categories: Completed suicide, suicide attempt, preparatory acts toward imminent suicidal behavior, suicidal ideation, and self-injurious behavior, or no suicidal intent. A participant could have a yes or no response in more than one category. (NCT00669110)
Timeframe: Postbaseline (≥Day 1 in Core study NCT00619619) up to Week 26 (Extension study)

,
Interventionparticipants (Number)
Completed suicide: NoSuicide attempt: NoPreparatory acts - imminent suicidal behavior: NoSuicidal ideation: YesSuicidal ideation: NoAny suicidal behavior and/or ideation: YesAny suicidal behavior and/or ideation: NoSelf-injurious behavior, no suicidal intent: No
DVS SR - Adolescents20202031731720
DVS SR - Children20202002002020

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Percentage of Participants With Remission (Total Score ≤28) Based on Children's Depression Rating Scale - Revised (CDRS-R)

CDRS-R total score: scale measures 17 depressive symptoms, of which 3 are rated 1 to 5 and 14 are rated 1 to 7 (1 = no symptom difficulties; 5 to 7 = severe clinically significant difficulties) for a total score range of 17 to 113. Lower total scores indicate lower intensity of symptoms. Remission defined as a CDRS-R total score ≤28 (coded value of 1). (NCT00669110)
Timeframe: Extension study Outpatient Weeks 1, 2, 4, 6, 10, 14, 18, 22, 26, and >26 (up to Week 29)

,
Interventionpercentage of participants (Number)
Outpatient Week 1Outpatient Week 2Outpatient Week 4Outpatient Week 6Outpatient Week 10Outpatient Week 14Outpatient Week 18Outpatient Week 22Outpatient Week 26Outpatient Week >26
DVS SR - Adolescents21.1252025252540353025
DVS SR - Children26.7303025452535303030

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Percentage of Participants With a Response of Much Improved or Very Much Improved Based on the Clinical Global Impressions Scales - Improvement (CGI-I) Score

CGI-I: 7-point clinician rated scale ranging from 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, to 7=very much worse. Participant with response is defined as having a score of 1 (very much improved) or 2 (much improved). (NCT00669110)
Timeframe: Baseline (Core study NCT00619619), Extension study Outpatient Weeks 1, 2, 4, 6, 10, 14, 18, 22, 26, and >26 (up to Week 29)

,
Interventionpercentage of participants (Number)
Outpatient Week 1Outpatient Week 2Outpatient Week 4Outpatient Week 6Outpatient Week 10Outpatient Week 14Outpatient Week 18Outpatient Week 22Outpatient Week 26Outpatient Week >26
DVS SR - Adolescents55707585808085858585
DVS SR - Children80808070707585808585

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Change From Baseline in the Average Daily Severity of Hot Flushes at Week 4

Severity ranged from mild (sensation of heat without sweating); moderate (sensation of heat with sweating; able to continue activity) to severe (sensation of heat with sweating; causing cessation of activity). The average daily severity of hot flushes for each time period was calculated as (1*Number of mild+2*Number of moderate+3*Number of severe)/(Total number of hot flushes). For the days with no hot flushes, the severity score was set as 0. As this was derived from the count data, there was no maximum; the minimum score was 0; the higher values showed worse outcomes. (NCT00683800)
Timeframe: Baseline and Week 4

InterventionUnits on a Scale (Mean)
DVS SR 100 mg-0.47
Placebo-0.19

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Median Time to the First Day of 3 Consecutive Days of at Least 50% Reduction in Hot Flushes

Time to response was defined as the time-to-first 50% reduction in the average daily number of moderate to severe hot flushes over 3 consecutive days. (NCT00683800)
Timeframe: Week 12

InterventionDays (Median)
DVS SR 100 mg13.0
Placebo48.0

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Number of Participants With a Minimal Clinically Meaningful Decrease in the Average Daily Number of Hot Flushes

A mean decrease from baseline of at least 5.35 moderate to severe hot flushes at week 12 in the participants was considered clinically meaningful. (NCT00683800)
Timeframe: Baseline and Week 12

InterventionParticipants (Number)
DVS SR 100 mg117
Placebo75

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Number of Participants With Adjudicated Cerebrovascular Events - Probable TIA

"Adjudicated cerebrovascular events were identified using Standardized MedDRA Query (SMQ), for central nervous system haemorrhages and cerebrovascular conditions. Primary assessments included: 1) definite stroke, 2) probable stroke, 3) probable transient ischemic attack (TIA), and 4) no stroke or TIA." (NCT00683800)
Timeframe: Baseline up to Month 12

InterventionParticipants (Number)
DVS SR 100 mg1
Placebo0

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Number of Participants With Hepatic Events

Hepatic events were defined as incidence of increased Liver Function Test (AST [aspartate aminotransferase] or ALT [alanine aminotransferase]) levels greater than 5 times the ULN (upper limit of normal). (NCT00683800)
Timeframe: Baseline up to Month 12

InterventionParticipants (Number)
DVS SR 100 mg2
Placebo2

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Number of Participants With Ischemic Heart Disease

"Potential ischaemic cardiac events were identified using the Standardized MedDRA Query (SMQ) Ischemic Heart Disease." (NCT00683800)
Timeframe: Baseline up to Month 12

InterventionParticipants (Number)
DVS SR 100 mg4
Placebo2

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Change From Baseline in Adjusted Means in the Hot Flush Severity Score at Month 6 and Month 12

Severity: mild (heat sensation without sweating); moderate (heat sensation with sweating; able to continue activity); severe (heat sensation with sweating; causing cessation of activity). Average daily severity of hot flushes= (1*Number of mild+2*Number of moderate+3*Number of severe)/(Total number of hot flushes). Days with no hot flushes: severity score=0. As it was derived from count data, there was no maximum; minimum score=0; higher values= worse outcomes. Adjusted mean: calculated using change from baseline=response variable, treatment=factor and baseline=covariate using observed cases. (NCT00683800)
Timeframe: Baseline, Month 6 and Month 12

,
InterventionUnits on a Scale (Mean)
Month 6 (n= 125, 124)Month 12 (n= 112, 102)
DVS SR 100 mg-0.87-0.78
Placebo-0.56-0.45

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Change From Baseline in Adjusted Means in the Number of Moderate and Severe Hot Flushes at Month 6 and Month 12

The average daily number of moderate and severe hot flushes was calculated as the sum of the number of moderate and severe hot flushes on each day divided by the number of days with data. Moderate hot flushes: sensation of heat with sweating; able to continue activity; and severe hot flushes: sensation of heat with sweating; causing cessation of activity. Adjusted mean was calculated by using change from baseline as response variable, treatment as factor, and baseline as covariate using the observed cases. (NCT00683800)
Timeframe: Baseline, Month 6 and Month 12

,
InterventionHot Flushes (Mean)
Month 6 (n= 125, 124)Month 12 (n= 112, 102)
DVS SR 100 mg-8.65-7.98
Placebo-6.61-5.17

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Change From Baseline in the Total Greene Climacteric Scale (GCS) Score and GCS Subscores at Month 12

GCS: a 21 item evaluation of symptoms which asked participants how bothered they were with particular symptom at the moment. Each item was scored as 0 = Not at all, 1 = A little, 2 = Quite a bit, and 3 = Extremely. A total score was derived from the sum of the 21 items (range 0-63). GCS was also used to generate 6 individual scores (psychological symptoms [range 0-33], anxiety [range 0-18], depression [range 0-15], somatic symptoms [range 0-21], vasomotor symptoms [range 0-6], and sexual dysfunction [range 0-3]). A decrease in the total climacteric score indicated an improvement in symptoms. (NCT00683800)
Timeframe: Baseline and Month 12

,
InterventionUnits on a Scale (Mean)
Total ScoreAnxiety ScaleDepression ScaleSexual Dysfunction ScalePsychological ScaleSomatic ScaleVasomotor Scale
DVS SR 100 mg-10.60-3.25-2.66-0.51-5.88-1.63-2.64
Placebo-8.89-2.69-2.04-0.43-4.70-1.61-2.19

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Change From Baseline in the Total Greene Climacteric Scale (GCS) Score and GCS Subscores at Month 6

GCS: a 21 item evaluation of symptoms which asked participants how bothered they were with particular symptom at the moment. Each item was scored as 0 = Not at all, 1 = A little, 2 = Quite a bit, and 3 = Extremely. A total score was derived from the sum of the 21 items (range 0-63). GCS was also used to generate 6 individual scores (psychological symptoms [range 0-33], anxiety [range 0-18], depression [range 0-15], somatic symptoms [range 0-21], vasomotor symptoms [range 0-6], and sexual dysfunction [range 0-3]). A decrease in the total climacteric score indicated an improvement in symptoms. (NCT00683800)
Timeframe: Baseline and Month 6

,
InterventionUnits on a Scale (Mean)
Total ScoreAnxiety ScaleDepression ScaleSexual Dysfunction ScalePsychological ScaleSomatic ScaleVasomotor Scale
DVS SR 100 mg-9.84-3.06-2.35-0.46-5.39-1.49-2.55
Placebo-7.97-2.41-1.77-0.41-4.15-1.31-2.14

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Change From Baseline in the Total Greene Climacteric Scale (GCS) Score and GCS Subscores at Week 12

GCS: a 21 item evaluation of symptoms which asked participants how bothered they were with particular symptom at the moment. Each item was scored as 0 = Not at all, 1 = A little, 2 = Quite a bit, and 3 = Extremely. A total score was derived from the sum of the 21 items (range 0-63). GCS was also used to generate 6 individual scores (psychological symptoms [range 0-33], anxiety [range 0-18], depression [range 0-15], somatic symptoms [range 0-21], vasomotor symptoms [range 0-6], and sexual dysfunction [range 0-3]). A decrease in the total climacteric score indicated an improvement in symptoms. (NCT00683800)
Timeframe: Baseline and Week 12

,
InterventionUnits on a Scale (Mean)
Baseline: Total ScoreBaseline: Anxiety ScaleBaseline: Depression ScaleBaseline: Sexual Dysfunction ScaleBaseline: Psychological ScaleBaseline: Somatic ScaleBaseline: Vasomotor ScaleWeek 12: Total ScoreWeek 12: Anxiety ScaleWeek 12: Depression ScaleWeek 12: Sexual Dysfunction ScaleWeek 12: Psychological ScaleWeek 12: Somatic ScaleWeek 12: Vasomotor Scale
DVS SR 100 mg22.486.434.921.6011.354.544.99-9.18-2.81-2.23-0.41-5.04-1.24-2.50
Placebo22.046.364.841.6511.194.214.99-6.84-2.06-1.55-0.36-3.62-1.02-1.85

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Number of Participants With Adjudicated Cerebrovascular Events - Any Stroke

"Adjudicated cerebrovascular events were identified using Standardized MedDRA Query (SMQ), for central nervous system haemorrhages and cerebrovascular conditions. Primary assessments included: 1) definite stroke, 2) probable stroke, 3) probable transient ischemic attack (TIA), and 4) no stroke or TIA." (NCT00683800)
Timeframe: Baseline up to Month 12

,
InterventionParticipants (Number)
Any Stroke (Definite or Probable)Definite StrokeProbable Stroke
DVS SR 100 mg101
Placebo000

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Number of Participants With All Adjudicated Ischemic Cardiovascular (CV) Events

Adjudicated ischemic cardiovascular events were a composite of: a) Coronary Heart Disease (CHD)-related death; b) New Myocardial Infarction (MI) (non-procedure-related MI); c) Documented new onset of unstable angina requiring hospitalization; d) Unscheduled coronary revascularization procedures (percutaneous coronary intervention) or bypass grafting. (NCT00683800)
Timeframe: Baseline up to Month 12

,
InterventionParticipants (Number)
Any ischemic CV eventCHD related deathNew MINew Onset of Unstable AnginaUnscheduled Coronary Revascularization Procedures
DVS SR 100 mg00000
Placebo10100

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Percentage of Participants With at Least 50% Reduction From Baseline in the Number of Moderate and Severe Hot Flushes

The average daily number of moderate and severe hot flushes was calculated as the sum of the number of moderate and severe hot flushes on each day divided by the number of days with data. Moderate hot flushes: sensation of heat with sweating; able to continue activity; and severe hot flushes: sensation of heat with sweating; causing cessation of activity. (NCT00683800)
Timeframe: Baseline, Week 4 and Week 12

,
InterventionPercentage of participants (Number)
Week 4Week 12
DVS SR 100 mg58.4767.93
Placebo28.8944.20

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Percentage of Participants With at Least 75% Reduction From Baseline in the Number of Moderate and Severe Hot Flushes

The average daily number of moderate and severe hot flushes was calculated as the sum of the number of moderate and severe hot flushes on each day divided by the number of days with data. Moderate hot flushes: sensation of heat with sweating; able to continue activity; and severe hot flushes: sensation of heat with sweating; causing cessation of activity. (NCT00683800)
Timeframe: Baseline, Week 4 and Week 12

,
InterventionPercentage of participants (Number)
Week 4Week 12
DVS SR 100 mg32.7941.30
Placebo10.0018.23

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Percentage of Participants With Categorical Scores Based on Patient Global Impression Change (PGI-C) for Main Study Efficacy Population at Month 12

PGI-C score was intended to assess the study participant's perception of changes in hot flushes. It was 7-point scale which ranged from 1 (Very Much Improved) to 7 (Very Much Worse). (NCT00683800)
Timeframe: Month 12

,
InterventionPercentage of Participants (Number)
1= Very Much Improved2= Much Improved3= Minimally Improved4= No Change5= Minimally Worse6= Much Worse7= Very Much Worse
DVS SR 100 mg31.029.221.112.72.42.70.9
Placebo19.924.521.526.84.42.00.9

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Percentage of Participants With Categorical Scores Based on Patient Global Impression Change (PGI-C) for MITT Population of Efficacy Substudy at Month 12

PGI-C score was intended to assess the study participant's perception of changes in hot flushes. It was 7-point scale which ranged from 1 (Very Much Improved) to 7 (Very Much Worse). (NCT00683800)
Timeframe: Month 12

,
InterventionPercentage of Participants (Number)
1= Very Much Improved2= Much Improved3= Minimally Improved4= No Change5= Minimally Worse6= Much Worse7= Very Much Worse
DVS SR 100 mg37.224.421.510.51.24.11.2
Placebo13.718.325.136.05.11.70.0

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Percentage of Participants With Categorical Scores on Patient Global Impression Change (PGI-C) for Main Study Efficacy Population at Month 6

PGI-C score was intended to assess the study participant's perception of changes in hot flushes. It was 7-point scale which ranged from 1 (Very Much Improved) to 7 (Very Much Worse). (NCT00683800)
Timeframe: Month 6

,
InterventionPercentage of Participants (Number)
1= Very Much Improved2= Much Improved3= Minimally Improved4= No Change5= Minimally Worse6= Much Worse7= Very Much Worse
DVS SR 100 mg28.932.320.511.63.52.11.1
Placebo17.127.720.626.25.22.60.6

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Percentage of Participants With Categorical Scores on Patient Global Impression Change (PGI-C) for Main Study Efficacy Population at Week 12

PGI-C score was intended to assess the study participant's perception of changes in hot flushes. It was 7-point scale which ranged from 1 (Very Much Improved) to 7 (Very Much Worse). (NCT00683800)
Timeframe: Week 12

,
InterventionPercentage of Participants (Number)
1= Very Much Improved2= Much Improved3= Minimally Improved4= No Change5= Minimally Worse6= Much Worse7= Very Much Worse
DVS SR 100 mg25.832.323.311.54.12.20.8
Placebo13.125.525.129.34.51.70.7

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Percentage of Participants With Categorical Scores on Patient Global Impression Change (PGI-C) for MITT Population of Efficacy Substudy at Month 6

PGI-C score was intended to assess the study participant's perception of changes in hot flushes. It was 7-point scale which ranged from 1 (Very Much Improved) to 7 (Very Much Worse). (NCT00683800)
Timeframe: Month 6

,
InterventionPercentage of Participants (Number)
1= Very Much Improved2= Much Improved3= Minimally Improved4= No Change5= Minimally Worse6= Much Worse7= Very Much Worse
DVS SR 100 mg34.932.615.711.02.32.90.6
Placebo14.925.723.429.74.02.30.0

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Percentage of Participants With Categorical Scores on Patient Global Impression Change (PGI-C) for MITT Population of Efficacy Substudy at Week 12

PGI-C score was intended to assess the study participant's perception of changes in hot flushes. It was 7-point scale which ranged from 1 (Very Much Improved) to 7 (Very Much Worse). (NCT00683800)
Timeframe: Week 12

,
InterventionPercentage of Participants (Number)
1= Very Much Improved2= Much Improved3= Minimally Improved4= No Change5= Minimally Worse6= Much Worse7= Very Much Worse
DVS SR 100 mg26.735.517.412.82.93.51.2
Placebo7.422.329.734.34.61.70.0

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Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for Main Study Efficacy Population at Month 12

PGI-R scale was intended to assess the study participant's perception of symptoms. Participants were requested to identify the severity of their hot flush symptoms. It was a 5-scale which ranged from 1 (None) to 5 (Severe). (NCT00683800)
Timeframe: Month 12

,
InterventionPercentage of Participants (Number)
1= None2= Minimal3= Mild4= Moderate5= Severe
DVS SR 100 mg10.132.225.921.610.3
Placebo7.127.821.029.714.4

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Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for Main Study Efficacy Population at Month 6

PGI-R scale was intended to assess the study participant's perception of symptoms. Participants were requested to identify the severity of their hot flush symptoms. It was a 5-scale which ranged from 1 (None) to 5 (Severe). (NCT00683800)
Timeframe: Month 6

,
InterventionPercentage of Participants (Number)
1= None2= Minimal3= Mild4= Moderate5= Severe
DVS SR 100 mg8.532.227.322.99.0
Placebo5.725.523.131.114.6

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Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for Main Study Efficacy Population at Week 12

PGI-R scale was intended to assess the study participant's perception of symptoms. Participants were requested to identify the severity of their hot flush symptoms. It was a 5-scale which ranged from 1 (None) to 5 (Severe). (NCT00683800)
Timeframe: Week 12

,
InterventionPercentage of Participants (Number)
1= None2= Minimal3= Mild4= Moderate5= Severe
DVS SR 100 mg8.827.828.924.99.6
Placebo5.018.526.533.816.2

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Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for MITT Population of Efficacy Substudy at Month 12

PGI-R scale was intended to assess the study participant's perception of symptoms. Participants were requested to identify the severity of their hot flush symptoms. It was a 5-scale which ranged from 1 (None) to 5 (Severe). (NCT00683800)
Timeframe: Month 12

,
InterventionPercentage of Participants (Number)
1= None2= Minimal3= Mild4= Moderate5= Severe
DVS SR 100 mg9.328.526.718.017.4
Placebo4.017.112.639.426.9

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Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for MITT Population of Efficacy Substudy at Month 6

PGI-R scale was intended to assess the study participant's perception of symptoms. Participants were requested to identify the severity of their hot flush symptoms. It was a 5-scale which ranged from 1 (None) to 5 (Severe). (NCT00683800)
Timeframe: Month 6

,
InterventionPercentage of Participants (Number)
1= None2= Minimal3= Mild4= Moderate5= Severe
DVS SR 100 mg12.229.727.316.914.0
Placebo2.918.317.734.326.9

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Percentage of Participants With Categorical Scores on Patient Global Impression Symptom Rating (PGI-R) for MITT Population of Efficacy Substudy at Week 12

PGI-R scale was intended to assess the study participant's perception of symptoms. Participants were requested to identify the severity of their hot flush symptoms. It was a 5-scale which ranged from 1 (None) to 5 (Severe). (NCT00683800)
Timeframe: Week 12

,
InterventionPercentage of Participants (Number)
1= None2= Minimal3= Mild4= Moderate5= Severe
DVS SR 100 mg8.120.329.124.418.0
Placebo1.710.916.642.928.0

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Change From Baseline in the Average Daily Number of Moderate to Severe Hot Flushes at Week 12

The average daily number of moderate and severe hot flushes was calculated as the sum of the number of moderate and severe hot flushes on each day divided by the number of days with data. Moderate hot flushes: sensation of heat with sweating; able to continue activity; and severe hot flushes: sensation of heat with sweating; causing cessation of activity. (NCT00683800)
Timeframe: Baseline and Week 12

InterventionHot Flushes (Mean)
DVS SR 100 mg-7.31
Placebo-4.52

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Change From Baseline in the Average Daily Number of Moderate to Severe Hot Flushes at Week 4

The average daily number of moderate and severe hot flushes was calculated as the sum of the number of moderate and severe hot flushes on each day divided by the number of days with data. Moderate hot flushes: sensation of heat with sweating; able to continue activity; and severe hot flushes: sensation of heat with sweating; causing cessation of activity. (NCT00683800)
Timeframe: Baseline and Week 4

InterventionHot Flushes (Mean)
DVS SR 100 mg-6.52
Placebo-3.64

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Change From Baseline in the Average Daily Severity of Hot Flushes at Week 12

Severity ranged from mild (sensation of heat without sweating); moderate (sensation of heat with sweating; able to continue activity) to severe (sensation of heat with sweating; causing cessation of activity). The average daily severity of hot flushes for each time period was calculated as (1*Number of mild+2*Number of moderate+3*Number of severe)/(Total number of hot flushes). For the days with no hot flushes, the severity score was set as 0. As this was derived from the count data, there was no maximum; the minimum score was 0; the higher values showed worse outcomes. (NCT00683800)
Timeframe: Baseline and Week 12

InterventionUnits on a Scale (Mean)
DVS SR 100 mg-0.59
Placebo-0.28

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Change From Baseline on the Numeric Rating Scale (NRS) in the Treatment of Pain Associated With Fibromyalgia in Adult Female Outpatients

The efficacy variable was the change from baseline on the numeric rating scale (NRS). The time point was the average pain score during the last data-analysis-interval of week 8, data analysis interval. The baseline score was the average of the NRS scores across the last 7 days of the screening period (just prior to the start of the placebo run-in). The efficacy variable was the pain severity score measured on an 11 point NRS on which 0=no pain and 10=worst possible pain. (NCT00696787)
Timeframe: Baseline and 8 weeks

Interventionunits on scale (Mean)
Placebo-2.00
DVS SR-1.64
Pregabalin-1.45

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Change From Baseline on the Numeric Rating Scale (NRS)

The primary efficacy variable was the change from baseline on the NRS. The primary time point was the average pain score during the last data-analysis-interval of week 8. The baseline score was the average of the NRS scores across the last 7 days of the screening period (just prior to the start of the placebo run-in). The primary efficacy variable was the pain severity score measured on an 11 point NRS on which 0=no pain and 10=worst possible pain. (NCT00696787)
Timeframe: Baseline and 8 weeks

Interventionunits on scale (Mean)
Placebo-1.98
DVS SR-1.60
Pregabalin-1.70

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Area Under the Concentration-time Curve (AUC) of Desvenlafaxine After Single Dose of DVS SR by Metabolizer Status

AUC is drug level over time and measures drug metabolism. Variations in drug metabolism among individuals can be due to differences in genetic expression (phenotype) of Cytochrome P450 (CYP450) enzymes. Enzyme CYP2D6 has 4 metabolizer phenotypes: poor (PM), intermediate (IM), extensive (EM), ultrarapid (UM) metabolizers. (NCT00727064)
Timeframe: single dose

Interventionng*h/mL (90% CI) (Geometric Mean)
Extensive Metabolizers (EM)2701.79
Poor Metabolizers (PM)3111.25

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Area Under the Concentration-time Curve (AUC) of Desvenlafaxine After Single Dose of VEN ER by Metabolizer Status

AUC is drug level over time and measures drug metabolism. Variations in drug metabolism among individuals can be due to differences in genetic expression (phenotype) of Cytochrome P450 (CYP450) enzymes. Enzyme CYP2D6 has 4 metabolizer phenotypes: poor (PM), intermediate (IM), extensive (EM), ultrarapid (UM) metabolizers. (NCT00727064)
Timeframe: single dose

Interventionng*h/mL (90% CI) (Geometric Mean)
Extensive Metabolizers (EM)2703.50
Poor Metabolizers (PM)436.14

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Area Under the Concentration-time Curve (AUC) of Venlafaxine After Single Dose of VEN ER by Metabolizer Status

AUC is drug level over time and measures drug metabolism. Variations in drug metabolism among individuals can be due to differences in genetic expression (phenotype) of Cytochrome P450 (CYP450) enzymes. Enzyme CYP2D6 has 4 metabolizer phenotypes: poor (PM), intermediate (IM), extensive (EM), ultrarapid (UM) metabolizers. (NCT00727064)
Timeframe: single dose

Interventionng*h/mL (90% CI) (Geometric Mean)
Extensive Metabolizers (EM)389.68
Poor Metabolizers (PM)2328.41

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Maximum Concentration (Cmax) of Desvenlafaxine After Single Dose of Desvenlafaxine Succinate Sustained-Release (DVS SR) by Metabolizer Status

Cmax is a measure of drug metabolism and is presented as least squares geometric mean with 90% Confidence Interval.Variations in drug metabolism among individuals can be due to differences in genetic expression (phenotype) of Cytochrome P450 (CYP450) enzymes. Enzyme CYP2D6 has 4 metabolizer phenotypes: poor (PM), intermediate (IM), extensive (EM), and ultrarapid (UM) metabolizers. (NCT00727064)
Timeframe: single dose

Interventionng/mL (90% CI) (Geometric Mean)
Extensive Metabolizers (EM)102.22
Poor Metabolizers (PM)125.32

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Maximum Concentration (Cmax) of Desvenlafaxine After Single Dose of VEN ER by Metabolizer Status

Cmax is a measure of drug metabolism. Variations in drug metabolism among individuals can be due to differences in genetic expression (phenotype) of Cytochrome P450 (CYP450) enzymes. Enzyme CYP2D6 has 4 metabolizer phenotypes: poor (PM), intermediate (IM), extensive (EM), and ultrarapid (UM) metabolizers. (NCT00727064)
Timeframe: single dose

Interventionng/mL (90% CI) (Geometric Mean)
Extensive Metabolizers (EM)95.63
Poor Metabolizers (PM)15.73

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Maximum Concentration (Cmax) of Venlafaxine After Single Dose of Venlafaxine Extended-release (VEN ER) by Metabolizer Status

Cmax is a measure of drug metabolism and presented as least squares geometric mean with 90% Confidence Interval. Variations in drug metabolism among individuals can be due to differences in genetic expression (phenotype) of Cytochrome P450 (CYP450) enzymes. Enzyme CYP2D6 has 4 metabolizer phenotypes: poor (PM), intermediate (IM), extensive (EM), and ultrarapid (UM) metabolizers. (NCT00727064)
Timeframe: single dose

Interventionng/mL (90% CI) (Geometric Mean)
Extensive Metabolizers (EM)26.16
Poor Metabolizers (PM)77.46

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Percentage of Participants With MADRS Remission From End of Phase A (Week 8 Visit).

A MADRS remission was defined as MADRS Total Score /= 50% reduction in MADRS Total Score from end of Phase A (Week 8 visit). (NCT00797966)
Timeframe: Week 8 to each of Week 9, 10, 11, 12, 13 and 14.

,,,
InterventionPercentage of participants (Number)
Week 9 (N=61, 117, 116, 121)Week 10 (N=62, 119, 118, 126)Week 11 (N=62, 119, 118, 126)Week 12 (N=62, 119, 118, 126)Week 13 (N=62, 119, 118, 126)Week 14 (N=62, 119, 118, 126)
OPC-34712 0.15 mg Fixed Dose3.288.0612.921.019.422.6
OPC-34712 0.5 ± 0.25 mg Low Dose1.715.0410.110.116.815.1
OPC-34712 1.5 ± 0.5 mg High Dose1.7210.214.419.515.323.7
Placebo4.138.7311.110.315.113.5

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Percentage of Participants With MADRS Response From End of Phase A (Week 8 Visit).

A MADRS response was defined as >/= 50% reduction in MADRS Total Score from end of Phase A (Week 8 visit). (NCT00797966)
Timeframe: Week 8 to each of Week 9, 10, 11, 12, 13 and 14.

,,,
InterventionPercentage of participants (Number)
Week 9 (N=61, 117, 116, 121)Week 10 (N=62, 119, 118, 126)Week 11 (N=62, 119, 118, 126)Week 12 (N=62, 119, 118, 126)Week 13 (N=62, 119, 118, 126)Week 14 (N=62, 119, 118, 126)
OPC-34712 0.15 mg Fixed Dose4.928.0619.430.624.227.4
OPC-34712 0.5 ± 0.25 mg Low Dose6.848.4015.115.122.720.2
OPC-34712 1.5 ± 0.5 mg High Dose2.5911.018.625.425.434.7
Placebo8.269.5213.511.918.319.8

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Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Mean Q-LES-Q-SF Item 16 Score (Overall Life Satisfaction).

The Q-LES-Q (Short Form) is a self-report measure designed to enable physicians to easily obtain sensitive measures of the degree of enjoyment and satisfaction experienced by participants in various areas of daily functioning. Each item is scored on a five-point scale, with 1= Very Poor; 2=Poor; 3=Fair; 4=Good; 5=Very Good. Lower scores indicating less enjoyment or satisfaction with the activity. According to the scoring system suggested for this questionnaire, item 16 (Overall Life Satisfaction) will yield a separate subscore. (NCT00797966)
Timeframe: Week 8 to Week 14

InterventionUnits on a scale (Mean)
OPC-34712 0.15 mg Fixed Dose0.30
OPC-34712 0.5 ± 0.25 mg Low Dose0.30
OPC-34712 1.5 ± 0.5 mg High Dose0.35
Placebo0.28

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Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Hamilton Depression Rating Scale (HAM-D17) Score.

"The HAM-D17 is utilized as a secondary assessment of a participant's level of depression. The HAM-D (17-Item) consists of 17 items. Eight items are rated on a 0 to 2 scale (items 4, 5, 6, 12, 13, 14, 16 and 17), while nine items (items 1, 2, 3, 7, 8, 9, 10, 11, and 15) are rated on a 0 to 4 scale (twice the weight of the other items). For all of these items, 0 is the best rating and the highest score (2 or 4) is the worst rating. The possible total scores are from 0 to 52." (NCT00797966)
Timeframe: Week 8 to Week 14

InterventionUnits on a scale (Least Squares Mean)
OPC-34712 0.15 mg Fixed Dose-5.77
OPC-34712 0.5 ± 0.25 mg Low Dose-5.28
OPC-34712 1.5 ± 0.5 mg High Dose-6.59
Placebo-5.23

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Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Mean Clinical Global Impression - Severity of Illness Scale (CGI-S) Score.

CGI-S items are: 0 = not assessed, 1 = normal, not at all ill, 2 = borderline mentally ill, 3 = mildly ill, 4 = moderately ill, 5 = markedly ill, 6 = severely ill, 7 = among the most extremely ill patients. The score 0 (= not assessed) was set to missing. The CGI-S was therefore a 7-point scale from 1 through 7. CGI-S was assessed at screening, baseline and each subsequent visit from Week 1 through Week 14. (NCT00797966)
Timeframe: Week 8 to Week 14

InterventionUnits on a scale (Least Squares Mean)
OPC-34712 0.15 mg Fixed Dose-0.83
OPC-34712 0.5 ± 0.25 mg Low Dose-0.81
OPC-34712 1.5 ± 0.5 mg High Dose-1.06
Placebo-0.71

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Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Mean Q-LES-Q-SF Item 15 Score (Satisfaction With Medication).

The Q-LES-Q (Short Form) is a self-report measure designed to enable physicians to easily obtain sensitive measures of the degree of enjoyment and satisfaction experienced by participants in various areas of daily functioning. Each item is scored on a five-point scale, with 1= Very Poor; 2=Poor; 3=Fair; 4=Good; 5=Very Good. Lower scores indicating less enjoyment or satisfaction with the activity. According to the scoring system suggested for this questionnaire, item 15 (Satisfaction with Medication) will yield a separate subscore. (NCT00797966)
Timeframe: Week 8 to Week 14

InterventionUnits on a scale (Mean)
OPC-34712 0.15 mg Fixed Dose0.02
OPC-34712 0.5 ± 0.25 mg Low Dose0.01
OPC-34712 1.5 ± 0.5 mg High Dose0.02
Placebo0.00

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Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Mean Quality of Life, Enjoyment, and Satisfaction Questionnaire - Short Form (QLES-Q-SF) Subscale Score - the Overall General Subscore (Sum of First 14 Items).

The Q-LES-Q is a self-report measure to enable physicians to obtain sensitive measures of the degree of enjoyment and satisfaction experienced by participants in various areas of daily functioning. Each item is scored on a five-point scale, with 1= Very Poor; 2=Poor; 3=Fair; 4=Good; 5=Very Good. Lower scores indicating less enjoyment or satisfaction with the activity. The Overall-General Subscore will be defined by summing the scores on all 14 items and expressing it as the percent of the maximum possible score. When expressing the total score as a percentage, if items are left blank the range will be modified to reflect the number of items scored. Raw score is sum of non-missing ratings from items 1 to 14. Minimum score is number of non-missing items. Maximum score is 5*(minimum score). Range is maximum score minus minimum score. Total score is 100*(Raw score minus minimum score)/ Range, rounded to nearest integer. (NCT00797966)
Timeframe: Week 8 to Week 14

InterventionPercentage of maximum possible score (Least Squares Mean)
OPC-34712 0.15 mg Fixed Dose7.60
OPC-34712 0.5 ± 0.25 mg Low Dose6.53
OPC-34712 1.5 ± 0.5 mg High Dose7.46
Placebo5.92

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Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Sheehan Disability Scale (SDS) Mean Score (the Mean of 3 Individual Item Scores).

The Sheehan Disability Scale (SDS) is a self-rated instrument used to measure the effect of the participant's symptoms on work/school, social life, and family/home responsibilities. For each of the three items, scores range from 0 through 10. The number most representative of how much each area was disrupted by symptoms is marked along the line from 0 = not at all, to 10 = extremely. For the work/school item, no response was to be entered if the participant did not work or go to school for reasons unrelated to the disorder and a response therefore not being applicable. The Mean SDS Score will be calculated over the three item scores. All three item scores need to be available with the exception of the work/school item score when this item is not applicable. (NCT00797966)
Timeframe: Week 8 to Week 14

InterventionUnits on a scale (Least Squares Mean)
OPC-34712 0.15 mg Fixed Dose-0.84
OPC-34712 0.5 ± 0.25 mg Low Dose-0.80
OPC-34712 1.5 ± 0.5 mg High Dose-1.27
Placebo-0.61

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Change From the End of Phase A (Week 8 Visit) to the End of Phase B (Week 14 Visit) in Montgomery Asberg Depression Rating Scale (MADRS) Total Score.

"The MADRS is utilized as the primary efficacy assessment of a participant's level of depression. The MADRS consists of 10 items, all rated on a 0 to 6 scale with 0 being the best rating and 6 being the worst rating. The MADRS Total Score is the sum of ratings for all 10 items. The possible Total scores are from 0 to 60. The MADRS Total Score was unevaluable if less than 8 of the 10 items are recorded. If 8 or 9 of the 10 items were recorded, the MADRS Total Score was the mean of the recorded items multiplied by 10 and then rounded to the first decimal place." (NCT00797966)
Timeframe: Week 8 to Week 14

InterventionUnits on a scale (Least Squares Mean)
OPC-34712 0.15 mg Fixed Dose-6.62
OPC-34712 0.5 ± 0.25 mg Low Dose-6.46
OPC-34712 1.5 ± 0.5 mg High Dose-8.23
Placebo-6.09

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Change From End of Phase A (Week 8 Visit) for Every Study Week Visit in Phase B in Inventory of Depressive Symptomatology (Self-Report) (IDS-SR) Total Score.

"The IDS-SR is a 30-item self-report measure used to assess core diagnostic depressive symptoms as well as atypical and melancholic symptom features of major depressive disorders. The IDS-SR consists of 30 items, all rated on a 0 to 3 scale with 0 being the best rating and 3 being the worst rating. The IDS-SR Total Score is the sum of ratings of 28 item scores. The possible IDS-SR Total Score ranges from 0 to 84. The IDS-SR Total Score was un-evaluable if less than 23 of the 28 items are recorded. If the number of items was at least 23 and at most 27, the IDS-SR Total Score will be the mean of the recorded items multiplied by 28 and then rounded to the first decimal place." (NCT00797966)
Timeframe: Week 8 to each of Week 9, 10, 11, 12, 13 and 14

,,,
InterventionUnits on a scale (Mean)
Week 9 (N=61, 117,116,121)Week 10 (N=62, 119, 118, 126)Week 11 (N=62, 119, 118, 126)Week 12 (N=62, 119, 118, 126)Week 13 (N=62, 119, 118, 126)Week 14 (N=62, 119, 118, 126)
OPC-34712 0.15 mg Fixed Dose-0.98-2.13-3.58-5.11-5.34-5.55
OPC-34712 0.5 ± 0.25 mg Low Dose-1.88-2.58-3.41-3.77-5.22-4.96
OPC-34712 1.5 ± 0.5 mg High Dose-2.04-4.08-4.82-5.77-5.65-6.74
Placebo-0.98-1.62-2.09-2.07-2.37-3.08

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Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than the Week 14 Visit.

"The MADRS is utilized as the primary efficacy assessment of a patient's level of depression. The MADRS consists of 10 items, all rated on a 0 to 6 scale with 0 being the best rating and 6 being the worst rating. The MADRS Total Score is the sum of ratings for all 10 items. The possible Total scores are from 0 to 60. The MADRS Total Score was unevaluable if less than 8 of the 10 items are recorded. If 8 or 9 of the 10 items were recorded, the MADRS Total Score was the mean of the recorded items multiplied by 10 and then rounded to the first decimal place." (NCT00797966)
Timeframe: Week 8 to each of Week 9, 10, 11, 12 and 13.

,,,
InterventionUnits on a scale (Mean)
Week 9 (N=61,117,116,121)Week 10 (N=62,119,118,126)Week 11 (N=62,119,118,126)Week 12 (N=62,119,118,126)Week 13 (N=62,119,118,126)
OPC-34712 0.15 mg Fixed Dose-2.13-3.69-5.53-6.97-6.90
OPC-34712 0.5 ± 0.25 mg Low Dose-3.00-3.78-5.71-6.31-6.76
OPC-34712 1.5 ± 0.5 mg High Dose-2.75-4.97-5.88-7.01-7.18
Placebo-2.48-3.64-4.40-4.41-5.47

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Change From End of Phase A (Week 8 Visit) in Mean CGI-S Score for Every Study Week Visit in Phase B Other Than the Week 14 Visit.

CGI-S items are: 0 = not assessed, 1 = normal, not at all ill, 2 = borderline mentally ill, 3 = mildly ill, 4 = moderately ill, 5 = markedly ill, 6 = severely ill, 7 = among the most extremely ill patients. The score 0 (= not assessed) was set to missing. The CGI-S was therefore a 7-point scale from 1 through 7. CGI-S was assessed at screening, baseline and each subsequent visit from Week 1 through Week 14. (NCT00797966)
Timeframe: Week 8 to each of Week 9, 10, 11, 12 and 13.

,,,
InterventionUnits on a scale (Mean)
Week 9 (N=62,117,116,121)Week 10 (N=62,119,118,126)Week 11 (N=62,119,118,126)Week 12 (N=62,119,118,126)Week 13 (N=62,119,118,126)
OPC-34712 0.15 mg Fixed Dose-0.21-0.42-0.53-0.76-0.74
OPC-34712 0.5 ± 0.25 mg Low Dose-0.26-0.39-0.53-0.66-0.78
OPC-34712 1.5 ± 0.5 mg High Dose-0.33-0.61-0.69-0.86-0.88
Placebo-0.21-0.40-0.47-0.52-0.59

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Clinical Global Impression-Improvement Scale (CGI-I) Score at Each Study Week Visit in Phase B.

CGI-I items are: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, 7 = very much worse. The score of 0 (= not assessed) will be set to missing. The CGI-I is therefore a 7-point scale from 1 through 7. CGI-I was assessed at each visit in Phase B, and improvement is judged with respect to the participant's condition at baseline. CGI-I was also assessed at each visit in Phase B, but in that phase improvement is judged with respect to the partcipant's condition at the end of Phase A. (NCT00797966)
Timeframe: Week 8 to each of Week 9, 10, 11, 12, 13 and 14.

,,,
InterventionUnits on a scale (Mean)
Week 9 (N=62, 117, 116, 121)Week 10 (N=62, 119, 118, 126)Week 11 (N=62, 119, 118, 126)Week 12 (N=62, 119, 118, 126)Week 13 (N=62, 119, 118, 126)Week 14 (N=62, 119, 118, 126)
OPC-34712 0.15 mg Fixed Dose3.393.162.942.872.852.74
OPC-34712 0.5 ± 0.25 mg Low Dose3.303.193.022.902.762.78
OPC-34712 1.5 ± 0.5 mg High Dose3.202.952.802.702.642.52
Placebo3.313.112.942.952.902.83

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Percentage of Participants With CGI-I Response From End of Phase A (Week 8 Visit).

CGI-I response is defined as CGI-I of 1 [very much improved] or 2 [much improved]. (NCT00797966)
Timeframe: Week 9, 10, 11, 12, 13 and 14.

,,,
Interventionpercentage of participants (Number)
Week 9 (N=62, 117, 116, 121)Week 10 (N=62, 119, 118, 126)Week 11 (N=62, 119, 118, 126)Week 12 (N=62, 119, 118, 126)Week 13 (N=62, 119, 118, 126)Week 14 (N=62, 119, 118, 126)
OPC-34712 0.15 mg Fixed Dose16.125.832.335.537.138.7
OPC-34712 0.5 ± 0.25 mg Low Dose11.117.629.433.637.037.0
OPC-34712 1.5 ± 0.5 mg High Dose14.724.635.642.449.252.5
Placebo14.927.029.431.733.341.3

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Discontinuation-Emergent Signs and Symptoms (DESS) Total Score

"DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of new symptoms and old (but worse) symptoms (1) and 0 for old and unchanged symptom, absent, or old symptom but improved for a total possible range of 0 to 43. A higher score indicates more symptoms." (NCT00798707)
Timeframe: Week 8 to 10 (or ET)

,,
InterventionUnits on a scale (Mean)
Week 8 (or ET) (n=96,88,100)Week 9 (or ET + 1 week) (n=93,84,98)Week 10 (or ET + 2 weeks) (n=83,76,89)
DVS SR 25 mg0.631.380.74
DVS SR 50 mg0.621.500.63
Placebo0.671.080.94

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Number of Participants With Categorical Scores on CGI-Improvement (CGI-I) at FOT Evaluation (Week 8 or ET)

CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. (NCT00798707)
Timeframe: Week 8 (or ET)

,,
InterventionParticipants (Number)
1=Very much improved2=Much improved3=Minimally improved4=No change5=Minimally worse6=Much worse7=Very much worse
DVS SR 25 mg57617037511
DVS SR 50 mg68626136450
Placebo48616252431

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Number of Participants With Categorical Scores on the C-SSRS at FOT Evaluation (Week 8 or ET)

"C-SSRS mapped into C-CASA(1-7) to assess whether participant:completed suicide(1),suicide attempt(2)(response of Yes on Actual Attempt),preparatory acts toward imminent suicidal behavior (3)(Yes on Preparatory Acts or Behavior),suicidal ideation (4)(Yes on Wish to be dead,Non-Specific Active Suicidal Thoughts,Active Suicidal Ideation with methods without Intent to Act or Some Intent to Act,without Specific Plan or with Specific Plan and Intent),any suicidal behavior or ideation,self-injurious behaviour(7)(Yes on Has subject engaged in Non-suicidal Self-Injurious Behavior)." (NCT00798707)
Timeframe: Week 8 (or ET)

,,
InterventionParticipants (Number)
Completed suicideSuicide attemptPreparatory acts toward imminent suicidal behaviorSuicidal ideationAny suicidal behavior and/or ideationSelf-injurious behavior, no suicidal intent
DVS SR 25 mg00050501
DVS SR 50 mg01047471
Placebo00042420

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Change From Baseline in SDS at FOT Evaluation (Week 8 or ET)

SDS: a self-administered tool that measures functional impairment in 3 domains: Work/School, Social Life, and Family Life/Home Responsibilities. The participant rates the extent to which each of these domains is impaired by his/her symptoms using a 10 point visual analog scale: (0=not at all impaired, 10=extremely impaired) for a total maximum score of 30. (NCT00798707)
Timeframe: Baseline and Week 8 (or ET)

,,
InterventionUnits on a scale (Mean)
Total Score (n=227,224,235)Work/Studies Component (n=227,225,235)Social Life Component (n=229,231,235)Family Life/Home Responsibilities (n=14,2,13)
DVS SR 25 mg-3.26-1.07-1.26-1.83
DVS SR 50 mg-3.23-1.12-1.21-0.97
Placebo-2.17-0.77-0.86-0.54

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Percentage of Participants With Sexual Dysfunction at FOT Evaluation (Week 8 or ET)

ASEX scale includes 5 questions that evaluate sexual function exclusively during the week prior to completion in the following areas: libido, excitability and ability to reach orgasm. Sexual dysfunction=an ASEX total score of 19 or greater, or a score of 5 or greater on any item, or a score of 4 or greater on any 3 items. Participants who have had no sexual activity during the prior week should be instructed to not complete questions 3 through 5. (NCT00798707)
Timeframe: Week 8 (or ET)

InterventionPercentage of Participants (Number)
Placebo55.0
DVS SR 25 mg52.7
DVS SR 50 mg55.8

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Number of Participants With a Response on the MADRS Score at FOT Evaluation (Week 8 or ET)

A MADRS responder was defined as a participant with a 50% or greater decrease from baseline in MADRS score. It measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). (NCT00798707)
Timeframe: Week 8 (or ET)

InterventionParticipants (Number)
Placebo68
DVS SR 25 mg81
DVS SR 50 mg102

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Number of Participants With a Response on the HAM-D17 at FOT Evaluation (Week 8 or ET)

A HAM-D17 responder was defined as a participant with a 50% or greater decrease from baseline in HAM-D17 score. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0=none/absent and 4=most severe, for a maximum total score of 50. (NCT00798707)
Timeframe: Week 8 (or ET)

InterventionParticipants (Number)
Placebo80
DVS SR 25 mg97
DVS SR 50 mg109

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Number of Participants With a Response on the CGI-I Score at FOT Evaluation (Week 8 or ET)

CGI-I responder was defined as a participant with a score of 1 (very much improved) or 2 (much improved) on the CGI-I. CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. (NCT00798707)
Timeframe: Week 8 (or ET)

InterventionParticipants (Number)
Placebo109
DVS SR 25 mg118
DVS SR 50 mg130

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Change From Baseline in WHO-5 Total Score at FOT Evaluation (Week 8 or ET)

WHO-5 evaluates positive psychological well-being. WHO-5 consists of 5 questions and each is rated on a 6-point scale. The total score ranges from 0 to 25 (0= worst possible quality of life; 25=best possible quality of life). (NCT00798707)
Timeframe: Baseline and Week 8 (or ET)

InterventionUnits on a scale (Mean)
Placebo2.62
DVS SR 25 mg3.43
DVS SR 50 mg3.25

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Change From Baseline in Mean CGI-S Score at FOT Evaluation (Week 8 or ET)

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = more affected. (NCT00798707)
Timeframe: Baseline and Week 8 (or ET)

InterventionUnits on a scale (Mean)
Placebo-1.03
DVS SR 25 mg-1.22
DVS SR 50 mg-1.24

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Number of Participants in Remission Based on the HAM-D17 at FOT Evaluation (Week 8 or ET)

Remission was defined as a HAM-D17 score of less than or equal to 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0=none/absent and 4=most severe, for a maximum total score of 50. (NCT00798707)
Timeframe: Week 8 (or ET)

InterventionParticipants (Number)
Placebo44
DVS SR 25 mg40
DVS SR 50 mg62

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Change From Baseline in MADRS Total Score at FOT Evaluation (Week 8 or ET)

MADRS measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). (NCT00798707)
Timeframe: Baseline and Week 8 (or ET)

InterventionUnits on a scale (Mean)
Placebo-9.23
DVS SR 25 mg-10.23
DVS SR 50 mg-11.29

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Change From Baseline in HAM-D6 Total Score at FOT Evaluation (Week 8 or ET)

HAM-D6: a standardized, clinician-administered rating scale that assesses 6 items characteristically associated with major depression and is a subset of HAM-D17. HAM-D6 score ranges from 0-22. The scale uses HAM-D17 items: 1, 2, 7, 8, 10 and 13. Item 13 is scored 0-2 and all others are scored 0-4. (NCT00798707)
Timeframe: Baseline and Week 8 (or ET)

InterventionUnits on a scale (Mean)
Placebo-4.94
DVS SR 25 mg-5.03
DVS SR 50 mg-5.65

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Change From Baseline in HAM-D17 Total Score at the Final On-therapy (FOT)Evaluation (Week 8 or ET)

HAM-D17: a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0=none/absent and 4=most severe, for a maximum total score of 50. (NCT00798707)
Timeframe: Baseline and Week 8 (or ET)

InterventionUnits on a scale (Mean)
Placebo-8.52
DVS SR 25 mg-8.98
DVS SR 50 mg-10.02

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Change From Baseline on Worry Anxiety Tension Scale (WATS) at Week 12

WATS: a self-administered, 3-question rating scale assesses worry, anxiety, and tension. Each item was a visual analog scale on which the participant circles a number from 0 to 10. Higher scores indicated worse function. WATS total score was the sum of the 3 items. If 1 item was missing, the total score would be missing. (NCT00824291)
Timeframe: At Baseline and Week 12.

InterventionScores on a scale (Mean)
DVS SR 50 mg-13.39
Placebo-10.95

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Change From Baseline on Work and Activities Item of HAM-D17 at Week 12

The Work and Activities Item of the HAM-D17 is item 7 of HAM-D17. Scoring range from 0 to 4. (NCT00824291)
Timeframe: At Baseline and Week 12.

InterventionScores on a scale (Mean)
DVS SR 50 mg-1.68
Placebo-1.45

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Change From Baseline on Stress and Social Support Scales at Week 12

Stress and Social Support Scales: self-administered rating scale where item 1 is the stress vulnerability scale measuring how much the subject was set back by stressful events on an 11-point scale ranging from 0 (not at all) to 10 (extremely) and item 2 is an 11-point scale ranging from 0 to 100 percent of the amount of support the subject received from relatives and friends. (NCT00824291)
Timeframe: At Baseline and Week 12.

InterventionScores on a scale (Mean)
DVS SR 50 mg-2.53
Placebo-2.14

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 12

Participant rated scale was used to assess the effect of the participant's symptoms on their work/social/family life. Total scores range from 0 to 30 with higher values indicating greater disruption in the participant's work/social/family life. Individual item scores range from 0 to 10. (NCT00824291)
Timeframe: At Baseline and Week 12.

InterventionScores on a scale (Mean)
DVS SR 50 mg-9.41
Placebo-8.08

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Change From Baseline in Hamilton Depression Scale (HAM-D) at Week 12

HAM-D, clinician-rated interview, measures presence of depressive symptoms in 17 areas (symptoms such as depressed mood, guilt feelings, suicide, sleep disturbances, anxiety levels and weight loss). Total score ranges from 0 to 52; higher scores indicate more depression. Change from baseline: mean at observation minus mean at baseline. (NCT00824291)
Timeframe: At Baseline and Week 12.

InterventionScores on a scale (Mean)
DVS SR 50 mg-12.61
Placebo-10.50

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Change From Baseline in Adjusted Mean on Montgomery-Asberg Depression Rating Scale (MADRS) at Week 12

Measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). (NCT00824291)
Timeframe: At Baseline and Week 12.

InterventionScores on a scale (Mean)
DVS SR 50 mg-18.44
Placebo-16.18

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Clinical Global Impressions Scale - Severity of Illness (CGI-S) at Week 12

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = more affected. Change: score at observation minus score at baseline. (NCT00824291)
Timeframe: At Baseline and Week 12.

,
InterventionScores on a scale (Number)
1 (Very Much Improved)2 (Much Improved)3 (Minimally Improved)4 (No Change)5 (Minimally Worse)6 (Much Worse)7 (Very Much Worse)
DVS SR 50 mg696877561410
Placebo233031431500

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Clinical Global Impression Scale - Improvement (CGI- I) Score at Week 12

CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. Change = score at observation minus score at baseline. (NCT00824291)
Timeframe: At Baseline and Week 12.

,
InterventionScores on a scale (Number)
1 (Very Much Improved)2 (Much Improved)3 (Minimally Improved)4 (No Change)5 (Minimally Worse)6 (Much Worse)7 (Very Much Worse)
DVS SR 50 mg1038453341001
Placebo31443130510

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Change From Baseline in Hamilton Psychiatric Scale for Depression-17 Item (HAM-D17) Score

"HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3-point (0 to 2) or a 5-point scale (0 to 4) with 0=none/absent and 4=most severe, for a maximum total score of 50. Higher scores indicate greater severity. FOT evaluation is defined as the last on-therapy evaluation, regardless of the number of days on therapy. Analysis on Observed cases (non-missing data) and Last observation carried forward (LOCF); LOCF method of imputation for any missing value at any visit." (NCT00831415)
Timeframe: Baseline (Extension Study) up to Day 308 or Final On-Therapy (FOT) Evaluation

Interventionscores on a scale (Mean)
LOCF - change at FOT (n=304)Observed cases - change at Day 308 (n=224)
DVS SR-4.76-5.82

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Change From Baseline in Clinical Global Impression-Severity of Illness [CGI-S] Score

CGI-S is a 7-point clinician rated scale to assess severity of current illness state. Range is 1 (normal - not ill at all) to 7 (among the most extremely ill). Higher score = more affected. (NCT00831415)
Timeframe: Baseline (Extension Study) up to Day 308 or FOT Evaluation

Interventionscores on a scale (Mean)
LOCF - change at FOT (n=304)Observed cases - change at Day 308 (n=224)
DVS SR-0.82-0.95

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Percentage of Participants With Adverse Events (AEs) or Serious Adverse Events (SAEs)

Any untoward medical occurrence in a participant who received study treatment was considered an AE without regard to possibility of causal relationship. An AE resulting in any of the following outcomes, or deemed to be significant for any other reason, was considered to be an SAE: death; initial or prolonged inpatient hospitalization; a life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; or congenital anomaly. (NCT00831415)
Timeframe: Baseline (Extension Study) up to Day 329 or 15 days after last dose of study treatment

Interventionpercentage of participants (Number)
Adverse EventsSerious Adverse Events
DVS SR81.32.6

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Number of Participants With Categorical Scores on Clinical Global Impression-Improvement (CGI-I)

CGI-I is a 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. (NCT00831415)
Timeframe: Day 308 or FOT Evaluation

Interventionparticipants (Number)
1=Very much improved2=Much improved3=Minimally improved4=No change5=Minimally worse6=Much worse7=Very much worse
DVS SR164823615610

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Change From Baseline in HAM-D17 Total Score at Final On-therapy (FOT) Evaluation (Week 8 or ET)

HAM-D17: a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0=none/absent and 4=most severe, for a maximum total score of 50. (NCT00863798)
Timeframe: Baseline and Week 8 (or ET)

InterventionUnits on a scale (Mean)
Placebo-8.42
DVS SR 10 mg-9.28
DVS SR 50 mg-8.92

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Number of Participants With Categorical Scores on the C-SSRS at FOT Evaluation (Week 8 or ET)

"C-SSRS mapped into C-CASA(1-7) to assess whether participant:completed suicide(1),suicide attempt(2)(response of Yes on Actual Attempt),preparatory acts toward imminent suicidal behavior (3)(Yes on Preparatory Acts or Behavior),suicidal ideation (4)(Yes on Wish to be dead,Non-Specific Active Suicidal Thoughts,Active Suicidal Ideation with methods without Intent to Act or Some Intent to Act,without Specific Plan or with Specific Plan and Intent),any suicidal behavior or ideation,self-injurious behaviour(7)(Yes on Has subject engaged in Non-suicidal Self-Injurious Behavior)." (NCT00863798)
Timeframe: Week 8 (or ET)

,,
InterventionParticipants (Number)
Completed suicideSuicide attemptPreparatory acts toward imminent suicidal behaviorSuicidal ideationAny suicidal behavior and/or ideationSelf-injurious behavior, no suicidal intent
DVS SR 10 mg01043430
DVS SR 50 mg00145450
Placebo00056561

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Number of Participants With Categorical Scores on CGI-Improvement (CGI-I) at FOT Evaluation (Week 8 or ET)

CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. (NCT00863798)
Timeframe: Week 8 (or ET)

,,
InterventionParticipants (Number)
1=Very much improved2=Much improved3=Minimally improved4=No change5=Minimally worse6=Much worse7=Very much worse
DVS SR 10 mg50755146400
DVS SR 50 mg55536449300
Placebo49545161530

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Discontinuation-Emergent Signs and Symptoms (DESS)

DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of new symptoms and old (but worse) symptoms that appeared during tapering of the test article. A higher score indicates more symptoms. (NCT00863798)
Timeframe: Week 8 to 10 (or ET)

,,
InterventionUnits on a scale (Mean)
Week 8 (or ET) (n=190,194,191)Week 9 ( or ET + 1 week) (n=178,185,186)Week 10 (or ET + 2 weeks (n=170,182,182)
DVS SR 10 mg0.801.080.91
DVS SR 50 mg0.831.981.07
Placebo0.721.260.90

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Percentage of Participants With Sexual Dysfunction at FOT Evaluation (Week 8 or ET)

ASEX scale includes 5 questions that evaluate sexual function exclusively during the week prior to completion in the following areas: libido, excitability and ability to reach orgasm. Sexual dysfunction=an ASEX total score of 19 or greater, or a score of 5 or greater on any item, or a score of 4 or greater on any 3 items. Participants who have had no sexual activity during the prior week were instructed to not complete questions 3 through 5. (NCT00863798)
Timeframe: Week 8 (or ET)

InterventionPercentage of Participants (Number)
Placebo52.0
DVS SR 10 mg48.6
DVS SR 50 mg59.5

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Number of Participants With a Response on the MADRS Score at FOT Evaluation (Week 8 or ET)

A MADRS responder was defined as a participant with a 50% or greater decrease from baseline in MADRS score. It measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). (NCT00863798)
Timeframe: Week 8 (or ET)

InterventionParticipants (Number)
Placebo84
DVS SR 10 mg95
DVS SR 50 mg90

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Number of Participants With a Response on the HAM-D17 at FOT Evaluation (Week 8 or ET)

A HAM-D17 responder was defined as a participant with a 50% or greater decrease from baseline in HAM-D17 score. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0=none/absent and 4=most severe, for a maximum total score of 50. (NCT00863798)
Timeframe: Week 8 (or ET)

InterventionParticipants (Number)
Placebo85
DVS SR 10 mg100
DVS SR 50 mg91

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Number of Participants With a Response on the CGI-I Score at FOT Evaluation (Week 8 or ET)

CGI-I responder was defined as a participant with a score of 1 (very much improved) or 2 (much improved) on the CGI-I. CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. (NCT00863798)
Timeframe: Week 8 (or ET)

InterventionParticipants (Number)
Placebo103
DVS SR 10 mg125
DVS SR 50 mg108

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Number of Participants in Remission Based on the HAM-D17 at FOT Evaluation (Week 8 or ET)

Remission was defined as a HAM-D17 score of less than or equal to 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), with 0=none/absent and 4=most severe, for a maximum total score of 50. (NCT00863798)
Timeframe: Week 8 (or ET)

InterventionParticipants (Number)
Placebo42
DVS SR 10 mg52
DVS SR 50 mg39

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Change From Baseline in WHO-5 Total Score at FOT Evaluation (Week 8 or ET)

WHO-5 evaluates positive psychological well-being. WHO-5 consists of 5 questions and each is rated on a 6-point scale. The total score ranges from 0 to 25 (0= worst possible quality of life; 25=best possible quality of life). (NCT00863798)
Timeframe: Baseline and Week 8 (or ET)

InterventionUnits on a scale (Mean)
Placebo2.96
DVS SR 10 mg4.51
DVS SR 50 mg3.73

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Change From Baseline in Mean CGI-S Score at FOT Evaluation (Week 8 or ET)

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = more affected. (NCT00863798)
Timeframe: Baseline and Week 8 (or ET )

InterventionUnits on a scale (Mean)
Placebo-1.08
DVS SR 10 mg-1.23
DVS SR 50 mg-1.11

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Change From Baseline in MADRS Total Score at FOT Evaluation (Week 8 or ET)

MADRS measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). (NCT00863798)
Timeframe: Baseline and Week 8 (or ET)

InterventionUnits on a scale (Mean)
Placebo-9.87
DVS SR 10 mg-11.28
DVS SR 50 mg-10.76

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Change From Baseline in HAM-D6 Total Score at FOT Evaluation (Week 8 or ET)

HAM-D6: a standardized, clinician-administered rating scale that assesses 6 items characteristically associated with major depression and is a subset of HAM-D17. HAM-D6 score ranges from 0-22. 0=none/absent and 22=most severe.The scale uses HAM-D17 items: 1, 2, 7, 8, 10 and 13. Item 13 is scored 0-2 and all others are scored 0-4. (NCT00863798)
Timeframe: Baseline and Week 8 (or ET )

InterventionUnits on a scale (Mean)
Placebo-4.75
DVS SR 10 mg-5.49
DVS SR 50 mg-5.19

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Change From Baseline in SDS at FOT Evaluation (Week 8 or ET)

SDS: a self-administered tools that measures functional impairment in 3 domains: Work/School, Social Life, and Family Life/Home Responsibilities. The participant rates the extent to which each of these domains is impaired by his/her symptoms using a 10 point visual analog scale: (0=not at all impaired, 10=extremely impaired) for a total maximum score of 30. (NCT00863798)
Timeframe: Baseline and Week 8 (or ET)

,,
InterventionUnits on a scale (Mean)
Total Score (n=220,223,219)Work/Studies Component(n=220,223,219)Social Life and Leisure Activities(n=222,224,221)Family Life/Home Responsibilities (n=222,224,221)
DVS SR 10 mg-4.09-1.10-1.58-1.43
DVS SR 50 mg-3.78-1.14-1.36-1.20
Placebo-2.63-0.61-1.08-0.98

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Number of Participants With Remission Based on Hamilton Psychiatric Scale for Depression-17 Item (HAM-D17) Score at Double-blind Phase Week 26

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Nine items are scored on a 3 point scale (0=none/absent to 2=most severe) and 8 items are scored on a 5 point scale (0=none/absent to 4=most severe) for a maximum total score of 50; higher score indicates more depression. Remission defined as HAM-D17 total score ≤7. (NCT00887224)
Timeframe: Double-blind phase Week 26 (Study Day 322)

Interventionparticipants (Number)
Placebo148
DVS SR 50 mg201

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Time to Relapse Following Randomization to the Double-blind (DB) Phase: Estimated Probability (Percent) of Relapse at DB Day 185

Time to relapse analyzed using log-rank test; defined as Hamilton Psychiatric Scale for Depression-17 item score ≥16 at any time during DB phase, discontinuation for unsatisfactory response or efficacy (need for additional or alternate treatment for depression, investigator decision to remove participant for efficacy reasons, or failure to return if investigator determined related to efficacy), hospitalization for depression, suicide attempt, or suicide. Participants who relapsed after DB day 185 or completed DB therapy without relapse were considered as censored on DB day 185 (study day 325). (NCT00887224)
Timeframe: Double-blind phase Baseline (Study Day 140) up to DB Day 185 (Study Day 325)

Interventionpercent estimated probability (Number)
Placebo30.2
DVS SR 50 mg14.3

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Change From Baseline in Clinical Global Impression-Severity of Illness [CGI-S] Score in the Double-blind Phase

CGI-S is a 7-point clinician rated scale to assess severity of participant's current illness state; range of 1 (normal - not ill at all) to 7 (among the most extremely ill). Higher score = more affected. Change from baseline mean=adjusted mean change calculated using mixed-effects model for repeated measures (MMRM). (NCT00887224)
Timeframe: Double-blind phase Baseline (Study Day 140) up to Week 26 (Study Day 322)

,
Interventionscores on a scale (Mean)
Change from Baseline at DB Week 1Change from Baseline at DB Week 2Change from Baseline at DB Week 3Change from Baseline at DB Week 4Change from Baseline at DB Week 6Change from Baseline at DB Week 10Change from Baseline at DB Week 14Change from Baseline at DB Week 18Change from Baseline at DB Week 22Change from Baseline at DB Week 26
DVS SR 50 mg0.030.090.070.060.060.110.050.090.130.09
Placebo0.030.180.210.230.320.390.380.420.560.53

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Change From Baseline in Hamilton Psychiatric Scale for Depression-17 Item (HAM-D17) Score in the Double-blind Phase

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Nine items are scored on a 3 point scale (0=none/absent to 2=most severe) and 8 items are scored on a 5 point scale (0=none/absent to 4=most severe) for a maximum total score of 50; higher score indicates more depression. Change from baseline mean=adjusted mean change calculated using MMRM. (NCT00887224)
Timeframe: Double-blind phase Baseline (Study Day 140) up to Week 26 (Study Day 322)

,
Interventionscores on a scale (Mean)
Change from Baseline at DB Week 1Change from Baseline at DB Week 2Change from Baseline at DB Week 3Change from Baseline at DB Week 4Change from Baseline at DB Week 6Change from Baseline at DB Week 10Change from Baseline at DB Week 14Change from Baseline at DB Week 18Change from Baseline at DB Week 22Change from Baseline at DB Week 26
DVS SR 50 mg0.250.530.450.110.310.690.620.560.920.77
Placebo0.281.401.321.501.942.372.662.513.223.12

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Change From Baseline in Hamilton Psychiatric Scale for Depression-6 Item (HAM-D6) Score in the Double-blind Phase

HAM-D6 is a standardized, clinician-administered rating scale is a subset of the HAM-D17 that assesses 6 items associated with major depression. The scale uses HAM-D17 items 1, 2, 7, 8, 10 and 13. Item 13 is scored 0 to 2 (0=none/absent to 2=most severe) and all others are scored 0 to 4 (0=none/absent to 4=most severe). Total score ranges from 0 to 22; higher score indicates more depression. Change from baseline mean=adjusted mean change calculated using MMRM. (NCT00887224)
Timeframe: Double-blind phase Baseline (Study Day 140) up to Week 26 (Study Day 322)

,
Interventionscores on a scale (Mean)
Change from baseline at DB Week1Change from baseline at DB Week 2Change from baseline at DB Week 3Change from baseline at DB Week 4Change from baseline at DB Week 6Change from baseline at DB Week 10Change from baseline at DB Week 14Change from baseline at DB Week 18Change from baseline at DB Week 22Change from baseline at DB Week 26
DVS SR 50 mg0.010.130.140.030.160.330.340.210.450.26
Placebo0.030.660.720.921.041.411.471.511.681.53

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Change From Baseline of Double-blind Phase in World Health Organization (Five-Item) Well-Being Index

WHO-5 evaluates positive psychological well-being during the past 2 weeks and consists of 5 questions (felt cheerful, in good spirits; felt calm, relaxed; felt active, vigorous; woke up fresh, rested; and daily life filled with things that are interesting) each rated on a 6-point Likert scale from 0 (not present) to 5 (constantly present). Total raw score ranged from 0 (worst possible quality of life) to 25 (best possible quality of life). Change from baseline mean=adjusted mean change calculated using MMRM. (NCT00887224)
Timeframe: Double-blind phase Baseline (Study Day 140), Week 14 (Study Day 238), Week 26 (Study Day 322)

,
Interventionscores on a scale (Mean)
Change from baseline at DB Week 14Change from baseline at DB Week 26
DVS SR 50 mg-0.38-0.04
Placebo-2.51-2.36

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Number of Participants Per Categorical Score for Change From Baseline on Clinical Global Impression-Improvement (CGI-I) Scale

CGI-I is a 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. (NCT00887224)
Timeframe: Double-blind phase Baseline (Study Day 140) up to Week 26 (Study Day 322)

,
Interventionparticipants (Number)
DB Week 1: 1=very much improvedDB Week 1: 2=much improvedDB Week 1: 3=minimally improvedDB Week 1: 4=no changeDB Week 1: 5=minimally worseDB Week 1: 6=much worseDB Week 1: 7=very much worseDB Week 2: 1=very much improvedDB Week 2: 2=much improvedDB Week 2: 3=minimally improvedDB Week 2: 4=no changeDB Week 2: 5=minimally worseDB Week 2: 6=much worseDB Week 2: 7=very much worseDB Week 3: 1=very much improvedDB Week 3: 2=much improvedDB Week 3: 3=minimally improvedDB Week 3: 4=no changeDB Week 3: 5=minimally worseDB Week 3: 6=much worseDB Week 3: 7=very much worseDB Week 4: 1=very much improvedDB Week 4: 2=much improvedDB Week 4: 3=minimally improvedDB Week 4: 4=no changeDB Week 4: 5=minimally worseDB Week 4: 6=much worseDB Week 4: 7=very much worseDB Week 6: 1=very much improvedDB Week 6: 2=much improvedDB Week 6: 3=minimally improvedDB Week 6: 4=no changeDB Week 6: 5=minimally worseDB Week 6: 6=much worseDB Week 6: 7=very much worseDB Week 10: 1=very much improvedDB Week 10: 2=much improvedDB Week 10: 3=minimally improvedDB Week 10: 4=no changeDB Week 10: 5=minimally worseDB Week 10: 6=much worseDB Week 10: 7=very much worseDB Week 14: 1=very much improvedDB Week 14: 2=much improvedDB Week 14: 3=minimally improvedDB Week 14: 4=no changeDB Week 14: 5=minimally worseDB Week 14: 6=much worseDB Week 14: 7=very much worseDB Week 18: 1=very much improvedDB Week 18: 2=much improvedDB Week 18: 3=minimally improvedDB Week 18: 4=no changeDB Week 18: 5=minimally worseDB Week 18: 6=much worseDB Week 18: 7=very much worseDB Week 22: 1=very much improvedDB Week 22: 2=much improvedDB Week 22: 3=minimally improvedDB Week 22: 4=no changeDB Week 22: 5=minimally worseDB Week 22: 6=much worseDB Week 22: 7=very much worseDB Week 26: 1=very much improvedDB Week 26: 2=much improvedDB Week 26: 3=minimally improvedDB Week 26: 4=no changeDB Week 26: 5=minimally worseDB Week 26: 6=much worseDB Week 26: 7=very much worse
DVS SR 50 mg33192122031362419725406827185242087281812021911311741660792816128814102915925307628151246186291392850910291352250
Placebo91122271620751518332150551716945605620169396165201534014034191404691351612449100661211739120741311630131771310531101

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Change From Baseline in Work Productivity and Activity Impairment Questionnaire (WPAI) Score in the Double-blind Phase

WPAI is a 6 question participant rated questionnaire to determine the degree to which depression affected work productivity while at work and affected activities outside of work. Four scores are derived: percentage of absenteeism, percentage of presenteeism (reduced productivity while at work), an overall work impairment score that combined absenteeism and presenteeism and percentage of impairment in activities performed outside of work. Scores scaled as 0 (not affected/no impairment) to 10 (completely affected/impaired). Higher score indicated greater impairment and less productivity. (NCT00887224)
Timeframe: Double-blind phase Baseline (Study Day 140), Week 14 (Study Day 238), Week 26 (Study Day 322)

,
Interventionscores on a scale (Mean)
Change from Bsl at DB Week 14: AbsenteeismChange from Bsl at DB Week 14: PresenteeismChange from Bsl DB Week 14: Work productivity lossChange from Bsl at DB Week 14: Activity impairmentChange from Bsl at DB Week 26: AbsenteeismChange from Bsl at DB Week 26: PresenteeismChange from Bsl DB Week 26: Work productivity lossChange from Bsl at DB Week 26: Activity impairment
DVS SR 50 mg0.622.442.193.450.77-0.49-0.002.05
Placebo1.649.359.6611.020.437.758.479.67

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Midazolam Area Under the Plasma Concentration-time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) Following Midazolam Alone and When Coadministered With DVS SR

(NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionng*hr/mL (Geometric Mean)
Midazolam 4 mg (Period 1)52.85
DVS SR 50 mg, Midazolam 4 mg (Period 2)38.11

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Midazolam Maximum Observed Plasma Concentration (Cmax) Following Midazolam Alone and When Coadministered With DVS SR

Cmax measured as nanograms per milliliters (ng/mL). (NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionng/mL (Geometric Mean)
Midazolam 4 mg (Period 1)21.20
DVS SR 50 mg, Midazolam 4 mg (Period 2)18.24

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Midazolam Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Midazolam Alone and When Coadministered With DVS SR

AUCinf measured as nanograms multiplied by hours divided by milliliters (ng*hr/mL). (NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionng*hr/mL (Geometric Mean)
Midazolam 4 mg (Period 1)54.69
DVS SR 50 mg, Midazolam 4 mg (Period 2)39.45

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1-Hydroxy-Midazolam (Analyte) Time to Cmax (Tmax) Following Midazolam Alone and When Coadministered With DVS SR

(NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionhr (Median)
Midazolam 4 mg (Period 1)1.00
DVS SR 50 mg, Midazolam 4 mg (Period 2)0.500

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1-Hydroxy-Midazolam (Analyte) Terminal Half-life (t 1/2) Following Midazolam Alone and When Coadministered With DVS SR

(NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionhr (Mean)
Midazolam 4 mg (Period 1)5.396
DVS SR 50 mg, Midazolam 4 mg (Period 2)4.616

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1-Hydroxy-Midazolam (Analyte) Maximum Observed Plasma Concentration (Cmax) Following Midazolam Alone and When Coadministered With DVS SR

(NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionng/mL (Geometric Mean)
Midazolam 4 mg (Period 1)14.93
DVS SR 50 mg, Midazolam 4 mg (Period 2)15.10

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1-Hydroxy-Midazolam (Analyte) Area Under the Plasma Concentration-time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) Following Midazolam Alone and When Coadministered With DVS SR

(NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionng*hr/mL (Geometric Mean)
Midazolam 4 mg (Period 1)37.09
DVS SR 50 mg, Midazolam 4 mg (Period 2)32.42

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1-Hydroxy-Midazolam (Analyte) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Midazolam Alone and When Coadministered With DVS SR

1-Hydroxy-Midazolam is an analyte of Midazolam. (NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionng*hr/mL (Geometric Mean)
Midazolam 4 mg (Period 1)36.87
DVS SR 50 mg, Midazolam 4 mg (Period 2)30.74

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Midazolam Terminal Half-life (t 1/2) Following Midazolam Alone and When Coadministered With DVS SR

(NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionhr (Mean)
Midazolam 4 mg (Period 1)5.320
DVS SR 50 mg, Midazolam 4 mg (Period 2)4.648

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Midazolam Time to Cmax (Tmax) Following Midazolam Alone and When Coadministered With DVS SR

(NCT00952653)
Timeframe: Period 1 / Day 1 and Period 2 / Day 6: 0, 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, and 24 hours following dosing

Interventionhr (Median)
Midazolam 4 mg (Period 1)0.517
DVS SR 50 mg, Midazolam 4 mg (Period 2)0.500

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Percentage of Participants Who Were Unable to Successfully Complete Tapering of the Study Drug Because of the Number and/or Severity of Their Discontinuation Symptoms

Discontinuation symptoms may occur following abrupt cessation of serotonergic antidepressants in a minority of participants following short-term treatment of an episode of Major Depressive Disorder (MDD). The symptoms include emotional and somatic symptoms such as dizziness, nausea, and paresthesia and typically appear within 2 to 3 days of reducing the dose or stopping the antidepressant medication. Discontinuation symptoms are usually mild and resolve spontaneously within a week in the majority of patients, though a minority can have intense and prolonged symptoms. (NCT01056289)
Timeframe: Double-blind phase: Baseline (Study Day 168) up to Week 4 (Study Day 196)

Interventionpercentage of participants (Number)
DVS SR 50 mg1.4
DVS SR 25 mg (Double-blind Phase)1.4
Placebo1.4

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Percentage of Participants With Taper Adverse Events (AEs) in the Double-blind Phase

Any untoward medical occurrence in a patient who received study drug was considered an AE without regard to possibility of causal relationship. Taper-emergent AEs (TPAEs) are those events which occurred during the double-blind period but did not occur during the last 7 days of the on-therapy period or existed during the last 7 days and worsened in the double-blind period. (NCT01056289)
Timeframe: Double-blind phase: Baseline (Study Day 168) up to Week 4 (Study Day 196)

Interventionpercentage of participants (Number)
DVS SR 50 mg35.6
DVS SR 25 mg38.6
Placebo50.7

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Total Discontinuation - Emergent Signs and Symptoms (DESS) Score Over the First 2 Weeks of the Double-blind Phase

Clinician-administered 43-item assessment to evaluate discontinuation-emergent symptoms resulting from withdrawal from study treatment. Total score=sum of number of new symptoms and old (but worse) symptoms (score=1) and old and unchanged symptom, absent, or old symptom but improved (score=0); total possible range 0 to 43. Higher score=more symptoms. New symptom=any symptom that appeared within 7 days before DESS administration; old symptom=any symptom that appeared 7 days before DESS administration and continued into 7-day period. DESS calculated as 2*mean(of DESSDB Week 1, DESSDB Week 2). (NCT01056289)
Timeframe: Double-blind phase: Week 1 (Study Day 175), Week 2 (Study Day 182)

Interventionscores on a scale (Mean)
DVS SR 50 mg4.1
DVS SR 25 mg4.8
Placebo5.3

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Number of Participants With Categorical Scores on Clinical Global Impression - Improvement (CGI-I)

CGI-I: 7-point scale in which the clinician rated how much the participant's condition has changed compared to baseline. Scores ranged from 1 (very much improved) to 7 (very much worse). Improvement defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. (NCT01121484)
Timeframe: Week 8

,
Interventionparticipants (Number)
Very Much ImprovedMuch ImprovedMinimally ImprovedNo ChangeMinimally WorseMuch WorseVery Much Worse
Desvenlafaxine Succinate51675337620
Placebo39376269630

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Change From Baseline in Clinical Global Impression - Severity (CGI-S) at Week 8

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = more affected. Change: score at observation minus score at baseline. (NCT01121484)
Timeframe: Baseline, Week 8

,
InterventionUnits on a scale (Mean)
BaselineChange at Week 8
Desvenlafaxine Succinate4.4-1.5
Placebo4.3-1.1

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Change From Baseline in Visual Analogue Scale for Pain (VAS-pain) at Week 8

10 centimeter (cm) line (Visual Analog Scale) marked by participant. Intensity of pain range (over past week): 0 = no pain to 10 = worst possible pain. Change: score at observation minus score at baseline. (NCT01121484)
Timeframe: Baseline, Week 8

,
Interventioncm (Mean)
BaselineChange at Week 8
Desvenlafaxine Succinate4.0-1.5
Placebo4.0-0.8

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Change From Baseline in Quick Inventory of Depressive Symptoms, 16 Question Self-report (QIDS-SR)

This is a 16-item self reported questionnaire that measures depressive symptoms. Improvement reported as change in depressive score. Score ranges from 0 to 42, with higher numbers indicating more severe symptom reporting. Change: score at observation minus score at baseline. (NCT01121484)
Timeframe: Baseline, Week 8

,
InterventionUnits on a scale (Mean)
BaselineChange at Week 8
Desvenlafaxine Succinate15.1-5.9
Placebo14.8-5.2

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Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Week 8

Measures the overall severity of depressive symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). Change: score at observation minus score at baseline. (NCT01121484)
Timeframe: Baseline, Week 8

,
InterventionUnits on a scale (Mean)
BaselineChange at Week 8
Desvenlafaxine Succinate31.0-14.8
Placebo30.6-11.6

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Change From Baseline in Hamilton Depression Scale (HAM-D17) at Week 8

HAM-D17, clinician-rated interview, measures presence of depressive symptoms in 17 areas (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, & weight loss). Total score ranges from 0 to 52; higher scores indicate more severe depression. Change from baseline: score at observation minus score at baseline. (NCT01121484)
Timeframe: Baseline, Week 8

,
InterventionUnits on a scale (Mean)
BaselineChange at Week 8
Desvenlafaxine Succinate22.8-9.7
Placebo22.4-7.4

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Dehydro-aripiprazole (Metabolite) Terminal Half-life (t 1/2) Following Aripiprazole Alone and When Coadministered With DVS SR

Terminal half-life is the time measured for the plasma concentration to decrease by one half. (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

Interventionhours (Mean)
Aripiprazole 5 mg (Period 1)97.78
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)94.27

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Plasma Dehydro-aripiprazole (Metabolite) Concentration Versus Time Summary: Aripiprazole 5mg, DVS SR 100 mg, Aripiprazole 5 mg

Summary statistics were to be calculated by setting concentration values below the lower limit of quantification (LLQ = 0.100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) = 0. (NCT01188668)
Timeframe: Period 1 / Day 1 and Period 2 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing

,
Interventionng/mL (Median)
0 hour0.5 hour post dose1 hour post dose2 hours post dose3 hours post dose4 hours post dose6 hours post dose8 hours post dose12 hours post dose16 hours post dose24 hours post dose48 hours post dose72 hours post dose120 hours post dose168 hours post dose216 hours post dose264 hours post dose312 hours post dose
Aripiprazole 5 mg (Period 1)NA0.00000.27400.94701.2601.4951.6501.7801.8452.0102.5203.1352.9352.4401.9201.5701.0800.8660
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)0.16400.21200.59651.2401.6601.8801.9101.9101.9501.9702.5503.1603.0202.3601.9801.4601.1300.9680

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Aripiprazole Apparent Volume of Distribution (Vz/F) Following Aripiprazole Alone and When Coadministered With DVS SR

Calculated as Dose / (AUCinf * kel); where kel=terminal phase rate constant. (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

Interventionliters (Geometric Mean)
Aripiprazole 5 mg (Period 1)397.3
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)368.1

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Plasma Aripiprazole Concentration Versus Time Summary: Aripiprazole 5mg, DVS SR 100 mg + Aripiprazole 5 mg

Summary statistics were to be calculated by setting concentration values below the lower limit of quantification (LLQ = 0.100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) = 0. (NCT01188668)
Timeframe: Period 1 / Day 1 and Period 2 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing

,
Interventionng/mL (Median)
0 hour0.5 hour post dose1 hour post dose2 hours post dose3 hours post dose4 hours post dose6 hours post dose8 hours post dose12 hours post dose16 hours post dose24 hours post dose48 hours post dose72 hours post dose120 hours post dose168 hours post dose216 hours post dose264 hours post dose312 hours post dose
Aripiprazole 5 mg (Period 1)NA0.480010.6923.4021.7521.3518.9516.6513.6511.5010.708.3106.2553.6802.3901.7301.0800.8040
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)0.12901.2209.54521.7024.4025.4020.7018.0013.8012.5012.208.9406.8704.0002.7201.9601.3401.010

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Aripiprazole Maximum Observed Plasma Concentration (Cmax) Following Aripiprazole Alone and When Coadministered With DVS SR

Cmax measured as nanograms per milliliters (ng/mL). (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

Interventionng/mL (Geometric Mean)
Aripiprazole 5 mg (Period 1)24.66
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)24.69

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Aripiprazole Apparent Clearance (CL/F) Following Aripiprazole Alone and When Coadministered With DVS SR

Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood calculated as (Dose/AUCinf); measured as milliliters per minute (mL/min). (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

InterventionmL/min (Geometric Mean)
Aripiprazole 5 mg (Period 1)55.76
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)51.92

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Aripiprazole Time for Cmax (Tmax) Following Aripiprazole Alone and When Coadministered With DVS SR

Time for maximum observed plasma concentration. (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

Interventionhours (Median)
Aripiprazole 5 mg (Period 1)3.00
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)4.00

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Aripiprazole Terminal Half-life (t 1/2) Following Aripiprazole Alone and When Coadministered With DVS SR

Terminal half-life is the time measured for the plasma concentration to decrease by one half. (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

Interventionhours (Mean)
Aripiprazole 5 mg (Period 1)85.17
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)84.18

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Dehydro-aripiprazole (Metabolite) Time for Cmax (Tmax) Following Aripiprazole Alone and When Coadministered With DVS SR

Time for maximum observed plasma concentration. (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

Interventionhours (Median)
Aripiprazole 5 mg (Period 1)59.9
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)71.9

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Dehydro-aripiprazole (Metabolite) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Aripiprazole Alone and When Coadministered With DVS SR

Dehydro-aripiprazole is a metabolite of Aripiprazole. Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

Interventionng*hr/mL (Geometric Mean)
Aripiprazole 5 mg (Period 1)695.9
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)685.8

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Dehydro-aripiprazole (Metabolite) Maximum Observed Plasma Concentration (Cmax) Following Aripiprazole Alone and When Coadministered With DVS SR

(NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing

Interventionng/mL (Geometric Mean)
Aripiprazole 5 mg (Period 1)3.007
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)3.185

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Aripiprazole Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Aripiprazole Alone and When Coadministered With DVS SR

Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞); measured as nanograms multiplied by hours divided by milliliters (ng*hr/mL). (NCT01188668)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 120, 168, 216, 264, and 312 hours after dosing; Period 2 / Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours after dosing; also 0 hour Period 2 / Day 8, 9, 10, 12, 14, 16, 18, and Day 20

Interventionng*hr/mL (Geometric Mean)
Aripiprazole 5 mg (Period 1)1494
Aripiprazole 5 mg + DVS SR 100 mg (Period 2)1604

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Tamoxifen Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Tamoxifen Alone and When Coadministered With DVS SR

Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞); measured as nanograms multiplied by hours divided by milliliters (ng*hr/mL). (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionng*hr/mL (Geometric Mean)
Tamoxifen 40 mg (Period 1)5751
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)5888

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Tamoxifen Maximum Observed Concentration (Cmax) Following Tamoxifen Alone and When Coadministered With DVS SR

Cmax measured as nanograms per milliliters (ng/mL). (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionng/mL (Geometric Mean)
Tamoxifen 40 mg (Period 1)70.58
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)70.33

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Tamoxifen Terminal Half-life (t 1/2) Following Tamoxifen Alone and When Coadministered With DVS SR

Terminal half-life is the time measured for the plasma concentration to decrease by one half. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionhours (Mean)
Tamoxifen 40 mg (Period 1)250.5
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)242.3

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Tamoxifen Time for Cmax (Tmax) Following Tamoxifen Alone and When Coadministered With DVS SR

Time for maximum observed plasma concentration. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionhours (Median)
Tamoxifen 40 mg (Period 1)4.00
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)4.00

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Plasma 4-hydroxy-tamoxifen (Metabolite) Concentration Versus Time Summary: Tamoxifen Alone and When Coadministered With DVS SR

Summary statistics were to be calculated by setting concentration values below the lower limit of quantification (LLQ = 0.100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) = 0. (NCT01189500)
Timeframe: Period 1 / Day 1 and Period 2 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing

,
Interventionng/mL (Median)
0 hour0.5 hour post dose1 hour post dose2 hours post dose3 hours post dose4 hours post dose6 hours post dose8 hours post dose12 hours post dose16 hours post dose24 hours post dose48 hours post dose72 hours post dose120 hours post dose168 hours post dose216 hours post dose264 hours post dose312 hours post dose384 hours post dose456 hours post dose528 hours post dose
Tamoxifen 40 mg (Period 1)NANANA0.20600.43350.59000.61450.62900.59100.49200.53950.49250.37950.28450.21800.18400.15900.13150.11250.00000.0000
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)0.00000.00000.00000.20300.39600.64200.70600.71000.58600.56400.57800.49100.40100.29200.22700.18700.16000.13800.11800.00000.0000

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Plasma Endoxifen (Metabolite) Concentration Versus Time Summary: Tamoxifen Alone and When Coadministered With DVS SR

Summary statistics were to be calculated by setting concentration values below the lower limit of quantification (LLQ = 0.100 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) = 0. (NCT01189500)
Timeframe: Period 1 / Day 1 and Period 2 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing

,
Interventionng/mL (Median)
0 hour0.5 hour post dose1 hour post dose2 hours post dose3 hours post dose4 hours post dose6 hours post dose8 hours post dose12 hours post dose16 hours post dose24 hours post dose48 hours post dose72 hours post dose120 hours post dose168 hours post dose216 hours post dose264 hours post dose312 hours post dose384 hours post dose456 hours post dose528 hours post dose
Tamoxifen 40 mg (Period 1)NANANA0.00000.00000.17600.24850.28950.44700.43300.62150.90650.97401.0951.1201.1201.1451.0350.85600.70600.6210
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)0.29000.33700.34300.41000.50200.63500.58700.73100.73100.71300.99001.1801.1801.2401.1401.0801.1600.97600.94700.91500.7040

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Plasma N-desmethyl-tamoxifen (Metabolite) Concentration Versus Time Summary: Tamoxifen Alone and When Coadministered With DVS SR

Summary statistics were to be calculated by setting concentration values below the lower limit of quantification (LLQ = 0.250 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) = 0. (NCT01189500)
Timeframe: Period 1 / Day 1 and Period 2 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing

,
Interventionng/mL (Median)
0 hour0.5 hour post dose1 hour post dose2 hours post dose3 hours post dose4 hours post dose6 hours post dose8 hours post dose12 hours post dose16 hours post dose24 hours post dose48 hours post dose72 hours post dose120 hours post dose168 hours post dose216 hours post dose264 hours post dose312 hours post dose384 hours post dose456 hours post dose528 hours post dose
Tamoxifen 40 mg (Period 1)NA0.00000.80504.2109.44012.5514.1014.9016.1014.5516.9016.4516.4515.1014.4013.5012.6511.4010.158.7308.730
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)3.6004.1205.6509.77014.8018.7019.3020.4019.0018.4021.9024.0019.8019.8016.8015.6015.4014.4013.1010.5010.40

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Plasma Tamoxifen Concentration Versus Time Summary: Tamoxifen Alone and When Coadministered With DVS SR

Summary statistics were to be calculated by setting concentration values below the lower limit of quantification (LLQ = 0.250 ng/mL) to zero. Summary statistics were not to be presented if number of observations above lower limit of quantification (NALQ) = 0. (NCT01189500)
Timeframe: Period 1 / Day 1 and Period 2 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing

,
Interventionng/mL (Median)
0 hour0.5 hour post dose1 hour post dose2 hours post dose3 hours post dose4 hours post dose6 hours post dose8 hours post dose12 hours post dose16 hours post dose24 hours post dose48 hours post dose72 hours post dose120 hours post dose168 hours post dose216 hours post dose264 hours post dose312 hours post dose384 hours post dose456 hours post dose528 hours post dose
Tamoxifen 40 mg (Period 1)NA1.87511.4537.2054.5068.2558.9554.7540.4027.3024.5015.4012.5510.559.1207.5557.5756.4455.1804.3003.560
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)1.3004.65013.9033.6055.6072.2060.9056.1035.3026.2025.5016.2012.6011.609.9308.1507.2706.9205.6004.3304.160

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4-hydroxy-tamoxifen (Metabolite) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Tamoxifen Alone and When Coadministered With DVS SR

4-hydroxy-tamoxifen is a metabolite of Tamoxifen. Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionng*hr/mL (Geometric Mean)
Tamoxifen 40 mg (Period 1)117.5
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)133.9

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4-hydroxy-tamoxifen (Metabolite) Maximum Observed Concentration (Cmax) Following Tamoxifen Alone and When Coadministered With DVS SR

(NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionng/mL (Geometric Mean)
Tamoxifen 40 mg (Period 1)0.6716
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)0.7247

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4-hydroxy-tamoxifen (Metabolite) Terminal Half-life (t 1/2) Following Tamoxifen Alone and When Coadministered With DVS SR

Terminal half-life is the time measured for the plasma concentration to decrease by one half. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionhours (Mean)
Tamoxifen 40 mg (Period 1)165.2
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)177.0

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4-hydroxy-tamoxifen (Metabolite) Time for Cmax (Tmax) Following Tamoxifen Alone and When Coadministered With DVS SR

Time for maximum observed plasma concentration. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionhours (Median)
Tamoxifen 40 mg (Period 1)6.00
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)6.00

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Endoxifen (Metabolite) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Endoxifen Alone and When Coadministered With DVS SR

Endoxifen is a metabolite of Tamoxifen. Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionng*hr/mL (Geometric Mean)
Tamoxifen 40 mg (Period 1)677.7
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)505.6

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Endoxifen (Metabolite) Maximum Observed Concentration (Cmax) Following Tamoxifen Alone and When Coadministered With DVS SR

(NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionng/mL (Geometric Mean)
Tamoxifen 40 mg (Period 1)1.077
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)1.226

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Endoxifen (Metabolite) Terminal Half-life (t 1/2) Following Tamoxifen Alone and When Coadministered With DVS SR

Terminal half-life is the time measured for the plasma concentration to decrease by one half. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionhours (Mean)
Tamoxifen 40 mg (Period 1)207.5
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)232.5

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Endoxifen (Metabolite) Time for Cmax (Tmax) Following Tamoxifen Alone and When Coadministered With DVS SR

Time for maximum observed plasma concentration. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionhours (Median)
Tamoxifen 40 mg (Period 1)216
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)120

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N-desmethyl-tamoxifen (Metabolite) Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) Following Tamoxifen Alone and When Coadministered With DVS SR

N-desmethyl-tamoxifen is a metabolite of Tamoxifen. Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionng*hr/mL (Geometric Mean)
Tamoxifen 40 mg (Period 1)8187
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)9329

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N-desmethyl-tamoxifen (Metabolite) Maximum Observed Concentration (Cmax) Following Tamoxifen Alone and When Coadministered With DVS SR

(NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionng/mL (Geometric Mean)
Tamoxifen 40 mg (Period 1)18.30
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)24.42

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N-desmethyl-tamoxifen (Metabolite) Terminal Half-life (t 1/2) Following Tamoxifen Alone and When Coadministered With DVS SR

Terminal half-life is the time measured for the plasma concentration to decrease by one half. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionhours (Mean)
Tamoxifen 40 mg (Period 1)256.0
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)265.6

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N-desmethyl-tamoxifen (Metabolite) Time for Cmax (Tmax) Following Tamoxifen Alone and When Coadministered With DVS SR

Time for maximum observed plasma concentration. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionhours (Median)
Tamoxifen 40 mg (Period 1)35.9
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)47.9

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Tamoxifen Apparent Clearance (CL/F) Following Tamoxifen Alone and When Coadministered With DVS SR

Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood calculated as (Dose/AUCinf); measured as milliliters per minute (mL/min). (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

InterventionmL/min (Geometric Mean)
Tamoxifen 40 mg (Period 1)115.9
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)113.2

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Tamoxifen Apparent Volume of Distribution (Vz/F) Following Tamoxifen Alone and When Coadministered With DVS SR

Calculated as Dose / (AUCinf * kel); where kel=terminal phase rate constant. (NCT01189500)
Timeframe: Period 1 / Day 1: 0, 0.5, 1, 2, 3, 4, 6, 8, 12,16, 24, 48, 72, 120, 168, 216, 264, 312, 384, 456, and 528 hours after dosing; Period 2 / Day 1 and Day 7: 0, 0.5, 1, 2, 3, 4, 6, 8, 12 and 16 hours; 0 hour on Day 8, 9, 10, 12, 14, 16, 18, 20, 23, 26 and 29.

Interventionliters (Geometric Mean)
Tamoxifen 40 mg (Period 1)2474
Tamoxifen 40 mg + DVS SR 100 mg (Period 2)2321

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Time to Reach Maximum Observed Plasma Concentration (Tmax)

(NCT01190514)
Timeframe: Day 1 of Periods 1, 2, 3, and 4: pre-dose, 0 hour, and 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours post-dose

Interventionhours (Median)
DVS SR 25 mg*2 Fed6.00
DVS SR 50 mg Fed8.00
DVS SR 25 mg*2 Fasted6.00
DVS SR 50 mg Fasted6.00

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Terminal Elimination Half-life (t 1/2)

Terminal elimination (plasma decay) half-life is the time measured for the plasma concentration to decrease by one half. (NCT01190514)
Timeframe: Day 1 of Periods 1, 2, 3, and 4: pre-dose, 0 hour, and 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours post-dose

Interventionhours (Mean)
DVS SR 25 mg*2 Fed10.50
DVS SR 50 mg Fed10.72
DVS SR 25 mg*2 Fasted12.71
DVS SR 50 mg Fasted11.13

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Maximum Plasma Concentration (Cmax)

Cmax measured as nanograms divided by milliliters (ng/mL). (NCT01190514)
Timeframe: Day 1 of Periods 1, 2, 3, and 4: pre-dose, 0 hour, and 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours post-dose

Interventionng/mL (Mean)
DVS SR 25 mg*2 Fed130.6
DVS SR 50 mg Fed131.0
DVS SR 25 mg*2 Fasted107.3
DVS SR 50 mg Fasted112.1

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Area Under the Plasma Concentration-time Profile From Time 0 to 48 Hours (AUC48)

Area under the plasma concentration versus time curve from time zero (pre-dose) to 48 hours post dose; measured as nanograms multiplied by hours divided by milliliters (ng*hr/mL). (NCT01190514)
Timeframe: Day 1 of Periods 1, 2, 3, and 4: pre-dose, 0 hour, and 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours post-dose

Interventionng*hr/mL (Mean)
DVS SR 25 mg*2 Fed2948
DVS SR 50 mg Fed2966
DVS SR 25 mg*2 Fasted2632
DVS SR 50 mg Fasted2777

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Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Time of the Last Quantifiable Concentration (AUClast)

(NCT01190514)
Timeframe: Day 1 of Periods 1, 2, 3, and 4: pre-dose, 0 hour, and 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours post-dose

Interventionng*hr/mL (Mean)
DVS SR 25 mg*2 Fed2948
DVS SR 50 mg Fed2966
DVS SR 25 mg*2 Fasted2631
DVS SR 50 mg Fasted2778

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Area Under the Plasma Concentration-time Profile From Time 0 Extrapolated to Infinite Time (AUCinf)

Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞). (NCT01190514)
Timeframe: Day 1 of Periods 1, 2, 3, and 4: pre-dose, 0 hour, and 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours post-dose

Interventionng*hr/mL (Mean)
DVS SR 25 mg*2 Fed3171
DVS SR 50 mg Fed3216
DVS SR 25 mg*2 Fasted3008
DVS SR 50 mg Fasted3052

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Change in the Liebowitz Social Anxiety Scale (LSAS) Total Score

Liebowitz Social Anxiety Scale, measuring social anxiety symptoms; possible total scores ranging from 0-144, with higher scores indicating greater severity of symptoms. (NCT01316302)
Timeframe: Baseline to study endpoint (Week 12)

,
InterventionScores on a scale (Mean)
Mean baseline LSAS totalEndpoint LSAS totalMean LSAS change from baseline
Placebo92.163.428.7
Pristiq93.455.038.4

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Clinical Global Impression of Improvement Scale (CGI-I)

CGI-I: one item, measuring overall improvement of illness; possible scores range from 1-7, with lower scores representing greater improvement. CGI-I responders: defined as having a CGI-I scores of 1 or 2 at Week 12/study endpoint. (NCT01316302)
Timeframe: Baseline to Week 12

Intervention% of subjects who were CGI-I responders (Number)
Pristiq69
Placebo48.3

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Patient Global Impression of Change

Subject-rated global outcome scale. Subjects who rated themselves as 1 (Very Much Improved) or 2 (Much Improved) on the PGIC were considered self-rated responders. (NCT01316302)
Timeframe: Baseline to study endpoint (Week 12)

Interventionpercentage of self-rated responders (Number)
Pristiq44.8
Placebo40.7

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Change From Baseline in Weight at Week 8.

(NCT01353963)
Timeframe: Week 8

Interventionkg (Mean)
Desvenlafaxine Succinate0.5

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Number of Participants With Treatment-Emergent Adverse Events (TEAEs) or Serious Adverse Events (SAEs), or Discontinuation Due to Adverse Events (AEs)

An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug with regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; lifethreatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between Week 4 and up to Week 8 that were absent before treatment or that worsened relative to pretreatment state. (NCT01353963)
Timeframe: Week 4 to Week 8

InterventionParticipants (Number)
Participants w ith AEsParticipants w ith SAEsParticipants discontinued due to AEs
Desvenlafaxine Succinate502

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Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Week 8.

(NCT01353963)
Timeframe: Week 8

Interventionmillimeter of mercury (mmHg) (Mean)
Change from baseline in systolic BP at Week 8Change from baseline in diastolic BP at Week 8
Desvenlafaxine Succinate-0.7-1.8

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Change From Baseline in Systolic Blood Pressure (BP) and Diastolic BP at Week 4.

(NCT01353963)
Timeframe: Week 4

Interventionmillimeter of mercury (mmHg) (Mean)
Change from baseline in systolic BP at Week 4Change from baseline in diastolic BP at Week 4
Desvenlafaxine Succinate-0.5-0.5

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Change From Baseline in Weight at Week 4.

(NCT01353963)
Timeframe: Week 4

Interventionkilogram (kg) (Mean)
Desvenlafaxine Succinate0.1

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Change From Baseline in Heart Rate at Week 8.

(NCT01353963)
Timeframe: Week 8

Interventionbpm (Mean)
Desvenlafaxine Succinate0.6

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Change From Baseline in Heart Rate at Week 4.

(NCT01353963)
Timeframe: Week 4

Interventionbeats per minute (bpm) (Mean)
Desvenlafaxine Succinate1.9

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Percentage of Participants by Clinical Global Impression Improvement (CGI-I) Score at Weeks 1, 2, 3, 4, 6, and 8

A 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score equals (=) more affected. (NCT01371734)
Timeframe: Weeks 1, 2, 3, 4, 6, and 8

,,
InterventionPercentage of Participants (Number)
Week 1, Very Much Improved (n=113, 112,115)Week 1, Much Improved (n=113, 112, 115)Week 1, Minimally Improved (n=113, 112, 115)Week 1, No Change (n=113, 112, 115)Week 1, Minimally Worse (n=113, 112, 115)Week 1, Much Worse (n=113, 112, 115)Week 1, Very Much Worse (n=113, 112, 115)Week 2, Very Much Improved (n=114, 115, 109)Week 2, Much Improved (n=114, 115, 109)Week 2, Minimally Improved (n=114, 115, 109)Week 2, No Change (n=114, 115, 109)Week 2, Minimally Worse (n=114, 115, 109)Week 2, Much Worse (n=114, 115, 109)Week 2, Very Much Worse (n=114, 115, 109)Week 3, Very Much Improved (n=108, 110, 110)Week 3, Much Improved (n=108, 110, 110)Week 3, Minimally Improved (n=108, 110, 110)Week 3, No Change (n=108, 110, 110)Week 3, Minimally Worse (n=108, 110, 110)Week 3, Much Worse (n=108, 110, 110)Week 3, Very Much Worse (n=108, 110, 110)Week 4, Very Much Improved (n=104,108,113)Week 4, Much Improved (n=104,108,113)Week 4, Minimally Improved (n=104,108,113)Week 4, No Change (n=104,108,113)Week 4, Minimally Worse (n=104,108,113)Week 4, Much Worse (n=104,108,113)Week 4, Very Much Worse (n=104,108,113)Week 6, Very Much Improved (n=106,104,104)Week 6, Much Improved (n=106,104,104)Week 6, Minimally Improved (n=106,104,104)Week 6, No Change (n=106,104,104)Week 6, Minimally Worse (n=106,104,104)Week 6, Much Worse (n=106,104,104)Week 6, Very Much Worse (n=106,104,104)Week 8, Very Much Improved (n=102,105,106)Week 8, Much Improved (n=102,105,106)Week 8, Minimally Improved (n=102,105,106)Week 8, No Change (n=102,105,106)Week 8, Minimally Worse (n=102,105,106)Week 8, Much Worse (n=102,105,106)Week 8, Very Much Worse (n=102,105,106)
DVS SR High Dose2.612.233.946.15.20010.123.935.829.400.9018.224.535.521.800015.031.035.417.70.90026.924.031.714.41.91.0025.536.821.715.10.900
DVS SR Low Dose0.99.837.551.80006.126.138.325.24.30010.926.444.515.51.800.917.636.130.614.80.90020.236.524.014.42.91.9019.037.124.818.11.000
Placebo2.76.238.949.62.7004.426.336.831.600.9010.220.447.220.41.90014.430.835.619.200019.829.231.116.02.800.921.634.328.415.7000

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Percentage of Participants With a CGI-I Response Defined as a Score of 'Very Much Improved' or 'Much Improved'

A 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved) on the scale. Higher score = more affected. (NCT01371734)
Timeframe: Weeks 1, 2, 3, 4, 6, and 8

,,
InterventionPercentage of Participants (Number)
Week 1 (n=113, 112, 115)Week 2 (n=114, 115, 109)Week 3 (n=108, 110, 110)Week 4 (n=104, 108, 113)Week 6 (n=106, 104, 104)Week 8 (n=102, 105, 106)
DVS SR High Dose14.7833.9442.7346.0250.9662.26
DVS SR Low Dose10.7132.1737.2753.7056.7356.19
Placebo8.8530.7030.5645.1949.0655.88

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Change From Baseline to Week 8 in the Children's Depression Rating Scale, Revised (CDRS-R) Total Score (n=102, 104, 106)

Clinician-rated interview-based scale (with both child and parent or guardian) to assess 17 distinct symptom areas to derive an index of depression severity. Discrepancies between informants' responses were resolved by using most impaired rating given by valid informant. Rated on a 7-point scale; range from 1 (no impairment) to 7 (indicates greater impairment). Total score calculated as sum of the 17 items (range 1 to 119); higher score indicates greater impairment. Mean change from baseline was adjusted for the baseline total score, age group and gender. (NCT01371734)
Timeframe: Baseline and Week 8

InterventionScore on a scale (Least Squares Mean)
Placebo-22.85
DVS SR Low Dose-23.70
DVS SR High Dose-24.37

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Change From Baseline to Week 8 in the Clinical Global Impression of Severity (CGI-S) Score (n=102, 105, 106)

A 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = more affected. Change: score at observation minus score at baseline. Mean change from baseline was adjusted for the baseline total score, age group and gender. (NCT01371734)
Timeframe: Baseline and Week 8

InterventionScore on a scale (Least Squares Mean)
Placebo-1.49
DVS SR Low Dose-1.51
DVS SR High Dose-1.65

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Percentage of Participants With a CGI-I Response Defined as a Score of 'Very Much Improved' or 'Much Improved'

A 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. (NCT01372150)
Timeframe: Weeks 1, 2, 3, 4, 6, and 8

,,
InterventionPercentage of Participants (Number)
Week 1 (n=102, 101, 111)Week 2 (n=103, 105, 110)Week 3 (n=105, 102, 107)Week 4 (n=101, 101, 100)Week 6 (n=100, 100, 102)Week 8 (n=99, 101, 99)
DVS SR9.0135.4549.5364.0068.6368.69
Fluoxetine14.8533.3350.9861.3971.0078.22
Placebo8.8229.1342.8654.4659.0062.63

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Percentage of Participants by Clinical Global Impression Improvement (CGI-I) Score at Weeks 1, 2, 3, 4, 6, and 8

A 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected. (NCT01372150)
Timeframe: Baseline and Weeks 1, 2, 3, 4, 6, and 8

,,
InterventionPercentage of Participants (Number)
Week 1, Very Much Improved (n=102, 101, 111)Week 1, Much Improved (n=102, 101, 111)Week 1, Minimally Improved (n=102, 101, 111)Week 1, No Change (n=102, 101, 111)Week 1, Minimally Worse (n=102, 101, 111)Week 1, Much Worse (n=102, 101, 111)Week 1, Very Much Worse (n=102, 101, 111)Week 2, Very Much Improved (n=103, 105, 110)Week 2, Much Improved (n=103, 105, 110)Week 2, Minimally Improved (n=103, 105, 110)Week 2, No Change (n=103, 105, 110)Week 2, Minimally Worse (n=103, 105, 110)Week 2, Much Worse (n=103, 105, 110)Week 2, Very Much Worse (n=103, 105, 110)Week 3, Very Much Improved (n=105, 102, 107)Week 3, Much Improved (n=105, 102, 107)Week 3, Minimally Improved (n=105, 102, 107)Week 3, No Change (n=105, 102, 107)Week 3, Minimally Worse (n=105, 102, 107)Week 3, Much Worse (n=105, 102, 107)Week 3, Very Much Worse (n=105, 102, 107)Week 4, Very Much Improved (n=101, 101, 100)Week 4, Much Improved (n=101, 101, 100)Week 4, Minimally Improved (n=101, 101, 100)Week 4, No Change (n=101, 101, 100)Week 4, Minimally Worse (n=101, 101, 100)Week 4, Much Worse (n=101, 101, 100)Week 4, Very Much Worse (n=101, 101, 100)Week 6, Very Much Improved (n=100, 100, 102)Week 6, Much Improved (n=100, 100, 102)Week 6, Minimally Improved (n=100, 100, 102)Week 6, No Change (n=100, 100, 102)Week 6, Minimally Worse (n=100, 100, 102)Week 6, Much Worse (n=100, 100, 102)Week 6, Very Much Worse (n=100, 100, 102)Week 8, Very Much Improved (n=99, 101, 99)Week 8, Much Improved (n=99, 101, 99)Week 8, Minimally Improved (n=99, 101, 99)Week 8, No Change (n=99, 101, 99)Week 8, Minimally Worse (n=99, 101, 99)Week 8, Much Worse (n=99, 101, 99)Week 8, Very Much Worse (n=99, 101, 99)
DVS SR2.76.343.245.91.8003.631.844.519.10.9007.542.138.311.20.90020.044.025.010.01.00023.545.120.69.81.00023.245.521.29.11.000
Fluoxetine3.011.935.647.52.0006.726.742.922.91.00014.736.336.311.81.00013.947.527.79.91.00026.045.024.05.000030.747.516.84.01.000
Placebo1.07.846.143.12.0003.925.238.830.11.90013.329.541.015.21.00015.838.629.713.92.00018.041.034.06.001.0027.335.432.34.01.000

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Change From Baseline to Week 8 in the Children's Depression Rating Scale, Revised (CDRS-R) Total Score

Clinician-rated interview-based scale (with both child and parent or guardian) to assess 17 distinct symptom areas to derive an index of depression severity. Discrepancies between informants' responses were resolved by using most impaired rating given by valid informant. Rated on a 7-point scale; range from 1 (no impairment) to 7 (indicates greater impairment). Total score calculated as sum of the 17 items (range 1 to 119); higher score indicates greater impairment. Adjusted mean presented. (NCT01372150)
Timeframe: Baseline and Week 8

InterventionScore on a Scale (Mean)
Placebo-23.07
Fluoxetine-24.79
DVS SR-22.61

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Change From Baseline to Week 8 in the Clinical Global Impression of Severity (CGI-S) Score

A 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = more affected. Change: score at observation minus score at baseline. Adjusted mean presented. (NCT01372150)
Timeframe: Baseline and Week 8

InterventionScore on a Scale (Mean)
Placebo-1.71
Fluoxetine-1.88
DVS SR-1.70

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Change From Baseline on the Arizona Sexual Experiences (ASEX) Scale Total Score

"The ASEX scale has 5 items to assess sexual functioning with a 1-week recall period. The 5 items assess sex drive, ease of arousal, ease of erection/lubrication, ease of orgasm and orgasm satisfaction. Subjects were encouraged to complete all 5 items regardless of sexual activity during the past week. However, all analyses utilized only the data for the visits where the presence of sexual activity was indicated.~Each individual score ranged from 1 to 6; the total score (based on the sum of the individual items) ranged from 5 to 30; higher scores indicated worse sexual function." (NCT01432457)
Timeframe: Baseline to Week 8 (final on-therapy)

InterventionUnits on a scale (Mean)
Placebo-0.45
DVS SR 50 mg-0.35
DVS SR 100 mg-0.13

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Change From Baseline on the Clinical Global Impression-Severity (CGI-S) Score

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = worse state. (NCT01432457)
Timeframe: Baseline to Week 8 (final on-therapy)

InterventionUnits on scale (Mean)
Placebo-1.21
DVS SR 50 mg-1.38
DVS SR 100 mg-1.43

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Change From Baseline on the Clinical Global Impression-Severity Score (CGI-S)

CGI-S: 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill patients). Higher score = worse state. (NCT01432457)
Timeframe: Baseline to Week 8 (final on-therapy)

InterventionUnits on scale (Mean)
Placebo-1.27
DVS SR 50 mg-1.47
DVS SR 100 mg-1.55

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Change From Baseline on the Hamilton Rating Scale for Depression, 17-item Total Score (HAM-D17) at Week 8

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. Change from baseline: score at observation minus score at baseline (NCT01432457)
Timeframe: Baseline to Week 8 (final on-therapy)

InterventionUnits on a scale (Mean)
Placebo-9.50
DVS SR 50 mg-10.86
DVS SR 100 mg-11.16

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Change From Baseline on the Hamilton Rating Scale for Depression, 17-item Total Score (HAM-D17) at Week 8

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. Change from baseline: score at observation minus score at baseline. (NCT01432457)
Timeframe: Baseline to Week 8 (final on-therapy)

InterventionUnits on a scale (Mean)
Placebo-9.71
DVS SR 50 mg-11.28
DVS SR 100 mg-11.67

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Hamilton Rating Scale for Depression, 17-item (HAM-D17) Remission Rate

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) total score of ≤ 7. (NCT01432457)
Timeframe: Baseline to week 8 (final on-therapy)

Interventionpercentage of the number of participants (Number)
Placebo21.77
DVS SR 50 mg24.05
DVS SR 100 mg28.57

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Hamilton Rating Scale for Depression, 17-item (HAM-D17) Response Rate

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels, and weight loss). Each item is scored on either a 3 point (0 to 2) or a 5 point scale (0 to 4), for a maximum total score of 52; higher scores indicate more depression. A response is defined as ≥ 50% decrease from baseline on Hamilton Psychiatric Rating Scale for Depression (HAM-D17) total score. (NCT01432457)
Timeframe: Baseline to Week 8 (final on-therapy)

Interventionpercentage of the number of participants (Number)
Placebo39.46
DVS SR 50 mg45.02
DVS SR 100 mg47.51

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Change From Baseline on the Clinical Global Impression Scale-Improvement (CGI-I)

CGI-I: 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Higher score = worse outcome. (NCT01432457)
Timeframe: Baseline to Week 8 (final on-therapy)

,,
Interventionnumber of participants (Number)
1=Very much improved2=Much improved3=Minimally improved4=No change5=Minimally worse6=Much worse7=Very much worse
DVS SR 100 mg81986949400
DVS SR 50 mg571047948300
Placebo55768373700

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Response Rate

Assessment of overall improvement: based on HDRS and Clinical Global Improvement Scale Response Rate is defined as 50% improvement of Hamd24 summary scores from baseline. (NCT01537068)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Desvenlafaxine16
Placebo7

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Hamilton Rating Scale for Depression (HDRS24)

HDRS-24 total score, standardly used rating scale for depression. Score 0-7 no depression; Score 8-16 mild depression; Score 17-23 moderate depression; Score 24 and up severe depression. Range= 0 to 75, higher score=worse depression (NCT01537068)
Timeframe: Baseline

Interventionunits on a scale (Mean)
Desvenlafaxine14.63
Placebo14.21

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Hamilton Rating Scale for Depression (HDRS24)

HDRS-24 total score, standardly used rating scale for depression. Score 0-7 no depression; Score 8-16 mild depression; Score 17-23 moderate depression; Score 24 and up severe depression. Range= 0 to 75, higher score=worse depression (NCT01537068)
Timeframe: Week 12

Interventionunits on a scale (Mean)
Desvenlafaxine6.53
Placebo8.24

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Money Earned

"Change in amount of money earned between baseline and after 6 weeks of antidepressant treatment is determined through a summary score from a variety of decision-making tasks. Participants received between $5 and $40 per visit, depending on the outcomes of the decisions made on the computerized tasks. Variable payment ensured that the decision-making tasks were approached realistically, as opposed to using hypothetical points that do not have meaning in the real world. Greater earnings indicate better financial decision-making.~The specific tasks were:~risk task~balloon analogue risk task~temporal discounting task~ultimatum game~continuous performance task" (NCT01916824)
Timeframe: Baseline, Week 6

,
InterventionUS Dollars (Mean)
Baseline VisitAfter 6 Weeks of Treatment
Healthy Controls25.021.9
Participants With Major Depressive Disorder23.220.5

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Change From Baseline in Depressive Symptoms at Day 15, as Assessed by PHQ-9

The PHQ-9 is a participant-rated depressive symptom severity scale. The PHQ-9 total score is calculated as the sum of the 9 individual item scores. For individual items, scoring is based on responses to specific questions, as follows: 0 = not at all; 1 = several days; 2 = more than half the days; and 3 = nearly every day. The PHQ-9 possible total score range is 0 to 27, with higher scores reflecting greater depressive symptoms, and is categorized as follows: 0 to 4 = minimal depression, 5 to 9 = mild depression, 10 to 14 = moderate depression, 15 to 19 = moderately severe depression, and 20 to 27 = severe depression. Negative change from baseline indicated improvement. LS mean was estimated using MMRM analysis. (NCT04476030)
Timeframe: Baseline and Day 15

Interventionscore on a scale (Least Squares Mean)
Placebo + Assigned ADT-8.7
SAGE-217 + Assigned ADT-8.9

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Change From Baseline in CGI-S Score at Day 15

The CGI-S uses a 7-point Likert scale to rate the severity of the participant's illness at the time of assessment, relative to the clinician's past experience with participants who have the same diagnosis. Considering total clinical experience, the investigator rated the participant on severity of mental illness at the time of rating as: 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = extremely ill. A higher score indicated extreme illness. A negative change from baseline indicated improvement. LS mean was estimated using MMRM analysis. (NCT04476030)
Timeframe: Baseline and Day 15

Interventionscore on a scale (Least Squares Mean)
Active Comparator: Placebo + Assigned ADT-1.7
Experimental: SAGE-217 + Assigned ADT-1.9

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Change From Baseline in HAM-A Total Score at Day 15

Each of the 14 items in the HAM-A was defined by a series of symptoms, and measured both psychic anxiety (mental agitation and psychological distress) and somatic anxiety (physical complaints). The HAM-A total score was calculated as sum of the 14 individual item scores, each rated on a five point scale ranging from 0 (not present) to 4 (very severe). The total score (sum of all individual items) range from 0 to 56, where <17 indicated mild severity, 18 to 24 indicated mild to moderate severity, and 25 to 30 indicated moderate to severe severity. Higher scores indicated more severe disease. Negative change from baseline indicated improvement. LS mean was estimated using MMRM analysis. (NCT04476030)
Timeframe: Baseline, Day 15

Interventionscore on a scale (Least Squares Mean)
Placebo + Assigned ADT-9.0
SAGE-217 + Assigned ADT-9.5

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Percentage of Participants With HAMD-17 Remission at Day 15 and Day 42

HAM-D remission was defined as having a HAM-D total score of ≤7. The 17-item HAM-D scale is used to assess the severity of depression. It is comprised of individual ratings related to following symptoms: depressed mood, feelings of guilt, suicide, insomnia, work and activities, retardation, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, loss of weight, and insight. Individual items are scored on either 3-point (0=none to 2=severe) or 5-point scale (0=none/absent to 4=most severe). Total score is the sum of individual items, ranging from 0 (not depressed) to 52 (severely depressed); where a higher score indicates more depression. Percentages were rounded off to the first decimal point. (NCT04476030)
Timeframe: Days 15 and 42

,
Interventionpercentage of participants (Number)
Day 15Day 42
Placebo + Assigned ADT21.839.2
SAGE-217 + Assigned ADT29.137.9

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Percentage of Participants With CGI-I Response, at Day 3 and Day 15

"CGI-I response was defined as having a CGI-I score of very much improved or much improved. The CGI-I employs a 7-point Likert scale to measure the overall improvement in the participant's condition post-treatment. The investigator rated the participant's total improvement whether or not it was due entirely to IP. Response choices included: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. By definition, all CGI-I assessments are evaluated against baseline conditions. Higher scores indicated worse condition. Percentages were rounded off to the first decimal point." (NCT04476030)
Timeframe: Days 3 and 15

,
Interventionpercentage of participants (Number)
Day 3Day 15
Placebo + Assigned ADT12.954.3
SAGE-217 + Assigned ADT22.956.6

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Change From Baseline in the HAMD-17 Total Score at Days 15 and 42

The 17-item HAM-D scale is used to assess the severity of depression. It is comprised of individual ratings related to following symptoms: depressed mood, feelings of guilt, suicide, insomnia, work and activities, retardation, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, loss of weight, and insight. Individual items are scored on either 3-point (0=none to 2=severe) or 5-point scale (0=none/absent to 4=most severe). Total score is the sum of individual items, ranging from 0 (not depressed) to 52 (severely depressed); where a higher score indicates more depression. A negative change from baseline indicated improvement. LS mean was estimated using MMRM analysis. The missing values were imputed for the analysis. (NCT04476030)
Timeframe: Baseline, Days 15 and 42

,
Interventionscore on a scale (Least Squares Mean)
Day 15Day 42
Placebo + Assigned ADT-12.9-14.9
SAGE-217 + Assigned ADT-13.7-14.9

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Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)

An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal (investigational) product. A TEAE was defined as an AE with onset after the start of IP, or any worsening of a pre-existing medical condition/AE with onset after the start of IP and throughout the study. (NCT04476030)
Timeframe: Up to approximately 58 weeks

Interventionpercentage of participants (Number)
Placebo + Assigned ADT65.6
SAGE-217 + Assigned ADT74.1

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Percentage of Participants With TEAEs, Graded by Severity

An AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal (investigational) product. A TEAE was defined as an AE with onset after the start of IP, or any worsening of a pre-existing medical condition/AE with onset after the start of IP and throughout the study. The severity was graded as mild, moderate and severe. (NCT04476030)
Timeframe: Up to approximately 58 weeks

,
Interventionpercentage of participants (Number)
MildModerateSevere
Placebo + Assigned ADT38.125.22.3
SAGE-217 + Assigned ADT35.834.43.8

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Percentage of Participants With HAMD-17 Response at Day 15 and Day 42

HAM-D response was defined as having a 50% or greater reduction from baseline in HAM-D total score. The 17-item HAM-D scale is used to assess the severity of depression. It is comprised of individual ratings related to following symptoms: depressed mood, feelings of guilt, suicide, insomnia, work and activities, retardation, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, loss of weight, and insight. Individual items are scored on either 3-point (0=none to 2=severe) or 5-point scale (0=none/absent to 4=most severe). Total score is the sum of individual items, ranging from 0 (not depressed) to 52 (severely depressed); where a higher score indicates more depression. Percentages were rounded off to the first decimal point. (NCT04476030)
Timeframe: At Days 15 and 42

,
Interventionpercentage of participants (Number)
Day 15Day 42
Placebo + Assigned ADT49.265.3
SAGE-217 + Assigned ADT53.459.9

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Time to First HAMD-17 Response

HAM-D response was defined as having a 50% or greater reduction from baseline in HAM-D total score. The 17-item HAM-D scale is used to assess the severity of depression. It is comprised of individual ratings related to following symptoms: depressed mood, feelings of guilt, suicide, insomnia, work and activities, retardation, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, loss of weight, and insight. Individual items are scored on either 3-point (0=none to 2=severe) or 5-point scale (0=none/absent to 4=most severe). Total score is the sum of individual items, ranging from 0 (not depressed) to 52 (severely depressed); where a higher score indicates more depression. Time (in days) from first dose of study drug to time of first HAMD response was reported in this outcome measure. (NCT04476030)
Timeframe: From first dose of study drug up to first HAMD-17 response (up to approximately 65 days)

Interventiondays (Median)
Placebo + Assigned ADT15
SAGE-217 + Assigned ADT13

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Percentage of Participants With MADRS Response at Day 15

MADRS response was defined as having a 50% or greater reduction from baseline in MADRS total score. The MADRS is a 10-item diagnostic questionnaire used to measure the severity of depressive episodes in participants with mood disorders. The MADRS total score was calculated as the sum of the 10 individual item scores. Each item yields a score of 0 (no symptoms) to 6 (symptoms of maximum severity). The total MADRS score (sum of all individual items) ranges from 0 (symptoms absent) to 60 (severe depression). Higher MADRS scores indicated more severe depression. Percentages were rounded off to the first decimal point. (NCT04476030)
Timeframe: Day 15

Interventionpercentage of participants (Number)
Placebo + Assigned ADT48.2
SAGE-217 + Assigned ADT51.6

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Percentage of Participants With MADRS Remission at Day 15

MADRS remission was defined as having a MADRS total score of ≤10. The MADRS is a 10-item diagnostic questionnaire used to measure the severity of depressive episodes in participants with mood disorders. The MADRS total score was calculated as the sum of the 10 individual item scores. Each item yields a score of 0 (no symptoms) to 6 (symptoms of maximum severity). The total MADRS score (sum of all individual items) ranges from 0 (symptoms absent) to 60 (severe depression). Higher MADRS scores indicated more severe depression. Percentages were rounded off to the first decimal point. (NCT04476030)
Timeframe: Day 15

Interventionpercentage of participants (Number)
Placebo + Assigned ADT28.4
SAGE-217 + Assigned ADT30.9

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Change From Baseline in the HAMD-17 Total Score at Day 3

The 17-item HAM-D scale is used to assess the severity of depression. It is comprised of individual ratings related to following symptoms: depressed mood, feelings of guilt, suicide, insomnia, work and activities, retardation, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, loss of weight, and insight. Individual items are scored on either 3-point (0=none to 2=severe) or 5-point scale (0=none/absent to 4=most severe). Total score is the sum of individual items, ranging from 0 (not depressed) to 52 (severely depressed); where a higher score indicates more depression. A negative change from baseline indicated improvement. Least Squares (LS) mean was estimated using mixed effects model for repeated measures (MMRM) analysis. (NCT04476030)
Timeframe: Baseline, Day 3

Interventionscore on a scale (Least Squares Mean)
Placebo + Assigned ADT-7.0
SAGE-217 + Assigned ADT-8.9

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Change From Baseline in the HAMD-17 Total Score Around End of Blinded Treatment

The 17-item HAM-D scale is used to assess the severity of depression. It is comprised of individual ratings related to following symptoms: depressed mood, feelings of guilt, suicide, insomnia, work and activities, retardation, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, loss of weight, and insight. Individual items are scored on either 3-point (0=none to 2=severe) or 5-point scale (0=none/absent to 4=most severe). Total score is the sum of individual items, ranging from 0 (not depressed) to 52 (severely depressed); where a higher score indicates more depression. A negative change from baseline indicated improvement. End of blinded treatment was defined as the average of change from baseline values of Days 12, 15 and 18. LS mean was estimated using MMRM analysis. (NCT04476030)
Timeframe: Baseline, End of blinded treatment assessment (i.e., average of Days 12, 15 , and 18)

Interventionscore on a scale (Least Squares Mean)
Placebo + Assigned ADT-12.7
SAGE-217 + Assigned ADT-13.2

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Change From Baseline in MADRS Total Score at Day 15

The MADRS is a 10-item diagnostic questionnaire used to measure the severity of depressive episodes in participants with mood disorders. The MADRS total score was calculated as the sum of the 10 individual item scores. Each item yields a score of 0 (no symptoms) to 6 (symptoms of maximum severity). The total MADRS score (sum of all individual items) ranges from 0 (symptoms absent) to 60 (severe depression). Higher MADRS scores indicated more severe depression. A negative change from baseline indicated improvement. LS mean was estimated using MMRM analysis. (NCT04476030)
Timeframe: Baseline and Day 15

Interventionscore on a scale (Least Squares Mean)
Placebo + Assigned ADT-15.9
SAGE-217 + Assigned ADT-17.2

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Change From Baseline in the HAMD-17 Total Score Over the Double-Blind Treatment Period

The 17-item HAM-D scale is used to assess the severity of depression. It is comprised of individual ratings related to following symptoms: depressed mood, feelings of guilt, suicide, insomnia, work and activities, retardation, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, loss of weight, and insight. Individual items are scored on either 3-point (0=none to 2=severe) or 5-point scale (0=none/absent to 4=most severe). Total score is the sum of individual items, ranging from 0 (not depressed) to 52 (severely depressed); where a higher score indicates more depression. A negative change from baseline indicated improvement. LS mean was estimated using MMRM analysis. The data reported is summary of data collected and analyzed during double-blind treatment period at Baseline, Day 3, Day 8, Day 12, and Day 15 using equal weights for the scheduled visits. (NCT04476030)
Timeframe: Baseline through Day 15

Interventionscore on a scale (Least Squares Mean)
Placebo + Assigned ADT-10.1
SAGE-217 + Assigned ADT-11.7

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