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duloxetine hydrochloride

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Description

Duloxetine hydrochloride is a serotonin-norepinephrine reuptake inhibitor (SNRI) used to treat major depressive disorder, generalized anxiety disorder, fibromyalgia, and chronic musculoskeletal pain. It works by increasing levels of serotonin and norepinephrine, which are neurotransmitters involved in mood regulation and pain perception. The synthesis of duloxetine hydrochloride involves several steps, including the reaction of a chiral amine with a substituted benzaldehyde to form an imine, followed by reduction with sodium borohydride. The resulting secondary amine is then reacted with a substituted benzoic acid to form the final product. Duloxetine hydrochloride is studied for its potential therapeutic benefits in various conditions, including depression, anxiety, pain, and urinary incontinence. It is an important drug due to its efficacy and safety profile, particularly in managing chronic pain and improving quality of life for patients with fibromyalgia and chronic musculoskeletal pain.'

Duloxetine Hydrochloride: A thiophene derivative and selective NEUROTRANSMITTER UPTAKE INHIBITOR for SEROTONIN and NORADRENALINE (SNRI). It is an ANTIDEPRESSIVE AGENT and ANXIOLYTIC, and is also used for the treatment of pain in patients with DIABETES MELLITUS and FIBROMYALGIA. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

(S)-duloxetine hydrochloride : A duloxetine hydrochloride in which the duloxetine moiety has S configuration. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID60834
CHEMBL ID1200328
CHEBI ID31526
MeSH IDM0473681

Synonyms (126)

Synonym
AC-924
2-thiophenepropanamine, n-methyl-gamma-(1-naphthalenyloxy)-, hydrochloride, (s)-
ariclaim
2-thiophenepropanamine, n-methyl-gamma-(1-naphthalenyloxy)-, hydrochloride, (gammas)-
duloxetine hydrochloride [usan]
xeristar
c18h19nos.hcl
(+)-(s)-n-methyl-gamma-(1-naphthyloxy)-2-thiophenepropylamine hydrochloride
ly-264453
duloxetine hydrochloride
(s)-duloxetine hydrochloride
(3s)-n-methyl-3-(1-naphthyloxy)-3-(2-thienyl)propan-1-amine hydrochloride
cymbalta
CHEBI:31526 ,
(3s)-n-methyl-3-(naphthalen-1-yloxy)-3-(2-thienyl)propan-1-amine hydrochloride
smr000469136
duloxetine hcl
MLS001401452
cpd000469136 ,
136434-34-9
cymbalta (tn)
D01179
yentreve (tn)
duloxetine hydrochloride (jan/usp)
NCGC00164559-01
(3s)-n-methyl-3-naphthalen-1-yloxy-3-thiophen-2-ylpropan-1-amine hydrochloride
nsc-759112
duloxetine mylan
ly248686 hcl
CHEMBL1200328
duloxetine (as hydrochloride)
ly-248686 hcl
duloxetine hydrochlorise
nsc744012
nsc-744012
(+)-(s)-n-methyl-.gamma.-(1-naphthyloxy)-2-thiophenepropylamine hydrochloride
dtxcid7026443
dtxsid9046443 ,
cas-136434-34-9
tox21_112188
pharmakon1600-01505387
nsc759112
D4223
(s)-(+)-n-methyl-3-(1-naphthyloxy)-3-(2-thienyl)propylamine hydrochloride
c18h20clnos
CCG-101106
unii-9044sc542w
dulane 20
nsc 759112
ly 248686 hcl
9044sc542w ,
duloxetine boehringer ingelheim
(s)-n-methyl-3-(naphthalen-1-yloxy)-3-(thiophen-2-yl)propan-1-amine hydrochloride
duloxetine hydrochloride [ep monograph]
duloxetine hydrochloride [orange book]
duloxetine hydrochloride [usp-rs]
duloxetine hydrochloride [mart.]
duloxetine hydrochloride [who-dd]
duloxetine lilly
duloxetine hydrochloride [jan]
duloxetine hydrochloride [usp monograph]
drizalma sprinkle
duloxetine hydrochloride [mi]
2-thiophenepropanamine, n-methyl-.gamma.-(1-naphthalenyloxy)-, hydrochloride, (s)-
S2084
AKOS016340453
(s)-(+)-duloxetine hydrochloride
(s)-(+)-n-methyl-3-(1-naphthalenyloxy)-3-(2-thienyl) propanamine hydrochloride
BFFSMCNJSOPUAY-LMOVPXPDSA-N
duloxetine.hcl
duloxetine (hydrochloride)
CS-1993
HY-B0161A
MLS006010054
(s)-n-methyl-3-(naphthalen-1-yloxy)-3-(thiophen-2-yl)propan-1-amine hcl
NC00356
NCGC00164559-03
tox21_112188_1
KS-1168
(+)-(s)-n-methyl-3-(1-naphthyloxy)-3-(2-thienyl)propanamine hydrochloride
Q-102508
duloxetine hydrochloride, pharmaceutical secondary standard; certified reference material
(3s)-n-methyl-3-naphthalen-1-yloxy-3-thiophen-2-ylpropan-1-amine;hydrochloride
hcl, duloxetine
hydrochloride, duloxetine
ly-248686 hydrochloride
duloxetine hydrochloride, united states pharmacopeia (usp) reference standard
duloxetine for system suitability, european pharmacopoeia (ep) reference standard
duloxetine hydrochloride, european pharmacopoeia (ep) reference standard
(s)-duloxetine hydrochloride, >=98% (hplc)
duloxetine hydrochloride 1.0 mg/ml in methanol (as free base)
SW197393-3
HB1806
(+)-(s)-n-methyl-3-(1-naphthyloxy)- 3-(2-thienyl)propanamine hydrochloride
duloxetine hcl (cymbalta)
AMY12420
(3s)-n-methyl-3-naphthalen-1-yloxy-3-thiophen-2-ylpropan-1-amin hydrochloride.
D-170
(gammas)-n-methyl-gamma-(1-naphthalenyloxy)-2-thiophenepropanamine hydrochloride
methyl[3-(naphthalen-1-yloxy)-3-(thiophen-2-yl)propyl]amine hydrochloride
duloxetine for system suitability
BD165546
duloxetine hydrochloride- bio-x
cloridrato de duloxetina
clorhidrato de duloxetina
chlorhydrate de duloxetine
duloxetina cloridrato
(gammas)-2-thiophenepropanamine, n-methyl-gamma-(1-naphthalenyloxy)hydrochloride (1:1)
Z1575081875
duloxetinedr
duloxetine hcldr
duloxetine hydrochloride20 mg
duloxetine hydrochloride (ep monograph)
duloxetine hydrochloride60 mg
duloxetin hydrochloride
duloxetinedelayed-release
duloxetine delayed-releasedelayed-release
duloxetine hydrochloride30 mg
duloxetine delayed-release capsules
duloxetine hydrochloride (usp-rs)
duloxetine hydrochloride (mart.)
duloxetine hydrochloride delayed release
duloxetine hydrochloride (usp monograph)
irenka
(s)-n-methyl-3-(1-naphthyloxy)-3-(2-thienyl)propylamine monohydrochloride
duloxetine.hcl, 1mg/ml in methanol

Research Excerpts

Overview

Duloxetine hydrochloride is a balanced selective serotonin and norepinephrine reuptake inhibitor. It is used to treat depression, generalized anxiety disorder, neuropathic pain, and stress incontinence in women.

ExcerptReferenceRelevance
"Duloxetine hydrochloride (DUL) is a drug used to treat depression and anxiety. "( Three Spectrophotometric Methods for Quantitative Analysis of Duloxetine in Presence of its Toxic Impurity: 1-Naphthol.
Abdelhamid, NS; Anwar, BH; Magdy, MA; Naguib, IA, 2020
)
2
"Duloxetine hydrochloride (DH) is a serotonin-norepinephrine reuptake inhibitor (SSNRI) indicated for the treatment of depression. "( Formulation and optimization of duloxetine hydrochloride buccal films: in vitro and in vivo evaluation.
El Sharawy, AM; Elshafeey, AH; Shukr, MH, 2017
)
2.18
"Duloxetine hydrochloride is a reuptake inhibitor of 5-hydroxytryptamine and norepinephrine used to treat depression, generalized anxiety disorder, neuropathic pain, and stress incontinence in women. "( Duloxetine for painful diabetic neuropathy and fibromyalgia pain: systematic review of randomised trials.
Derry, S; Gaskell, H; Moore, RA; Sultan, A, 2008
)
1.79
"Duloxetine hydrochloride is a balanced selective serotonin and norepinephrine reuptake inhibitor. "( Pharmacokinetics of duloxetine hydrochloride enteric-coated tablets in healthy Chinese volunteers: a randomized, open-label, single- and multiple-dose study.
Cheng, G; Peng, WX; Song, J; Tang, J; Zhao, RK, 2009
)
2.12
"Duloxetine hydrochloride (HCl) is an antidepressant drug prescribed for major depressive disorders, pain related to diabetic peripheral neuropathy, and stress urinary incontinence. "( Stress degradation studies on duloxetine hydrochloride and development of an RP-HPLC method for its determination in capsule formulation.
Bhinge, JR; Kumria, R; Sinha, VR, 2009
)
2.08
"Duloxetine hydrochloride (1) is an important antidepressant that acts as a serotonin and noradrenaline reuptake inhibitor that has only recently been characterized by single-crystal X-ray diffraction. "( Polymorphism and a metastable solvate of duloxetine hydrochloride.
Bhadbhade, M; Hook, JM; Marjo, CE; Rich, AM, 2011
)
2.08
"Duloxetine hydrochloride is a dual reuptake inhibitor of serotonin and norepinephrine and has been licensed by the Food and Drug Administration in the US for major depressive disorder (MDD), generalised anxiety disorder, diabetic peripheral neuropathic pain, fibromyalgia and chronic musculoskeletal pain."( Duloxetine versus other anti-depressive agents for depression.
Barbui, C; Cipriani, A; Furukawa, TA; Koesters, M; Nosè, M; Omori, IM; Purgato, M; Trespidi, C, 2012
)
1.1
"Duloxetine hydrochloride is a dual reuptake inhibitor of both serotonin and norepinephrine. "( Duloxetine versus routine care in the long-term management of diabetic peripheral neuropathic pain.
D'Souza, DN; Iyengar, S; Pritchett, YL; Raskin, J; Smith, TR; Wernicke, JF; Wong, K, 2006
)
1.78

Effects

ExcerptReferenceRelevance
"Duloxetine hydrochloride has recently been approved by the US Food and Drug Administration for the treatment of major depressive disorder (MDD). "( Duloxetine hydrochloride: a new dual-acting medication for the treatment of major depressive disorder.
Bettinger, TL; Crismon, ML; Hunziker, ME; Suehs, BT, 2005
)
3.21

Toxicity

ExcerptReferenceRelevance
" The reported incidence of treatment-emergent adverse events was somewhat lower with escitalopram than with duloxetine, with the possible exception of sexual dysfunction."( Newer antidepressants: review of efficacy and safety of escitalopram and duloxetine.
Hirschfeld, RM; Vornik, LA, 2004
)
0.32
" The most frequently observed adverse events with duloxetine were nausea, dry mouth and somnolence."( Efficacy, safety and tolerability of duloxetine 60 mg once daily in major depression.
Cowen, PJ; Gama, J; Ogilvie, AD, 2005
)
0.33
" Safety assessments included serious adverse event reports, rates of discontinuation, spontaneously reported treatment-emergent adverse events, changes in vital signs and laboratory values, and electrocardiograms."( Safety and tolerability of duloxetine in the treatment of major depressive disorder: analysis of pooled data from eight placebo-controlled clinical trials.
Hudson, JI; Kajdasz, DK; Mallinckrodt, CH; Martynov, OV; Watkin, JG; Wohlreich, MM, 2005
)
0.33
"These results are consistent with those obtained previously from smaller pooled data sets, and suggest that duloxetine is safe and well tolerated in patients with MDD."( Safety and tolerability of duloxetine in the treatment of major depressive disorder: analysis of pooled data from eight placebo-controlled clinical trials.
Hudson, JI; Kajdasz, DK; Mallinckrodt, CH; Martynov, OV; Watkin, JG; Wohlreich, MM, 2005
)
0.33
"The database included 1913 women randomized to duloxetine (N=958) or placebo (N=955), examining adverse events (AEs), serious adverse events (SAEs), vital signs, electrocardiograms, and laboratory analytes."( Duloxetine for the treatment of stress urinary incontinence in women: an integrated analysis of safety.
Baygani, SK; Hurley, DJ; Turner, CL; Viktrup, L; Yalcin, I, 2006
)
0.33
"Duloxetine was safe and tolerable, although transient AEs were not uncommon."( Duloxetine for the treatment of stress urinary incontinence in women: an integrated analysis of safety.
Baygani, SK; Hurley, DJ; Turner, CL; Viktrup, L; Yalcin, I, 2006
)
0.33
" Generally, duloxetine is safe and well-tolerated across indications, with few reported serious side effects."( Safety and adverse event profile of duloxetine.
Gahimer, J; Viktrup, L; Wernicke, JF; Wulster-Radcliffe, M; Yalcin, I, 2005
)
0.33
" Safety assessments included rates of discontinuation due to adverse events, spontaneously reported treatment-emergent adverse events, and changes in vital signs."( Duloxetine for the treatment of major depressive disorder: a closer look at efficacy and safety data across the approved dose range.
Andorn, AC; Mallinckrodt, CH; Prakash, A; Watkin, JG; Wohlreich, MM, 2006
)
0.33
" The rate of discontinuation due to adverse events was 13."( Duloxetine for the treatment of major depressive disorder: a closer look at efficacy and safety data across the approved dose range.
Andorn, AC; Mallinckrodt, CH; Prakash, A; Watkin, JG; Wohlreich, MM, 2006
)
0.33
"Duloxetine provides safe and effective acute phase treatment of MDD at doses of 40-60 mg/day."( Duloxetine for the treatment of major depressive disorder: a closer look at efficacy and safety data across the approved dose range.
Andorn, AC; Mallinckrodt, CH; Prakash, A; Watkin, JG; Wohlreich, MM, 2006
)
0.33
"Various unpleasant adverse effects exist, among which nausea is the most frequent, but is mild to moderate and transient in most cases."( Safety and tolerability of duloxetine in women with stress urinary incontinence.
Michel, MC; Oelke, M; Roovers, JP, 2006
)
0.33
" Dose escalation combined with patient counselling on the intensity and transient nature of adverse effects may help to further improve the benefit/tolerability ratio of duloxetine in the treatment of SUI."( Safety and tolerability of duloxetine in women with stress urinary incontinence.
Michel, MC; Oelke, M; Roovers, JP, 2006
)
0.33
" Discontinuation rates due to adverse events among duloxetine-treated patients were 13."( Duloxetine in the treatment of major depressive disorder: comparisons of safety and efficacy.
Bailey, RK; Mallinckrodt, CH; Plewes, JM; Watkin, JG; Wohlreich, MM, 2006
)
0.33
" Safety was assessed using discontinuation rates, spontaneously reported treatment-emergent adverse events, changes in vital signs and laboratory analyses."( Duloxetine in the treatment of major depressive disorder: comparisons of safety and tolerability in male and female patients.
Kornstein, SG; Mallinckrodt, CH; Stewart, DE; Watkin, JG; Wohlreich, MM, 2006
)
0.33
"Discontinuation rates due to adverse events among duloxetine-treated patients were 18."( Duloxetine in the treatment of major depressive disorder: comparisons of safety and tolerability in male and female patients.
Kornstein, SG; Mallinckrodt, CH; Stewart, DE; Watkin, JG; Wohlreich, MM, 2006
)
0.33
" Adverse event rates were based on spontaneous reports and differential dose-response effects were not evaluated."( Duloxetine in the treatment of major depressive disorder: comparisons of safety and tolerability in male and female patients.
Kornstein, SG; Mallinckrodt, CH; Stewart, DE; Watkin, JG; Wohlreich, MM, 2006
)
0.33
" We assessed safety using spontaneously reported treatment-emergent adverse events (TEAEs), changes in vital signs, electrocardiograms (ECGs), laboratory analytes, and visual analogue scales (VAS) for gastrointestinal (GI) disturbance."( Duloxetine for the treatment of major depressive disorder: safety and tolerability associated with dose escalation.
Carter, WP; Mallinckrodt, CH; Prakash, A; Watkin, JG; Wohlreich, MM, 2007
)
0.34
" Discontinuations were primarily due to adverse events, 20."( Duloxetine for patients with diabetic peripheral neuropathic pain: a 6-month open-label safety study.
Goldstein, DJ; Pritchett, YL; Raskin, J; Wang, F,
)
0.13
" Safety was assessed using discontinuation rates, treatment-emergent adverse events, vital signs, and laboratory analyses."( Duloxetine in the treatment of major depressive disorder: comparisons of safety and efficacy in U.S. Hispanic and majority Caucasian patients.
Blanco, C; Lewis-Fernández, R; Mallinckrodt, CH; Plewes, JM; Watkin, JG; Wohlreich, MM, 2006
)
0.33
" Discontinuation rates due to adverse events among duloxetine-treated patients were 14."( Duloxetine in the treatment of major depressive disorder: comparisons of safety and efficacy in U.S. Hispanic and majority Caucasian patients.
Blanco, C; Lewis-Fernández, R; Mallinckrodt, CH; Plewes, JM; Watkin, JG; Wohlreich, MM, 2006
)
0.33
" Safety measures included adverse events, laboratory test results, and vital signs."( Duloxetine in the treatment of women with stress urinary incontinence: results from DESIRE (Duloxetine Efficacy and Safety for Incontinence in Racial and Ethnic populations).
Cohen, JS; Liu, C; Meadows, ES; Muram, D; Plouffe, L; Weinstein, DL, 2006
)
0.33
" Common adverse events included nausea (21."( Duloxetine in the treatment of women with stress urinary incontinence: results from DESIRE (Duloxetine Efficacy and Safety for Incontinence in Racial and Ethnic populations).
Cohen, JS; Liu, C; Meadows, ES; Muram, D; Plouffe, L; Weinstein, DL, 2006
)
0.33
" Evaluated aspects of drug safety included treatment-emergent adverse events (TEAEs), adverse events leading to discontinuation, serious adverse events (SAEs), clinical laboratory tests, vital signs, and electrocardiograms."( A retrospective pooled analysis of duloxetine safety in 23,983 subjects.
Gahimer, J; Ossanna, MJ; Viktrup, L; Wernicke, J; Wulster-Radcliffe, M; Yalcin, I, 2007
)
0.34
" The rate of discontinuation due to adverse events (AEs) was higher for the duloxetine group compared with the placebo group (P=."( Efficacy and safety of duloxetine in the treatment of generalized anxiety disorder: a flexible-dose, progressive-titration, placebo-controlled trial.
Ball, S; Detke, MJ; Dinkel, J; Erickson, J; Raskin, J; Rickels, K; Russell, J; Rynn, M, 2008
)
0.35
" This study was designed to evaluate the cardiovascular safety profile of the SNRI duloxetine through evaluation of cardiovascular-related parameters and adverse events (AEs)."( An evaluation of the cardiovascular safety profile of duloxetine: findings from 42 placebo-controlled studies.
Kajdasz, DK; Lledó, A; Raskin, J; Wang, F; Wernicke, J, 2007
)
0.34
" Tolerability measures included adverse events reported as the reason for discontinuation and treatment-emergent adverse events (TEAEs)."( The safety and tolerability of duloxetine in depressed elderly patients with and without medical comorbidity.
Iosifescu, DV; Raskin, J; Sheridan, M; Wiltse, CG; Wise, TN; Xu, JY, 2007
)
0.34
" There were few significant treatment-by-comorbidity subgroup interactions for these efficacy variables, or for adverse events reported as the reason for discontinuation and common TEAEs."( The safety and tolerability of duloxetine in depressed elderly patients with and without medical comorbidity.
Iosifescu, DV; Raskin, J; Sheridan, M; Wiltse, CG; Wise, TN; Xu, JY, 2007
)
0.34
" As clinicians face a broader spectrum of efficacious treatments, side-effect profiles play an increasingly important role in the development of a pain management regimen."( Safety profile of treatment in diabetic peripheral neuropathic pain.
Robinson-Papp, J; Simpson, DM, 2007
)
0.34
" Treatment-emergent adverse events (>or= 10%) in duloxetine-treated patients were nausea, hyperhidrosis, and dry mouth."( Efficacy and safety of duloxetine 60 mg once daily in the treatment of pain in patients with major depressive disorder and at least moderate pain of unknown etiology: a randomized controlled trial.
Brecht, S; Courtecuisse, C; Croenlein, J; Debieuvre, C; Demyttenaere, K; Desaiah, D; Petit, C; Raskin, J, 2007
)
0.34
" Discontinuation rates due to adverse events were similar for duloxetine and placebo (9."( Safety and tolerability of duloxetine at 60 mg once daily in elderly patients with major depressive disorder.
Desaiah, D; Dinkel, JJ; Katona, C; Raskin, J; Walker, DJ; Wiltse, CG, 2008
)
0.35
"This study suggests that duloxetine is safe and well tolerated in elderly patients with major depressive disorder."( Safety and tolerability of duloxetine at 60 mg once daily in elderly patients with major depressive disorder.
Desaiah, D; Dinkel, JJ; Katona, C; Raskin, J; Walker, DJ; Wiltse, CG, 2008
)
0.35
" Safety was assessed via treatment-emergent adverse events, and changes in vital sign, laboratory, and ECG measures."( Efficacy and safety of duloxetine for treatment of fibromyalgia in patients with or without major depressive disorder: Results from a 6-month, randomized, double-blind, placebo-controlled, fixed-dose trial.
Arnold, LM; Chappell, AS; Detke, MJ; Kajdasz, DK; Mease, PJ; Russell, JI; Smith, TR; Walker, DJ; Wohlreich, MM, 2008
)
0.35
" The proportion of patients with > or =1 treatment-emergent adverse event (TEAE) was similar with both treatments, but dry mouth, fatigue, constipation, and hyperhidrosis were significantly more common in women taking duloxetine."( Efficacy and safety of duloxetine in elderly women with stress urinary incontinence or stress-predominant mixed urinary incontinence.
Chen, WJ; Jonasson, AF; Lange, RR; Schagen van Leeuwen, JH; Viktrup, L, 2008
)
0.35
"Duloxetine is a safe and effective treatment for elderly women with symptoms of SUI or S-MUI."( Efficacy and safety of duloxetine in elderly women with stress urinary incontinence or stress-predominant mixed urinary incontinence.
Chen, WJ; Jonasson, AF; Lange, RR; Schagen van Leeuwen, JH; Viktrup, L, 2008
)
0.35
" Safety assessments included discontinuation rates, spontaneously reported treatment-emergent adverse events (TEAEs), changes in vital signs, and changes in lab analytes."( Safety and tolerability of duloxetine treatment of diabetic peripheral neuropathic pain between patients with and without cardiovascular conditions.
Houston, J; Kajdasz, DK; Prakash, A; Wernicke, JF,
)
0.13
" Discontinuation due to adverse events was higher for DLX than for PBO in both CV-positive and CV-negative patients (13."( Safety and tolerability of duloxetine treatment of diabetic peripheral neuropathic pain between patients with and without cardiovascular conditions.
Houston, J; Kajdasz, DK; Prakash, A; Wernicke, JF,
)
0.13
" Safety and tolerability were assessed via discontinuation rates, treatment-emergent adverse events (TEAEs), and changes in vital signs and laboratory measures."( Long-term safety, tolerability, and efficacy of duloxetine in the treatment of fibromyalgia.
Chappell, AS; Detke, MJ; Kajdasz, DK; Mease, PJ; Russell, IJ; Walker, DJ; Wiltse, CG; Wohlreich, MM, 2010
)
0.36
" Groups titrating from placebo to duloxetine showed the highest discontinuation rates due to an adverse event (Study 1, 25%; Study 2, 19%) and TEAE rates (Study 1, 82%; Study 2, 77%)."( Long-term safety, tolerability, and efficacy of duloxetine in the treatment of fibromyalgia.
Chappell, AS; Detke, MJ; Kajdasz, DK; Mease, PJ; Russell, IJ; Walker, DJ; Wiltse, CG; Wohlreich, MM, 2010
)
0.36
" The most common (> or =15%) treatment-emergent adverse events (overall phase) were nausea, headache, insomnia, dizziness, constipation, and dry mouth."( A 1-year safety and efficacy study of duloxetine in patients with fibromyalgia.
Chappell, AS; D'Souza, DN; Kajdasz, DK; Littlejohn, G; Moldofsky, H; Scheinberg, M, 2009
)
0.35
" Safety measures included treatment-emergent adverse events (TEAEs), adverse events leading to discontinuation, serious adverse events (SAEs), clinical laboratory tests, vital signs, and electrocardiograms."( Safety and tolerability of duloxetine in the treatment of patients with fibromyalgia: pooled analysis of data from five clinical trials.
Chappell, AS; Choy, EH; Crits-Christoph, P; Kajdasz, DK; Mease, PJ; Walker, DJ; Wohlreich, MM, 2009
)
0.35
" The safety profile of duloxetine versus placebo with respect to serious adverse events and discontinuation owing to adverse events was similar for FM patients with versus without MDD (P>0."( Comparisons of the efficacy and safety of duloxetine for the treatment of fibromyalgia in patients with versus without major depressive disorder.
Arnold, LM; Chappell, AS; Hudson, JI; Kajdasz, DK; Prakash, A; Wang, F; Wohlreich, MM,
)
0.13
" There is insufficient evidence to draw conclusions about rare but severe adverse events."( The general and comparative efficacy and safety of duloxetine in major depressive disorder: a systematic review and meta-analysis.
Gartlehner, G; Gaynes, BN; Hansen, RA; Thaler, K, 2009
)
0.35
" Treatment-emergent adverse events were significantly more common during duloxetine treatment (48."( Short- and long-term efficacy and safety of duloxetine in women with predominant stress urinary incontinence.
Beardsworth, A; Cardozo, L; Lange, R; Manning, M; Viktrup, L; Voss, S; Zhao, YD, 2010
)
0.36
" Because the patient populations are diverse within these approved indications, and duloxetine is not yet approved for treatment of other conditions, we wanted to determine if adverse event profiles would differ among patients being treated for these various conditions."( Profile of adverse events with duloxetine treatment: a pooled analysis of placebo-controlled studies.
Brunton, S; Crucitti, AS; Edwards, SB; Ossanna, MJ; Robinson, MJ; Walker, DJ; Wang, F, 2010
)
0.36
"To provide detailed information on the adverse events associated with duloxetine and to identify differences in the adverse event profile between treatment indications and patient demographic subgroups."( Profile of adverse events with duloxetine treatment: a pooled analysis of placebo-controlled studies.
Brunton, S; Crucitti, AS; Edwards, SB; Ossanna, MJ; Robinson, MJ; Walker, DJ; Wang, F, 2010
)
0.36
" The main outcome measures were rates of treatment-emergent adverse events (TEAEs) and adverse events reported as the reason for discontinuation."( Profile of adverse events with duloxetine treatment: a pooled analysis of placebo-controlled studies.
Brunton, S; Crucitti, AS; Edwards, SB; Ossanna, MJ; Robinson, MJ; Walker, DJ; Wang, F, 2010
)
0.36
"8%) discontinued because of adverse events (P=0."( Efficacy and safety of duloxetine in patients with chronic low back pain.
Atkinson, JH; Backonja, M; Chappell, AS; Desaiah, D; Detke, MJ; Iyengar, S; Liu-Seifert, H; Skljarevski, V; Zhang, Q, 2010
)
0.36
"Frequency/discontinuations due to treatment-emergent adverse events (TEAEs)."( Safety and tolerability of duloxetine in the acute management of diabetic peripheral neuropathic pain: analysis of pooled data from three placebo-controlled clinical trials.
Acharya, N; Crucitti, A; Hall, JA; Oakes, TM; Utterback, BG; Wang, F, 2010
)
0.36
" Discontinuations due to adverse events were significantly greater (12."( Safety and tolerability of duloxetine in the acute management of diabetic peripheral neuropathic pain: analysis of pooled data from three placebo-controlled clinical trials.
Acharya, N; Crucitti, A; Hall, JA; Oakes, TM; Utterback, BG; Wang, F, 2010
)
0.36
"Duloxetine was generally safe and well tolerated, with the three most commonly reported TEAEs being nausea, somnolence and constipation."( Safety and tolerability of duloxetine in the acute management of diabetic peripheral neuropathic pain: analysis of pooled data from three placebo-controlled clinical trials.
Acharya, N; Crucitti, A; Hall, JA; Oakes, TM; Utterback, BG; Wang, F, 2010
)
0.36
" Treatment-emergent adverse events observed with > 10% frequency in both groups were headache and nausea."( Efficacy and safety of duloxetine 60 mg and 120 mg daily in patients hospitalized for severe depression: a double-blind randomized trial.
Brecht, S; Desaiah, D; Guelfi, JD; Marechal, ES; Podhorna, J; Santini, AM, 2011
)
0.37
" Safety analyses included treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), AEs reported as reason for discontinuation, and vital signs."( Long-term safety of duloxetine during open-label compassionate use treatment of patients who completed previous duloxetine clinical trials.
Desaiah, D; Detke, MJ; Kennedy, SH; Pangallo, BA; Perahia, DG; Zhang, Q, 2010
)
0.36
"3%), adverse event (8."( Long-term safety of duloxetine during open-label compassionate use treatment of patients who completed previous duloxetine clinical trials.
Desaiah, D; Detke, MJ; Kennedy, SH; Pangallo, BA; Perahia, DG; Zhang, Q, 2010
)
0.36
"An antidepressant's tolerability, generally captured as the frequency and severity of adverse events (AEs), is often as important as its efficacy in determining treatment success."( Remission of major depressive disorder without adverse events: a comparison of escitalopram versus serotonin norepinephrine reuptake inhibitors.
Ben-Hamadi, R; Dworak, H; Erder, MH; Ramakrishnan, K; Signorovitch, J; Wu, EQ; Yu, AP, 2011
)
0.37
" No adverse drug reaction requiring hospitalisation or drug discontinuation was reported in the present study."( Efficacy, safety and tolerability of duloxetine in idiopathic trigeminal neuralgia.
Anand, KS; Dhikav, V; Prasad, A, 2011
)
0.37
" Primary outcome measures included treatment-emergent adverse events (TEAEs), vital signs, and Columbia-Suicide Severity Rating Scale (C-SSRS)."( An open-label safety and pharmacokinetics study of duloxetine in pediatric patients with major depression.
Bullok, KE; Emslie, GJ; Kratochvil, CJ; Lobo, E; March, JS; Pangallo, BA; Prakash, A; Quinlan, T; Tamura, RN, 2012
)
0.38
"To evaluate the safety and tolerability of duloxetine during routine clinical care in women with stress urinary incontinence (SUI) in Germany, and in particular, to identify previously unrecognized safety issues as uncommon adverse reactions, and the influence of confounding factors present in clinical practice on the safety profile of duloxetine."( Observational study on safety and tolerability of duloxetine in the treatment of female stress urinary incontinence in German routine practice.
Methfessel, HD; Michel, MC; Minarzyk, A; Quail, D; Schwerdtner, I; Weber, HJ, 2013
)
0.39
" The main outcome measure was the occurrence of adverse events (AEs)."( Observational study on safety and tolerability of duloxetine in the treatment of female stress urinary incontinence in German routine practice.
Methfessel, HD; Michel, MC; Minarzyk, A; Quail, D; Schwerdtner, I; Weber, HJ, 2013
)
0.39
" Discontinuations due to adverse events did not differ significantly between treatment groups; nausea and dry mouth were the only adverse events with a significantly higher incidence with duloxetine versus placebo."( Efficacy and safety of duloxetine 30 mg/d in patients with fibromyalgia: a randomized, double-blind, placebo-controlled study.
Arnold, LM; Pangallo, BA; Zhang, S,
)
0.13
" Discontinuation rates because of adverse events, treatment-emergent adverse events, abnormal changes in vital signs and weight, and changes in laboratory analytes were compared between treatments using a Cochran-Mantel-Haenszel test."( Safety and tolerability of duloxetine in elderly patients with major depressive disorder: a pooled analysis of two placebo-controlled studies.
Greist, JH; Katona, C; Liu, P; Oakes, TM; Raskin, J; Robinson, M, 2013
)
0.39
"Using safety surveillance and spontaneous adverse events reporting databases, to provide pregnancy outcomes statistics as they relate to duloxetine exposure."( Duloxetine and pregnancy outcomes: safety surveillance findings.
Cheng, Y; Dowsett, SA; Elpers, J; Hoog, SL, 2013
)
0.39
"This was an analysis of pregnancy outcome data captured in Lilly Safety System (LSS) (a safety database for the collection, storage, and reporting of adverse events involving Lilly Products), through October 31 2011 and the FDA Adverse Events Reporting System (AERS) database through September 30 2011."( Duloxetine and pregnancy outcomes: safety surveillance findings.
Cheng, Y; Dowsett, SA; Elpers, J; Hoog, SL, 2013
)
0.39
" For the AERS database analysis, EB05 was less than one for all clusters of abnormal pregnancy outcomes; there was no disproportionality of reporting adverse pregnancy outcomes for patients treated with duloxetine versus all other drugs or selected antidepressants."( Duloxetine and pregnancy outcomes: safety surveillance findings.
Cheng, Y; Dowsett, SA; Elpers, J; Hoog, SL, 2013
)
0.39
" For categorical outcomes such as study discontinuation, adverse events leading to discontinuation, and treatment-emergent adverse events, incidence rates were summarized by race/ethnic subgroups."( Comparison of safety outcomes among Caucasian, Hispanic, Black, and Asian patients in duloxetine studies of chronic painful conditions.
Gaynor, PJ; Liu, P; Weller, MA; Wohlreich, MM, 2013
)
0.39
" Older patients are generally at higher risk of adverse drug reactions due to age-related changes in physiology that affect drug disposition, metabolism, and response."( Safety and efficacy of duloxetine treatment in older and younger patients with osteoarthritis knee pain: a post hoc, subgroup analysis of two randomized, placebo-controlled trials.
Ahl, J; Micca, JL; Ruff, D; Wohlreich, MM, 2013
)
0.39
" Safety analyses included discontinuation rates, treatment-emergent adverse events, and serious adverse events."( Safety and efficacy of duloxetine treatment in older and younger patients with osteoarthritis knee pain: a post hoc, subgroup analysis of two randomized, placebo-controlled trials.
Ahl, J; Micca, JL; Ruff, D; Wohlreich, MM, 2013
)
0.39
" Among treatment-emergent adverse events with duloxetine treatment, only dizziness had a significantly differential treatment effect (p=."( Safety and efficacy of duloxetine treatment in older and younger patients with osteoarthritis knee pain: a post hoc, subgroup analysis of two randomized, placebo-controlled trials.
Ahl, J; Micca, JL; Ruff, D; Wohlreich, MM, 2013
)
0.39
" Among the 834 evaluable study participants, treatment-emergent adverse events were reported in 70."( Safety, tolerability, and efficacy of vortioxetine (Lu AA21004) in major depressive disorder: results of an open-label, flexible-dose, 52-week extension study.
Alam, MY; Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M, 2014
)
0.4
" In group 1, 20% of patients stopped the study due to adverse effects."( The efficacy and safety of duloxetine in a multidrug regimen for chronic prostatitis/chronic pelvic pain syndrome.
Di Stasi, SM; Giannantoni, A; Gubbiotti, M; Maddonni, S; Porena, M, 2014
)
0.4
" Vortioxetine treatment was well tolerated; common adverse events (incidence ≥ 5%) were nausea, headache, diarrhea, dry mouth and dizziness."( Efficacy and safety of vortioxetine (Lu AA21004), 15 and 20 mg/day: a randomized, double-blind, placebo-controlled, duloxetine-referenced study in the acute treatment of adult patients with major depressive disorder.
Boulenger, JP; Loft, H; Olsen, CK, 2014
)
0.4
" We chose the number of patients experiencing = 50% reduction in pain and number of patient withdrawals due to adverse events (AE) as primary outcomes for efficacy and safety, respectively."( Comparative efficacy and safety of six antidepressants and anticonvulsants in painful diabetic neuropathy: a network meta-analysis.
Bansal, D; Bhansali, A; Ghai, B; Gudala, K; Hota, D; Rudroju, N; Talakokkula, ST,
)
0.13
"Gabapentin was found to be most efficacious and amitriptyline to be least safe among the treatments included in the study."( Comparative efficacy and safety of six antidepressants and anticonvulsants in painful diabetic neuropathy: a network meta-analysis.
Bansal, D; Bhansali, A; Ghai, B; Gudala, K; Hota, D; Rudroju, N; Talakokkula, ST,
)
0.13
" Safety and tolerability was assessed by the occurrence of treatment-emergent adverse events, serious adverse events, laboratory analyses, and vital signs."( Efficacy and safety of duloxetine in the treatment of older adult patients with generalized anxiety disorder: a randomized, double-blind, placebo-controlled trial.
Ahl, J; Alaka, KJ; Ball, S; Bidzan, L; Dorn, B; Dueñas, H; Lenox-Smith, A; Montejo, A; Munshi, A; Noble, W; Strawn, JR, 2014
)
0.4
" Treatment-emergent adverse events occurred in ≥5% of duloxetine-treated patients and twice the rate than with placebo including constipation (9% vs."( Efficacy and safety of duloxetine in the treatment of older adult patients with generalized anxiety disorder: a randomized, double-blind, placebo-controlled trial.
Ahl, J; Alaka, KJ; Ball, S; Bidzan, L; Dorn, B; Dueñas, H; Lenox-Smith, A; Montejo, A; Munshi, A; Noble, W; Strawn, JR, 2014
)
0.4
" Measures included: Children's Depression Rating Scale-Revised (CDRS-R), treatment-emergent adverse events (TEAEs), and Columbia-Suicide Severity Rating Scale (C-SSRS)."( A double-blind efficacy and safety study of duloxetine flexible dosing in children and adolescents with major depressive disorder.
Atkinson, SD; Bangs, ME; Emslie, GJ; March, JS; Pangallo, BA; Prakash, A; Zhang, Q, 2014
)
0.4
" Measures included: Children's Depression Rating Scale-Revised (CDRS-R), treatment-emergent adverse events (TEAEs), and Columbia-Suicide Severity Rating Scale (C-SSRS)."( A double-blind efficacy and safety study of duloxetine fixed doses in children and adolescents with major depressive disorder.
Bangs, ME; Emslie, GJ; March, JS; Pangallo, BA; Prakash, A; Zhang, Q, 2014
)
0.4
" Discontinuation because of adverse events was significantly greater in the duloxetine (19."( Comparative safety and tolerability of duloxetine vs. pregabalin vs. duloxetine plus gabapentin in patients with diabetic peripheral neuropathic pain.
Irving, G; Malcolm, S; Raskin, J; Risser, RC; Tanenberg, RJ, 2014
)
0.4
"Duloxetine, pregabalin and duloxetine plus gabapentin were generally safe and tolerable for the treatment of DPNP."( Comparative safety and tolerability of duloxetine vs. pregabalin vs. duloxetine plus gabapentin in patients with diabetic peripheral neuropathic pain.
Irving, G; Malcolm, S; Raskin, J; Risser, RC; Tanenberg, RJ, 2014
)
0.4
"To assess the effects of coding and coding conventions on summaries and tabulations of adverse events data on suicidality within clinical study reports."( Coding of adverse events of suicidality in clinical study reports of duloxetine for the treatment of major depressive disorder: descriptive study.
Gøtzsche, PC; Hróbjartsson, A; Lundh, A; Maund, E; Tendal, B, 2014
)
0.4
"Systematic electronic search for adverse events of suicidality in tables, narratives, and listings of adverse events in individual patients within clinical study reports."( Coding of adverse events of suicidality in clinical study reports of duloxetine for the treatment of major depressive disorder: descriptive study.
Gøtzsche, PC; Hróbjartsson, A; Lundh, A; Maund, E; Tendal, B, 2014
)
0.4
"Six trials used the medical coding dictionary COSTART (Coding Symbols for a Thesaurus of Adverse Reaction Terms) and three used MedDRA (Medical Dictionary for Regulatory Activities)."( Coding of adverse events of suicidality in clinical study reports of duloxetine for the treatment of major depressive disorder: descriptive study.
Gøtzsche, PC; Hróbjartsson, A; Lundh, A; Maund, E; Tendal, B, 2014
)
0.4
"Data on adverse events in tables in clinical study reports may not accurately represent the underlying patient data because of the medical dictionaries and coding conventions used."( Coding of adverse events of suicidality in clinical study reports of duloxetine for the treatment of major depressive disorder: descriptive study.
Gøtzsche, PC; Hróbjartsson, A; Lundh, A; Maund, E; Tendal, B, 2014
)
0.4
" Untreated depression is associated with many adverse gestational outcomes."( The safety of duloxetine during pregnancy and lactation.
Andrade, C, 2014
)
0.4
" No neonatal adverse events emerged, so far, in the few studies concerning the safety of SNRIs during breastfeeding."( The safety of serotonin-noradrenaline reuptake inhibitors (SNRIs) in pregnancy and breastfeeding: a comprehensive review.
Bellantuono, C; Mandarelli, G; Martini, MG; Nardi, B; Vargas, M, 2015
)
0.42
"Available data suggest that venlafaxine is relatively safe during pregnancy, in particular as far as major malformations are concerned, whereas considering the small number of studies published, no definitive conclusions can be drawn on its safety during breastfeeding."( The safety of serotonin-noradrenaline reuptake inhibitors (SNRIs) in pregnancy and breastfeeding: a comprehensive review.
Bellantuono, C; Mandarelli, G; Martini, MG; Nardi, B; Vargas, M, 2015
)
0.42
" Safety measures included treatment-emergent adverse events (TEAEs), the Columbia-Suicide Severity Rating Scale, vital signs, electrocardiograms, laboratory samples, and growth (height and weight) assessments."( Acute and longer-term safety results from a pooled analysis of duloxetine studies for the treatment of children and adolescents with major depressive disorder.
Bangs, ME; Emslie, GJ; March, JS; Pangallo, BA; Prakash, A; Wells, TG; Zhang, Q, 2015
)
0.42
"Significantly more patients discontinued because of adverse events during duloxetine (8."( Acute and longer-term safety results from a pooled analysis of duloxetine studies for the treatment of children and adolescents with major depressive disorder.
Bangs, ME; Emslie, GJ; March, JS; Pangallo, BA; Prakash, A; Wells, TG; Zhang, Q, 2015
)
0.42
" Also, studies with specific data regarding to pain reductions and response rate, Patient Global Impression of Improvement (PGI-I), functional improvement, Western Ontario and McMaster Osteoarthritis Index (WOMAC), adverse events (AEs), treatment-emergent AEs (TEAEs), mortality were included and analyzed, and those with confounding conditions were excluded."( Efficacy and Safety of Duloxetine on Osteoarthritis Knee Pain: A Meta-Analysis of Randomized Controlled Trials.
Chen, F; Chen, H; Li, SJ; Lin, HZ; Lin, JM; Shi, SY; Wang, ZY, 2015
)
0.42
"This analysis suggests duloxetine (60/120 mg quaque die (QD)), compared with placebo control, resulted in a greater reduction in pain, improved function and patient-rated impression of improvement, and acceptable adverse effects for the treatment of OAK pain after approximately 10-13 weeks of treatment."( Efficacy and Safety of Duloxetine on Osteoarthritis Knee Pain: A Meta-Analysis of Randomized Controlled Trials.
Chen, F; Chen, H; Li, SJ; Lin, HZ; Lin, JM; Shi, SY; Wang, ZY, 2015
)
0.42
" Pain (Brief Pain Inventory severity and interference), quality of life (Patient's Global Impression of Improvement), and safety (primary outcome; adverse events, vital signs, metabolic measures) were measured."( Efficacy and safety of 40 mg or 60 mg duloxetine in Japanese adults with diabetic neuropathic pain: Results from a randomized, 52-week, open-label study.
Alev, L; Baba, Y; Hotta, N; Kashiwagi, A; Kasuga, M; Kawamori, R; Nakajo, K; Yamada, T; Yasuda, H, 2016
)
0.43
" Frequently reported adverse events included somnolence (13."( Efficacy and safety of 40 mg or 60 mg duloxetine in Japanese adults with diabetic neuropathic pain: Results from a randomized, 52-week, open-label study.
Alev, L; Baba, Y; Hotta, N; Kashiwagi, A; Kasuga, M; Kawamori, R; Nakajo, K; Yamada, T; Yasuda, H, 2016
)
0.43
" Tolerability was based on the nature, incidence and severity of treatment-emergent adverse events (TEAEs) during acute (6/8) week treatment in 11 randomized, double-blind placebo-controlled short-term studies in major depressive disorder: six with an active reference."( The safety and tolerability of vortioxetine: Analysis of data from randomized placebo-controlled trials and open-label extension studies.
Baldwin, DS; Chrones, L; Florea, I; Nielsen, R; Nomikos, GG; Palo, W; Reines, E, 2016
)
0.43
" Patients' demographic and clinical characteristics, resource utilization data and adverse drug reactions (ADRs) as described in the leaflet were extracted."( Characteristics, resource utilization and safety profile of patients prescribed with neuropathic pain treatments: a real-world evidence study on general practices in Europe - the role of the lidocaine 5% medicated plaster.
Katz, P; Liedgens, H; Pegoraro, V, 2017
)
0.46
" Although secondary hypertension is a known side effect of amitriptyline and duloxetine, neither drug has been previously associated with AD."( Autonomic Dysreflexia as a Potential Adverse Effect of Duloxetine and Amitriptyline Combination Therapy: A Case Report.
Parke, SC; Reyes, MR, 2019
)
0.51
" Reported incidences of gastrointestinal adverse events were three to four times higher in participants who received duloxetine versus placebo."( Efficacy and safety of duloxetine in osteoarthritis: a systematic review and meta-analysis.
Bannuru, RR; Osani, MC, 2019
)
0.51
" EC50 values for duloxetine and econazole enabled to include both drugs within the group of very toxic compounds although econazole showed a higher toxicity than duloxetine and the binary mixture."( Stability and toxicity studies for duloxetine and econazole on Spirodela polyrhiza using chiral capillary electrophoresis.
Amariei, G; Boltes, K; García, MÁ; Marina, ML; Valimaña-Traverso, J, 2019
)
0.51
" The percentage of patients reporting at least 1 treatment-emergent adverse event was higher in the duloxetine versus placebo groups (82."( Efficacy and safety of duloxetine versus placebo in adolescents with juvenile fibromyalgia: results from a randomized controlled trial.
Alaka, K; Arnold, LM; Mehta, R; Qiao, M; Upadhyaya, HP; Williams, D, 2019
)
0.51
" The most common (>20%) adverse events reported for esketamine/antidepressant were nausea, dissociation, dizziness, vertigo, and headache."( Efficacy and Safety of Fixed-Dose Esketamine Nasal Spray Combined With a New Oral Antidepressant in Treatment-Resistant Depression: Results of a Randomized, Double-Blind, Active-Controlled Study (TRANSFORM-1).
Ameele, HVD; Blier, P; Daly, EJ; Drevets, WC; Fava, M; Fedgchin, M; Gaillard, R; Hough, D; Lane, R; Liebowitz, M; Lim, P; Manji, H; Melkote, R; Preskorn, S; Ravindran, A; Singh, JB; Trivedi, M; Vitagliano, D, 2019
)
0.51
"Platinum-induced peripheral neurotoxicity (PIPN) is a common side effect of platinum-based chemotherapy that may cause dose reduction and discontinuation, with oxaliplatin being more neurotoxic."( Platinum-induced peripheral neurotoxicity: From pathogenesis to treatment.
Cavaletti, G; Islam, B; Lustberg, M; Psimaras, D; Staff, NP; Tamburin, S, 2019
)
0.51
"Taxane-induced peripheral neurotoxicity (TIPN) is the most common non-hematological side effect of taxane-based chemotherapy, and may result in dose reductions and discontinuations, having as such a detrimental effect on patients' overall survival."( Taxane and epothilone-induced peripheral neurotoxicity: From pathogenesis to treatment.
Alberti, P; Argyriou, AA; Demichelis, C; Park, SB; Schenone, A; Tamburin, S, 2019
)
0.51
" There were higher rates of treatment-emergent adverse events (TEAEs) (RR = 1."( The short-term effect and safety of duloxetine in osteoarthritis: A systematic review and meta-analysis.
Chen, HY; Gao, SH; Huang, JH; Huo, JB; Li, XW; Pan, QM, 2019
)
0.51
"Duloxetine was an effective and safe choice to improve pain and functional outcome in OA patients."( The short-term effect and safety of duloxetine in osteoarthritis: A systematic review and meta-analysis.
Chen, HY; Gao, SH; Huang, JH; Huo, JB; Li, XW; Pan, QM, 2019
)
0.51
"Using FDA Adverse Events Reporting System reports from January 1, 2005 to December 31, 2015, we calculated pharmacovigilance signal measures (i."( Gabapentin drug misuse signals: A pharmacovigilance assessment using the FDA adverse event reporting system.
Charnigo, RJ; Havens, JR; Lofwall, MR; Sun, J; Vickers-Smith, R; Walsh, SL, 2020
)
0.56
" Patients with breast cancer who received paclitaxel or docetaxel and had a grade 1 or more neuropathy (based on the National Cancer Institute Common Terminology Criteria for Adverse Events version (NCI-CTCAE v4."( Comparison of the Efficacy and Safety of Pregabalin and Duloxetine in Taxane-Induced Sensory Neuropathy: A Randomized Controlled Trial.
Alipour, A; Avan, R; Hendouei, N; Janbabaei, G; Salehifar, E; Tabrizi, N, 2020
)
0.56
" Both interventions were tolerated well with mild adverse events."( Comparison of the Efficacy and Safety of Pregabalin and Duloxetine in Taxane-Induced Sensory Neuropathy: A Randomized Controlled Trial.
Alipour, A; Avan, R; Hendouei, N; Janbabaei, G; Salehifar, E; Tabrizi, N, 2020
)
0.56
"Duloxetine has been increasingly administered, but the associated cardiovascular adverse event risk is not clearly understood."( Duloxetine and cardiovascular adverse events: A systematic review and meta-analysis.
Kim, S; Ko, YJ; Park, BJ; Park, K, 2020
)
0.56
" The aim was to provide an overview of the treatment-emergent adverse events (≥10%) and the serious adverse effects described in clinical trials."( The safety of medications used to treat peripheral neuropathic pain, part 1 (antidepressants and antiepileptics): review of double-blind, placebo-controlled, randomized clinical trials.
Balayssac, D; Busserolles, J; Courteix, C; Cuménal, M; Kerckhove, N; Selvy, M, 2020
)
0.56
" Over all studies, the most commonly reported adverse effects were dizziness, drowsiness, nausea, and constipation."( The safety of medications used to treat peripheral neuropathic pain, part 1 (antidepressants and antiepileptics): review of double-blind, placebo-controlled, randomized clinical trials.
Balayssac, D; Busserolles, J; Courteix, C; Cuménal, M; Kerckhove, N; Selvy, M, 2020
)
0.56
" No serious adverse events (e."( Efficacy and safety of the noradrenaline reuptake inhibitor, TAS-303, in women with stress urinary incontinence: Results of a double-blind, randomized, placebo-controlled, early phase II trial.
Gotoh, M; Kato, K; Takahashi, S; Takei, M; Yokoyama, O, 2021
)
0.62
" Patients with long-lasting CIPN had a higher rate of adverse events (47 vs."( Duloxetine against symptomatic chemotherapy-induced peripheral neurotoxicity in cancer survivors: a real world, open-label experience.
Argyriou, AA; Besora, S; Bruna, J; Calvo, M; Clapés, V; Gil-Gil, M; Izquierdo, C; Jiménez, L; Palmero, R; Pardo, B; Sala, R; Santos, C; Simó, M; Velasco, R, 2021
)
0.62
" All adverse events will be recorded and immediately reported to the primary investigator and ethics committee to decide if the patient needs to drop out from the trial."( Efficacy and safety of duloxetine for postoperative pain after total knee arthroplasty in centrally sensitized patients: study protocol for a randomized controlled trial.
Ling, J; Shao, L; Wang, S; Wang, W, 2021
)
0.62
" This secondary analysis examines the relationship between adverse events (AE) and patient-perceived benefit, based on patient self-report that the treatment received was beneficial despite side effects."( Adverse Events and Perception of Benefit From Duloxetine for Treating Aromatase Inhibitor-Associated Arthralgias.
Henry, NL; Lustberg, MB; Schnell, PM, 2021
)
0.62
"Primary outcomes were postoperative acute pain at rest/during movement (measured on a scale from 0 to 10), number of patients with chronic postsurgical pain (CPSP) and with SSNRI-related adverse events."( Efficacy and adverse events of selective serotonin noradrenaline reuptake inhibitors in the management of postoperative pain: A systematic review and meta-analysis.
Kranke, P; Meißner, M; Meyer-Frießem, CH; Pogatzki-Zahn, EM; Reichl, SU; Schnabel, A; Weibel, S; Zahn, PK, 2021
)
0.62
"In antidepressant trials for pediatric patients with depression or anxiety disorders, the risk of suicidal events and other severe psychiatric adverse events such as aggression and agitation is increased with antidepressants relative to placebo."( Suicidality and other severe psychiatric events with duloxetine: Re-analysis of safety data from a placebo-controlled trial for juvenile fibromyalgia.
Hengartner, MP; Plöderl, M,
)
0.13
" Both serious adverse events related to psychiatric disorders and adverse events leading to treatment discontinuation were defined as severe treatment-emergent psychiatric adverse events."( Suicidality and other severe psychiatric events with duloxetine: Re-analysis of safety data from a placebo-controlled trial for juvenile fibromyalgia.
Hengartner, MP; Plöderl, M,
)
0.13
"We found that a significant portion of adolescents had treatment-emergent suicidal ideation and behaviour as well as other severe psychiatric adverse events with duloxetine, but no such events were recorded on placebo."( Suicidality and other severe psychiatric events with duloxetine: Re-analysis of safety data from a placebo-controlled trial for juvenile fibromyalgia.
Hengartner, MP; Plöderl, M,
)
0.13
"Neurotoxicity is a frequent side effect of cisplatin (CisPt)-based anticancer therapy whose pathophysiology is largely vague."( Cisplatin-induced neurotoxicity involves the disruption of serotonergic neurotransmission.
Bornhorst, J; Brinkmann, V; Fritz, G; Honnen, S; Ventura, N; Wellenberg, A, 2021
)
0.62
" The results showed that, at the end of the study, duloxetine was significantly superior to gabapentin in terms of the incidence of adverse reactions (RR = 0."( Comparison of the Efficacy and Safety of Duloxetine and Gabapentin in Diabetic Peripheral Neuropathic Pain: A Meta-Analysis.
Cui, J; Jiang, L; Xiong, Y, 2022
)
0.72
" Their present status was determined by a telephonic interview which included a subjective assessment of improvement (Likert scale), FIQR (Revised Fibromyalgia Impact Questionnaire), adverse drug effects and compliance."( Effectiveness and adverse effects of the use of mirtazapine as compared to duloxetine for fibromyalgia: real-life data from a retrospective cohort.
Ahmed, S; Basu, A; Mehta, P, 2022
)
0.72
" A rare side effect of syndrome of inappropriate antidiuretic hormone (SIADH) secretion has been reported in adults, but not in pediatrics or pediatric oncology patients."( Hyponatremia with Antidepressant: A Rare Side Effect from Duloxetine in a Child with Acute Leukemia.
Baig, MU; Madden, K; Moody, K, 2022
)
0.72
" The incidence of adverse drug reactions was 55% in the SFPP group, which is not significantly different from 50% incidence in the control group."( Comparison of efficacy and safety in the combination therapies of duloxetine and S-flurbiprofen plaster, and of duloxetine and conventional NSAIDs for chronic pain in patients with osteoarthritis (OASIS DUAL study).
Koyama, K, 2022
)
0.72
"All nine drugs can relieve the pain of CPSP patients to different degrees; among them pregabalin and gabapentin have the most significant effect, and gabapentin and pregabalin also have the most adverse reactions."( Efficacy and safety of different antidepressants and anticonvulsants in central poststroke pain: A network meta-analysis and systematic review.
Chen, KY; Li, RY, 2022
)
0.72
"Oxaliplatin-induced peripheral neurotoxicity (OIPN) is a debilitating side effect that afflicts ~90% of patients that is initiated by OCT2-dependent uptake of oxaliplatin in DRG neurons."( Targeting OCT2 with Duloxetine to Prevent Oxaliplatin-Induced Peripheral Neurotoxicity.
DiGiacomo, DF; Gibson, AA; Hu, S; Jin, Y; Li, Y; Lustberg, MB; Nepal, MR; Sparreboom, A; Taheri, H; Talebi, Z; Uddin, ME, 2022
)
0.72
" Severe adverse events were rare, whereas nausea, somnolence, dizziness, fatigue, constipation, and decreased appetite were common; approximately, 12."( Efficacy and safety of duloxetine in painful diabetic peripheral neuropathy: a systematic review and meta-analysis of randomized controlled trials.
Huang, YJ; Ko, YC; Lee, CH; Wu, CS, 2023
)
0.91
" The rarity of severe adverse events indicates that duloxetine is safe."( Efficacy and safety of duloxetine in painful diabetic peripheral neuropathy: a systematic review and meta-analysis of randomized controlled trials.
Huang, YJ; Ko, YC; Lee, CH; Wu, CS, 2023
)
0.91
"This meta-analysis showed that the duloxetine has statistically significant compared with the placebo control, benefits on 24-hour average pain, living quality, physical function, and global impressions and there was no difference in the incidence of serious adverse event."( Efficacy and safety of duloxetine in chronic musculoskeletal pain: a systematic review and meta-analysis.
Guo, Y; Li, G; Ma, X; Sun, J; Sun, W; Wang, L; Zhou, S, 2023
)
0.91
" This meta-analysis improved that duloxetine can significantly reduce the pain level of patients, improve depressive symptoms and global impression, and has no obvious serious adverse reactions."( Efficacy and safety of duloxetine in chronic musculoskeletal pain: a systematic review and meta-analysis.
Guo, Y; Li, G; Ma, X; Sun, J; Sun, W; Wang, L; Zhou, S, 2023
)
0.91
"A total of 8 randomized controlled trials with 739 patients were included in the literature review of postoperative pain and adverse effects."( The efficacy and safety of duloxetine for the treatment of patients after TKA or THA: A systematic review and meta-analysis.
Cao, Y; Chen, C; Chen, X; Zhou, Y, 2023
)
0.91
"Duloxetine could decrease the opioids consumption and relieve early postoperative pain without increasing the risk of adverse medication effects in patients undergoing total knee or hip arthroplasty."( The efficacy and safety of duloxetine for the treatment of patients after TKA or THA: A systematic review and meta-analysis.
Cao, Y; Chen, C; Chen, X; Zhou, Y, 2023
)
0.91

Pharmacokinetics

ExcerptReferenceRelevance
" The mean oral clearance, apparent volume of distribution, and half-life values were 114 L/h (range: 44 to 218 L/h), 1943 L (range: 803 to 3531 L), and 12."( Pharmacokinetics and safety of duloxetine, a dual-serotonin and norepinephrine reuptake inhibitor.
Cerimele, BJ; Goldberg, MJ; Sharma, A, 2000
)
0.31
" Following [14C]duloxetine administration, Cmax was reached at a median of 6 h for both duloxetine and total radioactivity."( Metabolism, excretion, and pharmacokinetics of duloxetine in healthy human subjects.
Gillespie, TA; Knadler, MP; Kuan, HY; Kuo, F; Lantz, RJ; Rash, TJ; Skinner, M, 2003
)
0.32
" Plasma concentration-time data were analysed by noncompartmental pharmacokinetic methods."( Effect of age on the pharmacokinetics of duloxetine in women.
Heathman, M; Knadler, MP; Kuan, HY; O'Brien, L; Reddy, S; Seger, ME; Skerjanec, A; Skinner, MH, 2004
)
0.32
" The population pharmacokinetic analysis of Studies 2A and 2B revealed that the CL/F of duloxetine decreased with increasing age."( Effect of age on the pharmacokinetics of duloxetine in women.
Heathman, M; Knadler, MP; Kuan, HY; O'Brien, L; Reddy, S; Seger, ME; Skerjanec, A; Skinner, MH, 2004
)
0.32
" Specific pharmacokinetic parameters were assessed statistically using a mixed-effects model."( Duloxetine pharmacokinetics in cirrhotics compared with healthy subjects.
Branch, RA; Gonzales, C; Knadler, MP; Reddy, S; Skinner, MH; Suri, A, 2005
)
0.33
" The half-life of duloxetine was about three times longer (47."( Duloxetine pharmacokinetics in cirrhotics compared with healthy subjects.
Branch, RA; Gonzales, C; Knadler, MP; Reddy, S; Skinner, MH; Suri, A, 2005
)
0.33
" In this review, we highlight the preclinical pharmacology, pharmacokinetic profile, and effects of duloxetine in the pharmacotherapy of depression."( The dual transporter inhibitor duloxetine: a review of its preclinical pharmacology, pharmacokinetic profile, and clinical results in depression.
Bymaster, FP; Detke, MJ; Iyengar, S; Knadler, MP; Lee, TC, 2005
)
0.33
" A more rapid achievement by venlafaxine of remission and a high-quality pharmacokinetic and pharmacodynamic profile lead to patient compliance and facilitate both fewer relapses and recurrences."( The role of venlafaxine and duloxetine in the treatment of depression with decremental changes in somatic symptoms of pain, chronic pain, and the pharmacokinetics and clinical considerations of duloxetine pharmacotherapy.
Barkin, RL; Barkin, S,
)
0.13
"A sensitive and specific method for quantifying duloxetine levels in human plasma has been devised and successfully applied to a clinic pharmacokinetic study of an enteric-coated capsule of duloxetine hydrochloride administered as a single oral dose."( Determination of duloxetine in human plasma via LC/MS and subsequent application to a pharmacokinetic study in healthy Chinese volunteers.
Chen, BM; Feng, S; Li, HD; Ma, N; Wang, F; Xiang, DX; Xu, P; Zhang, BK; Zhu, RH; Zhu, YG, 2007
)
0.53
"Duloxetine disposition on oral administration is characterised by a one-compartment pharmacokinetic model."( Pharmacokinetics and tolerability of duloxetine following oral administration to healthy Chinese subjects.
Knadler, MP; Liang, S; Lim, MT; Lobo, ED; Pan, AX; Teng, L; Tianmei, S; Yeo, KP, 2007
)
0.34
" This method was successfully applied to pharmacokinetic study of a duloxetine formulation product after oral administration to healthy human subjects."( Determination of duloxetine in human plasma by liquid chromatography with atmospheric pressure ionization-tandem mass spectrometry and its application to pharmacokinetic study.
Gowda, KV; Mandal, U; Pal, TK; Sam Solomon, WD; Senthamil Selvan, P, 2007
)
0.34
"The pharmacokinetic meta-analysis dataset was created from one open-label clinical study and four double-blind, placebo-controlled clinical studies."( Population pharmacokinetics of orally administered duloxetine in patients: implications for dosing recommendation.
Heathman, M; Knadler, MP; Lobo, ED; O'Brien, L; Quinlan, T, 2009
)
0.35
"Duloxetine pharmacokinetics in patients were described by a one-compartmental pharmacokinetic model."( Population pharmacokinetics of orally administered duloxetine in patients: implications for dosing recommendation.
Heathman, M; Knadler, MP; Lobo, ED; O'Brien, L; Quinlan, T, 2009
)
0.35
" Despite being widely used for the treatment of major depressive disorder in China, little information is available on the pharmacokinetic (PK) properties of duloxetine in Chinese subjects."( Pharmacokinetics of duloxetine hydrochloride enteric-coated tablets in healthy Chinese volunteers: a randomized, open-label, single- and multiple-dose study.
Cheng, G; Peng, WX; Song, J; Tang, J; Zhao, RK, 2009
)
0.68
"In these healthy Chinese subjects, AUC and Cmax increased proportionally with the dose, whereas t(1/2) was independent of the dose."( Pharmacokinetics of duloxetine hydrochloride enteric-coated tablets in healthy Chinese volunteers: a randomized, open-label, single- and multiple-dose study.
Cheng, G; Peng, WX; Song, J; Tang, J; Zhao, RK, 2009
)
0.68
"The aim of this study was to evaluate the effects of varying degrees of renal impairment on duloxetine pharmacokinetics in a single-dose phase I study and using pooled steady-state pharmacokinetic data from phase II/III trials."( Effects of varying degrees of renal impairment on the pharmacokinetics of duloxetine: analysis of a single-dose phase I study and pooled steady-state data from phase II/III trials.
Gonzales, C; Heathman, M; Knadler, MP; Kuan, HY; Lobo, ED; O'Brien, L; Reddy, S; Skinner, M, 2010
)
0.36
" Noncompartmental methods (phase I: duloxetine and its metabolites) and population modelling methods (phase II/III: duloxetine) were used to analyse the pharmacokinetic data."( Effects of varying degrees of renal impairment on the pharmacokinetics of duloxetine: analysis of a single-dose phase I study and pooled steady-state data from phase II/III trials.
Gonzales, C; Heathman, M; Knadler, MP; Kuan, HY; Lobo, ED; O'Brien, L; Reddy, S; Skinner, M, 2010
)
0.36
" Population pharmacokinetic results indicated that mild or moderate renal impairment, assessed by creatinine clearance (CL(CR)) calculated according to the Cockcroft-Gault formula, did not have a statistically significant effect on pharmacokinetic parameters of duloxetine."( Effects of varying degrees of renal impairment on the pharmacokinetics of duloxetine: analysis of a single-dose phase I study and pooled steady-state data from phase II/III trials.
Gonzales, C; Heathman, M; Knadler, MP; Kuan, HY; Lobo, ED; O'Brien, L; Reddy, S; Skinner, M, 2010
)
0.36
" The elimination half-life of duloxetine is approximately 10-12 hours and the volume of distribution is approximately 1640 L."( Duloxetine: clinical pharmacokinetics and drug interactions.
Bergstrom, R; Chappell, J; Knadler, MP; Lobo, E, 2011
)
0.37
" Pharmacokinetic samples were collected across all duloxetine doses, and data were analyzed using population modeling."( An open-label safety and pharmacokinetics study of duloxetine in pediatric patients with major depression.
Bullok, KE; Emslie, GJ; Kratochvil, CJ; Lobo, E; March, JS; Pangallo, BA; Prakash, A; Quinlan, T; Tamura, RN, 2012
)
0.38
" Body weight and age did not significantly affect duloxetine pharmacokinetic parameters."( An open-label safety and pharmacokinetics study of duloxetine in pediatric patients with major depression.
Bullok, KE; Emslie, GJ; Kratochvil, CJ; Lobo, E; March, JS; Pangallo, BA; Prakash, A; Quinlan, T; Tamura, RN, 2012
)
0.38
" Pharmacokinetic results suggested that adjustment of total daily dose based on body weight or age is not warranted for pediatric patients and different total daily doses may not be warranted for pediatric patients relative to adults."( An open-label safety and pharmacokinetics study of duloxetine in pediatric patients with major depression.
Bullok, KE; Emslie, GJ; Kratochvil, CJ; Lobo, E; March, JS; Pangallo, BA; Prakash, A; Quinlan, T; Tamura, RN, 2012
)
0.38
" These were evaluated in-vivo for pharmacodynamic studies for depression by forced swimming test and locomotor activity test."( Intranasal administration of nanostructured lipid carriers containing CNS acting drug: pharmacodynamic studies and estimation in blood and brain.
Ahuja, A; Alam, MI; Ali, J; Ali, M; Baboota, S; Sahni, JK, 2012
)
0.38
" The purpose of this study was to investigate the pharmacokinetic properties of duloxetine in 20 beagle dogs following a single oral administration of a 30- or 60-mg enteric-coated pellet in a capsule (Cymbalta)."( Pharmacokinetic analysis of two different doses of duloxetine following oral administration in dogs.
Baek, IH; Kang, W; Kwon, KI; Lee, BY, 2013
)
0.39
" Pharmacokinetic parameters were analyzed using both noncompartmental and compartmental approaches."( Pharmacokinetic analysis of two different doses of duloxetine following oral administration in dogs.
Baek, IH; Kang, W; Kwon, KI; Lee, BY, 2013
)
0.39
" The one compartment model with first-order absorption and a lag time was used successfully for pharmacokinetic analysis of duloxetine following a single oral administration of Cymbalta 30 mg or 60 mg."( Pharmacokinetic analysis of two different doses of duloxetine following oral administration in dogs.
Baek, IH; Kang, W; Kwon, KI; Lee, BY, 2013
)
0.39
"In pharmacokinetic (PK)/pharmacodynamic (PD) modelling and simulations (M&S), omitting dropouts can cause inaccuracies in parameter estimation and clinical trial simulations (CTS)."( Handling missing data in a duloxetine population pharmacokinetic/pharmacodynamic model - imputation methods and selection models.
Aarons, L; Gueorguieva, I; Yuen, E, 2014
)
0.4
"The analyses meta-dataset was created from pharmacokinetic and demographic data available from one phase II (open-label) and two phase III (randomized, double-blind) clinical trials of duloxetine in children and adolescents."( Pharmacokinetics of orally administered duloxetine in children and adolescents with major depressive disorder.
Lobo, ED; Prakash, A; Quinlan, T, 2014
)
0.4
" Typical values of CL/F, V d/F, and half-life (t 1/2) at 60 mg/day of duloxetine were 79."( Pharmacokinetics of orally administered duloxetine in children and adolescents with major depressive disorder.
Lobo, ED; Prakash, A; Quinlan, T, 2014
)
0.4
" Pharmacokinetic and pharmacodynamic data were obtained from healthy subjects (n = 160) from 5 clinical trials."( Pharmacodynamics of norepinephrine reuptake inhibition: Modeling the peripheral and central effects of atomoxetine, duloxetine, and edivoxetine on the biomarker 3,4-dihydroxyphenylglycol in humans.
Kielbasa, W; Lobo, E, 2015
)
0.42
" The present study aimed to investigate chiral pharmacology differences of 071031B enantiomers, S-071031B and R-071031B, and disclose mechanisms underlying the behavioral differences based on target profiles and pharmacokinetic profiles."( Pharmacokinetic profiles contribute to the differences in behavioral pharmacology of 071031B enantiomers as novel serotonin and norepinephrine reuptake inhibitors.
Fan, SY; He, XH; Jin, ZL; Li, NM; Li, Y; Li, YF; Xue, R; Yuan, L; Zhang, TT; Zhang, YZ; Zheng, AP; Zhong, BH, 2017
)
0.46
"The aim of this work was to predict the extent of Cytochrome P450 2D6 (CYP2D6)-mediated drug-drug interactions (DDIs) in different CYP2D6 genotypes using physiologically-based pharmacokinetic (PBPK) modeling."( Physiologically-Based Pharmacokinetic Modeling for the Prediction of CYP2D6-Mediated Gene-Drug-Drug Interactions.
Daali, Y; Desmeules, J; Storelli, F, 2019
)
0.51
" The developed formulations were subjected to pharmacokinetic studies and results showed about 8 to 11."( Pharmacokinetic and pharmacodynamic evaluation of Solid self-nanoemulsifying delivery system (SSNEDDS) loaded with curcumin and duloxetine in attenuation of neuropathic pain in rats.
Bhatia, A; Garg, V; Gulati, M; Kumar, B; Melkani, I; Pandey, NK; Prakash, T; Singh, S; Singh, SK, 2021
)
0.62
" Pharmacokinetic analysis of pregabalin or combination (pregabalin + amitriptyline or pregabalin + duloxetine) in the plasma were performed by ultraperformance liquid chromatography tandem mass spectrometry."( Investigation of the Combination of Pregabalin with Duloxetine or Amitriptyline on the Pharmacokinetics and Antiallodynic Effect During Neuropathic Pain in Rats.
Barros, CM; Boralli, VB; Costa, LH; Galdino, G; Kawano, T; Placido, RV; Podesta, MHMC; Rodrigues, RF; Santos, RS, 2021
)
0.62
"The pharmacokinetic disposition of pregabalin was changed in the association with amitriptyline, presenting a clearance reduction and consequently an increase in bioavailability."( Investigation of the Combination of Pregabalin with Duloxetine or Amitriptyline on the Pharmacokinetics and Antiallodynic Effect During Neuropathic Pain in Rats.
Barros, CM; Boralli, VB; Costa, LH; Galdino, G; Kawano, T; Placido, RV; Podesta, MHMC; Rodrigues, RF; Santos, RS, 2021
)
0.62
" Here, we investigated the roles of Cyp1a2 and Cyp2d on DLX pharmacokinetic profile and tissue distribution using a Cyp1a2 knockout (Cyp1a2-KO) mouse model together with a Cyp2d inhibitor (propranolol)."( The roles of Cyp1a2 and Cyp2d in pharmacokinetic profiles of serotonin and norepinephrine reuptake inhibitor duloxetine and its metabolites in mice.
Barzi, M; Bissig, KD; Boyd, SR; Hakenjos, JM; Li, F; MacKenzie, KR; Qin, X; Xie, C; Young, DW, 2023
)
0.91
" Biopharmaceutical and pharmacokinetic characteristics comparison suggested that low intestinal permeability and small systemic elimination rate of duloxetine hinders the clear impact of different dissolution profile on its in vivo performance."( Lowly-buffered biorelevant dissolution testing is not necessarily biopredictive of human bioequivalence study outcome: Relationship between dissolution and pharmacokinetics.
Matsui, K; Nakamichi, K; Nakatani, M; Yamashita, S; Yokota, S; Yoshida, H, 2023
)
0.91
" A population pharmacokinetic (PK) model was developed with plasma steady-state duloxetine concentrations from Japanese pediatric patients with MDD in an open-label long-term extension trial in Japan (ClinicalTrials."( Population pharmacokinetics of duloxetine in Japanese pediatric patients with major depressive disorder.
Kaibara, A; Kubota, R; Shibata, RY; Uenaka, K; Wajima, T, 2023
)
0.91

Compound-Compound Interactions

ExcerptReferenceRelevance
"The aim of this study was to describe a potential drug-drug interaction between duloxetine and acenocoumarol in a patient with Alzheimer's disease."( Potential drug-drug interaction between duloxetine and acenocoumarol in a patient with Alzheimer's disease.
Camarda, C; Camarda, R; Monastero, R, 2007
)
0.34
"This case report suggests a possible drug-drug interaction between duloxetine and acenocoumarol."( Potential drug-drug interaction between duloxetine and acenocoumarol in a patient with Alzheimer's disease.
Camarda, C; Camarda, R; Monastero, R, 2007
)
0.34
" Here a duloxetine overdose case, in combination with other antidepressants and benzodiazepines, is reported and the chemical-clinical correlations discussed; this is probably the first detailed report of such a case."( Non-fatal overdose of duloxetine in combination with other antidepressants and benzodiazepines.
Gozzi, BF; Menchetti, M; Mercolini, L; Petio, C; Raggi, MA; Saracino, MA, 2009
)
0.35
"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
"The purpose of this study was to determine whether duloxetine [a serotonin (5-HT)-norepinephrine reuptake inhibitor] combined with transcutaneous foot stimulation or WAY-100635 (a 5-HT1A antagonist) can enhance inhibition of bladder overactivity in cats."( Inhibition of bladder overactivity by duloxetine in combination with foot stimulation or WAY-100635 treatment in cats.
de Groat, WC; Matsuta, Y; Roppolo, JR; Schwen, Z; Shen, B; Tai, C; Wang, J, 2013
)
0.39
"The frequency and financial impact of potential drug-drug interactions (DDIs) and drug-condition interactions (DCIs) in patients with painful diabetic peripheral neuropathy (DPN) treated with either pregabalin or duloxetine were compared."( Cost comparison of drug-drug and drug-condition interactions in patients with painful diabetic peripheral neuropathy treated with pregabalin versus duloxetine.
Cappelleri, JC; Chu, BC; Johnson, BH; Johnston, SS; Shrady, G; Silverman, SL; Udall, M, 2013
)
0.39
"Potential DDI measured using clinical software that identifies co-prescription of medications that potentially interact with pregabalin or duloxetine."( Potential drug-drug and drug-condition interactions among fibromyalgia patients initiating pregabalin or duloxetine: prevalence and health care expenditure impact.
Cappelleri, JC; Chu, BC; Johnson, BH; Johnston, SS; Shrady, G; Silverman, SL; Udall, M, 2014
)
0.4
"Anticipating and controlling drug-drug interactions (DDIs) in older patients with painful diabetic peripheral neuropaty (pDPN) presents a significant challenge to providers."( A retrospective, matched cohort study of potential drug-drug interaction prevalence and opioid utilization in a diabetic peripheral neuropathy population initiated on pregabalin or duloxetine.
Cappelleri, JC; Ellis, JJ; Mudumby, P; Ndehi, L; Parsons, B; Sadosky, AB; Suehs, BT; Ten Eyck, LL, 2015
)
0.42
" However, sitagliptin was observed to have no effect when administered alone or in combination with the other three drugs."( Drug combinations in diabetic neuropathic pain: an experimental validation.
Mehta, AK; Tripathi, CD; Yadav, AM, 2016
)
0.43
" The magnitude of drug-drug interaction between dextromethorphan and paroxetine was higher in homozygous than in heterozygous subjects (14."( Impact of CYP2D6 Functional Allelic Variations on Phenoconversion and Drug-Drug Interactions.
Daali, Y; Desmeules, J; Lenglet, S; Matthey, A; Storelli, F; Thomas, A, 2018
)
0.48
"The aim of this work was to predict the extent of Cytochrome P450 2D6 (CYP2D6)-mediated drug-drug interactions (DDIs) in different CYP2D6 genotypes using physiologically-based pharmacokinetic (PBPK) modeling."( Physiologically-Based Pharmacokinetic Modeling for the Prediction of CYP2D6-Mediated Gene-Drug-Drug Interactions.
Daali, Y; Desmeules, J; Storelli, F, 2019
)
0.51
" However, evidence regarding the efficacy of IA injection of HA+CS combined with duloxetine for pain management in patients with OA of the knee is lacking."( Duloxetine combined with intra-articular injection versus intra-articular injection alone for pain relief in knee osteoarthritis: a study protocol for a randomised controlled trial.
Han, R; Li, DY; Luo, F; Zhao, ZG, 2020
)
0.56
" The participants will be randomly allocated to receive either a single IA injection of HA+CS combined with duloxetine or a single IA injection of HA+CS alone, and both groups will complete a 24-week follow-up to assess pain and functional improvements."( Duloxetine combined with intra-articular injection versus intra-articular injection alone for pain relief in knee osteoarthritis: a study protocol for a randomised controlled trial.
Han, R; Li, DY; Luo, F; Zhao, ZG, 2020
)
0.56
"This randomized study was aimed at evaluating the additional analgesic effect of Okada Purifying Therapy (OPT) when administered in combination with duloxetine in patients with Temporomandibular Disorders (TMDs) and Fibromyalgia (FM)."( Okada Purifying Therapy in combination with duloxetine vs. duloxetine alone in patients with TMD and fibromyalgia: a randomized clinical study.
Atencio, MR; Bruti, G; D'Urso, A; Di Giacomo, P; Di Paolo, C, 2020
)
0.56
" Since activated microglia, impaired serotonergic and noradrenergic neurotransmission and overexpressed sodium channels are implicated in oxaliplatin-induced pain, this in vivo study assessed the effect of minocycline, a microglial activation inhibitor used alone or in combination with ambroxol, a sodium channel blocker, or duloxetine, a serotonin and noradrenaline reuptake inhibitor, on oxaliplatin-induced tactile allodynia and cold hyperalgesia."( The Microglial Activation Inhibitor Minocycline, Used Alone and in Combination with Duloxetine, Attenuates Pain Caused by Oxaliplatin in Mice.
Furgała-Wojas, A; Sałat, K; Sałat, R, 2021
)
0.62
" It is worth noting that doses of drug combination in FST and TST did not change the motor activities of mice in the open-field test (OFT)."( The Potential Antidepressant Action of Duloxetine Co-Administered with the TAAR1 Receptor Agonist SEP-363856 in Mice.
Chen, Y; Liang, L; Ren, X; Xiong, J; Zhang, G, 2022
)
0.72
"To observe the clinical effect of flunarizine combined with duloxetine in the treatment of chronic migraine with comorbid depression and anxiety disorders and to provide a reference for clinical treatment."( Clinical effect of flunarizine combined with duloxetine in the treatment of chronic migraine comorbidity of depression and anxiety disorder.
Chen, J; Zhang, K; Zhu, J, 2022
)
0.72
" The control group was treated with flunarizine combined with loxoprofen sodium, and the observation group was treated with flunarizine combined with duloxetine."( Clinical effect of flunarizine combined with duloxetine in the treatment of chronic migraine comorbidity of depression and anxiety disorder.
Chen, J; Zhang, K; Zhu, J, 2022
)
0.72
"Flunarizine combined with duloxetine in the treatment of chronic migraine with depression and anxiety disorder can effectively improve neuroelectrophysiological indexes, reduce inflammation, and reduce depression and anxiety."( Clinical effect of flunarizine combined with duloxetine in the treatment of chronic migraine comorbidity of depression and anxiety disorder.
Chen, J; Zhang, K; Zhu, J, 2022
)
0.72
" Therefore, we investigated the effect of an antimuscarinic (oxybutynin) on OSA severity when administered with either duloxetine or milnacipran, two dual noradrenergic/serotonergic reuptake inhibiters."( A single dose of noradrenergic/serotonergic reuptake inhibitors combined with an antimuscarinic does not improve obstructive sleep apnoea severity.
Adam, M; Beatty, CJ; Cheung, T; Edwards, BA; Hamilton, GS; Joosten, SA; Landry, SA; Mann, DL; Thomson, LDJ; Wong, AM, 2022
)
0.72

Bioavailability

ExcerptReferenceRelevance
" The observed plasma concentration-time data at all three dose levels were adequately described by a one-compartment model with a first-order absorption rate constant."( Pharmacokinetics and safety of duloxetine, a dual-serotonin and norepinephrine reuptake inhibitor.
Cerimele, BJ; Goldberg, MJ; Sharma, A, 2000
)
0.31
" In the presence of fluvoxamine, the oral bioavailability of duloxetine increased from 42."( In vitro and in vivo evaluations of cytochrome P450 1A2 interactions with duloxetine.
Bergstrom, RF; Chappell, J; Hong, Q; Knadler, MP; Lobo, ED; Quinlan, T; Reddy, S; Ring, B, 2008
)
0.35
" In vivo study was conducted by quantitating the effect of orally administered DLX on the bioavailability of talinolol."( In vitro and in vivo evaluation of the effects of duloxetine on P-gp function.
Junhua, C; Ruike, Z; Wenxing, P, 2010
)
0.36
" In the in vivo study, co-administration of DLX increased the bioavailability of talinolol."( In vitro and in vivo evaluation of the effects of duloxetine on P-gp function.
Junhua, C; Ruike, Z; Wenxing, P, 2010
)
0.36
" In view of the importance of formulation processing and bioavailability characteristics of the crystalline forms of 1, a comprehensive structural study of 1(acetone) was carried out using single-crystal and powder X-ray diffraction, infrared and Raman spectroscopies, and solid-state NMR spectroscopy."( Polymorphism and a metastable solvate of duloxetine hydrochloride.
Bhadbhade, M; Hook, JM; Marjo, CE; Rich, AM, 2011
)
0.64
" Alteration of the gastrointestinal tract by this procedure suggests a potential for clinically significant alterations in the bioavailability of ingested medications including antidepressants."( A comparison of duloxetine plasma levels in postbariatric surgery patients versus matched nonsurgical control subjects.
Cao, L; Crosby, RD; Mitchell, JE; Roerig, JL; Steffen, KJ; Zimmerman, C, 2013
)
0.39
" The effects on absorption rate and type of drug delivery systems (nanocarriers and drug solution) for nose to brain/blood permeation were assessed."( Intranasal infusion of nanostructured lipid carriers (NLC) containing CNS acting drug and estimation in brain and blood.
Ahuja, A; Alam, MI; Ali, J; Ali, M; Baboota, S; Sahni, JK, 2013
)
0.39
" The pharmacokinetic evaluation of ZBH2012001 indicated that the absolute bioavailability value was 60."( Antidepressant-like Effects of ZBH2012001, a Novel Potent Serotonin and Norepinephrine Reuptake Inhibitor.
Fan, QY; Fan, SY; He, XH; Li, J; Li, Y; Li, YF; Xue, R; Zhang, TT; Zhang, YZ; Zhong, BH, 2016
)
0.43
" Duloxetine suffers from reduced oral bioavailability (≈50%) due to hepatic metabolism."( Formulation and optimization of duloxetine hydrochloride buccal films: in vitro and in vivo evaluation.
El Sharawy, AM; Elshafeey, AH; Shukr, MH, 2017
)
0.74
"8 times increment in bioavailability in comparison to duloxetine suspension."( Duloxetine loaded-microemulsion system to improve behavioral activities by upregulating serotonin and norepinephrine in brain for the treatment of depression.
Ali, J; Baboota, S; Iqbal, B; Kumar, S; Sindhu, P, 2018
)
0.48
" The study was aimed to develop a thiomer gel containing duloxetine proniosomes for the intranasal delivery, improving its bioavailability and brain delivery through olfactory system."( Development and Evaluation of Optimized Thiolated Chitosan Proniosomal Gel Containing Duloxetine for Intranasal Delivery.
Amin, U; Khan, GM; Khatoon, M; Shah, KU; Shahnaz, G; Sohail, MF; Ullah, N; Ur Rehman, A; Ur Rehman, F, 2019
)
0.51
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" The mean fed and fasting pharmacokinetic parameters and drug-related adverse events from the 2 studies were compared in order to assess the effect of food on the duloxetine bioavailability and respectively, tolerability."( The Effect of Food on the Single-Dose Bioavailability and Tolerability of the Highest Marketed Strength of Duloxetine.
Chirila, M; Duna, SN; Ghita, A; Iordachescu, A; Rizea-Savu, S, 2020
)
0.56
"The present investigation is focused on improving oral bioavailability of poorly soluble and lipophilic drugs, curcumin (CRM) and duloxetine (DXH), through the solid self-nanoemulsifying drug delivery system (S-SNEDDS) and identifying their potential against attenuation of NP in chronic constriction injury (CCI)-induced rats through the solid self-nanoemulsifying drug delivery system (S-SNEDDS)."( Pharmacokinetic and pharmacodynamic evaluation of Solid self-nanoemulsifying delivery system (SSNEDDS) loaded with curcumin and duloxetine in attenuation of neuropathic pain in rats.
Bhatia, A; Garg, V; Gulati, M; Kumar, B; Melkani, I; Pandey, NK; Prakash, T; Singh, S; Singh, SK, 2021
)
0.62
" Developing a prolonged release parenteral nanosphere formulation of DLX would be overcoming pitfalls like acid-labile degradation, first-pass metabolism and erratic bioavailability along with long-term therapeutic benefit in the treatment of depression."( Polymer-based prolonged-release nanoformulation of duloxetine: fabrication, characterization and neuropharmacological assessments.
Ali, W; Kuhad, A; Prasad, P; Sarwal, A; Sharma, S; Singh, G, 2021
)
0.62
"Duloxetine (DLX) is dual serotonin and norepinephrine reuptake inhibitor suffering from limited bioavailability (≈ 40%) due to extensive hepatic metabolism."( Brain Targeting of Duloxetine HCL via Intranasal Delivery of Loaded Cubosomal Gel: In vitro Characterization, ex vivo Permeation, and in vivo Biodistribution Studies.
Abdelbary, GA; Elsayed, I; Elsenosy, FM; Elshafeey, AH; Fares, AR, 2020
)
0.56
"Accordingly, intranasal DLX in situ cubo-gel can be considered as an innovative nano-carrier delivery system for bioavailability enhancement and efficient brain targeting of DLX to maximize its effect."( Brain Targeting of Duloxetine HCL via Intranasal Delivery of Loaded Cubosomal Gel: In vitro Characterization, ex vivo Permeation, and in vivo Biodistribution Studies.
Abdelbary, GA; Elsayed, I; Elsenosy, FM; Elshafeey, AH; Fares, AR, 2020
)
0.56
"The data demonstrated that combined therapy of pregabalin plus amitriptyline improved the bioavailability of pregabalin and potentiated the efficacy of the antiallodynic effect of pregabalin alone, proving to be advantageous for the treatment of sciatic neuropathic pain."( Investigation of the Combination of Pregabalin with Duloxetine or Amitriptyline on the Pharmacokinetics and Antiallodynic Effect During Neuropathic Pain in Rats.
Barros, CM; Boralli, VB; Costa, LH; Galdino, G; Kawano, T; Placido, RV; Podesta, MHMC; Rodrigues, RF; Santos, RS, 2021
)
0.62
" Following its extensive hepatic metabolism, acid-labile nature, and limited aqueous solubility, DXH has poor oral bioavailability (40%)."( Glycerosomal thermosensitive in situ gel of duloxetine HCl as a novel nanoplatform for rectal delivery: in vitro optimization and in vivo appraisal.
Ali, AA; El-Ela, FIA; Khallaf, RA; Rabea, YK; Salem, HF, 2022
)
0.72
" Alterations caused by RYGB could modify drug bioavailability and cause potential subtherapeutic plasma concentrations, increasing the risk of depressive relapse."( The Influence of a Roux-en-Y Gastric Bypass on Plasma Concentrations of Antidepressants.
Eap, CB; Favre, L; Frantz, J; Garin, P; Vandenberghe, F; Vionnet, N, 2023
)
0.91

Dosage Studied

Duloxetine hydrochloride has been found to react with polymer degradation products or residual free acids. It can form succinamide and phthalamide impurities, respectively.

ExcerptRelevanceReference
"Duloxetine hydrochloride ((S)-N-methyl-3-(1-naphthalenyloxy)-2-thiophenepropanamine hydrochloride) has been found to react with polymer degradation products or residual free acids present in the enteric polymers hydroxypropyl methylcellulose acetate succinate (HPMCAS) and hydroxypropyl methylcellulose phthalate (HPMCP) in dosage formulations to form succinamide and phthalamide impurities, respectively."( Characterization of impurities formed by interaction of duloxetine HCl with enteric polymers hydroxypropyl methylcellulose acetate succinate and hydroxypropyl methylcellulose phthalate.
Baertschi, SW; Jansen, PJ; Kemp, CA; Maple, SR; Oren, PL, 1998
)
1.74
" TYR PD30 increased significantly with desipramine dosing (p<0."( Duloxetine increases serotonin and norepinephrine availability in healthy subjects: a double-blind, controlled study.
Bieck, PR; Bymaster, FP; Chalon, SA; Granier, LA; Hirth, C; Joliat, MJ; Potter, WZ; Vandenhende, FR, 2003
)
0.32
" These findings suggest that there should not be a need for routine adjustment of tolterodine dosage in the presence of duloxetine."( Effect of duloxetine on tolterodine pharmacokinetics in healthy volunteers.
Chan, C; Gonzales, CR; Hua, TC; Knadler, MP; Pan, A; Poo, YK; Skinner, MH; Wise, SD, 2004
)
0.32
" The dose of intravenous tyramine required to raise systolic blood pressure by 30 mm Hg (PD30) increased dose-dependently with duloxetine and was significant at the end of the 120-mg/d dosage (P<0."( Clinical assessment of norepinephrine transporter blockade through biochemical and pharmacological profiles.
Bieck, PR; Black, BK; Bymaster, FP; Garland, EM; Gonzales, C; Loghin, C; Potter, WZ; Robertson, D; Vincent, S, 2004
)
0.32
" In this study, the effects of two dosing regimens of duloxetine on sleep electroencephalography (EEG) were investigated at steady-state plasma concentrations in young, healthy, male subjects."( Comparative effects of duloxetine and desipramine on sleep EEG in healthy subjects.
Chalon, S; Granier, LA; Lainey, E; Pereira, A; Staner, L; Vandenhende, F; Watkin, JG, 2005
)
0.33
" While approved dosing ranges have not yet been determined, studies support the efficacy and safety of 40-60 mg twice daily for the treatment of acute MDD."( Duloxetine: a dual reuptake inhibitor.
Dugan, SE; Fuller, MA, 2004
)
0.32
"The rate of duloxetine elimination is reduced for cirrhotic subjects, making dosage adjustments appropriate."( Duloxetine pharmacokinetics in cirrhotics compared with healthy subjects.
Branch, RA; Gonzales, C; Knadler, MP; Reddy, S; Skinner, MH; Suri, A, 2005
)
0.33
"Duloxetine exhibits linear, dose-dependent pharmacokinetics across the approved oral dosage range of 40 to 60 mg/d."( Duloxetine hydrochloride: a new dual-acting medication for the treatment of major depressive disorder.
Bettinger, TL; Crismon, ML; Hunziker, ME; Suehs, BT, 2005
)
1.77
"The pharmacology, pharmacokinetics, efficacy, safety, drug interactions, dosage and administration, cost, and place in therapy of duloxetine for major depression, pain from diabetic peripheral neuropathy, and stress urinary incontinence are reviewed."( Duloxetine: a balanced and selective norepinephrine- and serotonin-reuptake inhibitor.
Gayken, J; Haight, R; Westanmo, AD, 2005
)
0.33
" The recommended dosage of duloxetine is 40-80 mg daily, depending on the indication, preferably split into two doses per day."( Duloxetine: a balanced and selective norepinephrine- and serotonin-reuptake inhibitor.
Gayken, J; Haight, R; Westanmo, AD, 2005
)
0.33
"Positron emission tomography (PET) has been utilized for determining the dosage of antipsychotic drugs."( A dose-finding study of duloxetine based on serotonin transporter occupancy.
Ikoma, Y; Kosaka, J; Nozaki, S; Ota, M; Suhara, T; Suzuki, K; Takano, A; Tanada, S, 2006
)
0.33
" Adverse event rates were based on spontaneous reports and differential dose-response effects were not evaluated."( Duloxetine in the treatment of major depressive disorder: comparisons of safety and tolerability in male and female patients.
Kornstein, SG; Mallinckrodt, CH; Stewart, DE; Watkin, JG; Wohlreich, MM, 2006
)
0.33
" Whereas the target dose for the majority of patients is 60 mg/day, higher duloxetine doses (up to 120 mg/day) have been studied using a twice-daily dosing schedule."( Duloxetine for the treatment of major depressive disorder: safety and tolerability associated with dose escalation.
Carter, WP; Mallinckrodt, CH; Prakash, A; Watkin, JG; Wohlreich, MM, 2007
)
0.34
" An evaluation of increments in effect size between doses consistently showed that the most notable gain in effect size for efficacy was the 40-60mg/day dosage range."( Use of effect size to determine optimal dose of duloxetine in major depressive disorder.
Berzon, RA; Corey-Lisle, PK; Desaiah, D; Detke, MJ; Marciniak, MD; Pritchett, YL,
)
0.13
" The varying sensitivity of scales that measure the severity of depression is one of the many factors affecting the evaluation of the dose-response relationship with antidepressants."( Dose-response relationship of duloxetine in placebo-controlled clinical trials in patients with major depressive disorder.
Bech, P; Kajdasz, DK; Porsdal, V, 2006
)
0.33
" Duloxetine, in a dosage of 60 mg x 1 or x 2 daily, significantly reduces, from the first week of administration, the pain of DPN, when compared with a placebo."( [Duloxetine, a new therapeutic option for diabetic peripheral neuropathic pain].
Ziegler, D, 2006
)
0.33
" The patient took 20 mg daily for five days and then decided, on her own, to decrease the dosage after experiencing insomnia, a common adverse effect of duloxetine."( Facial flushing associated with duloxetine use.
Ezzo, DC; Patel, PN, 2007
)
0.34
"Data were combined from two similarly designed, multicenter, randomized, double-blind, parallel group studies in which patients with major depressive disorder were randomized to either duloxetine 60 mg/day or venlafaxine extended release (XR) 150 mg/day (75 mg/day for the first 2 weeks) for a 6-week fixed dosing period followed by an additional 6 weeks of treatment in which the dose could be increased up to 120 mg/day for duloxetine and 225 mg/day for venlafaxine."( A randomized, double-blind comparison of duloxetine and venlafaxine in the treatment of patients with major depressive disorder.
Bauer, M; Froud, DM; Jain, R; Kajdasz, DK; Perahia, DG; Pritchett, YL; Raskin, J; Russell, JM; Spencer, KA; Thase, ME; Walker, DJ, 2008
)
0.35
"047) experienced sustained elevations of systolic blood pressure during the fixed dosing period."( A randomized, double-blind comparison of duloxetine and venlafaxine in the treatment of patients with major depressive disorder.
Bauer, M; Froud, DM; Jain, R; Kajdasz, DK; Perahia, DG; Pritchett, YL; Raskin, J; Russell, JM; Spencer, KA; Thase, ME; Walker, DJ, 2008
)
0.35
" Duloxetine produced increases in supine systolic and diastolic blood pressures, which reached maximums of approximately 12 mm Hg and approximately 7 mm Hg above baseline, respectively, during dosing at 120 mg BID and then stabilized."( The effects of supratherapeutic doses of duloxetine on blood pressure and pulse rate.
Callaghan, JT; Chappell, JC; Derby, MA; Ereshefsky, L; Gonzales, CR; Hoelscher, D; Leese, PT; Leibowitz, M; Mitchell, MI; Zhang, L, 2007
)
0.34
" Significant improvements versus placebo in core emotional symptoms as well as painful physical symptoms associated with depression, were seen in most, but not all, appropriately designed studies; results of meta-analyses suggested that improvements in these efficacy measures were apparent after 1-2 weeks' treatment with the highest recommended dosage of 60 mg once daily."( Duloxetine: a review of its use in the treatment of major depressive disorder.
Frampton, JE; Plosker, GL, 2007
)
0.34
"Duloxetine pharmacokinetics in healthy Chinese subjects given a 60 mg once-daily dosing regimen were well characterised and consistent with known duloxetine pharmacokinetics in healthy Caucasian and Japanese subjects."( Pharmacokinetics and tolerability of duloxetine following oral administration to healthy Chinese subjects.
Knadler, MP; Liang, S; Lim, MT; Lobo, ED; Pan, AX; Teng, L; Tianmei, S; Yeo, KP, 2007
)
0.34
"Participants in a major depressive episode (N=249) began duloxetine treatment at 30 or 60 mg daily for the first week, followed by up to 11 weeks of flexibly dosed duloxetine (60, 90, or 120 mg daily)."( The efficacy and tolerability of duloxetine in the treatment of anxious versus non-anxious depression: a post-hoc analysis of an open-label outpatient study.
Brown, E; Chen, L; Fava, M; Greist, J; Marangell, LB; Martinez, JM; Wohlreich, MM,
)
0.13
" A secondary analysis of dose-response relationships indicated that this advantage was not attributable to the studies using higher doses of duloxetine."( Efficacy of duloxetine and selective serotonin reuptake inhibitors: comparisons as assessed by remission rates in patients with major depressive disorder.
Detke, MJ; Ossanna, MJ; Pritchett, YL; Swindle, RW; Thase, ME; Xu, J, 2007
)
0.34
"14]) but did not resolve urinary incontinence, with no significant dose-response association."( Systematic review: randomized, controlled trials of nonsurgical treatments for urinary incontinence in women.
Kane, RL; Shamliyan, TA; Wilt, TJ; Wyman, J, 2008
)
0.35
"Fifty-five women with PMDD were treated with a 60 mg/day dosage of duloxetine for two menstrual cycles."( Duloxetine for premenstrual dysphoric disorder: a pilot study.
Bria, P; Catalano, V; Harnic, D; Janiri, L; Mazza, M, 2008
)
0.35
" Duloxetine was administered in dosage 60 mg per day during 8 weeks to 40 patients."( [Efficacy of duloxetine in the treatment of chronic daily headache].
Artemenko, AR; Filatova, EG; Kurenkov, AL, 2007
)
0.34
" Cymbalta was used as a monotherapy in dosage 60 mg daily during 6 weeks simultaneously with traditional non-pharmacological therapy."( [Treatment of chronic back pain with antidepressant cymbalta: an experimental study].
Kaverina, IV; Leonova, AR; Voznesenskaia, TG, 2007
)
0.34
" Adverse effects were evaluated using the Dosage Record Treatment Emergent Symptom Scale."( Efficacy and tolerability of duloxetine in the treatment of patients with borderline personality disorder: a pilot study.
Bellino, S; Bogetto, F; Bozzatello, P; Paradiso, E, 2010
)
0.36
" Fifteen individuals with panic disorder with or without agoraphobia received 8 weeks of open label duloxetine flexibly dosed from 60 to 120 mg per day."( Open-label support for duloxetine for the treatment of panic disorder.
Herlands, NN; Hoge, EA; Kaufman, RE; Owens, ME; Pollack, MH; Simon, NM; Worthington, JJ, 2009
)
0.35
" Patients received cymbalta in dosage 60 mg daily during 2 months."( [Cymbalta (duloxetine) in the treatment of anxiety-depressive disorders in patients with discirculatory encephalopathy].
Bobrova, MV; Listopadov, IuI; Rzheusskaia, GV; Umrudina, AG, 2009
)
0.35
"The objectives of this analysis were to characterize the pharmacokinetics of duloxetine at steady state in patients, estimate the variability, identify significant covariates that may influence duloxetine pharmacokinetics and provide appropriate dosing recommendations for patients on duloxetine treatment."( Population pharmacokinetics of orally administered duloxetine in patients: implications for dosing recommendation.
Heathman, M; Knadler, MP; Lobo, ED; O'Brien, L; Quinlan, T, 2009
)
0.35
" Covariates including bodyweight, age, sex, ethnicity, smoking status, disease condition, dose, dosing regimen and creatinine clearance were tested for their influence on duloxetine pharmacokinetics."( Population pharmacokinetics of orally administered duloxetine in patients: implications for dosing recommendation.
Heathman, M; Knadler, MP; Lobo, ED; O'Brien, L; Quinlan, T, 2009
)
0.35
" The significant improvements in efficacy that occurred in patients with fibromyalgia during 8 weeks of open-label treatment with duloxetine 60 mg/day were generally maintained during 52 weeks of subsequent blinded treatment at the same dosage in a phase III trial."( Duloxetine: in patients with fibromyalgia.
Curran, MP, 2009
)
0.35
"This study evaluated the pharmacodynamics and pharmacokinetics of once-daily dosing of warfarin at steady state when taken concomitantly with once-daily doses of duloxetine."( Effects of duloxetine on the pharmacodynamics and pharmacokinetics of warfarin at steady state in healthy subjects.
Chappell, J; He, J; Knadler, MP; Lee, D; Lobo, E; Mitchell, M, 2009
)
0.35
"Many women received lower duloxetine doses than expected based on evidence-based dosing recommendations."( How are women with SUI-symptoms treated with duloxetine in real life practice? - preliminary results from a large observational study in Germany.
Gotsch, U; Gross, A; Manning, M; Methfessel, HD; Michel, MC; Minarzyk, A; Pages, I; Quail, D, 2009
)
0.35
" At week 7, the duloxetine dosage was increased, in a blinded fashion, to 120-mg QD in patients reporting < 30% pain reduction."( A double-blind, randomized, placebo-controlled study of the efficacy and safety of duloxetine for the treatment of chronic pain due to osteoarthritis of the knee.
Belenkov, Y; Brown, JP; Chappell, AS; Desaiah, D; Liu-Seifert, H; Skljarevski, V; Zhang, S,
)
0.13
" Opioid utilization including total days, number of prescriptions filled, and morphine equivalent dosage was assessed for overall, long-acting, and short-acting opioids."( Opioid utilization and health-care costs among patients with diabetic peripheral neuropathic pain treated with duloxetine vs. other therapies.
Boulanger, L; Chen, SY; Fraser, KA; Hallett, LA; Patel, CK; Wu, N; Zhao, Y,
)
0.13
" This study examined the association between initial prescription dosage of duloxetine and its adherence and persistence."( Initial duloxetine prescription dose and treatment adherence and persistence in patients with major depressive disorder.
Able, SL; Faries, DE; Gelwicks, S; Liu, X, 2010
)
0.36
" The author reviews the major medications used, dosing schedules, and data from randomized controlled trials."( Treatment of neuropathic pain.
Jefferies, K, 2010
)
0.36
" A month after the aripiprazole dosage was increased to 50 mg daily, the patient developed confusion and loss of coordination."( Increased aripiprazole concentrations in an HIV-positive male concurrently taking duloxetine, darunavir, and ritonavir.
Aung, GL; Kawamoto, LS; O'Brien, JG; Tien, PG, 2010
)
0.36
"A reproducible gradient reversed-phase ultra-performance liquid chromatographic method is developed for quantitative determination of duloxetine hydrochloride in pharmaceutical dosage forms."( Analysis of duloxetine hydrochloride and its related compounds in pharmaceutical dosage forms and in vitro dissolution studies by stability indicating UPLC.
Chakole, D; Mukkanti, K; Rao, DD; Reddy, AM; Reddy, YR; Sait, SS, 2010
)
0.94
"A stability-indicating HPLC assay method was developed for the quantitative determination of duloxetine (DLX) in a pharmaceutical dosage form in the presence of its degradation products, and kinetic determinations were evaluated in acid conditions and UV-C radiation exposure."( Stress degradation studies and kinetic determinations of duloxetine enteric-coated pellets by HPLC.
Gomes, P; Paim, CS; Schapoval, EE; Steppe, M; Wingert, NR,
)
0.13
" However, given that the study had several limitations, including the lack of a comparison group and a flexible dosage design, further research is needed to replicate and extend these findings."( Clinical and demographic predictors of improvement during duloxetine treatment in patients with major depression: an open-label study.
Chiesa, A; De Ronchi, D; Mencacci, C; Nasso, ED; Serretti, A, 2011
)
0.37
"It is necessary to warn patients who take benzodiazepines in therapy that reinforcement of irritability may occur in case of higher dosage of benzodiazepines, which may be misinterpreted as worsening in mental condition."( Reinforcement of irritability during therapy with benzodiazepines.
Kozumplik, O; Uzun, S, 2011
)
0.37
" We described a patient with tremor, mydriatic pupils, clonus, and ataxia after a single dose of duloxetine; on the dosage of admission."( Serotonin syndrome due to duloxetine.
Gelener, P; Gorgulu, U; Inan, LE; Kutlu, G; Ucler, S,
)
0.13
" The CGI-Improvement, CGI-Effectiveness Index and Dosage Record Treatment Emergent Symptom Scale were administered at T1 and T2."( Duloxetine for the treatment of mood disorder in cancer patients: a 12-week case-control clinical trial.
Borio, R; Castelli, L; Leombruni, P; Torta, R,
)
0.13
"To examine medication dosing patterns of duloxetine and pregabalin among patients with fibromyalgia."( Medication dosing patterns associated with duloxetine and pregabalin among patients with fibromyalgia.
Sun, P; Watson, P; Zhao, Y; Zhao, Z, 2011
)
0.37
"Among patients with fibromyalgia, duloxetine and pregabalin initiators had different dosing patterns."( Medication dosing patterns associated with duloxetine and pregabalin among patients with fibromyalgia.
Sun, P; Watson, P; Zhao, Y; Zhao, Z, 2011
)
0.37
"The purpose of our study was to examine dosing patterns and pretreatment predictors of high-dose duloxetine therapy for patients with MDD in the usual clinical setting."( Dosing patterns for duloxetine and predictors of high-dose prescriptions in patients with major depressive disorder: analysis from a United States third-party payer perspective.
Ball, T; Cui, Z; Faries, DE; Johnstone, B; Liu, X; Niu, L, 2011
)
0.37
" Dosing patterns and predictors of high-dose therapy with duloxetine were examined."( Dosing patterns for duloxetine and predictors of high-dose prescriptions in patients with major depressive disorder: analysis from a United States third-party payer perspective.
Ball, T; Cui, Z; Faries, DE; Johnstone, B; Liu, X; Niu, L, 2011
)
0.37
" Nonblinded, flexibly dosed treatment was used to mimic clinical practice."( A pragmatic 12-week, randomized trial of duloxetine versus generic selective serotonin-reuptake inhibitors in the treatment of adult outpatients in a moderate-to-severe depressive episode.
Edwards, SE; Greist, JH; Katon, W; Kroenke, K; Marangell, LB; Martinez, JM; Meyers, AL; Shoemaker, S; Swindle, R; Thase, ME, 2012
)
0.38
"Study limitations include a short timeframe and using data from different dosage schemes for GBP and PGB."( Economic evaluation of duloxetine as a first-line treatment for painful diabetic peripheral neuropathy in Mexico.
Carlos, F; Dueñas, H; Galindo-Suárez, RM; Ramírez-Gámez, J; Ramos, E, 2012
)
0.38
"To compare medication dosing patterns of duloxetine and pregabalin among patients with diabetic peripheral neuropathic pain (DPNP)."( Dosing pattern comparison between duloxetine and pregabalin among patients with diabetic peripheral neuropathic pain.
Bernauer, M; Sun, P; Watson, P; Zhao, Y; Zhao, Z, 2012
)
0.38
" healthcare claims database, we examined the dosing patterns of duloxetine and pregabalin among commercially insured patients with DPNP aged 18 to 64 who initiated (a 90-day medication gap) duloxetine or pregabalin therapy in 2006."( Dosing pattern comparison between duloxetine and pregabalin among patients with diabetic peripheral neuropathic pain.
Bernauer, M; Sun, P; Watson, P; Zhao, Y; Zhao, Z, 2012
)
0.38
"The commercially insured patients with DPNP who initiated duloxetine or pregabalin therapy had different dosing patterns."( Dosing pattern comparison between duloxetine and pregabalin among patients with diabetic peripheral neuropathic pain.
Bernauer, M; Sun, P; Watson, P; Zhao, Y; Zhao, Z, 2012
)
0.38
" We here review the evidence for the efficacy of 60 mg once-daily dosing of duloxetine for chronic pain conditions."( A review of duloxetine 60 mg once-daily dosing for the management of diabetic peripheral neuropathic pain, fibromyalgia, and chronic musculoskeletal pain due to chronic osteoarthritis pain and low back pain.
Langley, P; Nalamachu, S; Pergolizzi, JV; Raffa, RB; Rodriguez, G; Taylor, R, 2013
)
0.39
"The studies reviewed report that duloxetine 60 mg once-daily dosing is an effective option for the management of diabetic peripheral neuropathic pain, fibromyalgia, and chronic musculoskeletal pain due to chronic OA pain and chronic LBP."( A review of duloxetine 60 mg once-daily dosing for the management of diabetic peripheral neuropathic pain, fibromyalgia, and chronic musculoskeletal pain due to chronic osteoarthritis pain and low back pain.
Langley, P; Nalamachu, S; Pergolizzi, JV; Raffa, RB; Rodriguez, G; Taylor, R, 2013
)
0.39
"The Tekscan(®) WB measurement system was used in MIA rats to examine the acute and chronic dosing effects of drugs that targeted different mechanisms."( Pharmacological validation of early and late phase of rat mono-iodoacetate model using the Tekscan system.
Elmes, SJ; McIntosh, F; Perkins, MN; Rashid, MH; Theberge, Y, 2013
)
0.39
" Rates of change (slopes) were estimated from the fitted model and differences in the cost trajectory among dosing cohorts were tested using the F-test."( Longitudinal analysis of healthcare costs: a case study of patients with major depressive disorder treated with duloxetine.
Able, SL; Cui, Z; Faries, DE; Novick, D; Shen, W, 2013
)
0.39
" Duloxetine has a generally favorable side effect profile and dosing is simple."( [Duloxetine for chronic pain management: pharmacology and clinical use].
Itoh, M; Masuda, R; Suzuki, T, 2013
)
0.39
" Concerning the emotional pain responses revealed with USVs, we assumed that the antinociceptive effects were almost completely derived from duloxetine, since celecoxib was ineffective when administered alone or reduced the dosage of duloxetine when given in combination."( Synergistic analgesia of duloxetine and celecoxib in the mouse formalin test: a combination analysis.
Dong, YL; Gu, ZX; Lu, GJ; Sun, YH; Wang, W; Wang, YT; Wu, SX; Yang, J; Zhao, GL, 2013
)
0.39
" The results of this study indicate that the analgesic effect of repeated dosing of AS1069562 but not duloxetine is persistent even after a 1-week drug discontinuation in STZ-induced diabetic rats."( AS1069562, the (+)-isomer of indeloxazine, but not duloxetine has a curative-like analgesic effect in a rat model of streptozotocin-induced diabetic neuropathy.
Aoki, T; Hamakawa, N; Matsuoka, N; Murai, N; Tamura, S; Yamamoto, H, 2014
)
0.4
"Mean median daily dosage over 6 months was 53."( Effectiveness of duloxetine compared with pregabalin and gabapentin in diabetic peripheral neuropathic pain: results from a German observational study.
Birklein, F; Boess, FG; Happich, M; Schacht, A; Schneider, E; Wilhelm, S; Ziegler, D, 2014
)
0.4
" Rates of treatment-emergent sexual dysfunction (TESD) in the vortioxetine dosing groups were similar to placebo."( A randomised, double-blind, placebo-controlled, duloxetine-referenced study of the efficacy and tolerability of vortioxetine in the acute treatment of adults with generalised anxiety disorder.
Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Simon, JS, 2014
)
0.4
" Here, the in vivo effects of dosing with duloxetine 60 mg once daily for 11 days in healthy subjects were assessed in 2 studies: (1) centrally (n = 11), by measuring concentrations of 5-hydroxyindoleacetic acid, 3,4-dihydroxyphenylglycol (DHPG), and NE in cerebrospinal fluid, and (2) versus escitalopram 20 mg/d (n = 32) in a 2-period crossover study by assessing the ΔDHPG/ΔNE ratio in plasma during orthostatic testing and by pharmacokinetic/pharmacodynamic modeling of reuptake inhibition using subjects' serum in cell lines expressing cloned human 5-HTT or NET."( Effects of duloxetine on norepinephrine and serotonin transporter activity in healthy subjects.
Chappell, JC; Dean, RA; Detke, MJ; Eisenhofer, G; Haber, H; Iyengar, S; Knadler, MP; Lachno, DR; Lobo, ED; Mitchell, MI; Nemeroff, CB; Owens, MJ; Pangallo, B, 2014
)
0.4
" The methods were successfully applied for the determination of this drug in pharmaceutical dosage form."( Development of sensitive spectrofluorimetric and spectrophotometric methods for the determination of duloxetine in capsule and spiked human plasma.
Önal, A; Sagirli, O; Toker, SE, 2014
)
0.4
" However, cost-analysis is only part of the equation when treating chronic pain patients and undervalues the relationships of enhanced compliance due to single-daily dosing and stable and reliable pharmacokinetics associated with extended-duration preparations using either retentive technologies or delayed absorption strategies."( Can Chronic Pain Patients Be Adequately Treated Using Generic Pain Medications to the Exclusion of Brand-Name Ones?
Anantamongkol, U; Candido, KD; Chiweshe, J; Knezevic, NN,
)
0.13
" By univariate and multivariate analysis, the patient's age, tumor origin, regimen of chemotherapy, accumulated doses of paclitaxel or carboplatin, previous medication, maintenance dosage and timing of treatment with duloxetine were found not to be associated with the effectiveness of duloxetine treatment."( Usefulness of duloxetine for Paclitaxel-induced peripheral neuropathy treatment in gynecological cancer patients.
Egawa-Takata, T; Fujita, M; Isobe, A; Kimura, T; Kobayashi, E; Mabuchi, S; Matsuzaki, S; Otake, A; Sawada, K; Ueda, Y; Yoshino, K, 2015
)
0.42
" Effects of orally dosed standard analgesics on CRANE were examined 48 h following bilateral CFA injection."( Complete Freund's adjuvant-induced reduction of exploratory activity in a novel environment as an objective nociceptive endpoint for sub-acute inflammatory pain model in rats.
Bannon, AW; Joshi, SK; Zhu, CZ, 2015
)
0.42
"Youth aged 7 through 17 years with a primary diagnosis of GAD were treated with flexibly dosed duloxetine (30-120 mg daily, n = 135) or placebo (n = 137) for 10 weeks, followed by open-label duloxetine (30-120mg daily) for 18 weeks."( A randomized, placebo-controlled study of duloxetine for the treatment of children and adolescents with generalized anxiety disorder.
Cai, N; Findling, RL; Pangallo, BA; Prakash, A; Strawn, JR; Stroud, CE; Zhang, Q, 2015
)
0.42
" Systemic intraperitoneal injections at a higher dosage (10 mg) had smaller analgesic effects (reduced by approximately 53%-69%), whereas contralateral SC injections (10 mg) were ineffective."( R-Duloxetine and N-Methyl Duloxetine as Novel Analgesics Against Experimental Postincisional Pain.
Russell, G; Strichartz, GR; Wang, CF; Wang, GK; Wang, SY, 2016
)
0.43
" Then, duloxetine dosage was reduced to 30 mg/day."( Duloxetine-induced Sleep Bruxism in Fibromyalgia Successfully Treated With Amitriptyline.
Malas, FÜ; Şahin Onat, S,
)
0.13
" The mean dosage of duloxetine was 55 mg/day (range 40-60 mg/day) and the mean dosage of sertraline was 146 mg/day (range 50-200 mg/day)."( Comparing the Effects of Sertraline with Duloxetine for Depression Severity and Symptoms: A Double-Blind, Randomized Controlled Trial.
Dastgheib, SA; Mowla, A; Razeghian Jahromi, L, 2016
)
0.43
" The aim of this article was to characterize the relevant classification of drug impurities and to review the methods of impurities determination for atorvastatin (ATV) and duloxetine (DLX) (both in active pharmaceutical ingredients and in different dosage forms)."( Impurities in Drug Products and Active Pharmaceutical Ingredients.
Frankowski, M; Kątny, M, 2017
)
0.46
" The mean dosage of duloxetine was 44."( Duloxetine Augmentation in Resistant Obsessive-Compulsive Disorder: A Double-Blind Controlled Clinical Trial.
Boostani, S; Dastgheib, SA; Mowla, A, 2016
)
0.43
" The patients in the duloxetine group received doxazosin 4 mg + duloxetine 30 mg once a day, and the dosage of duloxetine was increased to 60 mg after a week."( Clinical study of duloxetine hydrochloride combined with doxazosin for the treatment of pain disorder in chronic prostatitis/chronic pelvic pain syndrome: An observational study.
Dong, D; Ji, Z; Li, H; Yan, S; Zhang, M, 2017
)
0.79
" Thus, taking into account the observed high interindividual variability of SCD, our findings suggest that for MDD patients treated with duloxetine, SCD could be a useful tool to guide the treatment by optimizing the oral dosage in order to increase the AR rate."( Duloxetine plasma level and antidepressant response.
Conca, A; De Donatis, D; Florio, V; Mercolini, L; Porcelli, S; Saria, A; Serretti, A, 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
" This study compared the efficacy and safety of switching patients with treatment-resistant depression from an ineffective antidepressant to flexibly dosed esketamine nasal spray plus a newly initiated antidepressant or to a newly initiated antidepressant (active comparator) plus placebo nasal spray."( Efficacy and Safety of Flexibly Dosed Esketamine Nasal Spray Combined With a Newly Initiated Oral Antidepressant in Treatment-Resistant Depression: A Randomized Double-Blind Active-Controlled Study.
Bajbouj, M; Cooper, K; Daly, EJ; Drevets, WC; Hough, D; Lane, R; Lim, P; Manji, H; Mazzucco, C; Molero, P; Popova, V; Shelton, RC; Singh, JB; Thase, ME; Trivedi, M; Vieta, E, 2019
)
0.51
"Eighteen healthy women signed informed consent, however, one dropped out before dosing and one dropped out after the first period, therefore, 16 subjects completed the study."( Effect of a 5-HT
Cernus, D; Klarskov, N; Sawyer, W; Van Till, O, 2019
)
0.51
" However, further studies are still needed to find out the optimal dosage for OA and examine its long-term efficacy and safety."( The short-term effect and safety of duloxetine in osteoarthritis: A systematic review and meta-analysis.
Chen, HY; Gao, SH; Huang, JH; Huo, JB; Li, XW; Pan, QM, 2019
)
0.51
"To raise awareness and demonstrate the importance of a thorough assessment of smoking status, we present a case in which the temporal relationship of smoking cessation to the emergence of nausea, vomiting, and tachycardia 3 days later (day 3); the development of myoclonic jerks by day 5; and the resolution of symptoms on reduction of duloxetine dosage on day 44 implicates duloxetine toxicity in a patient with ischemic cardiomyopathy awaiting implantation of a left ventricular assist device."( Smoking cessation and duloxetine toxicity: A case report.
Kohli, N; Tancredi, N,
)
0.13
" Baseline paw withdrawal thresholds (PWTs) were determined in the ipsilateral (injured side) and contralateral hindpaws immediately prior to dosing and at scheduled times for 3 h post dosing in individual animals."( Assessment of the anti-allodynic efficacy of a glycine transporter 2 inhibitor relative to pregabalin and duloxetine in a rat model of prostate cancer-induced bone pain.
Corradini, L; Imam, MZ; Kuo, A; Nicholson, JR; Smith, MT, 2020
)
0.56
"Aim of the study was to reduce the dose and dosing frequency of duloxetine HCl (DXT) by complexation with sulfobutylether-β-cyclodextrin (SBEβCD), an anionic cyclodextrin through permeation enhancement for more effective management of depression."( Transdermal delivery of duloxetine-sulfobutylether-β-cyclodextrin complex for effective management of depression.
Dahiya, L; Kumar, R; Sarwal, A; Sinha, VR, 2021
)
0.62
" The mechanism underpinning pain relief induced by the GlyT2 inhibitor at 10 mg/kg is likely due to increased glycinergic inhibition in the lumbar spinal cord, although the bell-shaped dose-response curve warrants further translational considerations."( Assessment of the Anti-Allodynic and Anti-Hyperalgesic Efficacy of a Glycine Transporter 2 Inhibitor Relative to Pregabalin, Duloxetine and Indomethacin in a Rat Model of Cisplatin-Induced Peripheral Neuropathy.
Corradini, L; Kuo, A; Nicholson, JR; Smith, MT, 2021
)
0.62
" Western blot and immunohistochemistry suggested that a cumulative dosage of PTX (8 mg/kg) upregulated TRPV1 expression in the lumbar DRG and spinal dorsal horn (SDH) at day 14 post treatment."( Participation of transient receptor potential vanilloid 1 in the analgesic effect of duloxetine for paclitaxel induced peripheral neuropathic pain.
Feng, S; Mao, M; Wang, J; Wang, X; Zhang, S; Zhou, F, 2022
)
0.72
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (1)

RoleDescription
antidepressantAntidepressants are mood-stimulating drugs used primarily in the treatment of affective disorders and related conditions.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (1)

ClassDescription
duloxetine hydrochloride
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (51)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
glp-1 receptor, partialHomo sapiens (human)Potency11.22020.01846.806014.1254AID624417
RAR-related orphan receptor gammaMus musculus (house mouse)Potency19.33510.006038.004119,952.5996AID1159521; AID1159523
Fumarate hydrataseHomo sapiens (human)Potency35.48130.00308.794948.0869AID1347053
TDP1 proteinHomo sapiens (human)Potency19.34860.000811.382244.6684AID686978; AID686979
GLI family zinc finger 3Homo sapiens (human)Potency3.29370.000714.592883.7951AID1259369; AID1259392
AR proteinHomo sapiens (human)Potency21.35670.000221.22318,912.5098AID1259243; AID1259247; AID743035; AID743042; AID743054; AID743063
Smad3Homo sapiens (human)Potency22.38720.00527.809829.0929AID588855
caspase 7, apoptosis-related cysteine proteaseHomo sapiens (human)Potency33.49150.013326.981070.7614AID1346978
estrogen receptor 2 (ER beta)Homo sapiens (human)Potency9.43920.000657.913322,387.1992AID1259378
nuclear receptor subfamily 1, group I, member 3Homo sapiens (human)Potency26.94340.001022.650876.6163AID1224838; AID1224839; AID1224893
progesterone receptorHomo sapiens (human)Potency33.49150.000417.946075.1148AID1346795
cytochrome P450 family 3 subfamily A polypeptide 4Homo sapiens (human)Potency9.24510.01237.983543.2770AID1346984; AID1645841
glucocorticoid receptor [Homo sapiens]Homo sapiens (human)Potency22.59780.000214.376460.0339AID720691; AID720692
retinoic acid nuclear receptor alpha variant 1Homo sapiens (human)Potency22.08460.003041.611522,387.1992AID1159552; AID1159553; AID1159555
retinoid X nuclear receptor alphaHomo sapiens (human)Potency9.52050.000817.505159.3239AID1159527; AID1159531
estrogen-related nuclear receptor alphaHomo sapiens (human)Potency33.49150.001530.607315,848.9004AID1224841; AID1224842; AID1224848; AID1224849; AID1259401; AID1259403
farnesoid X nuclear receptorHomo sapiens (human)Potency30.04500.375827.485161.6524AID743217; AID743220
pregnane X nuclear receptorHomo sapiens (human)Potency20.28550.005428.02631,258.9301AID1346982; AID1346985
estrogen nuclear receptor alphaHomo sapiens (human)Potency22.04440.000229.305416,493.5996AID1259248; AID743069; AID743078; AID743079; AID743080; AID743091
cytochrome P450 2D6Homo sapiens (human)Potency0.43650.00108.379861.1304AID1645840
polyproteinZika virusPotency35.48130.00308.794948.0869AID1347053
peroxisome proliferator-activated receptor deltaHomo sapiens (human)Potency30.04500.001024.504861.6448AID743212; AID743215
peroxisome proliferator activated receptor gammaHomo sapiens (human)Potency20.52560.001019.414170.9645AID743094; AID743191
vitamin D (1,25- dihydroxyvitamin D3) receptorHomo sapiens (human)Potency10.68220.023723.228263.5986AID743223
caspase-3Homo sapiens (human)Potency33.49150.013326.981070.7614AID1346978
IDH1Homo sapiens (human)Potency16.36010.005210.865235.4813AID686970
aryl hydrocarbon receptorHomo sapiens (human)Potency11.88320.000723.06741,258.9301AID743085
cytochrome P450, family 19, subfamily A, polypeptide 1, isoform CRA_aHomo sapiens (human)Potency33.49150.001723.839378.1014AID743083
nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105), isoform CRA_aHomo sapiens (human)Potency16.930119.739145.978464.9432AID1159509
v-jun sarcoma virus 17 oncogene homolog (avian)Homo sapiens (human)Potency15.45210.057821.109761.2679AID1159526; AID1159528
potassium voltage-gated channel subfamily H member 2 isoform dHomo sapiens (human)Potency5.01190.01789.637444.6684AID588834
thyroid hormone receptor beta isoform 2Rattus norvegicus (Norway rat)Potency7.64450.000323.4451159.6830AID743065; AID743067
heat shock protein beta-1Homo sapiens (human)Potency26.60110.042027.378961.6448AID743210
importin subunit beta-1 isoform 1Homo sapiens (human)Potency29.09295.804836.130665.1308AID540253
snurportin-1Homo sapiens (human)Potency29.09295.804836.130665.1308AID540253
nuclear factor erythroid 2-related factor 2 isoform 1Homo sapiens (human)Potency16.78420.000627.21521,122.0200AID743202
GTP-binding nuclear protein Ran isoform 1Homo sapiens (human)Potency29.09295.804816.996225.9290AID540253
urokinase-type plasminogen activator precursorMus musculus (house mouse)Potency10.00000.15855.287912.5893AID540303
plasminogen precursorMus musculus (house mouse)Potency10.00000.15855.287912.5893AID540303
urokinase plasminogen activator surface receptor precursorMus musculus (house mouse)Potency10.00000.15855.287912.5893AID540303
gemininHomo sapiens (human)Potency12.44380.004611.374133.4983AID624296; AID624297
Interferon betaHomo sapiens (human)Potency21.00710.00339.158239.8107AID1347407
Cellular tumor antigen p53Homo sapiens (human)Potency31.67040.002319.595674.0614AID651631; AID720552
Alpha-synucleinHomo sapiens (human)Potency5.62340.56239.398525.1189AID652106
Spike glycoproteinSevere acute respiratory syndrome-related coronavirusPotency14.12540.009610.525035.4813AID1479145
ATPase family AAA domain-containing protein 5Homo sapiens (human)Potency23.71010.011917.942071.5630AID651632
Ataxin-2Homo sapiens (human)Potency23.71010.011912.222168.7989AID651632
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
ATP-binding cassette sub-family C member 3Homo sapiens (human)IC50 (µMol)133.00000.63154.45319.3000AID1473740
Multidrug resistance-associated protein 4Homo sapiens (human)IC50 (µMol)133.00000.20005.677410.0000AID1473741
Bile salt export pumpHomo sapiens (human)IC50 (µMol)133.00000.11007.190310.0000AID1473738
Canalicular multispecific organic anion transporter 1Homo sapiens (human)IC50 (µMol)133.00002.41006.343310.0000AID1473739
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (282)

Processvia Protein(s)Taxonomy
xenobiotic metabolic processATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
bile acid and bile salt transportATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transportATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
leukotriene transportATP-binding cassette sub-family C member 3Homo sapiens (human)
monoatomic anion transmembrane transportATP-binding cassette sub-family C member 3Homo sapiens (human)
transport across blood-brain barrierATP-binding cassette sub-family C member 3Homo sapiens (human)
prostaglandin secretionMultidrug resistance-associated protein 4Homo sapiens (human)
cilium assemblyMultidrug resistance-associated protein 4Homo sapiens (human)
platelet degranulationMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic metabolic processMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
bile acid and bile salt transportMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transportMultidrug resistance-associated protein 4Homo sapiens (human)
urate transportMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
cAMP transportMultidrug resistance-associated protein 4Homo sapiens (human)
leukotriene transportMultidrug resistance-associated protein 4Homo sapiens (human)
monoatomic anion transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
export across plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
transport across blood-brain barrierMultidrug resistance-associated protein 4Homo sapiens (human)
guanine nucleotide transmembrane transportMultidrug resistance-associated protein 4Homo sapiens (human)
fatty acid metabolic processBile salt export pumpHomo sapiens (human)
bile acid biosynthetic processBile salt export pumpHomo sapiens (human)
xenobiotic metabolic processBile salt export pumpHomo sapiens (human)
xenobiotic transmembrane transportBile salt export pumpHomo sapiens (human)
response to oxidative stressBile salt export pumpHomo sapiens (human)
bile acid metabolic processBile salt export pumpHomo sapiens (human)
response to organic cyclic compoundBile salt export pumpHomo sapiens (human)
bile acid and bile salt transportBile salt export pumpHomo sapiens (human)
canalicular bile acid transportBile salt export pumpHomo sapiens (human)
protein ubiquitinationBile salt export pumpHomo sapiens (human)
regulation of fatty acid beta-oxidationBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transportBile salt export pumpHomo sapiens (human)
bile acid signaling pathwayBile salt export pumpHomo sapiens (human)
cholesterol homeostasisBile salt export pumpHomo sapiens (human)
response to estrogenBile salt export pumpHomo sapiens (human)
response to ethanolBile salt export pumpHomo sapiens (human)
xenobiotic export from cellBile salt export pumpHomo sapiens (human)
lipid homeostasisBile salt export pumpHomo sapiens (human)
phospholipid homeostasisBile salt export pumpHomo sapiens (human)
positive regulation of bile acid secretionBile salt export pumpHomo sapiens (human)
regulation of bile acid metabolic processBile salt export pumpHomo sapiens (human)
transmembrane transportBile salt export pumpHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell activation involved in immune responseInterferon betaHomo sapiens (human)
cell surface receptor signaling pathwayInterferon betaHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to virusInterferon betaHomo sapiens (human)
positive regulation of autophagyInterferon betaHomo sapiens (human)
cytokine-mediated signaling pathwayInterferon betaHomo sapiens (human)
natural killer cell activationInterferon betaHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylation of STAT proteinInterferon betaHomo sapiens (human)
cellular response to interferon-betaInterferon betaHomo sapiens (human)
B cell proliferationInterferon betaHomo sapiens (human)
negative regulation of viral genome replicationInterferon betaHomo sapiens (human)
innate immune responseInterferon betaHomo sapiens (human)
positive regulation of innate immune responseInterferon betaHomo sapiens (human)
regulation of MHC class I biosynthetic processInterferon betaHomo sapiens (human)
negative regulation of T cell differentiationInterferon betaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIInterferon betaHomo sapiens (human)
defense response to virusInterferon betaHomo sapiens (human)
type I interferon-mediated signaling pathwayInterferon betaHomo sapiens (human)
neuron cellular homeostasisInterferon betaHomo sapiens (human)
cellular response to exogenous dsRNAInterferon betaHomo sapiens (human)
cellular response to virusInterferon betaHomo sapiens (human)
negative regulation of Lewy body formationInterferon betaHomo sapiens (human)
negative regulation of T-helper 2 cell cytokine productionInterferon betaHomo sapiens (human)
positive regulation of apoptotic signaling pathwayInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell differentiationInterferon betaHomo sapiens (human)
natural killer cell activation involved in immune responseInterferon betaHomo sapiens (human)
adaptive immune responseInterferon betaHomo sapiens (human)
T cell activation involved in immune responseInterferon betaHomo sapiens (human)
humoral immune responseInterferon betaHomo sapiens (human)
negative regulation of cell population proliferationCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycleCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycle G2/M phase transitionCellular tumor antigen p53Homo sapiens (human)
DNA damage responseCellular tumor antigen p53Homo sapiens (human)
ER overload responseCellular tumor antigen p53Homo sapiens (human)
cellular response to glucose starvationCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
positive regulation of miRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
negative regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
mitophagyCellular tumor antigen p53Homo sapiens (human)
in utero embryonic developmentCellular tumor antigen p53Homo sapiens (human)
somitogenesisCellular tumor antigen p53Homo sapiens (human)
release of cytochrome c from mitochondriaCellular tumor antigen p53Homo sapiens (human)
hematopoietic progenitor cell differentiationCellular tumor antigen p53Homo sapiens (human)
T cell proliferation involved in immune responseCellular tumor antigen p53Homo sapiens (human)
B cell lineage commitmentCellular tumor antigen p53Homo sapiens (human)
T cell lineage commitmentCellular tumor antigen p53Homo sapiens (human)
response to ischemiaCellular tumor antigen p53Homo sapiens (human)
nucleotide-excision repairCellular tumor antigen p53Homo sapiens (human)
double-strand break repairCellular tumor antigen p53Homo sapiens (human)
regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
protein import into nucleusCellular tumor antigen p53Homo sapiens (human)
autophagyCellular tumor antigen p53Homo sapiens (human)
DNA damage responseCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediator resulting in cell cycle arrestCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediator resulting in transcription of p21 class mediatorCellular tumor antigen p53Homo sapiens (human)
transforming growth factor beta receptor signaling pathwayCellular tumor antigen p53Homo sapiens (human)
Ras protein signal transductionCellular tumor antigen p53Homo sapiens (human)
gastrulationCellular tumor antigen p53Homo sapiens (human)
neuroblast proliferationCellular tumor antigen p53Homo sapiens (human)
negative regulation of neuroblast proliferationCellular tumor antigen p53Homo sapiens (human)
protein localizationCellular tumor antigen p53Homo sapiens (human)
negative regulation of DNA replicationCellular tumor antigen p53Homo sapiens (human)
negative regulation of cell population proliferationCellular tumor antigen p53Homo sapiens (human)
determination of adult lifespanCellular tumor antigen p53Homo sapiens (human)
mRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
rRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
response to salt stressCellular tumor antigen p53Homo sapiens (human)
response to inorganic substanceCellular tumor antigen p53Homo sapiens (human)
response to X-rayCellular tumor antigen p53Homo sapiens (human)
response to gamma radiationCellular tumor antigen p53Homo sapiens (human)
positive regulation of gene expressionCellular tumor antigen p53Homo sapiens (human)
cardiac muscle cell apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of cardiac muscle cell apoptotic processCellular tumor antigen p53Homo sapiens (human)
glial cell proliferationCellular tumor antigen p53Homo sapiens (human)
viral processCellular tumor antigen p53Homo sapiens (human)
glucose catabolic process to lactate via pyruvateCellular tumor antigen p53Homo sapiens (human)
cerebellum developmentCellular tumor antigen p53Homo sapiens (human)
negative regulation of cell growthCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
negative regulation of transforming growth factor beta receptor signaling pathwayCellular tumor antigen p53Homo sapiens (human)
mitotic G1 DNA damage checkpoint signalingCellular tumor antigen p53Homo sapiens (human)
negative regulation of telomere maintenance via telomeraseCellular tumor antigen p53Homo sapiens (human)
T cell differentiation in thymusCellular tumor antigen p53Homo sapiens (human)
tumor necrosis factor-mediated signaling pathwayCellular tumor antigen p53Homo sapiens (human)
regulation of tissue remodelingCellular tumor antigen p53Homo sapiens (human)
cellular response to UVCellular tumor antigen p53Homo sapiens (human)
multicellular organism growthCellular tumor antigen p53Homo sapiens (human)
positive regulation of mitochondrial membrane permeabilityCellular tumor antigen p53Homo sapiens (human)
cellular response to glucose starvationCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
entrainment of circadian clock by photoperiodCellular tumor antigen p53Homo sapiens (human)
mitochondrial DNA repairCellular tumor antigen p53Homo sapiens (human)
regulation of DNA damage response, signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of neuron apoptotic processCellular tumor antigen p53Homo sapiens (human)
transcription initiation-coupled chromatin remodelingCellular tumor antigen p53Homo sapiens (human)
negative regulation of proteolysisCellular tumor antigen p53Homo sapiens (human)
negative regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
positive regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
positive regulation of RNA polymerase II transcription preinitiation complex assemblyCellular tumor antigen p53Homo sapiens (human)
positive regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
response to antibioticCellular tumor antigen p53Homo sapiens (human)
fibroblast proliferationCellular tumor antigen p53Homo sapiens (human)
negative regulation of fibroblast proliferationCellular tumor antigen p53Homo sapiens (human)
circadian behaviorCellular tumor antigen p53Homo sapiens (human)
bone marrow developmentCellular tumor antigen p53Homo sapiens (human)
embryonic organ developmentCellular tumor antigen p53Homo sapiens (human)
positive regulation of peptidyl-tyrosine phosphorylationCellular tumor antigen p53Homo sapiens (human)
protein stabilizationCellular tumor antigen p53Homo sapiens (human)
negative regulation of helicase activityCellular tumor antigen p53Homo sapiens (human)
protein tetramerizationCellular tumor antigen p53Homo sapiens (human)
chromosome organizationCellular tumor antigen p53Homo sapiens (human)
neuron apoptotic processCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycleCellular tumor antigen p53Homo sapiens (human)
hematopoietic stem cell differentiationCellular tumor antigen p53Homo sapiens (human)
negative regulation of glial cell proliferationCellular tumor antigen p53Homo sapiens (human)
type II interferon-mediated signaling pathwayCellular tumor antigen p53Homo sapiens (human)
cardiac septum morphogenesisCellular tumor antigen p53Homo sapiens (human)
positive regulation of programmed necrotic cell deathCellular tumor antigen p53Homo sapiens (human)
protein-containing complex assemblyCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to endoplasmic reticulum stressCellular tumor antigen p53Homo sapiens (human)
thymocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of thymocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
necroptotic processCellular tumor antigen p53Homo sapiens (human)
cellular response to hypoxiaCellular tumor antigen p53Homo sapiens (human)
cellular response to xenobiotic stimulusCellular tumor antigen p53Homo sapiens (human)
cellular response to ionizing radiationCellular tumor antigen p53Homo sapiens (human)
cellular response to gamma radiationCellular tumor antigen p53Homo sapiens (human)
cellular response to UV-CCellular tumor antigen p53Homo sapiens (human)
stem cell proliferationCellular tumor antigen p53Homo sapiens (human)
signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
cellular response to actinomycin DCellular tumor antigen p53Homo sapiens (human)
positive regulation of release of cytochrome c from mitochondriaCellular tumor antigen p53Homo sapiens (human)
cellular senescenceCellular tumor antigen p53Homo sapiens (human)
replicative senescenceCellular tumor antigen p53Homo sapiens (human)
oxidative stress-induced premature senescenceCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathwayCellular tumor antigen p53Homo sapiens (human)
oligodendrocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of execution phase of apoptosisCellular tumor antigen p53Homo sapiens (human)
negative regulation of mitophagyCellular tumor antigen p53Homo sapiens (human)
regulation of mitochondrial membrane permeability involved in apoptotic processCellular tumor antigen p53Homo sapiens (human)
regulation of intrinsic apoptotic signaling pathway by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of miRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
negative regulation of G1 to G0 transitionCellular tumor antigen p53Homo sapiens (human)
negative regulation of miRNA processingCellular tumor antigen p53Homo sapiens (human)
negative regulation of glucose catabolic process to lactate via pyruvateCellular tumor antigen p53Homo sapiens (human)
negative regulation of pentose-phosphate shuntCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to hypoxiaCellular tumor antigen p53Homo sapiens (human)
regulation of fibroblast apoptotic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of stem cell proliferationCellular tumor antigen p53Homo sapiens (human)
positive regulation of cellular senescenceCellular tumor antigen p53Homo sapiens (human)
positive regulation of intrinsic apoptotic signaling pathwayCellular tumor antigen p53Homo sapiens (human)
calcium ion homeostasisAlpha-synucleinHomo sapiens (human)
negative regulation of transcription by RNA polymerase IIAlpha-synucleinHomo sapiens (human)
microglial cell activationAlpha-synucleinHomo sapiens (human)
positive regulation of receptor recyclingAlpha-synucleinHomo sapiens (human)
positive regulation of neurotransmitter secretionAlpha-synucleinHomo sapiens (human)
negative regulation of protein kinase activityAlpha-synucleinHomo sapiens (human)
fatty acid metabolic processAlpha-synucleinHomo sapiens (human)
neutral lipid metabolic processAlpha-synucleinHomo sapiens (human)
phospholipid metabolic processAlpha-synucleinHomo sapiens (human)
activation of cysteine-type endopeptidase activity involved in apoptotic processAlpha-synucleinHomo sapiens (human)
mitochondrial membrane organizationAlpha-synucleinHomo sapiens (human)
adult locomotory behaviorAlpha-synucleinHomo sapiens (human)
response to xenobiotic stimulusAlpha-synucleinHomo sapiens (human)
response to iron(II) ionAlpha-synucleinHomo sapiens (human)
regulation of phospholipase activityAlpha-synucleinHomo sapiens (human)
negative regulation of platelet-derived growth factor receptor signaling pathwayAlpha-synucleinHomo sapiens (human)
regulation of glutamate secretionAlpha-synucleinHomo sapiens (human)
regulation of dopamine secretionAlpha-synucleinHomo sapiens (human)
synaptic vesicle exocytosisAlpha-synucleinHomo sapiens (human)
synaptic vesicle primingAlpha-synucleinHomo sapiens (human)
regulation of transmembrane transporter activityAlpha-synucleinHomo sapiens (human)
negative regulation of microtubule polymerizationAlpha-synucleinHomo sapiens (human)
receptor internalizationAlpha-synucleinHomo sapiens (human)
protein destabilizationAlpha-synucleinHomo sapiens (human)
response to magnesium ionAlpha-synucleinHomo sapiens (human)
negative regulation of transporter activityAlpha-synucleinHomo sapiens (human)
response to lipopolysaccharideAlpha-synucleinHomo sapiens (human)
negative regulation of monooxygenase activityAlpha-synucleinHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylationAlpha-synucleinHomo sapiens (human)
response to type II interferonAlpha-synucleinHomo sapiens (human)
cellular response to oxidative stressAlpha-synucleinHomo sapiens (human)
SNARE complex assemblyAlpha-synucleinHomo sapiens (human)
positive regulation of SNARE complex assemblyAlpha-synucleinHomo sapiens (human)
regulation of locomotionAlpha-synucleinHomo sapiens (human)
dopamine biosynthetic processAlpha-synucleinHomo sapiens (human)
mitochondrial ATP synthesis coupled electron transportAlpha-synucleinHomo sapiens (human)
regulation of macrophage activationAlpha-synucleinHomo sapiens (human)
positive regulation of apoptotic processAlpha-synucleinHomo sapiens (human)
negative regulation of apoptotic processAlpha-synucleinHomo sapiens (human)
negative regulation of cysteine-type endopeptidase activity involved in apoptotic processAlpha-synucleinHomo sapiens (human)
negative regulation of neuron apoptotic processAlpha-synucleinHomo sapiens (human)
positive regulation of endocytosisAlpha-synucleinHomo sapiens (human)
negative regulation of exocytosisAlpha-synucleinHomo sapiens (human)
positive regulation of exocytosisAlpha-synucleinHomo sapiens (human)
regulation of long-term neuronal synaptic plasticityAlpha-synucleinHomo sapiens (human)
synaptic vesicle endocytosisAlpha-synucleinHomo sapiens (human)
synaptic vesicle transportAlpha-synucleinHomo sapiens (human)
positive regulation of inflammatory responseAlpha-synucleinHomo sapiens (human)
regulation of acyl-CoA biosynthetic processAlpha-synucleinHomo sapiens (human)
protein tetramerizationAlpha-synucleinHomo sapiens (human)
positive regulation of release of sequestered calcium ion into cytosolAlpha-synucleinHomo sapiens (human)
neuron apoptotic processAlpha-synucleinHomo sapiens (human)
dopamine uptake involved in synaptic transmissionAlpha-synucleinHomo sapiens (human)
negative regulation of dopamine uptake involved in synaptic transmissionAlpha-synucleinHomo sapiens (human)
negative regulation of serotonin uptakeAlpha-synucleinHomo sapiens (human)
regulation of norepinephrine uptakeAlpha-synucleinHomo sapiens (human)
negative regulation of norepinephrine uptakeAlpha-synucleinHomo sapiens (human)
excitatory postsynaptic potentialAlpha-synucleinHomo sapiens (human)
long-term synaptic potentiationAlpha-synucleinHomo sapiens (human)
positive regulation of inositol phosphate biosynthetic processAlpha-synucleinHomo sapiens (human)
negative regulation of thrombin-activated receptor signaling pathwayAlpha-synucleinHomo sapiens (human)
response to interleukin-1Alpha-synucleinHomo sapiens (human)
cellular response to copper ionAlpha-synucleinHomo sapiens (human)
cellular response to epinephrine stimulusAlpha-synucleinHomo sapiens (human)
positive regulation of protein serine/threonine kinase activityAlpha-synucleinHomo sapiens (human)
supramolecular fiber organizationAlpha-synucleinHomo sapiens (human)
negative regulation of mitochondrial electron transport, NADH to ubiquinoneAlpha-synucleinHomo sapiens (human)
positive regulation of glutathione peroxidase activityAlpha-synucleinHomo sapiens (human)
positive regulation of hydrogen peroxide catabolic processAlpha-synucleinHomo sapiens (human)
regulation of synaptic vesicle recyclingAlpha-synucleinHomo sapiens (human)
regulation of reactive oxygen species biosynthetic processAlpha-synucleinHomo sapiens (human)
positive regulation of protein localization to cell peripheryAlpha-synucleinHomo sapiens (human)
negative regulation of chaperone-mediated autophagyAlpha-synucleinHomo sapiens (human)
regulation of presynapse assemblyAlpha-synucleinHomo sapiens (human)
amyloid fibril formationAlpha-synucleinHomo sapiens (human)
synapse organizationAlpha-synucleinHomo sapiens (human)
chemical synaptic transmissionAlpha-synucleinHomo sapiens (human)
xenobiotic metabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
negative regulation of gene expressionCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bile acid and bile salt transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
heme catabolic processCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic export from cellCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transepithelial transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
leukotriene transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
monoatomic anion transmembrane transportCanalicular multispecific organic anion transporter 1Homo sapiens (human)
transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transport across blood-brain barrierCanalicular multispecific organic anion transporter 1Homo sapiens (human)
cell population proliferationATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of B cell proliferationATPase family AAA domain-containing protein 5Homo sapiens (human)
nuclear DNA replicationATPase family AAA domain-containing protein 5Homo sapiens (human)
signal transduction in response to DNA damageATPase family AAA domain-containing protein 5Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorATPase family AAA domain-containing protein 5Homo sapiens (human)
isotype switchingATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of DNA replicationATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of isotype switching to IgG isotypesATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA clamp unloadingATPase family AAA domain-containing protein 5Homo sapiens (human)
regulation of mitotic cell cycle phase transitionATPase family AAA domain-containing protein 5Homo sapiens (human)
negative regulation of intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of cell cycle G2/M phase transitionATPase family AAA domain-containing protein 5Homo sapiens (human)
negative regulation of receptor internalizationAtaxin-2Homo sapiens (human)
regulation of translationAtaxin-2Homo sapiens (human)
RNA metabolic processAtaxin-2Homo sapiens (human)
P-body assemblyAtaxin-2Homo sapiens (human)
stress granule assemblyAtaxin-2Homo sapiens (human)
RNA transportAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (86)

Processvia Protein(s)Taxonomy
ATP bindingATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type xenobiotic transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
glucuronoside transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type bile acid transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATP hydrolysis activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
xenobiotic transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
icosanoid transmembrane transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
ABC-type transporter activityATP-binding cassette sub-family C member 3Homo sapiens (human)
guanine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
protein bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ATP bindingMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type xenobiotic transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
prostaglandin transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
urate transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
purine nucleotide transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type bile acid transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
efflux transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
15-hydroxyprostaglandin dehydrogenase (NAD+) activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATP hydrolysis activityMultidrug resistance-associated protein 4Homo sapiens (human)
glutathione transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
xenobiotic transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
ABC-type transporter activityMultidrug resistance-associated protein 4Homo sapiens (human)
protein bindingBile salt export pumpHomo sapiens (human)
ATP bindingBile salt export pumpHomo sapiens (human)
ABC-type xenobiotic transporter activityBile salt export pumpHomo sapiens (human)
bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
canalicular bile acid transmembrane transporter activityBile salt export pumpHomo sapiens (human)
carbohydrate transmembrane transporter activityBile salt export pumpHomo sapiens (human)
ABC-type bile acid transporter activityBile salt export pumpHomo sapiens (human)
ATP hydrolysis activityBile salt export pumpHomo sapiens (human)
cytokine activityInterferon betaHomo sapiens (human)
cytokine receptor bindingInterferon betaHomo sapiens (human)
type I interferon receptor bindingInterferon betaHomo sapiens (human)
protein bindingInterferon betaHomo sapiens (human)
chloramphenicol O-acetyltransferase activityInterferon betaHomo sapiens (human)
transcription cis-regulatory region bindingCellular tumor antigen p53Homo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
cis-regulatory region sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
core promoter sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
TFIID-class transcription factor complex bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription repressor activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
protease bindingCellular tumor antigen p53Homo sapiens (human)
p53 bindingCellular tumor antigen p53Homo sapiens (human)
DNA bindingCellular tumor antigen p53Homo sapiens (human)
chromatin bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription factor activityCellular tumor antigen p53Homo sapiens (human)
mRNA 3'-UTR bindingCellular tumor antigen p53Homo sapiens (human)
copper ion bindingCellular tumor antigen p53Homo sapiens (human)
protein bindingCellular tumor antigen p53Homo sapiens (human)
zinc ion bindingCellular tumor antigen p53Homo sapiens (human)
enzyme bindingCellular tumor antigen p53Homo sapiens (human)
receptor tyrosine kinase bindingCellular tumor antigen p53Homo sapiens (human)
ubiquitin protein ligase bindingCellular tumor antigen p53Homo sapiens (human)
histone deacetylase regulator activityCellular tumor antigen p53Homo sapiens (human)
ATP-dependent DNA/DNA annealing activityCellular tumor antigen p53Homo sapiens (human)
identical protein bindingCellular tumor antigen p53Homo sapiens (human)
histone deacetylase bindingCellular tumor antigen p53Homo sapiens (human)
protein heterodimerization activityCellular tumor antigen p53Homo sapiens (human)
protein-folding chaperone bindingCellular tumor antigen p53Homo sapiens (human)
protein phosphatase 2A bindingCellular tumor antigen p53Homo sapiens (human)
RNA polymerase II-specific DNA-binding transcription factor bindingCellular tumor antigen p53Homo sapiens (human)
14-3-3 protein bindingCellular tumor antigen p53Homo sapiens (human)
MDM2/MDM4 family protein bindingCellular tumor antigen p53Homo sapiens (human)
disordered domain specific bindingCellular tumor antigen p53Homo sapiens (human)
general transcription initiation factor bindingCellular tumor antigen p53Homo sapiens (human)
molecular function activator activityCellular tumor antigen p53Homo sapiens (human)
promoter-specific chromatin bindingCellular tumor antigen p53Homo sapiens (human)
fatty acid bindingAlpha-synucleinHomo sapiens (human)
phospholipase D inhibitor activityAlpha-synucleinHomo sapiens (human)
SNARE bindingAlpha-synucleinHomo sapiens (human)
magnesium ion bindingAlpha-synucleinHomo sapiens (human)
transcription cis-regulatory region bindingAlpha-synucleinHomo sapiens (human)
actin bindingAlpha-synucleinHomo sapiens (human)
protein kinase inhibitor activityAlpha-synucleinHomo sapiens (human)
copper ion bindingAlpha-synucleinHomo sapiens (human)
calcium ion bindingAlpha-synucleinHomo sapiens (human)
protein bindingAlpha-synucleinHomo sapiens (human)
phospholipid bindingAlpha-synucleinHomo sapiens (human)
ferrous iron bindingAlpha-synucleinHomo sapiens (human)
zinc ion bindingAlpha-synucleinHomo sapiens (human)
lipid bindingAlpha-synucleinHomo sapiens (human)
oxidoreductase activityAlpha-synucleinHomo sapiens (human)
kinesin bindingAlpha-synucleinHomo sapiens (human)
Hsp70 protein bindingAlpha-synucleinHomo sapiens (human)
histone bindingAlpha-synucleinHomo sapiens (human)
identical protein bindingAlpha-synucleinHomo sapiens (human)
alpha-tubulin bindingAlpha-synucleinHomo sapiens (human)
cysteine-type endopeptidase inhibitor activity involved in apoptotic processAlpha-synucleinHomo sapiens (human)
tau protein bindingAlpha-synucleinHomo sapiens (human)
phosphoprotein bindingAlpha-synucleinHomo sapiens (human)
molecular adaptor activityAlpha-synucleinHomo sapiens (human)
dynein complex bindingAlpha-synucleinHomo sapiens (human)
cuprous ion bindingAlpha-synucleinHomo sapiens (human)
protein bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP bindingCanalicular multispecific organic anion transporter 1Homo sapiens (human)
organic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type xenobiotic transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
bilirubin transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type glutathione S-conjugate transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATP hydrolysis activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
xenobiotic transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ATPase-coupled inorganic anion transmembrane transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
ABC-type transporter activityCanalicular multispecific organic anion transporter 1Homo sapiens (human)
protein bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
ATP bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
ATP hydrolysis activityATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA clamp unloader activityATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
RNA bindingAtaxin-2Homo sapiens (human)
epidermal growth factor receptor bindingAtaxin-2Homo sapiens (human)
protein bindingAtaxin-2Homo sapiens (human)
mRNA bindingAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (55)

Processvia Protein(s)Taxonomy
plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basal plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
basolateral plasma membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
membraneATP-binding cassette sub-family C member 3Homo sapiens (human)
nucleolusMultidrug resistance-associated protein 4Homo sapiens (human)
Golgi apparatusMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
membraneMultidrug resistance-associated protein 4Homo sapiens (human)
basolateral plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
platelet dense granule membraneMultidrug resistance-associated protein 4Homo sapiens (human)
external side of apical plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
plasma membraneMultidrug resistance-associated protein 4Homo sapiens (human)
basolateral plasma membraneBile salt export pumpHomo sapiens (human)
Golgi membraneBile salt export pumpHomo sapiens (human)
endosomeBile salt export pumpHomo sapiens (human)
plasma membraneBile salt export pumpHomo sapiens (human)
cell surfaceBile salt export pumpHomo sapiens (human)
apical plasma membraneBile salt export pumpHomo sapiens (human)
intercellular canaliculusBile salt export pumpHomo sapiens (human)
intracellular canaliculusBile salt export pumpHomo sapiens (human)
recycling endosomeBile salt export pumpHomo sapiens (human)
recycling endosome membraneBile salt export pumpHomo sapiens (human)
extracellular exosomeBile salt export pumpHomo sapiens (human)
membraneBile salt export pumpHomo sapiens (human)
extracellular spaceInterferon betaHomo sapiens (human)
extracellular regionInterferon betaHomo sapiens (human)
nuclear bodyCellular tumor antigen p53Homo sapiens (human)
nucleusCellular tumor antigen p53Homo sapiens (human)
nucleoplasmCellular tumor antigen p53Homo sapiens (human)
replication forkCellular tumor antigen p53Homo sapiens (human)
nucleolusCellular tumor antigen p53Homo sapiens (human)
cytoplasmCellular tumor antigen p53Homo sapiens (human)
mitochondrionCellular tumor antigen p53Homo sapiens (human)
mitochondrial matrixCellular tumor antigen p53Homo sapiens (human)
endoplasmic reticulumCellular tumor antigen p53Homo sapiens (human)
centrosomeCellular tumor antigen p53Homo sapiens (human)
cytosolCellular tumor antigen p53Homo sapiens (human)
nuclear matrixCellular tumor antigen p53Homo sapiens (human)
PML bodyCellular tumor antigen p53Homo sapiens (human)
transcription repressor complexCellular tumor antigen p53Homo sapiens (human)
site of double-strand breakCellular tumor antigen p53Homo sapiens (human)
germ cell nucleusCellular tumor antigen p53Homo sapiens (human)
chromatinCellular tumor antigen p53Homo sapiens (human)
transcription regulator complexCellular tumor antigen p53Homo sapiens (human)
protein-containing complexCellular tumor antigen p53Homo sapiens (human)
platelet alpha granule membraneAlpha-synucleinHomo sapiens (human)
extracellular regionAlpha-synucleinHomo sapiens (human)
extracellular spaceAlpha-synucleinHomo sapiens (human)
nucleusAlpha-synucleinHomo sapiens (human)
cytoplasmAlpha-synucleinHomo sapiens (human)
mitochondrionAlpha-synucleinHomo sapiens (human)
lysosomeAlpha-synucleinHomo sapiens (human)
cytosolAlpha-synucleinHomo sapiens (human)
plasma membraneAlpha-synucleinHomo sapiens (human)
cell cortexAlpha-synucleinHomo sapiens (human)
actin cytoskeletonAlpha-synucleinHomo sapiens (human)
membraneAlpha-synucleinHomo sapiens (human)
inclusion bodyAlpha-synucleinHomo sapiens (human)
axonAlpha-synucleinHomo sapiens (human)
growth coneAlpha-synucleinHomo sapiens (human)
synaptic vesicle membraneAlpha-synucleinHomo sapiens (human)
perinuclear region of cytoplasmAlpha-synucleinHomo sapiens (human)
postsynapseAlpha-synucleinHomo sapiens (human)
supramolecular fiberAlpha-synucleinHomo sapiens (human)
protein-containing complexAlpha-synucleinHomo sapiens (human)
cytoplasmAlpha-synucleinHomo sapiens (human)
axon terminusAlpha-synucleinHomo sapiens (human)
neuronal cell bodyAlpha-synucleinHomo sapiens (human)
virion membraneSpike glycoproteinSevere acute respiratory syndrome-related coronavirus
plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
cell surfaceCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
intercellular canaliculusCanalicular multispecific organic anion transporter 1Homo sapiens (human)
apical plasma membraneCanalicular multispecific organic anion transporter 1Homo sapiens (human)
Elg1 RFC-like complexATPase family AAA domain-containing protein 5Homo sapiens (human)
nucleusATPase family AAA domain-containing protein 5Homo sapiens (human)
cytoplasmAtaxin-2Homo sapiens (human)
Golgi apparatusAtaxin-2Homo sapiens (human)
trans-Golgi networkAtaxin-2Homo sapiens (human)
cytosolAtaxin-2Homo sapiens (human)
cytoplasmic stress granuleAtaxin-2Homo sapiens (human)
membraneAtaxin-2Homo sapiens (human)
perinuclear region of cytoplasmAtaxin-2Homo sapiens (human)
ribonucleoprotein complexAtaxin-2Homo sapiens (human)
cytoplasmic stress granuleAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (48)

Assay IDTitleYearJournalArticle
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1347093qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-MC cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347105qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for MG 63 (6-TG R) cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347107qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh30 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347092qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for A673 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347099qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB1643 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID1347086qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lymphocytic Choriomeningitis Arenaviruses (LCMV): LCMV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID1347097qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Saos-2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347108qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh41 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347154Primary screen GU AMC qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347103qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for OHS-50 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347425Rhodamine-PBP qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347104qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for RD cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347424RapidFire Mass Spectrometry qHTS Assay for Modulators of WT P53-Induced Phosphatase 1 (WIP1)2019The Journal of biological chemistry, 11-15, Volume: 294, Issue:46
Physiologically relevant orthogonal assays for the discovery of small-molecule modulators of WIP1 phosphatase in high-throughput screens.
AID1347100qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for LAN-5 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347101qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-12 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347095qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for NB-EBc1 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1508630Primary qHTS for small molecule stabilizers of the endoplasmic reticulum resident proteome: Secreted ER Calcium Modulated Protein (SERCaMP) assay2021Cell reports, 04-27, Volume: 35, Issue:4
A target-agnostic screen identifies approved drugs to stabilize the endoplasmic reticulum-resident proteome.
AID1347407qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Pharmaceutical Collection2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
AID1347098qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SK-N-SH cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347089qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for TC32 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347096qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for U-2 OS cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347082qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: LASV Primary Screen - GLuc reporter signal2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347094qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for BT-37 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347090qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for DAOY cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347091qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for SJ-GBM2 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347083qHTS for Inhibitors of the Functional Ribonucleoprotein Complex (vRNP) of Lassa (LASV) Arenavirus: Viability assay - alamar blue signal for LASV Primary Screen2020Antiviral research, 01, Volume: 173A cell-based, infectious-free, platform to identify inhibitors of lassa virus ribonucleoprotein (vRNP) activity.
AID1347102qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for Rh18 cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID1347106qHTS of pediatric cancer cell lines to identify multiple opportunities for drug repurposing: Primary screen for control Hh wild type fibroblast cells2018Oncotarget, Jan-12, Volume: 9, Issue:4
Quantitative high-throughput phenotypic screening of pediatric cancer cell lines identifies multiple opportunities for drug repurposing.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID1473741Inhibition of human MRP4 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID511218Binding affinity to human serum albumin at pH 8.52010European journal of medicinal chemistry, Sep, Volume: 45, Issue:9
Study on the binding of chiral drug duloxetine hydrochloride to human serum albumin.
AID1473738Inhibition of human BSEP overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-taurocholate in presence of ATP measured after 15 to 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1473739Inhibition of human MRP2 overexpressed in Sf9 cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 20 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID1473740Inhibition of human MRP3 overexpressed in Sf9 insect cell membrane vesicles assessed as uptake of [3H]-estradiol-17beta-D-glucuronide in presence of ATP and GSH measured after 10 mins by membrane vesicle transport assay2013Toxicological sciences : an official journal of the Society of Toxicology, Nov, Volume: 136, Issue:1
A multifactorial approach to hepatobiliary transporter assessment enables improved therapeutic compound development.
AID511217Binding affinity to human serum albumin at pH 7.42010European journal of medicinal chemistry, Sep, Volume: 45, Issue:9
Study on the binding of chiral drug duloxetine hydrochloride to human serum albumin.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (1,745)

TimeframeStudies, This Drug (%)All Drugs %
pre-19901 (0.06)18.7374
1990's25 (1.43)18.2507
2000's536 (30.72)29.6817
2010's890 (51.00)24.3611
2020's293 (16.79)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 72.57

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index72.57 (24.57)
Research Supply Index7.75 (2.92)
Research Growth Index6.76 (4.65)
Search Engine Demand Index125.61 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (72.57)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials441 (23.37%)5.53%
Reviews382 (20.24%)6.00%
Case Studies258 (13.67%)4.05%
Observational10 (0.53%)0.25%
Other796 (42.18%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (352)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effects of Duloxetine on Postoperative Wound Complication of Total Knee Arthroplasty(TKA) in Central Sensitization Patient [NCT03880916]80 participants (Anticipated)Interventional2019-03-30Not yet recruiting
Duloxetine (Cymbalta) in the Reduction of Pain Severity in Patient With Systemic Lupus Erythematosus: A Pilot Study [NCT01269866]26 participants (Actual)Interventional2010-12-31Completed
Randomized Double-blind Study Comparing the Efficacy of Duloxetine With Placebo in Patients With Chronic Low Back Pain With a Radicular Component [NCT01166048]Phase 441 participants (Actual)Interventional2010-05-31Completed
A Pilot Study of Duloxetine in Psychological Resilience and Its Correlation With Blockade of Serotonin and Norepinephrine Transporter [NCT00331799]Phase 218 participants (Actual)Interventional2007-04-30Completed
Mechanism-based Choice of Therapy for Neuropathic Pain: Can Treatments Success in Neuropathic Post-operative Pain be Coupled to Psychophysical Pain Modulation Profile? [NCT01359514]32 participants (Actual)Interventional2008-04-30Completed
Duloxetine(Cymbalta) for Fibromyalgia: An Open-Label Pilot Study to Assess Potential Mechanisms for Fibromyalgia in Peripheral Tissue Innervation That Could Predict Therapeutic Responsiveness to Duloxetine [NCT01127490]25 participants (Actual)Interventional2010-05-05Completed
Capsaicin 179 mg Patch Versus Oral Duloxetine in Patients With Chemotherapy-induced Peripheral Neuropathy : a Phase 3 Randomized Multicentric Open-label Study. [NCT05840562]Phase 3274 participants (Anticipated)Interventional2023-09-30Not yet recruiting
A Double-blind, Randomised, Multicenter, Comparative Study of Escitalopram and Duloxetine in Outpatients With Major Depressive Disorder [NCT01148472]Phase 4294 participants (Actual)Interventional2005-09-30Completed
A Novel Drug Combination for Alcohol-Use Disorders: A Human Laboratory Study [NCT03575403]Phase 119 participants (Actual)Interventional2018-09-01Completed
A PHASE IV, SINGLE-DOSE, OPEN-LABEL, RANDOMIZED, 2-WAY CROSSOVER STUDY TO DETERMINE THE BIOEQUIVALENCE OF DULOXETINE HYDROCHLORIDE HARD GELATINOUS CAPSULE WITH DELAYED RELEASE MICROGRANULES (60 MG; PFIZER S.R.L - ARGENTINA.) COMPARED TO CYMBALTA (REGISTER [NCT03794154]Phase 40 participants (Actual)Interventional2020-03-30Withdrawn(stopped due to This study has been cancelled prior to FSFV due to business reasons)
Pre-emptive Effect of Duloxetine in the Second Knee in Staged Total Knee Arthroplasty: A Randomized Controlled Study [NCT03792828]Phase 490 participants (Anticipated)Interventional2019-01-31Not yet recruiting
A PHASE IV, SINGLE-DOSE, OPEN-LABEL, RANDOMIZED, 2-WAY CROSSOVER STUDY TO DETERMINE THE BIOEQUIVALENCE OF DULOXETINE HYDROCHLORIDE HARD GELATINOUS CAPSULE WITH DELAYED RELEASE MICROGRANULES (60 MG; PFIZER S.R.L - ARGENTINA) COMPARED WITH CYMBALTA(REGISTER [NCT03729284]Phase 40 participants (Actual)Interventional2020-03-30Withdrawn(stopped due to This study has been cancelled prior to FSFV due to business reasons)
Efficacy, Safety, Tolerability and Pharmacokinetics of Concomitant Administration of Tramadol With Duloxetine or Pregabalin: a Randomized Controlled Flexible-dose Study in Patients With Neuropathic Pain [NCT01116531]Phase 40 participants (Actual)Interventional2010-04-30Withdrawn
Mechanism-based Choice of Therapy: Can Treatments Success in Fibromyalgia Patients be Coupled to Psychophysical Pain Modulation Profile? [NCT01268631]150 participants (Anticipated)Interventional2011-01-31Not yet recruiting
Pretreatment Identification of Duloxetine Success in Neuropathic Pain Patients Based on Assessment of Endogenous Analgesia Capabilities [NCT01363284]51 participants (Actual)Interventional2010-06-30Completed
EEG Signal Processing as a Predictor of Antidepressant Response [NCT01369290]150 participants (Anticipated)Observational2009-10-31Recruiting
A Long-term Safety Study of Duloxetine Hydrochloride in the Treatment of Japanese Children and Adolescents With Depressive Disorder [NCT03395353]Phase 3151 participants (Actual)Interventional2018-01-29Terminated(stopped due to Business decision)
A Double-blind, Efficacy and Safety Study of Duloxetine Hydrochloride Versus Placebo in the Treatment of Japanese Children and Adolescents With Depressive Disorder [NCT03315793]Phase 3149 participants (Actual)Interventional2017-12-04Completed
A Prospective, Triple-Blind, Randomized Controlled Trial Evaluating Duloxetine on Post-Operative Outcomes Following Primary Total Knee Arthroplasty in Patients With and Without Central Sensitization [NCT05086393]Phase 4504 participants (Anticipated)Interventional2021-11-01Recruiting
Effect of Preoperative Duloxetine on Quality of Recovery After Outpatient Laparoscopic Surgery [NCT02351440]Phase 40 participants (Actual)Interventional2016-04-30Withdrawn
Clinical Psychopharmacology Division,Institute of Mental Health,Peking University [NCT03148522]120 participants (Anticipated)Interventional2017-06-01Recruiting
Effect of Duloxetine on Opioid Use After Total Knee Arthroplasty: A Double-blinded Randomized Control Trial [NCT03271151]Phase 4160 participants (Actual)Interventional2017-09-28Completed
Brain Morphometric Study in Knee Osteoarthritis Patients Treated With Duloxetine [NCT02903238]21 participants (Actual)Interventional2011-07-31Completed
A Randomized Phase II Study Comparing Lorcaserin Versus Duloxetine for the Treatment of Chemotherapy-Induced Peripheral Neuropathy Produced by Oxaliplatin [NCT03812523]Phase 250 participants (Anticipated)Interventional2019-06-30Not yet recruiting
Effects of Duloxetine on Postoperative Pain Control and Knee Rehabilitation After Open Reduction Internal Fixation of Tibial Plateau Fractures [NCT04639011]Phase 40 participants (Actual)Interventional2022-10-31Withdrawn(stopped due to Study was not conducted because funding was not obtained.)
Maintenance Therapies in Late-Life Depression: MTLD III [NCT00177671]Phase 4220 participants (Actual)Interventional2003-12-31Completed
Analgesic Efficacy of Duloxetine in Patients Undergoing Lumbar Discectomy: Randomized Trial [NCT03549026]70 participants (Anticipated)Interventional2018-01-05Recruiting
The BEST Trial: Biomarkers for Evaluating Spine Treatments [NCT05396014]Phase 4820 participants (Anticipated)Interventional2022-09-12Recruiting
A Randomized, Double-Blind, Active-Controlled, International, Multicenter Study to Evaluate the Efficacy, Safety, and Tolerability of Flexibly-dosed Esketamine Nasal Spray Plus a New Standard-of-care Oral Antidepressant or Placebo Nasal Spray Plus a New S [NCT03852160]Phase 30 participants (Actual)Interventional2019-12-01Withdrawn(stopped due to New design was developed to better fit company strategy, a new study has replaced 5413541TRD3011 study)
Psychiatric Orders in Psychoanalytic Treatment of ASD [NCT05930912]1 participants (Actual)Observational2023-06-01Active, not recruiting
A Feasibility and Pilot Study of Combined Treatment Protocol Using Aerobic Exercise and Duloxetine in Older Adults With Symptomatic Knee Osteoarthritis and Comorbid Depression [NCT04111627]Phase 230 participants (Anticipated)Interventional2021-10-07Recruiting
An Open-label Feasibility Study of Duloxetine in Adolescents With Juvenile Primary Fibromyalgia Syndrome: A Pilot Study [NCT01089621]Phase 40 participants (Actual)Interventional2010-03-31Withdrawn(stopped due to Terminated due to study design changes; zero patients enrolled.)
Initial Severity and Antidepressant Efficacy for Anxiety Disorders: an Individual Patient Data Meta-analysis [NCT02476136]8,800 participants (Anticipated)Observational2015-05-31Active, not recruiting
Comparing Effectiveness of Duloxetine and Desipramine in Patients With Chronic Pain: A Pragmatic Trial Using Point of Care Randomization [NCT03548454]Phase 4320 participants (Anticipated)Interventional2018-09-20Recruiting
A Ten-week, Randomized, Double-blind Study Evaluating the Efficacy of Duloxetine 60 mg Once Daily Versus Placebo in Outpatients With Major Depressive Disorder and Pain (EU-Pain Enriched Study) [NCT02232555]Phase 3327 participants Interventional2005-05-31Completed
A Multicenter, Randomized, Double-Blind, Active Controlled, Comparative, Fixed-Dose, Dose Response Study of the Efficacy and Safety of BMS-820836 in Patients With Treatment Resistant Major Depression (TRD). [NCT01369095]Phase 2976 participants (Actual)Interventional2011-07-31Completed
Single Dose Crossover Comparative Bioavailability Study of Duloxetine Delayed-Release Capsules 60 mg in Healthy Adult Human Subjects Under Fasting Conditions [NCT02291367]Phase 176 participants (Actual)Interventional2008-05-31Completed
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 Prediction Study of Multiple Indexes of the Effect of Different Mechanisms of Antidepressants Treatment on Depression [NCT03623711]Early Phase 1200 participants (Anticipated)Interventional2018-08-01Recruiting
A Prospective Randomized Controlled Study Comparing the Efficacy of Pelvic Floor Muscle Training and Oral Duloxetine in the Recovery of Continence After Robotic Assisted Radical Prostatectomy [NCT02367404]Phase 3240 participants (Anticipated)Interventional2015-05-31Recruiting
A Randomized, Double-blind, Multicenter, Active-Controlled Study of Intranasal Esketamine Plus an Oral Antidepressant for Relapse Prevention in Treatment-resistant Depression [NCT02493868]Phase 3719 participants (Actual)Interventional2015-10-01Completed
The Clinical Effect of Pregabalin on Neuropathic Pain in Central Sensitized Patients Who Are Treated With Duloxetine After Total Knee Arthroplasty: Randomized Controlled Trial. [NCT05254652]90 participants (Anticipated)Interventional2022-05-31Not yet recruiting
The Effect of Preoperative Duloxetine on the Occurance of Postoperative Delirium in Patients Undergoing Cancer Surgery . [NCT05949229]Phase 1/Phase 242 participants (Anticipated)Interventional2023-08-31Not yet recruiting
The Cymbalta Pregnancy Registry [NCT01074151]144 participants (Actual)Observational2009-07-31Completed
Tolerability and Safety of 40 mg and 100 mg Duloxetine BID Given Over 7 Days in Healthy Female Subjects. A Randomised, Placebo-controlled Double-blind Trial. [NCT02232542]Phase 132 participants (Actual)Interventional2003-06-30Completed
Comparison of the Efficacy and Safety of Duloxetine Augmented With Gabapentin and Duloxetine Augmented With Amitriptyline vs Duloxetine Alone in Chemotherapy -Induced Neuropathy: A Randomized Controlled Trial [NCT06091553]Phase 2160 participants (Anticipated)Interventional2023-10-20Not yet recruiting
A Novel Drug Combination as a Pharmacotherapeutic for Methamphetamine-Use Disorder [NCT04178993]Phase 18 participants (Actual)Interventional2019-09-01Completed
Risk of Phenoconversion in Genetic Extensive Metabolizers Healthy Volunteers Carriers of One Fully-Functional and One Non-Functional Allele Versus Carriers of Two Fully-Functional Alleles [NCT03054220]34 participants (Actual)Interventional2016-07-31Completed
Duloxetine Potentiates the Analgesic Efficacy of Intrathecal Morphine in Major Abdominal Cancer Surgery [NCT03560427]60 participants (Actual)Interventional2018-09-10Completed
University of Michigan Mechanistic Research Center -The Back Pain Consortium Research Program [NCT04870957]Phase 4500 participants (Anticipated)Interventional2021-06-09Recruiting
A Global, Multicenter, Randomized, Double-Blind Placebo Controlled Study Comparing the Safety and Efficacy of ABT-894, Duloxetine and Placebo in Subjects With Diabetic Neuropathic Pain [NCT00507936]Phase 2280 participants (Actual)Interventional2007-08-31Completed
A Randomized, Double-blind, Placebo Controlled, Dose Escalation Pilot Study Evaluating the Efficacy of Two Doses of Duloxetine and Amitriptyline in Interstitial Lung Disease-related Cough [NCT05120934]Phase 225 participants (Anticipated)Interventional2021-11-01Recruiting
Functional Brain Imaging to Understand the Mechanisms of Pain Relief in Knee Osteoarthritis [NCT02208778]Phase 477 participants (Actual)Interventional2014-12-31Completed
An Eight-week, Randomized, Double-blind, Two Parallel Groups, Study to Assess Clinical Response of Duloxetine 60 mg and 120 mg Per Day in Patients Hospitalized for Severe Depression [NCT02229825]Phase 4339 participants (Actual)Interventional2007-02-09Completed
Open Label Duloxetine Compassionate Use in Patients Who Have Completed a Previous Neuroscience Duloxetine Clinical Trial [NCT00071708]0 participants Expanded AccessNo longer available
A Randomized, Double-blind, Placebo-controlled, Dose-escalation Study Evaluating the Efficacy of Two Doses of Duloxetine & Amitriptyline in Subjects With Refractory Chronic Cough [NCT05110144]Phase 250 participants (Anticipated)Interventional2021-11-01Recruiting
Serotonin-norepinephrine Reuptake Inhibitors and Acute Kidney Injury [NCT02320240]3,255,526 participants (Actual)Observational2013-06-30Completed
Sensation and Psychiatry: Linking Age-Related Hearing Loss to Late-Life Depression and Cognitive Decline [NCT03321006]Phase 425 participants (Actual)Interventional2018-05-30Completed
Continuation Electroconvulsive Therapy Associated With Pharmacotherapy Versus Pharmacotherapy Alone for Relapse Prevention in Major Depression. A Clinical, Controlled, Prospective and Randomized Trial [NCT01305707]Phase 4104 participants (Actual)Interventional2009-07-31Terminated(stopped due to Difficulties in recruiting)
Duloxetine Versus Placebo in the Acute Treatment of Patients With Major Depressive Disorder and Associated Painful Physical Symptoms [NCT01070329]Phase 4527 participants (Actual)Interventional2010-03-31Completed
Effect of Duloxetine 30/60 mg Once Daily Versus Placebo in Adolescents With Juvenile Primary Fibromyalgia Syndrome [NCT01237587]Phase 3184 participants (Actual)Interventional2011-03-31Completed
A Randomized Placebo-Controlled Phase III Study of Duloxetine for Treatment of Aromatase Inhibitor-Associated Musculoskeletal Symptoms in Women With Early Stage Breast Cancer [NCT01598298]Phase 3299 participants (Actual)Interventional2013-05-15Completed
A Double-Blind, Efficacy and Safety Study of Duloxetine Versus Placebo in the Treatment of Children and Adolescents With Generalized Anxiety Disorder [NCT01226511]Phase 3281 participants (Actual)Interventional2011-06-30Completed
An Open Label Trial of Duloxetine in the Treatment of Irritable Bowel Syndrome and Comorbid Generalized Anxiety Disorder [NCT00961298]Phase 417 participants (Actual)Interventional2009-09-30Completed
A Phase 4 Comparison of Duloxetine Dosing Strategies in the Treatment of Korean Patients With Major Depressive Disorder [NCT00960986]Phase 4249 participants (Actual)Interventional2009-08-31Completed
A Multidisciplinary Approach to Manage Gait Difficulty in Parkinson Patients [NCT02857244]Phase 20 participants (Actual)Interventional2016-11-30Withdrawn(stopped due to Site did not obtain LIRB approval due to medication usage.)
A Phase 4, 8-Week, Double-Blind, Randomized, Placebo-Controlled Study Evaluating the Efficacy of Duloxetine 60 mg Once Daily in Outpatients With Major Depressive Disorder and Associated Painful Physical Symptoms [NCT01000805]Phase 4528 participants (Actual)Interventional2009-11-30Completed
TRY FIRST: A 12-Week, Randomized, Open-Label Trial of Duloxetine Versus Generic SSRIs in the Treatment of a Severe Depressive Episode [NCT00666757]Phase 4750 participants (Actual)Interventional2008-05-31Completed
A Superiority Study of LY248686 Versus Placebo in the Treatment of Patients With Diabetic Peripheral Neuropathic Pain - Extension Phase [NCT00641719]Phase 3258 participants (Actual)Interventional2008-03-31Completed
A Randomized, Double-Blind Comparison of Duloxetine 30 mg QD and Placebo in Adult Patients With Fibromyalgia [NCT00965081]Phase 4308 participants (Actual)Interventional2009-09-30Completed
A Mechanism Based Proof of Concept Study of the Effects of Duloxetine in the Treatment of Patients With Osteoarthritic Knee Pain [NCT04224584]Phase 240 participants (Actual)Interventional2020-01-01Completed
A Multicenter, Randomized, Double-blind, Active-Controlled Study of the Efficacy and Safety of Flexibly-Dosed BMS-820836 in Patients With Treatment Resistant Major Depression [NCT01309945]Phase 2889 participants (Actual)Interventional2011-04-30Completed
Duloxetine Versus Placebo in the Treatment of Patients With Generalized Anxiety Disorder in China [NCT00803361]Phase 3210 participants (Actual)Interventional2008-12-31Completed
Clinical Psychopharmacology Division [NCT03294525]400 participants (Anticipated)Observational2016-01-31Recruiting
A Randomized, Double-blind, Multicenter, Active-controlled Study to Evaluate the Efficacy, Safety, and Tolerability of Intranasal Esketamine Plus an Oral Antidepressant in Elderly Subjects With Treatment-resistant Depression [NCT02422186]Phase 3139 participants (Actual)Interventional2015-08-20Completed
Comparisons of the Impact of Duloxetine Versus Imipramine on Therapeutic Efficacy, Psychological Distress, Sexual Function, Urethral and Bladder Wall Structure and Blood Flow in Women With Stress Urinary Incontinence: a Randomized Controlled Study [NCT04412876]Phase 30 participants (Actual)Interventional2020-05-31Withdrawn(stopped due to Failed to pass the Ministry of Science and Technology.)
A Comparison Between Qutenza and Duloxetine for the Treatment of Painful Chemotherapy-induced Peripheral Neuropathy: a Pragmatic Randomized Controlled Trial [NCT05560516]102 participants (Anticipated)Interventional2022-12-01Recruiting
The Effect of Duloxetine on Bone Metabolism [NCT05550506]102 participants (Anticipated)Observational2022-07-27Recruiting
Duloxetine for Social Anxiety Disorder: Prediction of Long Term Outcome [NCT00114127]Phase 328 participants (Actual)Interventional2004-06-30Completed
Duloxetine for Patients With Low Back Pain Who Fail to Improve With Oral NSAIDs. A Randomized Placebo-controlled Exploratory Study [NCT05851976]Phase 4120 participants (Anticipated)Interventional2023-10-04Recruiting
A Open Single-dose and Multiple-dose Study to Evaluate the Pharmacokinetics and Safety of Duloxetine in Chinese Han Healthy Subjects [NCT00933452]Phase 136 participants (Anticipated)Interventional2009-07-31Completed
A Sequenced Strategy for Improving Outcomes in People With Knee Osteoarthritis Pain [NCT04504812]Phase 32,700 participants (Anticipated)Interventional2021-02-01Recruiting
A Phase III Double Blind Trial of Oral Duloxetine for Treatment of Pain Associated With Chemotherapy-Induced Peripheral Neuropathy [NCT00489411]Phase 3231 participants (Actual)Interventional2008-04-30Completed
"Cardiac Transfer of SARS-CoV-2 Spike Protein Circulation Techniques - Medicine Induced Hemodialysis on Vaccinated Immune Attacks" [NCT05711810]Phase 41 participants (Actual)Interventional2023-01-02Completed
Switching to Duloxetine to Ameliorate SSRI-Induced Sexual Dysfunction [NCT00398632]Phase 46 participants (Actual)Interventional2006-11-30Terminated(stopped due to Unable to recruit subjects)
A Randomised, Double-blind, Parallel-group, Placebo-controlled, Duloxetine-referenced, Fixed-dose Study Evaluating the Efficacy and Safety of Three Dosages of [Vortioxetine] Lu AA21004, in Acute Treatment of Major Depressive Disorder [NCT00635219]Phase 3766 participants (Actual)Interventional2008-02-29Completed
Effect of Duloxetine 60 mg to 120 mg Once Daily in Patients With Chronic Low Back Pain [NCT00424593]Phase 3236 participants (Actual)Interventional2007-01-31Completed
Single Dose Crossover Comparative Bioavailability Study of Duloxetine Delayed-Release Capsules 60 mg in Healthy Adult Human Subjects Under Fed Conditions [NCT02291341]Phase 176 participants (Actual)Interventional2008-05-31Completed
Duloxetine for the Treatment of Major Depression in Midlife Women: Effects on Brain Structure and Functioning, Mood, and Quality of Life [NCT00889369]Phase 470 participants (Anticipated)Interventional2009-05-31Recruiting
A 12-Week, Double-Blind, Placebo-Controlled, Trial of Duloxetine Versus Placebo in the Treatment of Binge Eating Disorder and Comorbid Depressive Disorder. [NCT00607789]Phase 440 participants (Actual)Interventional2006-10-31Completed
Pain Response Evaluation of a Combined Intervention to Cope Effectively (PRECICE) [NCT04395001]Phase 4280 participants (Anticipated)Interventional2021-02-24Recruiting
Assessment of Cognitive Functioning Before and After Treatment With Duloxetine [NCT00933439]30 participants (Actual)Interventional2005-02-28Completed
A Single-Blind Placebo Run-in Study of Duloxetine for Activity-Limiting Osteoarthritis Pain [NCT00609557]Phase 425 participants (Actual)Interventional2004-09-30Completed
Effects of Duloxetine on Pain Relief After Total Knee Arthroplasty in Central Sensitization Patient : A Randomized, Controlled, Double-Blind Trial [NCT02600247]100 participants (Anticipated)Interventional2015-11-30Not yet recruiting
Pilot Study of the Efficacy of Duloxetine in Treating Adults With Attention Deficit Hyperactivity Disorder: a Randomized, Controlled Trial. [NCT00940693]Phase 240 participants (Anticipated)Interventional2009-08-31Completed
Shifting Pain Modulation From Pro-to Anti-nociceptive: Individualized Prevention of Post Operative Pain [NCT02672202]9 participants (Actual)Interventional2016-02-29Terminated(stopped due to Recruitment rate was slow so we could not complete the study.)
Pharmacological Interaction Between Duloxetine and 3,4-Methylenedioxymethamphetamine (MDMA, Ecstasy): Pharmacodynamics (PD) and Pharmacokinetics (PK) [NCT00990067]Phase 116 participants (Actual)Interventional2009-11-30Completed
Qualification of Single Dose Administration of Analgesic Therapy in the Treatment of Chronic Neuropathic Pain in Patients With Painful Diabetic Neuropathy [NCT00837941]Phase 20 participants (Actual)Interventional2009-04-30Withdrawn
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
An Open-Label, Randomized Comparison of Duloxetine, Pregabalin, and the Combination of Duloxetine and Gabapentin Among Patients With Inadequate Response to Gabapentin for the Management of Diabetic Peripheral Neuropathic Pain [NCT00385671]Phase 4407 participants (Actual)Interventional2006-09-30Completed
Duloxetine Versus Placebo in the Treatment of Patients With Diabetic Peripheral Neuropathic Pain in China [NCT00408993]Phase 3215 participants (Actual)Interventional2006-12-31Completed
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
Duloxetine Versus Placebo in Patients With Major Depressive Disorder (MDD): Assessment of Energy and Vitality in MDD [NCT00536471]Phase 4776 participants (Actual)Interventional2007-09-30Completed
Therapeutic Drug Monitoring (TDM) in Child & Adolescent Psychiatry [NCT01057329]200 participants (Actual)Observational2010-01-31Completed
Comparison of Two Different Treatment Strategies in Patients With Major Depressive Disorder Not Exhibiting Improvement on Escitalopram Treatment: Early vs. Delayed Intervention Strategy [NCT00810069]Phase 4840 participants (Actual)Interventional2008-11-30Completed
Cymbalta for Depression as a Complication of Bereavement [NCT00658931]Phase 420 participants (Anticipated)Interventional2008-04-30Active, not recruiting
A 12 Weeks Open Label Two Parallel Groups Study to Assess the Efficacy of Orally Administered Duloxetine 60 mg and 120 mg Per Day on Treatment Outcomes in Patients With Diabetic Peripheral Neuropathic Pain With and Without Co-morbid Major Depressive Disor [NCT00844194]Phase 4108 participants (Actual)Interventional2009-02-28Completed
An Open Label Pilot Study on the Tolerability of Duloxetine in the Treatment of Depressed Patients With Parkinson's Disease [NCT00437125]Phase 4151 participants (Actual)Interventional2007-03-31Completed
A Phase II, Randomized, Double-Blind, Placebo-Controlled Study of Duloxetine and Methadone for the Treatment of HIV-Associated Painful Peripheral Neuropathy [NCT00863057]Phase 215 participants (Actual)Interventional2009-05-31Terminated(stopped due to Due to slow rate of enrollment, which compromised the ability to meet study objectives in a timely manner.)
The Depression and Memory Trial [NCT02590874]Phase 419 participants (Actual)Interventional2016-01-31Completed
Efficacy and Safety of Duloxetine Compared With Placebo in Subjects With Stress Urinary Incontinence [NCT00475358]Phase 3120 participants Interventional2003-04-30Completed
A Phase 2a, Randomized, Double-Blind, Placebo- and Active-Controlled, Parallel-Group, Multicenter Study to Assess the Safety and Efficacy of ADL5859 100 mg BID in Subjects With Neuropathic Pain Associated With Diabetic Peripheral Neuropathy [NCT00603265]Phase 2226 participants (Actual)Interventional2007-11-30Completed
A Randomised, Double-blind, Parallel-group, Placebo-controlled, Duloxetine-referenced, Fixed-dose Study Evaluating the Efficacy and Safety of Lu AA21004 (15 and 20 mg/Day) in the Acute Treatment of Adult Patients With Major Depressive Disorder [NCT01140906]Phase 3607 participants (Actual)Interventional2010-05-31Completed
A Phase 3b Study to Assess the Efficacy of Duloxetine 60 mg Once Daily Compared With Placebo on the Reduction of Pain Caused by Osteoarthritis of the Knee, in a 13-week, Double-blind, Randomized Study [NCT00945945]Phase 3424 participants (Actual)Interventional2009-07-31Completed
Phase 4 Study of Development of Pharmacogenomic Method to Predict Antidepressant Responsiveness [NCT00817011]1,000 participants (Anticipated)Interventional2006-04-30Recruiting
Duloxetine 60 to 120 mg Versus Placebo in the Treatment of Patients With Osteoarthritis Knee Pain [NCT00408421]Phase 3231 participants (Actual)Interventional2006-11-30Completed
A Randomized, Placebo-Controlled Trial of Duloxetine Added to Nonsteroidal Anti-inflammatory Drugs in Patients With Knee Pain Due to Osteoarthritis Who Have Had Suboptimal Response to Nonsteroidal Anti-inflammatory Drug Treatment. [NCT01018680]Phase 3524 participants (Actual)Interventional2009-11-30Completed
Three Way Interaction Between Gabapentin, Duloxetine, and Donepezil in Patients With Diabetic Neuropathy [NCT00619983]Phase 422 participants (Actual)Interventional2008-02-29Terminated(stopped due to Study terminated due to low enrollment)
Inflammatory Markers and Cognitive Function in Major Depression:a Pilot Study [NCT01391221]Phase 420 participants (Anticipated)Interventional2011-07-31Recruiting
Flexible Dosed Duloxetine Versus Placebo in the Treatment of Fibromyalgia [NCT00673452]Phase 4530 participants (Actual)Interventional2008-06-30Completed
Maintenance of Effect of Duloxetine 60 mg Once Daily in Patients With Diabetic Peripheral Neuropathic Pain [NCT00322621]Phase 4216 participants (Actual)Interventional2006-04-30Completed
Effects of Duloxetine on Fear Conditioning in PTSD [NCT00763178]Early Phase 126 participants (Actual)Interventional2007-02-28Completed
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Active-Referenced, Fixed-Dose Study Comparing the Efficacy and Safety of 2 Doses of Lu AA21004 in Acute Treatment of Adults With Major Depressive Disorder [NCT00672620]Phase 3611 participants (Actual)Interventional2008-04-30Completed
Randomised, Double-blind, Parallel-group, Placebo-controlled, Duloxetine-referenced, Fixed Dose Study Comparing the Efficacy and Safety of [Vortioxetine] Lu AA21004 in Acute Treatment of Major Depressive Disorder in Elderly Patients [NCT00811252]Phase 3453 participants (Actual)Interventional2009-01-31Completed
Duloxetine in Patients With Central Neuropathic Pain Due to Multiple Sclerosis. [NCT00755807]Phase 3239 participants (Actual)Interventional2008-10-31Completed
Randomized Clinical Trial: 03 (Methylphenidate and Duloxetine) [NCT02700711]Phase 113 participants (Actual)Interventional2016-02-29Completed
Pain Relieving Potentials of Preoperative Combination of Single Dose Oral Duloxetine and Intravenous Magnesium Sulphate in Acute and Chronic Post Mastectomy Pain: A Randomized Controlled Trial [NCT06087211]Phase 490 participants (Anticipated)Interventional2023-10-10Recruiting
An Open Trial of Duloxetine on Comorbid Major Depression and Chronic Headache [NCT00531895]Phase 430 participants (Actual)Interventional2006-04-30Completed
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Active-Referenced, Fixed-Dose Study Comparing the Efficacy and Safety of 3 Doses of Lu AA21004 in Acute Treatment of Adults With Generalized Anxiety Disorder [NCT00730691]Phase 3781 participants (Actual)Interventional2008-06-30Completed
Long-Term Monitoring of Safety in Subjects Treated With Duloxetine for Stress Urinary Incontinence [NCT00190632]Phase 3600 participants Interventional2001-03-31Completed
The Effectiveness of Duloxetine Compared With Placebo in the Treatment of Predominant Stress Urinary Incontinence [NCT00190827]Phase 3500 participants Interventional2003-09-30Completed
Study of Duloxetine HCl in Women of Different Demographic Characteristics and Co-Morbidities With Stress Urinary Incontinence: Evaluation of Efficacy and Safety [NCT00190905]Phase 44,000 participants Interventional2004-02-29Completed
A Comparison of Duloxetine Dosing Strategies in The Treatment of Patients With Major Depression [NCT00191061]Phase 4640 participants Interventional2004-10-31Completed
Protocol F1J-MC-HMFG Duloxetine 60 to 120 mg Versus Placebo in the Treatment of Patients With Osteoarthritis Knee Pain [NCT00433290]Phase 3256 participants (Actual)Interventional2007-02-28Completed
Protocol F1J-MC-HMEO Duloxetine Versus Placebo in the Treatment of Chronic Low Back Pain [NCT00408876]Phase 3404 participants (Actual)Interventional2006-12-31Completed
Duloxetine Versus Placebo in the Long-Term Treatment of Patients With Late-Life Major Depression [NCT00406848]Phase 4370 participants (Actual)Interventional2006-11-30Completed
An Eight-Week, Randomized, Double Blind, Two Parallel Groups, Study to Assess Clinical Response of Duloxetine 60 mg and 120 Per Day in Patients Hospitalized for Severe Depression [NCT00422162]Phase 4339 participants (Actual)Interventional2007-02-28Completed
An Open-Label Trial of Duloxetine for the Treatment of Irritable Bowel Syndrome Without Comorbid Major Depressive Disorder [NCT00401258]Phase 415 participants (Actual)Interventional2006-11-30Completed
A Double-blind, Randomized, Placebo Controlled Clinical Trial on Comparing Escitalopram and Duloxetine add-on for Negative Symptoms in Schizophrenic Subjects With Neuregulin-1 (NRG1) Risk Genotype [NCT01078870]Phase 475 participants (Anticipated)Interventional2010-02-28Active, not recruiting
Duloxetine 60/120mg Versus Placebo in the Treatment of Fibromyalgia Syndrome [NCT00233025]Phase 3320 participants Interventional2005-09-30Completed
A Double-Blind, Stratified, Randomised, Parallel, Placebo-Controlled, Multi-Centre Study to Assess the Efficacy and Safety of Duloxetine (20 mg Bid for 2 Weeks Escalating to 40 mg Bid) for up to 12 Weeks, Compared to Placebo, in Community-Dwelling Elderly [NCT00244296]Phase 4276 participants Interventional2005-10-31Completed
Effects of Escitalopram vs. Duloxetine on Heart Rate Variability and Autonomic Cardiovascular Control [NCT00215228]Phase 2/Phase 326 participants (Anticipated)Interventional2005-07-31Completed
Comparison of Opioid and Duloxetine for Postoperative Pain Control After Total Knee Arthroplasty: Randomized Controlled Trial [NCT04719585]160 participants (Anticipated)Interventional2021-01-31Not yet recruiting
A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Active Controlled, Parallel Group, Multicenter Study to Assess the Safety and Efficacy of 2 Fixed Dose Groups of TC-5214 (S-mecamylamine) as Monotherapy Treatment in Patients With Major Depressive [NCT01288079]Phase 2145 participants (Actual)Interventional2011-02-28Terminated
[NCT02020122]5 participants (Actual)Interventional2014-01-31Completed
The Effect of Transcutaneous Posterior Tibial Nerve Stimulation on Pain and Quality of Life in Patients With Fibromyalgia: a Single-blind, Randomized Controlled Trial [NCT05937711]64 participants (Actual)Interventional2020-11-02Completed
Duloxetine for Post Operative Analgesia After Modified Radical Mastectomy:A Randomized Controlled Study [NCT05442268]40 participants (Anticipated)Interventional2022-07-16Recruiting
A Phase 3, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Duloxetine-Referenced, Fixed-Dose Study Comparing the Efficacy and Safety of 2 Doses (15 and 20 mg) of Lu AA21004 in Acute Treatment of Adults With Major Depressive Disorder [NCT01153009]Phase 3614 participants (Actual)Interventional2010-06-30Completed
Prophylactic Duloxetine Administration During Acute Herpes Zoster Prevents Postherpetic Neuralgia [NCT04313335]750 participants (Anticipated)Interventional2021-03-01Recruiting
A Phase IIa, Multi-centre, Randomized, Double-Blind, Double-Dummy, Active and Placebo Controlled, Parallel Group Study to Assess the Effectiveness and Safety of AZD2066 After 6 Weeks of Treatment in Patients With Major Depressive Disorder - D0475C00020 [NCT01145755]Phase 2131 participants (Actual)Interventional2010-05-31Terminated
A Study of the Effectiveness and Tolerability of Duloxetine (Cymbalta) in the Treatment of PTSD. [NCT00583193]Phase 320 participants (Anticipated)Interventional2005-12-31Recruiting
Pilot Study of the Efficacy and Tolerability of Duloxetine in Patients With Suspected Functional Pancreatic/Biliary Pain (Sphincter of Oddi Dysfunction). [NCT00471315]Phase 318 participants (Actual)Interventional2006-07-31Completed
Comparison of the Efficacy of Duloxetine and Pregabalin in Patients With Knee Osteoarthritis With Mix Type Pain [NCT04532684]Phase 466 participants (Actual)Interventional2016-10-31Completed
Mechanisms of Neuromuscular Fatigue Post Stroke [NCT01688570]Early Phase 127 participants (Actual)Interventional2011-08-31Completed
Longitudinal Comparative Effectiveness of Bipolar Disorder Therapies [NCT02893371]1,037,352 participants (Actual)Observational2016-09-30Completed
Attributes of Response in Depressed Patients Switched to Treatment With Duloxetine (ARDENT Study) [NCT00696774]Phase 4242 participants (Actual)Interventional2008-06-30Completed
F1J-MC-HMFN (a) An Open-Label Study of Tolerability, Safety, and Pharmacokinetics of Duloxetine in the Treatment of Children and Adolescents With Major Depressive Disorder [NCT00529789]Phase 272 participants (Actual)Interventional2007-08-31Completed
A Double-Blind, Efficacy and Safety Study of Duloxetine Versus Placebo in the Treatment of Children and Adolescents With Major Depressive Disorder [NCT00849693]Phase 3463 participants (Actual)Interventional2009-03-31Completed
Duloxetine in the Treatment of Postpartum-onset and Non-Postpartum Onset Major Depressive Disorder [NCT00617045]0 participants (Actual)Interventional2007-07-31Withdrawn(stopped due to poor patient recruitment)
"Use of Duloxetine or Pregabalin in Monotherapy Versus Combination Therapy of Both Drugs in Patients With Painful Diabetic Neuropathy The COMBO - DN (COmbination vs Monotherapy of pregaBalin and dulOxetine in Diabetic Neuropathy) Study" [NCT01089556]Phase 3811 participants (Actual)Interventional2010-03-31Completed
Duloxetine for Menopausal Depression [NCT01117857]Phase 429 participants (Actual)Interventional2009-08-31Completed
Treatment of Patients With Diabetic Peripheral Neuropathic Pain in China: Duloxetine Versus Placebo [NCT01179672]Phase 3405 participants (Actual)Interventional2011-04-30Completed
[NCT02711215]Phase 480 participants (Anticipated)Interventional2015-05-31Active, not recruiting
Efficacy of Perioperative Duloxetine as a Part of Multimodal Analgesia in Laparoscopic Colorectal Cancer Surgery [NCT04294953]Phase 260 participants (Anticipated)Interventional2020-03-01Not yet recruiting
Predicting Treatment Outcome in Major Depressive Disorder [NCT02869035]Phase 1100 participants (Anticipated)Interventional2016-08-31Completed
The Role of Central Serotonergic and Adrenergic Systems in the Effectiveness of DNIC (Diffuse Noxious Inhibitory Control [NCT00660751]64 participants (Actual)Interventional2007-08-31Completed
UMCC 2008.62: Prospective Pilot Study Evaluating the Use of Duloxetine for Treatment of Aromatase Inhibitor-associated Musculoskeletal Symptoms in Breast Cancer Patients [NCT01028352]35 participants (Actual)Interventional2008-10-31Completed
Pain Management in Osteoarthritis Using the Centrally Acting Analgesics Duloxetine and Pregabalin [NCT02612233]Phase 481 participants (Actual)Interventional2013-09-30Completed
A Double-Blind, Efficacy and Safety Study of Duloxetine Versus Placebo in the Treatment of Children and Adolescents With Major Depressive Disorder [NCT00849901]Phase 3337 participants (Actual)Interventional2009-03-31Completed
Duloxetine Versus Placebo in the Treatment of Elderly Patients With Generalized Anxiety Disorder [NCT01118780]Phase 4291 participants (Actual)Interventional2010-10-31Completed
DULOPLASM Study: Pilot Study on Mechanisms of Analgesic Action of Duloxetine: Effective Dosage of Duloxetine at the Peak and at the Lowest Plasma Concentrations [NCT02846701]Phase 48 participants (Actual)Interventional2016-11-17Completed
Predicting Medication Response in Obsessive Compulsive Disorder [NCT01404871]26 participants (Actual)Interventional2009-04-30Completed
Duloxetine in the Treatment of Melancholic Depression: An 8-Week Open-Label Dose Study [NCT00191685]Phase 3200 participants Interventional2004-05-31Completed
Pilot, Opened, Randomized Clinical Trial to Assess the Efficacy of Duloxetine in the Treatment of Fibromialgy in Patients With Infection by HIV 1+ [NCT00552682]Phase 310 participants (Actual)Interventional2007-01-31Completed
[NCT01425827]288 participants (Actual)Interventional2010-11-30Completed
Combining Data Sources to Identify Effect Moderation for Personalized Mental Health [NCT05267873]14,146 participants (Anticipated)Observational2015-01-01Active, not recruiting
A Double-blind, Double-dummy, Placebo-controlled, Incomplete Block, Two Period Crossover Study of the Histamine H3 Antagonist GSK189254 and Duloxetine in the Electrical Hyperalgesia Model of Central Sensitisation in Healthy Volunteers [NCT00387413]Phase 140 participants (Actual)Interventional2006-10-02Completed
Efficacy of Duloxetine in Conjunction With Tramadol for Chronic Cancer Pain [NCT05311774]400 participants (Anticipated)Interventional2022-04-30Not yet recruiting
Effect of Duloxetine 60 mg Once Daily Versus Placebo in Patients With Chronic Low Back Pain [NCT00767806]Phase 3401 participants (Actual)Interventional2008-09-30Completed
Bioavailability of a Formulation of Duloxetine 60 mg Capsules With Enteric Coated Granules With Regards to the Marketed Reference Product [NCT04723238]Phase 136 participants (Actual)Interventional2021-01-23Completed
A Comparison of Duloxetine Hydrochloride, Venlafaxine Extended Release, and Placebo in the Treatment of Generalized Anxiety Disorder [NCT00122837]Phase 3560 participants Interventional2005-04-30Completed
Efficacy and Safety of Duloxetine Compared With Placebo in Subjects Electing Surgery for Severe Pure Genuine Stress Incontinence [NCT00190619]Phase 3100 participants Interventional2001-05-31Completed
Efficacy and Safety of Duloxetine Compared With Placebo in Women With Symptoms of Mixed Urinary Incontinence. [NCT00190814]Phase 3600 participants Interventional2003-09-30Completed
Effect of Duloxetine on Valsalva Leak Point Pressure and Quantitative Rhabdosphincter Electromyography Measures in Women With Stress Urinary Incontinence [NCT00190853]Phase 393 participants Interventional2005-01-31Completed
Long Term Monitoring of Safety in Subjects Treated With Duloxetine for Stress Urinary Incontinence [NCT00191204]Phase 3363 participants Interventional2001-09-30Completed
Open-Label Duloxetine Extension Phase in Patients Who Have Completed the HMDG Clinical Trial [NCT00191594]Phase 3105 participants Interventional2005-03-31Completed
A Long-term, Phase 3, Multicenter, Open-label Trial to Evaluate the Safety and Tolerability of Oral OPC-34712 as Adjunctive Therapy in Adults With Major Depressive Disorder, the Orion Trial [NCT01360866]Phase 32,944 participants (Actual)Interventional2011-10-31Completed
A Preliminary Comparison of the Effect of Roux-en-Y Bariatric Surgery on Blood Levels of Duloxetine [NCT00989157]Phase 320 participants (Actual)Interventional2009-09-30Completed
Comparison of Aripiprazole Augmentation vs Switching to Different Class of Antidepressants for Patients With MDD Who Are Partially/Minimally Responsive to Current Antidepressants:Randomized, Rater-blinded, Prospective Study [NCT01488266]90 participants (Anticipated)Interventional2011-11-30Active, not recruiting
RCT of Duloxetine & Pregabalin for the Treatment of Gulf War Illness in Veterans [NCT01846182]Phase 2112 participants (Actual)Interventional2015-06-24Terminated(stopped due to Terminated by Funder)
Neurobiological Correlates of Antidepressant Response After Duloxetine Hydrochloride Treatment in Subjects With Major Depressive Disorder [NCT01051466]Phase 460 participants (Actual)Interventional2010-01-31Completed
Duloxetine Versus Placebo in the Prevention of Recurrence of Major Depressive Disorder [NCT00105989]Phase 3514 participants (Actual)Interventional2005-03-31Completed
Randomised, Double-blind, Parallel-group, Placebo-controlled, Active-referenced, Dose-finding Study of Lu AA24530 in Major Depressive Disorder [NCT00599911]Phase 2652 participants (Actual)Interventional2007-10-31Completed
Effects of Duloxetine on Pathological Worry in Patients With Generalized Anxiety Disorder: A fMRI Study [NCT00491348]23 participants (Actual)Interventional2007-04-30Terminated(stopped due to Change of MRI mode)
Comparative Evaluation of Vortioxetine Versus Other Antidepressants With Pregabalin Augmentation in Treatment-resistant Burning Mouth Syndrome: a Prospective Longitudinal Clinical Trial With Treatment Response Prediction [NCT06025474]Phase 3203 participants (Anticipated)Interventional2023-01-01Recruiting
Optimizing Neurofeedback to Treat Chemotherapy Induced Peripheral Neuropathy [NCT04560673]Phase 2380 participants (Anticipated)Interventional2020-07-10Recruiting
[NCT02934035]10,000 participants (Anticipated)Observational2016-09-30Active, not recruiting
Impact of Therapeutical Strategies on Emotional Processing in Depression: Neurofunctional and Clinical Issues in the Context of Affective Bias [NCT00596986]30 participants (Anticipated)Interventional2008-10-31Active, not recruiting
'Fix the Dysfunction' Concept for Mechanism-based Pharmacological Treatment of Neuropathic Pain by Drug [NCT03276689]300 participants (Actual)Interventional2017-10-19Completed
"Preoperative Oral Duloxetine: Does it Affect Duration of Spinal Anesthesia and Early Postoperative Pain After Arthroscopic ACL Repair? a Prospective, Randomized, Double-blind Controlled Trial" [NCT05050656]Phase 470 participants (Actual)Interventional2021-03-15Completed
A Double-blind, Randomised, Parallel Groups Investigation Into the Effects of Pregabalin, Duloxetine and Amitriptyline on Aspects of Pain, Sleep, and Next Day Performance in Patients Suffering From Diabetic Peripheral Neuropathy [NCT00370656]Phase 2/Phase 390 participants (Anticipated)Interventional2007-02-28Completed
Efficacy of Duloxetine Compared to NSIADs in Osteoarthritis of Knee: A Randomized Open Labelled Clinical Trial [NCT05486026]Phase 2200 participants (Actual)Interventional2022-08-20Completed
[NCT01470339]200 participants (Actual)Interventional2011-12-31Completed
[NCT01470352]179 participants (Actual)Interventional2011-11-16Completed
Comparison of Duloxetine Versus Pregabalin in Post-mastectomy Pain Syndrome: a Randomized Controlled Trial [NCT04727502]Phase 270 participants (Anticipated)Interventional2020-12-20Recruiting
Comparative Responses to 15 Different Antidepressants in Major Depressive Disorder - Results From a Long-term Nation-wide Population-based Study Emulating a Randomized Trial [NCT05952713]73,336 participants (Actual)Observational2022-10-01Completed
A Comparison of Duloxetine Hydrochloride, Venlafaxine Extended Release, and Placebo in the Treatment of Generalized Anxiety Disorder. [NCT00122850]Phase 3480 participants Interventional2004-10-31Completed
A Multicenter, Double-Blind, Randomized, Parallel-Group, Placebo-Controlled and Active-Controlled Phase III Study of the Efficacy and Safety of Quetiapine Fumarate Sustained-Release (SEROQUEL®) as Monotherapy in the Treatment of Patients With MDD [NCT00321490]Phase 3600 participants Interventional2006-04-30Completed
A 1-Year Safety Study of Duloxetine in Patients With Fibromyalgia Syndrome [NCT00125892]Phase 3320 participants Interventional2005-07-31Completed
A Study of the Effects of Paroxetine vs. Duloxetine on Heart Rate Variability and Autonomic Cardiovascular Control [NCT00136383]Phase 2/Phase 340 participants (Anticipated)Interventional2005-03-31Completed
A Multi-Centre, Double-Blind, Randomised, Parallel-Group, Placebo-Controlled Phase III Study of the Efficacy and Safety of Quetiapine Fumarate Sustained Release (Seroquel SRTM) in Combination With an Antidepressant in the Treatment of Patients With Major [NCT00351910]Phase 3494 participants (Actual)Interventional2006-05-31Completed
Long-Term Monitoring of Safety in Subjects Treated With Duloxetine for Bladder Overactivity [NCT00475696]Phase 2300 participants Interventional2002-11-30Completed
Duloxetine Hydrochloride Once Daily Compared With Placebo in the Treatment of Generalized Anxiety Disorder [NCT00475969]Phase 3327 participants Interventional2004-08-31Completed
Duloxetine Versus Placebo in the Treatment of Fibromyalgia Patients With or Without Major Depressive Disorder [NCT00489073]Phase 3345 participants Interventional2002-11-30Completed
Duloxetine Versus Paroxetine in the Acute Treatment of Major Depression [NCT00489775]Phase 3480 participants Interventional2004-01-31Completed
Duloxetine Versus Duloxetine Plus Non-Pharmacological Intervention in the Treatment of Depression [NCT00494377]Phase 4940 participants Interventional2004-02-29Completed
Identifying and Treating Depression in the Orthopaedic Trauma Population [NCT05976347]Phase 4100 participants (Anticipated)Interventional2024-02-29Not yet recruiting
The Role of SNRI's in the Prophylaxis of Depression in the First Year Following Lower Extremity Fragility Fractures in Geriatric Patients [NCT05851898]Phase 4100 participants (Anticipated)Interventional2024-02-29Not yet recruiting
A Single-Center, Open Label Pilot Study Examining The Use Of Duloxetine In The Prevention Of Episodic Migraine [NCT00443352]Phase 427 participants (Actual)Interventional2007-08-31Completed
Evaluation of the Effect of Duloxetine on the Pharmacodynamics of Warfarin at Steady-State in Healthy Subjects [NCT00533026]Phase 160 participants (Actual)Interventional2007-07-31Completed
Dose Response Study of Duloxetine Versus Placebo in the Treatment of Fibromyalgia Syndrome [NCT00190866]Phase 3210 participants Interventional2005-06-30Completed
A Ten-Week, Randomized, Double-Blind Study Evaluating the Efficacy of Duloxetine 60mg Once Daily Versus Placebo in Outpatients With Major Depressive Disorder and Pain [NCT00191919]Phase 3310 participants Interventional2005-05-31Completed
Long-Term Monitoring of Safety in Subjects Treated With Duloxetine for Stress Urinary Incontinence. [NCT00191087]Phase 3458 participants Interventional2001-04-30Completed
Duloxetine Combined With Intra-articular Injection of Corticosteroid and Hyaluronic Acid Reduces Pain in the Treatment of Knee Osteoarthritis Patients [NCT04117893]Phase 4150 participants (Actual)Interventional2019-10-01Completed
Efficacy and Safety of Duloxetine Compared With Placebo in Subjects With Stress Urinary Incontinence [NCT00475397]Phase 3120 participants Interventional2003-12-31Completed
Lilly's Emotional and Physical Symptoms of Depression Study [NCT00479726]Phase 48,000 participants Interventional2004-08-31Completed
Duloxetine for Perimenopausal Depression [NCT00517985]Phase 47 participants (Actual)Interventional2007-02-28Completed
An Open-label, Long-term, Safety and Efficacy Study of Intranasal Esketamine in Treatment-resistant Depression [NCT02497287]Phase 3802 participants (Actual)Interventional2015-09-30Completed
A Randomised, Controlled Trial to Investigate the Effect of a Six Week Intensified Pharmacological Treatment for Bipolar Depression Compared to Treatment as Usual in Subjects Who Had a First-time Treatment Failure on Their First-line Treatment. [NCT05973786]Phase 4418 participants (Anticipated)Interventional2023-11-01Not yet recruiting
Open-Label Treatment With Duloxetine Hydrochloride Once-Daily Dosing for Evaluation of Stabilization Dose in Patients With Major Depression [NCT00042562]Phase 30 participants Interventional2002-12-31Completed
[NCT00399022]40 participants (Anticipated)InterventionalWithdrawn(stopped due to Funding was not recieved)
Duloxetine Versus Venlafaxine Extended Release in the Treatment of Major Depressive Disorder [NCT00067912]Phase 4480 participants Interventional2003-04-30Completed
Duloxetine Versus Venlafaxine Extended Release in the Treatment of Major Depressive Disorder [NCT00071695]Phase 4320 participants Interventional2003-07-31Completed
Duloxetine Versus Escitalopram and Placebo in the Treatment of Patients With Major Depression [NCT00073411]Phase 3675 participants Interventional2003-11-30Completed
Duloxetine Versus Placebo in the Prevention of Relapse of Major Depressive Disorder [NCT00036309]Phase 30 participants Interventional2002-05-31Completed
Duloxetine Versus Placebo in the Treatment of Patients With Painful Diabetic Neuropathy [NCT00058968]Phase 3660 participants Interventional2002-10-31Completed
Duloxetine Versus Placebo in the Treatment of Elderly Patients With Major Depressive Disorder [NCT00062673]Phase 3311 participants Interventional2003-03-31Completed
Duloxetine Hydrochloride (LY248686) Protocol F1J-US-HMCB Duloxetine Once-Daily Dosing Versus Placebo in Patients With Major Depression and Pain [NCT00036335]Phase 3286 participants Interventional2002-03-31Completed
Protocol F1J-US-HMBY Dose Escalation, Double-Blind Treatment With Duloxetine Hydrochloride Once Daily Dosing for Evaluation of Safety in Major Depression [NCT00042575]Phase 3120 participants Interventional2002-06-30Completed
Duloxetine Hydrochloride 60 mg or 120 mg Once Daily Compared With Placebo in Patients With Generalized Anxiety Disorder. [NCT00122824]Phase 3480 participants Interventional2004-06-30Completed
Duloxetine 60 to 120 mg Once Daily Compared With Placebo in the Prevention of Relapse in Generalized Anxiety Disorder [NCT00122863]Phase 3380 participants Interventional2005-01-31Completed
"The CHRONOS Study: Can the Sleep-deprivation Induced Antidepressive Effect in Patients With Major Depression be Sustained by Correction of Diurnal Rhythms, Long Term Light Treatment and Duloxetine Treatment?" [NCT00149110]75 participants (Actual)Interventional2005-09-30Completed
Duloxetine for the Treatment of Dysthymia [NCT00185575]24 participants (Anticipated)Interventional2004-09-30Completed
Biomechanical Effects of Duloxetine on Bladder Function and Sphincter Resistance During the Emptying Phase and on Urethral Function During the Filling Phase of the Micturition Cycle in Women With Pure Genuine Stress Incontinence [NCT00190567]Phase 250 participants Interventional2001-10-31Completed
Efficacy and Safety of Duloxetine Compared With Placebo,Pelvic Floor Muscle Training, and Combined Duloxetine/Pelvic Floor Muscle Training in Subjects With Moderate to Sever Stress Urinary Incontinence [NCT00190606]Phase 2200 participants Interventional2002-01-31Completed
Long-Term Monitoring of Safety in Subjects Treated With Duloxetine for Stress Urinary Incontinence [NCT00190645]Phase 3600 participants Interventional2001-02-28Completed
The Safety and Effectiveness of Duloxetine Compared With Placebo and Its Long-Term Safety and Efficacy in the Treatment of Predominant Stress Urinary Incontinence [NCT00190996]Phase 32,765 participants Interventional2003-01-31Completed
Switching to Duloxetine From Other Antidepressants: A Regional Multicentre Trial Comparing Two Switching Techniques [NCT00191932]Phase 4360 participants Interventional2004-08-31Completed
Treatment of Major Depressive Episodes During the Course of Psychotic Disorders With Duloxetine [NCT00224302]Phase 420 participants (Anticipated)Interventional2005-08-31Completed
A Randomized, Placebo-Controlled, Double-Blind Trial of Duloxetine in the Treatment of Patients With Chronic Fatigue Syndrome [NCT00375973]Phase 2/Phase 360 participants (Actual)Interventional2006-09-30Completed
The Efficacy and Tolerability of Duloxetine for the Treatment of Panic Disorder [NCT00438971]Phase 415 participants (Actual)Interventional2006-08-31Completed
Leveraging EEG for Antidepressant Prediction With Duloxetine and Bupropion (LEAP-DB): A Multicenter, Randomized, Blinded Outcome Study of EEG-guided Treatment With Duloxetine Versus Bupropion in Adults With Major Depressive Disorder [NCT04388189]Phase 40 participants (Actual)Interventional2020-10-15Withdrawn(stopped due to No participants enrolled)
Optimizing Outcomes in Older Adults With Low Back Pain and Depression [NCT00696293]Phase 430 participants (Actual)Interventional2007-05-31Completed
[NCT03110172]Phase 1/Phase 232 participants (Anticipated)Interventional2017-01-31Active, not recruiting
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
Comparative Clinical Study Evaluating the Possible Efficacy of Duloxetine, Gabapentin and Lacosamide on Oxaliplatin-Induced Peripheral Neuropathy in Cancer Patients [NCT05510856]Phase 490 participants (Anticipated)Interventional2022-09-01Recruiting
[NCT02655354]635 participants (Actual)Interventional2015-10-31Completed
A Comparison of Strategies for Switching Patients From Amitriptyline to Duloxetine for the Management of Diabetic Peripheral Neuropathic Pain [NCT00266643]Phase 4205 participants Interventional2005-12-31Completed
Post-Marketing Surveillance Study on the Safety and Efficacy of Cymbalta (Duloxetine) on Diabetic Peripheral Neuropathic Pain Among Filipino Patients [NCT02215798]269 participants (Actual)Observational2006-07-31Completed
Evaluation of the Effects of Duloxetine on Norepinephrine Transporter Inhibition in Healthy Subjects [NCT00414323]Phase 135 participants (Actual)Interventional2006-11-30Completed
A Pilot Study Assessing Duloxetine's Efficacy in Atypical Depression [NCT00296699]Phase 420 participants (Actual)Interventional2005-03-31Completed
Evaluation of the Role of the Noradrenergic System in Pain Perception in Parkinson's Disease [NCT01504178]Phase 328 participants (Actual)Interventional2011-05-31Completed
Duloxetine (Cymbalta): for Fibromyalgia: An Open Label Study to Assess Potential Mechanisms for Fibromyalgia in Peripheral Tissue Innervation That Could Predict Therpeutic Responsiveness to Duloxetine. [NCT01619566]Phase 40 participants (Actual)Interventional2012-06-30Withdrawn(stopped due to Sponsor related)
A Randomized Trial of Sequenced Treatment Using Placebo Without Deception Followed by Open-Label Antidepressant Versus Immediate Open-Label Antidepressant Treatment for Major Depressive Disorder [NCT01650740]1 participants (Actual)Interventional2012-08-31Terminated(stopped due to Poor recruitment results.)
Efficacy of Variable Doses of Pregabalin Vs Duloxetine in Diabetic Peripheral Neuropathic Pain: A Comparative Study [NCT05292066]Early Phase 1126 participants (Anticipated)Interventional2022-10-31Not yet recruiting
Algorithm Guided Treatment Strategies for Major Depressive Disorder [NCT01764867]Phase 41,080 participants (Anticipated)Interventional2012-06-30Recruiting
Antidepressant Treatments During Pregnancy and Lactation: Prediction of Drug Exposure Through Breastfeeding and Evaluation of Drug Effect on the Neonatal Adaptation and the Development of the Young Child [NCT01796132]Phase 4500 participants (Anticipated)Interventional2012-08-31Recruiting
Efficacy of Pregabalin and Duloxetine in Patients With Painful Diabetic Peripheral Neuropathy (PDPN): the Effect of Pain on Cognitive Function, Sleep and Quality of Life (BLOSSOM) [NCT04246619]Phase 4254 participants (Actual)Interventional2019-11-12Terminated(stopped due to The statistical analysis will still provide relevant results with the same statistical power as initially planned.COVID-19 pandemic prolonged the recruiting period and consequently affected the costs of the clinical trial.)
Intravenous Lidocaine Infusion Versus Oral Duloxetine For The Prevention And Treatment Of Chemotherapy Induced Peripheral Neuropathy Among Breast Cancer Patients [NCT04732455]60 participants (Actual)Interventional2021-01-15Completed
Hyperbaric Oxygen vs. Standard Pharmaceutical Therapies for Fibromyalgia Syndrome - Prospective, Randomized Crossover Clinical Trial [NCT03325959]76 participants (Actual)Interventional2017-03-01Completed
Brain Morphometries in OA Patients Treated With Duloxetine [NCT01558700]Phase 440 participants (Actual)Interventional2012-03-31Completed
Does Duloxetine Reduce Sub-Acute Pain After Knee Arthroplasty? [NCT02005601]Phase 4106 participants (Actual)Interventional2013-11-30Completed
Prevention of Depression and Enhancement of Cognitive Recovery Following Traumatic Brain Injury With Duloxetine [NCT01223001]Phase 28 participants (Actual)Interventional1996-09-30Terminated(stopped due to Most potential subjects had already been prescribed Cymbalta.)
[NCT01443520]Phase 412 participants (Actual)Interventional2011-10-31Completed
A Randomised, Controlled Trial to Investigate the Effect of an Intensified Pharmacological Treatment for Schizophrenia, Major Depressive Disorder and Bipolar Depression in Subjects Who Had a First-time Treatment Failure on Their First-line Treatment. [NCT05603104]Phase 31,254 participants (Anticipated)Interventional2023-08-01Not yet recruiting
The Efficacy and Safety of the Shugan Dingtong Decoction in the Treatment of Fibromyalgia [NCT05508516]Early Phase 172 participants (Anticipated)Interventional2022-09-01Not yet recruiting
Duloxetine Role in Reducing Opioid Consumption After Thoracotomy [NCT03618225]Phase 460 participants (Actual)Interventional2018-08-15Completed
Duloxetine as an Analgesic Agent in Patients Undergoing Elective Spine Surgery [NCT02535000]Phase 460 participants (Actual)Interventional2014-01-01Completed
Does Duloxetine Reduce Chronic Pain After Total Knee Arthroplasty? [NCT02307305]Phase 2168 participants (Anticipated)Interventional2014-08-31Recruiting
Duloxetine for Treatment of Painful Temporomandibular Joint Disorder [NCT00981149]24 participants (Actual)Interventional2009-05-31Completed
Biomarkers for Prediction of Analgesic Efficacy Based on Interrelations Between Pain Modulation and EEG vs. Drugs' Mode of Action in Knee OA [NCT05256342]100 participants (Anticipated)Interventional2021-12-30Recruiting
Efficacy of Interpersonal Psychotherapy in Treatment Resistant Depression [NCT01896349]74 participants (Anticipated)Interventional2013-04-30Recruiting
Evaluating Duloxetine's Analgesic Effectiveness in Chronic Pelvic Pain [NCT01451606]Phase 434 participants (Actual)Interventional2011-07-11Terminated(stopped due to Adequate recruitment was not achieved in the time frame allowed.)
The Effect of Duloxetine on Mood, Quality of Life and Cognitive Functioning in Glioblastoma Patients [NCT02443194]Phase 350 participants (Actual)Interventional2015-05-31Terminated(stopped due to principle investigator decision due to many adverse events in patients)
An Open Treatment Trial of Duloxetine in Elderly Patients With Dysthymic Disorder [NCT01852383]Phase 430 participants (Actual)Interventional2006-01-31Completed
A Randomized, Double-blind, Multicenter, Active-controlled Study to Evaluate the Efficacy, Safety, and Tolerability of Flexible Doses of Intranasal Esketamine Plus an Oral Antidepressant in Adult Subjects With Treatment-resistant Depression [NCT02418585]Phase 3236 participants (Actual)Interventional2015-08-07Completed
Effect of Combination of Duloxetine and Pregabalin to Improve Pain After Liposuction Surgery [NCT04862845]Phase 172 participants (Anticipated)Interventional2021-05-15Not yet recruiting
A Randomized Controlled, Single-blind, Esketamine Adjuvant Therapy for the Efficacy and Safety of Patients With Chronic Visceral Pain Comorbid Major Depressive Disorder [NCT04847245]80 participants (Anticipated)Interventional2021-05-01Not yet recruiting
Comparisons of the Impact of Duloxetine Versus Imipramine on Therapeutic Efficacy in Women With Stress Urinary Incontinence: a Randomized Controlled Study. [NCT05677295]Phase 390 participants (Anticipated)Interventional2023-04-18Recruiting
A Japan Post-Marketing, Randomized, Double-Blind, Parallel-Group, Flexible Dose Comparative Study to Assess the Non-Inferiority of Duloxetine Compared With Pregabalin in Patients With Diabetic Peripheral Neuropathic Pain [NCT02417935]Phase 4304 participants (Actual)Interventional2015-04-30Completed
Investigation Into the Diversity and Dynamic Succession of Gut Flora Pre- and Post-remission in Major Depressive Disorder [NCT04347577]40 participants (Anticipated)Observational2020-04-10Recruiting
A Multicenter, Randomized, Double-Blind, Placebo- and Active-Controlled Study Comparing the Analgesic Efficacy and Safety of ABT-652 to Placebo in Subjects With Diabetic Neuropathic Pain [NCT01579279]Phase 21 participants (Actual)Interventional2012-04-30Terminated(stopped due to Study Stopped)
Effect of Combined Morphine and Duloxetine on Chronic Pain [NCT03249558]Phase 481 participants (Actual)Interventional2018-03-12Completed
Duloxetine for Acute Post-mastectomy Pain: Placebo Controlled Dose Ranging Study [NCT03468348]88 participants (Actual)Interventional2018-04-01Completed
Effect of Duloxetine 60 mg Versus Placebo in Patients With Chronic Low Back Pain in Japan [NCT01855919]Phase 3458 participants (Actual)Interventional2013-05-31Completed
Antidepressant Response in Older Adults With Comorbid PTSD and MDD [NCT04697693]Phase 41 participants (Actual)Interventional2021-03-03Terminated(stopped due to Unable to recruit participants in a timely fashion due to COVID pandemic)
Functional Change and Efficacy of Duloxetine in Patients With Major Depression and Co-Morbid Soft Tissue Discomfort Symptoms [NCT01035073]Phase 422 participants (Actual)Interventional2006-04-30Completed
A Comparative Study Of Botulinum Toxin Type A Versus Conventional Oral Therapy As A Second Line Treatment Of Diabetic Neuropathy [NCT05296759]Phase 430 participants (Actual)Interventional2021-02-01Completed
Comparison of Antidepressants in the Real-World: Retrospective Cohort Study Using Big Data [NCT04446039]405,349 participants (Actual)Observational2022-07-04Completed
A Study to Identify Predictors of Response to Duloxetine in Breast Cancer Patients With Chronic Pain [NCT01912612]Phase 282 participants (Actual)Interventional2013-10-30Completed
An Open Label Extension Study of Phase 3 Trial of Duloxetine in Patients With Osteoarthritis and Knee Pain [NCT02335346]Phase 393 participants (Actual)Interventional2015-01-31Completed
Antidepressant Response in the Treatment of Depressive Symptoms and Frailty Characteristics in Older Adults [NCT01973283]Phase 4100 participants (Actual)Interventional2014-02-19Completed
Patient Assisted Intervention for Neuropathy: Comparison of Treatment in Real Life Situations (PAIN-CONTRoLS) [NCT02260388]Phase 4402 participants (Actual)Interventional2014-10-31Completed
A Superiority Study of LY248686 Versus Placebo in the Treatment of Patients With Diabetic Peripheral Neuropathic Pain [NCT00552175]Phase 3339 participants (Actual)Interventional2007-11-30Completed
Impact of Duloxetine on Male Fertility [NCT03038867]Phase 269 participants (Actual)Interventional2016-12-12Completed
Sequenced Treatment Alternatives to Relieve Adolescent Depression (STAR-AD) a Multicentre Open-label Randomized Controlled Trial Protocol [NCT05814640]Phase 1/Phase 2520 participants (Anticipated)Interventional2023-02-20Recruiting
Investigation of the Effect of Initial Central Sensitization Severity on Treatment Response in Patients With Fibromyalgia [NCT05020600]40 participants (Anticipated)Observational2021-08-19Recruiting
Hyperbaric Oxygen Therapy vs. Pharmaceutical Therapy in Patients Suffering From Fibromyalgia That Was Induced by Emotional Trauma: Prospective, Randomized, Two Active Arms Clinical Trial [NCT04316702]60 participants (Anticipated)Interventional2020-03-01Active, not recruiting
A Phase III Clinical Trial of Duloxetine in Participants With Fibromyalgia [NCT01552057]Phase 3393 participants (Actual)Interventional2012-03-31Completed
Predictors of Antidepressant Treatment Response: The Emory CIDAR [NCT00360399]344 participants (Actual)Interventional2006-08-31Completed
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Active-Referenced, Flexible Dose Study on the Efficacy of Lu AA21004 on Cognitive Dysfunction in Adult Subjects With Major Depressive Disorder (MDD) [NCT01564862]Phase 2602 participants (Actual)Interventional2012-04-30Completed
Altering The Transition From Acute to Chronic Pain (ATTAC-Pain): A Randomized Clinical Trial of Duloxetine for the Treatment and Prevention of Musculoskeletal Pain [NCT03315533]Phase 276 participants (Actual)Interventional2018-01-19Completed
Neurobiology of Non-Specific and Specific Treatment Responses in Major Depression [NCT03068247]Phase 30 participants (Actual)Interventional2021-11-30Withdrawn(stopped due to Institution was unable to manufacture radiotracer that was central to the protocol. Study transferred to another institution.)
A Single-Center, Single-Arm Clinical Trail Evaluating Efficacy and Safety of Duloxetine in Chinese Solid Tumor Patients With Taxanes-induced Painful Peripheral Neuropathy [NCT04970121]Phase 2100 participants (Anticipated)Interventional2021-08-21Recruiting
Effectiveness of the Norepinephrine and Serotonin Reuptake Inhibitor Levomilnacipran in Healthy Males [NCT03249311]Phase 436 participants (Actual)Interventional2018-03-02Active, not recruiting
Postoperative Duloxetine Impact on Pain Control and Patient Outcomes Following Lateral Lumbar Interbody Fusion: A Randomized Controlled Trial [NCT05611749]Phase 2130 participants (Anticipated)Interventional2022-11-15Not yet recruiting
Efficacy of Hydroxyzine Versus Treatment as Usual for Panic Disorder: An Eight-Week, Open Label, Pilot, Randomized Controlled Trial. [NCT05737511]Phase 480 participants (Anticipated)Interventional2023-12-30Not yet recruiting
Pharmacovigilance in Gerontopsychiatric Patients [NCT02374567]Phase 3407 participants (Actual)Interventional2015-01-31Terminated
Incorporating Drug Metabolism by the Human Gut Microbiome Into Personalized Medicine [NCT05065671]Phase 114 participants (Anticipated)Interventional2022-02-01Recruiting
Bioavailability of a Formulation of Duloxetine 60 mg Enteric Coated Granules With Regards to Reference Product in Feeding Conditions [NCT04751318]Phase 136 participants (Actual)Interventional2021-02-27Completed
A Randomized, Double-blind, Multicenter, Active-controlled Study to Evaluate the Efficacy, Safety, and Tolerability of Fixed Doses of Intranasal Esketamine Plus an Oral Antidepressant in Adult Subjects With Treatment-resistant Depression [NCT02417064]Phase 3346 participants (Actual)Interventional2015-08-10Completed
A Phase 4, 8-week, Double-blind, Randomized Study Comparing Switching to Duloxetine or Escitalopram in Patients With Major Depressive Disorder and Residual Apathy in the Absence of Depressed Mood [NCT00985504]Phase 4483 participants (Actual)Interventional2009-09-30Completed
Pilot Study of Use of Duloxetine for the Treatment of Phantom Limb Pain [NCT00425230]15 participants (Anticipated)Interventional2007-01-31Terminated(stopped due to No patients were enrolled in this study. The study onset was delayed due to problems with drug acquisition.)
Effectiveness of Adding Duloxetine to Pregabalin in Treatment of Acute Postoperative and Prevention of Chronic Pain Following Thoracotomy Surgeries; Randomized Controlled Study [NCT04782310]Phase 475 participants (Anticipated)Interventional2021-03-10Recruiting
Factors of Treatment Response in Major Depressive Disorder [NCT00200902]Phase 488 participants (Actual)Interventional2005-08-31Completed
Duloxetine for Chronic Depression: a Double-blind Study [NCT00360724]Phase 465 participants (Actual)Interventional2006-08-31Completed
Duloxetine for the Treatment of Obsessive Compulsive Disorder [NCT00464698]Phase 420 participants (Actual)Interventional2005-12-31Completed
Functional MRI Neural Correlates of Medication Efficacy in Patients With Chronic Low Back Pain [NCT00388414]14 participants (Actual)Interventional2006-09-30Completed
Duloxetine Effects on Brain fMRI Response to Emotionally Valenced Pictures in the Treatment of Patients With Major Depression [NCT00532480]Phase 410 participants (Actual)Interventional2007-09-30Completed
A Comparison of Non-Surgical Treatment Methods for Patients With Lumbar Spinal Stenosis [NCT01943435]259 participants (Actual)Interventional2013-11-20Completed
Duloxetine Versus Pregabalin for Alcohol Dependence [NCT00929344]Phase 2150 participants (Actual)Interventional2009-07-31Completed
Effects of Treatment on Decision-making in Major Depression [NCT01916824]Phase 453 participants (Actual)Interventional2013-08-31Completed
Impact of Duloxetine on Succinylcholine-induced Postoperative Myalgia During Direct Microlaryngoscopic Surgeries: Randomized Controlled Double-blind Study [NCT03037073]Phase 2/Phase 370 participants (Actual)Interventional2017-04-15Completed
Phase 3 Clinical Study of Duloxetine Hydrochloride in Patients With CLBP - Open Label Long Term Extension Study [NCT01914666]Phase 3151 participants (Actual)Interventional2013-09-30Completed
A Randomized Placebo Controlled Trial of Duloxetine for Central Pain in Multiple Sclerosis [NCT00457730]Phase 2/Phase 338 participants (Actual)Interventional2007-01-31Completed
A Phase 1, Single-center, Open-label, Sequential Drug Interaction Study Between AVP-786 (Deuterated [d6] Dextromethorphan Hydrobromide [DM]/Quinidine Sulfate [Q]) and Paroxetine and Between AVP-786 and Duloxetine in Healthy Subjects [NCT02174822]Phase 156 participants (Actual)Interventional2014-01-31Completed
Open Trial of Duloxetine in Outpatients With Irritable Bowel Syndrome Symptoms and Co-Morbid Major Depression [NCT01754493]Phase 417 participants (Actual)Interventional2008-12-31Completed
Perioperative Duloxetine for Pain Management After Laparoscopic Hysterectomy: A Prospective Randomized Placebo-controlled Study [NCT03350334]100 participants (Actual)Interventional2017-12-04Completed
Determining Optimal Treatment Sequences in Anxious Depression (DOTS-AD) [NCT04245748]Phase 484 participants (Anticipated)Interventional2020-03-01Recruiting
Acute, Double-blind, Adaptively Randomized Treatment With Duloxetine or Escitalopram, Followed by Open-label Naturalistic Follow-up. [NCT04245436]Phase 460 participants (Anticipated)Interventional2020-01-01Recruiting
Proof of Concept Study to Treat Negative Affect in Chronic Low Back Pain [NCT04747314]Phase 2/Phase 3300 participants (Anticipated)Interventional2021-03-31Recruiting
Efficacy and Safety of Ammoxetine Hydrochloride Enteric-coated Tablets in Subjects With Depression: A Multicenter, Randomized, Double-blind, Double-dummy, Active- and Placebo-controlled, Parallel-group, Phase II Study [NCT05018013]Phase 2240 participants (Anticipated)Interventional2021-08-21Recruiting
Duloxetine to Prevent Oxaliplatin-Induced Chemotherapy-Induced Peripheral Neuropathy: A Randomized, Double-Blind, Placebo-Controlled Phase II to Phase III Study [NCT04137107]Phase 2/Phase 3348 participants (Anticipated)Interventional2020-05-01Suspended(stopped due to Protocol-specified safety stopping rule)
Comparative Efficacy of Duloxetine vs Escitalopram in Patients With Fibromyalgia [NCT03487211]Phase 2/Phase 3200 participants (Actual)Interventional2018-04-09Completed
Effect of Duloxetine 60 mg Versus Placebo in Patients With Chronic Osteoarthritis and Knee Pain in Japan [NCT02248480]Phase 3354 participants (Actual)Interventional2014-10-31Completed
Duloxetine Efficacy and Tolerability for Pain Management in Patients Undergoing Laparoscopic Cholecystectomy [NCT05115123]Phase 260 participants (Actual)Interventional2022-03-02Completed
Genetic Variants Associated With the Occurrence of Localized Low Back Pain or Low Back Pain With Widespread Pain Symptoms, and Their Response to Treatment With Duloxetine or Propranolol [NCT03364075]Phase 210 participants (Actual)Interventional2017-09-01Terminated(stopped due to Recruitment issue)
Efficacy and Safety of Duloxetine Among Individuals With Depressive Disorder in a 12 Weeks Trial [NCT03121573]30 participants (Actual)Interventional2014-12-15Completed
A Randomized, Double-blind, Multicenter Active-controlled Study to Evaluate the Efficacy, Pharmacokinetics, Safety and Tolerability of Flexible Doses of Intranasal Esketamine Plus an Oral Antidepressant in Adult Subjects With Treatment-resistant Depressio [NCT03434041]Phase 3252 participants (Actual)Interventional2018-05-25Completed
Preoperative Duloxetine to Prevent Postoperative Shoulder Pain After Gynecological Laparoscopies [NCT03249168]Phase 360 participants (Actual)Interventional2017-10-01Completed
An Open Label Extension Study of Phase 3 Trial of Duloxetine in Patients With Fibromyalgia [NCT01621191]Phase 3149 participants (Actual)Interventional2012-06-30Completed
Effect of Duloxetine 60mg Once Daily in Patients With Chronic Pain Due to Osteoarthritis in China [NCT01931475]Phase 3407 participants (Actual)Interventional2013-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)
NCT00105989 (67) [back to overview]Recurrence Count
NCT00105989 (67) [back to overview]Mean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Maintenance Phase
NCT00105989 (67) [back to overview]Vital Signs - Change From Baseline to Endpoint in Weight - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Vital Signs - Change From Baseline to Endpoint in Pulse - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Vital Signs - Change From Baseline to Endpoint in Blood Pressure - Maintenance Phase
NCT00105989 (67) [back to overview]Vital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation Phase
NCT00105989 (67) [back to overview]Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Uric Acid - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Sodium - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Platelet Count - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Monocytes - Continuation Phase
NCT00105989 (67) [back to overview]Mean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Chloride - Acute Phase
NCT00105989 (67) [back to overview]Loss of Response at Any Time
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Maintenance Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Volume (MCV) - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Hemoglobin - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Low Density Lipoprotein (LDL) Cholesterol (Direct) - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Leukocyte Count - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Erythrocyte Count - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Eosinophils - Acute Phase
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Maintenance Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Maintenance Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Total - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Direct - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bicarbonate, HCO3 - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Continuation Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Acute Phase
NCT00105989 (67) [back to overview]Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Alanine Aminotransferase (ALT) - Maintenance Phase
NCT00105989 (67) [back to overview]Resource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance Phase
NCT00105989 (67) [back to overview]Resource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Acute and Continuation Phase
NCT00105989 (67) [back to overview]Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Percentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Days
NCT00105989 (67) [back to overview]Percentage of Participants With Depressive Recurrence After Time (t) in Days
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance Phase
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation Phase
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance Phase
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance Phase
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Maintenance Phase
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance Phase
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation Phase
NCT00105989 (67) [back to overview]Change From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Acute and Continuation Phases
NCT00105989 (67) [back to overview]Vital Signs - Change From Baseline to Endpoint in Weight - Maintenance Phase
NCT00105989 (67) [back to overview]Vital Signs - Change From Baseline to Endpoint in Pulse - Maintenance Phase
NCT00105989 (67) [back to overview]Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Maintenance Phase
NCT00105989 (67) [back to overview]Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Maintenance Phase
NCT00114127 (2) [back to overview]Anxiety Symptoms as Assessed by Liebowitz Social Anxiety Scale
NCT00114127 (2) [back to overview]CGI-S
NCT00177671 (4) [back to overview]Number of Participants With Recurrence of Major Depression
NCT00177671 (4) [back to overview]Cognitive Instrumental Activities of Daily Living (IADL)
NCT00177671 (4) [back to overview]Global Cognitive Performance
NCT00177671 (4) [back to overview]Percentage of Participants With Mild Cognitive Impairment Converting to Dementia.
NCT00200902 (3) [back to overview]Response as Assessed by Participants' Change in Depression Rating
NCT00200902 (3) [back to overview]Average Change in 3 Weeks of Participant Treatment Expectations
NCT00200902 (3) [back to overview]Change in Hamilton Depression Assessment Score
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Sleep at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Patient's Global Impressions of Improvement (PGI-I) at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Least Pain Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Walking Ability at Week 34 Endpoint
NCT00322621 (41) [back to overview]Number of Participants Discontinuing in Maintenance / Rescue Phase
NCT00322621 (41) [back to overview]Change From Baseline (Week 0) in Vital Signs: Diastolic Blood Pressure at Week 34 Endpoint
NCT00322621 (41) [back to overview]Change From Baseline (Week 0) in Vital Signs: Systolic Blood Pressure at Week 34 Endpoint
NCT00322621 (41) [back to overview]Change From Baseline (Week 0) in Vital Signs: Weight at Week 34 Endpoint
NCT00322621 (41) [back to overview]Change From Baseline (Week 8) in Brief Pain Inventory (BPI) 24-hour Average Pain Item Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Change From Baseline in Vital Signs: Heart Rate at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Beck Depression Inventory-II (BDI-II) Total Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Average Interference at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Average Pain Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Enjoyment of Life at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: General Activity at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Mood at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Normal Work at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Relations With Other People at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Patient's Global Impressions of Improvement (PGI-I) at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Number of Patients With a ≥50% Reduction From Baseline (Week 0) in Brief Pain Inventory 24-hour Average Pain Item
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Sensory Portion of the Short-Form McGill Pain Questionnaire at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Clinical Global Impressions of Severity (CGI-S) at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Worst Pain Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Pain Right Now Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Least Pain Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Normal Work at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Beck Depression Inventory-II (BDI-II) Total Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Average Interference at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Average Pain Score at 34 Week Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Enjoyment of Life at Week 34 Endpoint
NCT00322621 (41) [back to overview]Number of Participants Discontinuing in the Acute Phase
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: General Activity at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Mood at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Relations With Other People at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Sleep at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Walking Ability at 34 Week Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Pain Right Now Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Worst Pain Score at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Clinical Global Impressions of Severity (CGI-S) at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Change From Baseline (Week 8) in Sensory Portion of the Short-Form McGill Pain Questionnaire at Week 34 Endpoint
NCT00322621 (41) [back to overview]Rescue Arm: Number of Patients With a ≥50% Reduction From Baseline (Week 0) in Brief Pain Inventory 24-hour Average Pain Item
NCT00331799 (1) [back to overview]Change in Connor Davidson Resilience Scale (CD-RISC) From Baseline to 8 Weeks
NCT00360399 (6) [back to overview]Remission From Major Depressive Episode Among Participants Who Completed the Intervention
NCT00360399 (6) [back to overview]Remission From Major Depressive Episode in Intent to Treat Sample
NCT00360399 (6) [back to overview]Number of Participants Experiencing Depression Recurrence Following Remission to Monotherapy Treatment
NCT00360399 (6) [back to overview]Number of Participants in Each Category of Response to Treatment of Depressive Symptoms, Among Participants Who Completed the Intervention
NCT00360399 (6) [back to overview]Number of Participants in Each Category of Response to Treatment of Depressive Symptoms, in Intent to Treat Sample
NCT00360399 (6) [back to overview]Number of Participants Achieving Remission From Major Depressive Episode After 12 Weeks of Combined Treatment, for Those Patients Who do Not Achieve Remission With Monotherapy
NCT00360724 (11) [back to overview]Beck Depression Inventory (BDI)
NCT00360724 (11) [back to overview]Beck Depression Inventory (BDI)
NCT00360724 (11) [back to overview]Clinical Global Impressions Improvement(CGI-I)
NCT00360724 (11) [back to overview]Cornell Dysthymia Rating Scale (CDRS)
NCT00360724 (11) [back to overview]Cornell Dysthymia Rating Scale (CDRS)
NCT00360724 (11) [back to overview]Global Assessment of Functioning Scale (GAF)
NCT00360724 (11) [back to overview]Global Assessment of Functioning Scale (GAF)
NCT00360724 (11) [back to overview]Hamilton Depression Rating Scale (HDRS) - 24 Total Score
NCT00360724 (11) [back to overview]Resting-state Functional Connectivity Magnetic Resonance Imaging(fMRI)
NCT00360724 (11) [back to overview]Resting-state Functional Connectivity Magnetic Resonance Imaging(fMRI)
NCT00360724 (11) [back to overview]Hamilton Depression Rating Scale (HDRS) - 24 Total Score
NCT00375973 (7) [back to overview]Change From Baseline in the Clinical Global Impression of Severity (CGI-S)
NCT00375973 (7) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) --Average Pain Severity Score
NCT00375973 (7) [back to overview]Number of Participants Who Discontinued Use of Treatment Due to Adverse Events
NCT00375973 (7) [back to overview]Patient Global Impression of Improvement (PGI-I)
NCT00375973 (7) [back to overview]Change From Baseline in Multidimensional Fatigue Inventory (MFI)--General Fatigue Subscale Score
NCT00375973 (7) [back to overview]Number of Participants Who Discontinued the Study for Any Reason
NCT00375973 (7) [back to overview]Change From Baseline in the Hospital Anxiety and Depression Scale (HADS) --Depression Subscale
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 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
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 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
NCT00385671 (48) [back to overview]Categorical Change From Baseline to 12 Weeks in Sexual Functioning Questionnaire (CSFQ) Total Score and Subscale Scores
NCT00385671 (48) [back to overview]Categorical Change From Baseline to 12 Weeks in Number of Patients Using Health Care as Measured by the Resource Utilization Scale
NCT00385671 (48) [back to overview]Categorial Change From Baseline to 12 Weeks in Portland Neurotoxicity Scale - Total Score and Subscale Scores
NCT00385671 (48) [back to overview]Time to First ≥ 30% Reduction in Weekly Mean 24 Hour Average Pain Score
NCT00385671 (48) [back to overview]Time to First ≥ 2 Points Reduction in Weekly Mean 24 Hour Average Pain Score
NCT00385671 (48) [back to overview]Summary of Number of Participants Who Discontinued
NCT00385671 (48) [back to overview]Patient's Global Impression of Improvement Scale (PGI - Improvement) at 12 Weeks
NCT00385671 (48) [back to overview]Discontinuations for Abnormal Laboratory Analytes, Vital Signs, Overall and for Each Measure
NCT00385671 (48) [back to overview]Number of Participants With Treatment-Emergent Elevated Heart Rate
NCT00385671 (48) [back to overview]Number of Participants With a ≥ 2-points Reduction on the Weekly Average of the Daily 24-hour Average Pain Scale at 12 Weeks
NCT00385671 (48) [back to overview]Number of Participants With ≥ 30% Reduction in the Weekly Mean 24 Hour Average Pain Score at 12 Weeks
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Weekly Mean of the Daily Worst Pain Severity Score
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Weekly Mean of Nighttime Pain Severity
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Weekly Mean of Daily 24 Hour Average Pain Score, Pregabalin Compared With Duloxetine
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Weekly Mean of Daily 24 Hour Average Pain Score, Duloxetine Compared With Duloxetine+Gabapentin
NCT00385671 (48) [back to overview]Number of Patients With a Reduction of ≥ 50% in Weekly Mean of 24 Hour Average Pain Score
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Body Weight
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Beck Depression Inventory II (BDI-II) Total Score
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Sleep
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Relations With Other People
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Normal Work
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Mood
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Enjoyment of Life
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Blood Pressure
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Heart Rate
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Severity: Least Pain
NCT00385671 (48) [back to overview]Weekly Mean Change in 24 Hour Average Pain Severity by Week by Gabapentin Exposure Subgroup (de Novo Versus Prior Use)
NCT00385671 (48) [back to overview]Weekly Mean Change From Baseline to 12 Weeks in 24 Hour Average Pain Severity - Only Participants Who Adhered to Key Protocol Requirements (Per-Protocol Population)
NCT00385671 (48) [back to overview]Summary of Adverse Events and Serious Adverse Events Leading to Discontinuation
NCT00385671 (48) [back to overview]Path Analysis of Improvement in Pain Through Improvement in Depressive Symptoms
NCT00385671 (48) [back to overview]Number of Patients With Treatment-Emergent Elevated Laboratory Analytes
NCT00385671 (48) [back to overview]Number of Participants With Treatment-emergent Elevated Blood Pressure
NCT00385671 (48) [back to overview]Number of Participants With Treatment-Emergent Changes in Body Weight
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Total Bilirubin
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Sheehan Disability Scale (SDS) - Total Score and Scores for Items 1 to 3
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Sexual Functioning Questionnaire (CSFQ) Total Score and Subscale Scores
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Portland Neurotoxicity Scale - Total Score and Subscale Scores
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Leeds Sleep Evaluation Questionnaire (LSEQ) Subscales of Ease of Going to Sleep (GTS), Awakening (AFS), and Behavior Following Wakefulness (BFW), Quality of Sleep (QOS)
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Hepatic Enzyme Serum Levels
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Hemoglobin A1C
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Fasting Plasma Glucose
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Clinical Global Impression of Severity Scale (CGI Severity)
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Severity: Worst Pain
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Severity: Pain Right Now
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Severity: 24-hour Average Pain
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Mean Interference Score
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference: With General Activity
NCT00385671 (48) [back to overview]Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Walking Ability
NCT00388414 (2) [back to overview]Pain
NCT00388414 (2) [back to overview]Neural Correlates of Pain Relief
NCT00398632 (2) [back to overview]Global Clinical Impressions Improvement Score re Sexual Functioning
NCT00398632 (2) [back to overview]Count of Patients With Remission of Depressive Symptoms According to the Inventory for Depressive Symptomology-Clinician Rated (IDS-C) at End of Study
NCT00401258 (8) [back to overview]Brief Pain Inventory
NCT00401258 (8) [back to overview]Short Form McGill Pain Questionnaire
NCT00401258 (8) [back to overview]Irritable Bowel Syndrome-Quality of Life Scale
NCT00401258 (8) [back to overview]Hamilton Depression Rating Scale
NCT00401258 (8) [back to overview]Clinical Global Impression Scale
NCT00401258 (8) [back to overview]Hamilton Anxiety Rating Scale
NCT00401258 (8) [back to overview]Sheehan Disability Scale
NCT00401258 (8) [back to overview]Abdominal Pain, as Determined by Daily Pain Diaries (Patterned After Item 3 From the Brief Pain Inventory; Cleeland and Ryan, 1994).
NCT00406848 (28) [back to overview]Probability of Remission as Measured by the HAMD-17 Total Score ≤7 and ≤10
NCT00406848 (28) [back to overview]Patient's Global Impression of Improvement (PGI-I) at 13 Weeks and 25 Weeks
NCT00406848 (28) [back to overview]Number of Participants With Successful Treatment Outcome
NCT00406848 (28) [back to overview]Number of Participants With Abnormal Vital Signs and Weight at Any Time During the Study
NCT00406848 (28) [back to overview]Number of Participants With Abnormal Laboratory Values - Low Leukocyte Count
NCT00406848 (28) [back to overview]Number of Participants Experiencing Sustained Hypertension (SH) or Orthostatic Hypotension (OH)
NCT00406848 (28) [back to overview]Change From Baseline on the 30-item Geriatric Depression Scale (GDS)
NCT00406848 (28) [back to overview]Change From Baseline on Cognitive Test Scores: Verbal Learning and Recall Test (VLRT), Symbol Digit Substitution Test (SDST), Trail Making Test (Part B), 2-Digit Cancellation Test (2DCT), and the Composite Cognitive Score Derived From the Above Scores
NCT00406848 (28) [back to overview]Change From Baseline in Weight
NCT00406848 (28) [back to overview]Change From Baseline in the Quality of Life, Enjoyment, and Satisfaction Questionnaire (Q-LES-Q-SF)
NCT00406848 (28) [back to overview]Change From Baseline in the Mini-Mental State Exam (MMSE)
NCT00406848 (28) [back to overview]Change From Baseline in the HAMD-17 Total Score, Subscales, and Individual Items
NCT00406848 (28) [back to overview]Change From Baseline in the Clinical Global Impression-Severity (CGI-S)
NCT00406848 (28) [back to overview]Change From Baseline in the Brief Pain Inventory (BPI) Severity and Interference Scores
NCT00406848 (28) [back to overview]Change From Baseline in Supine Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
NCT00406848 (28) [back to overview]Change From Baseline in Pulse Rate
NCT00406848 (28) [back to overview]Change From Baseline in Laboratory Values - Uric Acid
NCT00406848 (28) [back to overview]Change From Baseline in Laboratory Values - Platelet Count
NCT00406848 (28) [back to overview]Change From Baseline in Laboratory Values - Hemoglobin, Mean Cell Hemoglobin Concentration (MCHC)
NCT00406848 (28) [back to overview]Change From Baseline in Laboratory Values - Erythrocyte Count
NCT00406848 (28) [back to overview]Change From Baseline in Laboratory Values - Chloride and Fasting Glucose
NCT00406848 (28) [back to overview]Change From Baseline in Electrocardiograms
NCT00406848 (28) [back to overview]Probability of Efficacy Onset as Measured by at Least 20% Sustained Reduction From Baseline in the HAMD-17 Maier Subscale at Week 3
NCT00406848 (28) [back to overview]Change From Baseline to 13 Weeks in Hamilton Depression Rating Scale (HAMD-17) Maier Subscale
NCT00406848 (28) [back to overview]Change From Baseline in the Numeric Rating Scales (NRS) for Pain Item Scores
NCT00406848 (28) [back to overview]Summary of Adverse Events and Serious Adverse Events Leading to Discontinuation
NCT00406848 (28) [back to overview]Probability of Response at Endpoint as Measured by ≥50% Improvement in the HAMD-17 Total Score
NCT00406848 (28) [back to overview]Probability of Remission as Measured by the HAMD-17 Total Score ≤7 and ≤10 by Medical Comorbidity Severity as Assessed by the Cumulative Illness Rating Scale-Geriatric Version (CIRS-G)
NCT00408421 (35) [back to overview]Weekly Change From Baseline in the 24-Hour Average Pain Rating Using an 11-Point Numerical Likert Scale Patient Diary
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Sleep
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Walking Ability
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Clinical Global Impression of Severity
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Euro-Quality of Life - 5 Dimensions (EQ-5D): US Based Index Score
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Hospital Anxiety and Depression Scale (HADS) - Anxiety Subscale
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Medical Outcomes Study Short Form-36 (SF-36) - Mental Health Component Summary
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Medical Outcomes Study Short Form-36 (SF-36) - Physical Component Summary
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Vital Signs - Blood Pressure (BP) Systolic
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Vital Signs - Pulse Rate
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Enjoyment of Life
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - General Activity
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Vital Signs - Weight
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Mood
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Weekly Mean of 24-Hour Average Pain in the Re-Randomized Treatment Phase
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Weekly Mean of the 24-Hour Worst Pain Score
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Pain Subscale
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Physical Function Subscale
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Stiffness Subscale
NCT00408421 (35) [back to overview]Weekly Change From Baseline in the 24-Hour Worst Pain Score
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Total Score
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Vital Signs - Blood Pressure (BP) Diastolic
NCT00408421 (35) [back to overview]Statistically Significant Change From Baseline to 13 Week Endpoint in Laboratory Data - Chemistry Analytes: Alkaline Phosphatase
NCT00408421 (35) [back to overview]Statistically Significant Change From Baseline to 13 Week Endpoint in Laboratory Data - Chemistry Analytes: Uric Acid
NCT00408421 (35) [back to overview]Response to Treatment - The Number of Participants With a >=30% Reduction of Weekly Mean in 24-Hour Average Pain Severity Ratings in the Re-Randomized Treatment Phase
NCT00408421 (35) [back to overview]Response to Treatment - The Number of Participants With a >= 30% Reduction of Weekly Mean in 24-Hour Average Pain Severity Ratings
NCT00408421 (35) [back to overview]Patient Global Impression of Improvement at 13 Week Endpoint
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Normal Work
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Relations With Other People
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Average Interference
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) - Worst Pain Score
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory - Pain Right Now Score
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory - Least Pain Score
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory - Average Pain Score
NCT00408421 (35) [back to overview]Change From Baseline to 13 Week Endpoint in Beck Depression Inventory-II - Total Score
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Severity (BPI-S) - Least Pain Score
NCT00408876 (61) [back to overview]Response to Treatment, as Defined by a 50% Reduction of Weekly Mean Score in 24-hour Average Pain Severity Ratings, Last Observation Carried Forward
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Severity (BPI-S) - Pain Right Now Score
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Severity (BPI-S) - Worst Pain Score
NCT00408876 (61) [back to overview]Adverse Events Reported as Reason for Discontinuation
NCT00408876 (61) [back to overview]Change From Baseline to Week 2 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Vital Signs - Weight
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Vital Signs - Systolic Blood Pressure
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Vital Signs - Pulse Rate
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Vital Signs - Diastolic Blood Pressure
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in the Euro-Quality of Life Questionnaire - 5 Dimension - US Based Index Score
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in the 36-item Short-Form Health Survey (SF36)- Mental Component Summary (MCS)
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in the 11-point Likert Scale, Weekly Mean of Worst Pain Score
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in the 11-point Likert Scale, Weekly Mean 24-Hour Night Pain Score
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Beck Depression Inventory-II Total Score
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Roland-Morris Disability Questionnaire (RMDQ) Total Score
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessments - Alkaline Phosphatase
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Potassium
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Creatinine
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Cholesterol
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Chloride
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Bilirubin, Total
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Bilirubin, Direct
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Bicarbonate, HCO3
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Clinical Global Impression of Severity
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Uric Acid
NCT00408876 (61) [back to overview]Change From Baseline to Week 8 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 7 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 6 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 5 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 4 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 3 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Severity (BPI-S) - Average Pain Score
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Walking Ability
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Sleep
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Relations With Other People
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Normal Work
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Mood
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - General Activity
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Enjoyment of Life
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Average Interference
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in Athens Insomnia Scale
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Vitality
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Social Functioning
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Role-Physical
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Role-Emotional
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Physical Functioning
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Physical Component Summary (PCS)
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Mental Health
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - General Health
NCT00408876 (61) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Bodily Pain
NCT00408876 (61) [back to overview]Change From Baseline to Week 12 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 11 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 10 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to Week 1 in Weekly Mean of the 24-hour Average Pain Scores
NCT00408876 (61) [back to overview]Change From Baseline to 13 Week Endpoint in Laboratory Assessments - Alanine Transaminase
NCT00408876 (61) [back to overview]Response to Treatment, as Defined by a 30% Reduction of Weekly Mean Score in 24-hour Average Pain Severity Ratings, Last Observation Carried Forward
NCT00408876 (61) [back to overview]Patient's Global Impression - Improvement (PGI-I) at Week 13 Endpoint
NCT00408876 (61) [back to overview]Change From Baseline to Week 9 in Weekly Mean of the 24-Hour Average Pain Scores
NCT00408993 (13) [back to overview]Change From Baseline to 12 Week Endpoint in Athens Insomnia Scale 8-item and 5-item
NCT00408993 (13) [back to overview]Number of Participants Discontinuing Due to Adverse Events
NCT00408993 (13) [back to overview]Change From Baseline to 12 Week Endpoint in EuroQoL Questionnaire - 5 Dimensions (EQ-5D) (US Based Index Score)
NCT00408993 (13) [back to overview]Change From Baseline to 12 Week Endpoint in Clinical Global Impression of Severity
NCT00408993 (13) [back to overview]Change From Baseline to 12 Week Endpoint in Brief Pain Inventory 24-hour Average Pain Score
NCT00408993 (13) [back to overview]Vital Signs - Weight
NCT00408993 (13) [back to overview]Time Course of Change in Patient Global Impression - Improvement Scale
NCT00408993 (13) [back to overview]Vital Signs - Blood Pressure
NCT00408993 (13) [back to overview]Change From Baseline to 12 Week Endpoint in Brief Pain Inventory (BPI) Worst Pain, Least Pain, and Current Pain Severity and Average Interference Scores
NCT00408993 (13) [back to overview]Vital Signs - Pulse Rate
NCT00408993 (13) [back to overview]Number of Participants With Treatment-Emergent Adverse Events Reported in >5% of Either Treatment Group by Time of Dosing (Morning or Evening)
NCT00408993 (13) [back to overview]Statistically Significant Change From Baseline to 12 Week Endpoint in Laboratory Measures - Chloride, High Density Lipoprotein, Sodium, and Triglycerides
NCT00408993 (13) [back to overview]Statistically Significant Change From Baseline to 12 Week Endpoint in Laboratory Measures - Uric Acid
NCT00422162 (16) [back to overview]Utilization of Allowed Hypnotic and/or Anxiolytic Co-Medication
NCT00422162 (16) [back to overview]Reason for Living (RFL) Questionnaire Mean Scores at Baseline and Week 8
NCT00422162 (16) [back to overview]Percentage of Responders
NCT00422162 (16) [back to overview]Change in 6-Item Hamilton Depression Scale (HAMD-6) Total Scores From Baseline
NCT00422162 (16) [back to overview]Patients Reaching Remission
NCT00422162 (16) [back to overview]Patient Global Impression of Improvement (PGI-I) Score at Each Visit
NCT00422162 (16) [back to overview]Number of Patients With Potentially Clinically Significant Laboratory Findings
NCT00422162 (16) [back to overview]Number of Participants Experiencing High Values for Vital Signs at Any Time During the Study
NCT00422162 (16) [back to overview]Hamilton Anxiety Scale (HAMA) Score at Baseline and Weeks 4 and 8
NCT00422162 (16) [back to overview]Evaluation of Rescue Options Based on Changes in the Montgomery-Asberg Depression Rating Scale (MADRS) and the 6-Item Hamilton Depression Scale (HAMD-6)
NCT00422162 (16) [back to overview]Discontinuations Due to Adverse Events (AE)
NCT00422162 (16) [back to overview]Clinical Global Impression of Severity (CGI-S) Scores at Each Visit
NCT00422162 (16) [back to overview]Clinical Global Impression of Improvement (CGI-I) at Each Visit
NCT00422162 (16) [back to overview]Change From Baseline to 4 Week Endpoint in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
NCT00422162 (16) [back to overview]Change in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score From Baseline
NCT00422162 (16) [back to overview]Change From Baseline to Week 4 and Week 8 in Weight
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Vital Signs: Blood Pressure
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Vital Signs: Pulse Rate
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Vital Signs: Weight
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Work Productivity and Activity Impairment Instrument (WPAI) Scores
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF-36)
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 Endpoint in EuroQoL Questionnaire - 5 Dimension (EQ-5D)
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 Endpoint in Hospital Anxiety and Depression Scale (HADS) Scores
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 Endpoint in Weekly Mean of 24-hour Average Pain, Night Pain and Worst Pain by 11-Point Likert Scale
NCT00424593 (21) [back to overview]Laboratory Assessments That Were Statistically Significantly Different Between Treatment Groups in Change From Baseline to Week 13 Endpoint: Bicarbonate
NCT00424593 (21) [back to overview]Laboratory Assessments That Were Statistically Significantly Different Between Treatment Groups in Change From Baseline to Week 13 Endpoint: Uric Acid
NCT00424593 (21) [back to overview]Serious Adverse Events During the Dose-Blind Extension Phase
NCT00424593 (21) [back to overview]Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of Patients During the Dose-Blind Extension Phase
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Beck Depression Inventory (BDI-II) Total Scores
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 in Brief Pain Inventory (BPI), 24-hour Average Pain Scores
NCT00424593 (21) [back to overview]Number of Participants Who Responded to Treatment at Week 13 Endpoint Based on 30% Score Reduction Criteria
NCT00424593 (21) [back to overview]Number of Participants Who Responded to Treatment at Week 13 Endpoint Based on 50% Score Reduction Criteria
NCT00424593 (21) [back to overview]Patient's Global Impression of Improvement (PGI-I)
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Athens Insomnia Scale
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Brief Pain Inventory - Severity (BPI-S) and Interference (BPI-I) Scores
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Clinical Global Impression of Severity (CGI-Severity)
NCT00424593 (21) [back to overview]Change From Baseline to Week 13 and Week 54 Endpoints in Roland Morris Disability Questionnaire-24 Item (RMDQ-24) Total Score
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Sleep
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Clinical Global Impression of Severity (CGI-S)
NCT00433290 (33) [back to overview]Mean Values at 13 Week Endpoint in Patient Global Impression of Improvement (PGI-I)
NCT00433290 (33) [back to overview]Number of Nonresponders at Week 7 Who Responded at Week 13 Endpoint
NCT00433290 (33) [back to overview]Number of Participants Who Responded to Treatment at 13 Week Endpoint
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Vital Signs - Weight
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Hospital Anxiety and Depression Scale - Anxiety Subscale (HADS-A)
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Relations With Other People
NCT00433290 (33) [back to overview]Adverse Events Reported as Reason for Discontinuation
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Average Interference
NCT00433290 (33) [back to overview]Adverse Events Reported as Reason for Discontinuation in Nonresponders
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Beck Depression Inventory - II (BDI-II)
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) Severity: Worst Pain Score
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Normal Work
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Mood
NCT00433290 (33) [back to overview]Statisically Significant Change From Baseline to 13 Week Endpoint in Laboratory Analytes
NCT00433290 (33) [back to overview]Statisically Significant Change From Baseline to 13 Week Endpoint in Chloride
NCT00433290 (33) [back to overview]Mean Change From Baseline to 13 Week Endpoint in Medical Outcomes Study Short Form-36 (SF-36) Medical Component Summary (MCS), Physical Component Summary (PCS), and Domain Scores
NCT00433290 (33) [back to overview]Change in Brief Pain Inventory (BPI) 24-hour Average Rating
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: General Activity
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) Physical Function Subscale
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Weekly Mean of the 24-Hour Average Pain and Worst Pain Scores
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory - Average Pain Score in Nonresponders
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Vital Signs - Heart Rate
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Vital Signs - Blood Pressure
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Enjoyment of Life
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in EuroQoL Questionnaire - 5 Dimension (EQ-5D)
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Severity: Pain Right Now Score
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Severity: Least Pain Score
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Severity: Average Pain Score
NCT00433290 (33) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Walking Ability
NCT00437125 (15) [back to overview]Average Change From Baseline to 12 Weeks in Blood Pressure
NCT00437125 (15) [back to overview]Average Change From Baseline to 12 Weeks in Heart Rate
NCT00437125 (15) [back to overview]Patient's Global Impression-Improvement at Week 12
NCT00437125 (15) [back to overview]Change From Baseline to 12 Weeks on the Unified Parkinson's Disease Rating Scale (UPDRS) Total Score
NCT00437125 (15) [back to overview]Change From Baseline to 12 Weeks on the UKU (Udvalg for Kliniske Undersogelser: Committee for Clinical Investigations) Side Effect Rating Scale
NCT00437125 (15) [back to overview]Change From Baseline to 12 Weeks in Parkinson Disease Questionnaire - 39 Item Version (PDQ-39) Total Score
NCT00437125 (15) [back to overview]Change From Baseline to 12 Weeks in Visual Analog Scale (VAS)
NCT00437125 (15) [back to overview]Change From Baseline to 12 Weeks on the 17-item Hamilton Depression Rating Scale (HAMD-17) Total Score
NCT00437125 (15) [back to overview]Change From Baseline to 12 Weeks on the Clinical Global Impression-Severity Scale
NCT00437125 (15) [back to overview]Change From Baseline on the Pittsburgh Sleep Quality Index (PSQI)
NCT00437125 (15) [back to overview]Number of Participants With Abnormal Electrocardiograms (ECG) During the 12 Week Study
NCT00437125 (15) [back to overview]Number of Participants Who Responded to Treatment by 12 Weeks
NCT00437125 (15) [back to overview]Number of Participants Who Reached Remission by 12 Weeks
NCT00437125 (15) [back to overview]Number of Participants Reporting Serious Adverse Events or Other Adverse Events Leading Either to Discontinuation or to Death
NCT00437125 (15) [back to overview]Change From Baseline to 12 Weeks in Beck Depression Inventory (BDI) Total Score
NCT00438971 (8) [back to overview]Panic Attack Scale (PAS)
NCT00438971 (8) [back to overview]Sheehan Disability Scale (SDS)
NCT00438971 (8) [back to overview]Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q)
NCT00438971 (8) [back to overview]Panic Disorder Severity Scale (PDSS)
NCT00438971 (8) [back to overview]Montgomery Asberg Depression Rating Scale (MADRS)
NCT00438971 (8) [back to overview]Longitudinal Interval Follow-up Evaluation Range of Impaired Functioning Tool (LIFE-RIFT)
NCT00438971 (8) [back to overview]Clinical Global Impression of Severity Scale (CGI-S)
NCT00438971 (8) [back to overview]Beck Anxiety Inventory (BAI)
NCT00443352 (1) [back to overview]Change in Frequency of Migraine Days During the Last 28 Day Interval of the Treatment Period as Compared to the 28 Day Baseline Period.
NCT00457730 (3) [back to overview]Percent Change in Worst Pain Score
NCT00457730 (3) [back to overview]Percent Change in Average Pain Score.
NCT00457730 (3) [back to overview]Global Impression of Change
NCT00464698 (5) [back to overview]QLESQ (Quality of Life, Enjoyment, and Satisfaction Questionnaire) - First and Last Visit (Week 0 and Week 17)
NCT00464698 (5) [back to overview]Clinical Global Impressions Scale at Week 3 and Week 17
NCT00464698 (5) [back to overview]BDI (Beck Depression Inventory) - First and Last Visit (Week 0 and Week 17).
NCT00464698 (5) [back to overview]BAI (Beck Anxiety Inventory) - First and Last Visit (Week 0 and Week 17)
NCT00464698 (5) [back to overview]Y-BOCS Scores at 1st and Last Visit
NCT00471315 (2) [back to overview]The Primary Outcome Measure Was a Patient Global Assessment of Change (PGIC) Scale.
NCT00471315 (2) [back to overview]Toleration of the Medication as Measured by the Duloxetine Compliance Rate
NCT00489411 (4) [back to overview]Change in Average Pain From Week 1 to Week 5, as Measured by the BPI-SF Average Pain Severity Item
NCT00489411 (4) [back to overview]Change in Average Pain From Week 8 to Week 12, as Measured by the BPI-SF Average Pain Severity Item
NCT00489411 (4) [back to overview]Change in Pain-related Functional Interference Score From Week 1 to Week 5, as Measured by the BPI-SF Interference Score
NCT00489411 (4) [back to overview]Change in the Total Score of the FACT/COG-NTX From Week 1 to Week 5
NCT00529789 (14) [back to overview]Change From Baseline to 18 Weeks and 30 Weeks in Children's Depression Rating Scale-Revised (CDRS-R) Total Score
NCT00529789 (14) [back to overview]Adverse Events Leading to Discontinuation
NCT00529789 (14) [back to overview]Change From Baseline to 18 Weeks and 30 Weeks in Clinical Global Impressions of Severity Scale (CGI-S)
NCT00529789 (14) [back to overview]Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) During Period IV
NCT00529789 (14) [back to overview]Number of Participants Meeting Criteria for Potentially Clinically Significant (PCS) Laboratory Analyte Values at Any Time During Period II/III
NCT00529789 (14) [back to overview]Number of Participants Meeting Criteria for Potentially Clinically Significant (PCS) Laboratory Analyte Values at Any Time During Period IV
NCT00529789 (14) [back to overview]Number of Participants Meeting Criteria for Potentially Clinically Significant Electrocardiograms at Any Time in Period II/III
NCT00529789 (14) [back to overview]Number of Participants Meeting Criteria for Potentially Clinically Significant Vital Sign Values at Any Time During Period II/III
NCT00529789 (14) [back to overview]Number of Participants Meeting Criteria for Potentially Clinically Significant Vital Sign Values at Any Time During Period IV
NCT00529789 (14) [back to overview]Pharmacokinetics: Summary of Observed Duloxetine Plasma Concentrations Stratified by Duloxetine Dose
NCT00529789 (14) [back to overview]Number of Participants With Potentially Clinically Significant Electrocardiograms at Any Time in Period IV
NCT00529789 (14) [back to overview]Number of Participants With Emergence of Suicidal Ideation During Period II/III
NCT00529789 (14) [back to overview]Number of Participants With Emergence of Suicidal Ideation During Period IV
NCT00529789 (14) [back to overview]Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) During Period II/III
NCT00532480 (1) [back to overview]17-item Hamilton Depression Rating Scale
NCT00536471 (61) [back to overview]Change From Baseline to 9 Month Endpoint in Sheehan Disability Scale (SDS) Total Score and Subscores
NCT00536471 (61) [back to overview]Path Analysis of BPOMS Total Score to Overall Improvement in HAMD-24 Item 7
NCT00536471 (61) [back to overview]Path Analysis of BPOMS Total Score to Overall Improvement in HAMD-24 Item 7 - Percent of Total Effect
NCT00536471 (61) [back to overview]Path Analysis of BPOMS Total Score to Overall Improvement in SDS Total Score - Percent of Total Effect
NCT00536471 (61) [back to overview]Path Analysis of BPOMS Total Score to Overall Improvement in Sheehan Disability Scale (SDS) Total Score
NCT00536471 (61) [back to overview]Probability of Remission at 12 Week Endpoint and Sustained Remission at 9 Month Endpoint
NCT00536471 (61) [back to overview]Probability of Response at 12 Week Endpoint
NCT00536471 (61) [back to overview]Statistically Significant Abnormal Laboratory Values at 9 Month Endpoint
NCT00536471 (61) [back to overview]Statistically Significant Abnormal Laboratory Values at Anytime During 9 Months
NCT00536471 (61) [back to overview]Statistically Significant Abnormal Laboratory Values at Anytime/12 Week Endpoint
NCT00536471 (61) [back to overview]Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Bilirubin, Creatinine, Uric Acid
NCT00536471 (61) [back to overview]Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Chloride, Urea Nitrogen, Cholesterol, Sodium
NCT00536471 (61) [back to overview]Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Hematocrit
NCT00536471 (61) [back to overview]Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Mean Cell Volume (MCV)
NCT00536471 (61) [back to overview]Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Platelet Count
NCT00536471 (61) [back to overview]Summary of Adverse Events Leading to Discontinuation
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 21:Obsessional and Compulsive Symptoms
NCT00536471 (61) [back to overview]Change From Baseline to 8 Weeks in 24-Item Hamilton Depression Rating Scale (HAMD-24) Item 7 (Work and Activities)
NCT00536471 (61) [back to overview]Change From Baseline to 9 Month Endpoint in HAMD-24 - Item 7:Work and Activities
NCT00536471 (61) [back to overview]Statistically Significant Changes in Baseline to 9 Month Endpoint Laboratory Values - Alkaline Phosphatase
NCT00536471 (61) [back to overview]Statistically Significant Changes in Baseline to 9 Month Endpoint Laboratory Values - Hemoglobin
NCT00536471 (61) [back to overview]Abnormal Vital Signs at 12 Week Endpoint
NCT00536471 (61) [back to overview]Abnormal Vital Signs at 9 Month Endpoint
NCT00536471 (61) [back to overview]Abnormal Vital Signs at Anytime Over 12 Weeks
NCT00536471 (61) [back to overview]Abnormal Vital Signs at Anytime Over 9 Months
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoint in the Clinical Global Impression-Severity Scale (CGI-S)
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in 16-Item Quick Inventory of Depressive Symptomatology Self Report (QIDS16SR) Total Score
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in Blood Pressure
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 10:Anxiety (Psychic)
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 11:Anxiety (Somatic)
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 12:Somatic Symptoms/Gastrointestinal
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 13:Somatic Symptoms/General
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 14:Genital Symptoms
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 15:Hypochondriasis
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 16:Loss of Weight
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 17:Insight
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 18A:Diurnal Variation
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 18B:Diurnal Variation-Severity
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 19: Depersonalization and Derealization
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 2:Feelings of Guilt
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 20:Paranoid Symptoms
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 22B:Helplessness
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 23B:Hopelessness
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 24B:Worthlessness
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 3:Suicide
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 4:Insomnia Early
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 5:Insomnia Middle
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 6:Insomnia Late
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 8:Retardation
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 9:Agitation
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in Pain Numerical Rating Scale (NRS)
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in Pulse Rate
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in the 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score and HAMD-24 Subscales (8 Week Endpoint for Maier Subscale)
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in the HAMD-24 Item 1:Depressed Mood
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in the HAMD-24 Total Score
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in the Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (MGH-CPFQ)
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in the Social Adaptation Self-evaluation Scale (SASS) Total Score
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week and 9 Month Endpoints in Weight
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week Endpoint in 30-Item Brief Profile of Mood States (BPOMS) Scale and Subscales (Tension-Anxiety, Depression-Dejection, Anger-Hostility, Vigor-Activity, Fatigue-Inertia, and Confusion-Bewilderment).
NCT00536471 (61) [back to overview]Change From Baseline to 12 Week Endpoint in Sheehan Disability Scale (SDS) Total Score and Subscores
NCT00536471 (61) [back to overview]Change From Baseline to 9 Month Endpoint in 30-Item Brief Profile of Mood States (BPOMS) Scale and Subscales (Tension-Anxiety, Depression-Dejection, Anger-Hostility, Vigor-Activity, Fatigue-Inertia, and Confusion-Bewilderment)
NCT00552175 (12) [back to overview]Change From Baseline at Week 12 in Average Pain Severity Rating Using Diaries for the Combined Duloxetine Arms (40 mg + 60 mg)
NCT00552175 (12) [back to overview]Change From Baseline in Beck Depression Inventory-II (BDI-II) Total Score at Week 12
NCT00552175 (12) [back to overview]Change From Baseline in Beck Depression Inventory-II (BDI-II) Total Score at Week 12 for the Combined Duloxetine Arms (40 mg + 60 mg)
NCT00552175 (12) [back to overview]Patient Global Impression of Improvement Scale at Week 12
NCT00552175 (12) [back to overview]Patient Global Impression of Improvement Scale at Week 12 in Combined Duloxetine Arms (40 mg + 60 mg)
NCT00552175 (12) [back to overview]Change From Baseline at Week 12 in Worst Pain Severity Score and Night Pain Severity Score Using Diaries
NCT00552175 (12) [back to overview]Change From Baseline at Week 12 in Average Pain Severity Rating Score Using Diaries
NCT00552175 (12) [back to overview]Change From Baseline at Week 12 in Worst Pain Severity Score and Night Pain Severity Score Using Diaries for the Combined Duloxetine Arms (40 mg + 60 mg)
NCT00552175 (12) [back to overview]Change From Baseline in Brief Pain Inventory Interference Scores at Week 12
NCT00552175 (12) [back to overview]Change From Baseline in Brief Pain Inventory Interference Scores at Week 12 for the Combined Duloxetine Arms (40 mg + 60 mg)
NCT00552175 (12) [back to overview]Change From Baseline in Brief Pain Inventory Severity Scores at Week 12
NCT00552175 (12) [back to overview]Change From Baseline in Brief Pain Inventory Severity Scores at Week 12 for the Combined Duloxetine Arms (40 mg + 60 mg)
NCT00603265 (7) [back to overview]Change From Baseline in Mean Numeric Pain Rating Scale (NPRS) Score
NCT00603265 (7) [back to overview]Change From Baseline in the Evening Assessment of the 24-hour Overall Mean Pain Intensity Score
NCT00603265 (7) [back to overview]Change in Sleep Interference Scale (SIS) From Baseline
NCT00603265 (7) [back to overview]Percentage of Responders
NCT00603265 (7) [back to overview]Change From Baseline in NPRS After Walking 50 Feet in the Clinic
NCT00603265 (7) [back to overview]Change From Baseline in NPRS at Rest in the Clinic
NCT00603265 (7) [back to overview]Patient Global Impression of Change (PGIC)
NCT00607789 (2) [back to overview]Binge Eating Days
NCT00607789 (2) [back to overview]Weekly Episodes
NCT00619983 (1) [back to overview]Visual Analog Scale for Pain
NCT00635219 (10) [back to overview]Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in ASEX Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in CGI-S Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment in Patients With Baseline HAM-A Total Score >=20
NCT00635219 (10) [back to overview]Change From Baseline in MADRS Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in SDS Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change in Clinical Status Using CGI-I Score at Week 8
NCT00635219 (10) [back to overview]Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)
NCT00635219 (10) [back to overview]Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)
NCT00641719 (9) [back to overview]Number of Participants Who Experienced an Adverse Event (AE)
NCT00641719 (9) [back to overview]Change From Baseline to One Year Endpoint in Brief Pain Inventory (BPI) Interference Scores
NCT00641719 (9) [back to overview]Change From Baseline to One Year Endpoint in Brief Pain Inventory (BPI) Severity Scores
NCT00641719 (9) [back to overview]Brief Pain Inventory (BPI) Severity Scores at One Year Endpoint
NCT00641719 (9) [back to overview]Brief Pain Inventory (BPI) Interference Scores at One Year Endpoint
NCT00641719 (9) [back to overview]Patient Global Impression of Improvement (PGI-I) Scale at One Year Endpoint.
NCT00641719 (9) [back to overview]Change From Baseline to One Year Endpoint in Beck Depression Inventory-II (BDI-II) Total Score
NCT00641719 (9) [back to overview]Change From Baseline to One Year Endpoint for Patient Global Impression of Improvement (PGI-I) Scale
NCT00641719 (9) [back to overview]Beck Depression Inventory-II (BDI-II) Total Score at One Year Endpoint
NCT00666757 (25) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Global Functional Impairment Score at 12-Week Endpoint (Functional Outcome Measure)
NCT00666757 (25) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Family/Home Item Score at Week-12 Endpoint (Functional Outcome Measure)
NCT00666757 (25) [back to overview]Change From Baseline in SDS Work/School Item Score at 12-Week Endpoint (Functional Outcome Measure)
NCT00666757 (25) [back to overview]Change From Baseline in QIDS-SR Total Score at 12-Week Endpoint (Mood Measure)
NCT00666757 (25) [back to overview]Change From Baseline in Pulse Rate at Week-12 Endpoint
NCT00666757 (25) [back to overview]Change From Baseline in HAMD-17 Total Score at 12-Week Endpoint (Mood Measure)
NCT00666757 (25) [back to overview]Change From Baseline in HAMD-17 Sleep Subscale Score at 12-Week Endpoint (Mood Measure)
NCT00666757 (25) [back to overview]Change From Baseline in HAMD-17 Retardation Subscale Score at 12-Week Endpoint (Mood Measure)
NCT00666757 (25) [back to overview]Change From Baseline in HAMD-17 Maier Subscale Score at 12-Week Endpoint (Mood Measure)
NCT00666757 (25) [back to overview]Change From Baseline in HAMD-17 Bech Subscale Score at 12-Week Endpoint (Mood Measure)
NCT00666757 (25) [back to overview]Change From Baseline in HAMD-17 Anxiety/Somatization Subscale Score at 12-Week Endpoint (Mood Measure)
NCT00666757 (25) [back to overview]Change From Baseline in Diastolic Blood Pressure at Week-12 Endpoint
NCT00666757 (25) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) Average 24-hour Pain Score, in Particpants With a Baseline BPI Average 24-hour Pain Score of 3 or Greater, at 12-Week Endpoint (Pain Measure)
NCT00666757 (25) [back to overview]Change From Baseline in BPI Average 24 Hour Pain Score at 12-Week Endpoint (Pain Measure)
NCT00666757 (25) [back to overview]Change From Baseline in SDS Social Item Score at 12-Week Endpoint (Functional Outcome Measure)
NCT00666757 (25) [back to overview]Change From Baseline in World Health Organization Health and Work Performance Questionnaire, Clinical Trials 7-Day Version (HPQ), Presenteeism Score, at Week-12 Endpoint
NCT00666757 (25) [back to overview]Change From Baseline in World Health Organization Health and Work Performance Questionnaire, Clinical Trials 7-Day Version (HPQ), Dollars of Income Lost Due to Work Presenteeism (WP)Score, at Week-12 Endpoint
NCT00666757 (25) [back to overview]Change From Baseline in World Health Organization Health and Work Performance Questionnaire, Clinical Trials 7-Day Version (HPQ), Dollars of Income Lost Due to Work Absenteeism Score at Week-12 Endpoint
NCT00666757 (25) [back to overview]Change From Baseline in World Health Organization Health and Work Performance Questionnaire, Clinical Trials 7-Day Version (HPQ), Absenteeism at 12-Week Endpoint
NCT00666757 (25) [back to overview]Change From Baseline in Weight at Week-12 Endpoint
NCT00666757 (25) [back to overview]Change From Baseline in Systolic Blood Pressure at Week-12 Endpoint
NCT00666757 (25) [back to overview]Probability of Response [QIDS-SR Total Score (Mood Measure) Greater Than Or Equal To 50 Percent Reduction From Baseline To 12 Week Endpoint]
NCT00666757 (25) [back to overview]Probability of Response [HAMD-17 Total Score (Mood Measure) Greater Than Or Equal To 50 Percent Reduction From Baseline To 12 Week Endpoint]
NCT00666757 (25) [back to overview]Probability of Remission [17-item Hamilton Depression Rating Scale (HAMD-17) (Mood Measure) Less Than or Equal to 7 at 12-Week Endpoint]
NCT00666757 (25) [back to overview]Probability of Remission [16-item Quick Inventory of Depressive Symptomatology (QIDS-SR) Score Less Than or Equal to 5 at 12-Week Endpoint]
NCT00672620 (12) [back to overview]Change From Baseline in the Clinical Global Impression Scale-Severity of Illness Scale
NCT00672620 (12) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score
NCT00672620 (12) [back to overview]Percentage of Participants With a Sustained Response in HAM-D24
NCT00672620 (12) [back to overview]Clinical Global Impression Scale-Global Improvement Scale
NCT00672620 (12) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale - Self-assessment (MADRS-S)
NCT00672620 (12) [back to overview]Healthcare Resource Utilization as Assessed by the Health Economic Assessment Questionnaire
NCT00672620 (12) [back to overview]Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Other Weeks Assessed
NCT00672620 (12) [back to overview]Change From Baseline in the Montgomery Åsberg Depression Rating Scale (MADRS) Total Score
NCT00672620 (12) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT00672620 (12) [back to overview]Percentage of Responders in HAM-D 24 Total Score by Study Visit
NCT00672620 (12) [back to overview]Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Week 8
NCT00672620 (12) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT00673452 (15) [back to overview]Change From Baseline in Blood Pressure at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in 36-Item Short-form Health Survey (SF-36) at 12 Weeks
NCT00673452 (15) [back to overview]Number of Responders: 50% Improvement in Brief Pain Inventory Average Pain Score at 12 Week Endpoint
NCT00673452 (15) [back to overview]Number of Responders: 30% Improvement in Brief Pain Inventory Average Pain at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in Weight at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (MGH-CPFQ) Total Score at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in Heart Rate at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in Clinical Global Impressions of Severity (CGI-S) at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in Beck Depression Inventory-II (BDI-II) at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in Beck Anxiety Inventory (BAI) at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) (Modified Short Form) at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in Multidimensional Fatigue Inventory (MFI) at 12 Week Endpoint
NCT00673452 (15) [back to overview]Change From Baseline in the Mood, Anxiety, Pain, Sleep, and Stiffness Likert Scale at 12 Week Endpoint
NCT00673452 (15) [back to overview]Number of Patients With Columbia Suicide Severity Rating Scale (CSSR-S) Events (Behaviors, Ideations, Acts)
NCT00673452 (15) [back to overview]Patient's Global Impressions of Improvement (PGI-I) at Week 12
NCT00696293 (2) [back to overview]Change in Montgomery Asberg Depression Rating Scale(MADRS) Score From Baseline and 12 Weeks
NCT00696293 (2) [back to overview]Change in McGill Pain Questionaire, Short Form, Score From Baseline and 12 Weeks
NCT00696774 (15) [back to overview]Change From Baseline HAMD-17 Sleep Subscale at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline HAMD-17 Anxiety/Somatization Subscale at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline HAMD-17 Core Subscale at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline HAMD-17 Maier Subscale at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline HAMD-17 Retardation/Somatization Subscale at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline in the Sexual Functioning Questionnaire Clinical Version (CSFQ) at 4 and 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline HAMD-17 Total Score at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline in the Sheehan Disability Scale (SDS) at 4 and 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline in the Treatment Satisfaction Questionnaire for Medication (TSQM) at 4 and 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline in Brief Pain Inventory-Modified Short Form (BPI-SF) Interference Score Between Responder and Non-Responder Participants at 4 Weeks
NCT00696774 (15) [back to overview]Change From Baseline in Patient Global Impression - Improvement (PGI-I) Scale Score at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline in the Brief Pain Inventory - Modified Short Form (BPI-SF) Average Pain Score at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline in the Clinical Global Impression - Severity (CGI-Severity) Scale at 8 Weeks
NCT00696774 (15) [back to overview]Change From Baseline in the Hamilton Anxiety Rating Scale (HAMA) at 8 Weeks
NCT00696774 (15) [back to overview]Percentage of Participants Meeting Criteria for Response on the 17-Item Hamilton Depression Rating Scale (HAMD-17) Maier Subscale at 4 and 8 Weeks
NCT00730691 (16) [back to overview]Percentage of Participants in HAM-A Remission at Each Week Assessed
NCT00730691 (16) [back to overview]Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Other Weeks Assessed
NCT00730691 (16) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
NCT00730691 (16) [back to overview]Percentage of Responders in HAM-A Total Score at Week 8
NCT00730691 (16) [back to overview]Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Week 8
NCT00730691 (16) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25
NCT00730691 (16) [back to overview]Change From Baseline in the Hamilton Anxiety (HAM-A) Scale Total Score at Week 8
NCT00730691 (16) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) at Week 8
NCT00730691 (16) [back to overview]Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Week 8
NCT00730691 (16) [back to overview]Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
NCT00730691 (16) [back to overview]Percentage of Responders in HAM-A Total Score at Other Weeks Assessed
NCT00730691 (16) [back to overview]Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Other Weeks Assessed
NCT00730691 (16) [back to overview]Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
NCT00730691 (16) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25
NCT00730691 (16) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) at Other Weeks Assessed
NCT00730691 (16) [back to overview]Change From Baseline in Hospital Anxiety and Depression (HAD) - Depression Subscale at All Weeks Assessed
NCT00755807 (36) [back to overview]Number of Participants With Adverse Events (AEs) Resulting in Discontinuation During the Open-label Extension Phase
NCT00755807 (36) [back to overview]Number of Participants With Treatment Emergent Adverse Events (TEAEs) During the Open-label Extension Phase
NCT00755807 (36) [back to overview]Number of Participants With Treatment Emergent Adverse Events (TEAEs) During the Acute Phase
NCT00755807 (36) [back to overview]Change in the Weekly Mean of the Night Pain Scores From Week 6 Through Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Number of Participants Who Discontinued During the Open-label Extension Phase (by Week 18)
NCT00755807 (36) [back to overview]Number of Participants With Suicidal Behaviors, Ideations, and Acts Based on The Columbia Suicide Severity Rating Scale (C-SSRS) at Week 6
NCT00755807 (36) [back to overview]Patient Global Impressions of Improvement Scale (PGI-I) at 6 Weeks
NCT00755807 (36) [back to overview]Patient Global Impressions of Improvement Scale (PGI-I) Score at 18 Weeks
NCT00755807 (36) [back to overview]Change From Baseline in Bicarbonate (HCO3) at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Blood Pressure at Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Blood Pressure at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) at Week 18
NCT00755807 (36) [back to overview]Change From Baseline in Inorganic Phosphorus at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Creatinine at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Monocytes at Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Multiple Sclerosis Quality of Life-54 Instrument (MS-QOL-54) at Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Sodium at Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Multiple Sclerosis Quality of Life-54 Instrument (MS-QOL-54) at 6 Weeks (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Platelet Count at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Weekly 24-Hour Average Pain Scores up to Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Total Protein at Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Number of Participants With Suicidal Behaviors, Ideations, and Acts Based on The Columbia Suicide Severity Rating Scale (C-SSRS) at Week 18
NCT00755807 (36) [back to overview]Number of Participants With Adverse Events (AEs) Resulting in Discontinuation From Baseline During the Acute Phase
NCT00755807 (36) [back to overview]Change From Baseline in Uric Acid at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Number of Participants Who Discontinued During the Acute Phase (by Week 6)
NCT00755807 (36) [back to overview]Change From Baseline in Weight at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Weight at Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Weekly Mean of Night Pain Scores at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Weekly 24-Hour Average Pain Scores at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Clinical Global Impression of Severity Scale (CGI-S) Score at Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Clinical Global Impression of Severity Scale (CGI-S) at 6 Weeks (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in the Beck Depression Inventory II (BDI-II) Question #9 at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Pulse Rate at Week 6 (Acute Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Pulse Rate at Week 18 (Open-label Extension Phase)
NCT00755807 (36) [back to overview]Change From Baseline in Beck Depression Inventory II (BDI-II), Question #9 at Week 18 (Open-label Extension Phase)
NCT00767806 (26) [back to overview]Number of Responders: 50 Percent (%) or Greater Reduction of the Brief Pain Inventory (BPI) Average Pain Severity Rating at 12 Week Endpoint
NCT00767806 (26) [back to overview]Number of Responders: 30 Percent (%) or Greater Reduction of the Brief Pain Inventory (BPI) Average Pain Severity Rating at 12 Week Endpoint
NCT00767806 (26) [back to overview]Number of Participants With Suicidal Ideation or Suicidal Behaviors According to the Columbia Suicide Severity Rating Scale
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in Profile of Mood States - Brief Form
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in Weekly Mean of 24-hour Average Pain, Worst Pain, and Night Pain Rating
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in Work Productivity and Activity Impairment Instrument (WPAI)
NCT00767806 (26) [back to overview]Change From Baseline to 12 Week Endpoint in Albumin
NCT00767806 (26) [back to overview]Change From Baseline to 12 Week Endpoint in Alkaline Phosphatase
NCT00767806 (26) [back to overview]Change From Baseline to 12 Week Endpoint in Aspartate Aminotransferase
NCT00767806 (26) [back to overview]Change From Baseline to 12 Week Endpoint in Creatinine
NCT00767806 (26) [back to overview]Change From Baseline to 12 Week Endpoint in Total Protein
NCT00767806 (26) [back to overview]Change From Baseline to 12 Week Endpoint in Weight
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks Endpoint in Clinical Global Impressions of Severity (CGI-S)
NCT00767806 (26) [back to overview]Change From Baseline to 12 Week Endpoint in Alanine Aminotransferase
NCT00767806 (26) [back to overview]Patient's Global Impression of Improvement (PGI-I) at 12 Weeks
NCT00767806 (26) [back to overview]Change From Baseline to 12 Week Endpoint in Pulse Rate
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in Brief Pain Inventory 24-hour Average Pain Score
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in Roland Morris Disability Questionnaire
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in Uric Acid
NCT00767806 (26) [back to overview]Number of Participants Reaching Each Threshold of of BPI Average Pain Score Reduction During the Study - Cumulative Distribution
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks on the Brief Pain Inventory - Severity (BPI-S) and Interference (BPI-I)
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in European Quality of Life Questionnaire - 5 Dimension
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in Blood Pressure
NCT00767806 (26) [back to overview]Change From Baseline to 12 Weeks in 36-item Short-Form (SF-36) Health Survey
NCT00767806 (26) [back to overview]Participants Who Discontinued From Baseline to 12 Weeks
NCT00767806 (26) [back to overview]Number of Sustained Responders at 12 Week Endpoint
NCT00803361 (7) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) - Short Form Severity (BPI-S) and Interference (BPI-I) Scores at Endpoint
NCT00803361 (7) [back to overview]Mean Clinical Global Impressions (CGI) Improvement Score at Endpoint
NCT00803361 (7) [back to overview]Change From Baseline in Visual Analogue Scale (VAS) for Pain at Endpoint
NCT00803361 (7) [back to overview]Change From Baseline in the Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score at Endpoint
NCT00803361 (7) [back to overview]Change From Baseline in the Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score at Endpoint
NCT00803361 (7) [back to overview]Change From Baseline in the Hamilton Anxiety (HAMA) Rating Scale Total Score at Endpoint
NCT00803361 (7) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) at Endpoint, Global Functioning Scores
NCT00810069 (18) [back to overview]Estimated Probability of Not Reaching Confirmed Remission at 12 Weeks Based on the Survival Function for the Time to Confirmed Remission
NCT00810069 (18) [back to overview]Visual Analog Scale (VAS) - Overall Pain Severity
NCT00810069 (18) [back to overview]Sheehan Disability Scale (SDS) Normal Functioning Total Score
NCT00810069 (18) [back to overview]Resource Utilisation - Number of Work Hours Missed in the Last 4 Weeks
NCT00810069 (18) [back to overview]Resource Utilisation - Number of Work Hours Missed Due to Depression in the Last 4 Weeks
NCT00810069 (18) [back to overview]Resource Utilisation - Number of Visits to Primary Healthcare Provider Due to Depression in the Last 4 Weeks
NCT00810069 (18) [back to overview]Resource Utilisation - Number of Visits to Other Specialists Due to Depression in the Last 4 Weeks
NCT00810069 (18) [back to overview]Resource Utilisation - Number of Hours Worked Per Week
NCT00810069 (18) [back to overview]Resource Utilisation - Has the Participant Been Hospitalized Due to Depression in the Last 4 Weeks - Number of Participants With a Yes Response
NCT00810069 (18) [back to overview]Number of Participants With Adverse Events (AEs)
NCT00810069 (18) [back to overview]Euro Quality of Life Questionnaire-5 Dimensions (EQ-5D) Scale - United Kingdom (UK) Population Based Index Score
NCT00810069 (18) [back to overview]Euro Quality of Life Questionnaire-5 Dimensions (EQ-5D) Scale - Health State Score
NCT00810069 (18) [back to overview]Clinical Global Impressions of Severity (CGI-S) Scale
NCT00810069 (18) [back to overview]Time to Confirmed Response by ≥ 50% Change From Baseline Reduction in the Hamilton Depression Rating Scale-17 Items (HAMD-17)
NCT00810069 (18) [back to overview]Time to Confirmed Response as Defined by ≥ 50% Reduction From Baseline Reduction in the 16-Item Quick Inventory of Depressive Symptomatology Self Report (QIDS16SR) That is Reported for Two Consecutive Visits
NCT00810069 (18) [back to overview]Time to Confirmed Remission by a Hamilton Depression Rating Scale-17 Items (HAMD-17) Score of ≤ 7 That is Maintained for Two Consecutive Visits
NCT00810069 (18) [back to overview]Time to Confirmed Remission as Defined by a 16-Item Quick Inventory of Depressive Symptomatology Self Report (QIDS16SR) Score of ≤ 5 That is Maintained for Two Consecutive Visits.
NCT00810069 (18) [back to overview]Estimated Probability of Not Reaching Confirmed Response at 12 Weeks Based on the Survival Function for the Time to Confirmed Response
NCT00811252 (13) [back to overview]Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in GDS Total Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Risk of Suicidality Using C-SSRS Scores
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Change in Clinical Status Using CGI-I Score at Week 8
NCT00811252 (13) [back to overview]Proportion of Responders at Week 8 (Response Defined as a >=50% Reduction in the HAM-D-24 Total Score)
NCT00811252 (13) [back to overview]Change From Baseline in CGI-S Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in MADRS Total Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 6 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 4 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 2 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 1 Week of Treatment
NCT00811252 (13) [back to overview]Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)
NCT00844194 (98) [back to overview]Change of Pulse Rate From Baseline at Week 12
NCT00844194 (98) [back to overview]Change of Systolic Blood Pressure From Baseline at Week 12
NCT00844194 (98) [back to overview]Patient Global Impression - Improvement (PGI-I) at Week 12
NCT00844194 (98) [back to overview]Patient Global Impression - Improvement (PGI-I) at Week 2
NCT00844194 (98) [back to overview]Patient Global Impression - Improvement (PGI-I) at Week 6
NCT00844194 (98) [back to overview]Change in HADS Anxiety Total Score From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in HADS Depression Total Score From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in HADS Depression Total Score From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in HADS Depression Total Score From Baseline to Week 6
NCT00844194 (98) [back to overview]Suicidal Thoughts or Behaviours by HAMD-17 at Week 12
NCT00844194 (98) [back to overview]Suicidal Thoughts by BDI-II at Week 6
NCT00844194 (98) [back to overview]Suicidal Thoughts by BDI-II at Week 2
NCT00844194 (98) [back to overview]Suicidal Thoughts by BDI-II at Week 12
NCT00844194 (98) [back to overview]Number of Patients With a Reduction in BPI Average Pain at Week 6
NCT00844194 (98) [back to overview]Number of Patients With a Reduction in BPI Average Pain at Week 2
NCT00844194 (98) [back to overview]Number of Patients With a Reduction in BPI Average Pain at Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Life Control From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Interference of Pain With General Activity (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Interference of Pain With Mood (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Suicidal Thoughts or Behaviours by HAMD-17 at Week 6
NCT00844194 (98) [back to overview]Suicidal Thoughts or Behaviours by HAMD-17 at Week 2
NCT00844194 (98) [back to overview]Change in Interference of Pain With Mood (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Interference of Pain With Mood (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Interference of Pain With Normal Work (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Interference of Pain With Normal Work (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Interference of Pain With Normal Work (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Interference of Pain With Relations to Other People (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Interference of Pain With Relations to Other People (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Interference of Pain With Relations to Other People (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Interference of Pain With Sleep (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Interference of Pain With Sleep (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Interference of Pain With Sleep (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Interference of Pain With Walking Ability (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Interference of Pain With Walking Ability (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Interference of Pain With Walking Ability (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Least Pain (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Least Pain (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Least Pain During Treatment (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Affective Distress From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Affective Distress From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Degree to Which Significant Others Display Distracting Responses to the Patient's Pain Behaviors and Complaints From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Degree to Which Significant Others Display Distracting Responses to the Patient's Pain Behaviors and Complaints From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): General Activities From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): General Activities From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Household Chores From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Household Chores From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Interference of Pain (With Subjective Well-being) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Interference of Pain From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Life Control From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Negative Responses From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Negative Responses From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Outdoor Work From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Outdoor Work From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Pain Severity From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Pain Severity From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Social Activities From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Social Activities From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Pain (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Solicitous Responses From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in HADS Anxiety Total Score From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Clinical Global Impression - Severity Pain From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Clinical Global Impression - Severity Pain From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Clinical Global Impression - Severity Pain From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in BPI Worst Pain During Treatment From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Interference of Pain With General Activity (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Solicitous Responses From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Interference of Pain With General Activity (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Interference of Pain With Enjoyment of Life (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Interference of Pain With Enjoyment of Life (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Hospital Anxiety and Depression Scale (HADS) Anxiety Total Score From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Hamilton Depression Score From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Hamilton Depression Score From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Hamilton Depression Score From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Beck Depression Inventory Total Score (BDI-II) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Beck Depression Inventory Total Score (BDI-II) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Beck Depression Inventory Total Score (BDI-II) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Average Pain During Treatment (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Average Pain (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Average Pain (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Support From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Multidimensional Pain Inventory (MPI): Support Which the Patient Received From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Pain During Treatment (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Pain During Treatment (BPI) From Baseline to Week 2
NCT00844194 (98) [back to overview]Change in Relief of Pain (BPI) From the Week Before Baseline to the Week Before Week 12
NCT00844194 (98) [back to overview]Change in Relief of Pain (BPI) From the Week Before Baseline to the Week Before Week 2
NCT00844194 (98) [back to overview]Change in Relief of Pain (BPI) From the Week Before Baseline to the Week Before Week 6
NCT00844194 (98) [back to overview]Change in Short Form Health Survey (SF-12) - Mental Component Summary From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Short Form Health Survey (SF-12) - Mental Component Summary From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Short Form Health Survey (SF-12) - Physical Component Summary From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Short Form Health Survey (SF-12) - Physical Component Summary From Baseline to Week 6
NCT00844194 (98) [back to overview]Change in Worst Pain (BPI) From Baseline to Week 12
NCT00844194 (98) [back to overview]Change in Worst Pain (BPI) From Baseline to Week 6
NCT00844194 (98) [back to overview]Change of Brief Pain Inventory (BPI) Average Interference Score From Baseline to Week 12
NCT00844194 (98) [back to overview]Change of Brief Pain Inventory (BPI) Average Interference Score From Baseline to Week 6
NCT00844194 (98) [back to overview]Change of Diastolic Blood Pressure From Baseline at Week 12
NCT00844194 (98) [back to overview]Change of Fasting Blood Glucose From Baseline at Week 12
NCT00844194 (98) [back to overview]Change of Glycosylated Hemoglobin A1c (HbA1c) From Baseline at Week 12
NCT00844194 (98) [back to overview]Change in Interference of Pain With Enjoyment of Life (BPI) From Baseline to Week 12
NCT00849693 (12) [back to overview]Change From Baseline in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 10 Endpoint
NCT00849693 (12) [back to overview]Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 10 Endpoint
NCT00849693 (12) [back to overview]Percentage of Participants With Potentially Clinically Significant (PCS) Changes in Systolic Blood Pressure (BP), Diastolic BP, Pulse, and Weight Any Time Week 10 Through Week 36
NCT00849693 (12) [back to overview]Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 36 Endpoint
NCT00849693 (12) [back to overview]Number of Participants With Suicidal Ideation or Suicidal Behavior Baseline Through Week 10
NCT00849693 (12) [back to overview]Change From Week 10 in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 36 Endpoint
NCT00849693 (12) [back to overview]Number of Participants With Suicidal Ideation or Suicidal Behavior Week 10 Through Week 36
NCT00849693 (12) [back to overview]Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 10 Endpoint
NCT00849693 (12) [back to overview]Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 36 Endpoint
NCT00849693 (12) [back to overview]Percentage of Participants With Potentially Clinically Significant (PCS) Changes in Systolic Blood Pressure (BP), Diastolic BP, Pulse, and Weight Any Time Baseline Through Week 10
NCT00849693 (12) [back to overview]Number of Participants With Potentially Clinically Significant Hepatic Laboratory Results Any Time Baseline Through Week 10
NCT00849693 (12) [back to overview]Number of Participants With Potentially Clinically Significant Hepatic Laboratory Results Any Time Week 10 Through Week 36
NCT00849901 (12) [back to overview]Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 10 Endpoint
NCT00849901 (12) [back to overview]Change From Baseline in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 10 Endpoint
NCT00849901 (12) [back to overview]Number of Participants With Suicidal Ideation or Suicidal Behavior Baseline Through Week 10
NCT00849901 (12) [back to overview]Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 36 Endpoint
NCT00849901 (12) [back to overview]Change From Week 10 in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 36 Endpoint
NCT00849901 (12) [back to overview]Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 10 Endpoint
NCT00849901 (12) [back to overview]Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 36 Endpoint
NCT00849901 (12) [back to overview]Number of Participants With Potentially Clinically Significant Hepatic Laboratory Results Any Time Baseline Through Week 10
NCT00849901 (12) [back to overview]Number of Participants With Potentially Clinically Significant Hepatic Laboratory Results Any Time Week 10 Through Week 36
NCT00849901 (12) [back to overview]Number of Participants With Suicidal Ideation or Suicidal Behavior Week 10 Through Week 36
NCT00849901 (12) [back to overview]Percentage of Participants With Potentially Clinically Significant (PCS) Changes in Systolic Blood Pressure (BP), Diastolic BP, Pulse, and Weight Any Time Baseline Through Week 10
NCT00849901 (12) [back to overview]Percentage of Participants With Potentially Clinically Significant (PCS) Changes in Systolic Blood Pressure (BP), Diastolic BP, Pulse, and Weight Any Time Week 10 Through Week 36
NCT00863057 (10) [back to overview]Number of Participants With 30% or More Improvement in Mean Pain Score on an 11-point Likert Scale
NCT00863057 (10) [back to overview]Number of Participants With 50% or More Improvement in Mean Pain Score on an 11-point Likert Scale
NCT00863057 (10) [back to overview]Number of Participants With Treatment-emergent Grade 2 to 4 Adverse Events
NCT00863057 (10) [back to overview]Pain-related Interference Measured by the Brief Pain Inventory (BPI) Interference Items
NCT00863057 (10) [back to overview]Weekly Mean Pain Score Derived From Self-reported Average Daily Pain Intensity on an 11-point Likert Scale
NCT00863057 (10) [back to overview]Patient and Clinician Global Impression of Change (PGIC and CGIC) on a 7-point Likert Scale
NCT00863057 (10) [back to overview]Emotional Functioning as Measured by the Center for Epidemiologic Studies Depression Scale (CES-D)
NCT00863057 (10) [back to overview]Maximum Tolerated Dose of Duloxetine and Methadone
NCT00863057 (10) [back to overview]Mean Nighttime Pain Measure on an 11-point Likert Scale
NCT00863057 (10) [back to overview]Use of Rescue Medication (Acetaminophen)
NCT00929344 (3) [back to overview]Change From Baseline in Drinking Quantity and Frequency Using Drinks Per Week at Week 12
NCT00929344 (3) [back to overview]Change From Baseline in Drinking Quantity and Frequency Using Drinking Days Per Week at Week 12
NCT00929344 (3) [back to overview]Change From Baseline in Drinking Quantity and Frequency Using Drinks Per Drinking Day at Week 12
NCT00945945 (2) [back to overview]Number of Participants With Suicidal Behaviors and Ideations From the Columbia Suicide Severity Rating Scale
NCT00945945 (2) [back to overview]"Change From Baseline to 13 Week Endpoint (Baseline Observation Carried Forward [BOCF]) in Brief Pain Inventory (BPI) 24-Hour Average Pain Item (Question 3) of the BPI-Modified Short Form Score"
NCT00960986 (16) [back to overview]Patient Global Impression of Improvement (PGI-I) at 1 Week and 8 Weeks
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Sleep Subscale
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Retardation/Somatization Subscale
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Maier Subscale
NCT00960986 (16) [back to overview]Mean Change From Baseline to 8-Week Endpoint in Association for Methodology and Documentation in Psychiatry (AMDP-5) Adverse Event (AE) Scale Item 112 (Nausea)
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Core Mood Subscale
NCT00960986 (16) [back to overview]Percentage of Patients Achieving Remission
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in Association for Methodology and Documentation in Psychiatry (AMDP-5) Measure: Common Adverse Events (AEs) Score
NCT00960986 (16) [back to overview]Percentage of Participants Achieving Response
NCT00960986 (16) [back to overview]Time to Resolve Nausea
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Anxiety/Somatization Subscale
NCT00960986 (16) [back to overview]Time to Onset of Nausea
NCT00960986 (16) [back to overview]Mean Maximum Nausea Severity, Association for Methodology and Documentation in Psychiatry (AMDP-5) Adverse Event (AE) Scale Item 112 (Nausea)
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in Clinical Global Impressions of Severity (CGI-S)
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in Association for Methodology and Documentation in Psychiatry (AMDP-5) Measure: Gastric Events Score
NCT00960986 (16) [back to overview]Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score
NCT00961298 (4) [back to overview]Clinical Global Impression Scale
NCT00961298 (4) [back to overview]Irritable Bowel Syndrome-Quality of Life Scale
NCT00961298 (4) [back to overview]Irritable Bowel Syndrome Severity Scoring System
NCT00961298 (4) [back to overview]Hamilton Anxiety Rating Scale
NCT00965081 (9) [back to overview]Number of Participants With Suicidal Behaviors and Ideations Collected by Columbia -Suicide Severity Rating Scale (C-SSRS)
NCT00965081 (9) [back to overview]Change From Baseline to 12-Week Endpoint 36-Item Short-Form Health Survey (SF-36)
NCT00965081 (9) [back to overview]Change From Baseline to 12-Week Endpoint Beck Depression Inventory-II (BDI-II)
NCT00965081 (9) [back to overview]"Change From Baseline to 12-Week Endpoint in the Brief Pain Inventory (BPI) 24-Hour Average Pain Item (Question 3) of the BPI-Modified Short Form Score"
NCT00965081 (9) [back to overview]Change From Baseline to 12-Week Endpoint Beck Anxiety Inventory (BAI)
NCT00965081 (9) [back to overview]Clinical Global Impression of Improvement (CGI-I) for Depression at Endpoint
NCT00965081 (9) [back to overview]Change From Baseline to 12-Week Endpoint Fibromyalgia Impact Questionnaire (FIQ)
NCT00965081 (9) [back to overview]Change From Baseline to 12-Week Endpoint in the Brief Pain Inventory (BPI) - Modified Short Form
NCT00965081 (9) [back to overview]Patient Global Impression - Improvement (PGI-I) at Endpoint
NCT00981149 (2) [back to overview]Spontaneous Pain as Measured by Visual Analog Scale at Baseline and at End of 6 Weeks.
NCT00981149 (2) [back to overview]Evoked Pain Via Algometry .
NCT00985504 (11) [back to overview]Percentage of Participants Who Relapsed During 8 Weeks
NCT00985504 (11) [back to overview]Percentage of Participants Who Discontinue Due to Lack of Efficacy During 8 Weeks
NCT00985504 (11) [back to overview]Patient's Global Impressions of Improvement Scale (PGI-I) Rating Scale Score at Week 8
NCT00985504 (11) [back to overview]Change From Baseline in the Clinical Global Impression of Severity (CGI-S) Rating Scale at Week 8
NCT00985504 (11) [back to overview]Change From Baseline in the Apathy Evaluation Scale - Clinician Rated Version (AES-C) Total Score at Week 8
NCT00985504 (11) [back to overview]Number of Days From Baseline to Relapse as Defined by Montgomery-Asberg Depression Rating Scale (MADRS) Total Score ≥16 During 8 Weeks
NCT00985504 (11) [back to overview]Change From Baseline in the Rothschild Scale for Antidepressant Tachyphylaxis (RSAT) Total and Individual Item Scores at Week 8
NCT00985504 (11) [back to overview]Change From Baseline in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score and Item 8 (Inability to Feel) at Week 8
NCT00985504 (11) [back to overview]Change From Baseline in the Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (MGH-CPFQ) Total and Item Scores at Week 8
NCT00985504 (11) [back to overview]Change From Baseline in the Apathy Evaluation Scale-Clinician Rated Version (AES-C) Subscale Scores at Week 8
NCT00985504 (11) [back to overview]Change From Baseline in the Sheehan Disability Scale (SDS) Total and Individual Scores at Week 8
NCT00989157 (5) [back to overview]T1/2
NCT00989157 (5) [back to overview]AUCo-inf,
NCT00989157 (5) [back to overview]Cmax
NCT00989157 (5) [back to overview]Tmax
NCT00989157 (5) [back to overview]Emesis
NCT01000805 (14) [back to overview]Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score at Week 2
NCT01000805 (14) [back to overview]Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score at Week 4
NCT01000805 (14) [back to overview]Change From Baseline in the Brief Pain Inventory-Short Form (BPI-SF) Average Pain Score During the 8-week Treatment Period
NCT01000805 (14) [back to overview]Change From Baseline in the Montgomery Asberg Depression Rating Scale (MADRS) Total Score at Week 8
NCT01000805 (14) [back to overview]Change From Baseline in the Sheehan Disability Scale (SDS) Total and Item Scores at Week 8
NCT01000805 (14) [back to overview]Change From Baseline in the Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) at Week 8
NCT01000805 (14) [back to overview]Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Up to Week 8
NCT01000805 (14) [back to overview]Change From Baseline in Pulse Rate up to Week 8
NCT01000805 (14) [back to overview]Percentage of Participants Achieving Remission up to Week 8
NCT01000805 (14) [back to overview]Patient's Global Impressions of Improvement Scale (PGI-I) at Week 8
NCT01000805 (14) [back to overview]Number of Participants With Abnormal Laboratory Values During the Double-blind Treatment Phase - High Alanine Amino Transferase/Serum Glutamate Pyruvate Transaminase (ALT/SGPT)
NCT01000805 (14) [back to overview]Change From Baseline in the Percentage of Participants Achieving Remission up to Week 8
NCT01000805 (14) [back to overview]Number of Participants With Suicidal Behaviors, Ideations, and Acts Based on the Columbia Suicide Severity Rating Scale (C-SSRS) During the Double-blind Treatment Phase
NCT01000805 (14) [back to overview]Change From Baseline in Weight up to Week 8
NCT01018680 (18) [back to overview]Change From Baseline in the Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) Scores at 8 Weeks
NCT01018680 (18) [back to overview]Percentage of Responders as Assessed by the Osteoarthritis Research Society International (OARSI) Response Criteria up to 8 Weeks
NCT01018680 (18) [back to overview]Percentage of Participants With Abnormal Pulse Rate up to 10 Weeks
NCT01018680 (18) [back to overview]Percentage of Participants With Abnormal High Hemoglobin A1c (HbA1c) up to 10 Weeks
NCT01018680 (18) [back to overview]Percentage of Participants Who Discontinued Due to an Adverse Event During the 10-Week Treatment Period
NCT01018680 (18) [back to overview]Percentage of Participants Using Acetaminophen Weekly During the 10-Week Treatment Period
NCT01018680 (18) [back to overview]Patient Global Impression of Improvement (PGI-I) at 8 Weeks
NCT01018680 (18) [back to overview]Change From Baseline in the Weekly Mean of the 24-Hour Average Pain Score at 8 Weeks
NCT01018680 (18) [back to overview]Change From Baseline in the Patient Global Assessment of Illness (PGAI) at 8 Weeks
NCT01018680 (18) [back to overview]Change From Baseline in the Clinical Global Impression of Severity (CGI-S) at 8 Weeks
NCT01018680 (18) [back to overview]Change From Baseline in the Weekly Mean of the 24-Hour Night Pain and Worst Pain Scores at 8 Weeks
NCT01018680 (18) [back to overview]Change From Baseline in the Profile of Mood States-Brief Form (BPOMS) Total and Subscale Scores at 8 Weeks
NCT01018680 (18) [back to overview]Percentage of Participants With Abnormal Weight Gain and Weight Loss up to 10 Weeks
NCT01018680 (18) [back to overview]Percentage of Participants With Abnormal Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP) up to 10 Weeks
NCT01018680 (18) [back to overview]Percentage of Participants With a Change of Better, Worse, or No Change in Health Outcomes as Measured by Resource Utilization (REU) up to 10 Weeks
NCT01018680 (18) [back to overview]Percentage of Participants Who Achieved a 30 Percent or 50 Percent Reduction in the Weekly Mean of the 24-Hour Average Pain Score up to 8 Weeks
NCT01018680 (18) [back to overview]Percentage of Participants Who Achieved a 30 Percent or 50 Percent Reduction in the Brief Pain Inventory-Severity (BPI-S) Average Pain Score up to 8 Weeks
NCT01018680 (18) [back to overview]Change From Baseline in the Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) Pain, Stiffness, and Physical Function Subscale Scores at 8 Weeks
NCT01028352 (2) [back to overview]Decrease in Average Pain With 8 Weeks of Duloxetine Therapy. (Sustained)
NCT01028352 (2) [back to overview]Percentage of Patients Who Experience 30% Reduction in Average Pain Score From Baseline to 8 Weeks Due to Duloxetine Therapy.
NCT01051466 (15) [back to overview]Sheehan Disability Scale (SDS)
NCT01051466 (15) [back to overview]Clinical Global Impressions of Severity Scale (CGI-S)
NCT01051466 (15) [back to overview]Change From Baseline to 12-Week Endpoint in Activation [Blood Oxygenation-Level-Dependent (BOLD) Response to Implicit Processing of Sad Faces] for Each of the 3 Brain Regions
NCT01051466 (15) [back to overview]Translocation of Gs Alpha (Gsα) From Lipid Rafts in the Cell Membranes of Red Blood Cells (RBCs), White Blood Cells (WBCs) and Platelets Compared With Baseline
NCT01051466 (15) [back to overview]Change From Baseline to 12-Week Endpoint in Brain-Derived Neurotrophic Factor (BDNF) and the Precursor of BDNF (proBDNF) Receptors
NCT01051466 (15) [back to overview]Change From Baseline to 12-Week Endpoint in the Functional Magnetic Resonance Imaging (fMRI) Mean Blood Oxygenation-Level-Dependent (BOLD) Response in the Amygdalae
NCT01051466 (15) [back to overview]Percentage of Participants With 17-Item Hamilton Depression Rating Scale (HAMD17) Remission
NCT01051466 (15) [back to overview]Percentage of Participants With 17-Item Hamilton Depression Rating Scale (HAMD17) Response
NCT01051466 (15) [back to overview]17-Item Hamilton Depression Rating Scale (HAMD17)
NCT01051466 (15) [back to overview]Change From Baseline to 12-Week Endpoint in Brain-Derived Neurotrophic Factor (BDNF) and the Precursor of BDNF (proBDNF)
NCT01051466 (15) [back to overview]Change From Baseline to 12-Week Endpoint in Proinflammatory Cytokines [Tumor Necrosis Factor Alpha (TNFα), Interleukin 1 (IL-1), and Interleukin 6 (IL-6)]
NCT01051466 (15) [back to overview]Change From Baseline to 12-Week Endpoint in Volume of Subgenual Anterior Cingulate, Amygdalae, and Hippocampus
NCT01051466 (15) [back to overview]Patient's Global Impressions of Improvement (PGI-I) Scale
NCT01051466 (15) [back to overview]Hamilton Anxiety Rating Scale (HAMA)
NCT01051466 (15) [back to overview]Incidence of Suicidal Behavior and Suicidal Ideation as Measured by the Columbia Suicide Severity Rating Scale (C-SSRS)
NCT01070329 (14) [back to overview]Change From Baseline in the Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) at Week 8
NCT01070329 (14) [back to overview]Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Up to Week 8
NCT01070329 (14) [back to overview]Change From Baseline in Pulse Rate up to Week 8
NCT01070329 (14) [back to overview]Percentage of Participants Achieving Remission up to Week 8
NCT01070329 (14) [back to overview]Patient Global Impression of Improvement (PGI-I) Score at Week 8
NCT01070329 (14) [back to overview]Number of Participants With Abnormal Laboratory Values During the Double-Blind Treatment Phase - High Creatinine
NCT01070329 (14) [back to overview]Change From Baseline in the Percentage of Participants Achieving Remission up to Week 8
NCT01070329 (14) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 2
NCT01070329 (14) [back to overview]Change From Baseline in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 8
NCT01070329 (14) [back to overview]Change From Baseline in the Brief Pain Inventory-Short Form (BPI-SF) Average Pain Score During the 8-Week Treatment Period
NCT01070329 (14) [back to overview]Change From Baseline in the Sheehan Disability Scale (SDS) Total and Item Scores at Week 8
NCT01070329 (14) [back to overview]Change From Baseline in Weight up to Week 8
NCT01070329 (14) [back to overview]Number of Participants With Suicidal Behaviors, Ideations, and Acts Based on the Columbia Suicide Severity Rating Scale (C-SSRS) During the Double-Blind Treatment Phase
NCT01070329 (14) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 4
NCT01089556 (31) [back to overview]Change From Week 8 to Week 16 Endpoint in 24 Hour Average Pain Item Score on the Brief Pain Inventory (BPI) Modified Short Form
NCT01089556 (31) [back to overview]Resource Utilization (Number of Days Hospitalized, Number of Days of Sick Leave) Baseline Through Week 8
NCT01089556 (31) [back to overview]Percentage of Participants With a Reduction of Greater Than or Equal to 30% on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 16 Endpoint
NCT01089556 (31) [back to overview]Average Number of Hours Worked for Pay Per Week Week 8 Through Week 16
NCT01089556 (31) [back to overview]Patient Global Impression of Improvement (PGI-I) Score at Week 16 Endpoint
NCT01089556 (31) [back to overview]Mean Change From Baseline to Week 8 Endpoint in 24 Hour Average Pain Item Score on the Brief Pain Inventory (BPI) Modified Short Form
NCT01089556 (31) [back to overview]Clinical Global Impression of Improvement (CGI-I) at Week 8 Endpoint
NCT01089556 (31) [back to overview]Clinical Global Impression of Improvement (CGI-I) at Week 16 Endpoint
NCT01089556 (31) [back to overview]Mean Change in Blood Pressure (BP) From Week 8 to Week 16 Endpoint
NCT01089556 (31) [back to overview]Number of Participants Who Discontinued From Study Between Week 8 and Week 16 Endpoint
NCT01089556 (31) [back to overview]Number of Participants With Treatment Emergent Adverse Events (TEAE) Between Baseline and Week 8 Endpoint
NCT01089556 (31) [back to overview]Number of Participants With Treatment Emergent Adverse Events (TEAEs) Between Week 8 and Week 16 Endpoint
NCT01089556 (31) [back to overview]Number of Participants Who Discontinued From Study Between Baseline and Week 8 Endpoint
NCT01089556 (31) [back to overview]Mean Change From Baseline to Week 8 Endpoint in Sheehan Disability Scale (SDS)
NCT01089556 (31) [back to overview]Patient Global Impression of Improvement (PGI-I) Score at Week 8 Endpoint
NCT01089556 (31) [back to overview]Percentage of Participants With a Decrease of Greater Than or Equal to 2 Points on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 16 Endpoint
NCT01089556 (31) [back to overview]Percentage of Participants With a Decrease of Greater Than or Equal to 2 Points on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 8 Endpoint
NCT01089556 (31) [back to overview]Average Number of Hours Worked for Pay Per Week Baseline Through Week 8
NCT01089556 (31) [back to overview]Percentage of Participants With a Reduction of Greater Than or Equal to 30% on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 8 Endpoint
NCT01089556 (31) [back to overview]Percentage of Participants With a Reduction of Greater Than or Equal to 50% on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 16 Endpoint
NCT01089556 (31) [back to overview]Percentage of Participants With a Reduction of Greater Than or Equal to 50% on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 8 Endpoint
NCT01089556 (31) [back to overview]Mean Change From Baseline to Week 8 Endpoint in Hospital Anxiety and Depression Scale (HADS)
NCT01089556 (31) [back to overview]Resource Utilization (Number of Days Hospitalized, Number of Days of Sick Leave) Week 8 Through Week 16
NCT01089556 (31) [back to overview]Mean Change From Week 8 to Week 16 Endpoint in Hospital Anxiety and Depression Scale (HADS)
NCT01089556 (31) [back to overview]Mean Change in Blood Pressure (BP) From Baseline to Week 8 Endpoint
NCT01089556 (31) [back to overview]Mean Change From Baseline to Week 8 Endpoint on the Neuropathic Pain Symptom Inventory (NPSI) Questionnaire
NCT01089556 (31) [back to overview]Mean Change From Week 8 to Week 16 Endpoint in Items of the Brief Pain Inventory (BPI) Modified Short Form Worst Pain Score
NCT01089556 (31) [back to overview]Mean Change From Week 8 to Week 16 Endpoint in Sheehan Disability Scale (SDS)
NCT01089556 (31) [back to overview]Mean Change From Week 8 to Week 16 Endpoint on the Neuropathic Pain Symptom Inventory (NPSI) Questionnaire
NCT01089556 (31) [back to overview]Mean Change in Heart Rate From Baseline to Week 8 Endpoint
NCT01089556 (31) [back to overview]Mean Change in Heart Rate From Week 8 to Week 16 Endpoint
NCT01117857 (5) [back to overview]Change in Overall Well Being Measured by the Clinical Global Impression Scale (CGI)
NCT01117857 (5) [back to overview]Change in Depression Scores as Measured by the Hamilton Rating Scale for Depression
NCT01117857 (5) [back to overview]Change in Menopause Symptoms as Measured by the Greene Climacteric Scale
NCT01117857 (5) [back to overview]Change in Hot Flash Interference With Daily Activities and Quality of Life as Measured by the Hot Flash Related Daily Interference Scale (HFRDIS)
NCT01117857 (5) [back to overview]Change in Anxiety as Measured by the Generalized Anxiety Disorder Questionnaire (GAD-7)
NCT01118780 (21) [back to overview]Percentage of Participants With Response or Remission at Week 10 (Response and Remission Rates)
NCT01118780 (21) [back to overview]Percentage of Participants With Sustained Improvement (Sustained Improvement Rate)
NCT01118780 (21) [back to overview]Time to First Response
NCT01118780 (21) [back to overview]Clinical Global Impressions of Improvement Scale (CGI-Improvement) at Week 10
NCT01118780 (21) [back to overview]Change From Baseline to Week 10 in Sheehan Disability Scale (SDS) Global Functional Impairment Score
NCT01118780 (21) [back to overview]Change From Baseline to Week 10 in Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) Total Score
NCT01118780 (21) [back to overview]Patient's Global Impressions of Improvement Scale (PGI-Improvement) at Week 10
NCT01118780 (21) [back to overview]Percentage of Participants Reporting Falling Down
NCT01118780 (21) [back to overview]Time to First Functional Remission
NCT01118780 (21) [back to overview]Time to First Improvement
NCT01118780 (21) [back to overview]Change From Baseline to Week 10 in Hamilton Anxiety Rating Scale (HAMA) Total Score
NCT01118780 (21) [back to overview]Time to Sustained Improvement Overall
NCT01118780 (21) [back to overview]Change From Baseline to Week 10 Endpoint in Hospital Anxiety Depression Scale (HADS) Subscale Scores
NCT01118780 (21) [back to overview]Change From Baseline to Week 10 in Brief Pain Inventory-Modified Short Form (BPI-SF) Pain Severity and Interference Subscales
NCT01118780 (21) [back to overview]Change From Baseline to Week 10 in Hamilton Anxiety Rating Scale (HAMA) (Psychic Anxiety Factor Score, Somatic Anxiety Factor Score, and Individual Item Scores: Anxious Mood Item and Tension Item)
NCT01118780 (21) [back to overview]Change From Baseline to Week 10 in Sheehan Disability Scale (SDS) Work/School, Social Life, and Family/Home Management Individual Impairment Scores
NCT01118780 (21) [back to overview]Number of Participants Experiencing a Treatment-Emergent Adverse Event (AE) During the Taper Period
NCT01118780 (21) [back to overview]Adverse Events (AEs) Leading to Discontinuation From Study
NCT01118780 (21) [back to overview]Percentage of Participants With Functional Remission at Week 10 (Functional Remission Rate)
NCT01118780 (21) [back to overview]Number of Participants With Treatment-Emergent Suicide-Related Ideation and Behavior Based on the Columbia Suicide Severity Rating Scale (C-SSRS)
NCT01118780 (21) [back to overview]Time to First Remission
NCT01140906 (8) [back to overview]Change in Clinical Status Using CGI-I Score at Week 8
NCT01140906 (8) [back to overview]Potential Discontinuation Symptoms After Abrupt Discontinuation of Treatment With Vortioxetine
NCT01140906 (8) [back to overview]Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)
NCT01140906 (8) [back to overview]Change From Baseline in ASEX Total Score After 8 Weeks of Treatment
NCT01140906 (8) [back to overview]Change From Baseline in MADRS Total Score After 8 Weeks of Treatment in Patients With Baseline HAM-A Total Score ≥20
NCT01140906 (8) [back to overview]Change From Baseline in MADRS Total Score After 8 Weeks of Treatment.
NCT01140906 (8) [back to overview]Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)
NCT01140906 (8) [back to overview]Change From Baseline in SDS Total Score After 8 Weeks of Treatment
NCT01145755 (3) [back to overview]MADRS Remission
NCT01145755 (3) [back to overview]MADRS Total Score Change From Baseline to Week 6
NCT01145755 (3) [back to overview]MADRS Response
NCT01153009 (6) [back to overview]Percentage of Participants With a MADRS Response at Week 8
NCT01153009 (6) [back to overview]Change From Baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
NCT01153009 (6) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT01153009 (6) [back to overview]Change From Baseline in MADRS Total Score at Week 8 in Participants With Baseline Hamilton Anxiety Scale (HAM-A) Total Score ≥20
NCT01153009 (6) [back to overview]Mean Clinical Global Impression Scale - Improvement (CGI-I) Score at Week 8
NCT01153009 (6) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT01179672 (10) [back to overview]Mean Change From Baseline at 12-Week Endpoint in Weekly Mean of Night Pain and Worst Pain
NCT01179672 (10) [back to overview]Mean Change From Baseline at 12 Week Endpoint in the SDS Total Score
NCT01179672 (10) [back to overview]Percentage of Participants Who Experienced Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-week Endpoint in BPI-Severity Average Pain Score
NCT01179672 (10) [back to overview]Percentage of Participants Who Experience Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-Week Endpoint in Weekly Mean of Average Daily Pain
NCT01179672 (10) [back to overview]Patient Global Impression of Improvement (PGI-I) Scale at 12-Week Endpoint
NCT01179672 (10) [back to overview]Mean Change From Baseline at 12-Week Endpoint in the Weekly Mean of Pain Severity Score
NCT01179672 (10) [back to overview]Mean Change From Baseline at 12-Week Endpoint in the Sensory Subscale of the SF-MPQ
NCT01179672 (10) [back to overview]Mean Change From Baseline at 12-Week Endpoint in the CGI-S Scale
NCT01179672 (10) [back to overview]Mean Change From Baseline at 12-Week Endpoint in the BPI-Severity Scale
NCT01179672 (10) [back to overview]Mean Change From Baseline at 12-week Endpoint in the BPI Interference Score
NCT01226511 (14) [back to overview]Percentage of Participants During the 18-Week Extension Period With Treatment-Emergent (New or Worsening) Suicidal Behavior as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)
NCT01226511 (14) [back to overview]Percentage of Participants During the 10-Week Period With Treatment-Emergent (New or Worsening) Suicidal Ideation as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)
NCT01226511 (14) [back to overview]Percentage of Participants During the 10-Week Period With Treatment-Emergent (New or Worsening) Suicidal Behavior as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)
NCT01226511 (14) [back to overview]Change From Baseline to 10-Week Endpoint on the Pediatric Anxiety Rating Scale (PARS) Severity Total Score Evaluated for All Symptoms Identified on the PARS Symptom Checklist Symptoms
NCT01226511 (14) [back to overview]Change From Baseline to 10-Week Endpoint in the Pediatric Anxiety Rating Scale (PARS) Severity Score Evaluated for Symptoms Identified on the Generalized Anxiety Subsection of the PARS Symptom Checklist
NCT01226511 (14) [back to overview]Change From Baseline to 10-Week Endpoint in the Children's Global Assessment Scale (CGAS)
NCT01226511 (14) [back to overview]Response Rate at Endpoint for Generalized Anxiety Disorder (GAD) Using Pediatric Anxiety Rating Scale (PARS) Severity Score for GAD
NCT01226511 (14) [back to overview]Change From 10-Week to 28-Week Endpoint on the Pediatric Anxiety Rating Scale (PARS) Severity Total Score Evaluated for All Symptoms Identified on the PARS Symptom Checklist Symptoms
NCT01226511 (14) [back to overview]Change From 10-Week to 28-Week Endpoint on the Clinical Global Impression of Severity (CGI-S) Scale
NCT01226511 (14) [back to overview]Change From 10-Week to 28-Week Endpoint in the Pediatric Anxiety Rating Scale (PARS) Severity Score Evaluated for Symptoms Identified on the Generalized Anxiety Subsection of the PARS Symptom Checklist
NCT01226511 (14) [back to overview]Change From 10-Week to 28-Week Endpoint in the Children's Global Assessment Scale (CGAS)
NCT01226511 (14) [back to overview]Change From Baseline to 10-Week Endpoint on the Clinical Global Impression of Severity (CGI-S) Scale
NCT01226511 (14) [back to overview]Remission Rate at Endpoint for Generalized Anxiety Disorder (GAD) Using Clinical Global Impressions of Severity (CGI-S) Scale
NCT01226511 (14) [back to overview]Percentage of Participants During the 18-Week Extension Period With Treatment-Emergent (New or Worsening) Suicidal Ideation as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)
NCT01237587 (20) [back to overview]Change From Baseline in Functional Disability Inventory Parent Form (FDI-parent)
NCT01237587 (20) [back to overview]Change From Baseline in Functional Disability Inventory Parent Form (FDI-Parent)
NCT01237587 (20) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) Modified Short Form-adolescent Version 24 Hour Average Pain Severity Item
NCT01237587 (20) [back to overview]Maintenance Effect in Acute Phase Responders on the Brief Pain Inventory (BPI) Modified Short Form-adolescent Version 24 Hour Average Pain Severity Item
NCT01237587 (20) [back to overview]Number of Participants With Greater Than or Equal to 30% Reduction From Baseline in BPI 24 Hour Average Pain Severity Score at 13 Weeks
NCT01237587 (20) [back to overview]Number of Participants With Greater Than or Equal to 50% Reduction From Baseline in BPI 24 Hour Average Pain Severity Score at 13 Weeks
NCT01237587 (20) [back to overview]Change From Baseline in Multidimensional Anxiety Scale for Children (MASC)
NCT01237587 (20) [back to overview]Change From Baseline in Multidimensional Anxiety Scale for Children (MASC)
NCT01237587 (20) [back to overview]Change From Baseline in Pediatric Pain Questionnaire (PPQ) Item Scores
NCT01237587 (20) [back to overview]Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) Modified Short Form-Adolescent Version Severity and Interference Items
NCT01237587 (20) [back to overview]Change From Baseline to 39 Week Endpoint in Brief Pain Inventory (BPI) Modified Short Form-adolescent Version Severity and Interference Items
NCT01237587 (20) [back to overview]Change From Baseline in Pediatric Pain Questionnaire (PPQ) Item Scores
NCT01237587 (20) [back to overview]Change From Baseline in Children's Depression Inventory (CDI)
NCT01237587 (20) [back to overview]Change From Baseline in Children's Depression Inventory (CDI)
NCT01237587 (20) [back to overview]Change From Baseline in Clinical Global Impression (CGI) Severity: Mental Illness Score
NCT01237587 (20) [back to overview]Change From Baseline in Clinical Global Impression (CGI) Severity: Mental Illness Score
NCT01237587 (20) [back to overview]Change From Baseline in Clinical Global Impression (CGI) Severity: Overall Illness Score
NCT01237587 (20) [back to overview]Change From Baseline in Functional Disability Inventory Child Form (FDI-child)
NCT01237587 (20) [back to overview]Change From Baseline in Clinical Global Impression (CGI) Severity: Overall Illness Score
NCT01237587 (20) [back to overview]Change From Baseline in Functional Disability Inventory Child Form (FDI-Child)
NCT01288079 (1) [back to overview]Change in the Montgomery Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment
NCT01360866 (5) [back to overview]Change From Baseline in the Inventory of Depressive Symptomatology - Self Report (IDS-SR) Total Score
NCT01360866 (5) [back to overview]Change From Baseline in Mean Clinical Global Impression - Improvement (CGI-I) Score
NCT01360866 (5) [back to overview]Mean Change From Baseline in Clinical Global Impression - Severity (CGI-S) of Illness Score
NCT01360866 (5) [back to overview]Summary of Mean Change From Baseline in Sheehan Disability Scale (SDS) Mean Score
NCT01360866 (5) [back to overview]Adverse Events (AEs) - All Participants
NCT01451606 (2) [back to overview]Change in Rating of Spontaneous Pelvic Pain (0 -10 Scale).
NCT01451606 (2) [back to overview]Change in Endometriosis Health Profile - 30 Subscale for Functional Limitations Due to Pain
NCT01552057 (14) [back to overview]Change From Baseline to 14-Week Endpoint in Beck Depression Inventory-II (BDI-II)
NCT01552057 (14) [back to overview]Change From Baseline to 14-Week Endpoint in Fibromyalgia Impact Questionnaire (FIQ)
NCT01552057 (14) [back to overview]Change From Baseline to 14-Week Endpoint in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)
NCT01552057 (14) [back to overview]Change From Baseline to 2 Weeks in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)
NCT01552057 (14) [back to overview]Change From Baseline to 4 Weeks in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)
NCT01552057 (14) [back to overview]Change From Baseline to 10 Weeks in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)
NCT01552057 (14) [back to overview]Change From Baseline to 14-Week Endpoint in Widespread Pain Index (WPI) and Symptom Severity (SS) in American College of Rheumatology (ACR) Fibromyalgia Diagnostic Criteria 2010
NCT01552057 (14) [back to overview]Change From Baseline to 14-Week Endpoint in Brief Pain Inventory-Severity (BPI-S) and Brief Pain Inventory-Interference (BPI-I) Scores on the BPI-Modified Short Form
NCT01552057 (14) [back to overview]Change From Baseline to 14-Week Endpoint in Average Pain and Worst Pain Severity Score Within 24-Hours in Participant Diary
NCT01552057 (14) [back to overview]Change From Baseline to 14-Week Endpoint in 36-Item Short-Form (SF-36) Health Survey Domain Scores
NCT01552057 (14) [back to overview]Patients Global Impression of Improvement (PGI-I) at Endpoint
NCT01552057 (14) [back to overview]Clinical Global Impression of Improvement (CGI-I) at Endpoint
NCT01552057 (14) [back to overview]Change From Baseline up to 14-Week Endpoint in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (ANCOVA)
NCT01552057 (14) [back to overview]Change From Baseline to 6 Weeks in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)
NCT01558700 (2) [back to overview]Change in Brain Gray Matter Volume
NCT01558700 (2) [back to overview]Change in Pain Magnitude
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Identification Task (IT)
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Clinical Global Impressions-Severity (CGI-S) Score
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the MADRS Total Score
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Trail Making Test B (TMT-B)
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Trail Making Test (TMT-A)
NCT01564862 (15) [back to overview]Clinical Global Impressions-Improvement (CGI-I) Score at Week 8
NCT01564862 (15) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT01564862 (15) [back to overview]Percentage of Participants With MADRS Response at Week 8
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the One-Back Task
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Groton Maze Learning Test (GMLT)
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Digit Symbol Substitution Test (DSST)
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Detection Task (DT)
NCT01564862 (15) [back to overview]Proportion of Cognitive Dysfunction Improvement Due to Improvement of Depression
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Perceived Deficits Questionnaire (PDQ) Attention/Concentration and Planning/Organization Subscore
NCT01564862 (15) [back to overview]Change in Time From Baseline to Week 8 in the Stroop Test
NCT01598298 (3) [back to overview]Worst Joint Pain According to the BPI-SF
NCT01598298 (3) [back to overview]Average Joint Pain According to BPI-SF
NCT01598298 (3) [back to overview]Pain Interference According to the BPI-SF
NCT01621191 (8) [back to overview]Change From Baseline to 50-Week Endpoint in Beck Depression Inventory-II (BDI-II)
NCT01621191 (8) [back to overview]Clinical Global Impression-Improvement (CGI-I) at Endpoint
NCT01621191 (8) [back to overview]Change From Baseline to 50-Week Endpoint in Fibromyalgia Impact Questionnaire (FIQ)
NCT01621191 (8) [back to overview]Change From Baseline to 50-Week Endpoint in Widespread Pain Index (WPI) and Symptom Severity (SS) in American College of Rheumatology (ACR) Fibromyalgia Diagnostic Criteria 2010
NCT01621191 (8) [back to overview]Change From Baseline to 50-Week Endpoint in Brief Pain Inventory-Severity (BPI-S) and Brief Pain Inventory-Interference (BPI-I) Scores on the BPI-Modified Short Form
NCT01621191 (8) [back to overview]Change From Baseline to 50-Week Endpoint in 36-Item Short-Form (SF-36) Health Survey Domain Scores
NCT01621191 (8) [back to overview]Patient Global Impression-Improvement (PGI-I) at Endpoint
NCT01621191 (8) [back to overview]Number of Participants Who Experienced an Adverse Event (AE)
NCT01754493 (5) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT01754493 (5) [back to overview]Visual Analogue Scales (VAS)
NCT01754493 (5) [back to overview]Somatization Module of the Patient's Health Questionnaire (PHQ-15)
NCT01754493 (5) [back to overview]Gastrointestinal Symptoms Rating Scale (GSRS)
NCT01754493 (5) [back to overview]Clinician-Rated Global Impression Scales (CGI)
NCT01852383 (4) [back to overview]Change in Cornell Dysthymia Rating Scale Scores From Week 0 to Week 12
NCT01852383 (4) [back to overview]Maximum Duloxetine Oral Dose
NCT01852383 (4) [back to overview]Change in the Treatment Emergent Symptom Scale (TESS) Total Score From Week 0 to Week 12.
NCT01852383 (4) [back to overview]Change in Hamilton Rating Scale for Depression (HAM-D, 24-item) From 0 Weeks to 12 Weeks.
NCT01855919 (14) [back to overview]Percentage of Participants With Reduction of ≥30% and ≥50% in BPI Average Pain Score at Week 14
NCT01855919 (14) [back to overview]Number of Participants With Suicidal Thoughts And Behaviors During Study [Columbia Suicide Severity Rating Scale (C-SSRS)]
NCT01855919 (14) [back to overview]Change From Baseline in Work Productivity and Activity Impairment (WPAI) Instrument to Week 14
NCT01855919 (14) [back to overview]Change From Baseline in Weekly Mean of 24 Hour Average Pain and Worst Daily Pain Severity Scores to Week 14
NCT01855919 (14) [back to overview]Change From Baseline in BPI Pain Severity Items (BPI-S) and Interference Items (BPI-I) Scores to Week 14
NCT01855919 (14) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) to Week 14
NCT01855919 (14) [back to overview]Percentage of Participants With Sustained Pain Reduction in BPI Average Pain Score
NCT01855919 (14) [back to overview]Percentage of Participants With Fall Events in Fall Questionnaire
NCT01855919 (14) [back to overview]Patient Global Impression of Improvement (PGI-I) at Week 14
NCT01855919 (14) [back to overview]Change From Baseline to Week 14 in Brief Pain Inventory (BPI) 24-Hour Average Pain Severity Item
NCT01855919 (14) [back to overview]Change From Baseline in Roland Morris Disability Questionnaire (RMDQ-24) to Week 14
NCT01855919 (14) [back to overview]Change From Baseline in European Quality of Life Questionnaire-5 Dimension (EQ-5D) to Week 14
NCT01855919 (14) [back to overview]Change From Baseline in Clinical Global Impression of Severity (CGI-Severity) to Week 14
NCT01855919 (14) [back to overview]Change From Baseline in Beck Depression Inventory-II (BDI-II) to Week 14
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Attention/Concentration Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Attention/Concentration Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Language Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Objectively Assessed Pain Sensitivity Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Verbal Memory Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Verbal Memory Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Visual-Perceptual Ability Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Visual-Perceptual Ability Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in PainDETECT Score Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Language Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Sleep Disturbance Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Sleep Disturbance Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Physical Function Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Physical Function Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Patient-reported Worst Pain Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Patient-reported Worst Pain Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Patient-reported Average Pain Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Patient-reported Average Pain Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in PainDETECT Score Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Pain Interference Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Pain Interference Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Objectively Assessed Pain Sensitivity Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Objectively Assessed Conditioned Pain Modulation Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Objectively Assessed Conditioned Pain Modulation Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Number of Sites of Pain Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Visual-Spatial Memory Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Number of Sites of Pain Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Neuropathy Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Neuropathy Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Fibromyalgia Symptom Severity Score Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Fibromyalgia Symptom Severity Score Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Fatigue Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Fatigue Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Depression Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Depression Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Cognitive Difficulties - Visual-Spatial Memory Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Anxiety Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01912612 (38) [back to overview]Change in Anxiety Between Baseline and 5 Weeks of Treatment With Duloxetine
NCT01914666 (10) [back to overview]Number of Participants With Fall Events From Fall Questionnaire
NCT01914666 (10) [back to overview]Change From Baseline in Beck Depression Inventory-II (BDI-II) to Week 50
NCT01914666 (10) [back to overview]Change From Baseline in Clinical Global Impression of Severity (CGI-Severity) to Week 50
NCT01914666 (10) [back to overview]Change From Baseline in European Quality of Life Questionnaire-5 Dimension (EQ-5D) to Week 50
NCT01914666 (10) [back to overview]Patient Global Impression of Improvement (PGI-Improvement) to Week 50
NCT01914666 (10) [back to overview]Change From Baseline in Roland Morris Disability Questionnaire (RMDQ-24) to Week 50
NCT01914666 (10) [back to overview]Number of Participants With Drug Related Adverse Events (AEs) or Any Serious AE's
NCT01914666 (10) [back to overview]Change From Baseline in Columbia Suicide Severity Rating Scale (C-SSRS) to Week 52
NCT01914666 (10) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) to Week 50
NCT01914666 (10) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) Pain Severity Item and Interference Item to Week 50
NCT01916824 (1) [back to overview]Money Earned
NCT01931475 (10) [back to overview]Change From Baseline in Western Ontario and McMaster Universities Arthritis Index (WOMAC) Total and Subscale Scores
NCT01931475 (10) [back to overview]Percentage of Participants With Reduction of ≥30% and ≥50% in BPI Average Pain Score
NCT01931475 (10) [back to overview]Change From Baseline in the Brief Pain Inventory (BPI) 24-hour Average Pain Score
NCT01931475 (10) [back to overview]Change in Brief Pain Inventory (BPI) Average Pain Intensity Scores, Hospital Anxiety and Depression Scale (HADS) Depression Subscale (HADS-D) and HADS Anxiety Subscale (HADS-A)
NCT01931475 (10) [back to overview]Change From Baseline in Clinical Global Impression of Severity (CGI-S) Score
NCT01931475 (10) [back to overview]Patient Global Impressions of Improvement (PGI-I) Score
NCT01931475 (10) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) Interference
NCT01931475 (10) [back to overview]Change From Baseline in Brief Pain Inventory (BPI) Severity
NCT01931475 (10) [back to overview]Change From Baseline in Hospital Anxiety and Depression Scale-Depression (HADS-D) or HADS-Anxiety (HADS-A) Subscale Scores
NCT01931475 (10) [back to overview]Percentage of Participants With Response to Treatment on Patient Global Impression-Improvement (PGI-I) at Endpoint
NCT01943435 (3) [back to overview]Swiss Spinal Stenosis (SSS) Questionnaire Score
NCT01943435 (3) [back to overview]Sense Wear Armband
NCT01943435 (3) [back to overview]Self Paced Walking Test (SPWT)
NCT01973283 (15) [back to overview]World Health Organization Disability Assessment 2.0 (36-item)--Stratified by Baseline Frailty
NCT01973283 (15) [back to overview]World Health Organization Disability Assessment 2.0 (36-item)--Stratified by Baseline Frailty
NCT01973283 (15) [back to overview]World Health Organization Disability Assessment 2.0 (36-item)--Stratified by Baseline Frailty
NCT01973283 (15) [back to overview]World Health Organization Disability Assessment 2.0 (36-item)
NCT01973283 (15) [back to overview]World Health Organization Disability Assessment 2.0 (36-item)
NCT01973283 (15) [back to overview]World Health Organization Disability Assessment 2.0 (36-item)
NCT01973283 (15) [back to overview]Hamilton Rating Scale for Depression (HRSD)
NCT01973283 (15) [back to overview]Hamilton Rating Scale for Depression (HRSD)
NCT01973283 (15) [back to overview]Hamilton Depression Rating Scale: Stratified by Baseline Frailty
NCT01973283 (15) [back to overview]Hamilton Depression Rating Scale: Stratified by Baseline Frailty
NCT01973283 (15) [back to overview]Hamilton Depression Rating Scale (HRSD)
NCT01973283 (15) [back to overview]Hamilton Depression Rating Scale: Stratified by Baseline Frailty
NCT01973283 (15) [back to overview]World Health Organization Disability Assessment 2.0 (36-item)--Stratified by Baseline Frailty
NCT01973283 (15) [back to overview]Hamilton Depression Rating Scale: Stratified by Baseline Frailty
NCT01973283 (15) [back to overview]World Health Organization Disability Assessment 2.0 (36-item)
NCT02005601 (3) [back to overview]Total Daily Opioid Use (mg Oral Morphine Equivalents)
NCT02005601 (3) [back to overview]NRS Pain With Ambulation at 2 Weeks
NCT02005601 (3) [back to overview]Nausea Severity
NCT02229825 (26) [back to overview]Change in Hamilton Scale of Anxiety (HAMA) Score From Baseline to Week 4
NCT02229825 (26) [back to overview]Change in Hamilton Scale of Anxiety (HAMA) Score From Baseline to Week 8 - by Post-week 4 Treatment Groups
NCT02229825 (26) [back to overview]Patient Global Impressions of Improvement (PGI-I) Score: Number of Patients Per Score at Week 1, 2, 3 and Week 4
NCT02229825 (26) [back to overview]Clinical Global Impression of Improvement (CGI-I) Scale: Number of Patients Per Score at Week 6 and Week 8 - by Post-week 4 Treatment Groups
NCT02229825 (26) [back to overview]Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Week 4
NCT02229825 (26) [back to overview]Number of Patients Withdrawn Due to Adverse Events
NCT02229825 (26) [back to overview]Change From Baseline in Weight to Week 4 and Week 8
NCT02229825 (26) [back to overview]Patient Global Impressions of Improvement (PGI-I) Score: Number of Patients Per Score at Week 6 and Week 8 - by Post-week 4 Treatment Groups
NCT02229825 (26) [back to overview]Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Week 1, 2 and Week 3
NCT02229825 (26) [back to overview]Clinical Global Impressions Scales of Severity of Illness (CGI-SI): Number of Patients Per Score at Week 6 and Week 8 - by Post-week 4 Treatment Groups
NCT02229825 (26) [back to overview]Clinical Global Impressions Scales of Severity of Illness (CGI-SI): Number of Patients Per Score at Baseline, Week 1, 2, 3 and Week 4
NCT02229825 (26) [back to overview]Change in Hamilton Depression 6-item Scale (HAMD-6) Total Score From Baseline to Week 6 and Week 8 - by Post-week 4 Treatment Groups
NCT02229825 (26) [back to overview]Change From Baseline in Blood Pressure to Week 4 and Week 8
NCT02229825 (26) [back to overview]Reason for Living (RFL) Questionaire at Baseline
NCT02229825 (26) [back to overview]Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Week 6 and Week 8 - by Post-week 4 Treatment Groups
NCT02229825 (26) [back to overview]Percentage of Responders at Week 6 and Week 8 According to Montgomery-Asberg Depression Rating Scale (MADRS) Scale - by Post-week 4 Treatment Groups
NCT02229825 (26) [back to overview]Number of Patients With Treatment Emergent Adverse Event
NCT02229825 (26) [back to overview]Change in Hamilton Depression 6-item Scale (HAMD-6) Total Score From Baseline to Week 1, 2, 3 and Week 4
NCT02229825 (26) [back to overview]Number of Patients With Intake of Concomitant Medication for Anxiety and Sleep
NCT02229825 (26) [back to overview]Number of Patients With Potentially Clinically Significant Laboratory Findings
NCT02229825 (26) [back to overview]Percentage of Patients Reaching Remission at Week 8
NCT02229825 (26) [back to overview]Percentage of Responders at Week 1, 2, 3 and Week 4 According to Hamilton Depression 6-item Scale (HAMD-6)
NCT02229825 (26) [back to overview]Percentage of Responders at Week 1, 2, 3 and Week 4 According to Montgomery-Asberg Depression Rating Scale (MADRS) Scale
NCT02229825 (26) [back to overview]Percentage of Responders at Week 6 and Week 8 According to Hamilton Depression 6-item Scale (HAMD-6) - by Post-week 4 Treatment Group
NCT02229825 (26) [back to overview]Change From Baseline to Week 8 in Reason for Living (RFL) Questionnaire - by Post-week 4 Treatment Groups
NCT02229825 (26) [back to overview]Clinical Global Impression of Improvement (CGI-I) Scale: Number of Patients Per Score at Week 1, 2, 3 and Week 4
NCT02248480 (16) [back to overview]Change From Baseline on the WOMAC Questionnaire Physical Function Subscale
NCT02248480 (16) [back to overview]Change From Baseline on the WOMAC Questionnaire Stiffness Subscale
NCT02248480 (16) [back to overview]Change From Baseline on the Clinical Global Impression of Severity (CGI-S)
NCT02248480 (16) [back to overview]Percentage of Participants With a Responder Rate Based on OMERACT-OARSI Criteria
NCT02248480 (16) [back to overview]Percentage of Participants With Reduction of ≥30% and ≥50% in BPI Average Pain Score
NCT02248480 (16) [back to overview]Percentage of Participants With Fall Events From Fall Questionnaire
NCT02248480 (16) [back to overview]Change From Baseline on the 36-Item Short-Form Health Survey (SF-36)
NCT02248480 (16) [back to overview]Change From Baseline in Patient Global Impression of Improvement (PGI-Improvement)
NCT02248480 (16) [back to overview]Change From Baseline on Weekly Mean of the 24-Hour Average Pain and Worst Pain Score
NCT02248480 (16) [back to overview]Change in Baseline in Brief Pain Inventory Severity and Interference Scores (BPI-S, BPI-I) Change From Baseline in BPI Pain Severity Items and Interference Items Score
NCT02248480 (16) [back to overview]Change From Baseline on the 5 Dimension (EQ-5D) Version of the European Quality of Life Instrument
NCT02248480 (16) [back to overview]Percentage of Participants With a 30% and 50% Reduction in Average Pain Score on Weekly Mean of the 24-Hour Average Pain Score on the 11-Point Numeric Rating Scale
NCT02248480 (16) [back to overview]Change From Baseline on the Beck Depression Inventory (BDI-II) Total Score
NCT02248480 (16) [back to overview]Change From Baseline on the Brief Pain Inventory (BPI) 24-Hour Average Pain Score
NCT02248480 (16) [back to overview]Change From Baseline on the Western Ontario and McMaster Osteoarthritis Index (WOMAC) Questionnaire Total Score
NCT02248480 (16) [back to overview]Change From Baseline on the WOMAC Questionnaire Pain Subscale
NCT02260388 (4) [back to overview]PROMIS Fatigue Short Form v1.0 8a
NCT02260388 (4) [back to overview]PROMIS Pain Interference Short Form v1.0 8a T Score
NCT02260388 (4) [back to overview]PROMIS Sleep Disturbance Short Form v1.0 8a
NCT02260388 (4) [back to overview]SF12 Health Composite Scores
NCT02335346 (9) [back to overview]Percentage of Participants With Fall Events From Fall Questionnaire
NCT02335346 (9) [back to overview]Change From Baseline to 50 Weeks on the 36-Item Short-Form Health Survey (SF-36)
NCT02335346 (9) [back to overview]Percentage of Participants With Drug Related Adverse Events (AEs) or Any Serious Adverse Events (SAEs)
NCT02335346 (9) [back to overview]Change From Baseline to 50 Weeks on the Brief Pain Inventory-Severity and Interference Rating Short Form (BPI-SF)
NCT02335346 (9) [back to overview]Change From Baseline in Clinical Global Impression of Severity (CGI-S) to Week 50
NCT02335346 (9) [back to overview]Change From Baseline to 50 Weeks on the 5 Dimension (EQ-5D) Version of the European Quality of Life Instrument
NCT02335346 (9) [back to overview]Change From Baseline to 50 Weeks on the Beck Depression Inventory (BDI-II) Total Score
NCT02335346 (9) [back to overview]Change From Baseline to 50 Weeks on the Western Ontario and McMaster Osteoarthritis Index (WOMAC) Questionnaire Total Score
NCT02335346 (9) [back to overview]Patient Global Impression-Improvement (PGI-I) at 50 Weeks
NCT02417064 (16) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Day 28 of Double- Blind Induction Phase- Mixed- Effects Model Using Repeated Measures (MMRM) Analysis
NCT02417064 (16) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis
NCT02417064 (16) [back to overview]Percentage of Participants With Onset of Clinical Response by Day 2 and Day 8
NCT02417064 (16) [back to overview]Percentage of Participants Who Achieved at Least 50% Reduction From Baseline in MADRS Total Score at the Endpoint (Double-blind Induction Phase [Day 28]) (LOCF Data)
NCT02417064 (16) [back to overview]Percentage of Participants Who Achieved at Least 50% Reduction From Baseline in MADRS Total Score at Day 28 of Double-blind Induction Phase (Observed Data)
NCT02417064 (16) [back to overview]Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score up to Day 28 of Double-blind Induction Phase- MMRM Analysis
NCT02417064 (16) [back to overview]Percentage of Participants in Remission (MADRS<=12) at the Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis (LOCF Data)
NCT02417064 (16) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis
NCT02417064 (16) [back to overview]Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis
NCT02417064 (16) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score up to Endpoint (Double-blind Induction Phase [Day 28])
NCT02417064 (16) [back to overview]Percentage of Participants in Remission (MADRS<=12) at Day 28 of Double-blind Induction Phase (Observed Data)
NCT02417064 (16) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score up to Day 28 of Double-blind Induction Phase- MMRM Analysis
NCT02417064 (16) [back to overview]Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) up to End of Double-blind Induction Phase (Day 28): EQ-VAS
NCT02417064 (16) [back to overview]Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) up to End of Double-blind Induction Phase (Day 28): Health Status Index
NCT02417064 (16) [back to overview]Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) up to End of Double-blind Induction Phase (Day 28): Sum Score
NCT02417064 (16) [back to overview]Change From Baseline in Generalized Anxiety Disorder-7 Item (GAD-7) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])
NCT02417935 (10) [back to overview]Change From Baseline to 12 Weeks on the Neuropathic Pain Symptom Inventory (NPSI)
NCT02417935 (10) [back to overview]Change From Baseline to 12 Weeks in the Weekly Mean of the 24-Hour Average Pain Score on the 11-Point Numeric Rating Scale (NRS)
NCT02417935 (10) [back to overview]Number of Participants With a 30% and 50% Reduction in the Weekly Mean of the 24-Hour Average Pain Score on the 11-Point NRS at 12 Weeks
NCT02417935 (10) [back to overview]Change From Baseline to 12 Weeks on the Brief Pain Inventory-Severity and Interference Rating Short Form (BPI-SF)
NCT02417935 (10) [back to overview]Patient Global Impression of Improvement (PGI-I) at 12 Weeks
NCT02417935 (10) [back to overview]Clinical Global Impression of Improvement (CGI-I) at 12 Weeks
NCT02417935 (10) [back to overview]Change From Baseline to 12 Weeks on the EuroQol 5 Dimension (EQ-5D)
NCT02417935 (10) [back to overview]Change From Baseline to 12 Weeks in the Weekly Mean of Night Pain Scores on the 11-Point NRS
NCT02417935 (10) [back to overview]Change From Baseline to 12 Weeks in the Weekly Mean of the 24-Hour Worst Pain Scores on the 11-Point NRS
NCT02417935 (10) [back to overview]Change From Baseline to 12 Weeks on the Beck Depression Inventory-II (BDI-II) Total Score
NCT02418585 (16) [back to overview]Change From Baseline in Clinical Global Impression-Severity (CGI-S) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])
NCT02418585 (16) [back to overview]Percentage of Participants in Response (SDS Total Score <=12 and Individual Item Scores Each <=4) at the End of 4-Week Double-blind Induction Phase (Day 28)
NCT02418585 (16) [back to overview]Percentage of Participants With Onset of Clinical Response on Day 2 and Day 8
NCT02418585 (16) [back to overview]Percentage of Participants Who Achieved >=50% Reduction From Baseline in MADRS Total Score at the Endpoint (Double-blind Induction Phase [Day 28])
NCT02418585 (16) [back to overview]Percentage of Participants in Remission (MADRS<=12) at the Endpoint (Double-blind Induction Phase [Day 28])
NCT02418585 (16) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis
NCT02418585 (16) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score up to Day 28 of Double-blind Induction Phase- MMRM Analysis
NCT02418585 (16) [back to overview]Change From Baseline in Patient Health Questionnaire - 9-Item Depression Module (PHQ-9) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis
NCT02418585 (16) [back to overview]Change From Baseline in Patient Health Questionnaire - 9-Item Depression Module (PHQ-9) Total Score up to Day 28 of Double-blind Induction Phase- MMRM Analysis
NCT02418585 (16) [back to overview]Change From Baseline in EQ 5D-5L- European Quality of Life - Visual Analogue Scale (EQ-VAS) to End of Double-blind Induction Phase (Day 28)
NCT02418585 (16) [back to overview]Percentage of Participants in Remission (SDS Total Score <=6 and Individual Item Scores Each <=2) at the End of 4-Week Double-blind Induction Phase (Day 28)
NCT02418585 (16) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- Analysis of Covariance (ANCOVA) Analysis
NCT02418585 (16) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Day 28 in the Double-blind Induction Phase- Mixed-Effects Model Using Repeated Measures (MMRM) Analysis
NCT02418585 (16) [back to overview]Change From Baseline in Generalized Anxiety Disorder (GAD-7) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])
NCT02418585 (16) [back to overview]Change From Baseline in EQ 5D-5L-Health Status Index to End of Double-blind Induction Phase (Day 28)
NCT02418585 (16) [back to overview]Change From Baseline in EQ 5D-5L- Sum Score to End of Double-blind Induction Phase (Day 28)
NCT02422186 (8) [back to overview]Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) to Endpoint (Double-blind Induction Phase [Day 28]): EQ-VAS
NCT02422186 (8) [back to overview]Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) to Endpoint (Double-blind Induction Phase [Day 28]): Sum Score
NCT02422186 (8) [back to overview]Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score to Endpoint (Double-blind Induction Phase [Day 28])- Analysis of Covariance (ANCOVA) Analysis
NCT02422186 (8) [back to overview]Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- Mixed-Effects Model Using Repeated Measures (MMRM) Analysis
NCT02422186 (8) [back to overview]Percentage of Participants in Remission (MADRS<=12) at Endpoint (Double-blind Induction Phase [Day 28]) (LOCF Data)
NCT02422186 (8) [back to overview]Percentage of Participants Who Achieved >=50% Reduction From Baseline in MADRS Total Score at Endpoint (Double-blind Induction Phase [Day 28]) (LOCF Data)
NCT02422186 (8) [back to overview]Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) to Endpoint (Double-blind Induction Phase [Day 28]): Health Status Index
NCT02422186 (8) [back to overview]Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis on Ranks
NCT02493868 (18) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Endpoint in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in PHQ-9 Total Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score at Endpoint in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in MADRS Total Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in MADRS Total Score at Endpoint in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in Generalized Anxiety Disorder-7 Items Total Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in Generalized Anxiety Disorder-7 Items (GAD-7) Total Score at Endpoint in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in EuroQol-5 Dimension-5 Level Sum Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) Sum Score at Endpoint in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in EQ-5D-5L Health Status Index at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in EQ-5D-5L Health Status Index at Endpoint in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in EQ-5D-5L EQ Visual Analogue Scale Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in EQ Visual Analogue Scale Score at Endpoint in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in Clinical Global Impression-Severity Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Endpoint in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Time to Relapse in Participants With Stable Remission (Maintenance Phase)
NCT02493868 (18) [back to overview]Time to Relapse in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02493868 (18) [back to overview]Change From Baseline in Sheehan Disability Total Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in MADRS Total Score During Optimization/Maintenance (OP/MA) Phase
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in Montgomery Asberg Depression Rating Scale (MADRS) Total Score During Induction (IND) Phase
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in Generalized Anxiety Disorder (GAD-7) Total Score During IND Phase
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in GAD-7 Total Score During OP/MA Phase
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in European Quality of Life (EuroQol) 5-Dimension, 5-Level (EQ 5D-5L) During OP/MA Phase: Sum Score
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in European Quality of Life (EuroQol) 5-Dimension, 5-Level (EQ 5D-5L) During IND Phase: Sum Score
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in EQ-5D-5L Score During OP/MA Phase: EQ-VAS
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in EQ-5D-5L Score During IND Phase: EQ-VAS
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in EQ-5D-5L Scale Score During OP/MA Phase: Health Status Index
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in EQ-5D-5L Scale Score During IND Phase: Health Status Index
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in Clinical Global Impression of Severity (CGI-S) Scale Score During IND Phase
NCT02497287 (34) [back to overview]Change From Baseline in Sheehan Disability Scale Total Score During OP/MA Phase
NCT02497287 (34) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score During IND Phase
NCT02497287 (34) [back to overview]Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score: Total Recall
NCT02497287 (34) [back to overview]Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score: Recognition Discrimination Index
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in Patient Health Questionnaire - 9 (PHQ-9) Total Score During IND Phase
NCT02497287 (34) [back to overview]Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score: Number of Words Recalled
NCT02497287 (34) [back to overview]Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score: Delayed Recall
NCT02497287 (34) [back to overview]Change From Baseline in Cognitive Test Battery: One Card Learning Test (OCL) Score
NCT02497287 (34) [back to overview]Change From Baseline in Cognitive Test Battery: One Back Test (ONB) Score
NCT02497287 (34) [back to overview]Change From Baseline in Cognitive Test Battery: Identification Test (IDN) Score
NCT02497287 (34) [back to overview]Change From Baseline in Cognitive Test Battery: Groton Maze Learning Test (GMLT) Score
NCT02497287 (34) [back to overview]Percentage of Participants With an Increase Score From Predose at Any Time in CADSS Total Score During OP/MA Phase
NCT02497287 (34) [back to overview]Percentage of Participants With an Increase Score From Predose at Any Time in Clinician-Administered Dissociative States Scale (CADSS) Total Score During IND Phase
NCT02497287 (34) [back to overview]Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)
NCT02497287 (34) [back to overview]Percentage of Participants With Cystitis, Urinary Tract Infections, Renal and Urinary Tract Symptoms, Renal and Urinary Disorders
NCT02497287 (34) [back to overview]Percentage of Participants With Remission as Assessed by MADRS Total Score During IND Phase
NCT02497287 (34) [back to overview]Percentage of Participants With Remission as Assessed by PHQ-9 Total Score During IND Phase
NCT02497287 (34) [back to overview]Percentage of Participants With Response as Assessed by MADRS Total Score During IND Phase
NCT02497287 (34) [back to overview]Percentage of Participants With Response as Assessed by PHQ-9 Total Score During IND Phase
NCT02497287 (34) [back to overview]Percentage of Participants With Treatment-Emergent Acute Hypertension (Systolic and Diastolic) During IND and OP/MA Phases
NCT02497287 (34) [back to overview]Change From Baseline in Cognitive Test Battery: Detection Test (DET) Score
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in CGI-S Scale Score During OP/MA Phase
NCT02497287 (34) [back to overview]Change From Baseline to Endpoint in PHQ-9 Total Score During OP/MA Phase
NCT02535000 (2) [back to overview]Self Reported Pain Score Range From 0 (no Pain) to 10 (Worst Possible Pain).
NCT02535000 (2) [back to overview]Total Consumption of Fentanyl (in Micrograms) Self-administered by the Patient and Accessed at 24 and 48 Hours After Spine Surgery.
NCT02655354 (13) [back to overview]Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After Injury
NCT02655354 (13) [back to overview]Change From Baseline Short Form (SF)-12/36 Physical Function Over the Course of the Year After Injury
NCT02655354 (13) [back to overview]TSOS Patient Satisfaction: Mental Health Care
NCT02655354 (13) [back to overview]Number of Participants Endorsing a Single Item That Assesses Marijuana Use
NCT02655354 (13) [back to overview]Number of Participants Endorsing a Single Item That Assesses Opioid Use
NCT02655354 (13) [back to overview]Number of Participants Endorsing a Single Item That Assesses Stimulant Use
NCT02655354 (13) [back to overview]Number of Participants With Suicidal Ideation
NCT02655354 (13) [back to overview]SF-36 Quality of Life
NCT02655354 (13) [back to overview]Cognitive Impairment Scale
NCT02655354 (13) [back to overview]Brief Pain Inventory
NCT02655354 (13) [back to overview]Change From Baseline Alcohol Use Disorders Identification Over the Course of the Year After Injury
NCT02655354 (13) [back to overview]Change From Baseline Patient Health Questionnaire 9 Item Depression Scale Over the Course of the Year After Injury
NCT02655354 (13) [back to overview]TSOS Patient Satisfaction: Overall Health Care
NCT02903238 (2) [back to overview]Brain Regional Gray Matter Density
NCT02903238 (2) [back to overview]WOMAC Pain Index
NCT03038867 (55) [back to overview]Prolactin Level at 10 Weeks
NCT03038867 (55) [back to overview]Prolactin Level at 2 Weeks
NCT03038867 (55) [back to overview]Prolactin Level at 6 Weeks
NCT03038867 (55) [back to overview]Prolactin Level at 8 Weeks
NCT03038867 (55) [back to overview]Sperm Concentration at 0 Weeks
NCT03038867 (55) [back to overview]Sperm Concentration at 10 Weeks
NCT03038867 (55) [back to overview]Sperm Concentration at 2 Weeks
NCT03038867 (55) [back to overview]Sperm Concentration at 6 Weeks
NCT03038867 (55) [back to overview]Sperm Concentration at 8 Weeks
NCT03038867 (55) [back to overview]Sperm Head Defects at 0 Weeks
NCT03038867 (55) [back to overview]Sperm Head Defects at 10 Weeks
NCT03038867 (55) [back to overview]Sperm Head Defects at 2 Weeks
NCT03038867 (55) [back to overview]Sperm Head Defects at 6 Weeks
NCT03038867 (55) [back to overview]Sperm Head Defects at 8 Weeks
NCT03038867 (55) [back to overview]Sperm Motility at 0 Weeks
NCT03038867 (55) [back to overview]Sperm Motility at 10 Weeks
NCT03038867 (55) [back to overview]Sperm Motility at 2 Weeks
NCT03038867 (55) [back to overview]Sperm Motility at 6 Weeks
NCT03038867 (55) [back to overview]Sperm Motility at 8 Weeks
NCT03038867 (55) [back to overview]Sperm Neck Defects at 0 Weeks
NCT03038867 (55) [back to overview]Sperm Neck Defects at 10 Weeks
NCT03038867 (55) [back to overview]Sperm Neck Defects at 2 Weeks
NCT03038867 (55) [back to overview]Sperm Neck Defects at 6 Weeks
NCT03038867 (55) [back to overview]Sperm Neck Defects at 8 Weeks
NCT03038867 (55) [back to overview]Sperm Tail Defects at 0 Weeks
NCT03038867 (55) [back to overview]Sperm Tail Defects at 10 Weeks
NCT03038867 (55) [back to overview]Sperm Tail Defects at 2 Weeks
NCT03038867 (55) [back to overview]Sperm Tail Defects at 6 Weeks
NCT03038867 (55) [back to overview]Sperm Tail Defects at 8 Weeks
NCT03038867 (55) [back to overview]Testosterone Level at 0 Weeks
NCT03038867 (55) [back to overview]Testosterone Level at 10 Weeks
NCT03038867 (55) [back to overview]Testosterone Level at 2 Weeks
NCT03038867 (55) [back to overview]Testosterone Level at 6 Weeks
NCT03038867 (55) [back to overview]Testosterone Level at 8 Weeks
NCT03038867 (55) [back to overview]Estrogen Level at 0 Weeks
NCT03038867 (55) [back to overview]Luteinizing Hormone Level at 10 Weeks
NCT03038867 (55) [back to overview]Estrogen Level at 10 Weeks
NCT03038867 (55) [back to overview]Estrogen Level at 2 Weeks
NCT03038867 (55) [back to overview]Estrogen Level at 6 Weeks
NCT03038867 (55) [back to overview]Estrogen Level at 8 Weeks
NCT03038867 (55) [back to overview]Follicle Stimulating Hormone Level at 0 Weeks
NCT03038867 (55) [back to overview]Follicle Stimulating Hormone Level at 10 Weeks
NCT03038867 (55) [back to overview]Follicle Stimulating Hormone Level at 2 Weeks
NCT03038867 (55) [back to overview]Follicle Stimulating Hormone Level at 6 Weeks
NCT03038867 (55) [back to overview]Follicle Stimulating Hormone Level at 8 Weeks
NCT03038867 (55) [back to overview]Luteinizing Hormone Level at 0 Weeks
NCT03038867 (55) [back to overview]Luteinizing Hormone Level at 2 Weeks
NCT03038867 (55) [back to overview]Luteinizing Hormone Level at 6 Weeks
NCT03038867 (55) [back to overview]Luteinizing Hormone Level at 8 Weeks
NCT03038867 (55) [back to overview]Number of Participants With Abnormal Sperm DNA Fragmentation at 0 Weeks
NCT03038867 (55) [back to overview]Number of Participants With Abnormal Sperm DNA Fragmentation at 10 Weeks
NCT03038867 (55) [back to overview]Number of Participants With Abnormal Sperm DNA Fragmentation at 2 Weeks
NCT03038867 (55) [back to overview]Number of Participants With Abnormal Sperm DNA Fragmentation at 6 Weeks
NCT03038867 (55) [back to overview]Number of Participants With Abnormal Sperm DNA Fragmentation at 8 Weeks
NCT03038867 (55) [back to overview]Prolactin Level at 0 Weeks
NCT03271151 (3) [back to overview]Opioid Use
NCT03271151 (3) [back to overview]Pain Scores
NCT03271151 (3) [back to overview]Pain Phenotype
NCT03315793 (5) [back to overview]Change From Baseline on Clinical Global Impression-Severity (CGI-S)
NCT03315793 (5) [back to overview]Change From Baseline on the Children's Depression Rating Scale-Revised (CDRS-R) Total Score
NCT03315793 (5) [back to overview]Percentage of Participants Whose CDRS-R Total Score Decreased by More Than 50% From Baseline
NCT03315793 (5) [back to overview]Percentage of Participants Whose Children's Depression Rating Scale-Revised (CDRS-R) Total Score Decreased by More Than 30% From Baseline
NCT03315793 (5) [back to overview]Percentage of Participants With Total Children's Depression Rating Scale-Revised (CDRS-R) Score ≤ 28
NCT03321006 (3) [back to overview]Clinical Global Impression Severity and Improvement (CGI)
NCT03321006 (3) [back to overview]Hamilton Rating Score for Depression (HRSD)
NCT03321006 (3) [back to overview]Social Adjustment Scale Self-Report (SAS-SR) Score
NCT03395353 (4) [back to overview]Change From Baseline on the Children's Depression Rating Scale-Revised (CDRS-R)
NCT03395353 (4) [back to overview]Change From Baseline on the Clinical Global Impression-Severity of Illness (CGI-S)
NCT03395353 (4) [back to overview]Pharmacokinetics (PK): Trough Concentration of Duloxetine
NCT03395353 (4) [back to overview]Percentage of Participants With Adverse Events (AEs), Drug Related Adverse Events (ADRs) or Any Serious Adverse Events (SAEs)
NCT03434041 (12) [back to overview]Change From Baseline in Participant-Reported Health Status as Assessed by EuroQol-5 Dimension-5 Level (EQ-5D-5L) Score up to the Endpoint (Double-blind Treatment Phase [Day 28]): Visual Analogue Scale (VAS)
NCT03434041 (12) [back to overview]Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score to the End of Double-blind Treatment Phase (Day 28)
NCT03434041 (12) [back to overview]Change From Baseline in Generalized Anxiety Disorder 7-item (GAD-7) Scale Score up to the Endpoint (Double-blind Treatment Phase [Day 28])
NCT03434041 (12) [back to overview]Change From Baseline in Depressive Symptoms as Measured by the MADRS Total Score to 24 Hours Post First Dose (Day 2)
NCT03434041 (12) [back to overview]Percentage of Participants in Remission at the End of Double-blind Treatment Phase (Day 28)
NCT03434041 (12) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score to the End of Double-blind Treatment Phase (Day 28)
NCT03434041 (12) [back to overview]Change From Baseline in Participant-Reported Health-Related Quality of Life as Assessed by EuroQol-5 Dimension-5 Level (EQ-5D-5L) Score up to the Endpoint (Double-blind Treatment Phase [Day 28]): Health Status Index
NCT03434041 (12) [back to overview]Change From Baseline in Clinical Global Impression Severity (CGI-S) Scale Score up to the Endpoint (Double-blind Treatment Phase [Day 28])
NCT03434041 (12) [back to overview]Change From Baseline in Participant-Reported Health Status as Assessed by EuroQol-5 Dimension-5 Level (EQ-5D-5L) up to the Endpoint (Double-blind Treatment Phase [Day 28]): Sum Score
NCT03434041 (12) [back to overview]Percentage of Participants With Onset of Clinical Response
NCT03434041 (12) [back to overview]Percentage of Participants With Sustained Remission
NCT03434041 (12) [back to overview]Percentage of Responders at the End of Double-blind Treatment Phase (Day 28)
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (0 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (60 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (40 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (20 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (0 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (60 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (40 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (20 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (0 mg) Maintenance.
NCT04178993 (36) [back to overview]Snaith-Hamilton-Pleasure Scale to Measure Anhedonia (Inability to Experience Pleasure)
NCT04178993 (36) [back to overview]Reinforcing Effects of Methamphetamine Following Methylphenidate (40 mg) Maintenance.
NCT04178993 (36) [back to overview]Reinforcing Effects of Methamphetamine Following Methylphenidate (20 mg) Maintenance.
NCT04178993 (36) [back to overview]Reinforcing Effects of Methamphetamine Following Methylphenidate (0 mg; Placebo) Maintenance.
NCT04178993 (36) [back to overview]Reinforcing Effects of Methamphetamine Following Methylphenidate (60 mg) Maintenance.
NCT04178993 (36) [back to overview]Heart Rate After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.
NCT04178993 (36) [back to overview]Heart Rate After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.
NCT04178993 (36) [back to overview]Heart Rate After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.
NCT04178993 (36) [back to overview]Heart Rate After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.
NCT04178993 (36) [back to overview]Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.
NCT04178993 (36) [back to overview]Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.
NCT04178993 (36) [back to overview]Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.
NCT04178993 (36) [back to overview]Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (60 mg) Maintenance.
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (40 mg) Maintenance.
NCT04178993 (36) [back to overview]Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.
NCT04178993 (36) [back to overview]Delay Discounting for Money
NCT04178993 (36) [back to overview]Delay Discounting for Methamphetamine
NCT04178993 (36) [back to overview]Attentional Bias
NCT04178993 (36) [back to overview]Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (20 mg) Maintenance.
NCT04178993 (36) [back to overview]Temperature After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.
NCT04178993 (36) [back to overview]Temperature After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.
NCT04178993 (36) [back to overview]Temperature After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.
NCT04178993 (36) [back to overview]Temperature After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.
NCT04178993 (36) [back to overview]Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.
NCT04178993 (36) [back to overview]Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.
NCT04178993 (36) [back to overview]Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.
NCT04476030 (16) [back to overview]Percentage of Participants With CGI-I Response, at Day 3 and Day 15
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 Over the Double-Blind Treatment Period
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]Change From Baseline in MADRS Total Score at Day 15
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 the HAMD-17 Total Score at Day 3
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 HAMD-17 Response at Day 15 and Day 42
NCT04476030 (16) [back to overview]Percentage of Participants With TEAEs, Graded by Severity
NCT04476030 (16) [back to overview]Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)
NCT04476030 (16) [back to overview]Change From Baseline in Depressive Symptoms at Day 15, as Assessed by PHQ-9
NCT04476030 (16) [back to overview]Time to First HAMD-17 Response
NCT04476030 (16) [back to overview]Change From Baseline in the HAMD-17 Total Score at Days 15 and 42
NCT04697693 (1) [back to overview]Change in Hamilton Rating Score for Depression (HRSD) From Baseline to Week 8

Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)

A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30. (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
Sum Items 1 to 5 Baseline (N=117,N=97)Sum Items 1 to 5 Change to EndpointSum Items 1&2 Baseline (N=135, N=109)Sum Items 1&2 Change to EndpointItem 1-Sex Drive Baseline (N=136,N=109)Item 1-Sex Drive Change to EndpointItem 2-Arousal Baseline (N=135, N=109)Item 2-Arousal Change to EndpointItem 3-Lubrication/Erection Baseline (N=124,N=99)Item 3-Lubrication Change to EndpointItem 4-Orgasm Baseline (N=120,N=98)Item 4-Orgasm Change to EndpointItem 5-Satisfaction Baseline (N=118,N=97)Item 5-Satisfaction Change to Endpoint
Duloxetine - Acute Phase17.570.137.47-0.193.91-0.153.56-0.023.43-0.023.380.323.360.05
Duloxetine - Continuation Phase17.26-0.677.16-0.393.68-0.213.48-0.183.27-0.043.60-0.153.32-0.15

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Recurrence Count

Number of participants who experienced a depressive recurrence at any time during the double-blind maintenance therapy phase. (NCT00105989)
Timeframe: Every Visit from Week 35 up to Week 86 (Maintenance Phase)

Interventionparticipants (Number)
Duloxetine21
Placebo47

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Mean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Maintenance Phase

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00105989)
Timeframe: Week 86 (Maintenance Phase)

Interventionunits on a scale (Least Squares Mean)
Duloxetine1.72
Placebo2.34

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Vital Signs - Change From Baseline to Endpoint in Weight - Acute and Continuation Phases

(NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionkilograms (Mean)
Weight BaselineWeight Change from Baseline to Endpoint
Duloxetine - Acute Phase74.74-0.69
Duloxetine - Continuation Phase74.220.88

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Vital Signs - Change From Baseline to Endpoint in Pulse - Acute and Continuation Phases

(NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionbeats per minute (Mean)
Pulse BaselinePulse Change from Baseline to Endpoint
Duloxetine - Acute Phase71.761.42
Duloxetine - Continuation Phase72.791.75

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Vital Signs - Change From Baseline to Endpoint in Blood Pressure - Maintenance Phase

(NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionmm Hg (Least Squares Mean)
Change from Baseline: Systolic Blood PressureChange from Baseline: Diastolic Blood Pressure
Duloxetine1.70-0.23
Placebo-1.11-0.11

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Vital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation Phases

(NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionmm Hg (Mean)
Systolic Blood Pressure BaselineSystolic Blood Pressure Change to EndpointDiastolic Blood Pressure BaselineDiastolic Blood Pressure Change to Endpoint
Duloxetine - Acute Phase125.030.2577.520.72
Duloxetine - Continuation Phase124.720.7778.28-0.57

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Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation Phase

(NCT00105989)
Timeframe: Every Visit from Week 10 up to Week 34 (Continuation)

,,
Interventionparticipants (Number)
Patients with >= 1 Adverse EventHeadacheNasopharyngitisHyperhidrosisBack painDiarrhoea
Duloxetine 120 mg5969582
Duloxetine 60 mg1022178710
Duloxetine 90 mg8312101246

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Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy Phase

(NCT00105989)
Timeframe: Every Visit from Week 0 up to Week 10 (Acute)

Interventionparticipants (Number)
Patients with >= 1 Adverse EventNauseaHeadacheDry mouthHyperhidrosisFatigueConstipationDizzinessDiarrhoeaVomitingInsomniaDecreased appetite
Duloxetine - Acute Phase34915079767660484138282726

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Uric Acid - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

Interventionmicromoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase297.05-10.64

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventiongrams per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase72.47-0.38

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

Interventiongrams per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase73.59-1.18

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Sodium - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase141.21-0.64

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Platelet Count - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

InterventionGiga per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase261.084.23

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Monocytes - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

InterventionGiga per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase0.350.02

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Mean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Acute and Continuation Phases

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00105989)
Timeframe: Week 10 (Acute) and Week 34 (Continuation)

Interventionunits on a scale (Mean)
Duloxetine - Acute Phase2.12
Duloxetine - Continuation Phase1.76

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Chloride - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase103.73-0.29

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Loss of Response at Any Time

Loss of response was defined as a HAMD-17 total score >9 and a CGI-Severity score >2 at any one time during the double-blind maintenance phase of the study regardless of whether or not they subsequently regained response or not. (NCT00105989)
Timeframe: Every Visit from Week 35 up to Week 86 (Maintenance Phase)

Interventionparticipants (Number)
Duloxetine44
Placebo66

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Change From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Maintenance Phase

The Somatic subscale consists of 23 items to be completed by the patient that focus on somatic symptoms. Question answers are either yes/no or true/false. Negative response is scored at 1; positive response is scored as 0. Total Somatic subscale scores range from 0-23, where higher scores indicate greater symptom severity. (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Interventionunits on a scale (Least Squares Mean)
Duloxetine0.79
Placebo0.81

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Volume (MCV) - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventionfemtoliters (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase89.330.45

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Hemoglobin - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase20.73-0.18

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Low Density Lipoprotein (LDL) Cholesterol (Direct) - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase3.61-0.14

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Leukocyte Count - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

InterventionGiga per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase6.400.17

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase8.73-0.14

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase8.81-0.07

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

InterventionActual count (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase0.42-0.00

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

Interventionactual count (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase0.43-0.00

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance Phase

(NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionmillimoles per Liter (Mean)
Fasting Glucose Baseline (N=120,N=112)Fasting Glucose Change to EndpointNon-Fasting Glucose Baseline (N=41,N=39)Non-Fasting Glucose Change to Endpoint
Duloxetine5.400.075.68-0.20
Placebo5.470.035.740.62

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

InterventionUnits per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase24.132.11

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

InterventionUnits per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase29.25-5.12

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Erythrocyte Count - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

InterventionTera per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase4.74-0.06

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Eosinophils - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

InterventionGiga per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase0.130.01

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Change From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Maintenance Phase

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients. (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Interventionunits on a scale (Least Squares Mean)
Duloxetine0.24
Placebo0.84

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Maintenance Phase

(NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine2.43-0.04
Placebo2.43-0.01

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase2.45-0.01

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase2.46-0.01

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Total - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventionmicromoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase8.68-0.50

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Direct - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventionmicromoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase2.03-0.12

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bicarbonate, HCO3 - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventionmillimoles per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase24.411.04

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Continuation Phase

(NCT00105989)
Timeframe: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Interventiongrams per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Continuation Phase42.43-0.57

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Acute Phase

(NCT00105989)
Timeframe: Week 0 and Week 10

Interventiongrams per Liter (Mean)
BaselineChange to Endpoint
Duloxetine - Acute Phase43.05-0.61

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Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Alanine Aminotransferase (ALT) - Maintenance Phase

(NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
InterventionUnits per Liter (Mean)
BaselineChange to Endpoint
Duloxetine21.812.52
Placebo22.12-0.38

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Resource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance Phase

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms. (NCT00105989)
Timeframe: Week 34 through Week 86 (Maintenance Phase)

,
Interventionvisits (Least Squares Mean)
Primary Health Care Provider Visits (N=47,N=47)Psychiatrist Visits (N=33,N=23)Psychologist/Therapist Visits (N=8,N=7)Other Specialist Physician Visits (N=25,N=25)Other (Specified by Patient) Visits (N=5,N=3)
Duloxetine-0.00-0.01-0.020.000.04
Placebo-0.00-0.01-0.01-0.000.00

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Resource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation Phases

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms. (NCT00105989)
Timeframe: Week 0 through Week10 (Acute) through Week 34 (Continuation)

,
Interventionvisits (Mean)
Primary Health Care Provider Visits (N=94,N=99)Psychiatrist Visits (N=91,N=65)Psychologist/Therapist Visits (N=19,N=11)Other Specialist Physician Visits (N=42,N=38)Other (Specified by Patient) Visits (N=3,N=3)
Duloxetine - Acute Phase-0.000.030.01-0.000.04
Duloxetine - Continuation Phase-0.00-0.03-0.000.01-0.07

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Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Acute and Continuation Phases

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms. (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionhours (Mean)
Average Number of Hours Worked In a Week BaselineChange in Average Number of Hours Worked In a Week
Duloxetine - Acute Phase0.360.00
Duloxetine - Continuation Phase0.360.01

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Percentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Days

Worsening occurs if patient had a >=50% increase from baseline on the 17-Item Hamilton Depression Rating Scale (HAMD-17) total score and a Clinical Global Impression-Severity (CGI-S) score >=3 at any time during the double-blind maintenance therapy phase. (NCT00105989)
Timeframe: Every Visit from Week 34 up to Week 86 (Maintenance Phase)

,
Interventionpercentage of participants (Number)
t=7 days (N=142, N=140)t=14 days (N=140, N=138)t=21 days (N=136, N=130)t=28 days (N=132, N=125)t=56 days (N=124, N=105)t=84 days (N=114, N=88)t=112 days (N=105, N=81)t=140 days (N=100, N=72)t=168 days (N=95, N=70)t=196 days (N=93, N=67)t=224 days (N=90, N=65)t=252 days (N=84, N=60)t=280 days (N=81, N=60)t=308 days (N=78, N=59)t=336 days (N=77, N=56)t=364 days (N=75, N=51)
Duloxetine2.073.455.537.6311.8916.9921.4823.0224.6126.1928.5731.0431.8831.8831.8833.65
Placebo1.411.417.129.3022.5731.8635.0740.8242.4744.1445.8045.8045.8046.7149.4251.33

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Percentage of Participants With Depressive Recurrence After Time (t) in Days

Recurrence: Clinical Global Impression-Severity (CGI-S) score >=4 and met Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depressive disorder (MDD); had 3 consecutive visits where re-emergence criteria met; had total of 10 visits where re-emergence criteria was satisfied; discontinued due to lack of efficacy. (NCT00105989)
Timeframe: Every Visit from Week 34 up to Week 86 (Maintenance Phase)

,
Interventionpercentage of participants (Number)
t=7 days (N=145, N=139)t=14 days (N=143, N=138)t=21 days (N=141, N=137)t=28 days (N=140, N=135)t=56 days (N=136, N=120)t=84 days (N=131, N=106)t=112 days (N=122, N=96)t=140 days (N=119, N=89)t=168 days (N=115, N=86)t=196 days (N=111, N=86)t=224 days (N=108, N=85)t=252 days (N=105, N=82)t=280 days (N=99, N=77)t=308 days (N=96, N=75)t=336 days (N=95, N=74)t=364 days (N=93, N=73)
Duloxetine0.681.371.372.074.196.338.589.3410.8911.6912.5013.3213.3213.3214.2316.03
Placebo2.112.112.823.5412.9721.1525.7928.9828.9828.9829.8032.2834.0034.8634.8635.74

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Change From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance Phase

VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 100 millimeter (mm) line between two anchors (0 = no pain and 100 = very severe pain). (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Endpoint in Overall PainChange from Baseline to Endpoint in HeadacheChange from Baseline to Endpoint in Back PainChange from Baseline to Endpoint in Shoulder PainChange: Interference with Daily ActivitiesChange from Baseline in Pain While Awake
Duloxetine3.924.771.770.513.163.64
Placebo4.572.803.403.022.814.69

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Change From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation Phase

VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 100 millimeter (mm) line between two anchors (0 = no pain and 100 = very severe pain). (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
Overall Pain Baseline (N=450, N=410)Overall Pain Change from Baseline to EndpointHeadache Baseline (N=450, N=410)Headache Change from Baseline to EndpointBack Pain Baseline (N=450, N=410)Back Pain Change from Baseline to EndpointShoulder Pain Baseline (N=446, N=410)Shoulder Pain Change from Baseline to EndpointInterference-DailyActivities Baseline(N=445,N=410)Intereference Change from Baseline to EndpointPain While Awake Baseline (N=446, N=410)Pain While Awake Change from Baseline to Endpoint
Duloxetine - Acute Phase34.36-16.3429.74-14.8328.79-13.6424.06-10.4733.28-16.7938.18-17.66
Duloxetine - Continuation Phase17.291.1614.800.0415.61-0.0013.49-0.3915.591.0019.220.06

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Change From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Acute and Continuation Phases

The Somatic subscale consists of 23 items to be completed by the patient that focus on somatic symptoms. Question answers are either yes/no or true/false. Negative response is scored at 1; positive response is scored as 0. Total Somatic subscale scores range from 0-23, where higher scores indicate greater symptom severity. (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline to Endpoint
Duloxetine - Acute Phase12.64-5.37
Duloxetine - Continuation Phase6.88-0.35

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Change From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance Phase

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total (Global) scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. Individual Item scores range from 0 to 10. (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Endpoint in Global ScoreChange from Baseline to Endpoint in Work/SchoolChange from Baseline to Endpoint in Social LifeChange from Baseline to Endpoint in Family Life
Duloxetine-0.050.030.02-0.10
Placebo2.060.830.560.67

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Change From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation Phases

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total (Global) scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. Individual Item scores range from 0 to 10. (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
Global Score Baseline (N=449,N=378)Global Score Change from Baseline to EndpointWork/School Item Baseline (N=452,N=378)Work/School Item Change from Baseline to EndpointSocial Life Item Baseline (N=452,N=378)Social Life Item Change from Baseline to EndpointFamily Life Item Baseline (N=452,N=378)Family Life Item Change from Baseline to Endpoint
Duloxetine - Acute Phase19.30-7.886.52-2.616.45-2.696.35-2.59
Duloxetine - Continuation Phase10.72-2.013.64-0.713.50-0.643.54-0.63

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Change From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance Phase

Core and Maier subscales assess symptoms of depression (scores:0-20=Core; 0-24=Maier). Higher numbers indicate more severe symptoms. Anxiety/Somatization subscale assesses severity of anxiety (0-18). Retardation subscale assesses dysfunction in mood and work (0-14). Sleep subscale assesses insomnia (0-6). Depressed Mood item (0-4). (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline to Endpoint in AnxietyChange from Baseline to Endpoint in CoreChange from Baseline to Endpoint in MaierChange from Baseline to Endpoint in RetardationChange from Baseline to Endpoint in SleepChange from Baseline to Endpoint in Depressed Mood
Duloxetine0.460.750.910.590.130.27
Placebo1.541.742.251.490.710.67

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Change From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation Phases

Core and Maier subscales assess symptoms of depression (scores:0-20=Core; 0-24=Maier). Higher numbers indicate more severe symptoms. Anxiety/Somatization subscale assesses severity of anxiety (0-18). Retardation subscale assesses dysfunction in mood and work (0-14). Sleep subscale assesses insomnia (0-6). Depressed Mood Item (0-4). (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
Anxiety BaselineAnxiety Change from Baseline to EndpointCore BaselineCore Change from Baseline to EndpointMaier BaselineMaier Change from Baseline to EndpointRetardation BaselineRetardation Change from Baseline to EndpointSleep BaselineSleep Change from Baseline to EndpointDepressed Mood BaselineDepressed Mood Change from Baseline to Endpoint
Duloxetine - Acute Phase7.71-4.528.81-5.9711.44-7.467.76-4.613.80-2.372.78-1.86
Duloxetine - Continuation Phase2.51-0.112.00-0.292.91-0.292.43-0.481.11-0.070.64-0.05

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Change From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Acute and Continuation Phases

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline to Endpoint
Duloxetine - Acute Phase4.49-2.30
Duloxetine - Continuation Phase1.83-0.07

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Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)

A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30. (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline: Sum Items 1 to 5 (N=35,N=29)Change from Baseline: Sum Items 1&2 (N=39,N=29)Item 1-Sex Drive (N=39,N=29)Item 2-Arousal (N=39,N=29)Item 3-Lubrication/Erection (N=38,N=29)Item 4-Orgasm (N=36,N=29)Item 5-Satisfaction (N=35,N=29)
Duloxetine-0.97-0.25-0.17-0.09-0.32-0.08-0.13
Placebo-0.770.03-0.020.07-0.10-0.43-0.04

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Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)

A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30. (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline:Sum Items 1 to 5 (N=63,N=66)Change from Baseline:Sum Items 1&2 (N=77,N=79)Item 1 - Sex Drive (N=77,N=79)Item 2 - Arousal (N=77,N=79)Item 3 - Lubrication/Erection (N=63,N=67)Item 4 - Orgasm (N=63,N=67)Item 5 - Satisfaction (N=63,N=67)
Duloxetine-0.65-0.19-0.08-0.12-0.21-0.10-0.05
Placebo-0.470.340.180.16-0.15-0.15-0.40

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Change From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Maintenance Phase

The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (absent, mild, moderate, severe, very severe) or a 3-point scale (absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Interventionunits on a scale (Least Squares Mean)
Duloxetine1.40
Placebo4.36

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Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)

A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30. (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
Sum Items 1 to 5 Baseline (N=220,N=197)Sum Items 1 to 5 Change to EndpointSum Items 1&2 Baseline (N=285,N=239)Sum Items 1&2 Change to EndpointItem 1-Sex Drive Baseline (N=286,N=239)Item 1-Sex Drive Change to EndpointItem 2-Arousal Baseline (N=286,N=239)Item 2-Arousal Change to EndpointItem 3-Lubrication/Erection Baseline (N=224,N=198)Item 3-Lubrication/Erection Change to EndpointItem 4-Orgasm Baseline (N=224,N=198)Item4-Orgasm Change to EndpointItem 5-Satisfaction Baseline (N=226,N=198)Item 5-Satisfaction Change to Endpoint
Duloxetine - Acute Phase21.41-1.319.31-0.694.92-0.464.40-0.223.97-0.194.33-0.133.93-0.18
Duloxetine - Continuation Phase19.31-0.998.42-0.564.34-0.314.08-0.253.57-0.104.06-0.283.58-0.10

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Change From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance Phase

Assesses general quality of life. 36 questions covering 8 health domains. Each subscale is scored by summing the individual items and transforming scores into a 0-100 scale, with higher scores indicating better health status or functioning. (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

,
Interventionunits on a scale (Least Squares Mean)
Change from Baseline-Physical Component SummaryChange from Baseline-Mental Component SummaryChange from Baseline-Physical FunctioningChange from Baseline-Bodily PainChange from Baseline-Role Limitations: PhysicalChange from Baseline-Role Limitations: EmotionalChange from Baseline-General Health PerceptionsChange from Baseline-Mental HealthChange from Baseline-Social FunctionChange from Baseline-VitalityChange from Baseline-Rate Current HealthChange from Baseline-Health Compared to Year Ago
Duloxetine-0.45-1.110.06-0.420.01-0.03-0.23-0.44-0.14-0.770.030.19
Placebo0.33-5.74-0.07-0.19-0.41-0.46-0.61-2.60-0.50-1.380.080.34

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Change From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation Phase

Assesses general quality of life. 36 questions covering 8 health domains. Each subscale is scored by summing the individual items and transforming scores into a 0-100 scale, with higher scores indicating better health status or functioning. (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
Physical Component Summary Baseline (N=455,N=377)Physical Component Summary Change to EndpointMental Component Summary Baseline (N=455,N=377)Mental Component Summary Change to EndpointPhysical Functioning Baseline (N=457,N=377)Physical Functioning Change to EndpointBodily Pain Baseline (N=460,N=377)Bodily Pain Change from Baseline to EndpointRole Limitations:Physical Baseline (N=457,N=377)Role Limitations:Physical Change to EndpointRole Limitations:Emotional Baseline (N=456,N=377)Role Limitations:Emotional Change to EndpointGeneral Health Perceptions Baseline(N=456,N=377)General Health Perceptions Change to EndpointMental Health Baseline (N=456,N=377)Mental Health Change from Baseline to EndpointSocial Function Baseline (N=460,N=377)Social Function Change from Baseline to EndpointVitality Baseline (N=457,N=377)Vitality Change from Baseline to EndpointRate Current Health Baseline (N=460,N=377)Rate Current Health Change to EndpointHealth Compared to Year Ago Baseline (N=460,N=377)Health Compared to Year Ago Change to Endpoint
Duloxetine - Acute Phase43.553.8623.9314.6723.592.396.831.615.241.063.421.1113.662.9312.626.454.772.128.854.513.88-0.723.67-1.18
Duloxetine - Continuation Phase48.050.0339.833.9826.280.288.610.076.480.204.650.3417.030.5819.601.307.050.6513.840.843.03-0.012.37-0.34

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Change From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Acute and Continuation Phases

The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00105989)
Timeframe: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline to Endpoint
Duloxetine - Acute Phase23.07-14.37
Duloxetine - Continuation Phase6.64-0.61

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Vital Signs - Change From Baseline to Endpoint in Weight - Maintenance Phase

(NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Interventionkilograms (Least Squares Mean)
Duloxetine0.88
Placebo0.39

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Vital Signs - Change From Baseline to Endpoint in Pulse - Maintenance Phase

(NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Interventionbeats per minute (Least Squares Mean)
Duloxetine-1.86
Placebo-1.72

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Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Maintenance Phase

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms. (NCT00105989)
Timeframe: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Interventionhours (Least Squares Mean)
Duloxetine-0.00
Placebo-0.00

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Anxiety Symptoms as Assessed by Liebowitz Social Anxiety Scale

The Liebowitz Social Anxiety Scale (LSAS; Liebowitz, 1987) is a 24-item scale that provides separate scores for fear and avoidance in social and performance situations with higher scores representing increased social anxiety. The LSAS contains three total scores: 1) total fear score (0-72), 2) total avoidance score(0-72), 3) and total overall score (0-144). Suggested interpretations: 55-65 Moderate social phobia, 65-80 Marked social phobia, 80-95 Severe social phobia, Greater than 95 - Very severe social phobia. (NCT00114127)
Timeframe: 6 months

InterventionScores on a scale (Mean)
Duloxetine 60mg/Day + Placebo for 18 Weeks (Phase 2)67.9
Duloxetine 120mg/Day for 18 Weeks (Phase 2)53.7

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CGI-S

"The Clinician Global Impression-Severity Scale (CGI-S) is a clinician-rated instrument used to assess global severity of symptoms (Guy, 1976). The CGI ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).~Baseline collected for Phase 1 at week 0 and for Phase 2 at week 6." (NCT00114127)
Timeframe: 6 months

InterventionScores on a scale (Mean)
Duloxetine 60mg/Day + Placebo for 18 Weeks (Phase 2)4.42
Duloxetine 120mg/Day for 18 Weeks (Phase 2)3.60

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Number of Participants With Recurrence of Major Depression

Recurrence of major depressive episodes as determined by SCID/DSM IV: two weeks of low mood and/or anhedonia, together with at least five of the following symptoms: suicidal ideation, low energy, sleep disturbance, appetite disturbance, psychic anxiety or somatic anxiety. In addition, a diagnosis of major depression requires evidence of distress or impairment. (NCT00177671)
Timeframe: 2 years

Interventionparticipants (Number)
Donepezil19
Placebo11

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Cognitive Instrumental Activities of Daily Living (IADL)

The PASS (a performance-based assessment of instrumental activities of daily living)generates a composite measure of 13 cognitive IADL items capturing performance on activities such as shopping, bill paying, medication management, and home safety. We report the percentage of subjects at each assessment point adjudged to have independent functioning. This was determined by a clinician rater observing subjects perform each task and rating them according to predetermined criteria on a 4 point scale, ranging from 0 (unable) to 3 (independent). (NCT00177671)
Timeframe: baseline, year 1 and year 2

,
InterventionPercentage of participants (Number)
Baseline (N=33; N=34)Year 1 (N=23; N=25)Year 2 (N=11; N=17)
Donepezil54.1062.1636.67
Placebo61.8254.3547.22

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Global Cognitive Performance

Cognitive performance was assessed with 17 well established and validated individual tests measuring multiple domains. We transformed raw scores for individual tests into Z-scores using the baseline distribution of a non-depressed, cognitively normal, older adult comparison group (N=36)of similar age, education, and medical health recruited concurrently with the depressed participants. These Z-scores were averaged within each neuropsychological area to produce domain scores and then averaged over all 17 tests to calculate a global cognition performance score. (NCT00177671)
Timeframe: Measured at baseline and Years 1 and 2 in maintenance

,
InterventionZ-score (Mean)
Baseline (N=67;N=63)Year 1 (N=45; N=57)Year 2 N=42; N=49)
Donepezil-0.47-0.23-0.31
Placebo-0.47-0.65-0.56

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Percentage of Participants With Mild Cognitive Impairment Converting to Dementia.

Conversion to dementia was ascertained by the University of Pittsburgh Alzheimer Disease Research Center (ADRC), using data on neuropsychological performance and IADL functioning, as well as other relevant clinical data. Diagnoses were made according to National Alzheimer Coordinating Center criteria. (NCT00177671)
Timeframe: 2 year

InterventionPercent of Participants (Number)
Donepezil10
Placebo33

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Response as Assessed by Participants' Change in Depression Rating

Comparison of treatment arms (Medication + ICI, Placebo+ICI, and ICI only). The Hamilton Depression Rating Scale (HAM-D-17) used here is a 17-item scale that measures severity of depression. Items are individually scored from 0-4 or from 0-2 depending on the item, and the individual scores for each item are added to comprise one score. Higher scores indicate greater severity of depression. Possible scores on the scale range from a minimum of zero (0) to a maximum of 52.Response is defined as a 50% decrease in HAMD-17 scoring. Remission defined as a HAMD-17 score of 7 or less. (NCT00200902)
Timeframe: Baseline, Week 8

,,
InterventionParticipants (Count of Participants)
RespondersRemitters
Interpersonal Clinical Interaction (ICI)10
MEDICATIONS179
Placebo (PBO)119

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Average Change in 3 Weeks of Participant Treatment Expectations

Patient Attitudes and Expectations Form used for assessing expectation. The California Pharmacotherapy Alliance Scale, a measure associated with outcomes of antidepressant pharmacotherapy, used to measure participants' perceptions of: (a) participants' commitment to treatment; (b) participants' working capacity; (c) treatment providers' understanding and involvement; and (d) goal and working strategy consensus between participant and treatment provider. This is a 24-item questionnaire with a 7-point Likert scale (1 = not at all, 7 = very much so). Total score ranges from a minimum of 0 and a maximum of 120. The score is determined by a combination of negative and positive items. To assure negative items are reflected, subtract each of the negative item ratings from 8; for example, a rating of 1 becomes 7 (8 minus 1). The scores are computed by summing the items and dividing the total by 6 to procure the mean rating. A lower score indicates a worse outcome. (NCT00200902)
Timeframe: Averaged over 3 time points (Baseline, randomization, and end of lead-in)

Interventionunits on a scale (Mean)
Medication (MED)3.55
Placebo (PBO)3.94
Interpersonal Clinical Interaction (ICI)3.17

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Change in Hamilton Depression Assessment Score

Comparison of treatment arms (Medication + ICI, Placebo+ICI, and ICI only). The Hamilton Depression Rating Scale used here is a 17-item scale that measures severity of depression. Items are individually scored from 0-4 or from 0-2 depending on the item, and the individual scores for each item are added to comprise one score. Higher scores indicate greater severity of depression/worse outcome. Possible scores on the scale range from a minimum of zero (0) to a maximum of 52. (NCT00200902)
Timeframe: Baseline,Week 8

,,
InterventionHAMD score (Mean)
Percent Change in HAM-DChange in HAM-D
Interpersonal Clinical Interaction (ICI)-0.05-1.37
Medication (MED)-0.46-10.05
Placebo (PBO)-0.36-7.59

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Sleep at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on sleep. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm-0.10

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Rescue Arm: Patient's Global Impressions of Improvement (PGI-I) at Week 34 Endpoint

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00322621)
Timeframe: Week 34

Interventionunits on a scale (Mean)
Rescue Arm3.04

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Least Pain Score at Week 34 Endpoint

A self-reported scale that measures the severity of pain based on the least pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-0.93

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Walking Ability at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on walking ability. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.59

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Number of Participants Discontinuing in Maintenance / Rescue Phase

(NCT00322621)
Timeframe: Baseline (Week 8) to Week 34

,,,
Interventionparticipants (Number)
Entering at Week 8Continuing at Week 12Continuing at Week 16Continuing at Week 24Completing at Week 34
All Maintenance / Rescue Participants184171142128119
Maintenance Arm (Later Dose Increase)121211109
Maintenance Arm (No Dose Increase)10396928477
Rescue Arm6963393433

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Change From Baseline (Week 0) in Vital Signs: Diastolic Blood Pressure at Week 34 Endpoint

(NCT00322621)
Timeframe: Baseline (Week 0), Week 34

Interventionmm Hg (Mean)
Duloxetine 60 mg-0.1
Duloxetine 120 mg-1.0

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Change From Baseline (Week 0) in Vital Signs: Systolic Blood Pressure at Week 34 Endpoint

(NCT00322621)
Timeframe: Baseline (Week 0), Week 34

Interventionmm Hg (Mean)
Duloxetine 60 mg-4.2
Duloxetine 120 mg0.7

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Change From Baseline (Week 0) in Vital Signs: Weight at Week 34 Endpoint

(NCT00322621)
Timeframe: Baseline (Week 0), Week 34

Interventionkilograms (kg) (Mean)
Duloxetine 60 mg-1.3
Duloxetine 120 mg0.2

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Change From Baseline (Week 8) in Brief Pain Inventory (BPI) 24-hour Average Pain Item Score at Week 34 Endpoint

Maintenance effect of duloxetine 60 mg in patients with diabetic peripheral neuropathic pain (DPNP) was assessed by the change in BPI 24-hour average pain item score from baseline of the maintenance therapy arm (week 8) to 34 week endpoint in patients who achieved at least a 30 percent reduction on the BPI 24-hour average pain item after 8 weeks of acute therapy (Acute Therapy Phase). BPI is a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.35

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Change From Baseline in Vital Signs: Heart Rate at Week 34 Endpoint

(NCT00322621)
Timeframe: Baseline (Week 0), Week 34

Interventionbeats per minute (Mean)
Duloxetine 60 mg2.4
Duloxetine 120 mg0.4

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Maintenance Arm: Change From Baseline (Week 8) in Beck Depression Inventory-II (BDI-II) Total Score at Week 34 Endpoint

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm-0.82

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Average Interference at Week 34 Endpoint

A self-reported scale that measures interference of pain on average of the 7 questions assessing the interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The average Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.28

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Average Pain Score at Week 34 Endpoint

A self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.35

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Enjoyment of Life at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on enjoyment of life. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.11

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: General Activity at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on general activity. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.22

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Mood at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on mood. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.39

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Normal Work at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on normal work. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.63

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Relations With Other People at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on relations with other people. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.13

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Maintenance Arm: Patient's Global Impressions of Improvement (PGI-I) at Week 34 Endpoint

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00322621)
Timeframe: Week 34

Interventionunits on a scale (Mean)
Maintenance Arm2.32

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Maintenance Arm: Number of Patients With a ≥50% Reduction From Baseline (Week 0) in Brief Pain Inventory 24-hour Average Pain Item

A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 0), Week 34

Interventionparticipants (Number)
Maintenance Arm76

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Maintenance Arm: Change From Baseline (Week 8) in Sensory Portion of the Short-Form McGill Pain Questionnaire at Week 34 Endpoint

This instrument consists of 11 pain descriptors. The sensory pain portion scores range from 0 (none) to 3 (severe). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.31

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Maintenance Arm: Change From Baseline (Week 8) in Clinical Global Impressions of Severity (CGI-S) at Week 34 Endpoint

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm-0.11

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Worst Pain Score at Week 34 Endpoint

A self-reported scale that measures the severity of pain based on the worst pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.29

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Pain Right Now Score at Week 34 Endpoint

A self-reported scale that measures the severity of pain based on the pain right now. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.48

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Maintenance Arm: Change From Baseline (Week 8) in Brief Pain Inventory Least Pain Score at Week 34 Endpoint

A self-reported scale that measures the severity of pain based on the least pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Maintenance Arm0.24

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Normal Work at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on normal work. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-0.97

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Rescue Arm: Change From Baseline (Week 8) in Beck Depression Inventory-II (BDI-II) Total Score at Week 34 Endpoint

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-0.53

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Average Interference at Week 34 Endpoint

A self-reported scale that measures interference of pain on average of the 7 questions assessing the interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The average Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-0.59

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Average Pain Score at 34 Week Endpoint

A self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-1.39

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Enjoyment of Life at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on enjoyment of life. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm0.19

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Number of Participants Discontinuing in the Acute Phase

(NCT00322621)
Timeframe: Baseline (Week 0) to Week 8

Interventionparticipants (Number)
Initiating at Week 0Continuing at Week 1Continuing at Week 8
Acute Phase216201184

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: General Activity at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on general activity. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-1.01

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Mood at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on mood. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-0.29

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Relations With Other People at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on relations with other people. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-0.12

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Sleep at Week 34 Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on sleep. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-0.84

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Interference Score: Walking Ability at 34 Week Endpoint

A self-reported scale that measures the interference of pain in the past 24 hours on walking ability. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-1.15

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Pain Right Now Score at Week 34 Endpoint

A self-reported scale that measures the severity of pain based on the pain right now. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-1.12

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Rescue Arm: Change From Baseline (Week 8) in Brief Pain Inventory Worst Pain Score at Week 34 Endpoint

A self-reported scale that measures the severity of pain based on the worst pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-1.33

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Rescue Arm: Change From Baseline (Week 8) in Clinical Global Impressions of Severity (CGI-S) at Week 34 Endpoint

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-0.46

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Rescue Arm: Change From Baseline (Week 8) in Sensory Portion of the Short-Form McGill Pain Questionnaire at Week 34 Endpoint

This instrument consists of 11 pain descriptors. The sensory pain portion scores range from 0 (none) to 3 (severe). (NCT00322621)
Timeframe: Baseline (Week 8), Week 34

Interventionunits on a scale (Mean)
Rescue Arm-1.38

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Rescue Arm: Number of Patients With a ≥50% Reduction From Baseline (Week 0) in Brief Pain Inventory 24-hour Average Pain Item

A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00322621)
Timeframe: Baseline (Week 0), Week 34

Interventionparticipants (Number)
Rescue Arm21

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Change in Connor Davidson Resilience Scale (CD-RISC) From Baseline to 8 Weeks

CD-RISC has been psychometrically validated, studied in the general population, as well as in clinical samples. Changes in CD-RISC score have been found to be sensitive to the effect of treatment, and impaired resilience has been demonstrated in subjects with depression relative to normal controls using this scale (Connor and Davidson, 2003). The total score ranges from 0-100, with higher scores indicating greater resilience. (NCT00331799)
Timeframe: baseline and 8 weeks

Interventionunits on a scale (Mean)
Duloxetine52.62

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Remission From Major Depressive Episode Among Participants Who Completed the Intervention

The percentage of participants who achieved remission from a major depressive episode. A score of equal to or greater than 7 on the Hamilton Depression Rating Scale (HDRS) after 10 weeks and 12 weeks of the assigned study treatment was considered to be remission from depression. (NCT00360399)
Timeframe: Measured at Weeks 10 and 12

Interventionpercentage of participants (Number)
Escitalopram44.2
Duloxetine51.9
Cognitive Behavioral Therapy (CBT)43.5

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Remission From Major Depressive Episode in Intent to Treat Sample

The percentage of participants who achieved remission from a major depressive episode, using a last observation carried forward (LOCF) dataset, defined as all randomized patients who initiated treatment and had at least one follow-up rating assessment. A score of equal to or greater than 7 on the Hamilton Depression Rating Scale (HDRS) at the last observation was considered to be remission from depression. (NCT00360399)
Timeframe: Up to 12 Weeks

Interventionpercentage of participants (Number)
Escitalopram46.7
Duloxetine54.7
Cognitive Behavioral Therapy (CBT)41.9

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Number of Participants Experiencing Depression Recurrence Following Remission to Monotherapy Treatment

The number of participants experiencing a recurrence of depression after they had been in remission with the monotherapy treatment they were randomized to receive. (NCT00360399)
Timeframe: Measured at 6, 9, 12, 15, 18, 21, and 24 months

,,
Interventionparticipants (Number)
6 Months9 Months12 Months15 Months18 Months21 Months24 Months
Cognitive Behavioral Therapy (CBT)1135555
Duloxetine0224455
Escitalopram0111233

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Number of Participants in Each Category of Response to Treatment of Depressive Symptoms, Among Participants Who Completed the Intervention

"Four mutually exclusive categorical outcomes were defined based on the last valid Hamilton Depression Rating Scale (HDRS) rating at the Week 10 and Week 12 visits:~Non-response: <30% reduction from baseline~Partial Response: 30-49% reduction from baseline~Response without remission: ≥50% reduction from baseline, but HDRS-17 score >7~Remission: HDRS score ≤7" (NCT00360399)
Timeframe: Measured at Weeks 10 and 12

,,
Interventionparticipants (Number)
Non-ResponsePartial ResponseResponse without remissionRemission
Cognitive Behavioral Therapy (CBT)15131130
Duloxetine10121641
Escitalopram15102338

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Number of Participants in Each Category of Response to Treatment of Depressive Symptoms, in Intent to Treat Sample

"Four mutually exclusive categorical outcomes were defined based on the last valid Hamilton Depression Rating Scale (HDRS) rating at the last observation:~Non-response: <30% reduction from baseline~Partial Response: 30-49% reduction from baseline~Response without remission: ≥50% reduction from baseline, but HDRS-17 score >7~Remission: HDRS score ≤7" (NCT00360399)
Timeframe: Up to 12 Weeks

,,
Interventionparticipants (Number)
Non-ResponsePartial ResponseResponse without remissionRemission
Cognitive Behavioral Therapy (CBT)32191044
Duloxetine21161158
Escitalopram26121849

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Number of Participants Achieving Remission From Major Depressive Episode After 12 Weeks of Combined Treatment, for Those Patients Who do Not Achieve Remission With Monotherapy

The number of participants achieving remission from major depressive episode after 12 weeks of combined treatment consisting of antidepressant plus cognitive behavioral therapy (CBT) treatments. Those originally randomized to receive one of the antidepressants remained on that medication and had CBT sessions added. Participants originally randomized to CBT had escitalopram added at a dose of 10 to 20 mg per day for 12 weeks (NCT00360399)
Timeframe: Measured after 12 weeks of combined treatment

Interventionparticipants (Number)
Escitalopram22
Duloxetine10
Cognitive Behavioral Therapy (CBT)18

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Beck Depression Inventory (BDI)

"Beck Depression Inventory (BDI)is a 21-question multiple-choice self-report inventory, one of the most widely used instruments for measuring the severity of depression.~When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is compared to a key to determine the depression's severity. The standard cut-offs are as follows:[7]~0-9: indicates minimal depression 10-18: indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe depression.~Higher total scores indicate more severe depressive symptoms." (NCT00360724)
Timeframe: Baseline

InterventionScores on a scale (Mean)
Duloxetine (Cymbalta)12.7
Placebo Treatment15.5

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Beck Depression Inventory (BDI)

"Beck Depression Inventory (BDI)is a 21-question multiple-choice self-report inventory, one of the most widely used instruments for measuring the severity of depression.~When the test is scored, a value of 0 to 3 is assigned for each answer and then the total score is compared to a key to determine the depression's severity. The standard cut-offs are as follows:[7]~0-9: indicates minimal depression 10-18: indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe depression.~Higher total scores indicate more severe depressive symptoms." (NCT00360724)
Timeframe: Week 10

InterventionScores on a scale (Mean)
Duloxetine (Cymbalta)8.5
Placebo Treatment10.1

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Clinical Global Impressions Improvement(CGI-I)

"The Clinical Global Impression - Improvement(CGI-I) is a 7-point scale that rate patient's total improvement whether or not comparing to his/her condition at baseline.~0 = Not assessed~= Very much improved~= Much improved~= Minimally improved~= No change~= Minimally worse~= Much worse~= Very much worse Higher score=greatest worsening" (NCT00360724)
Timeframe: 10 weeks

InterventionScores on a scale (Mean)
Duloxetine (Cymbalta)2.4
Placebo Treatment3

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Cornell Dysthymia Rating Scale (CDRS)

"CDRS is a 20-item clinician-rated inventory for chronic depressive symptoms. Each item was characterized by an explanatory or illustrative description and rated from 0 (symptom absent) to 4 (severe symptoms).~Scores from 0 to 82 with higher score indicating worse depression" (NCT00360724)
Timeframe: Baseline

InterventionScores on a scale (Mean)
Duloxetine (Cymbalta)36.9
Placebo Treatment37.4

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Cornell Dysthymia Rating Scale (CDRS)

"CDRS is a 20-item clinician-rated inventory for chronic depressive symptoms. Each item was characterized by an explanatory or illustrative description and rated from 0 (symptom absent) to 4 (severe symptoms).~Scores from 0 to 82 with higher score indicating worse depression" (NCT00360724)
Timeframe: Week 10

Interventionscores on a scale (Mean)
Duloxetine (Cymbalta)19.1
Placebo Treatment28.5

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Global Assessment of Functioning Scale (GAF)

"A commonly used rating scale for global social function.~Range from 0 to 100; higher score=better functioning. 91 - 100 No symptoms. 81 - 90 Absent or minimal symptoms 71 - 80 no more than slight impairment in social, occupational, or school functioning (e.g., temporarily falling behind in schoolwork).~61 - 70 Some mild symptoms 51 - 60 Moderate symptoms 41 - 50 Serious symptoms 31 - 40 Some impairment in reality testing or communication 21 - 30 Behavior is considerably influenced by delusions or hallucinations or serious impairment, in communication or judgment 11 - 20 Some danger of hurting self or others~1 - 10 Persistent danger of severely hurting self or others or persistent inability to maintain minimal personal hygiene or serious suicidal act with clear expectation of death.~0 Inadequate information" (NCT00360724)
Timeframe: Baseline

Interventionpoints on rating scale (Mean)
Duloxetine (Cymbalta)62.6
Placebo Treatment58.3

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Global Assessment of Functioning Scale (GAF)

"A commonly used rating scale for global social function.~Range from 0 to 100; higher score=better functioning. 91 - 100 No symptoms. 81 - 90 Absent or minimal symptoms 71 - 80 no more than slight impairment in social, occupational, or school functioning (e.g., temporarily falling behind in schoolwork).~61 - 70 Some mild symptoms 51 - 60 Moderate symptoms 41 - 50 Serious symptoms 31 - 40 Some impairment in reality testing or communication 21 - 30 Behavior is considerably influenced by delusions or hallucinations or serious impairment, in communication or judgment 11 - 20 Some danger of hurting self or others~1 - 10 Persistent danger of severely hurting self or others or persistent inability to maintain minimal personal hygiene or serious suicidal act with clear expectation of death.~0 Inadequate information" (NCT00360724)
Timeframe: Week 10

Interventionpoints on rating scale (Mean)
Duloxetine (Cymbalta)69.9
Placebo Treatment65.7

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Hamilton Depression Rating Scale (HDRS) - 24 Total Score

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 (NCT00360724)
Timeframe: Baseline

InterventionScores on a scale (Mean)
Duloxetine (Cymbalta)14.1
Placebo Treatment14.9

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Resting-state Functional Connectivity Magnetic Resonance Imaging(fMRI)

To use resting-state fMRI to study the effects of antidepressant therapy on default mode network (DMN) connectivity density. (NCT00360724)
Timeframe: Baseline

Interventionpercentage of connecting nods (Mean)
Duloxetine (Cymbalta)0.21
Placebo Treatment0.24

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Resting-state Functional Connectivity Magnetic Resonance Imaging(fMRI)

To use resting-state fMRI to study the effects of antidepressant therapy on default mode network (DMN) connectivity density. (NCT00360724)
Timeframe: Follow up

Interventionpercentage of connecting nods (Mean)
Duloxetine (Cymbalta)0.16
Placebo Treatment0.19

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Hamilton Depression Rating Scale (HDRS) - 24 Total Score

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 (NCT00360724)
Timeframe: Week 10

InterventionScores on a scale (Mean)
Duloxetine (Cymbalta)5
Placebo Treatment10

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Change From Baseline in the Clinical Global Impression of Severity (CGI-S)

Clinician rated assessment of severity on a 1 (normal)-7 (extremely ill) scale. A decrease in the score indicates improvement. (NCT00375973)
Timeframe: baseline to endpoint at 12 weeks

Interventionunits on a scale (Mean)
Duloxetine-1.1
Placebo-0.4

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Change From Baseline in Brief Pain Inventory (BPI) --Average Pain Severity Score

The BPI is a self-administered scale that measures the severity of pain. Pain severity is rated on a 0 [no pain] to 10 [pain as bad a you can imagine] scale. Average pain is rated over the previous 24 hours. Higher scores indicate greater pain severity. A decrease in the score indicates improvement (i.e. decrease in pain severity). (NCT00375973)
Timeframe: Baseline to endpoint at 12 weeks

Interventionunits on a scale (Mean)
Duloxetine-1.6
Placebo-0.8

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Number of Participants Who Discontinued Use of Treatment Due to Adverse Events

Paticipants who dropped out of the study because of intolerable adverse events. (NCT00375973)
Timeframe: Any time after randomization up to 12 weeks.

Interventionparticipants (Number)
Duloxetine3
Placebo0

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Patient Global Impression of Improvement (PGI-I)

Patient rated assessment of change on a 1 (very much better) to 7 (very much worse) scale. (NCT00375973)
Timeframe: baseline to endpoint at 12 weeks.

Interventionunits on a scale (Mean)
Duloxetine3.2
Placebo3.3

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Change From Baseline in Multidimensional Fatigue Inventory (MFI)--General Fatigue Subscale Score

"The MFI is a self-reported instrument that contains 20 statements covering different aspects of fatigue. The MFI consists of 5 subscales: general fatigue, physical fatigue, mental fatigue, reduced activity, and reduced concentration. Each subscale includes 4 items with 5-point Likert scales. Scores on each subscale range from 4-20 with higher scores indicating greater fatigue. A decrease in the score indicates improvement.~The general fatigue subscale (primary measure) includes general statements about tiredness, feeling rested, and overall feelings of being fit." (NCT00375973)
Timeframe: Baseline to endpoint at 12 weeks

Interventionunits on a scale (Mean)
Duloxetine-3.3
Placebo-1.8

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Number of Participants Who Discontinued the Study for Any Reason

Description of discontinuation rates of participants; all participants who dropped out of the study after randomization were included. The reasons for drop outs included lack of efficacy, adverse event, lost to follow-up, personal conflict or other patient decision, withdrawal of informed consent, and non-compliance. (NCT00375973)
Timeframe: Any time after randomization up to 12 weeks.

Interventionparticipants (Number)
Duloxetine10
Placebo2

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Change From Baseline in the Hospital Anxiety and Depression Scale (HADS) --Depression Subscale

The HADS is a self-reported instrument designed as a brief assessment tool of anxiety and depression in nonpsychiatric populations. It is a 14-item questionnaire that consistes of 2 subscales of 7 items designed to measure levels of both anxiety and depression. Each item on the questionnaire is scored from 0-3 and this means that a person can score between 0 and 21 for either anxiety or depression. Higher scores indicate greater levels of anxiety or depression. A decrease in the score indicates improvement. (NCT00375973)
Timeframe: baseline to endpoint at 12 weeks

Interventionunits on a scale (Mean)
Duloxetine-1.6
Placebo-1.9

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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 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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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 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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Categorical Change From Baseline to 12 Weeks in Sexual Functioning Questionnaire (CSFQ) Total Score and Subscale Scores

14-item subject-rated scale assessing changes in sexual activity and functioning; structured interview/questionnaire, designed to measure medication related changes in sexual functioning. 5 dimensions of sexual behavior: pleasure; desire/frequency; desire/interest; arousal; orgasm. Total score: obtained across all 5 dimensions, ranges from 14 to 70. Subscale scores: desire/frequency=2-10; desire/interest=3-15; pleasure=1-5; arousal=3-15; orgasm=3-15. Higher scores = better sexual functioning. Categories: better=positive change in score; same=no change in score; worse=negative change in score. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionparticipants (Number)
male, total, better; n=62, n=67, n=66male, total, same; n=62, n=67, n=66male, total, worse; n=62, n=67, n=66female, total, better; n=39, n=42, n=43female, total, same; n=39, n=42, n=43female, total, worse; n=39, n=42, n=43male, pleasure, better; n=64, n=67, n=69male, pleasure, same; n=64, n=67, n=69male, pleasure, worse; n=64, n=67, n=69female, pleasure, better; n=40, n=42, n=43female, pleasure, same; n=40, n=42, n=43female, pleasure, worse; n=40, n=42, n=43male, desire/frequency, better; n=65, n=67, n=69male, desire/frequency, same; n=65, n=67, n=69male, desire/frequency, worse; n=65, n=67, n=69female, desire/frequency, better; n=42, n=42, n=43female, desire/frequency, same; n=42, n=42, n=43female, desire/frequency, worse; n=42, n=42, n=43male, desire/interest, better; n=65, n=67, n=70male, desire/interest, same; n=65, n=67, n=70male, desire/interest, worse; n=65, n=67, n=70female, desire/interest, better; n=42, n=42, n=45female, desire/interest, same; n=42, n=42, n=45female, desire/interest, worse; n=42, n=42, n=45male, arousal, better; n=65, n=67, n=70male, arousal, same; n=65, n=67, n=70male, arousal, worse; n=65, n=67, n=70female, arousal, better; n=40, n=42, n=45female, arousal, same; n=40, n=42, n=45female, arousal, worse; n=40, n=42, n=45male, orgasm, better; n=64, n=67, n=69male, orgasm, same; n=64, n=67, n=69male, orgasm, worse; n=64, n=67, n=69female, orgasm, better; n=40, n=42, n=43female, orgasm, same; n=40, n=42, n=43female, orgasm, worse; n=40, n=42, n=43
Duloxetine26932235141140161621520291812219181930181410242914181014183118171312
Gabapentin + Duloxetine31112418718213216632524232212247261727161712233314151614172923111616
Pregabalin249291352113391210237123617112110201926131217202817111415122923151312

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Categorical Change From Baseline to 12 Weeks in Number of Patients Using Health Care as Measured by the Resource Utilization Scale

The Resource Utilization Scale measures direct and indirect costs (collected only for US sites). Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Inpatient costs include costs associated with hospitalizations and time spent in emergency rooms and psychiatric rooms. Outpatient costs include costs associated with visits to various health care providers, home health care by health care providers, and partial care. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionparticipants (Number)
hours worked, greater, n=86, n=90, n=83hours worked, same, n=86, n=90, n=83hours worked, lower, n=86, n=90, n=83hours volunteered, greater, n=86, n=91, n=82hours volunteered, same, n=86, n=91, n=82hours volunteered, lower, n=86, n=91, n=82psychiatric visits, greater, n=92, n=93, n=90psychiatric visits, same, n=92, n=93, n=90psychiatric visits, lower, n=92, n=93, n=90outpatient group visits, greater, n=91, n=92, n=91outpatient group visits, same, n=91, n=92, n=91outpatient group visits, lower, n=91, n=92, n=91outpatient ind. visits, greater, n=91, n=88, n=90outpatient ind. visits, same, n=91, n=88, n=90outpatient ind. visits, lower, n=91, n=88, n=90days of partial care, greater, n=93, n=95, n=90days of partial care, same, n=93, n=95, n=90days of partial care, lower, n=93, n=95, n=90nights of partial care, greater, n=92, n=95, n=91nights of partial care, same, n=92, n=95, n=91nights of partial care, lower, n=92, n=95, n=91ER visits-psychiatric, greater, n=93, n=94, n=91ER visits-psychiatric, same, n=93, n=94, n=91ER visits-psychiatric, lower, n=93, n=94, n=91ER visits-nonpsychiatric, greater,n=91, n=95, n=88ER visits-nonpsychiatric, same,n=91, n=95, n=88ER visits-nonpsychiatric, lower,n=91, n=95, n=88phone mental health, greater,n=94, n=95, n=90phone mental health, same,n=94, n=95, n=90phone mental health, lower,n=94, n=95, n=90nonpsychiatric visits, greater, n=89, n=94, n=83nonpsychiatric visits, same, n=89, n=94, n=83nonpsychiatric visits, lower, n=89, n=94, n=83unpaid care, greater, n=84, n=87, n=86unpaid care, same, n=84, n=87, n=86unpaid care, lower, n=84, n=87, n=86missed work caregiver, greater, n=6, n=9, n=5missed work caregiver, same, n=6, n=9, n=5missed work caregiver, lower, n=6, n=9, n=5paid care, greater, n=60, n=58, n=58paid care, same, n=60, n=58, n=58paid care, less, n=60, n=58, n=58
Duloxetine12661287760912092018431940194009404856193120462808700810580
Gabapentin + Duloxetine135911106662844189148152871289009104786287118452008510500580
Pregabalin106511766132882090138442910191009123835192124442128200600600

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Categorial Change From Baseline to 12 Weeks in Portland Neurotoxicity Scale - Total Score and Subscale Scores

The Portland Neurotoxicity Scale is a 15-item, patient-completed questionnaire designed to assess the degree of impact of anti-epileptic drug therapy on a number of cognitive and somatomotor parameters. Categories: better=negative change in score; same=no change in score; worse=positive change in score. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionparticipants (Number)
better, total; n=122, n=126, n=128same, total; n=122, n=126, n=128worse, total; n=122, n=126, n=128better, cognitive toxicity; n=126, n=129, n=128same, cognitive toxicity; n=126, n=129, n=128worse, cognitive toxicity; n=126, n=129, n=128better, somatomotor toxicity; n=122, n=126, n=129same, somatomotor toxicity; n=122, n=126, n=129worse, somatomotor toxicity; n=122, n=126, n=129
Duloxetine8453780643741933
Gabapentin + Duloxetine8643882541741936
Pregabalin6884675942601547

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Time to First ≥ 30% Reduction in Weekly Mean 24 Hour Average Pain Score

This is the number of days required to first achieve a nominal outcome reflecting whether or not a clinically-important efficacy outcome was achieved. It is based on a comparison between baseline and post-baseline scores on an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Used were the weekly mean of the scores of the average pain severity over the last 24 hours. The weekly averages were based on daily assessments recorded by patients in their diaries. (NCT00385671)
Timeframe: baseline through 12 weeks

Interventiondays (Median)
Pregabalin35.0
Duloxetine28.0
Gabapentin + Duloxetine28.0

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Time to First ≥ 2 Points Reduction in Weekly Mean 24 Hour Average Pain Score

This is the number of days required to first achieve a nominal outcome reflecting whether or not a clinically-important efficacy outcome was achieved. It is based on a comparison between baseline and post-baseline scores on an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Used were the weekly mean of the scores of the average pain severity over the last 24 hours. The weekly averages were based on daily assessments recorded by patients in their diaries. (NCT00385671)
Timeframe: baseline through 12 weeks

Interventiondays (Median)
Pregabalin56.0
Duloxetine35.0
Gabapentin + Duloxetine28.0

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Summary of Number of Participants Who Discontinued

Number of participants who discontinued. The reasons for discontinuation are presented in the participant flow. (NCT00385671)
Timeframe: baseline through 12 weeks

Interventionparticipants (Number)
Pregabalin38
Duloxetine51
Gabapentin + Duloxetine36

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Patient's Global Impression of Improvement Scale (PGI - Improvement) at 12 Weeks

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00385671)
Timeframe: 12 weeks

Interventionunits on a scale (Mean)
Pregabalin3.03
Duloxetine3.01
Gabapentin + Duloxetine2.83

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Discontinuations for Abnormal Laboratory Analytes, Vital Signs, Overall and for Each Measure

Presented are numbers of participants who discontinued due to a change from baseline in laboratory analytes or vital signs. (NCT00385671)
Timeframe: baseline through 12 weeks

,,
Interventionparticipants (Number)
Increased blood creatinineIncreased blood glucose
Duloxetine00
Gabapentin + Duloxetine10
Pregabalin01

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Number of Participants With Treatment-Emergent Elevated Heart Rate

Elevated heart rate: >=100 beats per minute (bpm) + an increase of >=10 bpm if baseline <100 bpm. (NCT00385671)
Timeframe: baseline through 12 weeks

Interventionparticipants (Number)
Pregabalin2
Duloxetine9
Gabapentin + Duloxetine6

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Number of Participants With a ≥ 2-points Reduction on the Weekly Average of the Daily 24-hour Average Pain Scale at 12 Weeks

This is a nominal outcome reflecting whether or not a clinically-important efficacy outcome was achieved at endpoint. It is based on a comparison between baseline and endpoint scores on an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Used were the weekly mean of the scores of the average pain severity over the last 24 hours. The weekly averages were based on daily assessments recorded by patients in their diaries. (NCT00385671)
Timeframe: baseline, 12 weeks

Interventionparticipants (Number)
Pregabalin59
Duloxetine64
Gabapentin + Duloxetine68

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Number of Participants With ≥ 30% Reduction in the Weekly Mean 24 Hour Average Pain Score at 12 Weeks

This is a nominal outcome reflecting whether or not a clinically-important efficacy outcome was achieved at endpoint. It is based on a comparison between baseline and endpoint scores on an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Used were the weekly mean of the scores of the average pain severity over the last 24 hours. The weekly averages were based on daily assessments recorded by patients in their diaries. (NCT00385671)
Timeframe: baseline, 12 weeks

Interventionparticipants (Number)
Pregabalin65
Duloxetine68
Gabapentin + Duloxetine72

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Mean Change From Baseline to 12 Weeks in Weekly Mean of the Daily Worst Pain Severity Score

This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Data presented represent the weekly mean of the scores of the daily worst pain severity over the last 24 hours. Scores are based on daily assessments recorded by patients in their diaries. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Pregabalin-2.59
Duloxetine-3.08
Gabapentin + Duloxetine-2.86

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Mean Change From Baseline to 12 Weeks in Weekly Mean of Nighttime Pain Severity

This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Data presented represent the weekly mean of the scores of the daily nighttime pain severity over the last 24 hours. Scores are based on daily assessments recorded by patients in their diaries. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Pregabalin-2.30
Duloxetine-2.71
Gabapentin + Duloxetine-2.49

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Mean Change From Baseline to 12 Weeks in Weekly Mean of Daily 24 Hour Average Pain Score, Pregabalin Compared With Duloxetine

This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Data presented represent the weekly mean of the scores of the average pain severity over the last 24 hours. Scores are based on daily assessments recorded by patients in their diaries. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Pregabalin-2.12
Duloxetine-2.62

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Mean Change From Baseline to 12 Weeks in Weekly Mean of Daily 24 Hour Average Pain Score, Duloxetine Compared With Duloxetine+Gabapentin

This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Data presented represent the weekly mean of the scores of the average pain severity over the last 24 hours. Scores are based on daily assessments recorded by patients in their diaries. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Gabapentin + Duloxetine-2.39
Duloxetine-2.62

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Number of Patients With a Reduction of ≥ 50% in Weekly Mean of 24 Hour Average Pain Score

This is a nominal outcome reflecting whether or not a clinically-important efficacy outcome was achieved at endpoint. It is based on a comparison between baseline and endpoint scores on an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Used were the weekly mean of the scores of the average pain severity over the last 24 hours. The weekly averages were based on daily assessments recorded by patients in their diaries. (NCT00385671)
Timeframe: baseline, 12 weeks

Interventionparticipants (Number)
Pregabalin48
Duloxetine50
Gabapentin + Duloxetine47

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Mean Change From Baseline to 12 Weeks in Body Weight

Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline through 12 weeks

Interventionkilogram (Least Squares Mean)
Pregabalin1.00
Duloxetine-2.39
Gabapentin + Duloxetine-1.06

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Mean Change From Baseline to 12 Weeks in Beck Depression Inventory II (BDI-II) Total Score

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Pregabalin-2.57
Duloxetine-3.13
Gabapentin + Duloxetine-2.54

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Sleep

A self-reported scale that measures the interference of pain in the past 24 hours on sleep. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine4.97-2.12
Gabapentin + Duloxetine5.40-2.50
Pregabalin4.91-2.29

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Relations With Other People

A self-reported scale that measures the interference of pain in the past 24 hours on relations with other people. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine3.08-1.27
Gabapentin + Duloxetine3.29-1.17
Pregabalin2.96-0.97

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Normal Work

A self-reported scale that measures the interference of pain in the past 24 hours on normal work. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine4.98-1.86
Gabapentin + Duloxetine5.15-1.88
Pregabalin4.61-1.63

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Mood

A self-reported scale that measures the interference of pain in the past 24 hours on mood. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine4.08-1.85
Gabapentin + Duloxetine4.10-1.43
Pregabalin3.42-1.46

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Enjoyment of Life

A self-reported scale that measures the interference of pain in the past 24 hours on enjoyment of life. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine4.63-2.09
Gabapentin + Duloxetine5.02-2.33
Pregabalin4.38-1.82

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Mean Change From Baseline to 12 Weeks in Blood Pressure

Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline through 12 weeks

,,
Interventionmillimeter mercury (Least Squares Mean)
DiastolicSystolic
Duloxetine2.24-3.08
Gabapentin + Duloxetine-0.79-2.08
Pregabalin0.18-3.31

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Mean Change From Baseline to 12 Weeks in Heart Rate

Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline through 12 weeks

Interventionbeats per minute (Least Squares Mean)
Pregabalin-1.30
Duloxetine0.80
Gabapentin + Duloxetine1.05

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Severity: Least Pain

A self-reported scale that measures the severity of pain based on the least pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine4.18-1.55
Gabapentin + Duloxetine4.07-1.54
Pregabalin4.23-1.27

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Weekly Mean Change in 24 Hour Average Pain Severity by Week by Gabapentin Exposure Subgroup (de Novo Versus Prior Use)

This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Data presented represent the weekly mean of the scores of the average pain severity over the last 24 hours. Scores are based on daily assessments recorded by patients in their diaries. De novo: use of gabapentin for <56 contiguous days prior to randomization. Prior use: use of gabapentin for >=56 contiguous days prior to randomization. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 1 week, 2 weeks, 3 weeks, 4 weeks, 5 weeks, 6 weeks, 7 weeks, 8 weeks, 9 weeks, 10 weeks, 11 weeks, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
de novo, baselinede novo, week 1de novo, week 2de novo, week 3de novo, week 4de novo, week 5de novo, week 6de novo, week 7de novo, week 8de novo, week 9de novo, week 10de novo, week 11de novo, week 12prior use, baselineprior use, week 1prior use, week 2prior use, week 3prior use, week 4prior use, week 5prior use, week 6prior use, week 7prior use, week 8prior use, week 9prior use, week 10prior use, week 11prior use, week 12
Duloxetine5.39-0.71-1.22-1.83-2.35-2.65-2.64-2.73-2.78-2.89-2.86-2.98-3.085.99-0.48-0.99-1.32-1.61-1.95-2.03-2.14-2.16-2.38-2.45-2.46-2.46
Gabapentin + Duloxetine5.49-0.38-1.10-1.62-1.67-1.81-1.88-2.07-2.06-2.10-1.92-2.09-2.105.92-0.65-1.28-1.68-1.75-1.96-1.98-2.17-2.31-2.37-2.44-2.41-2.53
Pregabalin5.24-0.22-0.39-0.71-0.84-0.95-1.09-1.08-1.26-1.21-1.42-1.48-1.625.91-0.30-0.70-1.18-1.64-1.72-1.92-1.93-1.89-2.04-2.14-2.27-2.39

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Weekly Mean Change From Baseline to 12 Weeks in 24 Hour Average Pain Severity - Only Participants Who Adhered to Key Protocol Requirements (Per-Protocol Population)

Ordinal scale: 0=no pain, 10=worst possible pain. Data=weekly mean of scores of average pain severity over last 24 hours (h). Scores: daily assessments recorded by patients in diaries. Only patients adhering to key protocol criteria included: baseline Weekly Mean 24h Average Pain Score ≥4; 80-120% compliant with study Drug, each visit; baseline Michigan Neuropathy Screening Instrument Physical Assessment Total Score ≥3; gabapentin taper ≤14 days, no HbA1c ≥12% post randomization; no contraindicated medications used. Least-squares means=adjustment due to baseline severity + investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine6.02-2.58
Gabapentin + Duloxetine5.74-2.40
Pregabalin5.74-2.12

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Summary of Adverse Events and Serious Adverse Events Leading to Discontinuation

(NCT00385671)
Timeframe: baseline through 12 weeks

,,
Interventionparticipants (Number)
NauseaPeripheral OedemaInsomniaSomnolenceAnxietyDizzinessDysuriaHeadacheHyperhidrosisSedationAllergic OedemaAnorgasmiaIncreased Blood CreatineIncreased Blood GlucoseBruxismCerebrovascular AccidentChest DiscomfortDepressionDermatitisDiarrhoeaDry mouthEnterovirus InfectionFatigueGeneralized OedemaFacial HypoaesthesiaLacunar InfarctionLoss of ConsciousnessLymphomaMental ImpairmentMuscular WeaknessMyoclonusPollakiuriaPulomnary EmbolismRashSleep DisorderUrticariaVomiting
Duloxetine4042102210010011011010100010001000101
Gabapentin + Duloxetine4000120011001000100101000001010111000
Pregabalin0501000001100100000000011100100000010

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Path Analysis of Improvement in Pain Through Improvement in Depressive Symptoms

Contribution to reduction in pain directly by treatment and indirectly by treatment through the reduction of depressive symptoms using path analysis. The direct treatment effect estimates the mean drug difference in pain reduction directly through treatment; the indirect treatment effect estimates the contribution that treatment plays to the mean drug difference in pain reduction indirectly through the reduction in mood symptoms; the total effect estimates the drug difference in reducing pain in sum through the specified path of direct and indirect treatment effects. (NCT00385671)
Timeframe: baseline through 12 weeks

Interventioncoefficient (Number)
Direct Treatment EffectIndirect Treatment EffectTotal Treatment Effect
Ordinary Coefficient-0.4490.014-0.435

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Number of Patients With Treatment-Emergent Elevated Laboratory Analytes

Treatment-emergent: within range at baseline, out of range after baseline. Ranges in Units/Liter (U/L). Aspartate Aminotransferase (AST): female (f): >34, male (m): >36. Alanine Aminotransferase (ALT): f:<69 years (yr) >34, ≥69yr >32; m: <69yr >43, ≥69yr >35. Total Bilirubin (TBili): >21. Gamma Glutamyl Transferase (GGT): f: <59yr >49, ≥59yr >50; m: <59yr >61, ≥59yr >50. Fasting Plasma Glucose (FPG): <59yr >6.4, ≥59yr >6.7. Hemoglobin A1C (HbA1C) >6%. Alkaline Phosphatase (AlkPhos): f: 18-50yr >106, 50-70yr >123, 70-80yr >164, ≥80yr >221; m: 18-50yr >129, 50-70yr >131, 70-80yr >156, ≥80yr >187 (NCT00385671)
Timeframe: baseline through 12 weeks

,,
Interventionparticipants (Number)
AST, n=113, n=116, n=109ALT, n=111, n=104, n=110TBili, n=119, n=121, n=116GGT, n=102, n=105, n=96FPG, n=33, n=30, n=36HbA1C, n=17, n=18, n=29AlkPhos, n=112, n=114, n=113
Duloxetine66061123
Gabapentin + Duloxetine4100618104
Pregabalin4322764

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Number of Participants With Treatment-emergent Elevated Blood Pressure

"Elevated systolic blood pressure: >=130 millimeter mercury (mm Hg) + an increase of >=10 mm Hg if baseline <130 mm Hg.~Elevated diastolic blood pressure: >=85 mm Hg + an increase of >=10 mm Hg if baseline <85 mm Hg." (NCT00385671)
Timeframe: baseline through 12 weeks

,,
Interventionparticipants (Number)
diastolic, n=94, n=98, n=100systolic, n=42, n=39, n=56
Duloxetine1215
Gabapentin + Duloxetine1316
Pregabalin1120

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Number of Participants With Treatment-Emergent Changes in Body Weight

"Treatment-emergent high body weight: weight at last visit >=107% of baseline weight.~Treatment-emergent low body weight: weight at last visit <=93% of baseline weight." (NCT00385671)
Timeframe: baseline through 12 weeks

,,
Interventionparticipants (Number)
highlow
Duloxetine110
Gabapentin + Duloxetine38
Pregabalin62

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Mean Change From Baseline to 12 Weeks in Total Bilirubin

(NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionmicromole/liter (Mean)
baselinechange
Duloxetine8.07-0.28
Gabapentin + Duloxetine8.23-0.42
Pregabalin8.43-0.51

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Mean Change From Baseline to 12 Weeks in Sheehan Disability Scale (SDS) - Total Score and Scores for Items 1 to 3

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total scores range from 0 to 30, higher values indicate greater disruption in the patient's life. Item 1 assesses the effect of the patient's symptoms on their work/school schedule, Item 2 on their social life/leisure activities, and Item 3 on their family life/home responsibilities. Subscales scores range: 0-10, higher values indicate greater disruption in the patient's life. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
TotalItem 1Item 2Item 3
Duloxetine-3.47-1.21-1.12-1.17
Gabapentin + Duloxetine-4.54-1.95-1.53-1.54
Pregabalin-4.96-1.96-1.64-1.70

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Mean Change From Baseline to 12 Weeks in Sexual Functioning Questionnaire (CSFQ) Total Score and Subscale Scores

14-item subject-rated scale assessing medication related changes in sexual activity + functioning. Structured interview/questionnaire. It measures five dimensions of sexual behavior: pleasure; desire/frequency; desire/interest; arousal; and orgasm. The total score is obtained across all 5 dimensions, ranging from 14 to 70. Subscale score ranges: desire/frequency=2-10; desire/interest=3-15; pleasure=1-5; arousal=3-15; orgasm=3-15. Higher scores = better sexual functioning. Least-squares means: adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
male, total; n=62, n=67, n=66female, total; n=39; n=42, n=43male, pleasure; n=64, n=67, n=69female, pleasure; n=40, n=42, n=43male, desire/frequency; n=65, n=67, n=69female, desire/frequency; n=42, n=42, n=43male, desire/interest; n=65, n=67, n=70female, desire/interest; n=42, n=42, n=45male, arousal; n=65, n=67, n=70female, arousal; n=40, n=42, n=45male, orgasm; n=64, n=67, n=69female, orgasm; n=40, n=42, n=43
Duloxetine0.481.12-0.060.470.060.26-0.190.340.520.070.18-0.05
Gabapentin + Duloxetine1.29-0.610.13-0.090.160.300.050.010.52-0.300.17-0.85
Pregabalin-0.53-0.010.080.15-0.020.21-0.27-0.170.17-0.11-0.390.31

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Mean Change From Baseline to 12 Weeks in Portland Neurotoxicity Scale - Total Score and Subscale Scores

The Portland Neurotoxicity Scale is a 15-item, patient-completed questionnaire designed to assess the degree of impact of anti-epileptic drug therapy on a number of cognitive and somatomotor parameters. The total score ranges from 15-135 with higher scores indicating more toxicity. The cognitive toxicity score ranges from 10-90 and the somatomotor toxicity score ranges from 5-45, for both higher scores indicate more toxicity. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
total, n=122, n=126, n=128cognitive toxicity, n=126, n=129, n=128somatomotor toxicity, n=122, n=126, n=129
Duloxetine-8.92-6.23-2.58
Gabapentin + Duloxetine-7.29-5.29-1.91
Pregabalin-6.27-5.12-1.36

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Mean Change From Baseline to 12 Weeks in Leeds Sleep Evaluation Questionnaire (LSEQ) Subscales of Ease of Going to Sleep (GTS), Awakening (AFS), and Behavior Following Wakefulness (BFW), Quality of Sleep (QOS)

The LSEQ assesses the effects of psychoactive compounds on sleep and early morning behavior. Participants mark a series of 100 mm line analogue scales, indicating the direction and magnitude of any changes in behavioral state they experience following administration of the drug. Scores are represented in millimeters, higher scores indicate better sleep and better early morning behavior. Subscale score ranges: GTS=0-300, QOS=0-200, AFS=0-200, BFW=0-300. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
GTS, n=122, n=119, n=118QOS, n=121, n=118, n=118AFS, n=122, n=118, n=118BFW, n=124, n=115, n=118
Duloxetine17.407.398.1421.04
Gabapentin + Duloxetine14.759.6411.8614.33
Pregabalin10.969.3210.0219.67

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Mean Change From Baseline to 12 Weeks in Hepatic Enzyme Serum Levels

Aspartate aminotransferase = AST Alanine aminotransferase = ALT Gamma glutamyl transferase = GGT Alkaline phosphatase = AlkPhos (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits/liter (Mean)
baseline, AST, n=119, n=121, n=118change, AST, n=119, n=121, n=118baseline, ALT, n=120, n=122, n=120change, ALT, n=120, n=122, n=120baseline, GGT, n=121, n=123, n=120change, GGT, n=121, n=123, n=120baseline, AlkPhos, n=121, n=123, n=120change, AlkPhos, n=121, n=123, n=120
Duloxetine22.84-0.5225.04-0.1634.29-3.0383.740.55
Gabapentin + Duloxetine23.42-0.4824.390.0343.93-2.5582.181.78
Pregabalin22.551.1223.88-0.1340.801.1784.972.80

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Mean Change From Baseline to 12 Weeks in Hemoglobin A1C

(NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionpercent (Mean)
baselinechange
Duloxetine7.51-0.01
Gabapentin + Duloxetine7.160.07
Pregabalin7.57-0.12

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Mean Change From Baseline to 12 Weeks in Fasting Plasma Glucose

(NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionmillimole/liter (Mean)
baselinechange
Duloxetine8.450.19
Gabapentin + Duloxetine7.990.67
Pregabalin8.240.16

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Mean Change From Baseline to 12 Weeks in Clinical Global Impression of Severity Scale (CGI Severity)

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine4.47-1.16
Gabapentin + Duloxetine4.40-1.13
Pregabalin4.27-1.06

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Severity: Worst Pain

A self-reported scale that measures the severity of pain based on the worst pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 Weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine6.87-3.02
Gabapentin + Duloxetine7.00-2.64
Pregabalin6.73-2.34

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Severity: Pain Right Now

A self-reported scale that measures the severity of pain based on the pain right now. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine5.03-2.24
Gabapentin + Duloxetine5.36-2.19
Pregabalin4.98-1.77

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Severity: 24-hour Average Pain

A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine5.65-2.44
Gabapentin + Duloxetine5.75-2.29
Pregabalin5.53-1.80

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Mean Interference Score

The Interference scores range from 0 (does not interfere) to 10 (completely interferes). There are 7 questions assessing the interference of pain in the past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine4.61-2.00
Gabapentin + Duloxetine4.83-1.90
Pregabalin4.25-1.62

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference: With General Activity

A self-reported scale that measures the interference of pain in the past 24 hours on general activity. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine5.03-2.38
Gabapentin + Duloxetine5.03-1.86
Pregabalin4.24-1.51

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Mean Change From Baseline to 12 Weeks in Brief Pain Inventory (BPI) - Interference With Walking Ability

A self-reported scale that measures the interference of pain in the past 24 hours on walking ability. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). Least-squares means represent adjustment due to baseline severity and investigative site. (NCT00385671)
Timeframe: baseline, 12 weeks

,,
Interventionunits on a scale (Least Squares Mean)
baselinechange
Duloxetine5.52-2.56
Gabapentin + Duloxetine5.79-2.09
Pregabalin5.25-1.88

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Pain

"Brief Pain Inventory (BPI) scores were obtained at baseline, weeks 1, 2, 6, 7, 8, and 12, and a follow-up visit one week after completing the study.~Responses are rated on a scale from 0-10, with 0 = no pain and 10 = pain as bad as you can imagine.~Placebo and duloxetine pain scores calculated by averaging pain scores from each visit after baseline.~Values were converted to percent change in pain: [(baseline pain - end point pain)/baseline pain] x 100." (NCT00388414)
Timeframe: 3 months

InterventionPercentage change from baseline to end (Mean)
Placebo - Sugar Pill-1
Duloxetine-43

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Neural Correlates of Pain Relief

"Scores reflect the average connectivity strength of that region of interest to the rest of the cortex.~There were no minimum or maximum values on this scale. Higher scores reflect stronger connectivity, and lower scores reflect less connectivity (all scores fell within -3 and 3).~Subscales are averaged." (NCT00388414)
Timeframe: 3 months

,,
InterventionUnits on a scale (Mean)
Ventral Default Mode NetworksDorsal Default Mode Networks
Baseline0.5210.485
Duloxetine0.4680.469
Placebo - Sugar Pill0.4660.492

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Global Clinical Impressions Improvement Score re Sexual Functioning

The GCI-I score is a global clinical impression score regarding a patient's symptom severity change rated by the treating clinician. The score can be 0 (not assessed), 1 (very much improved), 2 (much improved), 3 (minimally improved), 4 (no change), 5 (minimally worse), 6 (much worse) or 7 (very much worse). In this study clinicians made ratings based on interviewing the patient and reviewing the patient's self ratings on the the Arizona Sexual Experiences Scale (ASEX). No formal cut point scores on the ASEX were established. The ASEX is a 5-item slef rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach organism, and satisfaction from orgasm. Each item is rated from 1 to 6 (total scores from 5 to 30), with higher scores indicating greater sexual dysfunction. (NCT00398632)
Timeframe: baseline and last observation (4 subjects at end of week 12, 2 subjects at end of week 6)

Interventionparticipants (Number)
CGI sexual functioning much improvedCGI sexual functioning minimally improvedCGi-I sexual functioning unchangedCGI sexual functioning much worse
Duloxetine1311

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Count of Patients With Remission of Depressive Symptoms According to the Inventory for Depressive Symptomology-Clinician Rated (IDS-C) at End of Study

The IDS-C is a 30-item inventory designed to assess the severity of depressive symptoms. Scale range minimum = 0 / maximum = 84. Higher values are considered to be worse outcomes. Scores less than or equal to 6 indicated remission in this study. (NCT00398632)
Timeframe: Last observation (4 subjects at end of week 12, 2 subjects at end of week 6)

InterventionParticipants (Count of Participants)
Duloxetine5

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Brief Pain Inventory

"The Brief Pain Inventory is a self-administered questionnaire used to evaluate the severity of a patient's pain and its interference with their life.~Four items measure pain severity on a scale of 0-10, with 0 being absence of pain and 10 being severe pain. Seven items measure pain interference on a scale of 0-10, with 0 being absence of interference and 10 being severe interference.~The sub scale of both sub scores ranges 0-40, with 0 indicating no pain/interference and 40 indicating severe pain/interference.~The primary analysis for this outcome was assessed at each visit with a longitudinal repeated-measures random regression analysis assessing the rate of change of the measure during the treatment period. The model for the mean included a term for time (modeled as a continuous variable) and the measure effect was the estimated change in the outcome at week 12." (NCT00401258)
Timeframe: At each visit

Interventionunits on a scale (Mean)
Average pain severityAverage pain interference
Duloxetine, 60 mg Daily-1.5-1.6

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Short Form McGill Pain Questionnaire

"The Short Form McGill Pain Questionnaire is a self-administered questionnaire that measures pain intensity experienced by the patient. Scores on 15 descriptors are rated on an intensity scale of 0-3 (with 0 being no pain to 3 being severe pain), and has an overall score of between 0-45, with 0 being no pain and 45 being worst possible pain.~The primary analysis for this outcome was assessed at each visit with a longitudinal repeated-measures random regression analysis assessing the rate of change of the measure during the treatment period. The model for the mean included a term for time (modeled as a continuous variable) and the measure effect was the estimated change in the outcome at week 12." (NCT00401258)
Timeframe: At each visit

Interventionunits on a scale (Mean)
Duloxetine, 60 mg Daily-2.37

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Irritable Bowel Syndrome-Quality of Life Scale

"The Irritable Bowel Syndrome (IBS) Quality of Life Scale is a self-report quality of life measure specific to Irritable Bowel Syndrome that can be used to assess the impact of IBS and its treatment. There are 34 items summed and averaged for a total score between 0-100, with higher scores indicating better IBS specific quality of life.~Each item measures one of eight sub scales - dysphoria, interference with activity, body image, health worry, food avoidance, social reaction, sexual, and relationships - and is rated on a scale of 1-5 indicating how much the subject agrees with the statement (1 is no agreement, 5 is extreme agreement).~The primary analysis of this scale was an endpoint analysis of the change from baseline." (NCT00401258)
Timeframe: At baseline and week 12

Interventionunits on a scale (Mean)
Duloxetine, 60 mg Daily14.8

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Hamilton Depression Rating Scale

The Hamilton Depression Rating Scale is a clinician-rated scale consisting of 17 questions designed to assess depressive symptoms. Scores of 0-7 are considered normal, 8-16 suggest mild depression, 17-23 moderate depression, and scores over 24 are indicative of severe depression. 52 is the maximum score. (NCT00401258)
Timeframe: At first visit only

Interventionunits on a scale (Mean)
Duloxetine, 60 mg Daily6.7

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Clinical Global Impression Scale

"The Clinical Global Impression Scale is a clinician-rated scale that evaluates the severity of illness at the time of assessment. The score ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).~The primary analysis for this outcome was assessed at each visit with a longitudinal repeated-measures random regression analysis assessing the rate of change of the measure during the treatment period. The model for the mean included a term for time (modeled as a continuous variable) and the measure effect was the estimated change in the outcome at week 12." (NCT00401258)
Timeframe: At each visit

Interventionunits on a scale (Mean)
Duloxetine, 60 mg Daily-1.7

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Hamilton Anxiety Rating Scale

"The Hamilton Anxiety Rating Scale is a clinician-administered scale designed to assess the severity of symptoms of anxiety. There are 14 items, scored on a scale of 0 (not present) to 4 (severe). The total score range is 0-56, where <17 indicates mild severity, 18-24 mild to moderate severity, and 25-30 moderate to severe.~The primary analysis of this scale was an endpoint analysis of the change from baseline." (NCT00401258)
Timeframe: At baseline and week 12

Interventionunits on a scale (Mean)
Duloxetine, 60 mg Daily-3.3

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Sheehan Disability Scale

"The Sheehan Disability Scale is a brief, 5-item self-report tool that assess functional impairment in work/school, social life, and family life. Scores range from 0-10 in each subset, with 0 being unimpaired and 10 being highly impaired.~The primary analysis of this scale was an endpoint analysis of the change from baseline." (NCT00401258)
Timeframe: At baseline and week 12

Interventionunits on a scale (Mean)
Work/SchoolSocialFamily
Duloxetine, 60 mg Daily-2.5-1.8-2.2

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Abdominal Pain, as Determined by Daily Pain Diaries (Patterned After Item 3 From the Brief Pain Inventory; Cleeland and Ryan, 1994).

Subjects rated abdominal pain daily on a scale of 0-10 (0 being no pain and 10 being worst pain). The pain score at each visit represented the mean score from all days since the previous visit. (NCT00401258)
Timeframe: baseline and week 12

InterventionUnits on a scale (Mean)
Duloxetine, 60 mg Daily-1.5

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Probability of Remission as Measured by the HAMD-17 Total Score ≤7 and ≤10

Remission (visitwise binary outcome, yes/no) is defined as HAMD-17 Total Score ≤7 and ≤10. HAMD-17 measures depression severity. The total score can range from 0 (normal) to 52 (severe depression). The visitwise probability of patients meeting criteria for remission (either Total Score ≤7 or ≤10) was analyzed using a categorical, pseudo-likelihood-based repeated measures approach. This analysis included the fixed, categorical effects of treatment, investigator, visit, and treatment-by-visit interaction, as well as the continuous, fixed covariate of baseline score. (NCT00406848)
Timeframe: Week 13, Week 25

,
Interventionprobability of remission (Least Squares Mean)
Remission (HAMD17 ≤ 7) - Week 13Remission (HAMD17 ≤ 7) - Week 25Remission (HAMD17 ≤ 10) - Week 13Remission (HAMD17 ≤ 10) - Week 25
Duloxetine0.370.540.540.70
Placebo0.330.490.530.72

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Patient's Global Impression of Improvement (PGI-I) at 13 Weeks and 25 Weeks

"The PGI-Improvement scale is a patient-rated instrument that measures perceived improvement in symptoms. It is a 7-point scale where a score of 1 indicates that the patient is very much improved, a score of 4 indicates that the patient has experienced no change, and a score of 7 indicates that the patient is very much worse." (NCT00406848)
Timeframe: Week 13, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Week 13Week 25
Duloxetine2.742.38
Placebo3.022.85

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Number of Participants With Successful Treatment Outcome

Successful treatment outcome defined as: Participant completed the study and being in remission (HAMD-17 Total score ≤7 and ≤10) at least for the last two visits (4 weeks)of the study. The HAMD-17 is used to assess the severity of depression. The total score ranges from 0 (not at all depressed) to 52 (severely depressed). (NCT00406848)
Timeframe: Baseline (Week 1) through Week 25

,
Interventionparticipants (Number)
Successful Treatment Outcome (with HAMD17 ≤ 7)Successful Treatment Outcome (with HAMD17 ≤ 10)
Duloxetine5574
Placebo1721

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Number of Participants With Abnormal Vital Signs and Weight at Any Time During the Study

"A patient has a treatment-emergent elevated supine systolic blood pressure if the value is ≥140 with an increase ≥10 from baseline. A patient has a treatment-emergent elevated supine diastolic blood pressure if the value is ≥90 with an increase ≥10 from baseline. A patient has a treatment-emergent elevated supine pulse if the value is ≥100 with an increase ≥10 from baseline.~A patient has abnormal weight change if the gain or loss is ≥7% compared to baseline." (NCT00406848)
Timeframe: Baseline (Week 1) through Week 25

,
InterventionParticipants (Number)
Diastolic Blood Pressure - High (n=210, n=98)Pulse - High (n=243, n=115)Systolic Blood Pressure - High (n=119, n=58)Weight Change (gain)Weight Change (loss)
Duloxetine2210281115
Placebo54726

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Number of Participants With Abnormal Laboratory Values - Low Leukocyte Count

The number of participants with abnormal laboratory values at any time during the study period. Results are reported for laboratory analytes that exhibited statistically significantly different proportions of participants who had abnormal values between treatment groups. Statistical significance was considered at the 0.05 level. The lower limit of normal for leukocyte count is 3.8 Billion/Liter. Participants who had a value below that number were considered to have abnormally low leukocyte count. (NCT00406848)
Timeframe: baseline (Week 1) through Week 13

,
Interventionparticipants (Number)
Leukocyte Count (Low)
Duloxetine11
Placebo0

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Number of Participants Experiencing Sustained Hypertension (SH) or Orthostatic Hypotension (OH)

Sustained Hypertension is defined as supine systolic BP >= 140 (or diastolic BP >= 90) mm Hg and increase from baseline (highest value in baseline visit interval) >= 10 mm Hg for 3 or more consecutive visits in postbaseline visit interval. Orthostatic Hypotension is defined as standing diastolic BP at least 10 mm Hg less than the supine diastolic BP or the standing systolic BP at least 20 mm Hg less than the supine systolic BP at any time in postbaseline visit interval and a patient does not meet this criterion at any visit in baseline interval. (NCT00406848)
Timeframe: baseline (Week 1) through Week 25

,
InterventionParticipants (Number)
Sustained HypertensionOrthostatic Hypotension (n=183, n=90)
Duloxetine557
Placebo121

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Change From Baseline on the 30-item Geriatric Depression Scale (GDS)

The 30-item Geriatric Depression Scale (GDS) is a self-administered test of 30 questions to measure the severity of depression. The yes/no questions result in a range of scores from 0 (normal) to 30 (severe depression). (NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Week 13 changeWeek 25 change
Duloxetine-6.01-7.02
Placebo-4.53-3.66

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Change From Baseline on Cognitive Test Scores: Verbal Learning and Recall Test (VLRT), Symbol Digit Substitution Test (SDST), Trail Making Test (Part B), 2-Digit Cancellation Test (2DCT), and the Composite Cognitive Score Derived From the Above Scores

The cognitive assessment battery is composed of four tests: Verbal Learning (score 0-15)and Delayed Recall(score 0-15) test, SDST(Score 0-133),2DCT(score 0-40),Trail Making(Part B)(score 0-180).They are designed to challenge the patient's abilities in the following areas: verbal learning and memory; attention to visually presented material; and working memory and executive function. Composite Cognitive score(0-51)is derived from normalized individual test scores. For Trail Making Test,lower number indicates better cognition. For all other test scores,higher number indicates better cognition. (NCT00406848)
Timeframe: baseline (Week 1), Week 9, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Composite Cognitive Score Week 9Composite Cognitive Score Week 25Learning Trials Score Week 9Learning Trials Score Week 25Delayed Recall Score Week 9Delayed Recall Score Week 25SDST Score Week 9SDST Score Week 252DCT Score Week 92DCT Score Week 25Trail Making Test (Part B) Week 9Trail Making Test (Part B) Week 25
Duloxetine-0.380.96-0.060.34-0.650.121.985.600.300.87-5.60-1.59
Placebo0.010.31-0.040.06-0.59-0.363.993.610.941.01-3.09-6.86

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Change From Baseline in Weight

(NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionkilograms (kg) (Least Squares Mean)
Week 13 ChangeWeek 25 Change
Duloxetine-0.86-0.69
Placebo0.06-0.03

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Change From Baseline in the Quality of Life, Enjoyment, and Satisfaction Questionnaire (Q-LES-Q-SF)

The Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF) measures the degree of enjoyment and satisfaction experienced in various areas of daily life. The short version is a self-administered 16 item scale evaluating satisfaction of general activities on a 5-point Likert scale that indicates the degree of enjoyment or satisfaction achieved during the past week (1 = very poor and 5 = very good). (NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Week 13 ChangeWeek 25 Change (n=168, n=82)
Duloxetine6.587.44
Placebo5.274.79

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Change From Baseline in the Mini-Mental State Exam (MMSE)

Mini-Mental State Examination (MMSE)is a widely used rating measure of cognitive ability. Scores range from 0 to 30. The MMSE will be used to categorize patients as with or without dementia. Higher number indicates better cognitive ability. Patients with a MMSE score of 20 to 23 will be categorized as having mild dementia, while those with a score of ≥ 24 will be categorized as having no dementia. (NCT00406848)
Timeframe: baseline (Week 1), Week 9, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Week 9 Change (n=159, n=69)Week 25 Change (n=161, n=71)
Duloxetine0.120.29
Placebo0.240.35

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Change From Baseline in the HAMD-17 Total Score, Subscales, and Individual Items

Total Score assess depression severity (scores 0-52). Core, Maier and Bech subscales assess symptoms of depression (scores:0-20=Core; 0-24=Maier; 0-22=Bech). Anxiety/Somatization subscale assesses severity of anxiety (0-18). Retardation subscale assesses dysfunction in mood and work (0-14). Sleep subscale assesses insomnia (0-6). Individual item scores may range from 0-4 or 0-2. Higher numbers indicate more severe symptoms. (NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Total - Week 13 ChangeTotal - Week 25 ChangeMaier subscale Week 25 ChangeBech subscale Week 13 ChangeBech subscale Week 25 ChangeCore Mood subscale Week 13 ChangeCore Mood subscale Week 25 ChangeAnxiety/Somatization subscale Week 13Anxiety/Somatization subscale Week 25Sleep subscale Week 13 ChangeSleep subscale Week 25 ChangeRetardation subscale Week 13 ChangeRetardation subscale Week 25 ChangeItem 1: Depressed Mood - Week 13 ChangeItem 1: Depressed Mood Week 25 ChangeItem 2: Feelings of Guilt Week 13 ChangeItem 2: Feelings of Guilt Week 25 ChangeItem 3: Suicide Week 13 ChangeItem 3: Suicide Week 25 ChangeItem 4: Insomnia Early Week 13 ChangeItem 4: Insomnia Early Week 25 ChangeItem 5: Insomnia Middle Week 13 ChangeItem 5: Insomnia Middle Week 25 ChangeItem 6: Insomnia Late Week 13 ChangeItem 6: Insomnia Late Week 25 ChangeItem 7: Work and Activities Week 13 ChangeItem 7: Work and Activities Week 25 ChangeItem 8: Retardation Week 13 ChangeItem 8: Retardation Week 25 ChangeItem 9: Agitation Week 13 ChangeItem 9: Agitation Week 25 ChangeItem 10: Anxiety/Psychic Week 13 ChangeItem 10: Anxiety/Psychic Week 25 ChangeItem 11: Anxiety (Somatic) Week 13 ChangeItem 11: Anxiety (Somatic) Week 25 ChangeItem 12: Somatic Symptom/Gastrointestinal Week 13Item 12: Somatic Symptom/Gastrointestinal Week 25Item 13: Somatic Symptoms/General Week 13 ChangeItem 13: Somatic Symptoms/General Week 25 ChangeItem 14: Genital Symptoms Week 13 ChangeItem 14: Genital Symptoms Week 25 ChangeItem 15: Hypochondriasis Week 13 ChangeItem 15: Hypochondriasis Week 25 ChangeItem 16: Loss of Weight Week 13 ChangeItem 16: Loss of Weight Week 25 ChangeItem 17: Insight Week 13 ChangeItem 17: Insight Week 25 Change
Duloxetine-7.42-8.98-5.31-4.35-5.36-3.29-4.08-2.38-2.90-1.14-1.37-2.70-3.42-1.13-1.36-0.70-0.91-0.16-0.19-0.37-0.42-0.40-0.49-0.36-0.45-0.82-1.12-0.48-0.57-0.39-0.45-0.81-0.98-0.49-0.70-0.16-0.23-0.41-0.52-0.29-0.41-0.47-0.49-0.02-0.13-0.09-0.07
Placebo-7.15-7.00-4.17-3.98-4.07-3.02-3.00-2.26-2.44-1.14-1.35-2.73-2.77-1.02-1.02-0.60-0.65-0.18-0.11-0.29-0.41-0.47-0.46-0.41-0.53-0.81-0.87-0.51-0.54-0.32-0.53-0.75-0.85-0.55-0.60-0.20-0.26-0.40-0.59-0.46-0.47-0.32-0.39-0.09-0.01-0.10-0.11

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

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Week 13 ChangeWeek 25 Change
Duloxetine-1.25-1.65
Placebo-1.04-1.17

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Change From Baseline in the Brief Pain Inventory (BPI) Severity and Interference Scores

The Brief Pain Inventory (severity and interference scales) (BPI) is a self-reported scale that measures the severity of pain and the interference of pain on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. (NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Worst Pain - Week 13Worst Pain - Week 25Least Pain - Week 13Least Pain - Week 25Average Pain - Week 13Average Pain - Week 25Pain Right Now - Week 13Pain Right Now - Week 25Interference with General Activity - Week13Interference with General Activity - Week 25Interference with Mood - Week 13Interference with Mood - Week 25Interference with Walking Ability - Week 13Interference with Walking Ability - Week 25Interference with Normal Work - Week 13Interference with Normal Work - Week 25Int. with Relations with other people- Week 13Int. with Relations with other people-Week 25Interference with Sleep - Week 13Interference with Sleep - Week 25Interference with Enjoyment of Life- Week 13Interference with Enjoyment of Life- Week 25Average Interference Score - Week 13Average Interference Score - Week 25
Duloxetine-0.66-0.74-0.47-0.54-0.83-0.87-0.78-0.86-0.58-0.65-0.82-0.95-0.74-0.75-0.72-0.79-0.60-0.73-0.77-0.94-0.93-1.04-0.76-0.86
Placebo-0.18-0.36-0.00-0.26-0.14-0.37-0.26-0.46-0.03-0.23-0.03-0.25-0.19-0.24-0.01-0.19-0.03-0.18-0.17-0.260.03-0.08-0.07-0.19

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Change From Baseline in Supine Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

(NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
InterventionmmHg (Least Squares Mean)
Systolic BP Week 13 ChangeDiastolic BP Week 13 ChangeSystolic BP Week 25 ChangeDiastolic BP Week 25 Change
Duloxetine0.191.892.222.44
Placebo-0.58-1.580.540.65

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Change From Baseline in Pulse Rate

(NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionbeats per minute (bpm) (Least Squares Mean)
Week 13 ChangeWeek 25 Change
Duloxetine0.032.10
Placebo-1.56-0.87

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Change From Baseline in Laboratory Values - Uric Acid

Results are reported for laboratory analytes that exhibited statistically significantly different changes from baseline to endpoint between treatment groups. Statistical significance was considered at the 0.05 level. (NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionmicromole/liter (Mean)
Week 13 ChangeWeek 25 Change
Duloxetine-11.63-9.93
Placebo9.3010.26

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Change From Baseline in Laboratory Values - Platelet Count

Results are reported for laboratory analytes that exhibited statistically significantly different changes from baseline to endpoint between treatment groups. Statistical significance was considered at the 0.05 level. (NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionbillions per liter (bill/L) (Mean)
Platelet Count Week 13 ChangePlatelet Count Week 25 Change
Duloxetine7.9210.58
Placebo-4.66-6.11

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Change From Baseline in Laboratory Values - Hemoglobin, Mean Cell Hemoglobin Concentration (MCHC)

Results are reported for laboratory analytes that exhibited statistically significantly different changes from baseline to endpoint between treatment groups. Statistical significance was considered at the 0.05 level. (NCT00406848)
Timeframe: baseline (Week 1), Week 25

,
InterventionMicromole/liter (Fe) (Mean)
Hemoglobin Week 25 ChangeMean Cell Hemoglobin Concentration Week 25 Change
Duloxetine-0.11-0.20
Placebo0.01-0.02

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Change From Baseline in Laboratory Values - Erythrocyte Count

Results are reported for laboratory analytes that exhibited statistically significantly different changes from baseline to endpoint between treatment groups. Statistical significance was considered at the 0.05 level. (NCT00406848)
Timeframe: baseline (Week 1), Week 25

,
InterventionTrillion/Liter (Mean)
Erythrocyte Count
Duloxetine-0.04
Placebo0.01

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Change From Baseline in Laboratory Values - Chloride and Fasting Glucose

Results are reported for laboratory analytes that exhibited statistically significantly different changes from baseline to endpoint between treatment groups. Statistical significance was considered at the 0.05 level. (NCT00406848)
Timeframe: baseline (Week 1), Week 25

,
Interventionmillimole/liter (Mean)
Chloride Week 25 ChangeFasting Glucose Week 25 Change (n=155, n=67)
Duloxetine-0.630.37
Placebo0.01-0.11

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Change From Baseline in Electrocardiograms

The Electrocardiogram measures include the following time intervals: QT interval, QT Interval Corrected for Heart Rate Using Fridericia's Formula (QTcF), QT Interval Corrected for Heart Rate Using Bazett's Formula (QTcB), PR interval and QRS interval. (NCT00406848)
Timeframe: baseline (Week 1), Week 25

,
Interventionmillisecond (msec) (Least Squares Mean)
QT Interval Week 25 ChangeQTcF Interval Week 25 ChangeQTcB Interval Week 25 ChangePR Interval Week 25 ChangeQRS Interval Week 25 Change
Duloxetine-11.80-5.02-1.38-5.91-1.11
Placebo-10.95-5.91-3.78-1.34-3.25

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Probability of Efficacy Onset as Measured by at Least 20% Sustained Reduction From Baseline in the HAMD-17 Maier Subscale at Week 3

Patients are considered to have met onset (visitwise binary outcome, yes/no) criteria at a particular visit if they had at least 20% reduction from baseline in the HAMD-17 Maier subscale at that visit and at all subsequent visits in the acute phase. Maier subscale measures core symptoms of depression and scores range from 0 (normal) to 24 (severe). The visitwise probability of patients meeting onset criteria was analyzed using a categorical, pseudo-likelihood-based repeated measures approach. (NCT00406848)
Timeframe: Week 3

InterventionProbability of onset (Least Squares Mean)
Duloxetine0.43
Placebo0.30

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Change From Baseline to 13 Weeks in Hamilton Depression Rating Scale (HAMD-17) Maier Subscale

The Maier subscale (Items 1,2,7,8,9,10) represents symptoms of depression. Total subscale scores range from 0 (normal) to 24 (severe). (NCT00406848)
Timeframe: baseline (Week 1), Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine-4.34
Placebo-3.90

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Change From Baseline in the Numeric Rating Scales (NRS) for Pain Item Scores

Numeric Rating Scales (Semantic Differential Scales) for Pain are 6 self-administered scales that assesses experience of overall pain, back pain, headache, shoulder pain, time in pain while awake, and pain interference with daily activities, during the past week. Each item is scored on a numeric 11-point semantic differential scale (0-10) from 0 = no pain to 10 = pain as severe as you can imagine; or 0 = none of the time to 10 = all of the time; or 0 = no interference to 10 = unable to do any activities at all. (NCT00406848)
Timeframe: baseline (Week 1), Week 13, Week 25

,
Interventionunits on a scale (Least Squares Mean)
Overall Pain - Week 13Overall Pain - Week 25Headaches - Week 13Headaches - Week 25Back Pain - Week 13Back Pain - Week 25Shoulder Pain - Week 13Shoulder Pain - Week 25Pain Interference with Daily Activities - Week 13Pain Interference with Daily Activities - Week 25Time in Pain While Awake - Week 13Time in Pain While Awake - Week 25
Duloxetine-0.65-0.67-0.32-0.28-0.63-0.75-0.54-0.55-0.84-0.91-0.75-0.80
Placebo-0.05-0.400.010.010.00-0.15-0.22-0.30-0.20-0.34-0.04-0.33

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Summary of Adverse Events and Serious Adverse Events Leading to Discontinuation

Adverse Events and Serious Adverse Events leading to study discontinuation. (NCT00406848)
Timeframe: baseline (Week 1) through Week 25

,,
Interventionparticipants (Number)
Total Discontinued due to Adverse EventsDiarrhoeaFatigueHeadacheNauseaConstipationDizzinessHypertensionMemory impairmentUrinary Tract InfectionVomitingAlopeciaAnxietyBlood pressure increasedChillsDepressionErectile dysfunctionFaecal incontinenceGastrooesophageal reflux diseaseHip fractureInsomniaIntracranial aneurysmLethargyOesophageal adenocarcinoma metastaticPalpitationsParanasal sinus hypersecretionPneumoperitoneumPresyncopeRash pruriticRenal failure acuteSuicidal ideationTremor
Duloxetine383313221221110111111111111100111
Placebo Non-rescue70020001001001000000000000011000
Placebo Rescue00000000000000000000000000000000

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Probability of Response at Endpoint as Measured by ≥50% Improvement in the HAMD-17 Total Score

Response (visitwise binary outcome, yes/no) is defined as ≥ 50% reduction from baseline in the HAMD-17 total score. HAMD-17 measures depression severity. The total score can range from 0 (normal) to 52 (severe depression). The visitwise probability of patients meeting criteria for response was analyzed using a categorical, pseudo-likelihood-based repeated measures approach. This analysis included the fixed, categorical effects of treatment, investigator, visit, and treatment-by-visit interaction, as well as the continuous, fixed covariate of baseline score. (NCT00406848)
Timeframe: Week 13, Week 25

,
Interventionprobability of response (Least Squares Mean)
Week 13Week 25
Duloxetine0.440.61
Placebo0.480.72

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Probability of Remission as Measured by the HAMD-17 Total Score ≤7 and ≤10 by Medical Comorbidity Severity as Assessed by the Cumulative Illness Rating Scale-Geriatric Version (CIRS-G)

Remission defined as HAMD-17 Total Score ≤7 and ≤10. HAMD-17 measures depression severity. Total score ranges: 0 (normal) to 52 (severe depression). Visitwise probability of patients achieving remission was analyzed using a categorical, pseudo-likelihood-based repeated measures approach. CIRS-G evaluates 14 organ-specific categories using a rating strategy of 0=no problems; 1=current mild problem/past significant problem; 2=moderate disability/morbidity; 3=severe/constant significant disability; and 4=extremely severe/immediate treatment required/end organ failure. Total score ranges: 0 to 56. (NCT00406848)
Timeframe: Week 13, Week 25

,
Interventionprobability of remission (Least Squares Mean)
Remission HAMD-17 ≤ 7 Week 13 (CIRS-G ≥ 6)Remission HAMD-17 ≤ 7 Week 13 (CIRS-G < 6)Remission HAMD-17 ≤ 10 Week 13 (CIRS-G ≥ 6)Remission HAMD-17 ≤ 10 Week 13 (CIRS-G <6)Remission HAMD-17 ≤ 7 Week 25 (CIRS-G ≥ 6)Remission HAMD-17 ≤ 7 Week 25 (CIRS-G <6)Remission HAMD-17 ≤ 10 Week 25 (CIRS-G ≥ 6)Remission HAMD-17 ≤ 10 Week 25 (CIRS-G <6)
Duloxetine0.440.330.530.530.520.530.710.63
Placebo0.440.200.520.570.420.450.650.72

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Weekly Change From Baseline in the 24-Hour Average Pain Rating Using an 11-Point Numerical Likert Scale Patient Diary

This is an ordinal scale assessing the 24-hour average pain with scores from 0 (no pain) to 10 (worst possible pain). (NCT00408421)
Timeframe: Over 13 Weeks

,
Interventionunits on a scale (Least Squares Mean)
Week 1 (Change from Baseline): N=119, N=103Week 2 (Change from Baseline): N=112, N=101Week 3 (Change from Baseline): N=110, N=97Week 4 (Change from Baseline): N=109, N=96Week 5 (Change from Baseline): N=107, N=90Week 6 (Change from Baseline): N=108, N=92Week 7 (Change from Baseline): N=107, N=92Week 8 (Change from Baseline): N=86, N=78Week 9 (Change from Baseline): N=98, N=81Week 10 (Change from Baseline): N=99, N=80Week 11 (Change from Baseline): N=99, N=81Week 12 (Change from Baseline): N=98, N=80Week 13 (Change from Baseline): N=97, N=75
Duloxetine 60mg /120mg-0.84-1.54-1.85-2.10-2.29-2.41-2.60-2.60-2.73-2.74-2.89-2.93-2.92
Placebo-0.36-0.95-1.23-1.42-1.55-1.61-1.72-1.93-1.89-1.94-1.94-1.98-2.08

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Sleep

A self-reported scale that measures the interference of pain in the past 24 hours on sleep. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg4.23-2.18
Placebo4.16-1.57

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Walking Ability

A self-reported scale that measures the interference of pain in the past 24 hours on walking ability. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg5.72-2.80
Placebo6.00-2.36

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Change From Baseline to 13 Week Endpoint in Clinical Global Impression of Severity

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg2.71-0.70
Placebo2.62-0.21

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Change From Baseline to 13 Week Endpoint in Euro-Quality of Life - 5 Dimensions (EQ-5D): US Based Index Score

The EQ-5D is an assessment of one's overall health. Consists of 5 items. Patients choose 1 of 3 options that best describe the status of each item. The EQ-5D US based index scores range from -0.11 to 1.0 where a score of 1.0 indicates perfect health. A positive change from baseline indicates health improvement. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg0.680.14
Placebo0.700.07

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Change From Baseline to 13 Week Endpoint in Hospital Anxiety and Depression Scale (HADS) - Anxiety Subscale

A 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale, giving maximum scores of 21 for anxiety and depression. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg4.59-1.15
Placebo5.36-0.93

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Change From Baseline to 13 Week Endpoint in Medical Outcomes Study Short Form-36 (SF-36) - Mental Health Component Summary

A self-reported questionnaire that consists of 36 questions covering 8 health domains. Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. The mental component summary (MCS) has been constructed based on the 8 SF-36 domains. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg56.431.06
Placebo56.58-1.03

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Change From Baseline to 13 Week Endpoint in Medical Outcomes Study Short Form-36 (SF-36) - Physical Component Summary

A self-reported questionnaire that consists of 36 questions covering 8 health domains. Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. The physical component summary (PCS) has been constructed based on the 8 SF-36 domains. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg31.567.71
Placebo30.576.36

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Change From Baseline to 13 Week Endpoint in Vital Signs - Blood Pressure (BP) Systolic

Systolic blood pressure measured in the sitting position. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionmm Hg (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg128.271.04
Placebo129.42-2.29

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Change From Baseline to 13 Week Endpoint in Vital Signs - Pulse Rate

Pulse rate (heart rate) measured in the sitting position. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionbeats per minute (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg69.752.02
Placebo70.071.26

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Enjoyment of Life

A self-reported scale that measures the interference of pain in the past 24 hours on enjoyment of life. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg4.42-2.38
Placebo4.04-1.39

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - General Activity

A self-reported scale that measures the interference of pain in the past 24 hours on general acitivity. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg5.50-2.63
Placebo5.55-1.97

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Change From Baseline to 13 Week Endpoint in Vital Signs - Weight

(NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionkilograms (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg85.39-0.79
Placebo85.56-0.33

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Mood

A self-reported scale that measures the interference of pain in the past 24 hours on mood. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg4.06-1.95
Placebo4.22-1.69

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Change From Baseline to 13 Week Endpoint in Weekly Mean of 24-Hour Average Pain in the Re-Randomized Treatment Phase

This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). This value is the change from baseline in the weekly mean of the 24-hour average pain score on the scale. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Group 2 - Duloxetine 60mg5.96-2.46
Group 3 - Duloxetine 120mg6.22-3.44

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Change From Baseline to 13 Week Endpoint in Weekly Mean of the 24-Hour Worst Pain Score

This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). The value is the change from baseline in the weekly mean of the 24-hour worst pain score on the scale. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg7.45-2.81
Placebo7.54-2.01

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Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Pain Subscale

The WOMAC index (pain, stiffness, physical function subscales) will be completed by the patient. The pain subscale has 5 questions on pain associated with every day tasks. Each question is answered using a 5-point Likert scale (0 to 4). The pain subscale has a range of scores of 0 (none) to 20 (extreme). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg10.98-4.62
Placebo10.95-3.19

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Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Physical Function Subscale

The WOMAC index (pain, stiffness, physical function subscales) will be completed by the patient. The physical function subscale has 17 questions on physical function difficulties with every day tasks. Each question is answered using a 5-point Likert scale (0 to 4). The physical function subscale has a range of scores of 0 (none) to 68 (extreme). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg39.10-16.46
Placebo38.50-11.58

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Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Stiffness Subscale

The WOMAC index (pain, stiffness, physical function subscales) will be completed by the patient. The stiffness subscale has 2 questions on stiffness associated with time of day (morning versus later in the day). Each question is answered using a 5-point Likert scale (0 to 4). The pain subscale has a range of scores of 0 (none) to 8 (extreme). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg4.74-1.97
Placebo4.80-1.37

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Weekly Change From Baseline in the 24-Hour Worst Pain Score

This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). The value is the change from baseline in the weekly mean of the 24-hour worst pain score on the scale. (NCT00408421)
Timeframe: Over 13 Weeks

,
Interventionunits on a scale (Least Squares Mean)
Week 1 (Change from Baseline): N=119, N=103Week 2 (Change from Baseline): N=112, N=101Week 3 (Change from Baseline): N=110, N=97Week 4 (Change from Baseline): N=109, N=96Week 5 (Change from Baseline): N=107, N=90Week 6 (Change from Baseline): N=108, N=92Week 7 (Change from Baseline): N=107, N=92Week 8 (Change from Baseline): N=86, N=78Week 9 (Change from Baseline): N=98, N=81Week 10 (Change from Baseline): N=99, N=80Week 11 (Change from Baseline): N=99, N=81Week 12 (Change from Baseline): N=98, N=80Week 13 (Change from Baseline): N=97, N=75
Duloxetine 60mg /120mg-0.82-1.57-1.99-2.26-2.40-2.58-2.82-2.82-2.94-3.00-3.12-3.14-3.19
Placebo-0.31-0.92-1.20-1.41-1.49-1.57-1.71-1.95-1.90-1.97-2.03-2.04-2.18

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Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) - Total Score

The WOMAC index (pain, stiffness, physical function subscales) will be completed by the patient. The index has 24 questions. Each question is answered using a 5-point Likert scale (0 to 4). The Total score has a range from 0 (none) to 96 (extreme). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg53.72-22.19
Placebo53.36-15.93

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Change From Baseline to 13 Week Endpoint in Vital Signs - Blood Pressure (BP) Diastolic

Diastolic blood pressure measured in the sitting position. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionmm Hg (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg77.000.95
Placebo76.44-0.38

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Statistically Significant Change From Baseline to 13 Week Endpoint in Laboratory Data - Chemistry Analytes: Alkaline Phosphatase

Change from baseline to endpoint in alkaline phosphatase using central laboratory reference ranges. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
InterventionUnits/Liter (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg78.592.08
Placebo76.97-1.94

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Statistically Significant Change From Baseline to 13 Week Endpoint in Laboratory Data - Chemistry Analytes: Uric Acid

Change from baseline to endpoint in uric acid using central laboratory reference ranges. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionmicromole/Liter (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg322.77-5.00
Placebo314.576.82

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Response to Treatment - The Number of Participants With a >=30% Reduction of Weekly Mean in 24-Hour Average Pain Severity Ratings in the Re-Randomized Treatment Phase

Number of participants who experienced a response to treatment, which was defined as having a >=30% reduction of the weekly mean in 24-hour average pain severity ratings. Response to treatment over the last 6 weeks of the trial (after patients were re-randomized) were compared to baseline measures. (NCT00408421)
Timeframe: Over 13 Weeks

Interventionparticipants who responded (Number)
Group 2 - Duloxetine 60mg26
Group 3 - Duloxetine 120mg32

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Response to Treatment - The Number of Participants With a >= 30% Reduction of Weekly Mean in 24-Hour Average Pain Severity Ratings

Number of participants who experienced a response to treatment, which was defined as having a >=30% reduction of the weekly mean in 24-hour average pain severity ratings. This is an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). (NCT00408421)
Timeframe: Over 13 Weeks

Interventionparticipants who responded (Number)
Placebo53
Duloxetine 60mg /120mg64

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Patient Global Impression of Improvement at 13 Week Endpoint

A scale that measures the patient's perception of improvement at the time of assessment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00408421)
Timeframe: 13 Weeks

Interventionunits on a scale (Least Squares Mean)
Placebo2.91
Duloxetine 60mg /120mg2.38

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Normal Work

A self-reported scale that measures the interference of pain in the past 24 hours on normal work. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg5.63-2.66
Placebo5.80-2.25

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference Score - Relations With Other People

A self-reported scale that measures the interference of pain in the past 24 hours on relations with other people. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg3.05-1.43
Placebo3.27-1.30

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Average Interference

A self-reported scale that measures interference of pain on average of the 7 questions assessing the interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The average Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg4.66-2.29
Placebo4.72-1.79

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) - Worst Pain Score

A self-reported scale that measures the severity of pain based on the worst pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg7.60-3.17
Placebo7.64-2.15

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory - Pain Right Now Score

A self-reported scale that measures the severity of pain based on the pain right now. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg5.77-2.94
Placebo6.02-2.26

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory - Least Pain Score

A self-reported scale that measures the severity of pain based on the least pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg5.07-2.30
Placebo5.09-1.60

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory - Average Pain Score

A self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg6.19-2.71
Placebo6.25-1.77

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Change From Baseline to 13 Week Endpoint in Beck Depression Inventory-II - Total Score

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00408421)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine 60mg /120mg5.49-1.26
Placebo5.64-0.97

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Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Severity (BPI-S) - Least Pain Score

A self-reported scale that measures the severity of pain based on the least pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.30
Duloxetine 60 mg-2.06
Duloxetine 120 mg-2.16
Placebo-1.51

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Response to Treatment, as Defined by a 50% Reduction of Weekly Mean Score in 24-hour Average Pain Severity Ratings, Last Observation Carried Forward

(NCT00408876)
Timeframe: Baseline to Week 13

Interventionparticipants (Number)
Duloxetine 20 mg12
Duloxetine 60 mg38
Duloxetine 120 mg40
Placebo33

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Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Severity (BPI-S) - Pain Right Now Score

A self-reported scale that measures the severity of pain based on the pain right now. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.63
Duloxetine 60 mg-2.67
Duloxetine 120 mg-2.61
Placebo-1.74

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Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Severity (BPI-S) - Worst Pain Score

A self-reported scale that measures the severity of pain based on the worst pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.78
Duloxetine 60 mg-2.77
Duloxetine 120 mg-2.78
Placebo-2.09

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Adverse Events Reported as Reason for Discontinuation

(NCT00408876)
Timeframe: Baseline to Week 13

,,,
Interventionparticipants (Number)
Patients Discontinued for Any Adverse EventInsomniaNauseaVomitingAnxietyConstipationDiarrhoeaDizzinessDyspepsiaErectile dysfunctionHepatic enzyme increasedSomnolenceAbdominal painAbdominal pain upperApathyBursitisConfusional stateCoordination abnormalDecreased appetiteDisturbance in attentionDysphoriaEjaculation disorderFatigueGastroenteritisGlaucomaHeadacheHepatitisHot flushHyperhidrosisHypertensionIrritabilityLethargyLoss of libidoMuscular weaknessMyocardial infarctionPalpitationsPeritonsillar abscessPregnancyRashRestless legs syndromeSedationTesticular painTrismus
Duloxetine 120 mg27311210100110111001001110000110110100001111
Duloxetine 20 mg9111010000011000100010000000001000000000000
Duloxetine 60 mg17122011012100000000100000011000001010010000
Placebo10010101110000000010000001100000000001100000

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Change From Baseline to Week 2 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 2), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 2

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-0.84
Duloxetine 60 mg-0.91
Duloxetine 120 mg-1.22
Placebo-0.75

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Change From Baseline to Week 13 Endpoint in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 13), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.74
Duloxetine 60 mg-2.50
Duloxetine 120 mg-2.42
Placebo-2.10

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Change From Baseline to Week 13 Endpoint in Vital Signs - Weight

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionkilograms (Least Squares Mean)
Duloxetine 20 mg-0.59
Duloxetine 60 mg-0.35
Duloxetine 120 mg-0.72
Placebo0.10

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Change From Baseline to Week 13 Endpoint in Vital Signs - Systolic Blood Pressure

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmm Hg (Least Squares Mean)
Duloxetine 20 mg-0.64
Duloxetine 60 mg-1.18
Duloxetine 120 mg1.00
Placebo-1.04

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Change From Baseline to Week 13 Endpoint in Vital Signs - Pulse Rate

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionbeats per minute (Least Squares Mean)
Duloxetine 20 mg-1.10
Duloxetine 60 mg2.79
Duloxetine 120 mg1.90
Placebo0.29

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Change From Baseline to Week 13 Endpoint in Vital Signs - Diastolic Blood Pressure

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmm Hg (Least Squares Mean)
Duloxetine 20 mg-0.51
Duloxetine 60 mg-0.79
Duloxetine 120 mg2.94
Placebo-0.68

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Change From Baseline to Week 13 Endpoint in the Euro-Quality of Life Questionnaire - 5 Dimension - US Based Index Score

The EuroQoL Questionnaire - 5 Dimension (EQ-5D) is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows patients to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood. A single score between 1 and 3 is generated for each domain. For each patient, the outcome rating on the 5 domains will be mapped to a single index through an algorithm. The index ranges between 0 and 1, with the higher score indicating a better health state perceived by the patient. (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg0.04
Duloxetine 60 mg0.07
Duloxetine 120 mg0.08
Placebo0.05

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Change From Baseline to Week 13 Endpoint in the 36-item Short-Form Health Survey (SF36)- Mental Component Summary (MCS)

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). MCS and PCS scores=0-100 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg0.01
Duloxetine 60 mg0.57
Duloxetine 120 mg-1.26
Placebo-0.45

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Change From Baseline to Week 13 Endpoint in the 11-point Likert Scale, Weekly Mean of Worst Pain Score

The 11-point Likert scale was used for assessment of 24-hour worst pain and evaluated as weekly means. Scores range from from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.77
Duloxetine 60 mg-2.46
Duloxetine 120 mg-2.40
Placebo-2.10

[back to top]

Change From Baseline to Week 13 Endpoint in the 11-point Likert Scale, Weekly Mean 24-Hour Night Pain Score

The 11-point Likert scale was used for assessment of 24-hour night pain and evaluated as weekly means. Scores range from from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.77
Duloxetine 60 mg-2.15
Duloxetine 120 mg-2.47
Placebo-1.91

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Change From Baseline to Week 13 Endpoint in Beck Depression Inventory-II Total Score

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.24
Duloxetine 60 mg-1.54
Duloxetine 120 mg0.37
Placebo-1.02

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Change From Baseline to Week 13 Endpoint in Roland-Morris Disability Questionnaire (RMDQ) Total Score

Roland-Morris questionnaire was completed by the patient and measured the degree of disability due to back pain. The questionnaire consists of 24 statements and the patient was instructed to put a mark next to each appropriate statement. The number of statements marked was added up by the clinician and a total score was given. The total score ranges from 0 (no disability) to 24 (severe disability). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-2.29
Duloxetine 60 mg-2.74
Duloxetine 120 mg-2.88
Placebo-1.33

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Change From Baseline to Week 13 Endpoint in Laboratory Assessments - Alkaline Phosphatase

(NCT00408876)
Timeframe: Baseline, Week 13

InterventionUnits/Liter (Mean)
Duloxetine 20 mg-1.19
Duloxetine 60 mg3.27
Duloxetine 120 mg1.11
Placebo-1.43

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Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Potassium

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmillimole/Liter (Mean)
Duloxetine 20 mg-0.02
Duloxetine 60 mg0.00
Duloxetine 120 mg0.06
Placebo-0.08

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Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Creatinine

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmicromole/Liter (Mean)
Duloxetine 20 mg-11.43
Duloxetine 60 mg-0.66
Duloxetine 120 mg1.34
Placebo2.02

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Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Cholesterol

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmillimole/Liter (Mean)
Duloxetine 20 mg-0.04
Duloxetine 60 mg-0.09
Duloxetine 120 mg0.01
Placebo-0.22

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Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Chloride

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmillimole/Liter (Mean)
Duloxetine 20 mg-0.22
Duloxetine 60 mg-0.54
Duloxetine 120 mg-0.99
Placebo-0.47

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Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Bilirubin, Total

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmicromole/Liter (Mean)
Duloxetine 20 mg-1.05
Duloxetine 60 mg-0.23
Duloxetine 120 mg-0.58
Placebo0.18

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Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Bilirubin, Direct

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmicromole/Liter (Mean)
Duloxetine 20 mg-0.29
Duloxetine 60 mg-0.13
Duloxetine 120 mg-0.13
Placebo0.07

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Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Bicarbonate, HCO3

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmillimole/Liter (Mean)
Duloxetine 20 mg1.04
Duloxetine 60 mg1.18
Duloxetine 120 mg1.72
Placebo1.35

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Change From Baseline to Week 13 Endpoint in Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale

A 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale, giving maximum scores of 21 for anxiety and depression. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-0.30
Duloxetine 60 mg-0.81
Duloxetine 120 mg-0.91
Placebo-0.68

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Change From Baseline to Week 13 Endpoint in Clinical Global Impression of Severity

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-0.53
Duloxetine 60 mg-0.94
Duloxetine 120 mg-1.06
Placebo-0.53

[back to top]

Change From Baseline to Week 13 Endpoint in Laboratory Assessment - Uric Acid

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionmicromole/Liter (Mean)
Duloxetine 20 mg-9.48
Duloxetine 60 mg-11.08
Duloxetine 120 mg-11.31
Placebo8.20

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Change From Baseline to Week 8 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 8), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 8

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.68
Duloxetine 60 mg-2.29
Duloxetine 120 mg-2.49
Placebo-1.65

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Change From Baseline to Week 7 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 7), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 7

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.68
Duloxetine 60 mg-2.17
Duloxetine 120 mg-2.36
Placebo-1.57

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Change From Baseline to Week 6 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 6), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 6

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.64
Duloxetine 60 mg-2.10
Duloxetine 120 mg-2.28
Placebo-1.34

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Change From Baseline to Week 5 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 5), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 5

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.45
Duloxetine 60 mg-1.94
Duloxetine 120 mg-2.25
Placebo-1.26

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Change From Baseline to Week 4 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 4), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 4

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.20
Duloxetine 60 mg-1.70
Duloxetine 120 mg-2.17
Placebo-1.02

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Change From Baseline to Week 3 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 3), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 3

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.05
Duloxetine 60 mg-1.58
Duloxetine 120 mg-1.71
Placebo-1.01

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Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Severity (BPI-S) - Average Pain Score

(NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.79
Duloxetine 60 mg-2.50
Duloxetine 120 mg-2.45
Placebo-1.87

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Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Walking Ability

A self-reported scale that measures the interference of pain in the past 24 hours on walking ability. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.79
Duloxetine 60 mg-2.33
Duloxetine 120 mg-1.89
Placebo-1.43

[back to top]

Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Sleep

A self-reported scale that measures the interference of pain in the past 24 hours on sleep. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.59
Duloxetine 60 mg-2.48
Duloxetine 120 mg-2.12
Placebo-1.63

[back to top]

Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Relations With Other People

A self-reported scale that measures the interference of pain in the past 24 hours on relations with other people. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.33
Duloxetine 60 mg-1.86
Duloxetine 120 mg-1.27
Placebo-0.94

[back to top]

Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Normal Work

A self-reported scale that measures the interference of pain in the past 24 hours on normal work. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-2.20
Duloxetine 60 mg-2.67
Duloxetine 120 mg-2.38
Placebo-1.95

[back to top]

Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Mood

A self-reported scale that measures the interference of pain in the past 24 hours on mood. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.75
Duloxetine 60 mg-2.52
Duloxetine 120 mg-1.96
Placebo-1.70

[back to top]

Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - General Activity

A self-reported scale that measures the interference of pain in the past 24 hours on general acitivity. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.99
Duloxetine 60 mg-2.52
Duloxetine 120 mg-2.36
Placebo-1.97

[back to top]

Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Enjoyment of Life

A self-reported scale that measures the interference of pain in the past 24 hours on enjoyment of life. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.84
Duloxetine 60 mg-2.49
Duloxetine 120 mg-1.86
Placebo-1.76

[back to top]

Change From Baseline to Week 13 Endpoint in Brief Pain Inventory Interference (BPI-I) Score - Average Interference

A self-reported scale that measures interference of pain on average of the 7 questions assessing the interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The average Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.84
Duloxetine 60 mg-2.40
Duloxetine 120 mg-1.92
Placebo-1.61

[back to top]

Change From Baseline to Week 13 Endpoint in Athens Insomnia Scale

Estimates sleep difficulty. Consists of 8 items rated on a 4-point scale of 0 (no problem at all) to 3 (very serious problem). Total score of the 8-item version ranges from 0-24. (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.43
Duloxetine 60 mg-2.30
Duloxetine 120 mg-0.93
Placebo-1.23

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Vitality

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). Vitality scores range from 4-24 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg0.69
Duloxetine 60 mg1.43
Duloxetine 120 mg0.44
Placebo0.91

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Social Functioning

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). Social functioning scores range from 2-10 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg0.75
Duloxetine 60 mg0.46
Duloxetine 120 mg0.38
Placebo0.50

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Role-Physical

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). Role-physical scores range from 4-8 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg0.81
Duloxetine 60 mg0.80
Duloxetine 120 mg0.85
Placebo0.80

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Role-Emotional

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). Role-emotional scores range from 3-6 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg0.10
Duloxetine 60 mg0.19
Duloxetine 120 mg0.14
Placebo0.08

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Physical Functioning

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). Physical functioning scores range from 10-30 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg1.80
Duloxetine 60 mg2.55
Duloxetine 120 mg3.11
Placebo2.23

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Physical Component Summary (PCS)

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). MCS and PCS scores=0-100 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg6.07
Duloxetine 60 mg7.01
Duloxetine 120 mg7.85
Placebo6.11

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Mental Health

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). Mental health scores range from 5-30 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg0.21
Duloxetine 60 mg0.98
Duloxetine 120 mg0.46
Placebo0.38

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - General Health

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). General health scores range from 5-25(higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg0.70
Duloxetine 60 mg1.24
Duloxetine 120 mg0.81
Placebo0.66

[back to top]

Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF36) - Bodily Pain

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). Bodily pain scores range from 2-11 (higher scores indicate better health status). (NCT00408876)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg1.51
Duloxetine 60 mg1.95
Duloxetine 120 mg2.11
Placebo1.36

[back to top]

Change From Baseline to Week 12 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 12), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.87
Duloxetine 60 mg-2.34
Duloxetine 120 mg-2.46
Placebo-1.91

[back to top]

Change From Baseline to Week 11 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 11), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 11

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.88
Duloxetine 60 mg-2.32
Duloxetine 120 mg-2.62
Placebo-1.79

[back to top]

Change From Baseline to Week 10 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 10), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 10

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.77
Duloxetine 60 mg-2.24
Duloxetine 120 mg-2.58
Placebo-1.73

[back to top]

Change From Baseline to Week 1 in Weekly Mean of the 24-hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 1), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 1

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-0.54
Duloxetine 60 mg-0.53
Duloxetine 120 mg-0.71
Placebo-0.39

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Change From Baseline to 13 Week Endpoint in Laboratory Assessments - Alanine Transaminase

(NCT00408876)
Timeframe: Baseline, Week 13

InterventionUnits/Liter (Mean)
Duloxetine 20 mg-1.39
Duloxetine 60 mg0.25
Duloxetine 120 mg2.20
Placebo-0.06

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Response to Treatment, as Defined by a 30% Reduction of Weekly Mean Score in 24-hour Average Pain Severity Ratings, Last Observation Carried Forward

(NCT00408876)
Timeframe: Baseline to Week 13

Interventionparticipants (Number)
Duloxetine 20 mg23
Duloxetine 60 mg59
Duloxetine 120 mg63
Placebo49

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Patient's Global Impression - Improvement (PGI-I) at Week 13 Endpoint

"A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from~1 (very much better) to 7 (very much worse)." (NCT00408876)
Timeframe: Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg2.72
Duloxetine 60 mg2.44
Duloxetine 120 mg2.66
Placebo2.93

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Change From Baseline to Week 9 in Weekly Mean of the 24-Hour Average Pain Scores

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean (Week 1), with scores ranging from 0 (no pain) to 10 (worst possible pain). (NCT00408876)
Timeframe: Baseline, Week 9

Interventionunits on a scale (Least Squares Mean)
Duloxetine 20 mg-1.57
Duloxetine 60 mg-2.21
Duloxetine 120 mg-2.45
Placebo-1.71

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Change From Baseline to 12 Week Endpoint in Athens Insomnia Scale 8-item and 5-item

Estimates sleep difficulty. Consists of 8 items rated on a 4-point scale of 0 (no problem at all) to 3 (very serious problem). Total score of the 8-item version (sum of items 1-8) ranges from 0-24, while total score of the 5-item (sum of items 1-5) ranges from 0-15. (NCT00408993)
Timeframe: Baseline and 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
5-Item Score8-Item Score
Duloxetine-2.27-3.58
Placebo-1.97-3.31

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Number of Participants Discontinuing Due to Adverse Events

(NCT00408993)
Timeframe: over 12 weeks

Interventionparticipants (Number)
Duloxetine15
Placebo4

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Change From Baseline to 12 Week Endpoint in EuroQoL Questionnaire - 5 Dimensions (EQ-5D) (US Based Index Score)

The EQ-5D is an assessment of one's overall health. Consists of 5 items. Patients choose 1 of 3 options that best describe the status of each item. The EQ-5D US based index scores range from -0.11 to 1.0 where a score of 1.0 indicates perfect health. A positive change from baseline indicates health improvement. (NCT00408993)
Timeframe: Baseline and 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine0.12
Placebo0.10

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Change From Baseline to 12 Week Endpoint in Clinical Global Impression of Severity

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients. (NCT00408993)
Timeframe: Baseline and 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.24
Placebo-0.99

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Change From Baseline to 12 Week Endpoint in Brief Pain Inventory 24-hour Average Pain Score

A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00408993)
Timeframe: Baseline and 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.69
Placebo-2.31

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Vital Signs - Weight

Change from baseline to endpoint in body weight. (NCT00408993)
Timeframe: Baseline and 12 weeks

Interventionkilograms (Least Squares Mean)
Duloxetine-0.17
Placebo-0.03

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Time Course of Change in Patient Global Impression - Improvement Scale

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00408993)
Timeframe: baseline, over 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
Week 1 (N=5, N=2)Week 2 (N=98, N=107)Week 4 (N=94, N=101)Week 8 (N=91, N=95)Week 12 (N=87, N=92)
Duloxetine3.452.912.572.292.27
Placebo3.513.232.832.762.58

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Vital Signs - Blood Pressure

Change from baseline to endpoint in systolic and diastolic blood pressure. (NCT00408993)
Timeframe: Baseline and 12 weeks

,
Interventionmm Hg (Least Squares Mean)
Systolic Blood PressureDiastolic Blood Pressure
Duloxetine-0.480.45
Placebo-1.47-0.21

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Change From Baseline to 12 Week Endpoint in Brief Pain Inventory (BPI) Worst Pain, Least Pain, and Current Pain Severity and Average Interference Scores

Measures severity of pain and interference of pain on function. Each severity of pain (worst, least, and current) scores range from 0 (no pain) to 10 (pain as severe as you can imagine). The 7 separate Interference item scores range from 0 (does not interfere) to 10 (completely interferes) and were averaged to provide a single score (0 to 10). (NCT00408993)
Timeframe: Baseline and 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
Worst Pain ScoreLeast Pain ScorePain Right Now ScoreAverage Interference Score
Duloxetine-3.48-1.69-2.72-2.28
Placebo-2.93-1.37-1.99-1.88

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Vital Signs - Pulse Rate

Change from baseline to endpoint in pulse rate. (NCT00408993)
Timeframe: Baseline and 12 weeks

Interventionbeats per minute (Least Squares Mean)
Duloxetine1.71
Placebo0.32

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Number of Participants With Treatment-Emergent Adverse Events Reported in >5% of Either Treatment Group by Time of Dosing (Morning or Evening)

Tolerability of morning versus evening dosing, as assessed by the number of participants with spontaneously reported adverse events. (NCT00408993)
Timeframe: over 12 weeks

,,,
Interventionparticipants (Number)
Abdominal discomfortAbdominal distensionAbdominal pain upperAnorexiaArthralgiaAstheniaChest discomfortConstipationCoughDecreased appetiteDiarrhoeaDizzinessDry mouthDyslipidaemiaDysuriaFatigueHeadacheHyperhidrosisHypersomniaHypoglycaemiaInsomniaLethargyNauseaPainPalpitationsPruritusSomnolenceStomach discomfortTherapeutic response unexpectedThirstVomiting
Duloxetine - Evening Dosing124704370361143452525251813183313
Duloxetine - Morning Dosing37041224204521534405361417294643
Placebo - Evening Dosing4301210411132116223222503440613
Placebo - Morning Dosing2421301540591102412332832425602

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Statistically Significant Change From Baseline to 12 Week Endpoint in Laboratory Measures - Chloride, High Density Lipoprotein, Sodium, and Triglycerides

Significantly different laboratory values between the two groups in baseline to endpoint changes in chloride, high density lipoprotein, sodium, and triglycerides. (NCT00408993)
Timeframe: Baseline and 12 weeks

,
Interventionmillimole/Liter (Mean)
Chloride BaselineChloride Change to EndpointHigh Density Lipoprotein Cholesterol BaselineHigh Density Lipoprotein Change to EndpointSodium BaselineSodium Change to EndpointTriglycerides BaselineTriglycerides Change to Endpoint
Duloxetine102.94-1.151.300.03143.03-1.251.76-0.05
Placebo102.87-0.201.33-0.04142.76-0.191.400.26

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Statistically Significant Change From Baseline to 12 Week Endpoint in Laboratory Measures - Uric Acid

Significantly different laboratory values between the two groups in baseline to endpoint changes (NCT00408993)
Timeframe: Baseline and 12 weeks

,
Interventionmicromole/Liter (Mean)
Uric Acid BaselineUric Acid Change to Endpoint
Duloxetine293.24-7.46
Placebo283.982.49

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Utilization of Allowed Hypnotic and/or Anxiolytic Co-Medication

Number of participants using medication for anxiety and sleep disturbances. (NCT00422162)
Timeframe: over 8 weeks

,
Interventionparticipants (Number)
Medication Taken Before Start of Study (Week -1)Medication Taken Between Week -1 and Week 0Medication Taken Between Week 0 and Week 1Medication Taken Between Week 1 and Week 2Medication Taken Between Week 2 and Week 3Medication Taken Between Week 3 and Week 4Medication Taken Between Week 4 and Week 6Medication Taken Between Week 6 and Week 8Medication Taken After Week 8Medication Not Taken Between Consecutive Visits
Duloxetine (120 mg)5988898467584952108
Duloxetine (60 mg)6593958062554751188

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Reason for Living (RFL) Questionnaire Mean Scores at Baseline and Week 8

"The RFL questionnaire is an instrument that evaluates patient's reasons for not committing suicide using a 6-point rating scale, where 1 is not at all important and 6 is extremely important. The questionnaire required participants to rate how important each item would be for living, if suicide was contemplated. Mean scores could range from 0 to 6." (NCT00422162)
Timeframe: Baseline and Week 8

,,,,,
Interventionunits on a scale (Mean)
Week 0 (Baseline) (n=96, n=66, n=106, n=61)Week 8 (n=93, n=63, n=100, n=59)Change from Baseline (n=93, n=59, n=100, n=57)
Duloxetine 120 mg (All)3.74.30.6
Duloxetine 120 mg Non-Responder3.73.80.1
Duloxetine 120 mg Responder3.74.60.8
Duloxetine 60 mg (All)3.84.40.6
Duloxetine 60 mg Non-Responder3.64.00.4
Duloxetine 60 mg Responder4.04.60.7

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Percentage of Responders

Patients with reduction in MADRS score ≥50% after 4 weeks were to stay on previous dose of duloxetine. Those with reduction in MADRS <50% were to receive 120 mg for remaining 4 weeks of treatment (up-titration from 60 mg to 120 mg for those randomized to 60 mg, and addition of placebo to 120 mg dose for those randomized to 120 mg). However, 2/70 patients randomized to 60 mg and then up-titrated to 120 mg after 4 weeks had reduction in MADRS ≥50% after 4 weeks, and 3/64 patients randomized to 120 mg and then given placebo in addition after 4 weeks had reduction in MADRS ≥50% after 4 weeks. (NCT00422162)
Timeframe: 4 to 8 weeks

,,,
Interventionpercentage of participants (Number)
≥50% Reduction in MADRS Week 4≥50% Reduction in MADRS Week 6≥50% Reduction in MADRS Week 8≥50% Reduction in HAMD-6 Week 4≥50% Reduction in HAMD-6 Week 6≥50% Reduction in HAMD-6 Week 8
Duloxetine 120 mg Non-Responders4.739.154.712.531.346.9
Duloxetine 120 mg Responders100.098.198.185.890.695.3
Duloxetine 60 mg Non-Responders2.952.965.710.047.160.0
Duloxetine 60 mg Responders100.094.893.888.590.692.7

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Change in 6-Item Hamilton Depression Scale (HAMD-6) Total Scores From Baseline

"The HAMD-6 (Items 1,2,7,8,10,13 from the 17-item HAMD) evaluates core symptoms of Major Depressive Disorder (MDD). Total scores range from 0 (normal) to 22 (severe)." (NCT00422162)
Timeframe: Baseline to Weeks 1, 2, 3, 4, 6, 8

,,,,,
Interventionunits on a scale (Mean)
Change in Score at Week 1Change in Score at Week 2Change in Score at Week 3Change in Score at Week 4Change in Score at Week 6Change in Score at Week 8
Duloxetine 120 mg (All)-2.7-5.2-6.8-8.1-9.4-10.3
Duloxetine 120 mg Non-Responder-1.7-3.0-3.6-3.8-5.5-6.7
Duloxetine 120 mg Responder-3.3-6.5-8.7-10.7-11.8-12.5
Duloxetine 60 mg (All)-3.1-5.8-7.2-8.0-9.4-10.3
Duloxetine 60 mg Non-Responder-1.9-3.4-4.1-3.9-6.4-7.6
Duloxetine 60 mg Responder-3.9-7.5-9.4-11.0-11.6-12.3

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Patients Reaching Remission

Major Depressive Disorder remission was defined as a total MADRS score ≤12 at Week 8. (NCT00422162)
Timeframe: Week 8

,,,
Interventionparticipants (Number)
Remission at Week 8 - YesRemission at Week 8 - No
Duloxetine 120 mg Non-Responders1846
Duloxetine 120 mg Responders9412
Duloxetine 60 mg Non-Responders2941
Duloxetine 60 mg Responders8511

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Patient Global Impression of Improvement (PGI-I) Score at Each Visit

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00422162)
Timeframe: Weeks 1, 2, 3, 4, 6, 8

,
Interventionunits on a scale (Mean)
Week 1 (n=164, n=170)Week 2 (n=164, n=170)Week 3 (n=165, n=170)Week 4 (n=165, n=170)Week 6 (n=165, n=170)Week 8 (n=165, n=170)
Duloxetine (120 mg)3.12.62.42.22.01.9
Duloxetine (60 mg)3.02.62.32.32.12.0

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Number of Patients With Potentially Clinically Significant Laboratory Findings

Laboratory results that were potentially clinically significant. (NCT00422162)
Timeframe: over 8 weeks

,
Interventionparticipants (Number)
Decreased Haematocrit (n=155, n=159)Decreased Haemoglobin (n=156, n=160)Decreased Red Cell Count (n=156, n=160)Increased Mean Cell Volume (n=155, n=159)Decreased White Cell Count (n=156, n=160)Decreased Sodium (n=160, n=163)Increased Potassium (n=159, n=163)Increased Aspartate Transaminase (n=158, n=161)Increased Alanine Transaminase (n=159, n=161)Increased Alkaline Phosphatase (n=161, n=163)Increased Gamma-Glutamyl Transferase (n=161,n=163)Increased Creatine Kinase (n=159, n=161)Decreased Glucose (n=158, n=162)Increased Cholesterol (n=160, n=163)Increased Total Bilirubin (n=159, n=161)Increased Uric Acid (n=160, n=163)Decreased Albumin (n=158, n=161)
Duloxetine (120 mg)12112010110310121
Duloxetine (60 mg)02001102302611000

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Number of Participants Experiencing High Values for Vital Signs at Any Time During the Study

Systolic and diastolic blood pressure and pulse rate were measured after 2 minutes rest in a supine position. High values were: diastolic blood pressure ≥90 mm Hg and increase from baseline of ≥10 mm Hg; systolic blood pressure ≥140 mm Hg and increase from baseline of ≥10 mm Hg; pulse rate ≥100 beats per minute (bpm) and an increase of ≥10 bpm from baseline. (NCT00422162)
Timeframe: over 8 weeks

,
Interventionparticipants (Number)
High Systolic Blood PressureHigh Diastolic Blood PressureHigh Pulse Rate
Duloxetine (120 mg)253714
Duloxetine (60 mg)232810

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Hamilton Anxiety Scale (HAMA) Score at Baseline and Weeks 4 and 8

The HAMA scale measures anxiety symptoms accompanying Major Depressive Disorder (MDD). Each item of the 14-item HAMA was scored from 0 (not present) to 4 (very severe), with a resulting maximum total score of 56. (NCT00422162)
Timeframe: Baseline and Weeks 4 and 8

,
Interventionunits on a scale (Mean)
Week 0 (Baseline) (n=166, n=170)Week 4 (n=165, n=168)Week 8 (n=165, n=168)
Duloxetine (120 mg)27.013.49.8
Duloxetine (60 mg)26.013.09.6

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Evaluation of Rescue Options Based on Changes in the Montgomery-Asberg Depression Rating Scale (MADRS) and the 6-Item Hamilton Depression Scale (HAMD-6)

"Changes in Montgomery-Åsberg Depression Rating Scale (MADRS) and 6-Item Hamilton Depression Scale (HAMD-6) total scores were evaluated following dose up-titration in those patients who did not achieve the minimum 50% response for primary endpoint. MADRS is a rating scale for severity of depressive mood symptoms. Total scores range from 0 (low severity of symptoms) to 60 (high severity of symptoms). The HAMD-6, derived by the sum of HAMD-17 items 1, 2, 7, 8, 10 and 13, evaluates core symptoms of Major Depressive Disorder (MDD). Total subscale scores range from 0 (normal) to 22 (severe)." (NCT00422162)
Timeframe: 4 to 8 weeks

,,,
Interventionunits on a scale (Mean)
Change in MADRS Score from Week 4 to Week 6Change in MADRS Score from Week 4 to Week 8Change in HAMD-6 Score from Week 4 to Week 6Change in HMAD-6 Score from Week 4 to Week 8
Duloxetine 120 mg Non-Responder-5.8-8.9-2.2-3.8
Duloxetine 120 mg Responder-2.6-4.0-1.1-1.8
Duloxetine 60 mg Non-Responder-7.2-10.9-3.2-4.7
Duloxetine 60 mg Responder-1.0-2.6-0.6-1.3

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Discontinuations Due to Adverse Events (AE)

Listing of adverse events (AE) that led to treatment discontinuation (DC). (NCT00422162)
Timeframe: over 8 weeks

,
Interventionparticipants (Number)
Total Number of Patients With AEs Leading to DCSuicide AttemptSuicidal IdeationHypothyroidismDepressionMajor DepressionPsychotic DisorderSchizoaffective DisorderSelf-Injurious BehaviourHeadacheNauseaIrritabilityBrain NeoplasmDizzinessSedationSerotonin SyndromeUpper Abdominal PainDrug EruptionRenal FailureUrinary Retention
Duloxetine (120 mg)90102000000011111111
Duloxetine (60 mg)113211111111100000000

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Clinical Global Impression of Severity (CGI-S) Scores at Each Visit

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00422162)
Timeframe: Baseline, Weeks 1, 2, 3, 4, 6, 8

,
Interventionunits on a scale (Mean)
Week 0 (Baseline)Week 1Week 2Week 3Week 4Week 6Week 8
Duloxetine (120 mg)5.14.43.83.43.12.72.4
Duloxetine (60 mg)5.04.43.63.23.02.72.3

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Clinical Global Impression of Improvement (CGI-I) at Each Visit

Measures clinician's perception of patient improvement at the time of assessment compared with the start of treatment. Scores range from 1 (very much better) to 7 (very much worse). (NCT00422162)
Timeframe: Weeks 1, 2, 3, 4, 6, 8

,
Interventionunits on a scale (Mean)
Week 1Week 2Week 3Week 4Week 6Week 8
Duloxetine (120 mg)3.22.62.32.12.01.9
Duloxetine (60 mg)3.12.52.32.32.01.9

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Change From Baseline to 4 Week Endpoint in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

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). (NCT00422162)
Timeframe: Baseline to Week 4

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine (120 mg)36.0-19.9
Duloxetine (60 mg)36.1-20.1

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Change in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score From Baseline

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). (NCT00422162)
Timeframe: Baseline to Weeks 1, 2, 3, 4, 6, 8

,,,,,
Interventionunits on a scale (Mean)
Change in Score at Week 1Change in Score at Week 2Change in Score at Week 3Change in Score at Week 4Change in Score at Week 6Change in Score at Week 8
Duloxetine 120 mg (All)-7.6-13.5-16.9-19.9-23.1-24.9
Duloxetine 120 mg Non-Responder-5.6-8.9-10.3-10.5-14.8-17.2
Duloxetine 120 mg Responder-8.8-16.3-20.9-25.5-28.1-29.5
Duloxetine 60 mg (All)-8.3-14.7-18.1-20.1-23.1-25.2
Duloxetine 60 mg Non-Responder-5.6-9.4-11.1-10.4-16.1-19.0
Duloxetine 60 mg Responder-10.3-18.7-23.2-27.2-28.3-29.8

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Change From Baseline to Week 4 and Week 8 in Weight

Change in weight = Post-baseline visit minus baseline. (NCT00422162)
Timeframe: Baseline to Weeks 4 and 8

,
Interventionkilograms (Mean)
Change from Baseline to Week 4 (n=163,n=167)Change from Baseline to Week 8 (n=163, n=168)
Duloxetine (120 mg)0.00.1
Duloxetine (60 mg)0.10.5

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Change From Baseline to Week 13 and Week 54 Endpoints in Vital Signs: Blood Pressure

(NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionmm Hg (Mean)
Systolic Blood Pressure (SBP) Week 13 BaselineSBP Week 13 Change from BaselineSBP Week 54 Baseline (n=76, n=90)SBP Week 54 Change from BaselineDiastolic Blood Pressure (DBP) Week 13 BaselineDBP Week 13 Change from BaselineDBP Week 54 Baseline (n=76, n=90)DBP Week 54 Change from Baseline
Duloxetine127.44-0.94127.04-1.4279.920.3281.53-2.00
Placebo127.62-1.24127.070.7780.38-1.2579.740.50

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Change From Baseline to Week 13 and Week 54 Endpoints in Vital Signs: Pulse Rate

(NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionbeats per minute (bpm) (Mean)
Week 13 BaselineWeek 13 Change from BaselineWeek 54 Baseline (n=76, n=90)Week 54 Change from Baseline
Duloxetine72.212.0574.95-2.46
Placebo72.31-0.9071.031.46

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Change From Baseline to Week 13 and Week 54 Endpoints in Vital Signs: Weight

(NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionkilograms (kg) (Mean)
Week 13 BaselineWeek 13 Change from BaselineWeek 54 Baseline (n=81, n=97)Week 54 Change from Baseline
Duloxetine76.63-0.6476.571.42
Placebo76.290.0875.34-0.38

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Change From Baseline to Week 13 and Week 54 Endpoints in Work Productivity and Activity Impairment Instrument (WPAI) Scores

"WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment. Higher scores are indicative of greater impairment.~Absenteeism=(Q2/(Q2+Q4))*100~Presenteeism=(Q5/10)*100~Work productivity loss=(Q2/(Q2+Q4)+[(1-Q2/(Q2+Q4))x(Q5/10)])*100~Activity Impairment=(Q6/10)*100" (NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionunits on a scale (Mean)
Absenteeism Score Week 13 Baseline (n=35, n=32)Absenteeism Score Week 13 Change from BaselineAbsenteeism Score Week 54 Baseline (n=24, n=32)Absenteeism Score Week 54 Change from BaselinePresenteeism Score Week 13 Baseline (n=37, n=31)Presenteeism Score Week 13 Change from BaselinePresenteeism Score Week 54 Baseline (n=24, n=34)Presenteeism Score Week 54 Change from BaselineWork Productivity Loss Week 13 Baseline(n=33,n=29)Work Productivity Loss Week 13 ChangeWork Productivity Loss Week 54 Baseline(n=24,n=32)Work Productivity Loss Week 54 ChangeActivity Impairment Week 13 Baseline (n=103,n=105)Activity Impairment Week 13 Change from BaselineActivity Impairment Week 54 Baseline (n=70, n=86)Activity Impairment Week 54 Change from Baseline
Duloxetine0.17-0.140.030.010.42-0.170.19-0.050.47-0.190.21-0.040.54-0.200.32-0.06
Placebo0.050.030.020.010.36-0.060.30-0.130.38-0.060.32-0.130.57-0.110.45-0.16

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Change From Baseline to Week 13 Endpoint in 36-Item Short-Form Health Survey (SF-36)

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). MCS and PCS scores=0-100 (higher scores indicate better health status). Domain scores: general health=5-25; physical functioning=10-30; role-physical=4-8; role-emotional=3-6; social functioning=2-10; bodily pain=2-11; vitality=4-24; mental health=5-30. (NCT00424593)
Timeframe: Baseline, Week 13

,
Interventionunits on a scale (Mean)
Mental Component Summary BaselineMental Component Summary Change from BaselinePhysical Component Summary BaselinePhysical Component Summary Change from BaselineBodily Pain BaselineBodily Pain Change from BaselineGeneral Health BaselineGeneral Health Change from BaselineMental Health BaselineMental Health Change from BaselinePhysical Functioning BaselinePhysical Functioning Change from BaselineRole-Emotional BaselineRole-Emotional Change from BaselineRole-Physical BaselineRole-Physical Change from BaselineSocial Functioning BaselineSocial Functioning Change from BaselineVitality BaselineVitality Change from Baseline
Duloxetine49.692.0533.395.695.481.5516.271.7322.061.1919.532.594.570.445.240.637.830.5115.161.08
Placebo49.60-0.4932.624.125.420.9515.750.8221.950.2819.871.614.670.125.070.487.570.1414.790.21

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Change From Baseline to Week 13 Endpoint in EuroQoL Questionnaire - 5 Dimension (EQ-5D)

The EuroQoL Questionnaire - 5 Dimension (EQ-5D) is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows patients to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood. A single score between 1 and 3 is generated for each domain. For each patient, the outcome rating on the 5 domains will be mapped to a single index through an algorithm. The index ranges between 0 and 1, with the higher score indicating a better health state perceived by the patient. Scores presented used the UK Based Index Score. (NCT00424593)
Timeframe: Baseline, Week 13

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine0.490.16
Placebo0.490.11

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Change From Baseline to Week 13 Endpoint in Hospital Anxiety and Depression Scale (HADS) Scores

A 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale, giving maximum scores of 21 for anxiety and depression. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' (NCT00424593)
Timeframe: Baseline, Week 13

,
Interventionunits on a scale (Mean)
Anxiety Subscale Baseline (n=102, n=104)Anxiety Subscale Change from BaselineDepression Subscale Baseline (n=103, n=105)Depression Subscale Change from Baseline
Duloxetine4.94-0.703.65-0.27
Placebo4.410.113.870.10

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Change From Baseline to Week 13 Endpoint in Weekly Mean of 24-hour Average Pain, Night Pain and Worst Pain by 11-Point Likert Scale

24-hour average pain severity scores recorded daily on an 11-point Likert scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain). Patients should complete the electronic diary at bedtime. The 11-point Likert scale will also be used for assessment of night pain and worst pain each day, and evaluated as weekly means. Average interference was calculated as the average of non-missing scores of individual interference items. (NCT00424593)
Timeframe: Baseline, Week 13

,
Interventionunits on a scale (Mean)
Average Pain Score BaselineAverage Pain Score Change from BaselineWorst Pain Score BaselineWorst Pain Score Change from BaselineNight Pain Score BaselineNight Pain Score Change from Baseline
Duloxetine5.94-1.926.91-1.975.46-1.82
Placebo6.05-1.167.02-1.315.50-1.15

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Laboratory Assessments That Were Statistically Significantly Different Between Treatment Groups in Change From Baseline to Week 13 Endpoint: Bicarbonate

(NCT00424593)
Timeframe: Baseline, Week 13

,
Interventionmillimole per Liter (mmol/L) (Mean)
BaselineChange from Baseline
Duloxetine24.900.57
Placebo25.10-0.28

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Laboratory Assessments That Were Statistically Significantly Different Between Treatment Groups in Change From Baseline to Week 13 Endpoint: Uric Acid

(NCT00424593)
Timeframe: Baseline, Week 13

,
Interventionmicromole per Liter (μmol/L) (Mean)
BaselineChange from Baseline
Duloxetine303.23-6.27
Placebo298.078.68

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Serious Adverse Events During the Dose-Blind Extension Phase

Serious adverse events during the extension phase reported based on the original treatment group to which the patient was randomized. Dictionary used was MedDRA 11.0. (NCT00424593)
Timeframe: Week 13 though Week 54

Interventionparticipants (Number)
Patients with ≥1 Serious Adverse EventAccidental overdoseAcute tonsillitisAngiopathyBack painFemur fractureHand fractureOsteoarthritisRoad traffic accidentSuicidal ideationSyncopeTonsillitis
Duloxetine911111111111

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Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of Patients During the Dose-Blind Extension Phase

Treatment-emergent adverse events during the extension phase reported based on the original treatment group to which the patient was randomized. Dictionary used was MedDRA 11.0. (NCT00424593)
Timeframe: Week 13 through Week 54

Interventionparticipant (Number)
HeadacheNauseaAbdominal pain upperHyperhidrosis
Duloxetine22171311

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Change From Baseline to Week 13 and Week 54 Endpoints in Beck Depression Inventory (BDI-II) Total Scores

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionunits on a scale (Mean)
Week 13 BaselineWeek 13 Change from BaselineWeek 54 Baseline (n=80, n=97)Week 54 Change from Baseline (n=80, n=97)
Duloxetine6.94-0.515.93-0.64
Placebo6.810.687.69-1.01

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Change From Baseline to Week 13 in Brief Pain Inventory (BPI), 24-hour Average Pain Scores

A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00424593)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.32
Placebo-1.50

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Number of Participants Who Responded to Treatment at Week 13 Endpoint Based on 30% Score Reduction Criteria

Response to treatment was defined as at least a 30% reduction of weekly mean score in in Brief Pain Inventory (BPI) Average Pain severity ratings from baseline to endpoint. The number of participants who met this criteria are presented. (NCT00424593)
Timeframe: Week 13

Interventionparticipants (Number)
Duloxetine58
Placebo46

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Number of Participants Who Responded to Treatment at Week 13 Endpoint Based on 50% Score Reduction Criteria

Response to treatment was defined as at least a 50% reduction of weekly mean score in in Brief Pain Inventory (BPI) Average Pain severity ratings from baseline to endpoint. The number of participants who met this criteria are presented. (NCT00424593)
Timeframe: Week 13

Interventionparticipants (Number)
Duloxetine42
Placebo31

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Patient's Global Impression of Improvement (PGI-I)

A scale that measures the patient's perception of improvement at the time of assessment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00424593)
Timeframe: Week 13

Interventionunits on a scale (Mean)
Duloxetine2.81
Placebo3.23

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Change From Baseline to Week 13 and Week 54 Endpoints in Athens Insomnia Scale

Estimates sleep difficulty. Consists of 8 items rated on a 4-point scale of 0 (no problem at all) to 3 (very serious problem). Total score of the 8-item version ranges from 0-24. (NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionunits on a scale (Mean)
Week 13 BaselineWeek 13 Change from BaselineWeek 54 Baseline (n=71, n=86)Week 54 Change from Baseline (n=71, n=86)
Duloxetine8.03-2.015.42-0.37
Placebo8.29-1.506.70-1.05

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Change From Baseline to Week 13 and Week 54 Endpoints in Brief Pain Inventory - Severity (BPI-S) and Interference (BPI-I) Scores

BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference = average of non-missing scores of individual interference items. (NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionunits on a scale (Mean)
Worst Pain Score Week 13 BaselineWorst Pain Score Week 13 Change from BaselineWorst Pain Score Week 54 Baseline (n=80, n=97)Worst Pain Score Week 54 Change from BaselineLeast Pain Score Week 13 BaselineLeast Pain Score Week 13 Change from BaselineLeast Pain Score Week 54 Baseline (n=80, n=97)Least Pain Score Week 54 Change from BaselineAverage Pain Score Week 13 BaselineAverage Pain Score Week 13 Change from BaselineAverage Pain Score Week 54 Baseline (n=80, n=97)Average Pain Score Week 54 Change from BaselinePain Right Now Score Week 13 BaselinePain Right Now Score Week 13 Change from BaselinePain Right Now Score Week 54 Baseline (n=80, n=97)Pain Right Now Score Week 54 Change from BaselineGeneral Activity Week 13 BaselineGeneral Activity Week 13 Change from BaselineGeneral Activity Week 54 Baseline (n=80, n=97)General Activity Week 54 Change from BaselineMood Week 13 BaselineMood Week 13 Change from BaselineMood Week 54 Baseline (n=80, n=97)Mood Week 54 Change from BaselineWalking Ability Week 13 BaselineWalking Ability Week 13 Change from BaselineWalking Ability Week 54 Baseline (n=80, n=97)Walking Ability Week 54 Change from BaselineNormal Work Week 13 BaselineNormal Work Week 13 Change from BaselineNormal Work Week 54 Baseline (n=80, n=97)Normal Work Week 54 Change from BaselineRelations With People Week 13 BaselineRelations With People Week 13 Change from BaselineRelations With People Week 54 Baseline (n=80,n=97)Relations With People Week 54 Change from BaselineSleep Week 13 BaselineSleep Week 13 Change from BaselineSleep Week 54 Baseline (n=80, n=97)Sleep Week 54 Change from BaselineEnjoyment of Life Week 13 BaselineEnjoyment of Life Week 13 Change from BaselineEnjoyment of Life Week 54 Baseline (n=80, n=97)Enjoyment of Life Week 54 Change from BaselineAverage Interference Week 13 BaselineAverage Interference Week 13 Change from BaselineAverage Interference Week 54 Baseline (n=80, n=97)Average Interference Week 54 Change from Baseline
Duloxetine7.43-2.554.49-1.314.22-1.722.36-0.815.91-2.083.40-1.055.42-2.292.75-0.765.07-1.833.11-0.863.89-1.701.89-0.444.49-2.012.49-0.515.01-2.102.85-0.712.75-1.281.48-0.514.12-1.662.38-1.133.57-1.721.61-0.704.13-1.762.26-0.69
Placebo7.34-1.725.67-1.784.22-0.833.33-0.935.93-1.434.45-1.355.55-1.434.11-1.255.60-1.514.05-1.324.30-1.033.24-0.934.83-1.343.53-1.275.39-1.583.81-1.093.39-0.922.53-0.774.59-1.303.40-1.083.41-0.812.61-0.934.50-1.213.31-1.06

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Change From Baseline to Week 13 and Week 54 Endpoints in Clinical Global Impression of Severity (CGI-Severity)

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionunits on a scale (Mean)
Week 13 BaselineWeek 13 Change from BaselineWeek 54 Baseline (n=81, n=97)Week 54 Change from Baseline (n=81, n=97)
Duloxetine3.23-0.942.21-0.23
Placebo3.27-0.742.60-0.52

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Change From Baseline to Week 13 and Week 54 Endpoints in Roland Morris Disability Questionnaire-24 Item (RMDQ-24) Total Score

Roland-Morris questionnaire will be completed by the patient and measures the degree of disability due to back pain. The questionnaire consists of 24 statements and the patient is instructed to put a mark next to each appropriate statement. The number of statements marked will be added up by the clinician and a total score is given. The total score ranges from 0 (no disability) to 24 (severe disability). (NCT00424593)
Timeframe: Baseline, Week 13, Week 54

,
Interventionunits on a scale (Mean)
13 Week Baseline13 Week Change from Baseline54 Week Baseline (n=59, n=82)54 Week Change from Baseline (n=59, n=82)
Duloxetine10.39-3.137.83-1.14
Placebo10.87-1.539.59-2.40

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Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Stiffness Subscale

The WOMAC index (pain, stiffness, physical function subscales) will be completed by the patient. The stiffness subscale has 2 questions on stiffness associated with time of day (morning versus later in the day). Each question is answered using a 5-point Likert scale (0 to 4). The pain subscale has a range of scores of 0 (none) to 8 (extreme). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine4.27-1.63
Placebo4.50-1.36

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Sleep

A self-reported scale that measures the interference of pain in the past 24 hours on sleep. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine3.66-1.91
Placebo4.02-1.91

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Change From Baseline to 13 Week Endpoint in Clinical Global Impression of Severity (CGI-S)

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients. (NCT00433290)
Timeframe: Baseline and 13 Weeks

Interventionunits on a scale (Mean)
Duloxetine-0.63
Placebo-0.32

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Mean Values at 13 Week Endpoint in Patient Global Impression of Improvement (PGI-I)

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00433290)
Timeframe: 13 Weeks

Interventionunits on a scale (Mean)
Duloxetine2.85
Placebo3.09

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Number of Nonresponders at Week 7 Who Responded at Week 13 Endpoint

Response was defined as a >=30% reduction from baseline to endpoint in Brief Pain Inventory average pain score. Nonresponders were defined as participants with a <30% reduction from baseline to Visit 4 (7 Weeks) in Brief Pain Inventory average pain score. (NCT00433290)
Timeframe: 13 Weeks

Interventionparticipants (Number)
Duloxetine9

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Number of Participants Who Responded to Treatment at 13 Week Endpoint

Response to treatment was defined as a ≥ 30% reduction from baseline to endpoint in Brief Pain Inventory (BPI) average pain score. The BPI measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00433290)
Timeframe: 13 Weeks

Interventionparticipants (Number)
Duloxetine79
Placebo56

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Change From Baseline to 13 Week Endpoint in Vital Signs - Weight

(NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionkilograms (Mean)
BaselineChange from Baseline
Duloxetine81.01-0.65
Placebo80.490.47

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Change From Baseline to 13 Week Endpoint in Hospital Anxiety and Depression Scale - Anxiety Subscale (HADS-A)

A 14-item questionnaire with 2 subscales: anxiety (7 items) and depression (7 items). Each item is rated on a 4-point scale (0 to 3), giving maximum scores of 21 for anxiety subscale. Scores of 11 or more are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine4.26-1.11
Placebo4.16-0.69

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Relations With Other People

A self-reported scale that measures the interference of pain in the past 24 hours on relations with other people. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine2.36-1.16
Placebo2.37-0.89

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Adverse Events Reported as Reason for Discontinuation

(NCT00433290)
Timeframe: over 13 weeks

,
Interventionparticipants (Number)
NauseaInsomniaArthralgiaAstheniaConstipationAbdominal pain upperAbnormal dreamsAnxietyAtrial fibrillationDiarrhoeaDrug intoleranceDyspepsiaEjaculation disorderErectile dysfunctionHaemorrhoidsHot flushLethargyMemory impairmentPalpitationsPyelonephritis acuteSleep disorderSupraventricular tachycardia
Duloxetine5122101101111111011011
Placebo0200110010000000100100

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Average Interference

A self-reported scale that measures interference of pain on average of the 7 questions assessing the interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The average Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine3.91-1.93
Placebo4.13-1.62

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Adverse Events Reported as Reason for Discontinuation in Nonresponders

Nonresponders were defined as participants with a <30% reduction from baseline to Visit 7 (7 weeks) in Brief Pain Inventory average pain score. (NCT00433290)
Timeframe: over 13 Weeks

Interventionparticipants (Number)
ArthralgiaConstipationNausea
Duloxetine111

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Change From Baseline to 13 Week Endpoint in Beck Depression Inventory - II (BDI-II)

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine4.29-0.82
Placebo5.35-1.25

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) Severity: Worst Pain Score

A self-reported scale that measures the severity of pain based on the worst pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine7.49-2.74
Placebo7.50-1.94

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Normal Work

A self-reported scale that measures the interference of pain in the past 24 hours on normal work. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine4.77-2.43
Placebo4.88-1.56

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Mood

A self-reported scale that measures the interference of pain in the past 24 hours on mood. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine3.35-1.59
Placebo3.60-1.72

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Statisically Significant Change From Baseline to 13 Week Endpoint in Laboratory Analytes

(NCT00433290)
Timeframe: Baseline and 13 Weeks

,
InterventionUnits/Liter (Mean)
Alkaline Phosphatase Baseline (n=120,n=126)Alkaline Phosphatase Change from BaselineAspartate Amino Transaminase (AST) BaselineAST Change from Baseline (n=117,n=124)Gammaglutamyl Transpeptidase (GGT) BaselineGGT Change from Baseline (n=120,n=126)
Duloxetine77.332.3822.611.4425.565.33
Placebo75.90-3.4324.23-1.3730.55-2.10

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Statisically Significant Change From Baseline to 13 Week Endpoint in Chloride

(NCT00433290)
Timeframe: Baseline and 13 Week Endpoint

,
Interventionmillimole per Liter (Mean)
BaselineChange from Baseline
Duloxetine104.38-0.83
Placebo104.18-0.08

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Mean Change From Baseline to 13 Week Endpoint in Medical Outcomes Study Short Form-36 (SF-36) Medical Component Summary (MCS), Physical Component Summary (PCS), and Domain Scores

MCS and PCS scores=0-100 (higher scores indicate better health status). Domain scores:general health=5-25, physical functioning=10-30, Role-physical=4-8, Role-emotional=3-6, social functioning=2-10, bodily pain=2-11, vitality=4-24, mental health=5-30. (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
Mental Component Summary Baseline (n=119, n=121)Mental Component Summary Change from BaselinePhysical Component Summary Baseline (n=119, n=121)Physical Component Summary Change from BaselineBodily Pain Baseline (n=121, n=124)Bodily Pain Change from BaselineGeneral Health Baseline (n=120, n=122)General Health Change from BaselineMental Health Baseline (n=121, n=124)Mental Health Change from BaselinePhysical Functioning Baseline (n=120, n=125)Physical Functioning Change from BaselineRole-Emotional Baseline (n=121, n=125)Role-Emotional Change from BaselineRole-Physical Baseline (n=121, n=125)Role-Physical Change from BaselineSocial Functioning Baseline (n=121, n=125)Social Functioning Change from BaselineVitality Baseline (n=121, n=124)Vitality Change from Baseline
Duloxetine55.860.3530.597.265.771.6417.021.1524.130.6417.482.955.050.355.311.038.180.4416.101.04
Placebo54.471.1028.704.765.581.1216.610.6423.670.5616.382.164.760.404.960.707.780.4415.430.81

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Change in Brief Pain Inventory (BPI) 24-hour Average Rating

A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Changes are timepoint minus baseline. (NCT00433290)
Timeframe: Baseline, Week 4, Week 7, Week 13

,
Interventionunits on a scale (Least Squares Mean)
Week 4 Change from Baseline (n=121, n=127)Week 7 Change from Baseline (n=106, n=119)Week 13 Change from Baseline (n=100, n=116)
Duloxetine-1.80-2.47-2.72
Placebo-1.12-1.41-1.88

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: General Activity

A self-reported scale that measures the interference of pain in the past 24 hours for general acitivity. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine4.70-2.26
Placebo5.17-1.92

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Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain Subscale

The WOMAC index (pain, stiffness, physical function subscales) will be completed by the patient. The pain subscale has 5 questions on pain associated with every day tasks. Each question is answered using a 5-point Likert scale (0 to 4). The pain subscale has a range of scores of 0 (none) to 20 (extreme). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine10.24-4.27
Placebo10.35-3.49

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Change From Baseline to 13 Week Endpoint in Western Ontario and McMaster Osteoarthritis Index (WOMAC) Physical Function Subscale

The WOMAC index (pain, stiffness, physical function subscales) will be completed by the patient. The physical function subscale has 17 questions on physical function difficulties with every day tasks. Each question is answered using a 5-point Likert scale (0 to 4). The physical function subscale has a range of scores of 0 (none) to 68 (extreme). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine35.05-13.78
Placebo36.82-10.75

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Change From Baseline to 13 Week Endpoint in Weekly Mean of the 24-Hour Average Pain and Worst Pain Scores

This assesses the weekly mean of the average pain and worst pain experienced over the last 24-hours. This is an ordinal scale with scores for each subscale (average pain and worst pain) ranging from 0 (no pain) to 10 (worst possible pain). Change = endpoint minus baseline. (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
Baseline Weekly 24-Hour Average PainChange in Weekly 24-Hour Average PainBaseline Weekly 24-Hour Worst PainChange in Weekly 24-Hour Worst Pain
Duloxetine6.05-2.397.58-2.57
Placebo6.08-1.787.53-2.05

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory - Average Pain Score in Nonresponders

"A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine).~Non-Responders were defined as patients with a <30% reduction from baseline to visit 4 (7 weeks) in Brief Pain Inventory (BPI) average pain score." (NCT00433290)
Timeframe: Baseline and 13 Weeks

Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine5.30-0.76

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Change From Baseline to 13 Week Endpoint in Vital Signs - Heart Rate

(NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionbeats per minute (Mean)
BaselineChange from Baseline
Duloxetine68.742.55
Placebo69.730.06

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Change From Baseline to 13 Week Endpoint in Vital Signs - Blood Pressure

(NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionmm Hg (Mean)
Systolic Blood Pressure (SBP) BaselineSBP Change from BaselineDiastolic Blood Pressure (DBP) BaselineDBP Change from Baseline
Duloxetine132.20-1.0379.730.09
Placebo131.420.8979.830.45

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Enjoyment of Life

A self-reported scale that measures the interference of pain in the past 24 hours on enjoyment of life. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine3.10-1.53
Placebo3.29-1.23

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Change From Baseline to 13 Week Endpoint in EuroQoL Questionnaire - 5 Dimension (EQ-5D)

The EQ-5D is an assessment of one's overall health. Consists of 5 items. Patients choose 1 of 3 options that best describe the status of each item. The EQ-5D US based index scores range from -0.11 to 1.0 where a score of 1.0 indicates perfect health. A positive change from baseline indicates health improvement. (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine0.680.09
Placebo0.660.08

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Severity: Pain Right Now Score

A self-reported scale that measures the severity of pain based on the pain right now. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine5.45-2.57
Placebo5.36-1.80

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Severity: Least Pain Score

A self-reported scale that measures the severity of pain based on the least pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine4.70-1.95
Placebo4.63-1.24

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Severity: Average Pain Score

A self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine6.09-2.54
Placebo6.16-1.78

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory Interference: Walking Ability

A self-reported scale that measures the interference of pain in the past 24 hours on walking ability. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00433290)
Timeframe: Baseline and 13 Weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline
Duloxetine5.41-2.63
Placebo5.54-2.07

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Average Change From Baseline to 12 Weeks in Blood Pressure

For each participant, changes across individual visits were averaged to obtain 1 measurement per participant. (NCT00437125)
Timeframe: baseline through 12 weeks

Interventionmillimeter mercury (Mean)
systolic blood pressure, standing; n=146diastolic blood pressure, standing; n=146systolic blood pressure, supine; n=145diastolic blood pressure, supine; n=145
Duloxetine-0.170.12-0.30-0.45

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Average Change From Baseline to 12 Weeks in Heart Rate

For each participant, changes across individual visits were averaged to obtain 1 measurement per participant. (NCT00437125)
Timeframe: baseline through 12 weeks

Interventionbeats per minute (Mean)
standing, n=145supine, n=145
Duloxetine1.611.16

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Patient's Global Impression-Improvement at Week 12

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. Scoring: 1=very much better; 2=much better; 3=low better; 4=no change; 5=low worse; 6=much worse; 7=very much worse. (NCT00437125)
Timeframe: 12 weeks

Interventionparticipants (Number)
score=1score=2score=3score=4score=5score=6score=7
Duloxetine5633810300

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Change From Baseline to 12 Weeks on the Unified Parkinson's Disease Rating Scale (UPDRS) Total Score

Rating tool to follow the longitudinal course of Parkinson's Disease. It is composed of Section I: Mentation, Behavior, and Mood; Section II: Activities of Daily Living; Section III: Motor Examination; Section IV: Complications of therapy. These are evaluated by interview. Some sections require that multiple grades be assigned to each extremity. Only Sections II and III were rated in this study. A total of 160 points are possible (52 in Section II and 108 in Section III), where 0 represents no disability and 160 indicates maximal grade of disability. (NCT00437125)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Mean)
baseline; n=151change; n=149
Duloxetine32.0-0.3

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Change From Baseline to 12 Weeks on the UKU (Udvalg for Kliniske Undersogelser: Committee for Clinical Investigations) Side Effect Rating Scale

Clinician-rated scale, providing side effect ratings of psychopharmacological medications. 48 items, each item is rated on a 4-point scale (0=not present; 1=mild; 2=moderate; 3=severe). The test is divided in 6 subscales, total scores for each subscale are calculated based on a weighted secondary scoring system. Subscales: psychic (score range:0-30), neurological (score range:0-24), autonomic (score range:0-33), other (score range:0-75), global assesment by subject (score range:0-3), and global assessment by doctor (score range:0-3). Higher ratings indicate greater impairment. (NCT00437125)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Mean)
Psychic subscale, baseline; n=136Psychic subscale, change; n=114Neurological subscale, baseline; n=132Neurological subscale, change; n=112Autonomic subscale, baseline; n=132Autonomic subscale, change; n=113Other subscale, baseline; n=49Other subscale, baseline; n=35Global assessment by participant, baseline; n=150Global assessment by participant, change; n=129Global assessment by doctor, baseline; n=150Global assessment by doctor, change; n=129
Duloxetine6.8-3.54.2-1.21.9-0.60.90.20.20.10.10.1

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Change From Baseline to 12 Weeks in Parkinson Disease Questionnaire - 39 Item Version (PDQ-39) Total Score

The PDQ-39 has 39 items. Higher scores reflect lower quality of life. The PDQ-39 has eight subscales: mobility (10 items), activities of daily living (six items), emotional wellbeing (six items), stigma (four items), social support (three items), cognition (four items), communication (three items), and bodily discomfort (three items). Items in each subscale, as well in the total scale, can be summarized into an index and transformed linearly to a 0-100 scale. (NCT00437125)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Mean)
baseline; n=147change; n=118
Duloxetine32.9-7.7

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Change From Baseline to 12 Weeks in Visual Analog Scale (VAS)

VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 100 millimeter (mm) line between two anchors (0= no pain and 100=very severe pain). Here, the line was only 93 mm long due to an error on the clinical research form and scores were adjusted to 0 to 93. (NCT00437125)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Mean)
Overall pain, baseline; n=147Overall pain, change; n=146Headaches, baseline; n=147Headaches, change; n=146Back ache, baseline; n=147Back ache, change; n=146Shoulder pain, baseline; n=147Shoulder pain, change; n=146Interference, baseline; n=147Interference, change; n=146Pain while awake, baseline; n=147Pain while awake, change; n=146
Duloxetine30.5-5.115.9-5.434.9-10.226.7-10.330.4-8.231.7-9.9

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Change From Baseline to 12 Weeks on the 17-item Hamilton Depression Rating Scale (HAMD-17) Total Score

The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00437125)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Mean)
baselinechange
Duloxetine19.2-10.1

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Change From Baseline to 12 Weeks on the Clinical Global Impression-Severity Scale

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00437125)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Mean)
baselinechange
Duloxetine4.0-1.5

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Change From Baseline on the Pittsburgh Sleep Quality Index (PSQI)

"Self-rated questionnaire which assesses sleep quality and disturbances over a 1-month time interval. 19 individual items generate seven component scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction. The subject self-rates each of these seven areas of sleep. Scoring of answers is based on a 0 to 3 scale, whereby 3 reflects the negative extreme on the Likert Scale. The total score is the sum of the 7 component scores (total score range: 0-21)." (NCT00437125)
Timeframe: baseline, 4 weeks, 8 weeks, 12 weeks

Interventionunits on a scale (Mean)
baseline, n=1474 weeks change, n=1348 weeks change, n=13412 weeks change, n=134
Duloxetine8.6-2.8-3.3-3.2

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Number of Participants With Abnormal Electrocardiograms (ECG) During the 12 Week Study

Included were participants with normal ECG at baseline who developed abnormal ECGs during the study. (NCT00437125)
Timeframe: baseline through 12 weeks

Interventionparticipants (Number)
Duloxetine3

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Number of Participants Who Responded to Treatment by 12 Weeks

Response was defined as a >= 50% reduction in 17-item Hamilton Depression rating scale (HAMD) scores. The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00437125)
Timeframe: 12 weeks

Interventionparticipants (Number)
Duloxetine90

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Number of Participants Who Reached Remission by 12 Weeks

Remission was defined as reaching a 17-item Hamilton Depression Rating Scale (HAMD) total score <=7. The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00437125)
Timeframe: 12 weeks

Interventionparticipants (Number)
Duloxetine68

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Number of Participants Reporting Serious Adverse Events or Other Adverse Events Leading Either to Discontinuation or to Death

The results reported are the number of participants who discontinued the study as a result of an adverse event (serious or other) or death. (NCT00437125)
Timeframe: baseline through 12 weeks

Interventionparticipants (Number)
Duloxetine13

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Change From Baseline to 12 Weeks in Beck Depression Inventory (BDI) Total Score

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00437125)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Mean)
baseline, n=149change, n=122
Duloxetine21.6-12.0

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Panic Attack Scale (PAS)

The PAS is a measure that assesses participants' total number of panic attacks (situational and unexpected with full and limited symptoms), as well as anticipatory anxiety, since last visit. There is no total score. (NCT00438971)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Duloxetine0.90

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Sheehan Disability Scale (SDS)

The SDS is a 3-item measure with each item rated on a 10-point scale. The SDS measures the extent to which work/school, social life, and home life or family responsibilities are impaired by symptoms. Total scores range from 0 to 30, with higher scores reflecting greater impairment. (NCT00438971)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Duloxetine9.40

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Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q)

The Q-LES-Q is a self-report measure of the degree of enjoyment and satisfaction experienced by subjects in various areas of daily functioning. Only the first 14 items are included in scoring, which ranges from 14 to 70, with higher scores reflecting greater enjoyment and satisfaction. The last two items are not included in the total score but are standalone items. (NCT00438971)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Duloxetine49.3

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Panic Disorder Severity Scale (PDSS)

The PDSS contains seven items assessing multiple dimensions of panic disorder severity, including (a) frequency of panic attacks, (b) distress during panic attacks, (c) anticipatory anxiety, (d) agoraphobic fear and avoidance, (e) interoceptive fear and avoidance, (f) impairment of work functioning, and (g) impairment of social functioning. The PDSS ranges from 0 to 28, with higher ratings reflecting greater degrees of symptom severity. (NCT00438971)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Duloxetine9.13

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Montgomery Asberg Depression Rating Scale (MADRS)

The MADRS is a 10-item clinician rating of depressive symptoms. Scores range from 0 to 60, with higher scores reflecting greater symptom severity. (NCT00438971)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Duloxetine9.07

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Longitudinal Interval Follow-up Evaluation Range of Impaired Functioning Tool (LIFE-RIFT)

The LIFE-RIFT is a brief measure of psychosocial functioning in work, interpersonal relations, satisfaction, and recreation. Scores on the LIFE-RIFT can range from 4, indicating very good functioning (no impairment) in all of the 4 component areas, to 20, indicating very poor functioning (severe impairment) in all of the 4 areas. (NCT00438971)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Duloxetine9.33

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Clinical Global Impression of Severity Scale (CGI-S)

The CGI-S is a clinician-rated instrument used to assess global severity of symptoms. The CGI-S ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill). Remission was defined strictly as a CGI-S score of 1 or 2 (not at all ill or borderline ill) and zero panic attacks at endpoint. (NCT00438971)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Duloxetine3.47

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Beck Anxiety Inventory (BAI)

The BAI is a 21-item self-report measure of anxiety with a focus on somatic symptoms. Total scores range from 0 to 63, with higher scores reflecting greater symptom severity. (NCT00438971)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Duloxetine14.7

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Change in Frequency of Migraine Days During the Last 28 Day Interval of the Treatment Period as Compared to the 28 Day Baseline Period.

Change in frequency of migraine days from day -28 to day 0 (28 days) was compared to frequency of migraine days from day 56-84 (final 28 days of study). (NCT00443352)
Timeframe: Change in frequency of migraine days from day -28 to day 0 (28 days) was compared to frequency of migraine days from day 56-84 (final 28 days of study).

Interventiondays (Mean)
Duloxetine4.5

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Percent Change in Worst Pain Score

Weekly mean of 24 hour Worst Pain Score, percent change from baseline. Range is 0-10 with 0= no pain and 10= worst possible pain. (NCT00457730)
Timeframe: at week 6

Interventionpercent reduction on 0-10 analog scale (Mean)
Duloxetine-29.1
Placebo-11.5

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Percent Change in Average Pain Score.

Percent change in Weekly mean of 24 hour Average pain Score, Week 6 vs. baseline. Range is 0-10 with 0= no pain and 10= worst possible pain. (NCT00457730)
Timeframe: at week 6

Interventionpercent reduction on 0-10 analog scale (Mean)
Duloxetine-38.5
Placebo-10.4

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Global Impression of Change

"global impression: How do you feel about the effects of the medication over the past 7 days? 7 point scale, 7 = delighted, 1= terrible" (NCT00457730)
Timeframe: Week 6 vs baseline

Interventionunits on a scale (Mean)
Duloxetine4.77
Placebo3.94

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QLESQ (Quality of Life, Enjoyment, and Satisfaction Questionnaire) - First and Last Visit (Week 0 and Week 17)

"Quality of life, such that lower score reflects poorer quality of life~Minimum score: 16 Maximum score: 80" (NCT00464698)
Timeframe: Week 0 to 17

Interventionunits on a self-report questionnaire (Mean)
Baseline Q-LES-Q (Week 0)Final Visit Q-LES-Q (Week 17)
Duloxetine70.1474.55

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Clinical Global Impressions Scale at Week 3 and Week 17

"Global severity of illness, such that a higher score reflects worse global severity~Minimum score: 2 Maximum score: 14" (NCT00464698)
Timeframe: Week 3 to 17

Interventionunits on a self-report questionnaire (Mean)
Baseline CGI (Week 3)Final Visit CGI (Week 17)
Duloxetine4.02.70

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BDI (Beck Depression Inventory) - First and Last Visit (Week 0 and Week 17).

"Depression severity, such that higher scores on the BDI are reflective of more severe depression.~BDI minimum score: 0 MDI maximum score: 63" (NCT00464698)
Timeframe: Week 0 to 17

Interventionunits on a self-report questionnaire (Mean)
Baseline BDI (Week 0)Final Visit BDI (Week 17)
Duloxetine10.306.95

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BAI (Beck Anxiety Inventory) - First and Last Visit (Week 0 and Week 17)

"Anxiety severity, such that a higher score on the BAI reflects more severe anxiety.~Minimum value: 0 Maximum value: 63" (NCT00464698)
Timeframe: Week 0 to 17

Interventionunits on a self-report questionnaire (Mean)
Baseline BAI (Week 0)Final Visit BAI (Week 17)
Duloxetine10.706.75

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Y-BOCS Scores at 1st and Last Visit

OCD symptom change. This is the intention-to-treat analyses (with all 20 subjects included) rather than just the subjects who completed the treatment. (NCT00464698)
Timeframe: Week 0 to 17

Interventionunits on a scale (Mean)
Baseline YBOCS scoreFinal YBOCS score
Duloxetine27.4520.45

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The Primary Outcome Measure Was a Patient Global Assessment of Change (PGIC) Scale.

The primary outcome measure was a Patient Global Assessment of Change (PGIC) scale which reports the patient's overall view of any changes in their overall status since their sphincterotomy treatment. (1=Very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, 7=very much worse). Success was defined as 3-month PGIC score of much or very much improved (PGIC of either 1 or 2). Patients missing the 3 month visit were considered failures for the primary outcome. (NCT00471315)
Timeframe: 3 months

Interventionunits on a scale (Mean)
Duloxetine3.3

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Toleration of the Medication as Measured by the Duloxetine Compliance Rate

The secondary outcome measure of the study was number of patients who remained on Duloxetine at the completion of the study. (NCT00471315)
Timeframe: 3 Months

Interventionparticipants (Number)
Duloxetine10

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Change in Average Pain From Week 1 to Week 5, as Measured by the BPI-SF Average Pain Severity Item

Change in average pain from Week 1 to Week 5, measured on day 1 of Weeks 1 and 6 by the Brief Pain Inventory Short Form (BPI-SF) was calculated as value at Day 1 of Week 1 minus value at Day 1 of Week 6 to yield positive improvement values. The BPI-SF contains 4 items assessing average, worst, least, and intermediate pain severity in the last 24 hours. Pain severity items are scored using an 11-point numeric rating scale (0, no pain; 10, pain as bad as you can imagine). Average pain severity was chosen as the primary outcome based on recommendations from the Initiative on Methods, Measurements, and Pain Assessment in Clinical Trials (IMMPACT). Patients completed the BPI-SF when thinking only about pain from peripheral neuropathy. The Cronbach's alpha reliability for the BPI ranges between 0.77 and 0.91. The comparison of interest was the difference between the 2 treatment groups in pain change during the initial treatment period. (NCT00489411)
Timeframe: Day 1 of Week 1 to Day 1 of Week 6

Interventionunits on a scale (Mean)
Arm I/Group A (Duloxetine Then Placebo)1.06
Arm II/Group B (Placebo Then Duloxetine)0.34

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Change in Average Pain From Week 8 to Week 12, as Measured by the BPI-SF Average Pain Severity Item

Change in average pain from Week 8 to Week 12, measured on day 1 of Weeks 8 and 13 by the Brief Pain Inventory Short Form (BPI-SF) was calculated as value at Day 1 of Week 8 minus value at Day 1 of Week 13 to yield positive improvement values. The BPI-SF contains 4 items assessing average, worst, least, and intermediate pain severity in the last 24 hours. Pain severity items are scored using an 11-point numeric rating scale (0, no pain; 10, pain as bad as you can imagine). Average pain severity was chosen as the primary outcome based on recommendations from the Initiative on Methods, Measurements, and Pain Assessment in Clinical Trials (IMMPACT). Patients completed the BPI-SF when thinking only about pain from peripheral neuropathy. The Cronbach's alpha reliability for the BPI ranges between 0.77 and 0.91. The comparison of interest was the difference between the 2 treatment groups in pain change during the crossover treatment period. (NCT00489411)
Timeframe: Day 1 of Week 8 to Day 1 of Week 13

Interventionunits on a scale (Mean)
Arm I/Group A (Duloxetine Then Placebo)0.41
Arm II/Group B (Placebo Then Duloxetine)1.42

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Change in the Total Score of the FACT/COG-NTX From Week 1 to Week 5

Patient-reported QOL was assessed using the Functional Assessment of Cancer Treatment, Gynecologic Oncology Group Neurotoxicity (FACT/GOG-Ntx) subscale on day 1 of weeks 1, 6, 8, and 13. The instrument contains 11 questions, assessing numbness, tingling, and discomfort in the hands or feet; difficulty hearing; tinnitus; joint pain or muscle cramps; weakness; or trouble walking, buttoning buttons, or feeling small shapes when placed in the hand. Items are scored from 0 to 4 (o, not at all; 4, very much) and summed (total score range, 0-44, with higher scores indicating a worse outcome). A 2- to 3-point change is defined as a clinically meaningful improvement in QOL per published recommendations specific to similar measures. The Mean Change During Initial Treatment Period in the FACT/GOG-Ntx total score are reported for each treatment arm and was calculated as value at Day 1 of Week 1 minus value at Day 1 of Week 6 to yield positive improvement values. (NCT00489411)
Timeframe: Day 1 of Week 1 to Day 1 of Week 6

Interventionunits on a scale (Mean)
Arm I/Group A (Duloxetine Then Placebo)2.44
Arm II/Group B (Placebo Then Duloxetine)0.87

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Change From Baseline to 18 Weeks and 30 Weeks in Children's Depression Rating Scale-Revised (CDRS-R) Total Score

Measures presence and severity of depression. Consists of 17 items scored on a 1-5 or 1-7 scale. A rating of 1 indicates normal, thus the minimum score is 17. The maximum score is 113. In general, scores below 20 indicate an absence of depression; scores of 20 or 30 indicate borderline depression; scores of 40 to 60 indicate moderate depression. Baseline is the same timepoint (Week 0) for both comparisons, but due to differences in number of patients in both periods (II/III vs IV), the baseline values may be slightly different. (NCT00529789)
Timeframe: Week 0 (Baseline), 18 Weeks, 30 Weeks

Interventionunits on a scale (Mean)
18 Week Baseline (n=72)18 Week Change from Baseline (n=72)30 Week Baseline (n=45)30 Week Change from Baseline (n=45)
Duloxetine61.69-32.1161.8-38.8

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Adverse Events Leading to Discontinuation

A listing of adverse events leading to discontinuation from the study. Abbreviation in data table: ADHD = Attention-Deficit/Hyperactivity Disorder. (NCT00529789)
Timeframe: Week 0 (Baseline) to 30 Weeks

Interventionparticipants (Number)
Period II/III: NauseaPeriod II/III: Worsening of ADHDPeriod II/III: RashPeriod IV: Irritability
Duloxetine1111

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Change From Baseline to 18 Weeks and 30 Weeks in Clinical Global Impressions of Severity Scale (CGI-S)

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). Baseline is the same timepoint (Week 0) for both comparisons, but due to differences in number of patients in both periods (II/III vs IV), the baseline values may be slightly different. (NCT00529789)
Timeframe: Week 0 (Baseline), 18 Weeks, 30 Weeks

Interventionunits on a scale (Mean)
18 Week Baseline (n=72)18 Week Change from Baseline (n=72)30 Week Baseline (n=45)30 Week Change from Baseline (n=45)
Duloxetine4.5-2.114.5-2.7

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Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) During Period IV

The C-SSRS captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period. Some questions are yes/no and some are on a scale of 1 (low severity) to 5 (high severity). Completed suicide and non-fatal suicide events are yes/no questions and results presented are the number of participants with these events. Worsening of suicidal ideation was an increase in severity of suicidal ideation from baseline. (NCT00529789)
Timeframe: Between 18 and 30 Weeks

Interventionparticipants (Number)
Completed suicideNon-fatal suicide eventWorsening of Suicidal Ideation
Duloxetine001

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Number of Participants Meeting Criteria for Potentially Clinically Significant (PCS) Laboratory Analyte Values at Any Time During Period II/III

The results shown are for all laboratory analytes where PCS criteria were met, based on criteria used for adult studies. Criteria: High Alanine transaminase (>165 Units/Liter [U/L]); High Creatine Phosphokinase (females: >507 U/L; males:>594 U/L); Low Glucose (<2.498 millimoles/L); Low Hematocrit (females: <0.32; males <0.37); Low Hemoglobin (females <5.896 millimoles/L [mmol/L] iron; males <7.137 mmol/L iron); High Inorganic Phosphorus (>1.776 millimoles/L); Low Leukocyte Count (<2.8 X10^9/L). (NCT00529789)
Timeframe: Baseline to 18 Weeks

Interventionparticipants (Number)
High Alanine Transaminase (N=69))High Creatine Phosphokinase (N=69)Low Glucose (N=69)Low Hematocrit (N=60)Low Hemoglobin (N=67)High Inorganic Phosphorus (N=62)Low Leukocyte Count (N=68)
Duloxetine16181161

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Number of Participants Meeting Criteria for Potentially Clinically Significant (PCS) Laboratory Analyte Values at Any Time During Period IV

The results shown are for all laboratory analytes where PCS criteria were met, based on criteria used for adult studies. Criteria: High Alkaline Phosphatase (>420 Units/Liter [U/L]); Low Hematocrit (females <0.32; males <0.37); High Inorganic Phosphorus (>1.776 millimoles/L). (NCT00529789)
Timeframe: Between 18 and 30 Weeks

Interventionparticipants (Number)
High Alkaline Phosphatase (N=42)Low Hematocrit (N=39)High Inorganic Phosphorus (N=39)
Duloxetine113

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Number of Participants Meeting Criteria for Potentially Clinically Significant Electrocardiograms at Any Time in Period II/III

Total number of patients with any abnormal post-baseline values, based on all values at scheduled and unscheduled visits. Criteria: High QRS Interval = ≥100 milliseconds (msec); High QTc Bazette's or Fredericia's correction - Female = ≥470 msec; High QTc Bazette's or Fredericia's correction - Male = ≥450 msec. (NCT00529789)
Timeframe: Baseline to 18 Weeks

Interventionparticipants (Number)
High QRS Interval (N=63)High QTc Bazette's Correction (N=64)High QTc Fredericia's Correction (N=65)
Duloxetine120

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Number of Participants Meeting Criteria for Potentially Clinically Significant Vital Sign Values at Any Time During Period II/III

Total number of patients with any abnormal post-baseline value, based on all values at scheduled and unscheduled visits. Criteria: High Diastolic Blood Pressure = increase of at least 5 mmHg to a value above the 95th percentile; High Systolic Blood Pressure = increase of at least 5 mmHg to a value above the 95th percentile; High Pulse = increase of at least 25 to a value of at least 110. (NCT00529789)
Timeframe: Baseline to 18 Weeks

Interventionparticipants (Number)
High Diastolic Blood PressureHigh Systolic Blood PressureHigh Pulse
Duloxetine22252

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Number of Participants Meeting Criteria for Potentially Clinically Significant Vital Sign Values at Any Time During Period IV

Total number of patients with any abnormal post-baseline value, based on all values at scheduled and unscheduled visits. Criteria: High Diastolic Blood Pressure = increase of at least 5 mmHg to a value above the 95th percentile; High Systolic Blood Pressure = increase of at least 5 mmHg to a value above the 95th percentile; High Pulse = increase of at least 25 to a value of at least 110. (NCT00529789)
Timeframe: Between 18 and 30 Weeks

Interventionparticipants (Number)
High Diastolic Blood PressureHigh Systolic Blood PressureHigh Pulse
Duloxetine310

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Pharmacokinetics: Summary of Observed Duloxetine Plasma Concentrations Stratified by Duloxetine Dose

Plasma samples were obtained at steady state, and approximately 95% of duloxetine concentrations were within the 24 hour dosing interval. (NCT00529789)
Timeframe: Weeks 2, 4, 6, 8, 10, 14, 18

Interventionnanograms per milliliter (ng/mL) (Mean)
Duloxetine Dose - 20 mg15.2
Duloxetine Dose - 30 mg20.8
Duloxetine - 60 mg41.1
Duloxetine Dose - 90 mg57.6
Duloxetine - 120 mg77.6

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Number of Participants With Potentially Clinically Significant Electrocardiograms at Any Time in Period IV

Total number of patients with any abnormal post-baseline values, based on all values at scheduled and unscheduled visits. Criteria: High QRS Interval = ≥100 milliseconds (msec); High QTc Bazette's or Fredericia's correction - Female = ≥470 msec; High QTc Bazette's or Fredericia's correction - Male = ≥450 msec. (NCT00529789)
Timeframe: Between 18 and 30 Weeks

Interventionparticipants (Number)
High QRS Interval (N=39)High QTc Bazette's Correction (N=41)High QTc Fredericia's Correction (N=41)
Duloxetine110

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Number of Participants With Emergence of Suicidal Ideation During Period II/III

Emergence of Any Suicidal Ideation: Item 13 of Children's Depression Rating Scale-Revised (CDRS-R) has possible scores of 1 (no thoughts of suicide) to 7 (contemplation of suicide). Emergence of suicidal ideation was defined as an increase in severity of suicidal ideation for those patients who did not have suicidal ideation at baseline (Week 0). (NCT00529789)
Timeframe: Baseline to 18 weeks

Interventionparticipants (Number)
Duloxetine2

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Number of Participants With Emergence of Suicidal Ideation During Period IV

Emergence of Any Suicidal Ideation: Item 13 of Children's Depression Rating Scale-Revised (CDRS-R) has possible scores of 1 (no thoughts of suicide) to 7 (contemplation of suicide). Emergence of suicidal ideation was defined as an increase in severity of suicidal ideation for those patients who did not have suicidal ideation at baseline (Week 0). (NCT00529789)
Timeframe: Week 0 and Between 18 and 30 Weeks

Interventionparticipants (Number)
Duloxetine0

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Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) During Period II/III

The C-SSRS captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period. Some questions are yes/no and some are on a scale of 1 (low severity) to 5 (high severity). Completed suicide and non-fatal suicide events are yes/no questions and results presented are the number of participants with these events. Worsening of suicidal ideation was an increase in severity of suicidal ideation from baseline. (NCT00529789)
Timeframe: Baseline to 18 Weeks

Interventionparticipants (Number)
Completed suicideNon-fatal suicide eventWorsening of Suicidal Ideation
Duloxetine011

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17-item Hamilton Depression Rating Scale

Standard 17-item rating scale for depression used in clinical trials. A score of 0-7 is considered to be normal. 8 - 13 mild depression. Scores of 20 or higher indicate moderate, severe, or very severe depression, and are usually required for entry into a clinical trial. Range of score: 0 - 50. (NCT00532480)
Timeframe: 8 weeks

Interventionunits on a scale (Mean)
Baseline 17-item HDRSPost-treatment 17-item HDRS
Duloxetine1910

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Change From Baseline to 9 Month Endpoint in Sheehan Disability Scale (SDS) Total Score and Subscores

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Individual item scores range from 0 to 10. Total scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. (NCT00536471)
Timeframe: Baseline, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
Work Life (n=22, n=8, n=22, n=7)Social Life (n=29, n=9, n=33, n=10)Family Life (n=29, n=9, n=33, n=10)Total Score (n=29, n=9, n=33, n=10)
Group A - Duloxetine-3.88-4.15-3.46-11.60
Group A - Placebo-4.01-4.35-2.99-11.15
Group B - Duloxetine-2.26-3.88-3.30-9.42
Group B - Placebo-2.16-3.66-3.07-8.67

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Path Analysis of BPOMS Total Score to Overall Improvement in HAMD-24 Item 7

Relative contribution of improvement on the mood states, defined by BPOMS total score (calculated from subscales) to overall improvement in work and activities, HAMD-24 item 7 using path analysis. (NCT00536471)
Timeframe: Over 12 weeks

,,,
Interventioncoefficient (Number)
Direct Treatment EffectIndirect Treatment Effect from BPOMS Total ScoreTotal Treatment Effect
Group A - Ordinary Coefficient-0.0320.3760.343
Group A - Standardized Coefficient-0.0120.1450.132
Group B - Ordinary Coefficient0.2190.2090.428
Group B - Standardized Coefficient0.0870.0830.170

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Path Analysis of BPOMS Total Score to Overall Improvement in HAMD-24 Item 7 - Percent of Total Effect

For Group A, at least one effect was in the opposite direction, percent of total effect was not calculated. (NCT00536471)
Timeframe: over 12 weeks

Interventionpercent of total effect (Number)
Direct Treatment EffectIndirect Treatment Effect from BPOMS Total ScoreTotal Treatment Effect
Group B - Percent of Total Effect51.1448.86100.00

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Path Analysis of BPOMS Total Score to Overall Improvement in SDS Total Score - Percent of Total Effect

For Group A, at least one effect was in the opposite direction, percent of total effect was not calculated. (NCT00536471)
Timeframe: Over 12 weeks

Interventionpercent of total effect (Number)
Direct Treatment EffectIndirect Treatment Effect from BPOMS Total ScoreTotal Treatment Effect
Group B - Percent of Total Effect35.1764.83100.00

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Path Analysis of BPOMS Total Score to Overall Improvement in Sheehan Disability Scale (SDS) Total Score

Relative contribution of improvement on the mood states, defined by BPOMS total score (determined from subscales) to overall improvement in SDS total score using path analysis. (NCT00536471)
Timeframe: over 12 weeks

,,,
Interventioncoefficient (Number)
Direct Treatment EffectIndirect Treatment Effect from BPOMS Total ScoreTotal Treatment Effect
Group A - Ordinary Coefficient-0.5772.7542.177
Group A - Standardized Coefficient-0.0320.1510.120
Group B - Ordinary Coefficient0.9551.7612.716
Group B - Standardized Coefficient0.0520.0950.147

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Probability of Remission at 12 Week Endpoint and Sustained Remission at 9 Month Endpoint

Probability of remission as measured by the HAMD17 Total Score ≤ 7 and by the QIDS16SR Total Score ≤ 5. The visitwise percentages of patients meeting criteria in the Acute Therapy Phase for remission (visitwise binary outcome, yes/no) will be analyzed using a categorical, pseudo-likelihood-based repeated measures approach. This analysis will include the fixed, categorical effects of treatment, investigator, visit, and treatment-by-visit interaction, as well as the continuous, fixed covariate of baseline score. (NCT00536471)
Timeframe: 12 weeks, 9 months

,,,
Interventionprobability of remission (Least Squares Mean)
12 Week HAMD-17 Total (n=194,n=59,n=195,n=64)12 Week QIDS16 Total Score (n=194,n=58,n=194,n=62)9 Month HAMD-17 Total Score (n=29,n=9,n=33,n=10)9 Month QIDS16 Total Score (n=29,n=9,n=33,n=9)
Group A - Duloxetine0.380.300.630.71
Group A - Placebo0.350.300.620.54
Group B - Duloxetine0.350.330.700.71
Group B - Placebo0.180.190.570.64

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Probability of Response at 12 Week Endpoint

Probability of response as measured by ≥ 50% Improvement in the HAMD17 Total Score and ≥ 50% Improvement in the QIDS16SR Total Score. The visitwise percentages of patients meeting criteria in the Acute Therapy Phase for response (visitwise binary outcome, yes/no) will be analyzed using a categorical, pseudo-likelihood-based repeated measures approach. This analysis will include the fixed, categorical effects of treatment, investigator, visit, and treatment-by-visit interaction, as well as the continuous, fixed covariate of baseline score. (NCT00536471)
Timeframe: 12 weeks

,,,
Interventionprobability of response (Least Squares Mean)
HAMD-17 Total Score (n=194,n=59,n=195,n=64)QIDS16 Total Score (n=194,n=58,n=194,n=62)
Group A - Duloxetine0.630.44
Group A - Placebo0.600.41
Group B - Duloxetine0.630.45
Group B - Placebo0.460.34

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Statistically Significant Abnormal Laboratory Values at 9 Month Endpoint

(NCT00536471)
Timeframe: 9 months

,,,
Interventionparticipants (Number)
Lymphocytes - High (n=189,n=59,n=196,n=66)Hemoglobin - Low (n=184,n=54,n=184,n=63)
Group A - Duloxetine15
Group A - Placebo42
Group B - Duloxetine12
Group B - Placebo14

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Statistically Significant Abnormal Laboratory Values at Anytime During 9 Months

(NCT00536471)
Timeframe: over 9 months

,,,
Interventionparticipants (Number)
Lymphocytes - High (n=189,n=59,n=196,n=66)Potassium - Low (n=194,n=59,n=202,n=67)
Group A - Duloxetine10
Group A - Placebo40
Group B - Duloxetine21
Group B - Placebo13

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Statistically Significant Abnormal Laboratory Values at Anytime/12 Week Endpoint

The number of participants with statistically significant abnormal lab values at anytime and at 12 week endpoint were the same. (NCT00536471)
Timeframe: over 3 months

,,,
Interventionparticipants (Number)
Lymphocytes - High (n=186,n=57,n=195,n=66)Potassium - Low (n=191,n=57,n=201,n=66)
Group A - Duloxetine10
Group A - Placebo30
Group B - Duloxetine21
Group B - Placebo13

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Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Bilirubin, Creatinine, Uric Acid

(NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionmicromole per Liter (Least Squares Mean)
Bilirubin - 12 Week ChangeCreatinine - 12 Week ChangeUric Acid - 12 Week ChangeBilirubin - 9 Month Change (n=193,n=60,n=202,n=66)Uric Acid - 9 Month Change (n=193,n=60,n=202,n=66)
Group A - Duloxetine0.10-1.56-2.77-0.13-2.11
Group A - Placebo-0.19-0.855.74-0.12-2.25
Group B - Duloxetine-0.51-1.21-12.36-0.56-8.66
Group B - Placebo0.130.827.050.256.50

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Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Chloride, Urea Nitrogen, Cholesterol, Sodium

(NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionmillimole per Liter (Least Squares Mean)
Chloride - 12 Week ChangeUrea Nitrogen - 12 Week ChangeChloride - 9 Month Change (n=193,n=60,n=202,n=66)Cholesterol - 9 Month (n=193,n=60,n=202,n=66)Sodium - 9 Month Change (n=193,n=60,n=202,n=66)
Group A - Duloxetine-0.80-0.06-0.74-0.06-1.67
Group A - Placebo0.240.260.54-0.30-0.73
Group B - Duloxetine-0.910.01-0.820.04-1.86
Group B - Placebo-0.390.15-0.31-0.08-1.73

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Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Hematocrit

(NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
InterventionProportion of 1.0 (Least Squares Mean)
Hematocrit - 12 Week ChangeHematocrit - 9 Month Change (n=194,n=59,=197,n=67)
Group A - Duloxetine-0.00-0.00
Group A - Placebo-0.01-0.00
Group B - Duloxetine0.000.00
Group B - Placebo-0.01-0.01

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Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Mean Cell Volume (MCV)

(NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionfemtoliter (Least Squares Mean)
MCV - 12 Week ChangeMCV - 9 Month Change (n=194,n=59,n=197,n=67)
Group A - Duloxetine0.981.07
Group A - Placebo1.301.66
Group B - Duloxetine0.710.88
Group B - Placebo-0.47-0.31

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Statistically Significant Changes in Baseline to 12 Week and 9 Month Endpoints Laboratory Values - Platelet Count

(NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
InterventionBillions per Liter (Least Squares Mean)
12 Week Change9 Month Change (n=191, n=58, n=194, n=67)
Group A - Duloxetine8.118.06
Group A - Placebo-7.10-10.17
Group B - Duloxetine10.555.96
Group B - Placebo12.0210.18

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Summary of Adverse Events Leading to Discontinuation

(NCT00536471)
Timeframe: over 9 months

,,,
Interventionparticipants (Number)
NauseaDizzinessHeadacheRashFatigueInsomniaSuicide attemptWeight increasedAbdominal pain lowerAbnormal dreamsAsthmaBlood pressure increasedChest painCompleted suicideConstipationCryingDepressionDiarrhoeaDisturbance in attentionDry mouthDysgeusiaHepatic function abnormalHerniaHyperhidrosisHypertensionInfluenzaIrritabilityLower gastrointestinal haemorrhageLower limb fractureManiaMigraineMuscular weaknessNon-cardiac chest painParanoiaPregnancyRestlessnessRoad traffic accidentRuptured cerebral aneurysmPneumoniaTremorUrinary hesitationUrinary retentionWound infection staphylococcalAnorgasmiaAstigmatismCardiac failure congestiveDepressive symptomDyspepsiaGamma-glutamyltransferase increasedHepatic enzyme increasedLibido decreasedNight sweatsMyocardial infarctionNightmarePalpitationsPruritusSexual dysfunctionSomnolenceSedationVomiting
Duloxetine (Escalated)010021100000001011000000100000000000000000001111110101001001
Duloxetine (Not Escalated)521222100101102001111111101101111011111101000000000000000100
Placebo (Not Rescued)012100121010010110000000011010000100000010100000000000000000
Placebo (Rescued)111000000000000001000000100000000000001000010000001010110010

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 21:Obsessional and Compulsive Symptoms

Measures obsessional and compulsive symptoms on a scale of 0 (absent) to 2 (severe). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.08-0.60
Group A - Placebo-0.06-0.54
Group B - Duloxetine-0.04-0.63
Group B - Placebo-0.06-0.56

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Change From Baseline to 8 Weeks in 24-Item Hamilton Depression Rating Scale (HAMD-24) Item 7 (Work and Activities)

Item 7 of the HAMD-24 assesses loss of interest or pleasure in work and activities and is an essential symptom in MDD. Scores range from 0 (no difficulty/no loss) to 4 (difficulty/loss). (NCT00536471)
Timeframe: baseline, 8 weeks

Interventionunits on a scale (Least Squares Mean)
Group A - Duloxetine-1.32
Group A - Placebo-1.07
Group B - Duloxetine-1.37
Group B - Placebo-0.93

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Change From Baseline to 9 Month Endpoint in HAMD-24 - Item 7:Work and Activities

Item 7 of the HAMD-24 assesses loss of interest or pleasure in work and activities and is an essential symptom in MDD. Scores range from 0 (no difficulty/no loss) to 4 (difficulty/loss). (NCT00536471)
Timeframe: Baseline, 9 months

Interventionunits on a scale (Least Squares Mean)
Group A - Duloxetine-2.43
Group A - Placebo-2.55
Group B - Duloxetine-1.66
Group B - Placebo-1.50

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Statistically Significant Changes in Baseline to 9 Month Endpoint Laboratory Values - Alkaline Phosphatase

(NCT00536471)
Timeframe: baseline, 9 months

InterventionUnits per Liter (Least Squares Mean)
Group A - Duloxetine-0.18
Group A - Placebo-2.30
Group B - Duloxetine0.23
Group B - Placebo-3.75

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Statistically Significant Changes in Baseline to 9 Month Endpoint Laboratory Values - Hemoglobin

(NCT00536471)
Timeframe: Baseline, 9 months

Interventionmillimoles per Liter (iron) (Least Squares Mean)
Group A - Duloxetine-0.13
Group A - Placebo-0.19
Group B - Duloxetine-0.01
Group B - Placebo-0.17

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Abnormal Vital Signs at 12 Week Endpoint

(NCT00536471)
Timeframe: 12 weeks

,,,
Interventionparticipants (Number)
Sitting Pulse Rate - HighWeight - GainWeight - LossSitting Systolic Blood Pressure - HighSitting Diastolic Blood Pressure - High
Group A - Duloxetine00000
Group A - Placebo00100
Group B - Duloxetine10240
Group B - Placebo00001

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Abnormal Vital Signs at 9 Month Endpoint

(NCT00536471)
Timeframe: 9 months

,,,
Interventionparticipants (Number)
Sitting Pulse - HighWeight - GainWeight - LossSitting Systolic Blood Pressure - HighSitting Diastolic Blood Pressure - High
Group A - Duloxetine02510
Group A - Placebo00100
Group B - Duloxetine13440
Group B - Placebo00001

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Abnormal Vital Signs at Anytime Over 12 Weeks

(NCT00536471)
Timeframe: over 12 weeks

,,,
Interventionparticipants (Number)
Sitting Pulse Rate - HighWeight - GainWeight - LossSitting Systolic Blood Pressure - HighSitting Diastolic Blood Pressure - High
Group A - Duloxetine10032
Group A - Placebo00110
Group B - Duloxetine10262
Group B - Placebo00003

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Abnormal Vital Signs at Anytime Over 9 Months

(NCT00536471)
Timeframe: over 9 months

,,,
Interventionparticipants (Number)
Sitting Pulse - HighWeight - GainWeight - LossSitting Systolic Blood Pressure - HighSitting Diastolic Blood Pressure - High
Group A - Duloxetine12542
Group A - Placebo00120
Group B - Duloxetine23574
Group B - Placebo00003

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Change From Baseline to 12 Week and 9 Month Endpoint in the Clinical Global Impression-Severity Scale (CGI-S)

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients. (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-1.93-2.14
Group A - Placebo-1.58-1.97
Group B - Duloxetine-1.97-2.61
Group B - Placebo-1.25-2.23

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Change From Baseline to 12 Week and 9 Month Endpoints in 16-Item Quick Inventory of Depressive Symptomatology Self Report (QIDS16SR) Total Score

A 16-item patient-rated measure of depressive symptomatology. The total score ranges from 0 to 27 with higher scores indicative of greater severity. (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=9)
Group A - Duloxetine-6.31-8.41
Group A - Placebo-5.65-6.85
Group B - Duloxetine-6.54-7.17
Group B - Placebo-5.21-6.15

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Change From Baseline to 12 Week and 9 Month Endpoints in Blood Pressure

Sitting systolic and diastolic blood pressure. (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionmm Hg (Least Squares Mean)
Systolic Blood Pressure (SBP) - 12 Week ChangeDiastolic Blood Pressure (DBP) - 12 Week ChangeSBP - 9 Month Change (n=28, n=9, n=33, n=10)DBP - 9 Month Change (n=28, n=9, n=33, n=10)
Group A - Duloxetine-0.120.48-1.18-2.25
Group A - Placebo0.05-0.58-0.441.46
Group B - Duloxetine0.731.97-2.22-1.52
Group B - Placebo-2.95-0.50-0.54-1.05

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 10:Anxiety (Psychic)

Measures anxiety on a scale of 0 (no difficulty) to 4 (fears expressed) (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-1.15-1.23
Group A - Placebo-0.90-1.13
Group B - Duloxetine-1.15-1.41
Group B - Placebo-0.81-1.70

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 11:Anxiety (Somatic)

Measures physiological concomitants of anxiety on a scale of 0 (absent) to 4 (incapacitating). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.61-0.98
Group A - Placebo-0.65-0.94
Group B - Duloxetine-0.68-1.20
Group B - Placebo-0.57-1.18

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 12:Somatic Symptoms/Gastrointestinal

Measures gastrointestical somatic symptoms on a scale of 0 (none) to 2 (difficulty eating, requires medication for symptoms). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.44-0.98
Group A - Placebo-0.52-0.94
Group B - Duloxetine-0.40-0.46
Group B - Placebo-0.32-0.47

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 13:Somatic Symptoms/General

Measures general somatic symptoms on a scale of 0 (none) to 2 (any clear-cut symptoms). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.91-1.36
Group A - Placebo-0.88-1.18
Group B - Duloxetine-0.75-0.94
Group B - Placebo-0.49-0.83

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 14:Genital Symptoms

Measures genital symptoms (loss of libido, menstrual disturbances) on a scale of 0 (absent) to 2 (severe). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.57-0.89
Group A - Placebo-0.54-0.77
Group B - Duloxetine-0.55-0.68
Group B - Placebo-0.40-0.30

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 15:Hypochondriasis

Measures hypochondriasis on a scale of 0 (not present) to 4 (hypochondriacal delusions). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.36-0.44
Group A - Placebo-0.41-0.53
Group B - Duloxetine-0.52-0.61
Group B - Placebo-0.41-0.41

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 16:Loss of Weight

Measures weight loss since last visit on a scale of 0 (no weight loss) to 2 (definite weight loss caused by present illness). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.21-0.44
Group A - Placebo-0.20-0.53
Group B - Duloxetine-0.25-0.61
Group B - Placebo-0.24-0.41

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 17:Insight

Measures insight on a scale of 0 (acknowledges being depressed and ill) to 2 (denies being ill at all). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.08-0.44
Group A - Placebo-0.07-0.53
Group B - Duloxetine-0.01-0.61
Group B - Placebo-0.01-0.41

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 18A:Diurnal Variation

Measures whether symptoms are worse in morning or evening on a scale of 0 (no variation), 1 (worse in morning), or 2 (worse in evening). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.32-0.56
Group A - Placebo-0.36-0.26
Group B - Duloxetine-0.45-0.77
Group B - Placebo-0.13-0.70

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 18B:Diurnal Variation-Severity

Measures the severity of the diurnal variation on a scale of 0 (none) to 2 (severe). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=8, n=32, n=10)
Group A - Duloxetine-0.43-0.60
Group A - Placebo-0.49-0.54
Group B - Duloxetine-0.42-0.63
Group B - Placebo-0.21-0.56

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 19: Depersonalization and Derealization

Measures feelings of unreality on a scale of 0 (absent) to 4 (incapacitating). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.19-0.60
Group A - Placebo-0.21-0.54
Group B - Duloxetine-0.15-0.63
Group B - Placebo-0.14-0.56

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 2:Feelings of Guilt

Measures feelings of guilt on a scale of 0 (absent) to 4 (very guilty). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-1.19-1.32
Group A - Placebo-1.06-1.21
Group B - Duloxetine-1.15-1.37
Group B - Placebo-0.89-1.16

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 20:Paranoid Symptoms

Measures paranoid symptoms on a scale of 0 (none) to 2 (severe). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.15-0.60
Group A - Placebo-0.12-0.54
Group B - Duloxetine-0.13-0.63
Group B - Placebo-0.11-0.56

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 22B:Helplessness

Measures feelings of helplessness on a scale of 0 (absent) to 4 (severe). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.95-1.16
Group A - Placebo-0.88-0.90
Group B - Duloxetine-0.98-1.34
Group B - Placebo-0.81-1.24

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 23B:Hopelessness

Measures feelings of hopelessness on a scale of 0 (absent) to 4 (expresses feelings of discouragement, despair, and/or pessimism about the future which cannot be dispelled). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.87-1.23
Group A - Placebo-0.74-1.34
Group B - Duloxetine-0.80-0.92
Group B - Placebo-0.51-0.85

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 24B:Worthlessness

Measures feelings of worthlessness on a scale of 0 (absent) to 4 (severe). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-1.00-1.23
Group A - Placebo-0.95-1.34
Group B - Duloxetine-0.95-0.92
Group B - Placebo-0.79-0.85

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 3:Suicide

Measures thoughts of suicide on a scale of 0 (absent) to 4 (attempts suicide). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 Months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n= 9, n=33, n=10)
Group A - Duloxetine-0.46-1.32
Group A - Placebo-0.30-1.21
Group B - Duloxetine-0.40-1.37
Group B - Placebo-0.29-1.16

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 4:Insomnia Early

Measures early insomnia on a scale of 0 (no difficulty falling asleep) to 2 (complains of nightly difficulty falling asleep). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.72-0.85
Group A - Placebo-0.61-0.77
Group B - Duloxetine-0.68-0.71
Group B - Placebo-0.46-0.86

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 5:Insomnia Middle

Measures middle insomnia on a scale of 0 (no difficulty) to 2 (waking during the night). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.69-0.99
Group A - Placebo-0.74-0.92
Group B - Duloxetine-0.66-0.99
Group B - Placebo-0.59-0.67

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 6:Insomnia Late

Measures late insomnia on a scale of 0 (no difficulty) to 2 (unable to fall asleep again if gets out of bed). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.66-0.94
Group A - Placebo-0.49-0.87
Group B - Duloxetine-0.57-0.78
Group B - Placebo-0.45-0.52

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 8:Retardation

Measures slowness of thought and speech; impaired ability to concentrate; decreased motor activity on a scale of 0 (normal speech and thought) to 4 (complete stupor). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.72-0.89
Group A - Placebo-0.69-0.90
Group B - Duloxetine-0.66-1.66
Group B - Placebo-0.51-1.50

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Change From Baseline to 12 Week and 9 Month Endpoints in HAMD-24 - Item 9:Agitation

Measures agitation on a scale of 0 (none) to 4 (hand-wringing, nail-biting) (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-0.47-0.53
Group A - Placebo-0.48-0.61
Group B - Duloxetine-0.44-0.57
Group B - Placebo-0.41-0.78

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Change From Baseline to 12 Week and 9 Month Endpoints in Pain Numerical Rating Scale (NRS)

Item 1=Average musculoskeletal pain severity over the last week as measured by an 11-point Likert scale. Scores range from 0 (no pain) to 10 (worst possible pain). Item 7=How much they have been bothered by pain over the last week. Scores range from 0 (not bothered at all)to 10 (extremely bothered). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
Item 1 - 12 Week ChangeItem 7 - 12 Week ChangeItem 1 - 9 Month Change (n=29, n=9, n=33, n=10)Item 7 - 9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-1.14-1.33-1.30-1.56
Group A - Placebo-1.35-1.73-0.10-0.42
Group B - Duloxetine-0.96-1.14-2.10-2.24
Group B - Placebo-1.16-1.36-2.36-2.11

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Change From Baseline to 12 Week and 9 Month Endpoints in Pulse Rate

(NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionbeats per minute (Least Squares Mean)
12 Week Change9 Month Change (n=28, n=9, n=33, n=10)
Group A - Duloxetine1.401.08
Group A - Placebo-1.52-0.30
Group B - Duloxetine0.681.18
Group B - Placebo-2.05-3.04

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Change From Baseline to 12 Week and 9 Month Endpoints in the 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score and HAMD-24 Subscales (8 Week Endpoint for Maier Subscale)

The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). Please see baseline demographics for subscale total scores. (NCT00536471)
Timeframe: Baseline, 8 weeks, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
Total Score 12 Week Change (n=194,n=59,n=195,n=64)Maier 8 Week Change (n=214,n=102,n=220,n=110)Anxiety 12 Week Change (n=194,n=59,n=195,n=64)Bech 12 Week Change (n=194,n=59,n=195,n=64)Retardation 12 Week Change (n=194,n=59,n=195,n=64)Sleep 12 Week Change (n=194,n=59,n=195,n=64)Total Score 9 Month Change (n=29,n=9,n=33,n=10)Anxiety 9 Month Change (n=29,n=9,n=33,n=10)Bech 9 Month Change (n=29,n=9,n=33,n=10)Retardation 9 Month Change (n=29,n=9,n=33,n=10)Sleep 9 Month Change (n=29,n=9,n=33,n=10)
Group A - Duloxetine-12.64-6.11-3.52-7.38-4.72-2.08-14.38-4.09-8.56-5.35-2.77
Group A - Placebo-10.33-4.69-3.12-6.17-4.06-1.72-13.38-3.88-8.02-5.83-2.56
Group B - Duloxetine-12.11-6.13-3.52-6.98-4.49-1.91-9.56-3.44-5.80-3.68-2.55
Group B - Placebo-8.48-4.45-2.44-4.70-3.05-1.48-5.92-2.77-4.35-2.52-1.95

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Change From Baseline to 12 Week and 9 Month Endpoints in the HAMD-24 Item 1:Depressed Mood

Measures depressed mood on a scale of 0 (absent) to 4 (very depressed). (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=33, n=10)
Group A - Duloxetine-1.86-1.44
Group A - Placebo-1.52-1.26
Group B - Duloxetine-1.78-1.98
Group B - Placebo-1.15-1.65

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Change From Baseline to 12 Week and 9 Month Endpoints in the HAMD-24 Total Score

(NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=8, n=32, n=10)
Group A - Duloxetine-16.24-17.05
Group A - Placebo-13.24-15.22
Group B - Duloxetine-15.60-13.49
Group B - Placebo-10.94-9.12

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Change From Baseline to 12 Week and 9 Month Endpoints in the Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (MGH-CPFQ)

A 7-item patitent-rated questionnaire pertaining to a patient's cognitive and physical well-being. It assesses motivation, wakefulness, energy, focus, recall, word-finding difficulty, and mental acuity. Each of the 7 questions is scored on a 6-point scale ranging fom 1 (greater than normal) to 6 (totally absent). Total score ranges from 7 to 42. (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=29, n=9, n=32, n=10)
Group A - Duloxetine-7.60-7.17
Group A - Placebo-6.39-7.13
Group B - Duloxetine-7.96-8.19
Group B - Placebo-6.85-6.77

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Change From Baseline to 12 Week and 9 Month Endpoints in the Social Adaptation Self-evaluation Scale (SASS) Total Score

A 21-item self-rated scale that evaluates patient social motivation and behavior in depression. Each of the 21 items is scored from 0 (minimal social adjustment) to 3 (maximal social adjustment). Total score ranges from 0 to 60. (NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
12 Week Change9 Month Change (n=28, n=9, n=30, n=10)
Group A - Duloxetine7.188.00
Group A - Placebo3.405.30
Group B - Duloxetine7.5413.81
Group B - Placebo4.529.28

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Change From Baseline to 12 Week and 9 Month Endpoints in Weight

(NCT00536471)
Timeframe: Baseline, 12 weeks, 9 months

,,,
Interventionkilograms (Least Squares Mean)
12 Week Change9 Month Change (n=28, n=9, n=33, n=10)
Group A - Duloxetine-0.54-1.18
Group A - Placebo0.38-0.44
Group B - Duloxetine-0.38-0.94
Group B - Placebo-0.230.06

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Change From Baseline to 12 Week Endpoint in 30-Item Brief Profile of Mood States (BPOMS) Scale and Subscales (Tension-Anxiety, Depression-Dejection, Anger-Hostility, Vigor-Activity, Fatigue-Inertia, and Confusion-Bewilderment).

The 30-item BPOMS measures mood states and has 6 factors: tension-anxiety, depression-dejection, anxiety-hostility, fatigue, confusion, and vigor. Item scores: 0 (not at all) to 4 (extremely). Each factor scores range from 0 to 20. The Total score is sum of all factor scores minus the factor score for vigor (Total=Ten+Dep+Ang+Fat+Con-Vig). (NCT00536471)
Timeframe: Baseline, 12 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
Total Score (n=192,n=54,n=185,n=61)Tension-Anxiety (n=193,n=58,n=193,n=62)Depression-Dejection (n=193,n=58,n=191,n=62)Anger-Hostility (n=193,n=58,n=192,n=63)Vigor-Activity (n=192,n=55,192,n=63)Fatigue-Inertia (n=193,n=57,n=190,n=63)Confusion-Bewilderment (n=192,n=58,n=189,n=62)
Group A - Duloxetine-26.41-4.37-6.30-4.462.55-5.30-3.62
Group A - Placebo-18.88-3.20-4.64-3.091.82-4.68-2.86
Group B - Duloxetine-28.67-4.61-6.78-4.942.57-6.08-3.56
Group B - Placebo-22.67-4.05-5.03-3.631.48-5.54-3.10

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Change From Baseline to 12 Week Endpoint in Sheehan Disability Scale (SDS) Total Score and Subscores

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Individual item scores range from 0 to 10. Total scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. (NCT00536471)
Timeframe: Baseline, 12 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
Work Life (n=133,n=43,n=140,n=49)Social Life (n=194,n=59,n=195,n=63)Family Life (n=194,n=59,n=195,n=63)Total Score (n=195,n=59,n=195,n=63)
Group A - Duloxetine-2.47-2.93-2.81-8.32
Group A - Placebo-2.12-2.50-2.19-6.84
Group B - Duloxetine-1.98-2.67-2.66-7.70
Group B - Placebo-1.22-1.97-1.56-4.94

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Change From Baseline to 9 Month Endpoint in 30-Item Brief Profile of Mood States (BPOMS) Scale and Subscales (Tension-Anxiety, Depression-Dejection, Anger-Hostility, Vigor-Activity, Fatigue-Inertia, and Confusion-Bewilderment)

The 30-item BPOMS measures mood states and has 6 factors: tension-anxiety, depression-dejection, anxiety-hostility, fatigue, confusion, and vigor. Item scores: 0 (not at all) to 4 (extremely). Each factor scores range from 0 to 20. The Total score is sum of all factor scores minus the factor score for vigor (Total=Ten+Dep+Ang+Fat+Con-Vig). (NCT00536471)
Timeframe: Baseline, 9 months

,,,
Interventionunits on a scale (Least Squares Mean)
Total ScoreTension-AnxietyDepression-DejectionAnger-HostilityVigor-ActivityFatigue-InertiaConfusion-Bewilderment
Group A - Duloxetine-25.67-5.36-7.60-4.342.63-7.43-3.95
Group A - Placebo-22.99-4.18-6.49-3.383.11-7.40-2.47
Group B - Duloxetine-28.39-4.68-7.18-5.982.00-6.34-3.54
Group B - Placebo-25.51-3.50-5.56-4.993.04-7.03-3.07

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Change From Baseline at Week 12 in Average Pain Severity Rating Using Diaries for the Combined Duloxetine Arms (40 mg + 60 mg)

Average pain severity was measured using an 11-point numerical rating scale, collected by diaries and expressed as weekly mean. The scale is a self-reported instrument that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00552175)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo-1.61
Duloxetine 40 mg and 60 mg Combined-2.47

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Change From Baseline in Beck Depression Inventory-II (BDI-II) Total Score at Week 12

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score ranges from 0 (no depression) to 63 (severe depression). (NCT00552175)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Least Squares Mean)
Placebo-3.28
Duloxetine 40 mg-2.94
Duloxetine 60 mg-3.83

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Change From Baseline in Beck Depression Inventory-II (BDI-II) Total Score at Week 12 for the Combined Duloxetine Arms (40 mg + 60 mg)

A 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a four-point scale for each item ranging from 0 to 3. Total score ranges from 0 (no depression) to 63 (severe depression). (NCT00552175)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Least Squares Mean)
Placebo-3.27
Duloxetine 40 mg and 60 mg Combined-3.37

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Patient Global Impression of Improvement Scale at Week 12

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00552175)
Timeframe: Week 12

Interventionunits on a scale (Least Squares Mean)
Placebo3.18
Duloxetine 40 mg2.53
Duloxetine 60 mg2.52

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Patient Global Impression of Improvement Scale at Week 12 in Combined Duloxetine Arms (40 mg + 60 mg)

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00552175)
Timeframe: Week 12

Interventionunits on a scale (Least Squares Mean)
Placebo3.18
Duloxetine 40 mg and 60 mg Combined2.53

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Change From Baseline at Week 12 in Worst Pain Severity Score and Night Pain Severity Score Using Diaries

Pain severity for worst pain and night pain as measured by an 11-point numerical rating scale, collected by diaries and expressed as weekly means. A self-reported scale that measures the severity of pain based on the worst pain and night pain experienced over the past 24-hours. The worst pain and night pain severity scores each range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00552175)
Timeframe: Baseline, Week 12

,,
Interventionunits on a scale (Least Squares Mean)
Worst PainNight Pain
Duloxetine 40 mg-2.42-2.33
Duloxetine 60 mg-2.59-2.45
Placebo-1.55-1.56

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Change From Baseline at Week 12 in Average Pain Severity Rating Score Using Diaries

Average pain severity was measured using an 11-point numerical rating scale, collected by diaries and expressed as weekly mean. The scale is a self-reported instrument that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00552175)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Placebo-1.61
Duloxetine 40 mg-2.41
Duloxetine 60 mg-2.53

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Change From Baseline at Week 12 in Worst Pain Severity Score and Night Pain Severity Score Using Diaries for the Combined Duloxetine Arms (40 mg + 60 mg)

Pain severity for worst pain and night pain as measured by an 11-point numerical rating scale, collected by diaries and expressed as weekly means. A self-reported scale that measures the severity of pain based on the worst pain and night pain experienced over the past 24-hours. The worst pain and night pain severity scores each range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT00552175)
Timeframe: Baseline, 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
Worst PainNight Pain
Duloxetine 40 mg and 60 mg Combined-2.51-2.39
Placebo-1.55-1.56

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Change From Baseline in Brief Pain Inventory Interference Scores at Week 12

The Interference scores range from 0 (does not interfere) to 10 (completely interferes). There are 7 questions assessing the interference of pain in the past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Each question has a total range of scores from 0 to 10. (NCT00552175)
Timeframe: Baseline, Week 12

,,
Interventionunits on a scale (Least Squares Mean)
General ActivityMoodWalking AbilityNormal WorkRelation to PeopleSleepEnjoyment of LifeAverage of Interference Scores
Duloxetine 40 mg-2.48-2.18-2.32-1.84-1.16-2.26-1.96-2
Duloxetine 60 mg-2.1-2.39-2.31-1.9-1.49-2.05-2.35-2.08
Placebo-1.88-1.91-1.82-1.49-0.77-1.69-1.59-1.56

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Change From Baseline in Brief Pain Inventory Interference Scores at Week 12 for the Combined Duloxetine Arms (40 mg + 60 mg)

The Interference scores range from 0 (does not interfere) to 10 (completely interferes). There are 7 questions assessing the interference of pain in the past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Each question has a total range of scores from 0 to 10. (NCT00552175)
Timeframe: Baseline, Week 12

,
Interventionunits on a scale (Least Squares Mean)
General ActivityMoodWalking AbilityNormal WorkRelation to PeopleSleepEnjoyment of LifeAverage of Interference Scores
Duloxetine 40 mg and 60 mg Combined-2.29-2.28-2.31-1.86-1.32-2.15-2.15-2.04
Placebo-1.88-1.91-1.82-1.49-0.77-1.69-1.59-1.56

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Change From Baseline in Brief Pain Inventory Severity Scores at Week 12

A self-reported scale that measures the severity of pain. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). There are 4 questions assessing worst pain, least pain, and average pain in the past 24 hours, and the pain right now. Each question has a total range of scores from 0 to 10. (NCT00552175)
Timeframe: Baseline, Week 12

,,
Interventionunits on a scale (Least Squares Mean)
Worst PainLeast PainAverage PainPain Right Now
Duloxetine 40 mg-2.51-1.92-2.53-2.55
Duloxetine 60 mg-2.68-2.04-2.56-2.62
Placebo-1.62-1.13-1.55-1.67

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Change From Baseline in Brief Pain Inventory Severity Scores at Week 12 for the Combined Duloxetine Arms (40 mg + 60 mg)

A self-reported scale that measures the severity of pain. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). There are 4 questions assessing worst pain, least pain, and average pain in the past 24 hours, and the pain right now. Each question has a total range of scores from 0 to 10. (NCT00552175)
Timeframe: Baseline, Week 12

,
Interventionunits on a scale (Least Squares Mean)
Worst PainLeast PainAverage PainPain Right Now
Duloxetine 40 mg and 60 mg Combined-2.59-1.98-2.54-2.59
Placebo-1.62-1.13-1.54-1.67

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Change From Baseline in Mean Numeric Pain Rating Scale (NPRS) Score

The NPRS is an 11-point scale (0 to 10) with 0 indicating no pain and 10 indicating the worst possible pain. The mean of the daily average scores were calculated from the NPRS pain assessments obtained up to 3 times per day over a 7-day period. Least Squares (LS) means were calculated using analysis of covariance (ANCOVA) with treatment group as a main factor and baseline NPRS score as a covariate. Change from Baseline = NPRS at baseline - NPRS at Week 4; a positive number in the LS mean indicates a reduction in pain intensity from baseline. (NCT00603265)
Timeframe: Baseline, Week 4

Interventionunits on a scale (Least Squares Mean)
ADL58591.02
Duloxetine1.74
Placebo1.51

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Change From Baseline in the Evening Assessment of the 24-hour Overall Mean Pain Intensity Score

At each of the evening pain assessments, participants assessed their overall pain intensity over the preceding 24 hours using NPRS. The NPRS is an 11-point scale (0 to 10) with 0 indicating no pain and 10 indicating the worst possible pain. The mean of the daily average scores were calculated from the NPRS pain assessments obtained at Baseline and Week 4. Change from baseline = NPRS at baseline - NPRS at Week 4. (NCT00603265)
Timeframe: Baseline, Week 4

Interventionunits on a scale (Mean)
ADL58591.09
Duloxetine2.15
Placebo1.51

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Change in Sleep Interference Scale (SIS) From Baseline

"Sleep Interference was assessed on an 11-point Numeric Rating Scale where a score of 0 indicated pain did not interfere with sleep and a score of 10 indicated pain completely interfered with sleep. Here, n signifies Number of participants for Baseline and Month 3 telephone interview whereas n signifies number of observations for Month 1, 2, and 3 because a participant could have had multiple visits during Month 1, 2, and 3 as this was a non-interventional study with no scheduled study visits, except Baseline visit and the Month 3 telephone interview. LS means were calculated using ANCOVA with treatment group as a main factor and baseline SIS score as a covariate. Change from baseline = SIS score at baseline - SIS score at Week 4." (NCT00603265)
Timeframe: Baseline, Week 4

Interventionunits on a scale (Least Squares Mean)
ADL58591.92
Duloxetine2.27
Placebo1.56

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Percentage of Responders

A responder was defined as a participant who showed a reduction in average pain (as measured by NPRS) of at least 30% from baseline to Week 4. The NPRS is an 11-point scale (0 to 10) with 0 indicating no pain and 10 indicating the worst possible pain. The percentage of participants who qualified as responders is presented per treatment arm. (NCT00603265)
Timeframe: Baseline, Week 4

Interventionpercentage of participants (Number)
ADL585926.1
Duloxetine52.4
Placebo38.8

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Change From Baseline in NPRS After Walking 50 Feet in the Clinic

The mean of the daily average scores were calculated from the NPRS pain assessments obtained 1 time per week over a 4-week period. NPRS assessments were taken after the participant walked 50 feet in the clinic. The NPRS is an 11-point scale (0 to 10) with 0 indicating no pain and 10 indicating the worst possible pain. LS means were calculated using ANCOVA with treatment group as a main factor and baseline NPRS score as a covariate. Change from baseline = NPRS at baseline - NPRS at Weeks 1, 2, 3, and 4. (NCT00603265)
Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4

,,
Interventionunits on a scale (Least Squares Mean)
Week 1 (n=67, 59, 64)Week 2 (n=67, 61, 65)Week 3 (n=67, 61, 63)Week 4 (n=68, 61, 65)
ADL58590.880.931.241.29
Duloxetine1.421.752.252.36
Placebo1.001.231.431.79

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Change From Baseline in NPRS at Rest in the Clinic

The mean of the daily average scores were calculated from the NPRS pain assessments obtained 1 time per week over a 4-week period. NPRS assessments were taken while the participant was at rest. The NPRS is an 11-point scale (0 to 10) with 0 indicating no pain and 10 indicating the worst possible pain. LS means were calculated using ANCOVA with treatment group as a main factor and baseline NPRS score as a covariate. Change from baseline = NPRS at baseline - NPRS at Weeks 1, 2, 3, and 4. (NCT00603265)
Timeframe: Baseline, Week 1, Week 2, Week 3, Week 4

,,
Interventionunits on a scale (Least Squares Mean)
Week 1 (n=67, 59, 64)Week 2 (n=68, 61, 65)Week 3 (n=67, 61, 63)Week 4 (n=68, 61, 65)
ADL58590.700.800.921.13
Duloxetine1.151.441.952.03
Placebo0.751.161.271.59

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Patient Global Impression of Change (PGIC)

PGIC is a participant-rated instrument that measures the change in the participant's overall status for the previous 2 weeks based on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). The number of participants in each category is presented. (NCT00603265)
Timeframe: Week 4

,,
Interventionparticipants (Number)
Very Much ImprovedMuch ImprovedMinimally ImprovedNo ChangeMinimally WorseMuch WorseVery Much WorseNot Reported
ADL585972020190300
Duloxetine111517142112
Placebo111122210101

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Binge Eating Days

The mean number of binge days (days when the participant had one or more binge eating episodes) per week in the interval between visits (total number of binge days in the interval divided by number of days in the interval, then multiplied by 7). (NCT00607789)
Timeframe: 12 weeks

InterventionMean Number of days (Mean)
Duloxetine Group4.3
Placebo Group3.8

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Weekly Episodes

The weekly frequency of binge episodes after baseline (number of binge eating days during the 12-week period divided by 7) (NCT00607789)
Timeframe: 12 weeks

InterventionDays (Mean)
Duloxetine Group4.7
Placebo Group4.2

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Visual Analog Scale for Pain

"The primary outcome measure is the visual analog scale (VAS) for pain, a 10 cm line upon which the subject marks their intensity of pain. The line is anchored on the left as No pain at all and on the right as The worst pain imaginable. The score is the number of millimeters from the left origin of the line. The primary outcome measure for each period was the average value of all assessments for that period (2 weeks of measures for baseline, 6 weeks of measures for test drug alone, 6 weeks of measures for test drug plus gabapentin, and 2 weeks of measures for gabapentin alone)." (NCT00619983)
Timeframe: Study completion (16 weeks)

,,,
Interventionunits on a scale (Median)
Baseilne ( weeks)Test drug alone (6 weeks)Drug plus gabapentin (6 weeks)Gabapentin alone (2 weeks)
Donepezil3.34.12.92.2
Donepezil + Duloxetine5.85.23.94.3
Duloxetine6.42.92.73.0
Placebo4.93.94.14.1

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Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment

The Hamilton Anxiety Rating Scale (HAM-A) consists of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behaviour at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic, and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total score from 0 to 56. The higher the score, the more severe. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-9.57
Vortioxetine 2.5 mg-9.87
Vortioxetine 5 mg-10.7
Vortioxetine 10 mg-10.6
Duloxetine 60 mg-11.0

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Change From Baseline in ASEX Total Score After 8 Weeks of Treatment

"The Arizona Sexual Experience Scale (ASEX) is a 5-item, patient self-rated scale that evaluates a patient's recent sexual experience. Patients are asked to assess their own experience over the last week (for example, How strong is your sex drive?, Are your orgasms satisfying?) and respond on a 6-point scale for each item. The ASEX is used to identify individuals with sexual dysfunction. Possible total score ranges from 5 to 30, with the higher score indicating more patient sexual dysfunction. A negative change indicates a lower sexual dysfunction." (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-0.41
Vortioxetine 2.5 mg-0.53
Vortioxetine 5 mg-0.66
Vortioxetine 10 mg-0.62
Duloxetine 60 mg-0.38

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Change From Baseline in CGI-S Score After 8 Weeks of Treatment

The Clinical Global Impression - Severity of Illness (CGI-S) is a 7-point scale rated from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). The investigator should use his/her total clinical experience with this patient population to judge how mentally ill the patient is at the time of rating. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-1.64
Vortioxetine 2.5 mg-1.83
Vortioxetine 5 mg-1.81
Vortioxetine 10 mg-1.83
Duloxetine 60 mg-1.82

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Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment

The Hamilton Depression Scale - 24 Items (HAM-D-24) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 76. The higher the score, the more severe. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-13.3
Vortioxetine 2.5 mg-14.4
Vortioxetine 5 mg-15.0
Vortioxetine 10 mg-14.9
Duloxetine 60 mg-15.7

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Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment in Patients With Baseline HAM-A Total Score >=20

(NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-14.7
Vortioxetine 2.5 mg-14.3
Vortioxetine 5 mg-15.8
Vortioxetine 10 mg-15.8
Duloxetine 60 mg-17.3

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Change From Baseline in MADRS Total Score After 8 Weeks of Treatment

The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-14.8
Vortioxetine 2.5 mg-16.2
Vortioxetine 5 mg-16.5
Vortioxetine 10 mg-16.3
Duloxetine 60 mg-16.8

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Change From Baseline in SDS Total Score After 8 Weeks of Treatment

The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-6.11
Vortioxetine 2.5 mg-7.10
Vortioxetine 5 mg-6.52
Vortioxetine 10 mg-7.81
Duloxetine 60 mg-7.91

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Change in Clinical Status Using CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) is a 7-point scale rated from 1 (very much improved) to 7 (very much worse). The investigator rated the patient's overall improvement relative to baseline, whether or not, in the opinion of the investigator, this was entirely due to the drug treatment. (NCT00635219)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Placebo2.52
Vortioxetine 2.5 mg2.32
Vortioxetine 5 mg2.32
Vortioxetine 10 mg2.35
Duloxetine 60 mg2.31

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Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)

(NCT00635219)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo33.8
Vortioxetine 2.5 mg32.9
Vortioxetine 5 mg36.1
Vortioxetine 10 mg35.8
Duloxetine 60 mg34.9

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Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)

(NCT00635219)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo46.9
Vortioxetine 2.5 mg54.2
Vortioxetine 5 mg56.1
Vortioxetine 10 mg57.6
Duloxetine 60 mg57.1

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Number of Participants Who Experienced an Adverse Event (AE)

See the Reported Adverse Events section for details. (NCT00641719)
Timeframe: baseline through 1 year

,
Interventionparticipants (Number)
Serious Adverse EventsAdverse Events
Duloxetine 40 mg11126
Duloxetine 60 mg22121

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Change From Baseline to One Year Endpoint in Brief Pain Inventory (BPI) Interference Scores

Self-reported scale measures interference of pain on function in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life. Scores range from 0 (does not interfere) to 10 (completely interferes). Average interference = self-reported scale measures interference of pain on average of 7 questions assessing interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life. Average interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00641719)
Timeframe: baseline, 1 year

,
Interventionunits on a scale (Mean)
General ActivitiesMoodWalking AbilityNormal WorkRelation to PeopleSleepEnjoyment of LifeAverage Score
Duloxetine 40 mg-1.1-1.1-0.8-1.0-0.6-1.0-0.8-0.93
Duloxetine 60 mg-1.3-1.0-1.0-1.0-0.7-1.1-0.8-1.00

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Change From Baseline to One Year Endpoint in Brief Pain Inventory (BPI) Severity Scores

A self-reported scale that measures the severity of pain. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). There are 4 questions assessing worst pain, least pain, and average pain in the past 24 hours, and the pain right now. (NCT00641719)
Timeframe: baseline, 1 year

,
Interventionunits on a scale (Mean)
Worst PainLeast PainAverage PainPain Right Now
Duloxetine 40 mg-2.2-1.6-2.1-1.8
Duloxetine 60 mg-2.3-1.6-2.1-1.8

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Brief Pain Inventory (BPI) Severity Scores at One Year Endpoint

A self-reported scale that measures the severity of pain. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). There are 4 questions assessing worst pain, least pain, and average pain in the past 24 hours, and the pain right now. (NCT00641719)
Timeframe: 1 year

,
Interventionunits on a scale (Mean)
Worst PainLeast PainAverage PainPain Right Now
Duloxetine 40 mg2.41.31.81.7
Duloxetine 60 mg2.61.51.91.7

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Brief Pain Inventory (BPI) Interference Scores at One Year Endpoint

Self-reported scale measures interference of pain on function in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life. Scores range from 0 (does not interfere) to 10 (completely interferes). Average interference = self-reported scale measures interference of pain on average of 7 questions assessing interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, enjoyment of life. Average interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00641719)
Timeframe: 1 year

,
Interventionunits on a scale (Mean)
General ActivitiesMoodWalking AbilityNormal WorkRelation to PeopleSleepEnjoyment of LifeAverage Score
Duloxetine 40 mg1.41.21.41.21.01.21.21.21
Duloxetine 60 mg1.41.31.31.31.11.31.31.28

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Patient Global Impression of Improvement (PGI-I) Scale at One Year Endpoint.

A scale that measures the participant's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00641719)
Timeframe: 1 year

Interventionunits on a scale (Mean)
Duloxetine 40 mg2.1
Duloxetine 60 mg2.1

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Change From Baseline to One Year Endpoint in Beck Depression Inventory-II (BDI-II) Total Score

A 21-item, participant-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a 4-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00641719)
Timeframe: baseline, 1 year

Interventionunits on a scale (Mean)
Duloxetine 40 mg0.2
Duloxetine 60 mg-0.7

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Change From Baseline to One Year Endpoint for Patient Global Impression of Improvement (PGI-I) Scale

A scale that measures the participant's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00641719)
Timeframe: baseline, 1 year

Interventionunits on a scale (Mean)
Duloxetine 40 mg-0.9
Duloxetine 60 mg-1.0

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Beck Depression Inventory-II (BDI-II) Total Score at One Year Endpoint

A 21-item, participant-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a 4-point scale for each item ranging from 0 to 3. Total score of 0-13 is considered minimal range, 14-19 is mild, 20-28 is moderate, and 29-63 is severe. (NCT00641719)
Timeframe: 1 year

Interventionunits on a scale (Mean)
Duloxetine 40 mg6.3
Duloxetine 60 mg5.4

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Change From Baseline in Sheehan Disability Scale (SDS) Global Functional Impairment Score at 12-Week Endpoint (Functional Outcome Measure)

The SDS is a participant-rated anchored visual analog scale to assess disability across the three domains of work/school, social life, and family life, with each item scored from 0 (not at all) to 10 (very severely), with a summarization of the 3 items to evaluate global functioning. The Global Functional Impairment Score is a total score score that ranges from 0 (unimpaired) to 30 (highly impaired), and was used to derived the mean change from baseline to endpoint. (NCT00666757)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-13.56
Selective Serotonin Reuptake Inhibitor (SSRI)-11.53

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Change From Baseline in Sheehan Disability Scale (SDS) Family/Home Item Score at Week-12 Endpoint (Functional Outcome Measure)

The SDS is completed by the participant and Item 3 is used to assess the effect of the participant's symptoms on their family life/home responsibilities. Scores range from 0 to 10 with higher values indicating greater disruption in the participant's family life/home responsibilities. (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-4.51
Selective Serotonin Reuptake Inhibitor (SSRI)-3.94

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Change From Baseline in SDS Work/School Item Score at 12-Week Endpoint (Functional Outcome Measure)

The SDS is completed by the participant and Item 1 is used to assess the effect of the participant's symptoms on their work/school schedule. Scores range from 0 to 10 with higher values indicating greater disruption in the participant's work/school life. (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-4.52
Selective Serotonin Reuptake Inhibitor (SSRI)-3.85

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Change From Baseline in QIDS-SR Total Score at 12-Week Endpoint (Mood Measure)

The QIDS-SR is a 16-item, participant-rated short form of the Inventory of Depressive Symptomatology that assesses 9 domains: sad mood, concentration, self-outlook, suicidal ideation, involvement, energy/fatigability, sleep disturbance, appetite/weight increase/decrease and psychomotor agitation/retardation. Scores range from 0 (none) to 27 (very severe). The QIDS-SR total score was used to derive the mean change from baseline to endpoint depression. (NCT00666757)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-13.4
Selective Serotonin Reuptake Inhibitor (SSRI)-12.6

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Change From Baseline in Pulse Rate at Week-12 Endpoint

Mean change from baseline to endpoint in pulse rate (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionbeats per minute (bpm) (Least Squares Mean)
Duloxetine2.74
Selective Serotonin Reuptake Inhibitor (SSRI)0.47

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Change From Baseline in HAMD-17 Total Score at 12-Week Endpoint (Mood Measure)

The HAMD-17 is a rater-administered assessment of depression severity and improvement, with total score ranges from 0 (not at all depressed) to 52 (most severely depressed). (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-17.03
Selective Serotonin Reuptake Inhibitor (SSRI)-15.3

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Change From Baseline in HAMD-17 Sleep Subscale Score at 12-Week Endpoint (Mood Measure)

The HAMD-17 Sleep Subscale consists of Items 4, 5, 6 and evaluates initial, middle, and late insomnia. Total subscale scores range from 0 (no difficulty) to 6 (difficulty). (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.77
Selective Serotonin Reuptake Inhibitor (SSRI)-2.58

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Change From Baseline in HAMD-17 Retardation Subscale Score at 12-Week Endpoint (Mood Measure)

The HAMD-17 Retardation subscale consists of Items 1, 7, 8, 14 and evaluates dysfunction in mood, work, and sexual activity, as well as overall motor retardation. Total subscale scores range from 0 (normal) to 14 (severe). (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-5.99
Selective Serotonin Reuptake Inhibitor (SSRI)-5.49

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Change From Baseline in HAMD-17 Maier Subscale Score at 12-Week Endpoint (Mood Measure)

"HAMD-17 Maier Subscale consists of Items 1, 2, 7, 8, 9, 10 and represents the core symptoms of depression. Total subscale scores range from 0 (normal) to 24 (severe)." (NCT00666757)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-9.01
Selective Serotonin Reuptake Inhibitor (SSRI)-8.16

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Change From Baseline in HAMD-17 Bech Subscale Score at 12-Week Endpoint (Mood Measure)

HAMD-17 Bech subscale consists of items 1, 2, 7, 8, 10, and 13 used to evaluate core symptoms of Major Depressive Disorder (MDD). Total subscale scores range from 0 (normal) to 22 (severe). (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-9.21
Selective Serotonin Reuptake Inhibitor (SSRI)-8.40

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Change From Baseline in HAMD-17 Anxiety/Somatization Subscale Score at 12-Week Endpoint (Mood Measure)

HAMD-17 subscale consists of items 10, 11, 12, 13, 15, and 17 evaluates agitation, and severity of psychic and somatic manifestations of anxiety. Total subscale scores range from 0 (normal) to 18 (severe). Mean change from baseline to endpoint. (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-4.89
Selective Serotonin Reuptake Inhibitor (SSRI)-4.24

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Change From Baseline in Diastolic Blood Pressure at Week-12 Endpoint

Mean change from baseline to endpoint in diastolic blood pressure (NCT00666757)
Timeframe: Baseline, 12 Weeks

InterventionmmHg (Least Squares Mean)
Duloxetine-0.14
Selective Serotonin Reuptake Inhibitor (SSRI)0.45

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Change From Baseline in Brief Pain Inventory (BPI) Average 24-hour Pain Score, in Particpants With a Baseline BPI Average 24-hour Pain Score of 3 or Greater, at 12-Week Endpoint (Pain Measure)

The BPI is a self-reported scale measuring pain severity and pain-specific interference on function on a scale ranging from 0 (no pain) to 10 (pain as bad as you can imagine). The BPI average 24-hour pain measure was used to derive the overall mean change from baseline to endpoint, in those participants who had a BPI average 24-hour pain score of 3 or greater at baseline. (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.95
Selective Serotonin Reuptake Inhibitor (SSRI)-2.39

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Change From Baseline in BPI Average 24 Hour Pain Score at 12-Week Endpoint (Pain Measure)

The BPI is a self-reported scale measuring pain severity and pain-specific interference on function, with scores ranging from 0 (does not interfere) to 10 (completely interferes). The BPI average 24-hour pain measure was used to derive the overall mean change from baseline to endpoint. (NCT00666757)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.83
Selective Serotonin Reuptake Inhibitor (SSRI)-1.43

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Change From Baseline in SDS Social Item Score at 12-Week Endpoint (Functional Outcome Measure)

The SDS is completed by the participant and is 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. (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-4.69
Selective Serotonin Reuptake Inhibitor (SSRI)-4.04

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Change From Baseline in World Health Organization Health and Work Performance Questionnaire, Clinical Trials 7-Day Version (HPQ), Presenteeism Score, at Week-12 Endpoint

"Self-administered assessment used to determine a participant's work performance (employment status, absenteeism if employed, productivity while at work, usual occupation, & annual income). Tool assesses the potential impact of change in depressive symptoms on work productivity & its associated employer costs using a 0-100 scale in which 0 meant doing no work at all on days spent at work and 100 meant performing at the level of a top worker. Absolute presenteeism: difference between score for self and score for average worker in same job. Mean change baseline to endpoint is reported." (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine24.56
Selective Serotonin Reuptake Inhibitor (SSRI)20.73

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Change From Baseline in World Health Organization Health and Work Performance Questionnaire, Clinical Trials 7-Day Version (HPQ), Dollars of Income Lost Due to Work Presenteeism (WP)Score, at Week-12 Endpoint

WP score was calculated by taking midpoint of annual before-tax income reported on HPQ. A multiplier of 1.25 produced estimated direct & indirect (i.e. benefits) income. Annual hours expected to work were calculated from expected daily work hours, multiplied by 236 days. Hourly, indirect income was total direct + indirect income, divided by # of expected annual work hours. Indirect hours lost annually for WP=hours expected to be worked annually times WP percent, times hourly rate=dollars earned, and then subtracted from total direct + indirect income=dollars lost annually due to WP. (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventiondollars (Least Squares Mean)
Duloxetine7250.93
Selective Serotonin Reuptake Inhibitor (SSRI)5074.09

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Change From Baseline in World Health Organization Health and Work Performance Questionnaire, Clinical Trials 7-Day Version (HPQ), Dollars of Income Lost Due to Work Absenteeism Score at Week-12 Endpoint

Self-administered assessment used to determine a participant's work performance in terms of employment status, absenteeism if employed, productivity while at work, usual occupation, and annual income. Tool assesses the potential impact of change in depressive symptoms on work productivity and its associated employer costs. Scale ranges from 0 to 100% of work days in past 30 days. Absenteeism and presenteeism were combined into a measure of total lost work performance by adding absenteeism to the value ([100-absenteeism] × [100-presenteeism]). Mean change baseline to endpoint. (NCT00666757)
Timeframe: Baseline, 12 weeks

Interventiondollars (Least Squares Mean)
Duloxetine-3978.98
Selective Serotonin Reuptake Inhibitor (SSRI)-1932.46

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Change From Baseline in World Health Organization Health and Work Performance Questionnaire, Clinical Trials 7-Day Version (HPQ), Absenteeism at 12-Week Endpoint

Self-administered assessment used to determine a subject's work performance in terms of employment status, absenteeism if employed, productivity while at work, usual occupation, and annual income. Tool assesses the potential impact of change in depressive symptoms on work productivity and its associated employer costs. Defined on a 0-100 scale for the percentage of work days the respondent missed in the past 30 days. Absolute absenteeism: actual hours worked minus expected hours equals number of missed work days. Mean change baseline to endpoint is reported. (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionhours lost per week (Least Squares Mean)
Duloxetine-9.56
Selective Serotonin Reuptake Inhibitor (SSRI)0.41

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Change From Baseline in Weight at Week-12 Endpoint

Mean change from baseline to endpoint in weight (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionkilograms (kg) (Least Squares Mean)
Duloxetine-0.32
Selective Serotonin Reuptake Inhibitor (SSRI)-0.17

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Change From Baseline in Systolic Blood Pressure at Week-12 Endpoint

Mean change from baseline to endpoint in systolic blood pressure (NCT00666757)
Timeframe: Baseline, 12 Weeks

Interventionmillimeters of mmercury (mmHg) (Least Squares Mean)
Duloxetine0.58
Selective Serotonin Reuptake Inhibitor (SSRI)0.55

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Probability of Response [QIDS-SR Total Score (Mood Measure) Greater Than Or Equal To 50 Percent Reduction From Baseline To 12 Week Endpoint]

Visitwise percentages of participants meeting response criteria (50% reduction from baseline QIDS-SR total score at 12-week endpoint) were estimated using a categorical, pseudolikelihood-based repeated measures approach, & included fixed, categorical effects of treatment group, visit, treatment group-by-visit interaction, & continuous, fixed covariate of baseline QIDS-SR. The primary analysis will be the contrast of response rates at week 12 endpoint between treatment groups, and represents estimated response rates for each treatment group had all participants completed 12 weeks of therapy. (NCT00666757)
Timeframe: Baseline, 12-Weeks

InterventionProbability of response (Least Squares Mean)
Duloxetine0.71
Selective Serotonin Reuptake Inhibitor (SSRI)0.64

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Probability of Response [HAMD-17 Total Score (Mood Measure) Greater Than Or Equal To 50 Percent Reduction From Baseline To 12 Week Endpoint]

Visitwise percentages of participants meeting response criteria 50% reduction from baseline in HAMD-17 total score at 12-Week endpoint) were estimated using a categorical, pseudolike-lihood-based repeated measures approach, & included fixed, categorical effects of treatment group, visit, treatment group-by-visit interaction, & continuous, fixed covariate of baseline HAMD-17 TS. Primary analysis will be the contrast of response rates at week 12 endpoint between treatment groups, & represents estimated response rates for each treatment group had all participants completed 12 weeks of therapy. (NCT00666757)
Timeframe: Baseline, 12-Weeks

InterventionProbability of response (Least Squares Mean)
Duloxetine0.73
Selective Serotonin Reuptake Inhibitor (SSRI)0.61

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Probability of Remission [17-item Hamilton Depression Rating Scale (HAMD-17) (Mood Measure) Less Than or Equal to 7 at 12-Week Endpoint]

Visitwise percentages of participants meeting remission criteria HAMD-17 total score [TS] NCT00666757)
Timeframe: 12 weeks

InterventionProbability of remission (Least Squares Mean)
Duloxetine0.53
Selective Serotonin Reuptake Inhibitor (SSRI)0.44

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Probability of Remission [16-item Quick Inventory of Depressive Symptomatology (QIDS-SR) Score Less Than or Equal to 5 at 12-Week Endpoint]

Visitwise probability of participants per treatment meeting remission criteria (QIDS-SR total score [TS]NCT00666757)
Timeframe: 12 weeks

InterventionProbability of remission (Least Squares Mean)
Duloxetine0.36
Selective Serotonin Reuptake Inhibitor (SSRI)0.32

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Change From Baseline in the Clinical Global Impression Scale-Severity of Illness Scale

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)Week 8 (n=149, 146, 153, 149)
Duloxetine 60 mg-0.44-0.75-1.12-1.39-1.56
Placebo-0.28-0.63-0.92-1.11-1.14
Vortioxetine 2.5 mg-0.40-0.65-0.92-1.08-1.21
Vortioxetine 5 mg-0.37-0.66-0.90-1.08-1.17

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)Week 8 (n=149, 146, 153, 149)
Duloxetine 60 mg-2.30-3.94-4.88-6.15-6.56
Placebo-2.63-3.82-5.12-5.84-5.75
Vortioxetine 2.5 mg-2.98-4.41-5.10-5.77-5.91
Vortioxetine 5 mg-2.55-3.76-4.25-4.89-5.29

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Percentage of Participants With a Sustained Response in HAM-D24

A sustained response is defined as a ≥ 20% decrease from Baseline in HAM-D24 total score obtained at Week 1 and sustained through Week 7 and at least 50% decrease from Baseline at Week 8. (NCT00672620)
Timeframe: Baseline to Week 8

Interventionpercentage of participants (Number)
Placebo12.1
Vortioxetine 2.5 mg15.8
Vortioxetine 5 mg17.0
Duloxetine 60 mg21.5

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Clinical Global Impression Scale-Global Improvement Scale

The Clinical Global Impression - Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from an ANCOVA model with treatment and center as fixed factors and the CGI-S Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 149, 147)Week 2 (n=149, 146, 153, 149)Week 4 (149, 146, 153, 149)Week 6 (149, 146, 153, 149)Week 8 (n=149, 146, 153, 149)
Duloxetine 60 mg3.312.992.732.502.39
Placebo3.543.212.972.832.79
Vortioxetine 2.5 mg3.423.172.932.822.73
Vortioxetine 5 mg3.463.102.872.742.63

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Change From Baseline in Montgomery-Åsberg Depression Rating Scale - Self-assessment (MADRS-S)

The MADRS-S is a patient-reported outcome measure based on MADRS, administered to evaluate treatment effectiveness in depression. This scale consists of 9 items assessing patients' mood, feelings of unease, sleep, appetite, ability to concentrate, initiative, emotional involvement, pessimism and zest for life. Each item is scored between 0 (best) and 3 (worst). The total score is calculated by summing the answers of the nine items, ranging between 0 and 27 (higher scores indicate increased impairment). LS means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=141, 142, 149, 146)Week 4 (148, 145, 152, 149)Week 8 (n=148, 145, 152, 149)
Duloxetine 60 mg-2.88-4.89-5.70
Placebo-2.51-4.02-4.25
Vortioxetine 2.5 mg-2.43-3.65-3.98
Vortioxetine 5 mg-2.74-3.69-4.04

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Healthcare Resource Utilization as Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00672620)
Timeframe: Baseline and Week 8

,,,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to depressionBaseline: Any sick leaveBaseline: Sick leave related to depressionWeek 8: Any resource useWeek 8: Any hospitalization-related serviceWeek 8: Hospitalization related to depressionWeek 8: Any sick leaveWeek 8: Sick leave related to depression
Duloxetine 60 mg42301411272152
Placebo40421813211052
Vortioxetine 2.5 mg5111119190054
Vortioxetine 5 mg42001110201093

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Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Other Weeks Assessed

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74 where a higher score indicates a greater depressive state. LS means were from an ANCOVA model with terms for treatment and center as factors and the Baseline rank value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, and 6

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)
Duloxetine 60 mg-5.66-8.42-10.88-12.78
Placebo-5.12-7.19-9.39-10.43
Vortioxetine 2.5 mg-5.44-7.95-9.94-11.21
Vortioxetine 5 mg-5.28-7.99-8.96-10.97

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Change From Baseline in the Montgomery Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. LS means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)Week 8 (149, 146, 153, 149)
Duloxetine 60 mg-5.49-8.95-11.34-13.29-14.10
Placebo-4.90-7.57-9.66-11.04-11.22
Vortioxetine 2.5 mg-5.16-7.71-9.58-11.25-11.61
Vortioxetine 5 mg-5.06-7.81-9.35-11.27-11.30

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-6.83
Vortioxetine 2.5 mg-6.46
Vortioxetine 5 mg-6.59
Duloxetine 60 mg-8.91

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Percentage of Responders in HAM-D 24 Total Score by Study Visit

A responder is defined as a participant with a ≥50% decrease from Baseline in HAM-D24 total score. The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74, where a higher score indicates a greater depressive state. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,,
Interventionpercentage of participants (Number)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)Week 8 (n=149, 146, 153, 149)
Duloxetine 60 mg10.222.134.947.051.0
Placebo9.215.426.232.932.2
Vortioxetine 2.5 mg8.417.130.837.741.1
Vortioxetine 5 mg8.717.624.237.337.9

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Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Week 8

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74 where a higher score indicates a greater depressive state. Least squares (LS) means were from an Analysis of Covariance (ANCOVA) model with terms for treatment and center as factors and the Baseline rank value as a covariate. (NCT00672620)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-10.50
Vortioxetine 2.5 mg-12.04
Vortioxetine 5 mg-11.08
Duloxetine 60 mg-13.47

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Percentage of Participants in MADRS Remission at Week 8

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT00672620)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo22.8
Vortioxetine 2.5 mg28.8
Vortioxetine 5 mg23.5
Duloxetine 60 mg37.6

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Change From Baseline in Blood Pressure at 12 Week Endpoint

(NCT00673452)
Timeframe: Baseline, 12 weeks

,
Interventionmm Hg (Least Squares Mean)
Systolic Blood Pressure (SBP)Diastolic Blood Pressure (DBP)
Duloxetine1.090.83
Placebo-0.720.31

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Change From Baseline in 36-Item Short-form Health Survey (SF-36) at 12 Weeks

The patient-rated SF-36 consists of 36 questions covering eight health domains: physical functioning, bodily pain, role limitations due to physical problems, role limitations due to emotional problems, general health perceptions, mental health, social function, and vitality. Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. Two summary scores: the Physical Component Summary and the Mental Component Summary are constructed based on the eight SF-36 domains. (NCT00673452)
Timeframe: Baseline, 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
Bodily PainGeneral HealthMental HealthPhysical FunctioningRole-EmotionalRole-PhysicalSocial FunctioningVitalityPhysical Component Summary (PCS)Mental Component Summary (MCS)
Duloxetine18.489.3310.0513.5214.9120.4914.1612.785.965.11
Placebo13.262.912.618.065.1318.907.498.474.811.28

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Number of Responders: 50% Improvement in Brief Pain Inventory Average Pain Score at 12 Week Endpoint

Response was defined as at least 50% reduction from baseline to endpoint (last observation carried forward) for BPI average pain score. BPI average pain score assesses the severity of the average pain in the past 24 hours. The average severity score ranges from 0 (no pain) to 10 (pain as bad as you can imagine). (NCT00673452)
Timeframe: 12 weeks

Interventionparticipants (Number)
Duloxetine83
Placebo55

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Number of Responders: 30% Improvement in Brief Pain Inventory Average Pain at 12 Week Endpoint

Response was defined as at least 30% reduction from baseline to endpoint (last observation carried forward) for BPI average pain score. BPI average pain score assesses the severity of the average pain in the past 24 hours. The average severity score ranges from 0 (no pain) to 10 (pain as bad as you can imagine). (NCT00673452)
Timeframe: 12 Weeks

Interventionparticipants (Number)
Duloxetine119
Placebo88

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Change From Baseline in Weight at 12 Week Endpoint

(NCT00673452)
Timeframe: Baseline, 12 weeks

Interventionkilograms (kg) (Least Squares Mean)
Duloxetine-0.62
Placebo0.21

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Change From Baseline in Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (MGH-CPFQ) Total Score at 12 Week Endpoint

"The MGH-CPFQ is a self-report instrument consisting of seven questions pertaining to an individual's cognitive and physical well-being. Each question is rated 1 = greater than normal to 6 = totally absent. Total score ranges from 7 to 42." (NCT00673452)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-4.88
Placebo-3.92

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Change From Baseline in Heart Rate at 12 Week Endpoint

(NCT00673452)
Timeframe: Baseline, 12 weeks

Interventionbeats per minute (bpm) (Least Squares Mean)
Duloxetine1.76
Placebo-0.20

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Change From Baseline in Clinical Global Impressions of Severity (CGI-S) at 12 Week Endpoint

The Clinical Global Impressions of Severity (CGI-Severity) scale evaluates the severity of illness at the time of assessment. The score ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). (NCT00673452)
Timeframe: Baseline, 12 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.05
Placebo-0.71

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Change From Baseline in Beck Depression Inventory-II (BDI-II) at 12 Week Endpoint

BDI-II is a 21-item patient-completed questionnaire designed to assess characteristics of depression. Each item is rated on a 4-point scale (0 = not present; 3 = present in the extreme). This questionnaire will be used to rate the severity of depressive symptoms and any improvement during the course of the trial. The total score ranges from 0 to 63; the higher the score, the more severe the depressive symptoms. (NCT00673452)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-5.53
Placebo-3.63

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Change From Baseline in Beck Anxiety Inventory (BAI) at 12 Week Endpoint

BAI is a 21-item patient-completed questionnaire designed to assess characteristics of anxiety. Each item is rated on a 4-point scale (0 = not present; 3 = present in the extreme). This questionnaire will be used to rate the severity of anxiety symptoms and any improvement during the course of the trial. The total score ranges from 0 to 63; the higher the score, the more severe the anxiety symptoms. (NCT00673452)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-3.14
Placebo-3.22

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Change From Baseline in Brief Pain Inventory (BPI) (Modified Short Form) at 12 Week Endpoint

BPI is a self-reported form that assesses severity of pain and the interference of pain on function. There are 4 questions assessing the severity for worst pain, least pain, and average pain in the past 24 hours, and the pain right now. Severity scores range from 0 (no pain) to 10 (pain as bad as you can imagine). There are 7 questions assessing the interference of pain in the past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Interference scores range from 0 (does not interfere) to 10 (completely interferes). (NCT00673452)
Timeframe: Baseline, 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
Worst Pain SeverityLeast Pain SeverityAverage Pain SeverityPain Right Now SeverityGeneral Activity InterferenceMood InterferenceWalking Ability InterferenceNormal Work InterferenceRelations with Other People InterferenceSleep InterferenceEnjoyment of Life InterferenceAverage Interference
Duloxetine-2.32-1.57-2.14-2.10-2.38-2.56-2.16-2.37-2.17-2.69-2.84-2.44
Placebo-1.57-0.96-1.40-1.34-1.44-1.61-1.36-1.60-1.22-1.81-1.45-1.52

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Change From Baseline in Multidimensional Fatigue Inventory (MFI) at 12 Week Endpoint

MFI is a 20-item, self-reporting instrument designed to collect data on the following 5 dimensions: general fatigue, physical fatigue, mental fatigue, reduced motivation, and reduced activity. Each dimension score is derived by summing the scores of the 4 individual items that pertain to each dimension. Item scores range from 1 to 5; thus, dimensional scores range from 4 to 20 with a higher score reflecting greater levels of fatigue. (NCT00673452)
Timeframe: Baseline, 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
General FatiguePhysical FatigueMental FatigueReduced ActivityReduced Motivation
Duloxetine-2.21-2.08-2.01-1.46-1.66
Placebo-1.38-1.35-1.09-0.59-0.72

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Change From Baseline in the Mood, Anxiety, Pain, Sleep, and Stiffness Likert Scale at 12 Week Endpoint

Likert scales are patient-rated assessments. Mood: feeling low, sad or depressed; rated 0 = not feeling low, sad or depressed to 10 = feeling extremely low, sad or depressed. Anxious: anxious feelings; rated 0 = not feeling anxious to 10 = extremely anxious. Sleep: how much patient bothered by sleep difficulties; rated 0 = not bothered to 10 = extremely bothered. Pain: how much patient bothered by painful physical discomforts; rated 0 = not bothered to 10 = extremely bothered. Stiffness: how stiff patient felt in past 24 hours; rated 0 = not felt any stiffness to 10 = felt extremely stiff. (NCT00673452)
Timeframe: Baseline, 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
MoodAnxietyPainSleepStiffness
Duloxetine-1.27-1.22-2.45-1.96-2.54
Placebo-0.52-0.58-1.73-1.47-1.67

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Number of Patients With Columbia Suicide Severity Rating Scale (CSSR-S) Events (Behaviors, Ideations, Acts)

"C-SSRS: scale capturing occurrence, severity, and frequency of suicide-related thoughts and behaviors. Number of patients with suicidal behaviors, ideations, and acts are provided. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation: a yes answer to any one of 5 suicidal ideation questions, which includes wish to be dead, and 4 different categories of active suicidal ideation. Suicidal act: a yes answer to actual attempt or completed suicide." (NCT00673452)
Timeframe: Baseline through 12 Weeks

,
Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorSuicidal Acts
Duloxetine600
Placebo700

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Patient's Global Impressions of Improvement (PGI-I) at Week 12

"The PGI-Improvement scale is a patient-rated instrument that measures perceived improvement in symptoms. It is a 7-point scale where a score of 1 indicates that the patient is very much improved, a score of 4 indicates that the patient has experienced no change, and a score of 7 indicates that the patient is very much worse." (NCT00673452)
Timeframe: 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.79
Placebo3.36

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Change in Montgomery Asberg Depression Rating Scale(MADRS) Score From Baseline and 12 Weeks

"The MADRS is a rating of depression severity with theoretical scale range 0-60, with lower values representing better outcome~Larger reduction between MADRS from baseline to 12 weeks would represent better outcome" (NCT00696293)
Timeframe: baseline and 12 weeks

Interventionunits on a scale (Mean)
Duloxetine Plus Clinical Management-11.7

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Change in McGill Pain Questionaire, Short Form, Score From Baseline and 12 Weeks

"The McGill Pain Questionaire, short form consists of 15 descriptors (11 sensory; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe. The McGill Pain Questionaire score ranged from 0 (none) to 45 (severe).~A larger reduction of the score from baseline to 12 weeks would represent a better outcome" (NCT00696293)
Timeframe: Baseline and 12 weeks

Interventionunits on a scale (Mean)
Duloxetine + Clinical Management-6.0

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Change From Baseline HAMD-17 Sleep Subscale at 8 Weeks

The Sleep Subscale (Items 4,5,6) evaluates initial, middle, and late insomnia. Total subscale scores range from 0 (no difficulty) to 6 (difficulty). Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-2.27
Duloxetine Non-Responders-1.31

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Change From Baseline HAMD-17 Anxiety/Somatization Subscale at 8 Weeks

The Anxiety/Somatization Subscale (Items 10-13, 15, 17) evaluates severity of psychic and somatic manifistations of anxiety as well as agitation. Total subscale scores range from 0 (normal) to 18 (severe). Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-5.29
Duloxetine Non-Responders-3.07

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Change From Baseline HAMD-17 Core Subscale at 8 Weeks

"The Core subscale (Items 1,2,3,7,8) evaluates core symptoms of depression. Total subscale scores range from 0 (normal) to 20 (severe). Factors used for adjustment for least squares means are listed in 'Other relevant information' section." (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-6.87
Duloxetine Non-Responders-4.40

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Change From Baseline HAMD-17 Maier Subscale at 8 Weeks

"The Maier subscale (Items 1,2,7,8,9,10) represents the core symptoms of depression. Total subscale scores range from 0 (normal) to 24 (severe). Factors used for adjustment for least squares means are listed in 'Other relevant information' section." (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-8.58
Duloxetine Non-Responders-5.29

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Change From Baseline HAMD-17 Retardation/Somatization Subscale at 8 Weeks

The Retardation Subscale (Items 1,7,8,14) evaluates dysfunction in mood, work, and sexual activity, as well as overall motor retardation. Total subscale scores range from 0 (normal) to 14 (severe). Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-5.51
Duloxetine Non-Responders-3.63

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Change From Baseline in the Sexual Functioning Questionnaire Clinical Version (CSFQ) at 4 and 8 Weeks

A 14-item patient-rated scale assesses medication-related changes in sexual activity/functioning. Items rated from 1 (never, low enjoyment/pleasure) to 5 (every day, great enjoyment/pleasure). CSFQ measures 5 dimensions of sexual behavior: pleasure; desire/frequency; desire/interest; arousal; orgasm. Lower total scores are associated with diminished sexual functioning. Total scores <=47 (men) and <=41 (women) indicate global sexual dysfunction, with all phases of sexual response cycle affected. Factors used for adjustment for least squares means are in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 4 Weeks, 8 weeks

,
InterventionUnits on a scale (Least Squares Mean)
Week 4Week 8
Duloxetine Non-Responders-0.78-0.29
Duloxetine Responders0.031.08

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Change From Baseline HAMD-17 Total Score at 8 Weeks

The HAMD-17 total score measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-15.64
Duloxetine Non-Responders-9.79

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Change From Baseline in the Sheehan Disability Scale (SDS) at 4 and 8 Weeks

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 4 weeks, 8 weeks

,
InterventionUnits on a scale (Least Squares Mean)
Week 4Week 8
Duloxetine Non-Responders-2.49-5.36
Duloxetine Responders-8.38-9.95

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Change From Baseline in the Treatment Satisfaction Questionnaire for Medication (TSQM) at 4 and 8 Weeks

The TSQM is a participant-reported measure that best describes how the study medication makes them feel since the last study visit, assessing perceived effectiveness, severity of side effects, and convenience. Convenience, Effectiveness, Side-Effects, and Global Satisfaction scale scores range from 0 (extremely dissatisfied) to 100 (extremely satisfied). Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 4 weeks, 8 weeks

,
InterventionUnits on a scale (Least Squares Mean)
Week 4Week 8
Duloxetine Non-Responders2.598.19
Duloxetine Responders17.6418.67

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Change From Baseline in Brief Pain Inventory-Modified Short Form (BPI-SF) Interference Score Between Responder and Non-Responder Participants at 4 Weeks

"BPI-SF interference score asks about the degree to which pain interferes with mood, walking and other physical activity, work, social activity, relations with others, and sleep. BPI-SF interference score ranges from 0 (no interference) to 10 (interferes completely). Response is defined as a >=50% reduction in the Maier subscale score from baseline. The Maier subscale (Items 1,2,7,8,9,10) represents core symptoms of depression. Total subscale scores range from 0 (normal) to 24 (severe). Factors used for adjustment for least squares means are listed in 'Other relevant information' section." (NCT00696774)
Timeframe: Baseline, 4 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-2.35
Duloxetine Non-Responders-1.69

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Change From Baseline in Patient Global Impression - Improvement (PGI-I) Scale Score at 8 Weeks

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders2.12
Duloxetine Non-Responders2.61

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Change From Baseline in the Brief Pain Inventory - Modified Short Form (BPI-SF) Average Pain Score at 8 Weeks

A self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-2.56
Duloxetine Non-Responders-2.14

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Change From Baseline in the Clinical Global Impression - Severity (CGI-Severity) Scale at 8 Weeks

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-2.52
Duloxetine Non-Responders-1.40

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Change From Baseline in the Hamilton Anxiety Rating Scale (HAMA) at 8 Weeks

The HAMA scale measures anxiety symptoms accompanying major depressive disorder (MDD). Each item of the 14-item HAMA was scored from 0 (not present) to 4 (very severe), with a resulting maximum total score of 56. Factors used for adjustment for least squares means are listed in 'Other relevant information' section. (NCT00696774)
Timeframe: Baseline, 8 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine Responders-12.97
Duloxetine Non-Responders-8.55

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Percentage of Participants Meeting Criteria for Response on the 17-Item Hamilton Depression Rating Scale (HAMD-17) Maier Subscale at 4 and 8 Weeks

"The Maier subscale (Items 1,2,7,8,9,10) represents the core symptoms of depression. Total subscale scores range from 0 (normal) to 24 (severe). Response is defined as a >=50% reduction in the Maier subscale score from baseline." (NCT00696774)
Timeframe: Baseline, 4 weeks, 8 weeks

InterventionPercentage of participants (Number)
Week 4 (n=193)Week 8 (n=179)
Duloxetine56.073.7

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Percentage of Participants in HAM-A Remission at Each Week Assessed

Remission is defined as a Hamilton Anxiety Scale (HAM-A) total score ≤ 7. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00730691)
Timeframe: Weeks 1, 2, 4, 6 and 8

,,,,
Interventionpercentage of participants (Number)
Week 1 (n=151, 149, 142, 149, 143)Week 2 (n=154, 154, 147, 154, 149)Week 4 (n=154, 154, 148, 154, 149)Week 6 (n=154, 154, 148, 154, 149)Week 8 (n=154, 154, 148, 154, 149)
Duloxetine 60 mg4.912.117.420.828.2
Placebo4.06.510.416.222.1
Vortioxetine 10 mg2.03.913.016.920.1
Vortioxetine 2.5 mg2.08.413.614.920.1
Vortioxetine 5 mg0.77.511.514.919.6

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Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Other Weeks Assessed

The HAD-Anxiety subscale is completed by the participant and measures anxiety, including anxious mood, restlessness, anxious thoughts, and panic attacks. The subscale is made up of 7 items that are assessed on a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1 and 4

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=150, 149, 141, 149, 141)Week 4 (n=141, 142, 139, 141, 126)
Duloxetine 60 mg-2.91-5.11
Placebo-1.81-3.24
Vortioxetine 10 mg-2.22-4.01
Vortioxetine 2.5 mg-1.85-3.34
Vortioxetine 5 mg-1.89-3.60

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Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 2, 4, 6 and 8

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=151, 148, 141, 149, 142)Week 2 (n=147, 145, 142, 147, 130)Week 4 (n=140, 135, 132, 134, 115)Week 6 (n=127, 123, 121, 120, 112)Week 8 (n=120, 118, 114, 111, 106)
Duloxetine 60 mg-0.54-0.97-1.28-1.55-1.77
Placebo-0.42-0.71-0.95-1.22-1.42
Vortioxetine 10 mg-0.42-0.75-1.11-1.35-1.44
Vortioxetine 2.5 mg-0.37-0.74-1.12-1.32-1.50
Vortioxetine 5 mg-0.39-0.80-1.02-1.31-1.38

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Percentage of Responders in HAM-A Total Score at Week 8

Response was defined as participants with a ≥50% decrease from Baseline in the HAM-A total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00730691)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo42.2
Vortioxetine 2.5 mg44.8
Vortioxetine 5 mg42.6
Vortioxetine 10 mg44.8
Duloxetine 60 mg51.0

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Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Week 8

The Clinical Global Impression - Global Improvement scale measures the participant's improvement (or worsening) as assessed by the investigator relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.47
Vortioxetine 2.5 mg2.36
Vortioxetine 5 mg2.38
Vortioxetine 10 mg2.38
Duloxetine 60 mg2.03

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-11.61
Vortioxetine 2.5 mg-14.12
Vortioxetine 5 mg-13.87
Vortioxetine 10 mg-13.22
Duloxetine 60 mg-16.15

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

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-11.27
Vortioxetine 2.5 mg-12.23
Vortioxetine 5 mg-11.57
Vortioxetine 10 mg-11.66
Duloxetine 60 mg-13.87

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Change From Baseline in Sheehan Disability Scale (SDS) at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-6.35
Vortioxetine 2.5 mg-6.15
Vortioxetine 5 mg-6.68
Vortioxetine 10 mg-7.95
Duloxetine 60 mg-8.81

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Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Week 8

The HAD-Anxiety subscale is completed by the participant and measures anxiety, including anxious mood, restlessness, anxious thoughts, and panic attacks. The subscale is made up of 7 items that are assessed on a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-4.00
Vortioxetine 2.5 mg-3.89
Vortioxetine 5 mg-4.24
Vortioxetine 10 mg-5.09
Duloxetine 60 mg-5.54

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Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 2, 4 and 6

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n= 151, 149, 142, 149, 143)Week 2 (n=147, 145, 143, 147, 130)Week 4 (n= 139, 135, 132, 133, 116)Week 6 (n= 127, 123, 122, 120, 112)
Duloxetine 60 mg-5.48-9.29-11.13-12.66
Placebo-4.70-7.30-8.66-10.28
Vortioxetine 10 mg-5.04-7.63-9.73-11.05
Vortioxetine 2.5 mg-4.56-7.28-9.77-10.82
Vortioxetine 5 mg-4.90-8.22-9.84-11.26

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Percentage of Responders in HAM-A Total Score at Other Weeks Assessed

Response was defined as participants with a ≥50% decrease from Baseline in the HAM-A total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00730691)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,,,,
Interventionpercentage of participants (Number)
Week 1 (n=151, 149, 142, 149, 143)Week 2 (n=154, 154, 147, 154, 149)Week 4 (n=154, 154, 148, 154, 149)Week 6 (n=154, 154, 148, 154, 149)
Duloxetine 60 mg16.828.942.347.7
Placebo11.320.826.036.4
Vortioxetine 10 mg10.121.435.140.9
Vortioxetine 2.5 mg6.720.130.537.7
Vortioxetine 5 mg8.521.132.440.5

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Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Other Weeks Assessed

The Clinical Global Impression - Global Improvement scale measures the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 2, 4 and 6

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=151, 148, 141, 149, 141)Week 2 (n=147, 145, 142, 147, 129)Week 4 (n=140, 135, 132, 134, 116)Week 6 (n=127, 123, 121, 120, 112)
Duloxetine 60 mg3.362.762.442.25
Placebo3.443.032.812.61
Vortioxetine 10 mg3.402.962.682.41
Vortioxetine 2.5 mg3.463.082.672.53
Vortioxetine 5 mg3.412.902.672.43

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Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors the participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00730691)
Timeframe: Baseline and Week 8

,,,,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to anxietyBaseline: Any sick leaveBaseline: Sick leave related to anxietyWeek 8: Any resource useWeek 8: Any hospitalization-related serviceWeek 8: Hospitalization related to anxietyWeek 8: Any sick leaveWeek 8: Sick leave related to anxiety
Duloxetine 60 mg38201272231114
Placebo34001452600132
Vortioxetine 10 mg4300159231071
Vortioxetine 2.5 mg36321610240062
Vortioxetine 5 mg2611139290073

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to weeks 1, 2, 4 and 6

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=63, 76, 70, 70, 66)Week 2 (n=62, 73, 70, 68, 62)Week 4 (n=60, 68, 67, 63, 54)Week 6 (n=58, 63, 62, 54, 51)
Duloxetine 60 mg-6.78-10.40-12.56-14.35
Placebo-5.32-7.55-8.61-10.72
Vortioxetine 10 mg-5.94-8.51-10.98-12.75
Vortioxetine 2.5 mg-6.07-8.82-11.61-12.86
Vortioxetine 5 mg-5.96-10.18-12.87-14.11

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Change From Baseline in Sheehan Disability Scale (SDS) at Other Weeks Assessed

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 2 and 4

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=116, 111, 109, 125, 112)Week 2 (n=116, 114, 116, 123, 103)Week 4 (n=108, 106, 106, 115, 91)
Duloxetine 60 mg-4.74-7.09-7.95
Placebo-3.22-4.53-4.55
Vortioxetine 10 mg-4.11-5.46-6.47
Vortioxetine 2.5 mg-2.74-4.18-4.98
Vortioxetine 5 mg-3.28-5.02-5.92

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Change From Baseline in Hospital Anxiety and Depression (HAD) - Depression Subscale at All Weeks Assessed

The HAD-Depression subscale is completed by the participant and measures depression, focusing on the state of lost interest and diminished pleasure response. The subscale is made up of 7 items that are assessed on a scale from 0 (no depression) to 3 (severe feeling of depression). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. The item scores are summed and the total subscore ranges from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) model with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 4 and 8

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=150, 149, 141, 149, 141)Week 4 (n=141, 142, 139, 141, 126)Week 8 (n=123, 120, 119, 111, 108)
Duloxetine 60 mg-1.19-2.62-2.77
Placebo-0.81-1.32-2.21
Vortioxetine 10 mg-1.25-1.61-1.94
Vortioxetine 2.5 mg-0.83-1.83-1.82
Vortioxetine 5 mg-0.88-1.70-1.96

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Number of Participants With Adverse Events (AEs) Resulting in Discontinuation During the Open-label Extension Phase

(NCT00755807)
Timeframe: Baseline (6 weeks) through Endpoint (18 weeks)

Interventionparticipants (Number)
Due to any AEFatigueSomnolenceAlanine aminotransferase increasedConstipationDiverticulitisDizzinessFallHypertensionInsomniaMultiple sclerosis relapseNauseaRash pruritic
Duloxetine14221111111111

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Number of Participants With Treatment Emergent Adverse Events (TEAEs) During the Open-label Extension Phase

Summary tables of serious adverse events (SAEs) and all other non-serious adverse events are located in the Reported Adverse Event Module. (NCT00755807)
Timeframe: Baseline (6 weeks) through Endpoint (18 weeks)

Interventionparticipants (Number)
Adverse Events (AEs) - Any EventSerious Adverse Events (SAEs) - Any Event
Duloxetine1307

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Number of Participants With Treatment Emergent Adverse Events (TEAEs) During the Acute Phase

Summary tables of serious adverse events (SAEs) and all other non-serious adverse events are located in the Reported Adverse Event Module. (NCT00755807)
Timeframe: Baseline through 6 weeks

,
Interventionparticipants (Number)
Adverse Events (AEs) - Any EventSerious Adverse Events (SAEs) - Any Event
Duloxetine704
Placebo590

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Change in the Weekly Mean of the Night Pain Scores From Week 6 Through Week 18 (Open-label Extension Phase)

Weekly mean of the night pain severity scores recorded daily on an 11-point Likert scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain). Participants should complete the electronic diary each day upon awakening. Each weekly mean change represents change relative to week 6, the baseline of the extension phase. (NCT00755807)
Timeframe: Baseline (6 weeks) through Endpoint (18 weeks)

Interventionunits on a scale (Least Squares Mean)
Week 7 (n=185)Week 8 (n=205)Week 9 (n=184)Week 10 (n=197)Week 11 (n=166)Week 12 (n=192)Week 13 (n=166)Week 14 (n=177)Week 15 (n=158)Week 16 (n=176)Week 17 (n=156)Week 18 (n=175)
Duloxetine-0.05-0.31-0.54-0.62-0.75-0.89-1.05-0.98-0.99-1.04-1.11-1.04

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Number of Participants Who Discontinued During the Open-label Extension Phase (by Week 18)

(NCT00755807)
Timeframe: Baseline (6 weeks) through Endpoint (18 weeks)

Interventionparticipants (Number)
Discontinued Due to Any ReasonAdverse EventProtocol ViolationLack of EfficacySubject DecisionLost to follow upSponsor Decision
Duloxetine341476421

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Number of Participants With Suicidal Behaviors, Ideations, and Acts Based on The Columbia Suicide Severity Rating Scale (C-SSRS) at Week 6

"C-SSRS scale captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Number of participants with suicidal behaviors, ideations, and acts are provided. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation: a yes answer to any one of 5 suicidal ideation questions, which includes wish to be dead, and 4 different categories of active suicidal ideation. Suicidal act: a yes answer to actual attempt or completed suicide." (NCT00755807)
Timeframe: 6 weeks

,
Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorSuicidal Acts
Duloxetine311
Placebo000

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Patient Global Impressions of Improvement Scale (PGI-I) at 6 Weeks

A scale that measures the participant's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). The Least Squares (LS) Mean Value was adjusted for investigative site and baseline severity. (NCT00755807)
Timeframe: 6 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine3.27
Placebo3.48

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Patient Global Impressions of Improvement Scale (PGI-I) Score at 18 Weeks

A scale that measures the participant's perception of improvement at the time of assessment compared with the start of treatment. The scores range from 1 (very much better) to 7 (very much worse). (NCT00755807)
Timeframe: 18 weeks

Interventionunits on a scale (Mean)
Duloxetine2.67

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Change From Baseline in Bicarbonate (HCO3) at Week 6 (Acute Phase)

Change from baseline to acute phase endpoint in laboratory assessment for bicarbonate, HCO3. (NCT00755807)
Timeframe: Baseline, 6 weeks

,
InterventionmilliEq/Liter (Mean)
BaselineChange to Last Observation
Duloxetine22.432.08
Placebo23.231.38

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Change From Baseline in Blood Pressure at Week 18 (Open-label Extension Phase)

(NCT00755807)
Timeframe: Baseline (6 weeks), Endpoint (18 weeks)

Interventionmm Hg (Mean)
DiastolicSystolic
Duloxetine-0.58-1.22

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Change From Baseline in Blood Pressure at Week 6 (Acute Phase)

(NCT00755807)
Timeframe: Baseline, 6 weeks

,
Interventionmm Hg (Least Squares Mean)
Diastolic Blood PressureSystolic Blood Pressure
Duloxetine1.340.34
Placebo0.48-0.06

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Change From Baseline in Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) at Week 18

BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference = average of non-missing scores of individual interference items. (NCT00755807)
Timeframe: Baseline (end of acute phase/Week 6), Endpoint (Week 18)

Interventionunits on a scale (Mean)
BPI-S for Worst PainBPI-S for Least PainBPI-S for Average PainBPI-S for Pain Right NowBPI-I for General ActivityBPI-I for MoodBPI-I for Walking AbilityBPI-I for Normal WorkBPI-I for Relations With OthersBPI-I for SleepBPI-I for Enjoyment Of LifeBPI for Mean Interference Score
Duloxetine-1.27-0.96-1.26-1.03-1.01-1.08-0.84-1.00-0.65-0.70-1.03-0.89

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Change From Baseline in Inorganic Phosphorus at Week 6 (Acute Phase)

Change from baseline to acute phase endpoint in laboratory assessment of inorganic phosphorus. (NCT00755807)
Timeframe: Baseline, 6 weeks

,
Interventionmg/dL (Mean)
BaselineChange to Last Observation
Duloxetine3.63-0.17
Placebo3.680.01

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Change From Baseline in Creatinine at Week 6 (Acute Phase)

Change from baseline to acute phase endpoint in laboratory assessment of creatinine. (NCT00755807)
Timeframe: Baseline, 6 weeks

,
Interventionmilligram/deciliter (mg/dL) (Mean)
BaselineChange to Last Observation
Duloxetine0.79-0.00
Placebo0.780.01

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Change From Baseline in Monocytes at Week 18 (Open-label Extension Phase)

(NCT00755807)
Timeframe: Baseline (6 weeks), Endpoint (18 weeks)

InterventionThousand/microliter (Mean)
BaselineChange to Last Observation
Duloxetine0.380.02

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Change From Baseline in Multiple Sclerosis Quality of Life-54 Instrument (MS-QOL-54) at Week 18 (Open-label Extension Phase)

A 54 question measure covers 12 domains; assesses mental and physical health. Each domain score is converted into a 0-100 score based on individual item responses; higher scores=better health status. The physical health composite score is a weighted average of the physical health scales, such as physical function, health perceptions, and energy. The mental health composite score is a weighted average of the mental health scales, such as overall quality of life, cognitive function, and health distress. (NCT00755807)
Timeframe: Baseline (6 weeks), Endpoint (18 weeks)

Interventionunits on a scale (Mean)
Physical Health Composite Section Score (N=198)Mental Health Composite Section Score (N=201)Physical Health Subsection Score (N=201)Health Perceptions Subsection Score (N=201)Energy Subsection Score (N=201)Role Limitation Due to Physical Problems (N=201)Pain Subsection Score (N=201)Sexual Function Subsection Score (N=198)Social Function Subsection Score (N=201)Health Distress Subsection Score (N=201)Overall Quality Of Life Subsection Score (N=201)Emotional Well-being Subsection Score (N=201)Role Limitation Due to Emotional Problems (N=201)Cognitive Function Subsection Score (N=201)Change in Health Subsection Score (N=201)Satisfaction with Sexual Function Subsect (N=195)
Duloxetine2.701.973.162.242.930.507.450.792.531.441.472.633.15-0.074.351.92

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Change From Baseline in Sodium at Week 18 (Open-label Extension Phase)

(NCT00755807)
Timeframe: Baseline (6 weeks), Endpoint (18 weeks)

InterventionmilliEq/Liter (Mean)
BaselineChange to Last Observation
Duloxetine140.08-0.36

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Change From Baseline in the Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) at Week 6 (Acute Phase)

Measures pain severity and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst, least, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing pain interference in past 24 hours, such as general activity, mood, normal work, relations with other people, and sleep. Average interference=average of non-missing scores of individual interference items. Least Squares (LS) Mean Value was adjusted for investigative site and baseline severity. (NCT00755807)
Timeframe: Baseline, 6 weeks

,
Interventionunits on a scale (Least Squares Mean)
BPI Severity for Worst PainBPI Severity for Least PainBPI Severity for Average PainBPI Severity for Pain Right NowBPI Interference for General ActivityBPI Interference for MoodBPI Interference for Walking AbilityBPI Interference for Normal WorkBPI Interference for Relations With OthersBPI Interference for SleepBPI Interference for Enjoyment Of LifeBPI Mean Interference Score
Duloxetine-1.95-1.20-1.36-1.91-1.81-1.91-1.47-1.51-1.72-2.01-1.82-1.77
Placebo-1.29-0.72-0.84-1.02-1.29-1.25-0.91-1.18-1.22-1.59-1.65-1.32

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Change From Baseline in the Multiple Sclerosis Quality of Life-54 Instrument (MS-QOL-54) at 6 Weeks (Acute Phase)

A 54 question measure covers 12 domains; assesses mental and physical health. Each domain score is converted into a 0-100 score based on individual item responses; higher scores=better health status. The physical health composite score is a weighted average of the physical health scales, such as physical function, health perceptions, and energy. The mental health composite score is a weighted average of the mental health scales, such as overall quality of life, cognitive function, and health distress. The Least Squares (LS) Mean Value was adjusted for investigative site and baseline severity. (NCT00755807)
Timeframe: Baseline, 6 weeks

,
Interventionunits on a scale (Least Squares Mean)
Physical Health Composite (N=106, 116)Mental Health Composite (N=106, 116)Physical Health (N=106, 116)Health Perceptions (N=106, 116)Energy Subsection Score (N=106, 116)Role Limitation Due to Physical (N=106, 116)Pain (N=106, 116)Sexual Function (N=106, 116)Social Function (N=106, 116)Health Distress (N=106, 116)Overall Quality Of Life (N=106, 116)Emotional Well-being Subsection Score (N=106, 116)Role Limitation Due to Emotional (N=106, 116)Cognitive Function (N=106, 116)Change in Health (N=106, 116)Satisfaction with Sexual Function (N=102, 112)
Duloxetine6.115.813.351.416.5411.7312.421.305.028.963.664.596.486.388.232.66
Placebo5.124.592.651.356.518.608.841.126.979.345.433.991.585.576.25-1.35

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Change From Baseline in the Platelet Count at Week 6 (Acute Phase)

Change from baseline to acute phase endpoint in laboratory assessment of platelet count. (NCT00755807)
Timeframe: Baseline, 6 weeks

,
InterventionThousand/microliter (Mean)
BaselineChange to Last Observation
Duloxetine266.92-2.20
Placebo281.22-11.00

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Change From Baseline in the Weekly 24-Hour Average Pain Scores up to Week 6 (Acute Phase)

This is a nominal outcome reflecting whether or not a clinically-important efficacy outcome (≥30% or ≥50% pain reduction from baseline) was achieved at endpoint. It is based on a comparison between baseline and endpoint scores on an ordinal scale with scores from 0 (no pain) to 10 (worst possible pain). Used were the weekly mean of the scores of the average pain severity over the last 24 hours. The weekly averages were based on daily assessments recorded by participants in their diaries. (NCT00755807)
Timeframe: Baseline, 6 weeks

,
Interventionparticipants (Number)
≥30% Reduction (LOCF)≥50% Reduction (LOCF)≥30% Reduction (BOCF)≥50% Reduction (BOCF)
Duloxetine47264424
Placebo32192916

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Change From Baseline in Total Protein at Week 18 (Open-label Extension Phase)

(NCT00755807)
Timeframe: Baseline (6 weeks), Endpoint (18 weeks)

Interventiongram/deciliter (g/dL) (Mean)
BaselineChange to Last Observation
Duloxetine7.04-0.06

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Number of Participants With Suicidal Behaviors, Ideations, and Acts Based on The Columbia Suicide Severity Rating Scale (C-SSRS) at Week 18

"C-SSRS scale captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Number of participants with suicidal behaviors, ideations, and acts are provided. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation: a yes answer to any one of 5 suicidal ideation questions, which includes wish to be dead, and 4 different categories of active suicidal ideation. Suicidal act: a yes answer to actual attempt or completed suicide." (NCT00755807)
Timeframe: 18 weeks

Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorSuicidal Acts
Duloxetine100

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Number of Participants With Adverse Events (AEs) Resulting in Discontinuation From Baseline During the Acute Phase

(NCT00755807)
Timeframe: Baseline through 6 weeks

,
Interventionparticipants (Number)
Any Adverse Event (AE)DizzinessSomnolenceAbdominal discomfortAstheniaBack painBalance disorderFearFeeling jitteryHeadacheHypotensionLibido decreasedMood alteredNauseaPain in extremityRash maculo-papularSuicide attemptThroat irritation
Duloxetine1632111011001011111
Placebo510000100110100000

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Change From Baseline in Uric Acid at Week 6 (Acute Phase)

Change from baseline to acute phase endpoint in laboratory assessment of uric acid. (NCT00755807)
Timeframe: Baseline, 6 weeks

,
Interventionmg/dL (Mean)
BaselineChange to Last Observation
Duloxetine5.19-0.23
Placebo4.74-0.04

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Number of Participants Who Discontinued During the Acute Phase (by Week 6)

(NCT00755807)
Timeframe: Baseline through 6 weeks

,
Interventionparticipants (Number)
Discontinued Due to Any ReasonAdverse Event (AE)Protocol ViolationSubject DecisionLack of EfficacyPhysician Decision
Duloxetine18161100
Placebo1253211

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Change From Baseline in Weight at Week 6 (Acute Phase)

(NCT00755807)
Timeframe: Baseline, 6 weeks

Interventionkilograms (kg) (Least Squares Mean)
Duloxetine-0.69
Placebo0.08

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Change From Baseline in Weight at Week 18 (Open-label Extension Phase)

(NCT00755807)
Timeframe: Baseline (6 weeks), Endpoint (18 weeks)

Interventionkilograms (kg) (Mean)
Duloxetine-0.30

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Change From Baseline in the Weekly Mean of Night Pain Scores at Week 6 (Acute Phase)

Weekly mean of the night pain severity scores recorded daily on an 11-point Likert scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain). Participants should complete the electronic diary each day upon awakening. The Least Squares (LS) Mean Value was adjusted for investigative site and baseline severity. (NCT00755807)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.25
Placebo-0.74

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Change From Baseline in the Weekly 24-Hour Average Pain Scores at Week 6 (Acute Phase)

24-hour average pain severity scores recorded daily on an 11-point Likert scale, evaluated as a weekly mean, with scores ranging from 0 (no pain) to 10 (worst possible pain). Participants should complete electronic diary each day upon awakening. The 11-point Likert scale was used for assessment of 24-hour average pain and evaluated as weekly means. Scores range from 0 (no pain) to 10 (worst possible pain). The Least Squares Mean (LS Mean) Value was adjusted for investigative site and baseline severity. (NCT00755807)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.83
Placebo-1.07

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Change From Baseline in the Clinical Global Impression of Severity Scale (CGI-S) Score at Week 18 (Open-label Extension Phase)

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). (NCT00755807)
Timeframe: Baseline (6 weeks), Endpoint (18 weeks)

Interventionunits on a scale (Mean)
Duloxetine-0.59

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Change From Baseline in the Clinical Global Impression of Severity Scale (CGI-S) at 6 Weeks (Acute Phase)

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). The Least Squares (LS) Mean Value was adjusted for investigative site and baseline severity. (NCT00755807)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-0.67
Placebo-0.44

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Change From Baseline in the Beck Depression Inventory II (BDI-II) Question #9 at Week 6 (Acute Phase)

The BDI-II is completed by the participant to rate the severity of depressive symptoms and any improvement during the course of the trial. The total score ranges from 0 to 63 with higher the score indicating more severe depressive symptoms. Question #9 is suicidal thoughts and wishes with a score ranging from 0 to 3. (NCT00755807)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Mean)
Duloxetine-0.04
Placebo-0.03

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Change From Baseline in Pulse Rate at Week 6 (Acute Phase)

(NCT00755807)
Timeframe: Baseline, 6 weeks

Interventionbeats per minute (bpm) (Least Squares Mean)
Duloxetine1.76
Placebo0.22

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Change From Baseline in Pulse Rate at Week 18 (Open-label Extension Phase)

(NCT00755807)
Timeframe: Baseline (6 weeks), endpoint (18 weeks)

Interventionbeats per minute (bpm) (Mean)
Duloxetine1.47

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Change From Baseline in Beck Depression Inventory II (BDI-II), Question #9 at Week 18 (Open-label Extension Phase)

The BDI-II is completed by the participant to rate the severity of depressive symptoms and any improvement during the course of the trial. The total score ranges from 0 to 63 with higher the score indicating more severe depressive symptoms. Question #9 is suicidal thoughts and wishes with the score ranging from 0 to 3. (NCT00755807)
Timeframe: Baseline (6 weeks), Endpoint (18 weeks)

Interventionunits on a scale (Mean)
Duloxetine-0.01

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Number of Responders: 50 Percent (%) or Greater Reduction of the Brief Pain Inventory (BPI) Average Pain Severity Rating at 12 Week Endpoint

Response to treatment was defined as at least a 50% reduction from baseline to endpoint (last observation carried forward) in the BPI average pain severity score. BPI is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Response was assessed at endpoint. (NCT00767806)
Timeframe: 12 weeks

Interventionparticipants (Number)
Duloxetine95
Placebo69

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Number of Responders: 30 Percent (%) or Greater Reduction of the Brief Pain Inventory (BPI) Average Pain Severity Rating at 12 Week Endpoint

Response to treatment was defined as at least a 30% reduction from baseline to endpoint (last observation carried forward) in the BPI average pain severity score. BPI is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Response was assessed at endpoint. (NCT00767806)
Timeframe: 12 weeks

Interventionparticipants (Number)
Duloxetine111
Placebo97

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Number of Participants With Suicidal Ideation or Suicidal Behaviors According to the Columbia Suicide Severity Rating Scale

The Columbia Suicide Severity Rating Scale (C-SSRS) captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period. The scale includes suggested questions to solicit the type of information needed to determine if a suicide-related thought or behavior occurred. (NCT00767806)
Timeframe: baseline through 12 weeks

Interventionparticipants (Number)
Duloxetine0
Placebo0

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Change From Baseline to 12 Weeks in Profile of Mood States - Brief Form

The 30-item BPOMS measures mood states and has 6 factors: tension-anxiety (Ten), depression-dejection (Dep), anxiety-hostility (Ang), fatigue (Fat), confusion (Con), and vigor (Vig). Item scores: 0 (not at all) to 4 (extremely). Each factor scores range from 0 to 20. The Total score is sum of all factor scores minus the factor score for vigor (Total=Ten+Dep+Ang+Fat+Con-Vig) and ranges from 0 (least disturbed) to 80 (most disturbed). (NCT00767806)
Timeframe: baseline, 12 weeks

,
Interventionunits on a scale (Mean)
Tension-Anxiety - baseline; n=186,n=185Tension-Anxiety - change; n=186,n=185Depression-Dejection - baseline; n=185,n=188Depression-Dejection - change; n=185,n=188Anger-Hostility - baseline; n=186,n=185Anger-Hostility - change; n=186,n=185Vigor-Activity - baseline; n=185, n=187Vigor-Activity - change; n=185, n=187Fatigue-Inertia - baseline; n=184, n=188Fatigue-Inertia - change; n=184, n=188Confusion-Bewilderment - baseline; n=185, n=187Confusion-Bewilderment - change; n=185, n=187Total Mood Disturbance - baseline; n=181, n=180Total Mood Disturbance - change; n=181, n=180
Duloxetine4.22-1.582.67-0.802.79-1.186.772.136.49-1.744.09-0.6913.31-7.90
Placebo4.29-0.782.74-0.453.46-0.637.230.816.71-1.644.07-0.1414.27-4.68

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Change From Baseline to 12 Weeks in Weekly Mean of 24-hour Average Pain, Worst Pain, and Night Pain Rating

24-hour average pain severity scores were recorded daily on an 11-point Likert scale, an ordinal scale ranging from 0 (no pain) to 10 (worst possible pain). Patients completed the electronic diary at bedtime. The 11-point Likert scale was also used for assessment of night pain and worst pain each day, and evaluated as weekly means. Least Squares Mean values were controlled for investigator and baseline severity. (NCT00767806)
Timeframe: baseline, 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
Average PainWorst PainNight Pain
Duloxetine-2.14-2.19-1.62
Placebo-1.43-1.48-1.10

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Change From Baseline to 12 Weeks in Work Productivity and Activity Impairment Instrument (WPAI)

"WPAI: self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities and yields 4 types of scores: Absenteeism (work time missed); Presenteeism (impairment at work/reduced on-the-job effectiveness); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism); and Activity Impairment.~Absenteeism~Presenteeism~Work productivity loss~Activity Impairment Scores range from 0 to 1 for each of the above 4 types; higher scores indicate greater impairment." (NCT00767806)
Timeframe: baseline, 12 weeks

,
Interventionunits on a scale (Mean)
Absenteeism, baseline; n=79, n=93Absenteeism, change; n=79, n=93Presenteeism, baseline; n=79, n=90Presenteeism, change; n=79, n=90Work Productivity Loss, baseline; n=77, n=89Work Productivity Loss, change; n=77, n=89Activity Impairment, baseline; n=190, n=196Activity Impairment, change; n=190, n=196
Duloxetine0.08-0.030.49-0.220.50-0.220.56-0.23
Placebo0.10-0.030.48-0.180.50-0.180.56-0.17

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Change From Baseline to 12 Week Endpoint in Albumin

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

InterventionGram/Liter (Least Squares Mean)
Duloxetine-0.76
Placebo-0.12

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Change From Baseline to 12 Week Endpoint in Alkaline Phosphatase

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

InterventionUnits/Liter (Least Squares Mean)
Duloxetine1.59
Placebo-1.85

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Change From Baseline to 12 Week Endpoint in Aspartate Aminotransferase

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

InterventionUnits/Liter (Least Squares Mean)
Duloxetine1.90
Placebo-0.54

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Change From Baseline to 12 Week Endpoint in Creatinine

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

InterventionMicromole/Liter (Least Squares Mean)
Duloxetine-1.69
Placebo0.70

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Change From Baseline to 12 Week Endpoint in Total Protein

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

InterventionGram/Liter (Least Squares Mean)
Duloxetine-1.34
Placebo-0.43

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Change From Baseline to 12 Week Endpoint in Weight

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

Interventionkilogram (Least Squares Mean)
Duloxetine-0.31
Placebo0.05

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Change From Baseline to 12 Weeks Endpoint in Clinical Global Impressions of Severity (CGI-S)

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). Least Squares Mean values were controlled for investigator and baseline severity. (NCT00767806)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-0.95
Placebo-0.79

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Change From Baseline to 12 Week Endpoint in Alanine Aminotransferase

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

InterventionUnits/Liter (Least Squares Mean)
Duloxetine1.51
Placebo-1.71

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Patient's Global Impression of Improvement (PGI-I) at 12 Weeks

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). Least Squares Mean values were controlled for investigator and baseline severity. (NCT00767806)
Timeframe: 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.88
Placebo3.19

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Change From Baseline to 12 Week Endpoint in Pulse Rate

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

Interventionbeats per minute (Least Squares Mean)
Duloxetine0.18
Placebo-0.17

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Change From Baseline to 12 Weeks in Brief Pain Inventory 24-hour Average Pain Score

A self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Least Squares Mean values were controlled for investigator and baseline severity. (NCT00767806)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.48
Placebo-1.80

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Change From Baseline to 12 Weeks in Roland Morris Disability Questionnaire

Roland-Morris questionnaire will be completed by the patient and measures the degree of disability due to back pain. The questionnaire consists of 24 statements and the patient is instructed to put a mark next to each appropriate statement. The number of statements marked will be added up by the clinician and a total score is given. The total score ranges from 0 (no disability) to 24 (severe disability). Least Squares Mean values were controlled for investigator and baseline severity. (NCT00767806)
Timeframe: baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.69
Placebo-2.22

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Change From Baseline to 12 Weeks in Uric Acid

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

InterventionMicromole/Liter (Least Squares Mean)
Duloxetine-14.06
Placebo1.34

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Number of Participants Reaching Each Threshold of of BPI Average Pain Score Reduction During the Study - Cumulative Distribution

The results presented are the cumulative number of participants reaching each threshold of BPI average pain reduction. The thresholds are given as percent reductions in BPI average pain score from the baseline score. BPI: a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Number of participants under each threshold was assessed at endpoint. (NCT00767806)
Timeframe: 12 weeks

,
Interventionparticipants (Number)
Any IncreaseNo Change>0% Decrease>=10% Decrease>=20% Decrease>=30% Decrease>=40% Decrease>=50% Decrease>=60% Decrease>=70% Decrease>=80% Decrease100% Decrease
Duloxetine126212412411695908561473215
Placebo156712112110683715738301911

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Change From Baseline to 12 Weeks on the Brief Pain Inventory - Severity (BPI-S) and Interference (BPI-I)

BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference = average of non-missing scores of individual interference items. (NCT00767806)
Timeframe: baseline, 12 weeks

,
Interventionunits on a scale (Mean)
BPI severity of worst pain - baselineBPI severity of worst pain - changeBPI severity of least pain - baselineBPI severity of least pain - changeBPI severity of pain right now - baselineBPI severity of pain right now - changeBPI interference with general activity - baselineBPI interference with general activity - changeBPI interference with mood - baselineBPI interference with mood - changeBPI interference with walking ability - baselineBPI interference with walking ability - changeBPI interference with normal work - baselineBPI interference with normal work - changeBPI interference relations with others - baselineBPI interference relations with others - changeBPI interference with sleep - baselineBPI interference with sleep - changeBPI interference with enjoyment of life - baselineBPI interference with enjoyment of life - changeBPI average interference - baselineBPI average interference - change
Duloxetine7.26-2.754.11-1.675.47-2.555.37-2.714.00-2.264.61-2.235.25-2.503.07-1.744.74-2.374.25-2.444.44-2.26
Placebo7.06-1.994.04-1.165.30-1.654.91-1.713.76-1.414.13-1.524.91-1.822.82-1.044.53-1.553.78-1.594.14-1.55

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Change From Baseline to 12 Weeks in European Quality of Life Questionnaire - 5 Dimension

Generic, multidimensional, health-related, quality-of-life instrument. The profile allows patients to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood. A single score between 1 and 3 is generated for each domain. For each patient, the outcome rating on 5 domains will be mapped to a single index through an algorithm. The index ranges between 0 and 1; higher scores indicate a better health state perceived by the patient. Participants were evaluated with the United Kingdom (UK) and the United States (US) population based index score. (NCT00767806)
Timeframe: baseline, 12 weeks

,
Interventionunits on a scale (Mean)
UK population-based Index Score-baselineUK population-based Index Score-changeUS population-based Index Score-baselineUS population-based Index Score-change
Duloxetine0.520.190.660.12
Placebo0.570.070.690.05

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Change From Baseline to 12 Weeks in Blood Pressure

Least Squares Mean values were controlled for investigator. (NCT00767806)
Timeframe: baseline, 12 weeks

,
Interventionmillimeter mercury (Least Squares Mean)
Systolic Blood Pressure (millimeter mercury)Diastolic Blood Pressure (millimeter mercury)
Duloxetine0.49-0.14
Placebo-0.59-0.64

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Change From Baseline to 12 Weeks in 36-item Short-Form (SF-36) Health Survey

The SF-36 Health Status Survey is a generic, health-related scale assessing subjects' quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary [MCS] and physical component summary [PCS]). The score for each of the domain and component summary=0-100 (higher scores indicate better health status or functioning). (NCT00767806)
Timeframe: baseline, 12 weeks

,
Interventionunits on a scale (Mean)
Physical Component - baseline; n=147, n=153Physical Component - change; n=147, n=153Mental Component - baseline; n=147, n=153Mental Component - change; n=147, n=153Bodily Pain - baseline; n=188, n=190Bodily Pain -change; n=188, n=190Mental Health - baseline; n=165, n=166Mental Health - change; n=165, n=166General Health - baseline; n=188, n=190General Health - change; n=188, n=190Physical Functioning - baseline;n=186, n=189Physical Functioning - change; n=186, n=189Role-Emotional - baseline; n=172, n=179Role-Emotional - change; n=172, n=179Role-Physical - baseline; n=172, n=179Role-Physical - change; n=172, n=179Social Functioning -baseline; n=188, n=190Social Functioning - change; n=188, n=190Vitality - baseline; n=163, n=165Vitality - change; n=163, n=165
Duloxetine34.416.1549.503.3433.3718.3169.306.6553.547.8150.0213.1873.898.1946.7712.9767.0212.7050.699.33
Placebo34.295.2249.590.8433.9313.5269.721.4853.115.3452.139.4274.215.1246.4211.6669.677.1148.646.30

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Participants Who Discontinued From Baseline to 12 Weeks

Reasons for discontinuation are listed in the participant flow. (NCT00767806)
Timeframe: baseline, 12 weeks

Interventionparticipants (Number)
Duloxetine51
Placebo47

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Number of Sustained Responders at 12 Week Endpoint

Sustained responders: participants with ≥30% reduction of BPI average pain rating from baseline to endpoint and baseline to earlier visit than last visit and who maintain a ≥20% reduction of BPI average pain rating from baseline at every visit between last visit and earlier visit. BPI: a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Number of sustained responders was assessed at endpoint. (NCT00767806)
Timeframe: 12 weeks

Interventionparticipants (Number)
Duloxetine89
Placebo73

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Change From Baseline in Brief Pain Inventory (BPI) - Short Form Severity (BPI-S) and Interference (BPI-I) Scores at Endpoint

BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. (NCT00803361)
Timeframe: Baseline, Week 15

,
InterventionUnits on a Scale (Mean)
Severity of Worst Pain BaselineSeverity of Worst Pain ChangeSeverity of Least Pain BaselineSeverity of Least Pain ChangeSeverity of Average Pain BaselineSeverity of Average Pain ChangeSeverity of Pain Right Now BaselineSeverity of Pain Right Now ChangeInterference of Pain, General Activity, BaselineInterference of Pain, General Activity, ChangeInterference of Pain, Mood, BaselineInterference of Pain, Mood, ChangeInterference of Pain,Walking Ability, BaselineInterference of Pain,Walking Ability, ChangeInt. of Pain, Normal Work, BaselineInt. of Pain, Normal Work, ChangeInt. of Pain, Relations with Others, BaselineInt. of Pain, Relations with Others, ChangeInterference of Pain, Sleep, BaselineInterference of Pain, Sleep, ChangeInterference of Pain, Enjoyment of Life, BaselineInterference of Pain, Enjoyment of Life, ChangeMean Interference Score, BaselineMean Interference Score, Change
Duloxetine3.39-1.781.17-0.672.36-1.252.21-1.412.60-1.432.97-1.491.31-0.632.53-1.252.01-1.072.55-1.162.51-1.272.36-1.18
Placebo4.22-1.881.51-0.452.77-0.972.30-0.772.66-1.063.40-1.441.56-0.472.44-0.962.01-0.883.23-1.452.62-0.992.56-1.04

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Mean Clinical Global Impressions (CGI) Improvement Score at Endpoint

Measures clinician's perception of patient improvement at the time of assessment compared with the start of treatment. Scores range from 1 (very much better) to 7 (very much worse). (NCT00803361)
Timeframe: Week 15

InterventionUnits on a Scale (Mean)
Duloxetine2.08
Placebo2.54

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Change From Baseline in Visual Analogue Scale (VAS) for Pain at Endpoint

VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 100 millimeter (mm) line between two anchors (0= no pain and 100=very severe pain). (NCT00803361)
Timeframe: Baseline, Week 15

,
InterventionUnits on a Scale (Mean)
Severity of Overall Pain, Past Week, BaselineSeverity of Overall Pain, Past Week, ChangeSeverity of Headaches, Past Week, BaselineSeverity of Headaches, Past Week, ChangeSeverity of Back Pain, Past Week, BaselineSeverity of Back Pain, Past Week, ChangeSeverity of Shoulder Pain, Past Week, BaselineSeverity of Shoulder Pain, Past Week, ChangePain Interference, Daily Activities, BaselinePain Interference, Daily Activities, ChangePain During Waking Hours, Past Week, BaselinePain During Waking Hours, Past Week, Change
Duloxetine27.56-15.2821.11-9.4418.13-9.4016.53-8.8527.19-16.9226.84-16.77
Placebo31.94-13.4024.52-10.5717.40-3.3619.68-8.5226.41-12.6933.22-14.58

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Change From Baseline in the Hospital Anxiety and Depression Scale (HADS) Depression Subscale Score at Endpoint

A 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale, giving maximum scores of 21 for anxiety and depression. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' (NCT00803361)
Timeframe: Baseline, Week 15

,
InterventionUnits on a Scale (Mean)
BaselineChange from Baseline
Duloxetine6.90-2.95
Placebo6.62-1.96

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Change From Baseline in the Hospital Anxiety and Depression Scale (HADS) Anxiety Subscale Score at Endpoint

A 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale, giving maximum scores of 21 for anxiety and depression. Scores of 11 or more on either subscale are considered to be a significant 'case' of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' (NCT00803361)
Timeframe: Baseline, Week 15

,
InterventionUnits on a scale (Mean)
BaselineChange from Baseline
Duloxetine12.76-6.38
Placebo13.56-5.29

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Change From Baseline in the Hamilton Anxiety (HAMA) Rating Scale Total Score at Endpoint

The HAMA scale measures anxiety symptoms accompanying Major Depressive Disorder (MDD). Each item of the 14-item HAMA was scored from 0 (not present) to 4 (very severe), with a resulting maximum total score of 56. (NCT00803361)
Timeframe: Baseline, Week 15

,
InterventionUnits on a scale (Mean)
BaselineChange from Baseline
Duloxetine24.50-14.42
Placebo24.24-11.62

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Change From Baseline in Sheehan Disability Scale (SDS) at Endpoint, Global Functioning Scores

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. Individual item scores range from 0-10, with higher numbers indicating greater disruption. Item 1 is for work/schoolwork, Item 2 is for social life/leisure activities, Item 3 is for family life/home responsibilities. (NCT00803361)
Timeframe: Baseline, Week 15

,
InterventionUnits on a scale (Mean)
Symptoms Disrupted Work- Baseline (N=101,N=94)Symptoms Disrupted Work- Change(N=101,N=94)Symptoms Disrupted Social/Leisure - BaselineSymptoms Disrupted Social/Leisure - ChangeSymptoms Disrupted Family Life - BaselineSymptoms Disrupted Family Life - ChangeGlobal Functional Impairment Total Score -BaselineGlobal Functional Impairment Total Score -Change
Duloxetine5.94-3.275.84-3.215.50-3.0717.24-9.51
Placebo5.85-2.595.73-2.605.39-2.4517.05-7.71

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Estimated Probability of Not Reaching Confirmed Remission at 12 Weeks Based on the Survival Function for the Time to Confirmed Remission

Survival function is estimating the probability of participants not achieving confirmed remission. Confirmed remission is defined as a Hamilton Depression Rating Scale-17 Items (HAMD-17) Score of ≤ 7 that is maintained for two consecutive visits. The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00810069)
Timeframe: Week 4 through Week 16

Interventionestimated probability (percent) (Mean)
Early Intervention52
Delayed Intervention59

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Visual Analog Scale (VAS) - Overall Pain Severity

VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 10 centimeter (cm) line between two anchors (0= no pain and 10=very severe pain). (NCT00810069)
Timeframe: Baseline, Week 4, Week 6, Week 8, Week 10, Week 12, Week 14, Week 16

,
Interventionunits on a scale (Mean)
Baseline (n=282, 284)Week 4 (n=281, 283)Week 6 (n=270, 271)Week 8 (n=245, 241)Week 10 (n=207, 204)Week 12 (n=170, 181)Week 14 (n=151, 152)Week 16 (n=143, 152)
Delayed Intervention3.83.53.33.02.72.62.52.3
Early Intervention3.63.02.62.42.42.12.02.0

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Sheehan Disability Scale (SDS) Normal Functioning Total Score

The SDS is completed by the participant and is 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. (NCT00810069)
Timeframe: Baseline, Week 4, Week 8, Week 12, Week 16

,
Interventionunits on a scale (Mean)
Baseline (n=216, 217)Week 4 (n=215, 215)Week 8 (n=186, 188)Week 12 (n=140, 144)Week 16 (n=113, 121)
Delayed Intervention19.917.514.013.210.2
Early Intervention19.916.913.512.110.3

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Resource Utilisation - Number of Work Hours Missed in the Last 4 Weeks

Only those participants who missed at least 1 hour of work were included. (NCT00810069)
Timeframe: Week 4, Week 8, Week 12, Week 16

,
InterventionHours (Mean)
Week 4 (n=73, 89)Week 8 (n=54, 67)Week 12 (n=38, 56)Week 16 (n=25, 39)
Delayed Intervention95.0102.3104.5126.4
Early Intervention88.692.585.091.5

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Resource Utilisation - Number of Work Hours Missed Due to Depression in the Last 4 Weeks

Only those participants who missed at least 1 hour of work due to depression were included. (NCT00810069)
Timeframe: Week 4, Week 8, Week 12, Week 16

,
InterventionHours (Mean)
Week 4 (n=70, 86)Week 8 (n=47, 61)Week 12 (n=31, 52)Week 16 (n=24, 38)
Delayed Intervention95.1109.7111.4126.0
Early Intervention90.698.598.791.9

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Resource Utilisation - Number of Visits to Primary Healthcare Provider Due to Depression in the Last 4 Weeks

(NCT00810069)
Timeframe: Week 4, Week 8, Week 12, Week 16

,
InterventionVisits (Mean)
Week 4 (n=36, 55)Week 8 (n=14, 22)Week 12 (n=8, 12)Week 16 (n=4, 7)
Delayed Intervention1.61.71.61.6
Early Intervention1.51.11.32.0

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Resource Utilisation - Number of Visits to Other Specialists Due to Depression in the Last 4 Weeks

(NCT00810069)
Timeframe: Week 4, Week 8, Week 12, Week 16

,
InterventionVisits (Mean)
Week 4 (n=25, 16)Week 8 (n=8, 8)Week 12 (n=3, 2)Week 16 (n=2, 1)
Delayed Intervention1.71.91.03.0
Early Intervention2.21.61.72.0

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Resource Utilisation - Number of Hours Worked Per Week

(NCT00810069)
Timeframe: Baseline, Week 4, Week 8, Week 12, Week 16

,
InterventionHours (Mean)
Week 4 (n=153, 159)Week 8 (n=136, 141)Week 12 (n=119, 115)Week 16 (n=96, 96)
Delayed Intervention38.637.738.138.0
Early Intervention37.737.937.737.2

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Resource Utilisation - Has the Participant Been Hospitalized Due to Depression in the Last 4 Weeks - Number of Participants With a Yes Response

(NCT00810069)
Timeframe: Week 4, Week 8, Week 12, Week 16

,
Interventionparticipants (Number)
Week 4Week 8Week 12Week 16
Delayed Intervention0000
Early Intervention1000

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Number of Participants With Adverse Events (AEs)

The list of AEs is located in the Reported Adverse Event module. (NCT00810069)
Timeframe: Baseline through Week 16

,
Interventionparticipants (Number)
Number of participants with adverse eventsNumber of participants with serious adverse events
Delayed Intervention1014
Early Intervention1128

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Euro Quality of Life Questionnaire-5 Dimensions (EQ-5D) Scale - United Kingdom (UK) Population Based Index Score

The EQ-5D is a generic, multidimensional, health-related, quality of life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood. A single score between 1 and 3 is generated for each domain. For each participant, the outcome rating on the 5 domains will be mapped to a single index through an algorithm. The index ranges between 0 and 1, with the higher score indicating a better health state perceived by the participant. (NCT00810069)
Timeframe: Baseline, Week 4, Week 8, Week 12, Week 16

,
Interventionunits on a scale (Mean)
Baseline (n=279, 282)Week 4 (n=279, 282)Week 8 (n=244, 238)Week 12 (n=168, 178)Week 16 (n=143, 153)
Delayed Intervention0.30.50.60.60.7
Early Intervention0.40.50.70.70.7

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Euro Quality of Life Questionnaire-5 Dimensions (EQ-5D) Scale - Health State Score

The EQ-5D Health State Score is self-rated health on a vertical, visual analogue scale measured in centimeters (cm) and reported as units on a scale. Best imaginable health state = 10 cm and worst imaginable health state = 0 cm. (NCT00810069)
Timeframe: Baseline, Week 4, Week 8, Week 12, Week 16

,
Interventionunits on a scale (Mean)
Baseline (n=281, 283)Week 4 (n=282, 280)Week 8 (n=244, 237)Week 12 (n=169, 177)Week 16 (n=142, 153)
Delayed Intervention3.94.55.45.86.5
Early Intervention4.24.95.75.96.5

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Clinical Global Impressions of Severity (CGI-S) Scale

Measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). (NCT00810069)
Timeframe: Baseline, Week 4, Week 6, Week 8, Week 10, Week 12, Week 14, Week 16

,
Interventionunits on a scale (Mean)
Baseline (n=282, 284)Week 4 (n=281, 284)Week 6 (n=271, 277)Week 8 (n=254, 254)Week 10 (n=231, 236)Week 12 (n=203, 214)Week 14 (n=184, 194)Week 16 (n=178, 182)
Delayed Intervention4.64.33.73.32.92.72.52.2
Early Intervention4.64.33.63.22.82.62.42.2

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Time to Confirmed Response by ≥ 50% Change From Baseline Reduction in the Hamilton Depression Rating Scale-17 Items (HAMD-17)

Time to confirmed response is defined as the time from the day of study randomization (Visit 2) to the date of first observation of confirmed response defined as ≥ 50% baseline score reduction on the HAMD-17 for 2 consecutive visits. The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale, e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00810069)
Timeframe: Week 4 through Week 16

Interventionweeks (Median)
Early Intervention6.4
Delayed Intervention8.0

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Time to Confirmed Response as Defined by ≥ 50% Reduction From Baseline Reduction in the 16-Item Quick Inventory of Depressive Symptomatology Self Report (QIDS16SR) That is Reported for Two Consecutive Visits

Time to confirmed response is defined as the time from the day of study randomization (Visit 2) to the date of first observation of confirmed response. QIDS16SR is a 16-item participant-rated measure of depressive symptomatology. The total score ranges from 0 to 27 with higher scores indicative of greater severity. (NCT00810069)
Timeframe: Week 4 through Week 16

Interventionweeks (Median)
Early Intervention6.0
Delayed Intervention6.9

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Time to Confirmed Remission by a Hamilton Depression Rating Scale-17 Items (HAMD-17) Score of ≤ 7 That is Maintained for Two Consecutive Visits

Time to confirmed remission is defined as the time from the day of study randomization (Visit 2) to the date of first observation of confirmed remission defined as a score on the HAMD-17 of ≤ 7 for 2 consecutive visits. The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00810069)
Timeframe: Week 4 through Week 16

Interventionweeks (Median)
Early Intervention12.9
Delayed InterventionNA

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Time to Confirmed Remission as Defined by a 16-Item Quick Inventory of Depressive Symptomatology Self Report (QIDS16SR) Score of ≤ 5 That is Maintained for Two Consecutive Visits.

Time to confirmed remission is defined as the time from the day of study randomization (Visit 2) to the date of first observation of confirmed remission. A 16-item participant-rated measure of depressive symptomatology. The total score ranges from 0 to 27 with higher scores indicative of greater severity. (NCT00810069)
Timeframe: Week 4 through Week 16

Interventionweeks (Median)
Early InterventionNA
Delayed InterventionNA

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Estimated Probability of Not Reaching Confirmed Response at 12 Weeks Based on the Survival Function for the Time to Confirmed Response

Survival function is estimating the probability of participants not achieving confirmed response after 12 weeks. Confirmed response is defined as >=50% change from baseline reduction in the Hamilton Depression Rating Scale-17 Items (HAMD-17). The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe). (NCT00810069)
Timeframe: Week 4 through Week 16

Interventionestimated probability (percent) (Mean)
Early Intervention28
Delayed Intervention26

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Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment

The Hamilton Anxiety Rating Scale (HAM-A) consists of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behaviour at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic, and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total score from 0 to 56. The higher the score, the more severe. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-5.74
Vortioxetine 5 mg-8.09
Duloxetine 60 mg-9.28

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Change From Baseline in GDS Total Score After 8 Weeks of Treatment

The Geriatric Depression Scale (GDS) is a patient self-rating scale designed for the screening of depression in the elderly. It has also been validated as a measure of depression severity. The original version consists of 30 questions with a yes/no answer. In this study, the short 15-item version was used. The total score ranges from 0 to 15, with 15 representing maximum severity. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-0.65
Vortioxetine 5 mg-1.08
Duloxetine 60 mg-1.32

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Risk of Suicidality Using C-SSRS Scores

The Columbia-Suicide Severity Rating Scale (C-SSRS) was developed by researchers at Columbia University as a tool to systematically assess suicidal ideation and behaviour in patients during participation in a clinical study. The C-SSRS is composed of questions that address suicidal behaviour and questions that address suicidal ideation, with sub-questions that assess severity. The tool was administered via an interview with the patient. (NCT00811252)
Timeframe: Up to 8 weeks

,,
Interventionparticipants (Number)
No ideation or behaviorCompleted SuicideSuicide AttemptPreparatory Actions Toward Imminent Suicidal BehavSuicidal Ideation: PassiveSuicidal Ideation: Active / NonspecificSuicidal Ideation: Active / Method, but no intentSuicidal Ideation: Active / Method and intent, butSuicidal Ideation: Active / Method, intent, and plSelf-Injurious Behavior Without Suicidal Intent
Duloxetine 60 mg106010700000
Placebo103000830000
Vortioxetine 5 mg1070001400000

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Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment

The Hamilton Depression Scale - 24 Items (HAM-D-24) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 76. The higher the score, the more severe. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-10.3
Vortioxetine 5 mg-13.7
Duloxetine 60 mg-15.8

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Change in Clinical Status Using CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) is a 7-point scale rated from 1 (very much improved) to 7 (very much worse). The investigator rated the patient's overall improvement relative to baseline, whether or not, in the opinion of the investigator, this was entirely due to the drug treatment. (NCT00811252)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Placebo2.91
Vortioxetine 5 mg2.35
Duloxetine 60 mg2.07

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Proportion of Responders at Week 8 (Response Defined as a >=50% Reduction in the HAM-D-24 Total Score)

(NCT00811252)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo35
Vortioxetine 5 mg53
Duloxetine 60 mg63

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Change From Baseline in CGI-S Score After 8 Weeks of Treatment

The Clinical Global Impression - Severity of Illness (CGI-S) is a 7-point scale rated from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). The investigator should use his/her total clinical experience with this patient population to judge how mentally ill the patient is at the time of rating. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-1.03
Vortioxetine 5 mg-1.63
Duloxetine 60 mg-2.05

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Change From Baseline in MADRS Total Score After 8 Weeks of Treatment

The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-11.2
Vortioxetine 5 mg-15.5
Duloxetine 60 mg-18.0

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Change From Baseline in HAM-D-24 Total Score After 6 Weeks of Treatment

(NCT00811252)
Timeframe: Baseline and Week 6

Interventionunits on a scale (Mean)
Placebo-10.2
Vortioxetine 5 mg-12.3
Duloxetine 60 mg-14.4

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Change From Baseline in HAM-D-24 Total Score After 4 Weeks of Treatment

(NCT00811252)
Timeframe: Baseline and Week 4

Interventionunits on a scale (Mean)
Placebo-8.99
Vortioxetine 5 mg-10.1
Duloxetine 60 mg-12.3

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Change From Baseline in HAM-D-24 Total Score After 2 Weeks of Treatment

(NCT00811252)
Timeframe: Baseline and Week 2

Interventionunits on a scale (Mean)
Placebo-6.66
Vortioxetine 5 mg-6.95
Duloxetine 60 mg-7.91

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Change From Baseline in HAM-D-24 Total Score After 1 Week of Treatment

(NCT00811252)
Timeframe: Baseline and Week 1

Interventionunits on a scale (Mean)
Placebo-3.62
Vortioxetine 5 mg-4.04
Duloxetine 60 mg-3.48

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Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)

(NCT00811252)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo21
Vortioxetine 5 mg34
Duloxetine 60 mg47

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Change of Pulse Rate From Baseline at Week 12

(NCT00844194)
Timeframe: Baseline and Week 12

Interventionbeats per minute (bpm) (Mean)
Without Major Depressive Disorder (MDD-)2.4
With Major Depressive Disorder (MDD+)2.9

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Change of Systolic Blood Pressure From Baseline at Week 12

(NCT00844194)
Timeframe: Baseline and Week 12

InterventionmmHg (Mean)
Without Major Depressive Disorder (MDD-)-0.4
With Major Depressive Disorder (MDD+)-2.8

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Patient Global Impression - Improvement (PGI-I) at Week 12

The investigator judged the improvement of the patient's global impression during treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)2.5
With Major Depressive Disorder (MDD+)2.7

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Patient Global Impression - Improvement (PGI-I) at Week 2

The investigator judged the improvement of the patient's global impression during treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)3.0
With Major Depressive Disorder (MDD+)3.2

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Patient Global Impression - Improvement (PGI-I) at Week 6

The investigator judged the improvement of the patient's global impression during treatment. The score ranges from 1 (very much better) to 7 (very much worse). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)2.5
With Major Depressive Disorder (MDD+)2.5

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Change in HADS Anxiety Total Score From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The HADS anxiety total score ranges from 0 (no anxiety) to 21 (extreme anxiety). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.8
With Major Depressive Disorder (MDD+)-2.2

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Change in HADS Depression Total Score From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The HADS depression total score ranges from 0 (no depression) to 21 (extreme depression). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.7
With Major Depressive Disorder (MDD+)-3.7

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Change in HADS Depression Total Score From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The HADS depression total score ranges from 0 (no depression) to 21 (extreme depression). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.5
With Major Depressive Disorder (MDD+)-1.6

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Change in HADS Depression Total Score From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The HADS depression total score ranges from 0 (no depression) to 21 (extreme depression). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.8
With Major Depressive Disorder (MDD+)-3.4

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Suicidal Thoughts or Behaviours by HAMD-17 at Week 12

(NCT00844194)
Timeframe: Week 12

,
InterventionParticipants (Number)
AbsentFeels life is not worth livingThoughts of possible death to selfSuicidal ideas or gesturesAttempts at suicideMissing
With Major Depressive Disorder (MDD+)2610000
Without Major Depressive Disorder (MDD-)6600000

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Suicidal Thoughts by BDI-II at Week 6

(NCT00844194)
Timeframe: Week 6

,
InterventionParticipants (Number)
No thoughts of killing myselfThoughts of killing myselfLike to kill myselfKill myself if chanceMissing
With Major Depressive Disorder (MDD+)221001
Without Major Depressive Disorder (MDD-)572000

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Suicidal Thoughts by BDI-II at Week 2

(NCT00844194)
Timeframe: Week 2

,
InterventionParticipants (Number)
No thoughts of killing myselfThoughts of killing myselfLike to kill myselfKill myself if chanceMissing
With Major Depressive Disorder (MDD+)271000
Without Major Depressive Disorder (MDD-)673000

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Suicidal Thoughts by BDI-II at Week 12

(NCT00844194)
Timeframe: Week 12

,
InterventionParticipants (Number)
No thoughts of killing myselfThoughts of killing myselfLike to kill myselfKill myself if chanceMissing
With Major Depressive Disorder (MDD+)242000
Without Major Depressive Disorder (MDD-)630002

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Number of Patients With a Reduction in BPI Average Pain at Week 6

(NCT00844194)
Timeframe: Baseline and Week 6

,
InterventionParticipants (Number)
>=30%>=50%Missing
With Major Depressive Disorder (MDD+)17126
Without Major Depressive Disorder (MDD-)423014

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Number of Patients With a Reduction in BPI Average Pain at Week 2

(NCT00844194)
Timeframe: Baseline and Week 2

,
InterventionParticipants (Number)
>=30%>=50%Missing
With Major Depressive Disorder (MDD+)932
Without Major Depressive Disorder (MDD-)29195

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Number of Patients With a Reduction in BPI Average Pain at Week 12

(NCT00844194)
Timeframe: Baseline and Week 12

,
InterventionParticipants (Number)
>=30%>=50%Missing
With Major Depressive Disorder (MDD+)17114
Without Major Depressive Disorder (MDD-)42306

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Change in Multidimensional Pain Inventory (MPI): Life Control From Baseline to Week 12

Perceived life control and ability to solve problems and feelings of personal mastery and competence. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (no control) to 6 (extreme control). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)0.4
With Major Depressive Disorder (MDD+)0.3

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Change in Interference of Pain With General Activity (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.8
With Major Depressive Disorder (MDD+)-2.5

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Change in Interference of Pain With Mood (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.2
With Major Depressive Disorder (MDD+)-3.0

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Suicidal Thoughts or Behaviours by HAMD-17 at Week 6

(NCT00844194)
Timeframe: Week 6

,
InterventionParticipants (Number)
AbsentFeels life is not worth livingThoughts of possible death to selfSuicidal ideas or gesturesAttempts at suicideMissing
With Major Depressive Disorder (MDD+)2220000
Without Major Depressive Disorder (MDD-)6000000

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Suicidal Thoughts or Behaviours by HAMD-17 at Week 2

(NCT00844194)
Timeframe: Week 2

,
InterventionParticipants (Number)
AbsentFeels life is not worth livingThoughts of possible death to selfSuicidal ideas or gesturesAttempts at suicideMissing
With Major Depressive Disorder (MDD+)2620000
Without Major Depressive Disorder (MDD-)6800000

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Change in Interference of Pain With Mood (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.1
With Major Depressive Disorder (MDD+)-1.5

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Change in Interference of Pain With Mood (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.4
With Major Depressive Disorder (MDD+)-3.1

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Change in Interference of Pain With Normal Work (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.4
With Major Depressive Disorder (MDD+)-1.8

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Change in Interference of Pain With Normal Work (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.9
With Major Depressive Disorder (MDD+)-0.1

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Change in Interference of Pain With Normal Work (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.1
With Major Depressive Disorder (MDD+)-1.3

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Change in Interference of Pain With Relations to Other People (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.4
With Major Depressive Disorder (MDD+)-1.7

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Change in Interference of Pain With Relations to Other People (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.5
With Major Depressive Disorder (MDD+)-0.1

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Change in Interference of Pain With Relations to Other People (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.6
With Major Depressive Disorder (MDD+)-1.7

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Change in Interference of Pain With Sleep (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.5
With Major Depressive Disorder (MDD+)-1.9

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Change in Interference of Pain With Sleep (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.8
With Major Depressive Disorder (MDD+)-1.0

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Change in Interference of Pain With Sleep (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.1
With Major Depressive Disorder (MDD+)-1.5

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Change in Interference of Pain With Walking Ability (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.9
With Major Depressive Disorder (MDD+)-2.4

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Change in Interference of Pain With Walking Ability (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.9
With Major Depressive Disorder (MDD+)-1.0

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Change in Interference of Pain With Walking Ability (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.3
With Major Depressive Disorder (MDD+)-2.1

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Change in Least Pain (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.5
With Major Depressive Disorder (MDD+)-1.1

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Change in Least Pain (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.1
With Major Depressive Disorder (MDD+)-0.2

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Change in Least Pain During Treatment (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.7
With Major Depressive Disorder (MDD+)-1.3

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Change in Multidimensional Pain Inventory (MPI): Affective Distress From Baseline to Week 12

Affective distress, including ratings of depressed mood, irritability, and tension. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (no distress) to 6 (extreme distress). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.5
With Major Depressive Disorder (MDD+)-0.8

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Change in Multidimensional Pain Inventory (MPI): Affective Distress From Baseline to Week 6

Affective distress, including ratings of depressed mood, irritability, and tension. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (no distress) to 6 (extreme distress). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.3
With Major Depressive Disorder (MDD+)-0.5

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Change in Multidimensional Pain Inventory (MPI): Degree to Which Significant Others Display Distracting Responses to the Patient's Pain Behaviors and Complaints From Baseline to Week 12

Degree to which significant others display distracting responses to the patient's pain behaviors and complaints. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.2
With Major Depressive Disorder (MDD+)0.0

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Change in Multidimensional Pain Inventory (MPI): Degree to Which Significant Others Display Distracting Responses to the Patient's Pain Behaviors and Complaints From Baseline to Week 6

Degree to which significant others display distracting responses to the patient's pain behaviors and complaints. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.1
With Major Depressive Disorder (MDD+)-0.1

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Change in Multidimensional Pain Inventory (MPI): General Activities From Baseline to Week 12

Frequency with which the patient engages in general activities. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.3
With Major Depressive Disorder (MDD+)0.3

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Change in Multidimensional Pain Inventory (MPI): General Activities From Baseline to Week 6

Frequency with which the patient engages in general activities. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.2
With Major Depressive Disorder (MDD+)0.1

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Change in Multidimensional Pain Inventory (MPI): Household Chores From Baseline to Week 12

Frequency with which the patient engages in household chores. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)0.1
With Major Depressive Disorder (MDD+)-0.1

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Change in Multidimensional Pain Inventory (MPI): Household Chores From Baseline to Week 6

Frequency with which the patient engages in household chores. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)0.0
With Major Depressive Disorder (MDD+)-0.1

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Change in Multidimensional Pain Inventory (MPI): Interference of Pain (With Subjective Well-being) From Baseline to Week 6

Pain-related life interference (with family and marital functioning, work, social activities). The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (no interference) to 6 (extreme interference). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.0
With Major Depressive Disorder (MDD+)-0.9

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Change in Multidimensional Pain Inventory (MPI): Interference of Pain From Baseline to Week 12

Pain-related life interference (with family and marital functioning, work, social activities). The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (no interference) to 6 (extreme interference). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.1
With Major Depressive Disorder (MDD+)-1.0

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Change in Multidimensional Pain Inventory (MPI): Life Control From Baseline to Week 6

Perceived life control and ability to solve problems and feelings of personal mastery and competence. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (no control) to 6 (extreme control). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)0.2
With Major Depressive Disorder (MDD+)0.2

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Change in Multidimensional Pain Inventory (MPI): Negative Responses From Baseline to Week 12

Degree to which significant others display negative responses to the patient's pain behaviors and complaints. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)0.1
With Major Depressive Disorder (MDD+)-0.3

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Change in Multidimensional Pain Inventory (MPI): Negative Responses From Baseline to Week 6

Degree to which significant others display negative responses to the patient's pain behaviors and complaints. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.1
With Major Depressive Disorder (MDD+)-0.7

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Change in Multidimensional Pain Inventory (MPI): Outdoor Work From Baseline to Week 12

Frequency with which the patient engages in outdoor work. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.6
With Major Depressive Disorder (MDD+)0.6

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Change in Multidimensional Pain Inventory (MPI): Outdoor Work From Baseline to Week 6

Frequency with which the patient engages in outdoor work. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.2
With Major Depressive Disorder (MDD+)0.3

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Change in Multidimensional Pain Inventory (MPI): Pain Severity From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (no control) to 6 (extreme control). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.5
With Major Depressive Disorder (MDD+)-1.2

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Change in Multidimensional Pain Inventory (MPI): Pain Severity From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (not at all strong) to 6 (very strong). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.2
With Major Depressive Disorder (MDD+)-1.0

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Change in Multidimensional Pain Inventory (MPI): Social Activities From Baseline to Week 12

Frequency with which the patient engages in social activities. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)0.1
With Major Depressive Disorder (MDD+)0.3

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Change in Multidimensional Pain Inventory (MPI): Social Activities From Baseline to Week 6

Frequency with which the patient engages in social activities. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)0.1
With Major Depressive Disorder (MDD+)0.1

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Change in Pain (BPI) From Baseline to Week 6

The change from baseline reflects the pain at week 6 minus the pain at baseline. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-2.0
With Major Depressive Disorder (MDD+)-1.7

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Change in Multidimensional Pain Inventory (MPI): Solicitous Responses From Baseline to Week 12

Degree to which significant others display solicitous responses to the patient's pain behaviors and complaints. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.2
With Major Depressive Disorder (MDD+)0.2

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Change in HADS Anxiety Total Score From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The HADS anxiety total score ranges from 0 (no anxiety) to 21 (extreme anxiety). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.0
With Major Depressive Disorder (MDD+)-3.3

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Change in Clinical Global Impression - Severity Pain From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The score of the Clinical global impression ranges from 1 (not ill at all) to 7 (extremely ill). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.7
With Major Depressive Disorder (MDD+)-0.8

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Change in Clinical Global Impression - Severity Pain From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The score of the Clinical global impression ranges from 1 (not ill at all) to 7 (extremely ill). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.5
With Major Depressive Disorder (MDD+)-0.4

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Change in Clinical Global Impression - Severity Pain From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The score of the Clinical global impression ranges from 1 (not ill at all) to 7 (extremely ill). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores of a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.8
With Major Depressive Disorder (MDD+)-1.0

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Change in BPI Worst Pain During Treatment From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-2.2
With Major Depressive Disorder (MDD+)-1.9

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Change in Interference of Pain With General Activity (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.6
With Major Depressive Disorder (MDD+)-1.1

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Change in Multidimensional Pain Inventory (MPI): Solicitous Responses From Baseline to Week 6

Degree to which significant others display solicitous responses to the patient's pain behaviors and complaints. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (never) to 6 (very frequently). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.2
With Major Depressive Disorder (MDD+)-0.2

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Change in Interference of Pain With General Activity (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-2.4
With Major Depressive Disorder (MDD+)-2.7

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Change in Interference of Pain With Enjoyment of Life (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.2
With Major Depressive Disorder (MDD+)-2.2

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Change in Interference of Pain With Enjoyment of Life (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.7
With Major Depressive Disorder (MDD+)-0.6

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Change in Hospital Anxiety and Depression Scale (HADS) Anxiety Total Score From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The HADS anxiety total score ranges from 0 (no anxiety) to 21 (extreme anxiety). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.7
With Major Depressive Disorder (MDD+)-1.2

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Change in Hamilton Depression Score From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. A lower score corresponds to a lower level of depression. The score ranges from 0 to 52. (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores of a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.5
With Major Depressive Disorder (MDD+)-9.3

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Change in Hamilton Depression Score From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. A lower score corresponds to a lower level of depression. The score ranges from 0 to 52. (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.2
With Major Depressive Disorder (MDD+)-4.5

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Change in Hamilton Depression Score From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. A lower score corresponds to a lower level of depression. The score ranges from 0 to 52. (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.8
With Major Depressive Disorder (MDD+)-9.7

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Change in Beck Depression Inventory Total Score (BDI-II) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BDI-II total score ranges from 0 to 63, with a higher score indicating a higher level of depression. (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.8
With Major Depressive Disorder (MDD+)-7.3

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Change in Beck Depression Inventory Total Score (BDI-II) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BDI-II total score ranges from 0 to 63, with a higher score indicating a higher level of depression. (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.9
With Major Depressive Disorder (MDD+)-3.1

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Change in Beck Depression Inventory Total Score (BDI-II) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BDI-II total score ranges from 0 to 63, with a higher score indicating a higher level of depression. (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.6
With Major Depressive Disorder (MDD+)-7.8

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Change in Average Pain During Treatment (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-2.6
With Major Depressive Disorder (MDD+)-2.6

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Change in Average Pain (BPI) From Baseline to Week 2

The change from baseline reflects the week 2 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.6
With Major Depressive Disorder (MDD+)-1.1

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Change in Average Pain (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-2.4
With Major Depressive Disorder (MDD+)-2.2

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Change in Multidimensional Pain Inventory (MPI): Support From Baseline to Week 6

Appraisal of support received from spouse, family and significant others. The change from baseline reflects the week 6 value minus the baseline value. The scores range from 0 (no support) to 6 (very much support). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.4
With Major Depressive Disorder (MDD+)0.5

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Change in Multidimensional Pain Inventory (MPI): Support Which the Patient Received From Baseline to Week 12

Appraisal of support received from spouse, family and significant others. The change from baseline reflects the week 12 value minus the baseline value. The scores range from 0 (no support) to 6 (very much support). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.2
With Major Depressive Disorder (MDD+)0.4

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Change in Pain During Treatment (BPI) From Baseline to Week 12

The change from baseline reflects the pain at week 12 minus the pain at baseline. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.7
With Major Depressive Disorder (MDD+)-1.5

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Change in Pain During Treatment (BPI) From Baseline to Week 2

The change from baseline reflects the pain at week 2 minus the pain at baseline. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 2

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.4
With Major Depressive Disorder (MDD+)-1.0

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Change in Relief of Pain (BPI) From the Week Before Baseline to the Week Before Week 12

The change from baseline reflects the week 12 value minus the baseline value. The relief of pain ranges from 0% (no relief) to 100% (complete relief). (NCT00844194)
Timeframe: Baseline and Week 12

Interventionscores on a scale (Mean)
Without Major Depressive Disorder (MDD-)30.2
With Major Depressive Disorder (MDD+)22.9

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Change in Relief of Pain (BPI) From the Week Before Baseline to the Week Before Week 2

The change from baseline reflects the week 2 value minus the baseline value. The relief of pain ranges from 0% (no relief) to 100% (complete relief). (NCT00844194)
Timeframe: Baseline and Week 2

Interventionscores on a scale (Mean)
Without Major Depressive Disorder (MDD-)21.5
With Major Depressive Disorder (MDD+)18.0

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Change in Relief of Pain (BPI) From the Week Before Baseline to the Week Before Week 6

The change from baseline reflects the week 6 value minus the baseline value. The relief of pain ranges from 0% (no relief) to 100% (complete relief). (NCT00844194)
Timeframe: Baseline and Week 6

Interventionscores on a scale (Mean)
Without Major Depressive Disorder (MDD-)23.5
With Major Depressive Disorder (MDD+)31.7

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Change in Short Form Health Survey (SF-12) - Mental Component Summary From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. A lower score corresponds to a lower level of mental health. Values can range from 0 to 100. (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)0.7
With Major Depressive Disorder (MDD+)6.0

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Change in Short Form Health Survey (SF-12) - Mental Component Summary From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. A lower score corresponds to a lower level of mental health. Values can range from 0 to 100. (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.9
With Major Depressive Disorder (MDD+)5.0

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Change in Short Form Health Survey (SF-12) - Physical Component Summary From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. A lower score corresponds to a lower level of physical health. Values can range from 0 to 100. (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)3.5
With Major Depressive Disorder (MDD+)2.4

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Change in Short Form Health Survey (SF-12) - Physical Component Summary From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. A lower score corresponds to a lower level of physical health. Values can range from 0 to 100. (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)4.0
With Major Depressive Disorder (MDD+)-0.0

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Change in Worst Pain (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-2.8
With Major Depressive Disorder (MDD+)-3.2

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Change in Worst Pain (BPI) From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI pain ranges from 0 (no pain) to 10 (pain as bad as the patient can imagine). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-2.6
With Major Depressive Disorder (MDD+)-3.3

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Change of Brief Pain Inventory (BPI) Average Interference Score From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI average interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.4
With Major Depressive Disorder (MDD+)-2.2
MDD- Responder-1.7
MDD+ Responder-2.2
MDD- Non-Responder-0.9
MDD+ Non-Responder-2.6

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Change of Brief Pain Inventory (BPI) Average Interference Score From Baseline to Week 6

The change from baseline reflects the week 6 value minus the baseline value. The BPI average interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 6

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-1.2
With Major Depressive Disorder (MDD+)-2.0

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Change of Diastolic Blood Pressure From Baseline at Week 12

(NCT00844194)
Timeframe: Baseline and Week 12

InterventionmmHg (Mean)
Without Major Depressive Disorder (MDD-)2.2
With Major Depressive Disorder (MDD+)-0.6

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Change of Fasting Blood Glucose From Baseline at Week 12

Ancova analysis controlling for baseline and insulin intake (NCT00844194)
Timeframe: Baseline and Week 12

Interventionmg/dL (Least Squares Mean)
Without Major Depressive Disorder (MDD-)14.9
With Major Depressive Disorder (MDD+)13.0

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Change of Glycosylated Hemoglobin A1c (HbA1c) From Baseline at Week 12

Ancova analysis controlling for baseline and insulin intake (NCT00844194)
Timeframe: Baseline and Week 12

Interventionpercent (Least Squares Mean)
Without Major Depressive Disorder (MDD-)0.1
With Major Depressive Disorder (MDD+)0.1

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Change in Interference of Pain With Enjoyment of Life (BPI) From Baseline to Week 12

The change from baseline reflects the week 12 value minus the baseline value. The BPI interference score ranges from 0 (pain does not interfere) to 10 (pain completely interferes). (NCT00844194)
Timeframe: Baseline and Week 12

InterventionScores on a scale (Mean)
Without Major Depressive Disorder (MDD-)-0.9
With Major Depressive Disorder (MDD+)-2.1

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Change From Baseline in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 10 Endpoint

CGI-Severity evaluates the severity of illness at the time of assessment. The score ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). LS means are adjusted for baseline, pooled investigator, age category, visit, treatment, treatment*visit, age category*visit and baseline*visit. (NCT00849693)
Timeframe: Baseline, Week 10

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60mg-1.5
Duloxetine 30mg-1.5
Fluoxetine 20mg-1.4
Placebo-1.4

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Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 10 Endpoint

CDRS-R Total score measure the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning. Total scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, and scores of 40 to 60 indicate moderate depression. Least Square (LS) means are adjusted for baseline, pooled investigator, age category, visit, treatment, treatment*visit, age category*visit and baseline*visit. (NCT00849693)
Timeframe: Baseline, Week 10

,
Interventionunits on a scale (Least Squares Mean)
Duloxetine 60mg-23.9
Placebo-21.6
Duloxetine 30mg-24.6
Fluoxetine 20mg-22.6
Placebo-21.6

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Percentage of Participants With Potentially Clinically Significant (PCS) Changes in Systolic Blood Pressure (BP), Diastolic BP, Pulse, and Weight Any Time Week 10 Through Week 36

PCS increase in systolic and diastolic BP was defined as increase of ≥5 mm Hg from baseline (BL) high value to a value above the 95th percentile at post-BL; PCS increase of pulse was defined as >140 and increase of ≥15 from BL high value for age 7-11 and >120 and increase of ≥15 from BL high value for age 12-17; PCS decrease of pulse was defined as <60 and a decrease of ≥25 from BL low value for age 7-11 and <50 and a decrease of ≥15 from BL low value for age 12-17; PCS decrease of weight was defined as decrease of at least 3.5% from BL low value. (NCT00849693)
Timeframe: Week 10 through Week 36

,,,
Interventionpercentage of participants (Number)
Diastolic BP Increase (N=55, 65, 64, 69)Systolic BP Increase (N=53, 62, 57, 57)Pulse Decrease (N=68, 75, 76, 73)Pulse Increase (N=71, 78, 81, 79)Weight Decrease (N=71, 78, 81, 79)
Duloxetine 30 mg/Duloxetine 60-120 mg4.66.5009.0
Duloxetine 60 mg / Duloxetine 60-120 mg14.59.401.42.8
Fluoxetine 20 mg/Fluoxetine 20-40 mg20.37.0003.7
Placebo/Duloxetine 60-120 mg11.610.501.313.9

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Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 36 Endpoint

CDRS-R Total score measure the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning. Total scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, and scores of 40 to 60 indicate moderate depression. LS means are adjusted for baseline, pooled investigator, age category, visit, age category*visit and baseline*visit. (NCT00849693)
Timeframe: Week 10, Week 36

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg / Duloxetine 60-120 mg-7.8
Duloxetine 30 mg/Duloxetine 60-120 mg-7.4
Fluoxetine 20 mg/Fluoxetine 20-40 mg-10.0
Placebo/Duloxetine 60-120 mg-9.0

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Number of Participants With Suicidal Ideation or Suicidal Behavior Baseline Through Week 10

"Columbia Suicide Rating Scale (C-SSRS) captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation: a yes answer to any one of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation. Treatment Emergent Suicidal Ideation is worsening or new occurrence of events during treatment compared to lead-in baseline (Week -1 to 0)." (NCT00849693)
Timeframe: Baseline through Week 10

,,,
Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorTreatment Emergent Suicidal Ideation
Duloxetine 30mg1106
Duloxetine 60mg1607
Fluoxetine 20mg1319
Placebo15111

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Change From Week 10 in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 36 Endpoint

CGI-Severity evaluates the severity of illness at the time of assessment. The score ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). LS means are adjusted for baseline, pooled investigator, age category, visit, age category*visit and baseline*visit. (NCT00849693)
Timeframe: Week 10, Week 36

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg / Duloxetine 60-120 mg-1.1
Duloxetine 30 mg/Duloxetine 60-120 mg-0.9
Fluoxetine 20 mg/Fluoxetine 20-40 mg-1.3
Placebo/Duloxetine 60-120 mg-1.0

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Number of Participants With Suicidal Ideation or Suicidal Behavior Week 10 Through Week 36

"Columbia Suicide Rating Scale (C-SSRS) captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation: a yes answer to any one of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation. Treatment Emergent Suicidal Ideation is worsening or new occurrence of events during treatment compared to lead-in baseline (Week 7-10)." (NCT00849693)
Timeframe: Week 10 through Week 36

,,,
Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorTreatment Emergent Suicidal Ideation
Duloxetine 30 mg/Duloxetine 60-120 mg1238
Duloxetine 60 mg / Duloxetine 60-120 mg625
Fluoxetine 20 mg/Fluoxetine 20-40 mg807
Placebo/Duloxetine 60-120 mg816

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Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 10 Endpoint

CDRS-R Subscale scores include Mood (Sum of items 8, 11, 14, 15), Somatic (Sum of items 4-7, 16, 17), Subjective (Sum of items 9, 10, 12, 13) and Behavior (Sum of items 1-3). Mood and Subjective subscale scores range from 4 to 28; Somatic subscale scores range from 6 to 36; Behavior subscale scores range from 3 to 21. Higher score indicates greater severity of disease. LS means are adjusted for baseline, pooled investigator, age category, visit, treatment, treatment*visit, age category*visit and baseline*visit. (NCT00849693)
Timeframe: Baseline, Week 10

,,,
Interventionunits on a scale (Least Squares Mean)
MoodSomaticSubjectiveBehavior
Duloxetine 30mg-7.2-7.9-4.0-5.6
Duloxetine 60mg-7.1-7.6-3.6-5.8
Fluoxetine 20mg-6.6-7.1-3.5-5.6
Placebo-6.4-6.4-3.6-5.4

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Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 36 Endpoint

CDRS-R Subscale scores include Mood (Sum of items 8, 11, 14, 15), Somatic (Sum of items 4-7, 16, 17), Subjective (Sum of items 9, 10, 12, 13) and Behavior (Sum of items 1-3). Mood and Subjective subscale scores range from 4 to 28; Somatic subscale scores range from 6 to 36; Behavior subscale scores range from 3 to 21. Higher score indicates greater severity of disease. LS means are adjusted for baseline, pooled investigator, age category, visit, age category*visit and baseline*visit. (NCT00849693)
Timeframe: Week 10, Week 36

,,,
Interventionunits on a scale (Least Squares Mean)
MoodSomaticSubjectiveBehavior
Duloxetine 30 mg/Duloxetine 60-120 mg-1.9-2.4-1.3-1.8
Duloxetine 60 mg / Duloxetine 60-120 mg-1.9-2.8-1.2-2.1
Fluoxetine 20 mg/Fluoxetine 20-40 mg-2.4-4.0-1.5-2.7
Placebo/Duloxetine 60-120 mg-2.3-3.2-1.0-2.4

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Percentage of Participants With Potentially Clinically Significant (PCS) Changes in Systolic Blood Pressure (BP), Diastolic BP, Pulse, and Weight Any Time Baseline Through Week 10

PCS increase in systolic and diastolic BP was defined as increase of ≥5 millimeter mercury (mm Hg) from baseline (BL) high value to a value above the 95th percentile at post-BL; PCS increase of pulse was defined as >140 and increase of ≥15 from BL high value for age 7-11 and >120 and increase of ≥15 from BL high value for age 12-17; PCS decrease of pulse was defined as <60 and a decrease of ≥25 from BL low value for age 7-11 and <50 and a decrease of ≥15 from BL low value for age 12-17; PCS decrease of weight was defined as decrease of at least 3.5% from BL low value. (NCT00849693)
Timeframe: Baseline through Week 10

,,,
Interventionpercentage of participants (Number)
Diastolic BP Increase (N=93, 100, 99, 110)Systolic BP Increase (N=88, 95, 93, 98)Pulse Decrease (N=100, 108, 108, 112)Pulse Increase (N=105, 114, 112, 117)Weight Decrease (N=105, 114, 112, 117)
Duloxetine 30mg7.012.6008.8
Duloxetine 60mg11.89.10013.3
Fluoxetine 20mg10.112.90011.6
Placebo4.510.2005.1

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Number of Participants With Potentially Clinically Significant Hepatic Laboratory Results Any Time Baseline Through Week 10

Total number of participants with any abnormal post-baseline value, based on all values at scheduled and unscheduled visits. Potentially clinically significant hepatic laboratory results at any time are defined as alanine transaminase (ALT) ≥3 x upper limit of normal (ULN), ALT ≥5 x ULN and ALT ≥10 x ULN, as well as ALT ≥3 x ULN and Total Bilirubin ≥2 x ULN. (NCT00849693)
Timeframe: Baseline through Week 10

,,,
Interventionparticipants (Number)
ALT≥3 x ULNALT≥5 x ULNALT≥10 x ULNALT≥3 x ULN and Total Bilirubin≥2 x ULN
Duloxetine 30mg0000
Duloxetine 60mg0000
Fluoxetine 20mg0000
Placebo0000

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Number of Participants With Potentially Clinically Significant Hepatic Laboratory Results Any Time Week 10 Through Week 36

Total number of participants with any abnormal post-baseline value, based on all values at scheduled and unscheduled visits. Potentially clinically significant hepatic laboratory results at any time are defined as ALT ≥3 x ULN, ALT ≥5 x ULN and ALT ≥10 x ULN, as well as ALT≥3 x ULN and Total Bilirubin ≥2 x ULN. (NCT00849693)
Timeframe: Week 10 through Week 36

,,,
Interventionparticipants (Number)
ALT≥3 x ULNALT≥5 x ULNALT≥10 x ULNALT≥3 x ULN and Total Bilirubin≥2 x ULN
Duloxetine 30 mg/Duloxetine 60-120 mg0000
Duloxetine 60 mg / Duloxetine 60-120 mg0000
Fluoxetine 20 mg/Fluoxetine 20-40 mg0000
Placebo/Duloxetine 60-120 mg0000

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Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 10 Endpoint

CDRS-R Total score measure the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning. Total scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, and scores of 40 to 60 indicate moderate depression. Least Square (LS) means are adjusted for baseline, pooled investigator, age category, visit, treatment, treatment*visit, age category*visit and baseline*visit. (NCT00849901)
Timeframe: Baseline, Week 10

Interventionunits on a scale (Least Squares Mean)
Duloxetine-24.3
Fluoxetine-23.7
Placebo-24.3

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Change From Baseline in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 10 Endpoint

CGI-Severity evaluates the severity of illness at the time of assessment. The score ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). LS means are adjusted for baseline, pooled investigator, age category, visit, treatment, treatment*visit, age category*visit and baseline*visit. (NCT00849901)
Timeframe: Baseline, Week 10

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.9
Fluoxetine-1.8
Placebo-1.9

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Number of Participants With Suicidal Ideation or Suicidal Behavior Baseline Through Week 10

"Columbia Suicide Rating Scale (C-SSRS) captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation: a yes answer to any one of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation. Treatment Emergent Suicidal Ideation is worsening or new occurrence of events during treatment compared to lead-in baseline (Week -1 - 0)." (NCT00849901)
Timeframe: Baseline through Week 10

,,
Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorTreatment Emergent Suicidal Ideation
Duloxetine1608
Fluoxetine1619
Placebo1507

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Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Total Score at Week 36 Endpoint

CDRS-R Total score measure the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning. Total scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, and scores of 40 to 60 indicate moderate depression. LS means are adjusted for baseline, pooled investigator, age category, visit, age category*visit and baseline*visit. (NCT00849901)
Timeframe: Week 10, Week 36

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine-7.2
Fluoxetine/Fluoxetine-9.9
Placebo/Duloxetine-9.6

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Change From Week 10 in Clinical Global Impressions of Severity (CGI-Severity) Scale at Week 36 Endpoint

CGI-Severity evaluates the severity of illness at the time of assessment. The score ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). LS means are adjusted for baseline, pooled investigator, age category, visit, age category*visit and baseline*visit. (NCT00849901)
Timeframe: Week 10, Week 36

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine-0.6
Fluoxetine/Fluoxetine-1.0
Placebo/Duloxetine-1.1

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Change From Baseline in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 10 Endpoint

CDRS-R Subscale scores include Mood (Sum of items 8, 11, 14, 15), Somatic (Sum of items 4-7, 16, 17), Subjective (Sum of items 9, 10, 12, 13) and Behavior (Sum of items 1-3). Mood and Subjective subscale scores range from 4 to 28; Somatic subscale scores range from 6 to 36; Behavior subscale scores range from 3 to 21. Higher score indicates greater severity of disease. LS means are adjusted for baseline, pooled investigator, age category, visit, treatment, treatment*visit, age category*visit and baseline*visit. (NCT00849901)
Timeframe: Baseline, Week 10

,,
Interventionunits on a scale (Least Squares Mean)
Mood (N=113, 113, 103)Somatic (N=113, 113, 103)Subjective (N=113, 113, 103)Behavior (N=113, 112, 103)
Duloxetine-7.0-7.7-4.0-5.6
Fluoxetine-7.1-7.6-3.6-5.4
Placebo-7.0-7.7-4.0-5.7

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Change From Week 10 in Children's Depression Rating Scale-Revised (CDRS-R) Subscale Score at Week 36 Endpoint

CDRS-R Subscale scores include Mood (Sum of items 8, 11, 14, 15), Somatic (Sum of items 4-7, 16, 17), Subjective (Sum of items 9, 10, 12, 13) and Behavior (Sum of items 1-3). Mood and Subjective subscale scores range from 4 to 28; Somatic subscale scores range from 6 to 36; Behavior subscale scores range from 3 to 21. Higher score indicates greater severity of disease. LS means are adjusted for baseline, pooled investigator, age category, visit, age category*visit and baseline*visit. (NCT00849901)
Timeframe: Week 10, Week 36

,,
Interventionunits on a scale (Least Squares Mean)
MoodSomaticSubjectiveBehavior
Duloxetine/Duloxetine-1.9-2.8-0.3-1.9
Fluoxetine/Fluoxetine-2.5-3.6-1.3-2.8
Placebo/Duloxetine-2.9-3.2-1.2-2.1

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Number of Participants With Potentially Clinically Significant Hepatic Laboratory Results Any Time Baseline Through Week 10

Total number of participants with any abnormal post-baseline value, based on all values at scheduled and unscheduled visits. Potentially clinically significant hepatic laboratory results at any time are defined as alanine transaminase (ALT) ≥3 x upper limit of normal (ULN), ALT ≥5 x ULN and ALT ≥10 x ULN, as well as ALT ≥3 x ULN and Total Bilirubin ≥2 x ULN. (NCT00849901)
Timeframe: Baseline through Week 10

,,
Interventionparticipants (Number)
ALT≥3 x ULNALT≥5 x ULNALT≥10 x ULNALT≥3 x ULN and Total Bilirubin≥2 x ULN
Duloxetine0000
Fluoxetine0000
Placebo0000

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Number of Participants With Potentially Clinically Significant Hepatic Laboratory Results Any Time Week 10 Through Week 36

Total number of participants with any abnormal post-baseline value, based on all values at scheduled and unscheduled visits. Potentially clinically significant hepatic laboratory results at any time are defined as alanine transaminase (ALT) ≥3 x upper limit of normal (ULN), ALT ≥5 x ULN and ALT ≥10 x ULN, as well as ALT ≥3 x ULN and Total Bilirubin ≥2 x ULN. (NCT00849901)
Timeframe: Week 10 through Week 36

,,
Interventionparticipants (Number)
ALT≥3 x ULNALT≥5 x ULNALT≥10 x ULNALT≥3 x ULN and Total Bilirubin≥2 x ULN
Duloxetine/Duloxetine0000
Fluoxetine/Fluoxetine1100
Placebo/Duloxetine0000

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Number of Participants With Suicidal Ideation or Suicidal Behavior Week 10 Through Week 36

"Columbia Suicide Rating Scale (C-SSRS) captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation: a yes answer to any one of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation. Treatment Emergent Suicidal Ideation is worsening or new occurrence of events during treatment compared to lead-in baseline (Week 7-10)." (NCT00849901)
Timeframe: Week 10 through Week 36

,,
Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorTreatment Emergent Suicidal Ideation
Duloxetine/Duloxetine1319
Fluoxetine/Fluoxetine13113
Placebo/Duloxetine808

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Percentage of Participants With Potentially Clinically Significant (PCS) Changes in Systolic Blood Pressure (BP), Diastolic BP, Pulse, and Weight Any Time Baseline Through Week 10

PCS increase in systolic and diastolic BP was defined as increase of ≥5 millimeter mercury (mm Hg) from baseline (BL) high value to a value above the 95th percentile at post-BL; PCS increase of pulse was defined as >140 and increase of ≥15 from BL high value for age 7-11 and >120 and increase of ≥15 from BL high value for age 12-17; PCS decrease of pulse was defined as <60 and a decrease of ≥25 from BL low value for age 7-11 and <50 and a decrease of ≥15 from BL low value for age 12-17; PCS decrease of weight was defined as decrease of at least 3.5% from BL low value. (NCT00849901)
Timeframe: Baseline through Week 10

,,
Interventionpercentage of participants (Number)
Diastolic BP Increase (N=102, 106, 93)Systolic BP Increase (N=100, 106, 90)Pulse Decrease (N=111, 112, 102)Pulse Increase (N=113, 114, 103)Weight Decrease (N=113, 114, 103)
Duloxetine8.87.00.9012.4
Fluoxetine7.55.70.9011.4
Placebo17.26.71.01.04.9

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Percentage of Participants With Potentially Clinically Significant (PCS) Changes in Systolic Blood Pressure (BP), Diastolic BP, Pulse, and Weight Any Time Week 10 Through Week 36

PCS increase in systolic and diastolic BP was defined as increase of ≥ 5mm Hg from baseline (BL) high value to a value above the 95th percentile at post-BL; PCS increase of pulse was defined as >140 and increase of ≥15 from BL high value for age 7-11 and >120 and increase of ≥15 from BL high value for age 12-17; PCS decrease of pulse was defined as <60 and a decrease of ≥25 from BL low value for age 7-11 and <50 and a decrease of ≥15 from BL low value for age 12-17; PCS decrease of weight was defined as decrease of at least 3.5% from BL low value. (NCT00849901)
Timeframe: Week 10 through Week 36

,,
Interventionpercentage of participants (Number)
Diastolic BP Increase (N=65, 76, 61)Systolic BP Increase (N=64, 80, 69)Pulse Decrease (N=78, 84, 82)Pulse Increase (N=81, 91, 84)Weight Decrease (N=81, 91, 85)
Duloxetine/Duloxetine16.912.5006.2
Fluoxetine/Fluoxetine11.812.5003.3
Placebo/Duloxetine4.910.1009.4

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Number of Participants With 30% or More Improvement in Mean Pain Score on an 11-point Likert Scale

"Pain was measured on an 11-point Likert numerical rating scale, ranging from 0=''No pain to 10=''Pain as bad as you can imagine at baseline and over the fourth treatment week of each treatment period.~The % of improvement was calculated as (x-y)/x,where x was the MPI score at baseline, and y was the MPI score at the end of each treatment stage." (NCT00863057)
Timeframe: At Baseline and over the fourth treatment week of each treatment period

Interventionparticipants (Number)
Duloxetine and Methadone2
Duloxetine and Methadone Placebo2
Duloxetine Placebo and Methadone2
Duloxetine Placebo and Methadone Placebo2

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Number of Participants With 50% or More Improvement in Mean Pain Score on an 11-point Likert Scale

"Pain was measured on an 11-point Likert numerical rating scale, ranging from 0=''No pain to 10=''Pain as bad as you can imagine at baseline and over the fourth treatment week of each treatment period.~The % of improvement was calculated as (x-y)/x,where x was the MPI score at baseline, and y was the MPI score at the end of each treatment stage." (NCT00863057)
Timeframe: At Baseline and over the fourth treatment week of each treatment period

Interventionparticipants (Number)
Duloxetine and Methadone2
Duloxetine and Methadone Placebo2
Duloxetine Placebo and Methadone1
Duloxetine Placebo and Methadone Placebo2

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Number of Participants With Treatment-emergent Grade 2 to 4 Adverse Events

The DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table), Version 1.0, December 2004 was used (see the link to the grading table in Protocol Section) (NCT00863057)
Timeframe: From study entry to end of study at week 20 or premature study discontinuation

InterventionParticipants (Count of Participants)
Duloxetine and Methadone5
Duloxetine and Methadone Placebo4
Duloxetine Placebo and Methadone6
Duloxetine Placebo and Methadone Placebo5

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Weekly Mean Pain Score Derived From Self-reported Average Daily Pain Intensity on an 11-point Likert Scale

"Pain was measured on an 11-point Likert numerical rating scale, ranging from 0=''No pain to 10=''Pain as bad as you can imagine.~Participants were given pain diaries at weeks 0, 5, 10, and 15. They started the diary 7 days prior to their clinic visits at weeks 0, 4, 9, 14, and 19. During the 7 days, each morning, they recorded their pain level due to neuropathy by circling the number that best described their neuropathy pain on average over the past 24 hours." (NCT00863057)
Timeframe: During the fourth treatment week of each treatment period

InterventionScores on a scale (Mean)
Duloxetine and Methadone5.20
Duloxetine and Methadone Placebo5.91
Duloxetine Placebo and Methadone6.20
Duloxetine Placebo and Methadone Placebo5.70

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Patient and Clinician Global Impression of Change (PGIC and CGIC) on a 7-point Likert Scale

"The GIC scale is a validated instrument that consists of seven verbal descriptors on a 7-point scale:~Very much improved~Much improved~Minimally improved~No change~Minimally worse~Much worse~Very much worse~Participants were carefully instructed to consider the impact of study treatments on their level of neuropathic pain intensity during the baseline phase of the study." (NCT00863057)
Timeframe: At the fourth treatment week of each treatment period

,,,
Interventionparticipants (Number)
PGIC - Very much improvedPGIC - Much improvedPGIC - Minimally improvedPGIC - No changePGIC - Much worseCGIC - Very much improvedCGIC - Much improvedCGIC - Minimally improvedCGIC - No changeCGIC - Much worse
Duloxetine and Methadone1423014140
Duloxetine and Methadone Placebo0146011180
Duloxetine Placebo and Methadone1242113330
Duloxetine Placebo and Methadone Placebo1144011341

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Emotional Functioning as Measured by the Center for Epidemiologic Studies Depression Scale (CES-D)

The CES-D is a 20-item self-report rating inventory measuring characteristic attitudes and symptoms of depression. Participants were asked to score each item: (0) Rarely, (1) Occasionally, (2) Sometimes, and (3) Most of time. Some items are multiplied by -1 to change direction. The overall CES-D score is simply the sum of 20 items. The highest possible total CES-D score is 48, and the lowest possible score is -12. The total CES-D score is considered missing if more than 4 items are not answered. (NCT00863057)
Timeframe: At the fourth treatment week of each treatment period

InterventionScores on a scale (Mean)
Duloxetine and Methadone13.8
Duloxetine and Methadone Placebo13.8
Duloxetine Placebo and Methadone13.3
Duloxetine Placebo and Methadone Placebo13.3

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Maximum Tolerated Dose of Duloxetine and Methadone

(NCT00863057)
Timeframe: During each treatment period

Interventionmg (Number)
Methadone30
Duloxetine60

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Mean Nighttime Pain Measure on an 11-point Likert Scale

"Pain was measured on an 11-point Likert numerical rating scale, ranging from 0=''No pain to 10=''Pain as bad as you can imagine.~Participants were given pain diaries at weeks 0, 5, 10, and 15. They started the diary 7 days prior to their clinic visits at weeks 0, 4, 9, 14, and 19. During the 7 days, each morning, they recorded their pain level due to neuropathy by circling the number that best described their neuropathy pain on average during the night time." (NCT00863057)
Timeframe: Over the fourth treatment week of each treatment period

InterventionScores on a scale (Mean)
Duloxetine and Methadone5.20
Duloxetine and Methadone Placebo5.82
Duloxetine Placebo and Methadone5.90
Duloxetine Placebo and Methadone Placebo6.10

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Use of Rescue Medication (Acetaminophen)

(NCT00863057)
Timeframe: During each treatment period and the subsequent cross-over (or final study week) period

,,,
Interventionparticipants (Number)
Treatment period (1-4, 6-9, 11-14, 16-19 weeks)Cross-over period (5, 10, 15, 20 weeks)
Duloxetine and Methadone01
Duloxetine and Methadone Placebo00
Duloxetine Placebo and Methadone01
Duloxetine Placebo and Methadone Placebo21

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Change From Baseline in Drinking Quantity and Frequency Using Drinks Per Week at Week 12

Standard drinks are equivalent to 14 grams of pure alcohol and number of drinks are assessed with Timeline Follow-Back (TLFB) methods. Change = (Week 12 - Baseline). More negative values indicate less use of alcohol. (NCT00929344)
Timeframe: Baseline and Week 12

,,
Interventiondrinks/week (Mean)
Drinks/week BaselineDrinks/week Week 12Drinks/week Change
Duloxetine42.079.16-32.91
Placebo41.208.06-33.15
Pregabalin56.677.59-49.08

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Change From Baseline in Drinking Quantity and Frequency Using Drinking Days Per Week at Week 12

Standard drinks are equivalent to 14 grams of pure alcohol and number of drinks are assessed with Timeline Follow-Back (TLFB) methods. A drinking day is a day where any alcohol is consumed. Change = (Week 12 - Baseline). More negative values indicate less use of alcohol. (NCT00929344)
Timeframe: Baseline and Week 12

,,
Interventiondrinking days/week (Mean)
Drinking Days/Week BaselineDrinking Days/Week Week 12Drinking Days/Week Change
Duloxetine5.112.17-2.94
Placebo4.871.85-3.01
Pregabalin4.541.14-3.40

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Change From Baseline in Drinking Quantity and Frequency Using Drinks Per Drinking Day at Week 12

Standard drinks are equivalent to 14 grams of pure alcohol and number of drinks are assessed with Timeline Follow-Back (TLFB) methods. A drinking day is a day where any alcohol is consumed. Change = (Week 12 - Baseline). More negative values indicate less use of alcohol. (NCT00929344)
Timeframe: Baseline and Week 12

,,
Interventiondrinks/drinking day (Mean)
Drinks/Drinking Day BaselineDrinks/Drinking Day Week 12Drinks/Drinking Day Change
Duloxetine8.162.21-5.94
Placebo8.912.90-6.01
Pregabalin12.982.31-10.67

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Number of Participants With Suicidal Behaviors and Ideations From the Columbia Suicide Severity Rating Scale

"C-SSRS: scale capturing occurrence, severity, and frequency of suicide-related thoughts and behaviors. Number of patients with suicidal behaviors and ideations are provided. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation: a yes answer to any one of 5 suicidal ideation questions, which includes wish to be dead, and 4 different categories of active suicidal ideation." (NCT00945945)
Timeframe: Baseline through 13 weeks

,
Interventionparticipants (Number)
Ideation: Wish to be deadIdeation: Non-specific active suicidal thoughtsIdeation: Active suicidal ideation without intentIdeation: Active suicidal ideation with intentIdeation:Active suicidal ideation with plan to actBehavior: Preparatory acts or behaviorBehavior: Aborted attemptBehavior: Interrupted attemptActs: Non-fatal suicide attemptActs: Completed suicide
DLX30-PLA1000000000
PLA-DLX600000000000

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"Change From Baseline to 13 Week Endpoint (Baseline Observation Carried Forward [BOCF]) in Brief Pain Inventory (BPI) 24-Hour Average Pain Item (Question 3) of the BPI-Modified Short Form Score"

A self-reported measure of the severity of pain based on the average pain over 24-hours. Severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). BOCF endpoint was defined as the baseline value for participants discontinued during acute phase, and defined as the last non-missing observation in the treatment phase for all other randomized participants. Due to the nature of a study drug labeling error which led to a treatment crossover (see Arms), data from protocol-defined treatment groups were compromised. The results from each mixed-treatment group are presented. (NCT00945945)
Timeframe: Baseline, 13 weeks

,
Interventionunits on a scale (Mean)
BaselineChange from Baseline to Endpoint (BOCF)
DLX30-PLA6.00-1.93
PLA-DLX606.10-2.34

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Patient Global Impression of Improvement (PGI-I) at 1 Week and 8 Weeks

The PGI-I Rating Scale was a 7-point scale: 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; or 7=very much worse. Least squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction and an unstructured covariance matrix. (NCT00960986)
Timeframe: 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food3.522.36
Duloxetine 30 mg Without Food3.472.40
Duloxetine 60 mg With Food3.722.31
Duloxetine 60 mg Without Food3.772.40

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Sleep Subscale

The HAMD-17 Sleep subscale (Items 4, 5, 6 of HAMD-17 questionnaire) evaluated initial, middle, and late insomnia. Total subscale scores ranged from 0 (no difficulty)-6 (difficulty). Least Squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariate matrix. (NCT00960986)
Timeframe: Baseline, 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food-0.66-2.09
Duloxetine 30 mg Without Food-1.01-2.10
Duloxetine 60 mg With Food-0.72-2.77
Duloxetine 60 mg Without Food-0.64-2.32

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Retardation/Somatization Subscale

The HAMD-17 Retardation/Somatization subscale (Items 1, 7, 8, 14 of HAMD-17 questionnaire) evaluated dysfunction in mood, work, sexual activity, and overall motor retardation. Total subscale scores ranged from 0 (normal)-14 (severe). Least Squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariate matrix. (NCT00960986)
Timeframe: Baseline, 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food-1.02-4.63
Duloxetine 30 mg Without Food-1.20-4.55
Duloxetine 60 mg With Food-0.83-4.92
Duloxetine 60 mg Without Food-0.87-4.37

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Maier Subscale

"The HAMD-17 Maier subscale (Items 1, 2, 7, 8, 9, 10 of HAMD-17 questionnaire) represented the core symptoms of depression. Total subscale scores ranged from 0 (normal)-24 (severe). Least Squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariate matrix." (NCT00960986)
Timeframe: Baseline, 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food-2.15-7.55
Duloxetine 30 mg Without Food-2.64-7.30
Duloxetine 60 mg With Food-2.06-8.01
Duloxetine 60 mg Without Food-1.90-7.12

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Mean Change From Baseline to 8-Week Endpoint in Association for Methodology and Documentation in Psychiatry (AMDP-5) Adverse Event (AE) Scale Item 112 (Nausea)

Scores for AE scale Item 112 (nausea) of AMDP-5 (Week 0-8) ranged from 0-3: 0=Not present; 1=Mild; 2=Moderate; 3=Severe. Least Squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariate matrix. (NCT00960986)
Timeframe: Baseline, 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg With Food-0.02
Duloxetine 60 mg Without Food-0.02
Duloxetine 30 mg With Food-0.01
Duloxetine 30 mg Without Food-1.12

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Core Mood Subscale

The HAMD-17 Core Mood subscale (Items 1, 2, 3, 7, 8 of HAMD-17 questionnaire) represented the core symptoms of depression. Total subscale scores ranged from 0 (normal)-20 (severe). Least Squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariate matrix. (NCT00960986)
Timeframe: Baseline, 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food-1.52-5.85
Duloxetine 30 mg Without Food-1.76-5.67
Duloxetine 60 mg With Food-1.43-6.18
Duloxetine 60 mg Without Food-1.18-5.39

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Percentage of Patients Achieving Remission

Remission was defined as 17-item Hamilton Depression Rating Scale (HAMD-17) total score ≤7. HAMD-17 total scores ranged from 0 (not at all depressed)-52 (severely depressed). (NCT00960986)
Timeframe: Baseline up to 8 weeks

Interventionpercentage of participants (Number)
Duloxetine 60 mg With Food42.9
Duloxetine 60 mg Without Food37.3
Duloxetine 30 mg With Food35.6
Duloxetine 30 mg Without Food32.8

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in Association for Methodology and Documentation in Psychiatry (AMDP-5) Measure: Common Adverse Events (AEs) Score

AMDP-5 common AEs score was used to create a composite measure of AEs from previous duloxetine studies (incidence >5% and 2X placebo rate). The common AEs total score was the sum of the following 8 AMDP-5 items: 1) Mean of Item 112 (nausea) + 113 (vomiting); 2) Item 111 (dry mouth); 3) Item 115 (constipation); 4) Mean of Items 101-104 (insomnia); Item 122 (increased perspiration); 8) Item 106 (decreased appetite). Score was based on a 5-point scale: 1=absent, 2=mild, 3=moderate, 4=severe, 5=extremely severe; Higher score=worse severity. (NCT00960986)
Timeframe: Baseline, 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food-0.00-2.33
Duloxetine 30 mg Without Food-0.37-3.23
Duloxetine 60 mg With Food1.25-3.54
Duloxetine 60 mg Without Food1.28-2.99

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Percentage of Participants Achieving Response

Response was defined as ≥50% decrease from baseline on the 17-item Hamilton Depression Rating Scale (HAMD-17) total score. HAMD-17 total scores ranged from 0 (not at all depressed)-52 (severely depressed). (NCT00960986)
Timeframe: Baseline up to 8 weeks

Interventionpercentage of participants (Number)
Duloxetine 60 mg With Food51.8
Duloxetine 60 mg Without Food49.2
Duloxetine 30 mg With Food47.5
Duloxetine 30 mg Without Food47.5

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Time to Resolve Nausea

Events of nausea were taken from the adverse event (AE) data. Participants were censored based on the following rules: 1=study discontinuation date if the participant discontinues the study; 2=study lost to follow-up date if the participant drops out of the study. (NCT00960986)
Timeframe: Nausea onset up to nausea resolve (Baseline up to 8 weeks)

Interventiondays (Median)
Duloxetine 60 mg With Food6.0
Duloxetine 60 mg Without Food8.0
Duloxetine 30 mg With Food15.0
Duloxetine 30 mg Without Food6.0

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Anxiety/Somatization Subscale

The HAMD-17 Anxiety/Somatization subscale (Items 10, 11, 12, 13, 15, 17 of HAMD-17 questionnaire) evaluated the severity of psychic and somatic manifestations of anxiety and agitation. Total subscale scores ranged from 0 (normal)-18 (severe). Least Squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariate matrix. (NCT00960986)
Timeframe: Baseline, 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food-1.36-4.57
Duloxetine 30 mg Without Food-1.41-4.26
Duloxetine 60 mg With Food-0.75-4.93
Duloxetine 60 mg Without Food-1.15-4.50

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Time to Onset of Nausea

Events of nausea were taken from the adverse event (AE) data. Participants were censored based on the following rules: 1=study discontinuation date if the participant discontinues the study; 2=study lost to follow-up date if the participant drops out of the study. (NCT00960986)
Timeframe: Baseline to onset of nausea (Baseline up to 8 weeks)

Interventiondays (Median)
Duloxetine 60 mg With Food2.0
Duloxetine 60 mg Without Food1.0
Duloxetine 30 mg With Food7.0
Duloxetine 30 mg Without Food6.0

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Mean Maximum Nausea Severity, Association for Methodology and Documentation in Psychiatry (AMDP-5) Adverse Event (AE) Scale Item 112 (Nausea)

AMDP-5 AE scale Item 112 (nausea) measured nausea severity during treatment (Week 0-8). The scores ranged from 0-3: 0=Not present; 1=Mild; 2=Moderate; 3=Severe. (NCT00960986)
Timeframe: 1 week and 8 weeks

,,,
Interventionunits on a scale (Mean)
Week 0-1Week 1-8 (n=35; n=43; n=48; n=46)
Duloxetine 30 mg With Food0.90.7
Duloxetine 30 mg Without Food0.80.4
Duloxetine 60 mg With Food1.40.5
Duloxetine 60 mg Without Food1.20.5

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in Clinical Global Impressions of Severity (CGI-S)

The CGI-S Rating Scale was a 7-point scale: 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; or 7=extremely ill. Least squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariance matrix. (NCT00960986)
Timeframe: Baseline, 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food-0.44-2.23
Duloxetine 30 mg Without Food-0.63-2.27
Duloxetine 60 mg With Food-0.36-2.43
Duloxetine 60 mg Without Food-0.36-2.13

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in Association for Methodology and Documentation in Psychiatry (AMDP-5) Measure: Gastric Events Score

Gastric events scores (average of Item 112 [nausea] + Item 113 [vomiting]) of AMDP-5 (Week 0-8) ranged from 0-3: 0=Not present; 1=Mild; 2=Moderate; 3=Severe. Least Squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariate matrix. (NCT00960986)
Timeframe: Baseline, 1 week and 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food0.35-0.04
Duloxetine 30 mg Without Food0.37-0.09
Duloxetine 60 mg With Food0.73-0.04
Duloxetine 60 mg Without Food0.72-0.04

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Mean Change From Baseline to 1-Week and 8-Week Endpoints in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score

The HAMD-17 total score ranged from 0 (not at all depressed)-52 (severely depressed). Least squares (LS) Means were adjusted for treatment group, site, visit and treatment-by-visit interaction, gender, age, baseline score and baseline score-by-visit interaction, and an unstructured covariance matrix. (NCT00960986)
Timeframe: Baseline, 1 week, 8 weeks

,,,
Interventionunits on a scale (Least Squares Mean)
1-week change8-week change (n=28; n=37; n=39; n=37)
Duloxetine 30 mg With Food-3.84-13.60
Duloxetine 30 mg Without Food-4.34-13.07
Duloxetine 60 mg With Food-2.83-15.39
Duloxetine 60 mg Without Food-2.85-13.45

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Clinical Global Impression Scale

"The scale consists of two parts the first part being Severity of Illness and the second part is Global Improvement. We report the Global improvement scale.~The Global Improvement is a 1-7 change scale of global improvement since inclusion in the project ranging with 1 very much improved, 4 no change, and 7 very much worse." (NCT00961298)
Timeframe: endpoint [12 weeks]

Interventionscores on a scale (Mean)
Treatment Arm2.64

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Irritable Bowel Syndrome-Quality of Life Scale

"The IBS-QOL consists of 34 items, each with a five-point response scale. Ratings range from 1 not at all to 5 extremely or a great deal Higher responses on the scale indicate worse outcome. A minimal total score would be 34, maximum 170." (NCT00961298)
Timeframe: endpoint [12 weeks]

Interventionscores on a scale (Mean)
Treatment Arm81.73

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Irritable Bowel Syndrome Severity Scoring System

This is a 4 item Likert scale with each assessment being 100 mm scored from measuring from 0 to 400. Higher numbers indicate worse outcome. (NCT00961298)
Timeframe: endpoint [12 weeks]

Interventionscores on a scale (Mean)
Treatment Arm187.09

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Hamilton Anxiety Rating Scale

"The HAM-A is a 14 question scale with five responses. Responses range from 0 not present to 4 very severe. The total score ranges from 0 to 56. Higher values represent a worse outcome." (NCT00961298)
Timeframe: endpoint [12 weeks]

Interventionscores on a scale (Mean)
Treatment Arm9.75

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Number of Participants With Suicidal Behaviors and Ideations Collected by Columbia -Suicide Severity Rating Scale (C-SSRS)

"The C-SSRS is a scale capturing occurrence, severity, and frequency of suicide-related thoughts and behaviors. The number of participants with suicidal behaviors and ideations are provided.~Suicidal behavior: a yes answer to any of 5 suicidal behavior questions which include: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide.~Suicidal ideation: a yes answer to any 1 of 5 suicidal ideation questions which include wish to be dead and 4 different categories of active suicidal ideation." (NCT00965081)
Timeframe: Baseline through 12 weeks

,
InterventionParticipants (Number)
Wish to be deadNon-specific active suicidal thoughtsActive suicidal ideation with no intent to actActive suicidal ideation, some intent, no planActive suicidal ideation with specific plan/intentSuicidal behavior - Preparatory acts or behaviorSuicidal behavior - Aborted attemptSuicidal behavior - Interrupted attempt
Duloxetine31100000
Placebo30000000

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Change From Baseline to 12-Week Endpoint 36-Item Short-Form Health Survey (SF-36)

SF-36 has 36 items with 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional, general health; each scored on 0 to 100 scale. Higher scores indicate better status. Mental component summary (MCS) and physical component summary (PCS) based on 8 SF-36 domains. Scales scored using norm-based methods; mean is 50 and standard deviation is 10 in U.S. population. Treatment group difference in Least Squares (LS) Means at endpoint from analysis of covariance. Terms for treatment group, pooled investigators, baseline in model. (NCT00965081)
Timeframe: Baseline, 12 weeks

,
InterventionUnits on a scale (Least Squares Mean)
Bodily Pain Transformed (n=141, n=135)General Health Transformed (n=140, n=134)Mental Health Transformed (n=141, n=135)Physical Functioning (n=141, n=135)Role-Emotional (n=141, n=135)Role-Physical (n=141, n=135)Social Functioning (n=141, n=135)Vitality (n=141, n=135)Mental Component (n=140, n=134)Physical Component (n=140, n=134)
Duloxetine17.067.889.369.5318.8818.5514.0511.875.564.75
Placebo14.016.125.556.3410.6913.136.757.592.873.91

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Change From Baseline to 12-Week Endpoint Beck Depression Inventory-II (BDI-II)

The BDI-II is a 21-item, patient-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to a symptom of depression is summed to give a single score. There is a 4-point scale for each item ranging from 0 to 3 (0 = not present; 3 = present in the extreme). The treatment group difference in the Least Squares (LS) Means change from baseline to endpoint is from an analysis of covariance (ANCOVA). The model included terms for treatment group, pooled investigators and baseline. (NCT00965081)
Timeframe: Baseline, 12 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine-5.47
Placebo-3.91

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"Change From Baseline to 12-Week Endpoint in the Brief Pain Inventory (BPI) 24-Hour Average Pain Item (Question 3) of the BPI-Modified Short Form Score"

BPI Average Pain score ranges from 0 (no pain) to 10 (pain as bad as you can imagine). Treatment group difference in Least Squares (LS) Means changes from analysis of covariance (ANCOVA) with terms for treatment group, pooled investigators, baseline. Baseline-observation-carried-forward (BOCF) method used to impute endpoint value for those who discontinued initial double-blind therapy (DBT) due to adverse event (AE); last non-missing observation during initial DBT used to impute missing endpoint for all others. Analyses included all participants having non-missing baseline and endpoint. (NCT00965081)
Timeframe: Baseline, 12 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine-2.04
Placebo-1.70

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Change From Baseline to 12-Week Endpoint Beck Anxiety Inventory (BAI)

"The BAI is a 21-item patient-completed questionnaire designed to assess the characteristics of anxiety. Each item is rated on a 4-point scale (0=not present; 3=present in the extreme). The total score ranges from 0 to 63; the higher the score, the more severe the anxiety symptoms.~The treatment group difference in the Least Squares (LS) Means at endpoint is from an analysis of covariance (ANCOVA). The model included terms for treatment group, pooled investigators and baseline." (NCT00965081)
Timeframe: Baseline, 12 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine-3.76
Placebo-3.31

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Clinical Global Impression of Improvement (CGI-I) for Depression at Endpoint

"The CGI-I measures clinician's perception of patient improvement at time of assessment compared with start of treatment. Scores range from 1 (very much improved) to 7 (very much worse).~The treatment group difference in Least Squares (LS) Means at endpoint is from an analysis of covariance (ANCOVA). The model included terms for treatment group, pooled investigators and baseline CGI-Severity (CGI-S)." (NCT00965081)
Timeframe: 12 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine3.34
Placebo3.51

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Change From Baseline to 12-Week Endpoint Fibromyalgia Impact Questionnaire (FIQ)

FIQ is a 20-item self-administered questionnaire that measures fibromyalgia (FM) patient status, progress, and outcomes over the past week. The total score ranges from 0 to 80 with higher scores reflecting a more negative impact of FM. The treatment group difference in the Least Squares (LS) Means change from baseline to endpoint is from an analysis of covariance (ANCOVA). The model included terms for treatment group, pooled investigators and baseline. (NCT00965081)
Timeframe: Baseline, 12 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine-14.62
Placebo-9.75

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Change From Baseline to 12-Week Endpoint in the Brief Pain Inventory (BPI) - Modified Short Form

BPI-Modified Short Form mean interference score ranges from 0 (does not interfere) to 10 (completely interferes) for pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Treatment group difference in the Least Squares (LS) Means changes from baseline to endpoint is from an analysis of covariance (ANCOVA) with terms for treatment group, pooled investigators and baseline. Last-observation-carried forward (LOCF) endpoint defined as last available post-baseline value obtained during initial double-blind therapy. (NCT00965081)
Timeframe: Baseline, 12 weeks

,
InterventionUnits on a scale (Least Squares Mean)
Worst PainLeast PainPain Right NowPain Interference - General ActivityPain Interference - MoodPain Interference - Walking abilityPain Interference - Normal WorkPain Interference - Relations with Other PeoplePain Interference - SleepPain Interference - Enjoyment of LifeMean Interference Score
Duloxetine-2.23-1.56-2.25-2.19-2.40-2.31-2.20-2.05-2.06-2.48-2.28
Placebo-1.98-1.36-1.90-1.91-1.82-1.74-1.77-1.34-1.75-1.93-1.78

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Patient Global Impression - Improvement (PGI-I) at Endpoint

"The PGI-I scale is a patient-rated instrument that measures perceived improvement in symptoms. It is a 7-point scale: score of 1 is very much better, 4 is no change, and 7 is very much worse. Treatment group difference in Least Squares (LS) Means at endpoint is from an analysis of covariance (ANCOVA); model included terms for treatment group, pooled investigators and baseline PGI-Severity (PGI-S)." (NCT00965081)
Timeframe: 12 weeks

InterventionUnits on a scale (Least Squares Mean)
Duloxetine2.97
Placebo3.35

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Spontaneous Pain as Measured by Visual Analog Scale at Baseline and at End of 6 Weeks.

Measurements from zero to 100 with 100 being the worst pain by Visual Analog Scale (VAS). (NCT00981149)
Timeframe: 1, 3, 6 weeks

,
Interventionunits on a scale (Mean)
1 week3 weeks6 weeks
Duloxetine Study Drug42.930.434.8
Placebo51.44436.7

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Evoked Pain Via Algometry .

Assessment of evoked pain using digital palpation examination at 18 predefined bodily sites. (NCT00981149)
Timeframe: 6 weeks

InterventionPain pressure threshold (kg/cm2) (Mean)
Duloxetine Study Drug311.9
Placebo300.8

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Percentage of Participants Who Relapsed During 8 Weeks

Relapse is defined as achieving a Montgomery-Asberg Depression Rating Scale (MADRS) total score≥16 at any time after baseline. The MADRS is a rating scale for severity of depressive mood 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). (NCT00985504)
Timeframe: Baseline through 8 weeks

Interventionpercentage of participants (Number)
Duloxetine11.9
Escitalopram11.0

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Percentage of Participants Who Discontinue Due to Lack of Efficacy During 8 Weeks

Percentage of participants who discontinue after baseline due to lack of efficacy in the investigator's opinion. (NCT00985504)
Timeframe: Baseline through 8 weeks

Interventionpercentage of participants (Number)
Duloxetine2.0
Escitalopram1.3

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Patient's Global Impressions of Improvement Scale (PGI-I) Rating Scale Score at Week 8

The PGI-I is a scale that measures the participant's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). The LS Mean Value was calculated from an MMRM model with terms of treatment, pooled investigator, visit, and treatment*visit. (NCT00985504)
Timeframe: 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.59
Escitalopram2.55

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

The CGI-S measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). The LS Mean Value was calculated from an MMRM model with terms of treatment, pooled investigator, visit, treatment*visit, baseline, and baseline*visit. (NCT00985504)
Timeframe: Baseline, 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-0.86
Escitalopram-0.93

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Change From Baseline in the Apathy Evaluation Scale - Clinician Rated Version (AES-C) Total Score at Week 8

The AES-C is a validated 18-item instrument used to assess cognitive, behavioral, emotional and other symptoms of apathy. Clinicians rate each item based on verbal and nonverbal information provided by the participant. Item scores range from 1 (not at all characteristic) to 4 (a lot characteristic). Total scores range from 18 to 72 where higher derived scores indicate more severe apathy. The Least Squares (LS) Mean Value was calculated from a mixed model repeated measures (MMRM) model with terms of treatment, pooled investigator, visit, treatment*visit, baseline, and baseline*visit. (NCT00985504)
Timeframe: Baseline, 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-13.88
Escitalopram-13.50

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Number of Days From Baseline to Relapse as Defined by Montgomery-Asberg Depression Rating Scale (MADRS) Total Score ≥16 During 8 Weeks

The number of days from baseline to the first relapse is defined as reaching a MADRS Total Score≥16. 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). Censored participants were included in the Kaplan-Meier analysis, the minimum and maximum time to relapse have been calculated and reported here. Median time to relapse and quartiles could not be computationally calculated using the Kaplan-Meier procedure due to low event rate and high completion rate (censored). (NCT00985504)
Timeframe: Baseline through 8 weeks

,
Interventiondays (Number)
Minimum Number of Days from BaselineMaximum Number of Days from Baseline
Duloxetine4.0081.00
Escitalopram4.0068.00

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Change From Baseline in the Rothschild Scale for Antidepressant Tachyphylaxis (RSAT) Total and Individual Item Scores at Week 8

RSAT assesses symptoms of apathy or decreased motivation among depressed participants who have achieved symptomatic remission with antidepressant treatment and consists of 6 self-report items assessing energy level, motivation and interest, cognitive functioning, weight gain, sleep and sexual functioning, as well as affect. Each item score ranges from 0 to 4 with total scores ranging from 0 to 28. Higher scores indicate greater disease severity. LS Mean Value was calculated from an MMRM model with terms of treatment, pooled investigator, visit, treatment*visit, baseline, and baseline*visit. (NCT00985504)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
RSAT Total ScoreEnergy LevelMotivation and InterestCognitive FunctioningWeight GainSleepSexual FunctioningAffect
Duloxetine-5.50-1.33-1.41-0.90-0.25-0.48-0.62-0.53
Escitalopram-4.98-1.19-1.29-0.80-0.11-0.55-0.60-0.50

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Change From Baseline in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score and Item 8 (Inability to Feel) at Week 8

MADRS is a rating scale for severity of depressive mood symptoms and 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). Item 8 assesses the participant's inability to feel. Scores range from 0 (normal interest in surroundings and other people) to 6 (emotional paralysis, inability to feel anger/grief/pleasure). The LS Mean Value was calculated from an MMRM model with terms of treatment, pooled investigator, visit, treatment*visit, baseline, and baseline*visit. (NCT00985504)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
Total ScoreItem 8 (Inability to Feel)
Duloxetine-4.21-1.01
Escitalopram-4.14-0.90

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Change From Baseline in the Massachusetts General Hospital Cognitive and Physical Functioning Questionnaire (MGH-CPFQ) Total and Item Scores at Week 8

"The MGH-CPFQ is a 7-item participant-rated questionnaire evaluating the participant's cognitive and physical well-being during the past month. The MGH-CPFQ assesses motivation, wakefulness, energy, focus, recall, word-finding difficulty, and mental acuity. Each item is scored on a 6-point scale ranging from 1 (greater than normal) to 2 (normal) to 6 (totally absent). Total scores range from 7 to 42. Higher scores indicate greater disease severity. The LS Mean Value was calculated from an analysis of covariance (ANCOVA) model with terms of treatment, pooled investigator, and baseline." (NCT00985504)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
Total ScoreMotivation/Interest/Enthusiasm ScoreWakefulness/Alertness ScoreEnergy ScoreAbility to Focus/Sustain Attention ScoreAbility to Remember/Recall Information ScoreAbility to Find Words ScoreSharpness/Mental Acuity Score
Duloxetine-6.96-1.34-0.96-1.28-0.99-0.91-0.69-0.79
Escitalopram-6.91-1.35-1.00-1.21-1.02-0.85-0.71-0.85

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Change From Baseline in the Apathy Evaluation Scale-Clinician Rated Version (AES-C) Subscale Scores at Week 8

AES-C subscales separately assess participants' intensity of cognitive, behavioral, emotional, and other apathy symptoms with individual item scores of 1 (not at all characteristic) to 4 (a lot characteristic). Subtotal score ranges for the subscales are: 8-32 (cognitive), 5-20 (behavioral), 2-8 (emotional), and 3-12 for other (display of personal insight, initiative and motivation). Higher subscale scores indicate greater illness severity. The LS Mean Value was calculated from an MMRM model with terms of treatment, pooled investigator, visit, treatment*visit, baseline, and baseline*visit. (NCT00985504)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
Cognition Items Total ScoreBehavior Items Total ScoreEmotional Items Total ScoreOther Items Total Score
Duloxetine-6.49-3.35-1.66-2.43
Escitalopram-6.25-3.25-1.58-2.44

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Change From Baseline in the Sheehan Disability Scale (SDS) Total and Individual Scores at Week 8

The SDS is a participant-rated assessment. Total scores range from 0-30 with higher values indicating greater disruption in the participant's work/social/family life. Items 1-3 assess the effect of the participant's symptoms on work/school schedule, social life/leisure activities, and family life/home responsibilities, respectively. Item scores are 0-10; higher values indicate greater disruption. Number of unproductive days and days lost in past week (symptom related) were reported. LS Mean Value was calculated from an ANCOVA model with terms of treatment, pooled investigator, and baseline. (NCT00985504)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
SDS Total ScoreSDS Work ScoreSDS Family Score (N=212, 210)SDS Social Score (N=212, 210)SDS Days Lost Score (N=208, 204)SDS Days Unproductive Score (N=209, 205)
Duloxetine-7.55-2.42-2.51-2.56-0.55-1.78
Escitalopram-7.67-2.29-2.67-2.72-0.60-1.89

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T1/2

Half life (NCT00989157)
Timeframe: 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 1.75, 2.25, 2.5, 3.5, 4.5, 6.5, 8.5, 10.5, 24, 48. 72

Interventionhours (Mean)
Bariatric12.0
Control11.75

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AUCo-inf,

Area under the plasma concentration time curve (NCT00989157)
Timeframe: 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 1.75, 2.25, 2.5, 3.5, 4.5, 6.5, 8.5, 10.5, 24, 48. 72

Interventionng h/mL (Mean)
Bariatric646.74
Control1119.91

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Cmax

The difference, if any, in the pharmacokinetics parameters (Cmax) of duloxetine between patients who are nine to fifteen months post Roux-en-Y Bariatric Surgery and control subjects matched for BMI, age and gender. (NCT00989157)
Timeframe: 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 1.75, 2.25, 2.5, 3.5, 4.5, 6.5, 8.5, 10.5, 24, 48. 72

Interventionng/ml (Mean)
Bariatric51.04
Control61.41

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Tmax

Time to maximum plasma concentration (NCT00989157)
Timeframe: 0, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 1.75, 2.25, 2.5, 3.5, 4.5, 6.5, 8.5, 10.5, 24, 48. 72

InterventionHours (Mean)
Bariatric2.2
Control6

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Emesis

episodes of emesis. (NCT00989157)
Timeframe: 4 days

Interventionnumber of occurences (Number)
Bariatric2
Control3

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Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score at Week 2

The MADRS is a rating scale for severity of depressive mood symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range from 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01000805)
Timeframe: Baseline, 2 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-9.90
Placebo-7.71

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Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score at Week 4

The MADRS is a rating scale for severity of depressive mood and symptoms. The MADRS has a 10-item checklist. Items are rated on a scale from 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01000805)
Timeframe: Baseline, 4 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-14.15
Placebo-10.49

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Change From Baseline in the Brief Pain Inventory-Short Form (BPI-SF) Average Pain Score During the 8-week Treatment Period

A self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). The overall change is based on the estimated main treatment effect. The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01000805)
Timeframe: Day 1 through 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.93
Placebo-1.31

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

The MADRS is a rating scale for severity of depressive mood 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). The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01000805)
Timeframe: Baseline, 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-16.77
Placebo-12.73

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Change From Baseline in the Sheehan Disability Scale (SDS) Total and Item Scores at Week 8

SDS is completed by participant; used to assess effect of the participant's symptoms on their work/social/family life. Total scores range from 0 to 30; higher values indicate greater disruption in the participant's work/social/family life. Each item score ranges from 0 to 10 with higher values indicating greater disruption in the participant's work/school life (item 1), social life/leisure activities (item 2), or family life/home responsibilities (item 3). The LS Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01000805)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
Disrupt Work/School Work (N=182, 196)Disrupt Social Life/Leisure ActivitiesDisrupt Family/Home ResponsibilitiesSDS Total Score
Duloxetine-2.82-3.04-3.02-8.88
Placebo-2.36-2.31-2.49-7.13

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Change From Baseline in the Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) at Week 8

Measures pain severity and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference=average of nonmissing scores of individual interference items. LS Mean Value adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01000805)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
BPI Severity for Worst PainBPI Severity for Least PainBPI Severity for Average PainBPI Severity for Pain Right NowBPI Pain Interference with General ActivityBPI Pain Interference with MoodBPI Pain Interference with Walking AbilityBPI Pain Interference with Normal WorkBPI Pain Interference with Relations With OthersBPI Pain Interference with SleepBPI Pain Interference with Enjoyment of LifeBPI Mean Pain Interference Score
Duloxetine-2.25-1.48-1.93-2.00-2.01-2.49-1.52-2.02-2.01-1.94-2.44-2.03
Placebo-1.60-0.86-1.31-1.27-1.33-1.76-1.06-1.46-1.31-1.56-1.77-1.46

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Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Up to Week 8

"The change from baseline in SBP and DBP at week 8 is the primary analysis. For the primary analysis of SBP and DBP, the Least Squares (LS) Mean Value was adjusted for treatment, investigator, baseline, treatment*visit interaction, and baseline*visit interaction.~The change from baseline in SBP and DBP up to week 8 is the secondary analysis. The LS Mean Value was adjusted for treatment, investigator, and baseline." (NCT01000805)
Timeframe: Baseline, up to week 8

,
Interventionmm Hg (Least Squares Mean)
Change from Baseline in SBP at Week 8Change from Baseline in DBP at Week 8Change from Baseline in SBP up to Week 8Change from Baseline in DBP up to Week 8
Duloxetine1.380.521.410.31
Placebo-0.520.05-0.120.01

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Change From Baseline in Pulse Rate up to Week 8

"The change from baseline in pulse rate at week 8 is the primary analysis. For the primary analysis of pulse rate, the Least Squares (LS) Mean Value was adjusted for treatment, investigator, baseline, treatment*visit interaction, and baseline*visit interaction.~The change from baseline in pulse rate up to week 8 is the secondary analysis. The LS Mean Value was adjusted for treatment, investigator, and baseline." (NCT01000805)
Timeframe: Baseline, up to week 8

,
Interventionbeats per minute (bpm) (Least Squares Mean)
Change from Baseline in Pulse Rate at Week 8Change from Baseline in Pulse Rate up to Week 8
Duloxetine1.581.71
Placebo-1.34-0.70

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Percentage of Participants Achieving Remission up to Week 8

The Montgomery Asberg Depression Rating Scale (MADRS) is a rating scale for severity of depressive mood symptoms. The MADRS has a 10-item checklist. Items are rated on a scale from 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). Remission is defined as achieving a MADRS total score ≤12 at the last 2 nonmissing consecutive visits (for example, visit 3 [week 1] and visit 4 [week 2], or visit 4 [week 2] and visit 5 [week 4], or visit 5 [week 4] and visit 6 [week 8]). (NCT01000805)
Timeframe: Up to 8 weeks

Interventionpercentage of participants (Number)
Duloxetine29.5
Placebo18.7

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Patient's Global Impressions of Improvement Scale (PGI-I) at Week 8

A scale that measures the participant's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, and treatment*visit interaction. (NCT01000805)
Timeframe: 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.56
Placebo3.04

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Number of Participants With Abnormal Laboratory Values During the Double-blind Treatment Phase - High Alanine Amino Transferase/Serum Glutamate Pyruvate Transaminase (ALT/SGPT)

Laboratory assessment of ALT/SGPT during the double-blind treatment phase. Normal ALT/SGPT ranges for males are 6.00 units per liter (U/L) (low) to 43.00 U/L (high). Normal ALT/SGPT ranges for females are 6.00 U/L (low) to 34.00 U/L (high). (NCT01000805)
Timeframe: Baseline through 8 weeks

Interventionparticipants (Number)
Duloxetine14
Placebo5

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Change From Baseline in the Percentage of Participants Achieving Remission up to Week 8

The Montgomery Asberg Depression Rating Scale (MADRS) is a rating scale for severity of depressive mood 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). Remission is defined as achieving a MADRS total score ≤12. (NCT01000805)
Timeframe: Baseline, up to 8 weeks

Interventionpercentage of participants (Number)
Duloxetine47.0
Placebo32.8

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Number of Participants With Suicidal Behaviors, Ideations, and Acts Based on the Columbia Suicide Severity Rating Scale (C-SSRS) During the Double-blind Treatment Phase

"The C-SSRS captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Number of participants with suicidal behaviors, ideations, and acts are provided. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, and completed suicide. Suicidal ideation: a yes answer to any 1 of 5 suicidal ideation questions, which includes wish to be dead, and 4 different categories of active suicidal ideation. Suicidal acts: a yes answer to actual attempt or completed suicide." (NCT01000805)
Timeframe: Baseline through 8 weeks

,
Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorSuicidal Acts
Duloxetine2612
Placebo4100

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Change From Baseline in Weight up to Week 8

"The change from baseline in weight at week 8 is the primary analysis. For the primary analysis of weight, the Least Squares (LS) Mean Value was adjusted for treatment, investigator, baseline, treatment*visit interaction, and baseline*visit interaction.~The change from baseline in weight up to week 8 is the secondary analysis. The LS Mean Value was adjusted for treatment, investigator, and baseline." (NCT01000805)
Timeframe: Baseline, up to week 8

,
Interventionkilograms (kg) (Least Squares Mean)
Change from Baseline in Weight at Week 8Change from Baseline in Weight up to Week 8
Duloxetine-0.77-0.74
Placebo0.190.14

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Change From Baseline in the Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) Scores at 8 Weeks

Measures pain severity and pain interference with function. Severity scores: 0 (no pain) to 10 (severe pain) on each question. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Mean interference is the average across the 7 interference items. The Least Squares Mean estimates were adjusted for baseline value, treatment, investigator (pooled), visit, treatment*visit, and baseline*visit. (NCT01018680)
Timeframe: Baseline, 8 weeks (blinded endpoint)

,
Interventionunits on a scale (Least Squares Mean)
BPI-S for Worst PainBPI-S for Least PainBPI-S for Average PainBPI-S for Pain Right NowBPI-I for General ActivityBPI-I for MoodBPI-I for Walking AbilityBPI-I for Normal WorkBPI-I for Relations with Others (n=255, 258)BPI-I for SleepBPI-I for Enjoyment of LifeBPI-I for Mean Interference Score
Duloxetine-2.94-2.14-2.73-2.74-2.76-2.52-2.80-2.77-1.94-2.69-2.66-2.60
Placebo-1.87-1.44-1.78-2.03-1.79-1.80-1.85-1.92-1.25-2.01-1.89-1.77

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Percentage of Responders as Assessed by the Osteoarthritis Research Society International (OARSI) Response Criteria up to 8 Weeks

"OARSI response is composite Yes/No response assessed at 8 weeks based on decrease in 24-hour average pain ratings, range: 0 (no pain) to 10 (worst possible pain), improvement in functioning (using WOMAC physical function scores, range: 0 [no difficulty] to 68 [extreme difficulty]), and improvement in participant's impression of illness (using PGAI scores, range: 0 to 10; 10=greatest severity). OARSI responder=large response in pain or function components (50% relative and 20% absolute improvement), or moderate response (20% relative and 10% absolute improvement) in 2 of 3 components." (NCT01018680)
Timeframe: Up to 8 weeks (blinded endpoint)

Interventionpercentage of responders (Number)
Placebo48.3
Duloxetine69.6

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Percentage of Participants With Abnormal Pulse Rate up to 10 Weeks

Abnormal pulse rate (tachycardia) is defined as a sitting heart rate (HR) ≥ 100 beats per minute (bpm) that is also ≥ 10 bpm compared to baseline, at last visit if highest baseline HR < 100 bpm. (NCT01018680)
Timeframe: Up to 10 weeks

Interventionpercentage of participants (Number)
Placebo0.0
Duloxetine1.1

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Percentage of Participants With Abnormal High Hemoglobin A1c (HbA1c) up to 10 Weeks

Abnormal high HbA1c is defined as a post-baseline HbA1c > 6.1% if baseline HbA1c ≤ 6.1% for lab samples obtained before November 17, 2010 and post-baseline HbA1c > 6.4% if baseline HbA1c ≤ 6.4% for lab samples obtained November 17, 2010 and beyond. (NCT01018680)
Timeframe: Up to 10 weeks

Interventionpercentage of participants (Number)
Placebo5.7
Duloxetine1.0

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Percentage of Participants Who Discontinued Due to an Adverse Event During the 10-Week Treatment Period

(NCT01018680)
Timeframe: Baseline through 10 weeks

Interventionpercentage of participants (Number)
Placebo8.8
Duloxetine15.2

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Percentage of Participants Using Acetaminophen Weekly During the 10-Week Treatment Period

The Least Squares (LS) Mean percentage estimates of participants using acetaminophen was determined during each week individually over the full 10-week treatment period based on participant's daily Yes/No assessments for the use of acetaminophen. The LS Mean estimates for the main effect of treatment (average weekly use) were adjusted for baseline value, treatment, investigator (pooled), week, and treatment*week. (NCT01018680)
Timeframe: Baseline through 10 weeks (blinded endpoint)

Interventionpercentage of participants (Least Squares Mean)
Placebo26
Duloxetine22

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Patient Global Impression of Improvement (PGI-I) at 8 Weeks

A scale that measures the participant's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). The Least Squares Mean estimates were adjusted for baseline value of Patient Global Impression of Severity (PGI-S), treatment, investigator (pooled), visit, and treatment*visit. The PGI-S measures participant's perception of severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (extremely ill). (NCT01018680)
Timeframe: 8 weeks (blinded endpoint)

Interventionunits on a scale (Least Squares Mean)
Placebo2.93
Duloxetine2.33

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Change From Baseline in the Weekly Mean of the 24-Hour Average Pain Score at 8 Weeks

"The weekly mean 24-hour average pain score was calculated from the participant's daily 24-hour average pain ratings using an 11-point numeric rating scale, with scores from 0 (indicating no pain) to 10 (indicating the worst possible pain). The Least Squares Mean estimates were adjusted for baseline, treatment, investigator (pooled), week, treatment*week, and baseline*week." (NCT01018680)
Timeframe: Baseline, 8 weeks (blinded endpoint)

Interventionunits on a scale (Least Squares Mean)
Placebo-1.55
Duloxetine-2.46

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Change From Baseline in the Patient Global Assessment of Illness (PGAI) at 8 Weeks

The PGAI is a participant-rated measure of the severity of osteoarthritis (OA) of the knee the participant has experienced in the past week as indicated on an 11-point numeric rating scale, with scores ranging from 0 to 10, where greater numbers reflect greater severity. The Least Squares Mean estimates were adjusted for baseline value, treatment, investigator (pooled), visit, treatment*visit, and baseline*visit. (NCT01018680)
Timeframe: Baseline, 8 weeks (blinded endpoint)

Interventionunits on a scale (Least Squares Mean)
Placebo-1.77
Duloxetine-2.95

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Change From Baseline in the Clinical Global Impression of Severity (CGI-S) at 8 Weeks

The CGI-S scale evaluates the severity of illness at the time of assessment. The scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). The CGI-S must be administered by a study physician in the presence of the participant or after having been in the presence of the participant. The Least Squares Mean estimates were adjusted for baseline, treatment, investigator (pooled), visit, treatment*visit, and baseline*visit. (NCT01018680)
Timeframe: Baseline, 8 weeks (blinded endpoint)

Interventionunits on a scale (Least Squares Mean)
Placebo-0.80
Duloxetine-1.16

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Change From Baseline in the Weekly Mean of the 24-Hour Night Pain and Worst Pain Scores at 8 Weeks

"Weekly mean 24-hour night pain and worst pain values are calculated from the participant's daily assessments of pain at night and worst pain during the previous 24 hours on an 11-point numeric rating scale, with scores from 0 (indicating no pain) to 10 (indicating the worst possible pain). The Least Squares Mean estimates were adjusted for baseline value, treatment, investigator (pooled), week, treatment*week, and baseline*week." (NCT01018680)
Timeframe: Baseline, 8 weeks (blinded endpoint)

,
Interventionunits on a scale (Least Squares Mean)
Night Pain IntensityWorst Pain Intensity
Duloxetine-2.26-2.61
Placebo-1.46-1.58

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Change From Baseline in the Profile of Mood States-Brief Form (BPOMS) Total and Subscale Scores at 8 Weeks

30-item BPOMS measures positive and negative aspects of mood states (item score: 0=not at all to 4=extremely). 5 negative factors: tension-anxiety, depression-dejection, anger-hostility, fatigue-inertia, confusion-bewilderment; 1 positive factor: vigor-activity. Factor scores range: 0 to 20; high scores=negative mood (positive mood for vigor). Total score=sum of 5 negative factor scores minus vigor score; range: -20=least disturbed to 100=most disturbed. Least Squares Mean estimates adjusted for baseline value, treatment, investigator (pooled), visit, treatment*visit, and baseline value*visit. (NCT01018680)
Timeframe: Baseline, 8 weeks (blinded endpoint)

,
Interventionunits on a scale (Least Squares Mean)
BPOMS Total ScoreBPOMS Tension-Anxiety ScoreBPOMS Depression-Dejection ScoreBPOMS Anger-Hostility ScoreBPOMS Vigor-Activity ScoreBPOMS Fatigue-Inertia ScoreBPOMS Confusion-Bewilderment Score
Duloxetine-4.98-1.17-0.85-1.150.04-1.47-0.32
Placebo-4.15-0.90-0.51-0.63-0.34-1.40-0.29

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Percentage of Participants With Abnormal Weight Gain and Weight Loss up to 10 Weeks

"Abnormal weight gain (potentially clinically significant [PCS] weight gain) is defined as weight gain at last visit ≥ 7% of the baseline weight.~Abnormal weight loss (PCS weight loss) is defined as weight loss at last visit ≥ 7% of the baseline weight." (NCT01018680)
Timeframe: Up to 10 weeks

,
Interventionpercentage of participants (Number)
PCS Weight GainPCS Weight Loss
Duloxetine1.23.1
Placebo1.60.8

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Percentage of Participants With Abnormal Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP) up to 10 Weeks

"Abnormal DPB (diastolic hypertension) is defined as sitting DBP ≥ 90 mm Hg that is also ≥ 10 mm Hg increase from baseline that is observed at last visit if highest baseline DBP < 90 mm Hg.~Abnormal SBP (systolic hypertension) is defined as sitting SBP ≥ 140 mm Hg that is also ≥ 10 mm Hg increase from baseline that is observed at last visit if highest baseline SBP < 140 mm Hg." (NCT01018680)
Timeframe: Up to 10 weeks

,
Interventionpercentage of participants (Number)
Diastolic HypertensionSystolic Hypertension (N=170, 171)
Duloxetine4.212.3
Placebo1.04.7

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Percentage of Participants With a Change of Better, Worse, or No Change in Health Outcomes as Measured by Resource Utilization (REU) up to 10 Weeks

"REU captures information regarding the participant's work status and/or health care utilization. Investigators gather information from medical records, psychiatric history, and direct questioning of the participant and his or her family to complete the questionnaire. Responses to each item, comparing baseline to endpoint, are characterized as Better, Same, or Worse. Better: an increase in time spent working/volunteering/holding a job, decrease in number of health care visits; Same: no change in time spent working/volunteering/holding a job, no change in number of health care visits; Worse: decrease in time spent working/volunteering/holding a job, increase in number of health care visits." (NCT01018680)
Timeframe: Up to 10 weeks

,
Interventionpercentage of participants (Number)
Outpatient Group Visits-BetterOutpatient Group Visits-SameOutpatient Group Visits-WorseOutpatient Individual Visits-BetterOutpatient Individual Visits-SameOutpatient Individual Visits-WorseER Visits for Psychiatric Illness-BetterER Visits for Psychiatric Illness-SameER Visits for Psychiatric Illness-WorseER Visits for Non-psychiatric Illness-BetterER Visits for Non-psychiatric Illness-SameER Visits for Non-psychiatric Illness-WorseOutpatient Visits to Other Physicians-BetterOutpatient Visits to Other Physicians-SameOutpatient Visits to Other Physicians-WorseAverage Hours Worked for Pay per Week-BetterAverage Hours Worked for Pay per Week-SameAverage Hours Worked for Pay per Week-WorseHow Long Participant Had This Job-BetterHow Long Participant Had This Job-SameHow Long Participant Had This Job-WorseAverage Hours of Volunteer Work per Week-BetterAverage Hours of Volunteer Work per Week-SameAverage Hours of Volunteer Work per Week-WorsePsychiatric Visits-BetterPsychiatric Visits-SamePsychiatric Visits-Worse
Duloxetine0.0100.00.00.899.20.00.0100.00.03.795.50.826.069.44.518.969.411.720.269.710.111.172.216.70.899.20.0
Placebo0.499.60.02.496.70.80.0100.00.05.792.71.620.474.35.315.264.320.525.265.89.010.767.921.41.698.40.0

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Percentage of Participants Who Achieved a 30 Percent or 50 Percent Reduction in the Weekly Mean of the 24-Hour Average Pain Score up to 8 Weeks

"Response is a dichotomous outcome (Yes/No) indicating at least 30% (or 50%) reduction from baseline to endpoint for the weekly mean of the 24-hour average pain ratings. The weekly mean 24-hour average pain score was calculated from the participant's daily 24-hour average pain rating assessed on an 11-point numeric rating scale, with scores from 0 (no pain) to 10 (worst possible pain)." (NCT01018680)
Timeframe: Up to 8 weeks (blinded endpoint)

,
Interventionpercentage of participants (Number)
30% Response (LOCF) based on 24-Hour Average Pain50% Response (LOCF) based on 24-Hour Average Pain
Duloxetine53.735.5
Placebo33.716.1

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Percentage of Participants Who Achieved a 30 Percent or 50 Percent Reduction in the Brief Pain Inventory-Severity (BPI-S) Average Pain Score up to 8 Weeks

Response is a dichotomous outcome (Yes/No) indicating at least 30% (or 50%) reduction from baseline to endpoint for BPI-S average pain rating. The BPI-S self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT01018680)
Timeframe: Up to 8 weeks (blinded endpoint)

,
Interventionpercentage of participants (Number)
30% Response (LOCF) based on BPI-S Average Pain50% Response (LOCF) based on BPI-S Average Pain
Duloxetine58.145.7
Placebo34.021.1

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Change From Baseline in the Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) Pain, Stiffness, and Physical Function Subscale Scores at 8 Weeks

Self-administered questionnaire captures elements of pain, stiffness, and physical disability in participants with osteoarthritis of the knee and/or hip. Index has 24 questions (5 on pain, 2 on stiffness, 17 on physical function). Each question uses a 5-point numeric rating scale ranging from 0 (none) to 4 (extreme). Pain scores range: 0 to 20. Stiffness scores range: 0 to 8. Physical function scores range: 0 to 68. Higher scores=greater impairment. Least Squares Mean estimates were adjusted for baseline value, treatment, investigator (pooled), visit, treatment*visit, and baseline value*visit. (NCT01018680)
Timeframe: Baseline, 8 weeks (blinded endpoint)

,
Interventionunits on a scale (Least Squares Mean)
WOMAC Physical Disability Score (n=253, 251)WOMAC Pain ScoreWOMAC Stiffness Score
Duloxetine-15.09-4.41-1.88
Placebo-10.25-3.13-1.45

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Decrease in Average Pain With 8 Weeks of Duloxetine Therapy. (Sustained)

A secondary measure is the percentage of patients treated with duloxetine who experience a sustained 30% reduction in average pain score from baseline to 8 weeks. Sustained 30% reduction is defined as at least 30% reduction in 24-hour average pain severity at the 8 week endpoint, with a 30% reduction from baseline at a visit at least 2 weeks prior to the last visit, and at least 20% reduction from baseline at every visit in between. (NCT01028352)
Timeframe: Baseline, 2, 4 , 6 and 8 weeks

Intervention%of participants with 30% pain reduction (Number)
Duloxetine60.9

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Percentage of Patients Who Experience 30% Reduction in Average Pain Score From Baseline to 8 Weeks Due to Duloxetine Therapy.

Subjects were considered evaluable if they met all eligibility criteria and took at least one dose of duloxetine. Average pain was measured using Wisconsin Brief Pain Inventory Questionnaire.(BPI) The BPI is a 17-item patient self-rating scale that assessed sensory & reactive components of pain. The BPI uses 0 to 10 numeric rating scales for item rating.Since pain can be variable,the BPI asks patients to rate pain at completing questionnaire, and also at its worst, least, and average over the previous 24 hours. The primary endpoint is based on the 24-hour avg pain as reported on BPI. (NCT01028352)
Timeframe: 8 weeks

Interventionpercentage of participants (Number)
Duloxetine72.4

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Sheehan Disability Scale (SDS)

The SDS is a participant-rated questionnaire used to assess the effect of the participant's symptoms on work/school (Item 1), social life/leisure activities (Item 2), and family/home management (Item 3). Each item was rated on a visual analog scale (VAS) from 0 (not at all) to 10 (very severely). The SDS Global Functional Impairment Score (SDS Global Score) was the sum of the 3 items and could have ranged from 0 (unimpaired) to 30 (highly impaired). Higher values indicated higher functional impairment in the participant's work/social/family life. (NCT01051466)
Timeframe: Baseline and up to Week 12

,
Interventionunits on a scale (Mean)
BaselineWeek 12
Duloxetine19.39.4
Healthy Participants0.20.0

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Clinical Global Impressions of Severity Scale (CGI-S)

The CGI-S measures severity of illness at the time of assessment. Scores can range from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). (NCT01051466)
Timeframe: Baseline and up to Week 12

,
Interventionunits on a scale (Mean)
BaselineWeek 12
Duloxetine4.42.2
Healthy Participants1.01.0

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Change From Baseline to 12-Week Endpoint in Activation [Blood Oxygenation-Level-Dependent (BOLD) Response to Implicit Processing of Sad Faces] for Each of the 3 Brain Regions

Functional magnetic resonance imaging (fMRI) is a functional neuroimaging procedure that uses MRI technology to measure brain activity by detecting associated changes in blood flow. When an area of the brain is in use, blood flow to that region increases. The activation in response to the processing of sad faces in each brain region (anterior cingulate, left amygdala and right amygdala) was measured by the percentage of signal change in BOLD response. The percentage of signal change was calculated by taking the difference between BOLD response after sad faces processing and BOLD response before sad faces processing and dividing by BOLD response before sad face processing, then multiplying by 100. BOLD signals were measured using arbitrary magnetic resonance units. Least squares (LS) mean was calculated using mixed-model repeated measures (MMRM) adjusted for group, visit, group-by-visit, and baseline value. (NCT01051466)
Timeframe: Baseline, Week 12

,
Interventionpercentage of signal change (Least Squares Mean)
Anterior CingulateLeft AmygdalaRight Amygdala
Duloxetine0.13-0.040.03
Healthy Participants0.20-0.26-0.09

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Translocation of Gs Alpha (Gsα) From Lipid Rafts in the Cell Membranes of Red Blood Cells (RBCs), White Blood Cells (WBCs) and Platelets Compared With Baseline

Gsα is a membrane-associated protein that couples receptors for neurotransmitters like serotonin to allow them to send messages between nerve cells - a process that may be altered during depression and antidepressant treatment. Gsα localization in the cholesterol-rich (lipid rafts) and cholesterol-poor regions of cell membranes of RBCs and platelets was measured with quantitative Western blots and reported as the ratio of Gsα (absorbance units) in Triton X-100 (TX-100) over Triton X-114 (TX-114), 2 detergents that discriminate between lipid raft and non-raft membrane domains. Translocation of Gsα was measured as the change from baseline in Gsα localization. Translocation of Gsα from lipid rafts in the cell membranes of WBCs was not analyzed due to technical laboratory issues. Least squares (LS) mean was calculated using mixed-model repeated measures (MMRM) adjusted for group, visit, group-by-visit, and baseline value. (NCT01051466)
Timeframe: Baseline, Weeks 1, 8, and 12

,
InterventionRatio (Least Squares Mean)
RBCs, Week 1 (n=23, 22)RBCs, Week 8 (n=23, 22)RBCs, Week 12 (n=23, 22)Platelets, Week 1 (n=23, 20)Platelets, Week 8 (n=23, 20)Platelets, Week 12 (n=23, 20)
Duloxetine0.51-0.010.36-0.63-1.16-0.52
Healthy Participants0.09-0.150.10-0.69-0.927.93

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Change From Baseline to 12-Week Endpoint in Brain-Derived Neurotrophic Factor (BDNF) and the Precursor of BDNF (proBDNF) Receptors

There is evidence that stress may decrease BDNF expression, while antidepressant treatment reverses or blocks these effects. BDNF is a protein that occurs naturally and supports the survival and growth of some nerve cells in the brain. proBDNF is a precursor of BDNF. Tropomyosin receptor kinase B (trkB) is a receptor for BDNF, and pan-neurotrophin receptor p75 (p75NTR) is a receptor for proBDNF. p75NTR was not analyzed due to technical laboratory issues. Least squares (LS) mean was calculated using mixed-model repeated measures (MMRM) adjusted for group, visit, group-by-visit, and baseline value. (NCT01051466)
Timeframe: Baseline, Week 12

Interventionpicograms per milligram (pg/mg) (Least Squares Mean)
Duloxetine52.1
Healthy Participants-8.9

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Change From Baseline to 12-Week Endpoint in the Functional Magnetic Resonance Imaging (fMRI) Mean Blood Oxygenation-Level-Dependent (BOLD) Response in the Amygdalae

Functional MRI or fMRI is a functional neuroimaging procedure that uses MRI technology to measure brain activity by detecting associated changes in blood flow. When an area of the brain is in use, blood flow to that region increases. The activation in response to the processing of sad faces was measured by the percentage of signal change in BOLD response from before to after sad faces processing. The percentage of signal change was calculated by taking the difference between BOLD response after sad faces processing and BOLD response before sad faces processing and dividing by BOLD response before sad face processing, then multiplying by 100. BOLD signals were measured using arbitrary magnetic resonance units. Amygdala BOLD activation was calculated as an average between the left amygdala activation and right amygdala activation. Least squares (LS) mean was calculated using mixed-model repeated measures (MMRM) adjusted for group, visit, group-by-visit, and baseline value. (NCT01051466)
Timeframe: Baseline, Week 12

Interventionpercentage of signal change (Least Squares Mean)
Duloxetine-0.01
Healthy Participants-0.16

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Percentage of Participants With 17-Item Hamilton Depression Rating Scale (HAMD17) Remission

HAMD17 remission is defined as a HAMD17 total score of ≤7 at Week 12 (endpoint). The HAMD17 is a standardized instrument consisting of 17 items used to measure the severity of major depressive disorder (MDD) and improvements in depression symptoms. Each item was evaluated and scored using either a 5-point scale of 0 (not present/absent) to 4 (very severe) or a 3-point scale of 0 (not present/absent) to 2 (marked). Higher scores indicated greater symptom severity. The total score was the sum of the scores from HAMD17 Items 1 through 17 and could have ranged from 0 (not at all depressed) to 52 (severely depressed). The percentage of participants with remission was calculated as the number of participants with a HAMD17 total score of ≤7 divided by the number of participants who had a HAMD17 observation at Week 12 then multiplied by 100. (NCT01051466)
Timeframe: Baseline, up to Week 12

Interventionpercentage of participants (Number)
Duloxetine62.1

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Percentage of Participants With 17-Item Hamilton Depression Rating Scale (HAMD17) Response

HAMD17 response is defined as a >50% reduction in HAMD17 total score from baseline. The HAMD17 is a standardized instrument consisting of 17 items used to measure the severity of major depressive disorder (MDD) and improvements in depression symptoms. Each item was evaluated and scored using either a 5-point scale of 0 (not present/absent) to 4 (very severe) or a 3-point scale of 0 (not present/absent) to 2 (marked). Higher scores indicated greater symptom severity. The total score was the sum of the scores from HAMD17 Items 1 through 17 and could have ranged from 0 (not at all depressed) to 52 (severely depressed). The percentage of participants with a HAMD17 response was calculated as the number of participants with a >50% reduction in HAMD17 total score from baseline divided by the number of participants who had a HAMD17 observation at Week 12 then multiplied by 100. (NCT01051466)
Timeframe: Baseline, up to Week 12

Interventionpercentage of participants (Number)
Duloxetine72.4

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17-Item Hamilton Depression Rating Scale (HAMD17)

The HAMD17 is a standardized instrument consisting of 17 items used to measure the severity of major depressive disorder (MDD) and improvements in depression symptoms. Each item was evaluated and scored using either a 5-point scale of 0 (not present/absent) to 4 (very severe) or a 3-point scale of 0 (not present/absent) to 2 (marked). Higher scores indicated greater symptom severity. The total score was the sum of the scores from HAMD17 Items 1 through 17 and could have ranged from 0 (not at all depressed) to 52 (severely depressed). (NCT01051466)
Timeframe: Baseline and up to Week 12

,
Interventionunits on a scale (Mean)
BaselineWeek 12
Duloxetine22.48.5
Healthy Participants0.50.5

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Change From Baseline to 12-Week Endpoint in Brain-Derived Neurotrophic Factor (BDNF) and the Precursor of BDNF (proBDNF)

There is evidence that stress may decrease BDNF expression, while antidepressant treatment reverses or blocks these effects. BDNF is a protein that occurs naturally and supports the survival and growth of some nerve cells in the brain. proBDNF is a precursor of BDNF. Least squares (LS) mean was calculated using mixed-model repeated measures (MMRM) adjusted for group, visit, group-by-visit, and baseline value. (NCT01051466)
Timeframe: Baseline, Week 12

,
Interventionnanograms per milliliter (ng/mL) (Least Squares Mean)
BDNF (n=23, 21)proBDNF (n=13, 17)
Duloxetine6.61-5.67
Healthy Participants10.57-9.37

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Change From Baseline to 12-Week Endpoint in Proinflammatory Cytokines [Tumor Necrosis Factor Alpha (TNFα), Interleukin 1 (IL-1), and Interleukin 6 (IL-6)]

Cytokines are naturally produced and regulate responses to inflammation. Proinflammatory cytokines like TNFα, IL-1, and IL-6 increase inflammation in the body. Least squares (LS) mean was calculated using mixed-model repeated measures (MMRM) adjusted for group, visit, group-by-visit, and baseline value. (NCT01051466)
Timeframe: Baseline, Week 12

,
Interventionpicograms per milliliter (pg/mL) (Least Squares Mean)
Cytokine TNFαCytokine IL-1Cytokine IL-6
Duloxetine-0.04-0.08-0.61
Healthy Participants0.254.01-0.52

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Change From Baseline to 12-Week Endpoint in Volume of Subgenual Anterior Cingulate, Amygdalae, and Hippocampus

The volume of specific brain regions is obtained using a structural magnetic resonance imaging (sMRI) procedure in which high-resolution spoiled gradient recall images are acquired in coronal brain slices. Least squares (LS) mean was calculated using mixed-model repeated measures (MMRM) adjusted for group, visit, group-by-visit, and baseline value. (NCT01051466)
Timeframe: Baseline, Week 12

,
Interventioncubic millimeters (mm^3) (Least Squares Mean)
Subgenual Anterior CingulateLeft AmygdalaeRight AmygdalaeLeft HippocampusRight Hippocampus
Duloxetine-188.27-23.68-33.38-13.56-14.70
Healthy Participants175.224.2023.8618.5221.80

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Patient's Global Impressions of Improvement (PGI-I) Scale

The PGI-I scale measures the participant's perception of improvement at the time of assessment compared with the start of treatment. Scores can range from 1 (very much better) to 7 (very much worse). (NCT01051466)
Timeframe: Baseline, up to Week 12

Interventionunits on a scale (Mean)
Duloxetine2.6

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Hamilton Anxiety Rating Scale (HAMA)

The 14-item HAMA is used to assess the severity of anxiety. The investigator talked to the participant about their symptoms over the previous week. Each item was scored using a 5-point scale (0 = not present to 4 = very severe). Total HAMA scores could have ranged from 0 (normal) to 56 (severe). (NCT01051466)
Timeframe: Baseline and up to Week 12

,
Interventionunits on a scale (Mean)
BaselineWeek 12
Duloxetine21.19.6
Healthy Participants0.40.4

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Incidence of Suicidal Behavior and Suicidal Ideation as Measured by the Columbia Suicide Severity Rating Scale (C-SSRS)

"The C-SSRS captures the occurrence, severity, and frequency of treatment-emergent suicide-related thoughts and behaviors. Suicidal ideation is defined as a yes answer to any 1 of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation. Suicidal behavior is defined as a yes answer to any 1 of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Treatment-emergent outcomes were the worsening or new occurrence of suicidal behaviors or ideation during treatment compared with baseline." (NCT01051466)
Timeframe: Baseline through Week 12

Interventionparticipants (Number)
Treatment-emergent suicidal ideationTreatment-emergent suicidal behavior
Duloxetine50

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Change From Baseline in the Brief Pain Inventory Severity and Interference Scores (BPI-S/BPI-I) at Week 8

Measures pain severity and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference=average of nonmissing scores of individual interference items. LS Mean Value adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01070329)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
BPI Severity for Worst PainBPI Severity for Least PainBPI Severity for Average PainBPI Severity for Pain Right NowBPI Pain Interference with General ActivityBPI Pain Interference with MoodBPI Pain Interference with Walking AbilityBPI Pain Interference with Normal WorkBPI Pain Interference with Relations With OthersBPI Pain Interference with SleepBPI Pain Interference with Enjoyment of LifeBPI Mean Pain Interference Score
Duloxetine-1.88-1.18-1.66-1.82-1.87-2.25-1.62-1.88-1.90-2.13-2.32-2.03
Placebo-1.32-0.80-1.17-1.25-1.44-1.77-1.20-1.47-1.53-1.74-1.84-1.58

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Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Up to Week 8

"The change from baseline in SBP and DBP at week 8 is the primary analysis. For the primary analysis of SBP and DBP, the Least Squares (LS) Mean Value was adjusted for treatment, investigator, baseline, treatment*visit interaction, and baseline*visit interaction.~The change from baseline in SBP and DBP up to week 8 is the secondary analysis. The LS Mean Value was adjusted for treatment, investigator, and baseline." (NCT01070329)
Timeframe: Baseline, up to week 8

,
Interventionmm Hg (Least Squares Mean)
Change from Baseline in SBP at Week 8Change from Baseline in DBP at Week 8Change from Baseline in SBP up to Week 8Change from Baseline in DBP up to Week 8
Duloxetine0.821.880.561.86
Placebo-1.090.08-1.140.05

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Change From Baseline in Pulse Rate up to Week 8

"The change from baseline in pulse rate at week 8 is the primary analysis. For the primary analysis of pulse rate, the Least Squares (LS) Mean Value was adjusted for treatment, investigator, baseline, treatment*visit interaction, and baseline*visit interaction.~The change from baseline in pulse rate up to week 8 is the secondary analysis. The LS Mean Value was adjusted for treatment, investigator, and baseline." (NCT01070329)
Timeframe: Baseline, up to week 8

,
Interventionbeats per minute (bpm) (Least Squares Mean)
Change from Baseline in Pulse Rate at Week 8Change from Baseline in Pulse Rate up to Week 8
Duloxetine2.082.01
Placebo0.400.62

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Percentage of Participants Achieving Remission up to Week 8

The Montgomery-Asberg Depression Rating Scale (MADRS) is a rating scale for severity of depressive mood symptoms. The MADRS has a 10-item checklist. Items are rated on a scale from 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). Remission is defined as achieving a MADRS total score ≤12 at the last 2 nonmissing visits (for example, visit 3 [week 1] and visit 4 [week 2], or visit 4 [week 2] and visit 5 [week 4], or visit 5 [week 4] and visit 6 [week 8]). (NCT01070329)
Timeframe: Up to 8 weeks

Interventionpercentage of participants (Number)
Duloxetine15.7
Placebo11.7

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Patient Global Impression of Improvement (PGI-I) Score at Week 8

A scale that measures the participant's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, and treatment*visit interaction. (NCT01070329)
Timeframe: 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.48
Placebo3.17

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Number of Participants With Abnormal Laboratory Values During the Double-Blind Treatment Phase - High Creatinine

Laboratory assessment of creatinine during the double-blind treatment phase. Normal creatinine ranges for males are 40.00 micromoles per liter (µmol/L) (low) to 110.00 µmol/L (high). Normal creatinine ranges for females are 31.00 µmol/L (low) to 101.00 µmol/L (high). (NCT01070329)
Timeframe: Baseline through 8 weeks

Interventionparticipants (Number)
Duloxetine1
Placebo9

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Change From Baseline in the Percentage of Participants Achieving Remission up to Week 8

The Montgomery-Asberg Depression Rating Scale (MADRS) is a rating scale for severity of depressive mood 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). Remission is defined as achieving a MADRS total score ≤12. (NCT01070329)
Timeframe: Baseline, up to 8 weeks

Interventionpercentage of participants (Number)
Duloxetine37.3
Placebo23.0

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Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 2

The MADRS is a rating scale for severity of depressive mood symptoms. The MADRS has a 10-item checklist. Items are rated on a scale of 0-6, for a total score range from 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01070329)
Timeframe: Baseline, 2 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-8.60
Placebo-6.52

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

The MADRS is a rating scale for severity of depressive mood 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). The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01070329)
Timeframe: Baseline, 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-14.96
Placebo-10.77

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Change From Baseline in the Brief Pain Inventory-Short Form (BPI-SF) Average Pain Score During the 8-Week Treatment Period

A self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). The overall change is based on the estimated main treatment effect. The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01070329)
Timeframe: Day 1 through 8 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.66
Placebo-1.17

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Change From Baseline in the Sheehan Disability Scale (SDS) Total and Item Scores at Week 8

SDS is completed by participant; used to assess effect of the participant's symptoms on their work/social/family life. Total scores range from 0 to 30; higher values indicate greater disruption in the participant's work/social/family life. Each item score ranges from 0 to 10 with higher values indicating greater disruption in the participant's work/school life (item 1), social life/leisure activities (item 2), or family life/home responsibilities (item 3). The LS Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01070329)
Timeframe: Baseline, 8 weeks

,
Interventionunits on a scale (Least Squares Mean)
Disrupt Work/School Work (N=178, 188)Disrupt Social Life/Leisure ActivitiesDisrupt Family/Home ResponsibilitiesSDS Total Score
Duloxetine-3.01-3.14-3.04-9.16
Placebo-2.06-2.17-2.09-6.28

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Change From Baseline in Weight up to Week 8

"The change from baseline in weight at week 8 is the primary analysis. For the primary analysis of weight, the Least Squares (LS) Mean Value was adjusted for treatment, investigator, baseline, treatment*visit interaction, and baseline*visit interaction.~The change from baseline in weight up to week 8 is the secondary analysis. The LS Mean Value was adjusted for treatment, investigator, and baseline." (NCT01070329)
Timeframe: Baseline, up to week 8

,
Interventionkilograms (kg) (Least Squares Mean)
Change from Baseline in Weight at Week 8Change from Baseline in Weight up to Week 8
Duloxetine-0.69-0.66
Placebo-0.15-0.09

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Number of Participants With Suicidal Behaviors, Ideations, and Acts Based on the Columbia Suicide Severity Rating Scale (C-SSRS) During the Double-Blind Treatment Phase

"The C-SSRS captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Number of participants with suicidal behaviors, ideations, and acts are provided. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, and completed suicide. Suicidal ideation: a yes answer to any 1 of 5 suicidal ideation questions, which includes wish to be dead, and 4 different categories of active suicidal ideation. Suicidal acts: a yes answer to actual attempt or completed suicide." (NCT01070329)
Timeframe: Baseline through 8 weeks

,
Interventionparticipants (Number)
Suicidal IdeationSuicidal BehaviorSuicidal Acts
Duloxetine2120
Placebo3400

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Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 4

The MADRS is a rating scale for severity of depressive mood and symptoms. The MADRS has a 10-item checklist. Items are rated on a scale from 0-6, for a total score range of 0 (low severity of depressive symptoms) to 60 (high severity of depressive symptoms). The Least Squares (LS) Mean Value was adjusted for treatment, investigator, visit, baseline, treatment*visit interaction, and baseline*visit interaction. (NCT01070329)
Timeframe: Baseline, 4 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-11.48
Placebo-8.67

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Change From Week 8 to Week 16 Endpoint in 24 Hour Average Pain Item Score on the Brief Pain Inventory (BPI) Modified Short Form

BPI Modified Short Form 24-Hour average pain item score is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit, baseline*visit and treatment in Study Period II. (NCT01089556)
Timeframe: Week 8, Week 16

Interventionunits on a scale (Least Squares Mean)
Combination-2.353
Monotherapy-2.161

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Resource Utilization (Number of Days Hospitalized, Number of Days of Sick Leave) Baseline Through Week 8

Data presented are the number of days hospitalized and work/school missed (sick leave) due to diabetic peripheral neuropathic pain (DPNP) during the last 8 weeks. (NCT01089556)
Timeframe: Baseline through Week 8

,
Interventiondays (Mean)
Days hospitalizedDays of sick leave (n=108, 101)
Duloxetine01.9
Pregabalin00.3

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Percentage of Participants With a Reduction of Greater Than or Equal to 30% on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 16 Endpoint

BPI Modified Short Form 24-Hour average pain item score is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT01089556)
Timeframe: Week 8 through Week 16

Interventionpercentage of participants (Number)
Combination61.8
Monotherapy55.8

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Average Number of Hours Worked for Pay Per Week Week 8 Through Week 16

Data presented are the average number of hours worked for pay per week during the last 8 weeks. (NCT01089556)
Timeframe: Week 8 through Week 16

Interventionhours (Mean)
Combination39.8
Monotherapy34.7

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Patient Global Impression of Improvement (PGI-I) Score at Week 16 Endpoint

Measures participant's perception of improvement at the time of assessment compared with the start of treatment for Study Period III. The score ranges from 1 (very much better) to 7 (very much worse). Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit, baseline*visit and treatment in Study Period II. (NCT01089556)
Timeframe: Week 16

Interventionunits on a scale (Least Squares Mean)
Combination2.256
Monotherapy2.350

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Mean Change From Baseline to Week 8 Endpoint in 24 Hour Average Pain Item Score on the Brief Pain Inventory (BPI) Modified Short Form

BPI Modified Short Form 24-Hour average pain item score is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit and baseline*visit. (NCT01089556)
Timeframe: Baseline, Week 8

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.295
Pregabalin-1.682

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Clinical Global Impression of Improvement (CGI-I) at Week 8 Endpoint

Measures clinician's perception of participant improvement at the time of assessment compared with the start of treatment. Scores range from 1 (very much better) to 7 (very much worse). Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, visit, and treatment*visit. (NCT01089556)
Timeframe: Week 8

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.508
Pregabalin2.848

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Clinical Global Impression of Improvement (CGI-I) at Week 16 Endpoint

Measures clinician's perception of participant improvement at the time of assessment compared with the start of treatment for Study Period III. Scores range from 1 (very much better) to 7 (very much worse). Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit, baseline*visit and treatment in Study Period II. (NCT01089556)
Timeframe: Week 16

Interventionunits on a scale (Least Squares Mean)
Combination2.286
Monotherapy2.359

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Mean Change in Blood Pressure (BP) From Week 8 to Week 16 Endpoint

Least Squares (LS) mean values are controlled for treatment, site, baseline value, treatment*site and treatment in Study Period II. (NCT01089556)
Timeframe: Week 8, Week 16

,
Interventionmillimeter of mercury (mm Hg) (Least Squares Mean)
Systolic BPDiastolic BP
Combination-1.206-0.555
Monotherapy0.124-0.551

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Number of Participants Who Discontinued From Study Between Week 8 and Week 16 Endpoint

(NCT01089556)
Timeframe: Week 8 through Week 16

Interventionparticipants (Number)
Combination21
Monotherapy21

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Number of Participants With Treatment Emergent Adverse Events (TEAE) Between Baseline and Week 8 Endpoint

TEAEs in Study Period II are events that began or worsened after Week 0 compared with the period before Week 0. (NCT01089556)
Timeframe: Baseline through Week 8

Interventionparticipants (Number)
Duloxetine223
Pregabalin232

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Number of Participants With Treatment Emergent Adverse Events (TEAEs) Between Week 8 and Week 16 Endpoint

TEAEs in Study Period III are events that began or worsened after Week 8 compared with the period before Week 8. (NCT01089556)
Timeframe: Week 8 through Week 16

Interventionparticipants (Number)
Combination62
Monotherapy57

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Number of Participants Who Discontinued From Study Between Baseline and Week 8 Endpoint

(NCT01089556)
Timeframe: Baseline through Week 8

Interventionparticipants (Number)
Duloxetine68
Pregabalin70

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Mean Change From Baseline to Week 8 Endpoint in Sheehan Disability Scale (SDS)

The SDS is completed by the participant and is used to assess the effect of the participant's symptoms on their work (Item 1), social (Item 2), and family life (Item 3). Each item is measured on a 0 (not at all) to 10 (extremely) point scale with higher values indicating greater disruption. Total scores is the sum of the 3 items and range from 0 to 30 with higher values indicating greater disruption in the participant's work/social/family life. Least Squares (LS) mean values are controlled for treatment, site, baseline value and treatment*site. (NCT01089556)
Timeframe: Baseline, Week 8

Interventionunits on a scale (Least Squares Mean)
Duloxetine-4.387
Pregabalin-3.367

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Patient Global Impression of Improvement (PGI-I) Score at Week 8 Endpoint

Measures participant's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse). Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, visit, and treatment*visit. (NCT01089556)
Timeframe: Week 8

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.601
Pregabalin2.944

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Percentage of Participants With a Decrease of Greater Than or Equal to 2 Points on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 16 Endpoint

BPI Modified Short Form 24-Hour average pain item score is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT01089556)
Timeframe: Week 8 through Week 16

Interventionpercentage of participants (Number)
Combination66.7
Monotherapy64.4

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Percentage of Participants With a Decrease of Greater Than or Equal to 2 Points on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 8 Endpoint

BPI Modified Short Form 24-Hour average pain item score is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT01089556)
Timeframe: Baseline through Week 8

Interventionpercentage of participants (Number)
Duloxetine57.1
Pregabalin45.7

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Average Number of Hours Worked for Pay Per Week Baseline Through Week 8

Data presented are the average number of hours worked for pay per week during the last 8 weeks. (NCT01089556)
Timeframe: Baseline through Week 8

Interventionhours (Mean)
Duloxetine37.6
Pregabalin42.4

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Percentage of Participants With a Reduction of Greater Than or Equal to 30% on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 8 Endpoint

BPI Modified Short Form 24-Hour average pain item score is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT01089556)
Timeframe: Baseline through Week 8

Interventionpercentage of participants (Number)
Duloxetine52.0
Pregabalin36.9

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Percentage of Participants With a Reduction of Greater Than or Equal to 50% on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 16 Endpoint

BPI Modified Short Form 24-Hour average pain item score is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT01089556)
Timeframe: Week 8 through Week 16

Interventionpercentage of participants (Number)
Combination52.1
Monotherapy39.3

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Percentage of Participants With a Reduction of Greater Than or Equal to 50% on Brief Pain Inventory (BPI) Modified Short Form 24-Hour Average Pain Item Score at Week 8 Endpoint

BPI Modified Short Form 24-Hour average pain item score is a self-reported scale that measures the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT01089556)
Timeframe: Baseline through Week 8

Interventionpercentage of participants (Number)
Duloxetine40.3
Pregabalin27.8

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Mean Change From Baseline to Week 8 Endpoint in Hospital Anxiety and Depression Scale (HADS)

A 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale (0-3), giving maximum scores of 21 for anxiety and for depression. Scores of 11 or more on either subscale are considered to be a significant case of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7 represent 'normal.' Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit and baseline*visit. (NCT01089556)
Timeframe: Baseline, Week 8

,
Interventionunits on a scale (Least Squares Mean)
Anxiety Subscale Score (n= 398, 400)Depression Subscale Score
Duloxetine-1.991-1.064
Pregabalin-1.433-0.642

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Resource Utilization (Number of Days Hospitalized, Number of Days of Sick Leave) Week 8 Through Week 16

Data presented are the number of days hospitalized and work/school missed (sick leave) due to diabetic peripheral neuropathic pain (DPNP) during the last 8 weeks. (NCT01089556)
Timeframe: Week 8 through Week 16

,
Interventiondays (Mean)
Days hospitalized (n=140, 146)Days of sick leave (n=41, 36)
Combination00.1
Monotherapy00.4

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Mean Change From Week 8 to Week 16 Endpoint in Hospital Anxiety and Depression Scale (HADS)

A 14-item questionnaire with 2 subscales: anxiety and depression. Each item is rated on a 4-point scale (0-3), giving maximum scores of 21 for anxiety and for depression. Scores of 11 or more on either subscale are considered to be a significant case of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7 represent 'normal.' Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit, baseline*visit and treatment in Study Period II. (NCT01089556)
Timeframe: Week 8, Week 16

,
Interventionunits on a scale (Least Squares Mean)
Anxiety Subscale Score (n=169, 169)Depression Subscale Score (n=168, 170)
Combination-0.860-0.461
Monotherapy-0.245-0.083

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Mean Change in Blood Pressure (BP) From Baseline to Week 8 Endpoint

Least Squares (LS) mean values are controlled for treatment, site, baseline value, and treatment*site. (NCT01089556)
Timeframe: Baseline, Week 8

,
Interventionmillimeter of mercury (mm Hg) (Least Squares Mean)
Systolic BPDiastolic BP
Duloxetine-3.702-0.816
Pregabalin-1.682-0.951

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Mean Change From Baseline to Week 8 Endpoint on the Neuropathic Pain Symptom Inventory (NPSI) Questionnaire

The NPSI is a 12-item self-administered questionnaire to assess 5 different dimensions of neuropathic pain: superficial spontaneous burning pain, deep spontaneous pressing pain, paroxysmal pain, evoked pains, and paresthesias/dysesthesias. A total score ranges from 0 to 100. Higher score indicates a greater intensity of pain. Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit and baseline*visit. (NCT01089556)
Timeframe: Baseline, Week 8

Interventionunits on a scale (Least Squares Mean)
Duloxetine-19.442
Pregabalin-14.684

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Mean Change From Week 8 to Week 16 Endpoint in Items of the Brief Pain Inventory (BPI) Modified Short Form Worst Pain Score

BPI Modified Short Form worst pain score is a self-reported scale that measures the severity of pain based on the worst pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit, baseline*visit and treatment in Study Period II. (NCT01089556)
Timeframe: Week 8, Week 16

Interventionunits on a scale (Least Squares Mean)
Combination-2.374
Monotherapy-2.371

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Mean Change From Week 8 to Week 16 Endpoint in Sheehan Disability Scale (SDS)

The SDS is completed by the participant and is used to assess the effect of the participant's symptoms on their work (Item 1), social (Item 2), and family life (Item 3). Each item is measured on a 0 (not at all) to 10 (extremely) point scale with higher values indicating greater disruption. Total scores is the sum of the 3 items and range from 0 to 30 with higher values indicating greater disruption in the participant's work/social/family life. Least Squares (LS) Mean values are controlled for treatment, site, baseline value, treatment*site and treatment in Study Period II. (NCT01089556)
Timeframe: Week 8, Week 16

Interventionunits on a scale (Least Squares Mean)
Combination-2.625
Monotherapy-2.431

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Mean Change From Week 8 to Week 16 Endpoint on the Neuropathic Pain Symptom Inventory (NPSI) Questionnaire

The NPSI is a 12-item self-administered questionnaire to assess 5 different dimensions of neuropathic pain: superficial spontaneous burning pain, deep spontaneous pressing pain, paroxysmal pain, evoked pains, and paresthesias/dysesthesias. A total score ranges from 0 to 100. Higher score indicates a greater intensity of pain. Mixed-effects model repeated measures (MMRM) analysis was used to calculate Least Squares (LS) Mean and 95% Confidence Interval (CI). LS Mean values are controlled for treatment, site, baseline value, visit, treatment*visit, baseline*visit and treatment in Study Period II. (NCT01089556)
Timeframe: Week 8, Week 16

Interventionunits on a scale (Least Squares Mean)
Combination-13.734
Monotherapy-11.801

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Mean Change in Heart Rate From Baseline to Week 8 Endpoint

Least Squares (LS) mean values are controlled for treatment, site, baseline value, and treatment*site. (NCT01089556)
Timeframe: Baseline, Week 8

Interventionbeats per minute (bpm) (Least Squares Mean)
Duloxetine0.839
Pregabalin-2.478

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Mean Change in Heart Rate From Week 8 to Week 16 Endpoint

Least Squares (LS) mean values are controlled for treatment, site, baseline value, treatment*site and treatment in Study Period II. (NCT01089556)
Timeframe: Week 8, Week 16

Interventionbeats per minute (bpm) (Least Squares Mean)
Combination1.025
Monotherapy1.968

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Change in Overall Well Being Measured by the Clinical Global Impression Scale (CGI)

The CGI is a scale to measure the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Severity is ranked 1, normal, not at all ill; 2, borderline ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. A higher score indicates greater symptom severity. (NCT01117857)
Timeframe: Baseline to week 9

Interventionunits on a scale (Median)
Duloxetine-2

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Change in Depression Scores as Measured by the Hamilton Rating Scale for Depression

The HAM-D is a 17-item well-validated and reliable measure of current depressive symptoms and their severity. Eight items are scored on a five-point scale (0-4), and nine are scored on a three-point scale (0-2) for a total score range of 0-50. A higher score indicates greater symptom severity. (NCT01117857)
Timeframe: Baseline to week 9

Interventionunits on a scale (Median)
Duloxetine-7.5

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Change in Menopause Symptoms as Measured by the Greene Climacteric Scale

The Greene Climacteric Scale (GCS) is a 21-item scale used to quantify the severity of perimenopausal somatic symptoms. Each item is scored 0-3 for a total range of 0-63, with a higher score indicating greater symptom severity. (NCT01117857)
Timeframe: Baseline to week 9

Interventionunits on a scale (Median)
Duloxetine-7.5

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Change in Anxiety as Measured by the Generalized Anxiety Disorder Questionnaire (GAD-7)

The GAD-7 is a valid and efficient tool for screening anxiety and assessing its severity in clinical practice and research. Subjects rate the items for severity on a 4-point scale from 0 (not at all) to 3 (nearly every day) for a total range of 0-21. A higher score indicates greater anxiety symptom burden. (NCT01117857)
Timeframe: Baseline to week 9

Interventionunits on a scale (Median)
Duloxetine-2.5

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Percentage of Participants With Response or Remission at Week 10 (Response and Remission Rates)

Response was a ≥50% improvement (reduction) in the Hamilton Anxiety Rating Scale (HAMA) Total Score at treatment period endpoint compared with baseline. Two definitions were used to determine remission: Definition 1 (HAMA Total Score ≤7 at endpoint) and Definition 2 (HAMA Total Score ≤10 at endpoint). The Structured Interview Guide for the Hamilton Anxiety Rating Scale (SIGH-A) was used to collect HAMA data. The HAMA consisted of 14 items that assessed the severity of anxiety. Each item was scored using a 5-point scale (0=not present to 4=very severe). The HAMA Total Score could have ranged from 0 to 56 and higher scores indicated a greater degree of symptom severity. (NCT01118780)
Timeframe: Baseline, Week 10

,
Interventionpercentage of participants (Number)
ResponseRemission (HAMA Total Score ≤7)Remission (HAMA Total Score ≤10)
Duloxetine71.344.862.2
Placebo45.529.540.2

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Percentage of Participants With Sustained Improvement (Sustained Improvement Rate)

Two definitions, using the Hamilton Anxiety Rating Scale (HAMA) Total Score at endpoint compared with baseline, were used to determine sustained improvement: Definition 1 [sustained improvement overall required a ≥30% improvement (reduction) in the HAMA Total Score at treatment period endpoint, at an earlier visit prior to endpoint, and at all visits in between] and Definition 2 (sustained improvement from Week 2 required a ≥30% reduction at treatment period endpoint, at Week 2, and at all visits in between). Both definitions required at least 2 post-baseline visits. The Structured Interview Guide for the Hamilton Anxiety Rating Scale (SIGH-A) was used to collect HAMA data. The HAMA consisted of 14 items that assessed the severity of anxiety. Each item was scored using a 5-point scale (0=not present to 4=very severe). The HAMA Total Score could have ranged from 0 to 56 and higher scores indicated a greater degree of symptom severity. (NCT01118780)
Timeframe: (Baseline through 10 weeks) and (Baseline, Week 2 through Week 10)

,
Interventionpercentage of participants (Number)
Sustained Improvement Overall (n=134, 124)Sustained Improvement From Week 2 (n=134, 123)
Duloxetine74.626.9
Placebo55.617.9

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Time to First Response

The time (days) to first response, defined as a ≥50% improvement (reduction) from baseline in the Hamilton Anxiety Rating Scale (HAMA) Total Score. Participants who did not have a response were censored at the last treatment period visit. The Structured Interview Guide for the Hamilton Anxiety Rating Scale (SIGH-A) was used to collect HAMA data. The HAMA consisted of 14 items that assessed the severity of anxiety. Each item was scored using a 5-point scale (0=not present to 4=very severe). The HAMA Total Score could have ranged from 0 to 56 and higher scores indicated a greater degree of symptom severity. (NCT01118780)
Timeframe: Baseline through 10 weeks

Interventiondays (Median)
Duloxetine50.00
Placebo70.00

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Clinical Global Impressions of Improvement Scale (CGI-Improvement) at Week 10

CGI-Improvement measured the clinician's perception of the participant's improvement at the time of assessment compared with the start of treatment. Scores could have ranged from 1 (very much improved) to 7 (very much worse). Least squares (LS) mean were calculated and analyzed using mixed-model repeated measures (MMRM) adjusted for treatment, pooled investigator, age category, visit, treatment-by-visit. (NCT01118780)
Timeframe: Week 10

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.10
Placebo2.63

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Change From Baseline to Week 10 in Sheehan Disability Scale (SDS) Global Functional Impairment Score

The SDS was a participant-rated questionnaire used to assess the effect of the participant's symptoms on work/school (Item 1), social life/leisure activities (Item 2), and family/home management (Item 3). Each item was rated on a visual analog scale (VAS) from 0 (not at all) to 10 (very severely). The SDS Global Functional Impairment Score (SDS Global Score) was the sum of the 3 items and could have ranged from 0 (unimpaired) to 30 (highly impaired). Higher values indicated a higher functional impairment in the participant's work/social/family life. Least squares (LS) mean were calculated and analyzed using mixed-model repeated measures (MMRM) adjusted for treatment, pooled investigator, age category, visit, treatment-by-visit, baseline score, and baseline-by-visit. (NCT01118780)
Timeframe: Baseline, Week 10

Interventionunits on a scale (Least Squares Mean)
Duloxetine-8.60
Placebo-5.37

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Change From Baseline to Week 10 in Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) Total Score

The Q-LES-Q-SF was a participant-rated questionnaire designed to assess the degree of enjoyment and satisfaction experienced during the past week. The questionnaire consisted of 16 items rated on a 5-point scale ranging from 1 (very poor) to 5 (very good). The total raw score was the sum of Items 1 to 14 and could have ranged from 14 to 70. Total raw scores were converted to, and expressed as, the percentage of the maximum possible score. Percent=100*(total raw score - 14)/56. Higher scores indicated higher levels of enjoyment/satisfaction. Least squares (LS) mean were calculated and analyzed using analysis of covariance (ANCOVA) adjusted for treatment, pooled investigator, age category, and baseline. (NCT01118780)
Timeframe: Baseline, Week 10

Interventionpercent of maximum possible score (Least Squares Mean)
Duloxetine15.11
Placebo9.35

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Patient's Global Impressions of Improvement Scale (PGI-Improvement) at Week 10

PGI-Improvement measured the participant's perception of his or her improvement at the time of assessment compared with the start of treatment. Scores could have ranged from 1 (very much better) to 7 (very much worse). Least squares (LS) mean were calculated and analyzed using mixed-model repeated measures (MMRM) adjusted for treatment, pooled investigator, age category, visit, treatment-by-visit. (NCT01118780)
Timeframe: Week 10

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.35
Placebo2.97

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Percentage of Participants Reporting Falling Down

The percentage of participants who reported 1 or more falls at or before Week 10. (NCT01118780)
Timeframe: Baseline through 10 weeks

Interventionpercentage of participants (Number)
Duloxetine6.2
Placebo3.5

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Time to First Functional Remission

Time (days) to first functional remission. Two definitions, using the Sheehan Disability Scale (SDS) Global Functional Impairment Score (SDS Global Score), were used to determine functional remission: Definition 1 (SDS Global Score ≤5 at endpoint) and Definition 2 (SDS Global Score ≤6 at endpoint). Participants, who did not have an SDS Global Score ≤5 or ≤6, were censored at the last treatment period visit. The SDS was a participant-rated questionnaire used to assess the effect of the participant's symptoms on work/school (Item 1), social life/leisure activities (Item 2), and family/home management (Item 3). Each item was rated on a visual analog scale (VAS) from 0 (not at all) to 10 (very severely). The SDS Global Score was the sum of the 3 items and could have ranged from 0 (unimpaired) to 30 (highly impaired). Higher values indicated a higher functional impairment in the participant's work/social/family life. (NCT01118780)
Timeframe: Baseline through 10 weeks

,
Interventiondays (Median)
Functional Remission (SDS Global Score ≤5)Functional Remission (SDS Global Score ≤6)
Duloxetine50.0031.00
Placebo72.0071.00

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Time to First Improvement

The time (days) to first improvement, defined as a Clinical Global Impression of Improvement (CGI-Improvement) Score ≤2. Participants who did not have a CGI-I Score ≤2 were censored at the last treatment period visit. CGI-Improvement measured the clinician's perception of the participant's improvement at the time of assessment compared with the start of treatment. Scores could have ranged from 1 (very much improved) to 7 (very much worse). A CGI-Improvement Score of ≤2 was much improved or very much improved. (NCT01118780)
Timeframe: Baseline through 10 weeks

Interventiondays (Median)
Duloxetine31.00
Placebo52.00

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Change From Baseline to Week 10 in Hamilton Anxiety Rating Scale (HAMA) Total Score

The Structured Interview Guide for the Hamilton Anxiety Rating Scale (SIGH-A) was used to collect HAMA data. The HAMA consisted of 14 items that assessed the severity of anxiety. Each item was scored using a 5-point scale (0=not present to 4=very severe). The HAMA Total Score could have ranged from 0 to 56 and higher scores indicated a greater degree of symptom severity. Least squares (LS) mean were calculated and analyzed using mixed-model repeated measures (MMRM) adjusted for treatment, pooled investigator, age category, visit, treatment-by-visit, baseline score, and baseline-by-visit. (NCT01118780)
Timeframe: Baseline, Week 10

Interventionunits on a scale (Least Squares Mean)
Duloxetine-15.86
Placebo-11.69

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Time to Sustained Improvement Overall

Time (days) to the earliest visit at which the Hamilton Anxiety Rating Scale (HAMA) Total Score was a ≥30% improvement (reduction) from baseline that was sustained through the last treatment period visit. Participants who did not meet sustained improvement criteria were censored at the last treatment period visit. The Structured Interview Guide for the Hamilton Anxiety Rating Scale (SIGH-A) was used to collect HAMA data. HAMA consisted of 14 items that assessed the severity of anxiety. Each item was scored using a 5-point scale (0=not present to 4=very severe). The HAMA Total Score could have ranged from 0 to 56 and higher scores indicated a greater degree of symptom severity. (NCT01118780)
Timeframe: Baseline through 10 weeks

Interventiondays (Median)
Duloxetine30.00
Placebo50.00

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Change From Baseline to Week 10 Endpoint in Hospital Anxiety Depression Scale (HADS) Subscale Scores

HADS was a 14-item questionnaire with 2 subscales (anxiety and depression). Each item was rated on a 4-point scale (0 to 3) and higher scores indicated a greater dysfunction. The HADS Anxiety Subscale Score was the sum of the odd numbered items and scores could have ranged from 0 to 21. The HADS Depression Subscale Score was the sum of the even numbered items and scores could have ranged from 0 to 21. Higher scores indicated a greater dysfunction. Least squares (LS) mean were calculated and analyzed using mixed-model repeated measures (MMRM) adjusted for treatment, pooled investigator, age category, visit, treatment-by-visit, baseline score, and baseline-by-visit. (NCT01118780)
Timeframe: Baseline, Week 10

,
Interventionunits on a scale (Least Squares Mean)
HADS Anxiety SubscaleHADS Depression Subscale
Duloxetine-7.81-3.29
Placebo-5.62-1.61

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Change From Baseline to Week 10 in Brief Pain Inventory-Modified Short Form (BPI-SF) Pain Severity and Interference Subscales

The BPI-SF Pain Severity Subscale was a participant-rated questionnaire that measured the severity of pain. Severity scores could have ranged from 0 (no pain) to 10 (pain as bad as you can imagine) for questions assessing worst pain, least pain, and average pain in the past 24 hours, and pain right now. The BPI-SF Interference Subscale measured the interference of pain with the participant's ability to function. Interference scores could have ranged from 0 (does not interfere) to 10 (completely interferes) for questions assessing interference of pain in the past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Least squares (LS) means were calculated and analyzed using mixed-model repeated measures (MMRM) adjusted for treatment, pooled investigator, age category, visit, treatment-by-visit, baseline score, and baseline-by-visit. (NCT01118780)
Timeframe: Baseline, Week 10

,
Interventionunits on a scale (Least Squares Mean)
Worst Pain (n=141, 132)Least Pain (n=141, 132)Average Pain (n=141, 132)Pain Right Now (n=141, 132)General Activity (n=140, 131)Mood (n=140, 131)Walking Ability (n=140, 131)Normal Work (n=139, 131)Relations With Other People (n=140, 131)Sleep (n=140, 131)Enjoyment of Life (n=140, 131)
Duloxetine-1.44-0.92-1.10-0.81-1.45-1.59-0.91-1.21-0.96-1.58-1.74
Placebo-0.90-0.50-0.68-0.59-0.92-1.19-0.31-0.83-0.80-1.07-1.24

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Change From Baseline to Week 10 in Hamilton Anxiety Rating Scale (HAMA) (Psychic Anxiety Factor Score, Somatic Anxiety Factor Score, and Individual Item Scores: Anxious Mood Item and Tension Item)

The Structured Interview Guide for the Hamilton Anxiety Rating Scale (SIGH-A) was used to collect HAMA data. The HAMA consisted of 14 items that assessed the severity of anxiety. Each item was scored using a 5-point scale (0=not present to 4=very severe). The HAMA Psychic Anxiety Factor Score was the sum of Items 1 to 6 and Item 14 and could have ranged from 0 to 28. The HAMA Somatic Anxiety Factor Score was the sum of Items 7 to 13 and could have ranged from 0 to 28. The HAMA Anxious Mood Item Score was the score for Item 1 and the HAMA Tension Item Score was the score for Item 2. In each case, higher scores indicated a greater degree of symptom severity. Least squares (LS) mean were calculated and analyzed using mixed-model repeated measures (MMRM) adjusted for treatment, pooled investigator, age category, visit, treatment-by-visit, baseline score, and baseline-by-visit. (NCT01118780)
Timeframe: Baseline, Week 10

,
Interventionunits on a scale (Least Squares Mean)
HAMA Psychic Anxiety Factor Score (n=143, 131)HAMA Somatic Anxiety Factor Score (n=143, 131)HAMA Anxious Mood Item Score (n=142, 131)HAMA Tension Item Score (n=143, 131)
Duloxetine-8.59-7.33-1.77-1.48
Placebo-6.19-5.57-1.24-1.17

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Change From Baseline to Week 10 in Sheehan Disability Scale (SDS) Work/School, Social Life, and Family/Home Management Individual Impairment Scores

The SDS was a participant-rated questionnaire used to assess the effect of the participant's symptoms on work/school (Item 1), social life/leisure activities (Item 2), and family/home management (Item 3). Each item was rated on a visual analog scale (VAS) from 0 (not at all) to 10 (very severely). Higher values indicated a higher functional impairment in the participant's work/social/family life. Least squares (LS) mean were calculated and analyzed using mixed-model repeated measures (MMRM) adjusted for treatment, pooled investigator, age category, visit, treatment-by-visit, baseline score, and baseline-by-visit. (NCT01118780)
Timeframe: Baseline, Week 10

,
Interventionunits on a scale (Least Squares Mean)
Work/School (n=56, 51)Social Life/Leisure Activities (n=140, 131)Family/Home Management (n=140, 131)
Duloxetine-2.21-2.84-2.82
Placebo-1.08-1.94-1.61

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Number of Participants Experiencing a Treatment-Emergent Adverse Event (AE) During the Taper Period

Treatment-emergent AEs were newly occurring AEs or a worsening of AEs during the taper period. A summary of serious AEs and other AEs during the treatment period (baseline through 10 weeks) is located in the Reported Adverse Events module. (NCT01118780)
Timeframe: 2 weeks during the taper period

,,
Interventionparticipants (Number)
Any Serious AENon-Serious AE, DizzinessNon-Serious AE, FatigueNon-Serious AE, HyperhidrosisNon-Serious AE, NauseaNon-Serious AE, TinnitusNon-Serious AE, ConstipationNon-Serious AE, CystitisNon-Serious AE, HeadacheNon-Serious AE, Musculoskeletal Chest PainNon-Serious AE, NightmareNon-Serious AE, Oropharyngeal PainNon-Serious AE, PainNon-Serious AE, Vertigo
Duloxetine 30 mg Then Placebo01000200000001
Duloxetine 60 mg Then 30 mg01101000011100
Placebo01221011100010

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Adverse Events (AEs) Leading to Discontinuation From Study

The number of participants who discontinued from the study due to an AE (serious or other AE) during the treatment period. A summary of serious and other AEs is located in the Reported Adverse Events module. (NCT01118780)
Timeframe: Baseline through 10 weeks

Interventionparticipants (Number)
Duloxetine16
Placebo15

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Percentage of Participants With Functional Remission at Week 10 (Functional Remission Rate)

Two definitions, using the Sheehan Disability Scale (SDS) Global Functional Impairment Score (SDS Global Score), were used to determine functional remission: Definition 1 (SDS Global Score ≤5 at endpoint) and Definition 2 (SDS Global Score ≤6 at endpoint). The SDS was a participant-rated questionnaire used to assess the effect of the participant's symptoms on work/school (Item 1), social life/leisure activities (Item 2), and family/home management (Item 3). Each item was rated on a visual analog scale (VAS) from 0 (not at all) to 10 (very severely). The SDS Global Score was the sum of the 3 items and could have ranged from 0 (unimpaired) to 30 (highly impaired). Higher values indicated a higher functional impairment in the participant's work/social/family life. (NCT01118780)
Timeframe: Week 10

,
Interventionpercentage of participants (Number)
Functional Remission (SDS Global Score ≤5)Functional Remission (SDS Global Score ≤6)
Duloxetine55.060.9
Placebo32.940.7

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Time to First Remission

The time (days) to first remission. Two definitions, using the Hamilton Anxiety Rating Scale (HAMA) Total Score, were used to determine remission: Definition 1 (HAMA Total Score ≤7 at endpoint) and Definition 2 (HAMA Total Score ≤10 at endpoint). Participants who did not have remission were censored at the last treatment period visit. The Structured Interview Guide for the Hamilton Anxiety Rating Scale (SIGH-A) was used to collect HAMA data. The HAMA consisted of 14 items that assessed the severity of anxiety. Each item was scored using a 5-point scale (0=not present to 4=very severe). The HAMA Total Score could have ranged from 0 to 56 and higher scores indicated a greater degree of symptom severity. (NCT01118780)
Timeframe: Baseline through 10 weeks

,
Interventiondays (Median)
Remission (HAMA Total Score ≤7)Remission (HAMA Total Score ≤10)
Duloxetine71.0051.00
PlaceboNA71.00

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Change in Clinical Status Using CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) is a 7-point scale rated from 1 (very much improved) to 7 (very much worse). The investigator rated the patient's overall improvement relative to baseline, whether or not, in the opinion of the investigator, this was entirely due to the drug treatment. (NCT01140906)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Placebo2.86
Vortioxetine 15 mg2.18
Vortioxetine 20 mg1.92
Duloxetine 60 mg1.75

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Potential Discontinuation Symptoms After Abrupt Discontinuation of Treatment With Vortioxetine

The Discontinuation-Emergent Signs and Symptoms Scale (DESS) was designed to evaluate possible effects of discontinuation of antidepressant therapy. It is a clinician-rated instrument that queries for signs and symptoms on a 43-item checklist (for example, agitation, insomnia, fatigue, and dizziness) to assess whether the item (event) is discontinuation-emergent. A new or worsened event reported after discontinuation of therapy scores 1 point on the checklist, and the DESS total score is the sum of all positive scores on the checklist. A higher score indicates more symptoms. (NCT01140906)
Timeframe: Change from Week 8 in DESS total score analyzed at Week 10

Interventionunits on a scale (Mean)
Placebo0.15
Vortioxetine 15 mg0.01
Vortioxetine 20 mg0.72
Duloxetine 60 mg2.28

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Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)

(NCT01140906)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo19
Vortioxetine 15 mg35
Vortioxetine 20 mg38
Duloxetine 60 mg54

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Change From Baseline in ASEX Total Score After 8 Weeks of Treatment

"The Arizona Sexual Experience Scale (ASEX) is a 5-item, patient self-rated scale that evaluates a patient's recent sexual experience. Patients are asked to assess their own experience over the last week (for example, How strong is your sex drive?, Are your orgasms satisfying?) and respond on a 6-point scale for each item. The ASEX is used to identify individuals with sexual dysfunction. Possible total score ranges from 5 to 30, with the higher score indicating more patient sexual dysfunction. A negative change indicates a lower sexual dysfunction." (NCT01140906)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo0.28
Vortioxetine 15 mg-0.39
Vortioxetine 20 mg-0.20
Duloxetine 60 mg-1.25

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Change From Baseline in MADRS Total Score After 8 Weeks of Treatment in Patients With Baseline HAM-A Total Score ≥20

(NCT01140906)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-12.20
Vortioxetine 15 mg-17.44
Vortioxetine 20 mg-18.62
Duloxetine 60 mg-20.91

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Change From Baseline in MADRS Total Score After 8 Weeks of Treatment.

The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe. (NCT01140906)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-11.70
Vortioxetine 15 mg-17.23
Vortioxetine 20 mg-18.79
Duloxetine 60 mg-21.15

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Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)

(NCT01140906)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo32
Vortioxetine 15 mg57
Vortioxetine 20 mg62
Duloxetine 60 mg74

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Change From Baseline in SDS Total Score After 8 Weeks of Treatment

The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe. (NCT01140906)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-4.46
Vortioxetine 15 mg-7.70
Vortioxetine 20 mg-8.38
Duloxetine 60 mg-11.39

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MADRS Remission

A patient will be classified as in remission if their MADRS total score is ≤10 at Week 6 (NCT01145755)
Timeframe: 6 weeks

InterventionParticipants (Number)
AZD20665
Duloxetine8
Placebo7

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MADRS Total Score Change From Baseline to Week 6

Montgomery-Asberg Depression Rating Scale (MADRS): The MADRS is a 10-item scale for the evaluation of depressive symptoms (Montgomery et al 1979). Each MADRS item is rated on a 0 to 6 scale. Total score range from 0-60, where higher MADRS scores indicate higher levels of depressive symptoms. (NCT01145755)
Timeframe: 6 weeks

Interventionscores on the scale (Mean)
AZD2066-13.1658
Duloxetine-14.0271
Placebo-14.1575

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MADRS Response

A MADRS responder at week 6 is defined as a patient with a reduction of at least 50% from baseline MADRS total score. (NCT01145755)
Timeframe: 6 weeks

InterventionParticipants (Number)
AZD20669
Duloxetine9
Placebo9

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Percentage of Participants With a MADRS Response at Week 8

Response is defined as a participant with a ≥50% decrease in Montgomery Åsberg Depression Rating Scale (MADRS) total score from Baseline. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01153009)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo39.2
Vortioxetine 15 mg44.1
Vortioxetine 20 mg44.2
Duloxetine 60 mg54.8

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Change From Baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. Least squares (LS) means are from a mixed model for repeated measurements (MMRM) analysis of covariance (ANCOVA) with treatment, center, week, treatment-by-week interaction, Baseline MADRS total score-by-week as fixed effects. (NCT01153009)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-12.83
Vortioxetine 15 mg-14.30
Vortioxetine 20 mg-15.57
Duloxetine 60 mg-16.90

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline SDS total score-by-week as fixed effects. (NCT01153009)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-7.68
Vortioxetine 15 mg-7.73
Vortioxetine 20 mg-8.55
Duloxetine 60 mg-9.66

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Change From Baseline in MADRS Total Score at Week 8 in Participants With Baseline Hamilton Anxiety Scale (HAM-A) Total Score ≥20

"The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. LS means are from a mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline MADRS total score-by-week as fixed effects.~HAM-A is a 14 item rating scale to quantify anxiety severity rated on a 5-point scale from 0 (not present) to 4 (severe) with a total score range from 0 to 56, where lower scores indicate mild severity." (NCT01153009)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-14.27
Vortioxetine 15 mg-13.34
Vortioxetine 20 mg-14.89
Duloxetine 60 mg-18.31

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Mean Clinical Global Impression Scale - Improvement (CGI-I) Score at Week 8

The Clinical Global Impression-Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline Clinical Global Impression Scale-Severity of Illness (CGI-S) score-by-week as fixed effects. (NCT01153009)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.65
Vortioxetine 15 mg2.54
Vortioxetine 20 mg2.47
Duloxetine 60 mg2.31

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Percentage of Participants in MADRS Remission at Week 8

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01153009)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo26.8
Vortioxetine 15 mg26.9
Vortioxetine 20 mg29.3
Duloxetine 60 mg26.0

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Mean Change From Baseline at 12-Week Endpoint in Weekly Mean of Night Pain and Worst Pain

24-hour average night pain and worst pain severity scores were recorded daily on an 11-point Likert scale, an ordinal scale, with scores ranging from 0 (no pain) to 10 (worst possible pain). A negative change indicated an improvement in the participant's condition. LS mean was calculated using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as the baseline score and baseline score-by-visit interaction. (NCT01179672)
Timeframe: Baseline, 12 weeks

,
Interventionunits on a scale (Least Squares Mean)
Night PainWorst Pain
Duloxetine-2.65-2.80
Placebo-2.11-2.25

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Mean Change From Baseline at 12 Week Endpoint in the SDS Total Score

SDS was self-reported and used to assess the effect of the participant's symptoms on their work (Item 1), social life (Item 2), and family life (Item 3). Each item was measured on a 0 (not at all) to 10 (extremely) point scale with higher values indicating greater disruption. SDS total score was the sum of the 3 items and ranged from 0 to 30, with higher values indicating greater disruption in the participant's work/social/family life. Scores ≥5 were associated with significant functional impairment. A negative change indicated an improvement in the participant's condition. LS mean was adjusted using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, baseline score and baseline score-by-visit interaction. (NCT01179672)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-6.36
Placebo-5.09

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Percentage of Participants Who Experienced Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-week Endpoint in BPI-Severity Average Pain Score

BPI-Severity scale was a self-reported scale that measured the severity of pain based on the average pain experienced over the past 24 hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). A negative change indicated an improvement in the participant's condition. Percentage of participants was calculated as: (number of participants with 30% [or 50% or 75%] reduction in BPI-Severity average pain) divided by (number of participants) multiplied by 100. (NCT01179672)
Timeframe: Baseline, 12 weeks

,
Interventionpercentage of participants (Number)
≥30% Reduction≥50% Reduction≥75% Reduction
Duloxetine63.046.015.0
Placebo46.729.49.6

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Percentage of Participants Who Experience Equal to or Greater Than 30%, 50% or 75% Reduction From Baseline at 12-Week Endpoint in Weekly Mean of Average Daily Pain

24-hour self-assessment of average daily pain was recorded in the participants diary based on an 11 point Likert scale with scores ranging from 0 (no pain) to 10 (worst possible pain). Percentage of participants was calculated as: (number of participants with 30% [or 50% or 75%] reduction in average daily pain) divided by (number of participants) multiplied by 100. (NCT01179672)
Timeframe: Baseline, 12 weeks

,
Interventionpercentage of participants (Number)
≥30% Reduction≥50% Reduction≥75% Reduction
Duloxetine61.542.014.5
Placebo49.028.89.6

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Patient Global Impression of Improvement (PGI-I) Scale at 12-Week Endpoint

PGI-I was self-reported and measured a participant's perception of improvement at the time of assessment compared with the start of treatment. Scores ranged from 1 (very much better) to 7 (very much worse). LS mean was calculated using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01179672)
Timeframe: 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.44
Placebo2.65

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Mean Change From Baseline at 12-Week Endpoint in the Weekly Mean of Pain Severity Score

24-hour average pain severity scores were recorded daily by the participant on an 11-point Likert scale, an ordinal scale, with scores ranging from 0 (no pain) to 10 (worst possible pain). The weekly mean was calculated. A negative change indicated an improvement in participant's condition. Least squares (LS) mean was calculated using mixed model repeating measures (MMRM) and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01179672)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.40
Placebo-1.97

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Mean Change From Baseline at 12-Week Endpoint in the Sensory Subscale of the SF-MPQ

SF-MPQ was a self-reported instrument that consisted of 11 sensory descriptors describing pain. The descriptors were rated on an intensity scale from 0 (none), 1 (mild), 2 (moderate) or 3 (severe). Three (3) pain scores were derived from the sum of the intensity rank values of the words chosen for sensory descriptors. The SF-MPQ sensory subscale was the sum of the 11 scores (ranged from 0 to 33, with 33 being the worst pain). A negative change indicates an improvement. LS mean was calculated using analysis of covariance (ANCOVA) adjusted for treatment, pooled investigator and baseline. (NCT01179672)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-6.45
Placebo-5.33

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Mean Change From Baseline at 12-Week Endpoint in the CGI-S Scale

CGI-S was administered by the investigator in the presence of the participant and measured the severity of illness at the time of assessment compared with start of treatment; CGI-S scores ranged from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). A negative change indicated an improvement in the participant's condition. LS mean was calculated using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01179672)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.40
Placebo-1.17

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Mean Change From Baseline at 12-Week Endpoint in the BPI-Severity Scale

BPI-Severity Scale was a self-reported scale that measured the severity of pain based on the average pain over the past 24-hours. The severity scores range from 0 (no pain) to 10 (pain as severe as you can imagine). A negative change indicated an improvement in the participant's condition. LS mean was calculated using MMRM and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01179672)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.50
Placebo-2.00

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Mean Change From Baseline at 12-week Endpoint in the BPI Interference Score

BPI-Interference Score was a self-reported scale that measured the interference of pain based on the average of the 7 questions assessing the interference of pain for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The average interference scores ranged from 0 (does not interfere) to 10 (completely interferes). A negative change indicates an improvement in the participant's condition. LS means was calculated using MMRM and adjusted treatment, pooled investigator, visit, and treatment-by-visit interaction, baseline score and baseline score-by-visit interaction. (NCT01179672)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.42
Placebo-1.82

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Percentage of Participants During the 18-Week Extension Period With Treatment-Emergent (New or Worsening) Suicidal Behavior as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)

"The C-SSRS captured occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Reported as percentage of participants with treatment-emergent (new or worsening) suicidal behavior from baseline=(number of participants with changes compared to baseline/total number of participants at risk)*100." (NCT01226511)
Timeframe: 10 weeks up to 28 weeks

Interventionpercentage of participants (Number)
Duloxetine/Duloxetine (Extension Treatment)0
Placebo/Duloxetine (Extension Treatment)2

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Percentage of Participants During the 10-Week Period With Treatment-Emergent (New or Worsening) Suicidal Ideation as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)

"The C-SSRS captured occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal ideation: a yes answer to any 1 of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation. Results reported as percentage of participants with treatment-emergent (new or worsening) suicidal ideation from baseline=(number of participants with changes compared to baseline/total number of participants at risk)*100." (NCT01226511)
Timeframe: Baseline up to 10 weeks

Interventionpercentage of participants (Number)
Duloxetine (Acute Treatment)5.9
Placebo (Acute Treatment)5.2

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Percentage of Participants During the 10-Week Period With Treatment-Emergent (New or Worsening) Suicidal Behavior as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)

"The C-SSRS captured occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior: a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Reported as percentage of participants with treatment-emergent (new or worsening) suicidal behavior from baseline=(number of participants with changes compared to baseline/total number of participants at risk)*100." (NCT01226511)
Timeframe: Baseline up to 10 weeks

Interventionpercentage of participants (Number)
Duloxetine (Acute Treatment)0.0
Placebo (Acute Treatment)0.0

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Change From Baseline to 10-Week Endpoint on the Pediatric Anxiety Rating Scale (PARS) Severity Total Score Evaluated for All Symptoms Identified on the PARS Symptom Checklist Symptoms

PARS severity total score was assessed for all symptoms identified on the PARS symptom checklist. PARS severity total score was derived by summing 5 of 7 severity/impairment/interference items (2, 3, 5, 6, 7); each item ranged from 0 (none) to 5 (extreme severity/impairment/interference). PARS severity total scores ranged from 0 (none) to 25 (extreme severity), with a score of 15 indicating moderate illness severity. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach adjusted for treatment, pooled investigator, visit, baseline, age category, treatment*visit, baseline*visit, and age category*visit. (NCT01226511)
Timeframe: Baseline, 10 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine (Acute Treatment)-9.15
Placebo (Acute Treatment)-6.36

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Change From Baseline to 10-Week Endpoint in the Pediatric Anxiety Rating Scale (PARS) Severity Score Evaluated for Symptoms Identified on the Generalized Anxiety Subsection of the PARS Symptom Checklist

PARS severity score for GAD was assessed for all symptoms identified in the generalized anxiety section of the PARS symptom checklist. PARS severity score for GAD was derived by summing 5 of 7 severity/impairment/interference items (2, 3, 5, 6, 7); each item ranged from 0 (none) to 5 (extreme severity/impairment/interference). PARS severity scores for GAD ranged from 0 (none) to 25 (extreme severity), with a score of 15 indicating moderate illness severity. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach adjusted for baseline, pooled investigator, age category, visit, treatment, treatment*visit, age category*visit, and baseline*visit. (NCT01226511)
Timeframe: Baseline, 10 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine (Acute Treatment)-9.70
Placebo (Acute Treatment)-7.05

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Change From Baseline to 10-Week Endpoint in the Children's Global Assessment Scale (CGAS)

The CGAS was a clinician-rated assessment of general functioning. CGAS raw scores ranged from 1 (greatest impairment) to 100 (superior functioning). Lower scores indicated a lower level of functioning and greater impairment. Least squares (LS) mean from an analysis of covariance (ANCOVA) was adjusted for treatment, pooled investigator, baseline, and age category. (NCT01226511)
Timeframe: Baseline, 10 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine (Acute Treatment)17.14
Placebo (Acute Treatment)12.16

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Response Rate at Endpoint for Generalized Anxiety Disorder (GAD) Using Pediatric Anxiety Rating Scale (PARS) Severity Score for GAD

Response rate was defined as the percentage of participants having a 50% improvement from baseline to endpoint on the PARS severity score for GAD. PARS severity score for GAD was assessed for all symptoms identified in the generalized anxiety section of the PARS symptom checklist. PARS severity score for GAD was derived by summing 5 of 7 severity/impairment/interference items (2, 3, 5, 6, 7); each item ranged from 0 (none) to 5 (extreme severity/impairment/interference). PARS severity scores for GAD ranged from 0 (none) to 25 (extreme severity), with a score of 15 indicating moderate illness severity. (NCT01226511)
Timeframe: Baseline, 10 weeks

Interventionpercentage of participants (Number)
Duloxetine (Acute Treatment)51
Placebo (Acute Treatment)37

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Change From 10-Week to 28-Week Endpoint on the Pediatric Anxiety Rating Scale (PARS) Severity Total Score Evaluated for All Symptoms Identified on the PARS Symptom Checklist Symptoms

PARS severity total score was assessed for all symptoms identified on the PARS symptom checklist. PARS severity total score was derived by summing 5 of 7 severity/impairment/interference items (2, 3, 5, 6, 7); each item ranged from 0 (none) to 5 (extreme severity/impairment/interference). PARS severity total scores ranged from 0 (none) to 25 (extreme severity), with a score of 15 indicating moderate illness severity. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach adjusted for pooled investigator, visit, baseline, age category, baseline*visit, and age category*visit within reporting groups. (NCT01226511)
Timeframe: 10 weeks, 28 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine (Extension Treatment)-3.32
Placebo/Duloxetine (Extension Treatment)-5.26

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Change From 10-Week to 28-Week Endpoint on the Clinical Global Impression of Severity (CGI-S) Scale

The CGI-S scale evaluated the severity of mental illness at the time of assessment. Scores ranged from 1 (normal, not at all ill) to 7 (among the most extremely ill). Higher scores indicated a greater severity of illness. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach adjusted for pooled investigator, visit, baseline, age category, baseline*visit, and age category*visit within reporting groups. (NCT01226511)
Timeframe: 10 weeks, 28 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine (Extension Treatment)-0.76
Placebo/Duloxetine (Extension Treatment)-1.17

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Change From 10-Week to 28-Week Endpoint in the Pediatric Anxiety Rating Scale (PARS) Severity Score Evaluated for Symptoms Identified on the Generalized Anxiety Subsection of the PARS Symptom Checklist

PARS severity score for GAD was assessed for all symptoms identified in the generalized anxiety section of the PARS symptom checklist. PARS severity score for GAD was derived by summing 5 of 7 severity/impairment/interference items (2, 3, 5, 6, 7); each item ranged from 0 (none) to 5 (extreme severity/impairment/interference). PARS severity scores for GAD ranged from 0 (none) to 25 (extreme severity), with a score of 15 indicating moderate illness severity. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach adjusted for pooled investigator, visit, baseline, age category, baseline*visit, and age category*visit within reporting groups. (NCT01226511)
Timeframe: 10 weeks, 28 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine (Extension Treatment)-3.33
Placebo/Duloxetine (Extension Treatment)-5.15

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Change From 10-Week to 28-Week Endpoint in the Children's Global Assessment Scale (CGAS)

The CGAS was a clinician-rated assessment of general functioning. CGAS raw scores ranged from 1 (greatest impairment) to 100 (superior functioning). Lower scores indicated a lower level of functioning and greater impairment. Least squares (LS) mean from an analysis of covariance (ANCOVA) was adjusted for pooled investigator, baseline, and age category within reporting groups. (NCT01226511)
Timeframe: 10 weeks, 28 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine (Extension Treatment)7.32
Placebo/Duloxetine (Extension Treatment)10.48

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Change From Baseline to 10-Week Endpoint on the Clinical Global Impression of Severity (CGI-S) Scale

The CGI-S scale evaluated the severity of illness at the time of assessment. Scores ranged from 1 (normal, not at all ill) to 7 (among the most extremely ill). Higher scores indicated a greater severity of illness. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach adjusted for treatment, pooled investigator, visit, baseline, age category, treatment*visit, baseline*visit, and age category*visit. (NCT01226511)
Timeframe: Baseline, 10 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine (Acute Treatment)-1.93
Placebo (Acute Treatment)-1.38

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Remission Rate at Endpoint for Generalized Anxiety Disorder (GAD) Using Clinical Global Impressions of Severity (CGI-S) Scale

Remission rate was defined as the percentage of participants having a CGI-S score ≤2 at endpoint. The CGI-S scale evaluated the severity of illness at the time of assessment. Scores ranged from 1 (normal, not at all ill) to 7 (among the most extremely ill). Higher scores indicated a greater severity of illness. (NCT01226511)
Timeframe: 10 weeks

Interventionpercentage of participants (Number)
Duloxetine (Acute Treatment)45
Placebo (Acute Treatment)30

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Percentage of Participants During the 18-Week Extension Period With Treatment-Emergent (New or Worsening) Suicidal Ideation as Assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS)

"The C-SSRS captured occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal ideation: a yes answer to any 1 of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation. Results reported as percentage of participants with treatment-emergent (new or worsening) suicidal ideation from baseline=(number of participants with changes compared to baseline/total number of participants at risk)*100." (NCT01226511)
Timeframe: 10 weeks up to 28 weeks

Interventionpercentage of participants (Number)
Duloxetine/Duloxetine (Extension Treatment)3
Placebo/Duloxetine (Extension Treatment)3

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Change From Baseline in Functional Disability Inventory Parent Form (FDI-parent)

"Functional Disability Inventory-parent form (FDI-parent) contains the same items as FDI-child, but is reported by parent/legal representative. The total score range from 0 to 60. The higher the score, the more physical trouble or difficulty the child has doing regular activities.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline (extension phase), 39 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine - Extension Phase-3.49
Placebo/Duloxetine - Extension Phase-2.27

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Change From Baseline in Functional Disability Inventory Parent Form (FDI-Parent)

"Functional Disability Inventory-parent form (FDI-parent) contains the same items as FDI-child, but is reported by parent/legal representative. The total score range from 0 to 60. The higher the score, the more physical trouble or difficulty the child has doing regular activities.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for treatment, pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline, 13 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine - Acute-3.25
Placebo - Acute-4.17

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) Modified Short Form-adolescent Version 24 Hour Average Pain Severity Item

"Brief Pain Inventory (BPI) modified short form is a self-reported scale that measures the severity of pain and the interference of pain on function, Severity scores range from 0 (no pain) to 10 (pain as bad as you can imagine). Severity of pain is measured based on the average pain experienced over the past 24-hours.~Mixed Model Repeated Measure (MMRM) model with terms for treatment, pooled investigator, visit, baseline, treatment by visit, and baseline by visit was used to produce Least Square (LS) means." (NCT01237587)
Timeframe: Baseline, 13 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine - Acute-1.62
Placebo - Acute-0.97

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Maintenance Effect in Acute Phase Responders on the Brief Pain Inventory (BPI) Modified Short Form-adolescent Version 24 Hour Average Pain Severity Item

"Brief Pain Inventory (BPI) modified short form is a self-reported scale that measures the severity of pain and the interference of pain on function.Severity scores range from 0 (no pain) to 10 (pain as bad as you can imagine). Severity of pain is measured based on the average pain experienced over the past 24-hours.~Acute phase responders: Participants with ≥30% pain reduction from baseline on the BPI average pain severity measure at the last non-missing assessment in acute phase." (NCT01237587)
Timeframe: Baseline (Extension Phase), 39 weeks

Interventionunits on a scale (Mean)
Duloxetine/Duloxetine - Extension-3.4

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Number of Participants With Greater Than or Equal to 30% Reduction From Baseline in BPI 24 Hour Average Pain Severity Score at 13 Weeks

"Brief Pain Inventory (BPI) modified short form is a self-reported scale that measures the severity of pain and interference of pain on function, Severity scores range from 0 (no pain) to 10 (pain as bad as you can imagine). Severity of pain is measured based on the average pain experienced over the past 24-hours.~Percent reduction of BPI 24 hour average pain from baseline to last observation carried forward (LOCF)." (NCT01237587)
Timeframe: 13 weeks

InterventionParticipants (Count of Participants)
Duloxetine - Acute47
Placebo - Acute33

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Number of Participants With Greater Than or Equal to 50% Reduction From Baseline in BPI 24 Hour Average Pain Severity Score at 13 Weeks

"Brief Pain Inventory (BPI) modified short form is a self-reported scale that measures the severity of pain and interference of pain on function, Severity scores range from 0 (no pain) to 10 (pain as bad as you can imagine). Severity of pain is measured based on the average pain experienced over the past 24-hours.~Percent reduction of BPI 24 hour average pain from baseline to last observation carried forward (LOCF)." (NCT01237587)
Timeframe: 13 weeks

InterventionParticipants (Count of Participants)
Duloxetine - Acute36
Placebo - Acute22

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Change From Baseline in Multidimensional Anxiety Scale for Children (MASC)

Multidimensional Anxiety Scale for Children (MASC) is a self-reported scale developed to assess anxiety in children and adolescents. The MASC consists of 39 items that comprise 4 factors with each item scored on a 0-to-3-point scale (0-never true about me, 1-rarely true about me, 2- sometimes true about me, 3-often true about me). : 1) physical symptoms (tense/restless and somatic/autonomic)-12 items with score range 0 to 36; 2) social anxiety (humiliation/rejection and public performance fears)-9 items with score range of 0 to 27; 3) harm avoidance (perfectionism and anxious coping)-9 items with score range of 0 to 27; and 4) separation anxiety-9 items with score range of 0 to 27. Total score ranges from 0 to 117. The higher the total score, the more severe the anxiety.Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for treatment, pooled investigator and baseline value. (NCT01237587)
Timeframe: Baseline, 13 weeks

,
Interventionunits on a scale (Least Squares Mean)
Physical SymptomsHarm AvoidanceSocial AnxietySeparation/PanicTotal Score
Duloxetine - Acute-1.39-1.34-1.86-1.62-6.21
Placebo - Acute-1.44-0.78-1.42-1.43-4.99

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Change From Baseline in Multidimensional Anxiety Scale for Children (MASC)

Multidimensional Anxiety Scale for Children (MASC) is a self-reported scale developed to assess anxiety in children and adolescents. The MASC consists of 39 items that comprise 4 factors with each item scored on a 0-to-3-point scale (0-never true about me, 1-rarely true about me, 2- sometimes true about me, 3-often true about me). : 1) physical symptoms (tense/restless and somatic/autonomic)-12 items with score range 0 to 36; 2) social anxiety (humiliation/rejection and public performance fears)-9 items with score range of 0 to 27; 3) harm avoidance (perfectionism and anxious coping)-9 items with score range of 0 to 27; and 4) separation anxiety-9 items with score range of 0 to 27. Total score ranges from 0 to 117. The higher the total score, the more severe the anxiety.ANCOVA model with last observation carried forward (LOCF) was used to produce LS means with terms for pooled investigator and baseline value. (NCT01237587)
Timeframe: Baseline (extension phase), 39 weeks

,
Interventionunits on a scale (Least Squares Mean)
Physical SymptomsHarm AvoidanceSocial AnxietySeparation/PanicTotal Score
Duloxetine/Duloxetine - Extension Phase-0.630.23-0.11-0.06-0.55
Placebo/Duloxetine - Extension Phase-0.920.10-0.020.01-0.78

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Change From Baseline in Pediatric Pain Questionnaire (PPQ) Item Scores

"Pediatric Pain Questionnaire (PPQ) is a self-reported scale that measures the severity for pain now, worst pain, and average pain in the past week with 100 mm VAS (Visual Analog Scale). The severity scores range from 0 (no hurting, no discomfort, no pain) to 100 (hurting a whole lot, very uncomfortable, severe pain).~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline (extension phase), 39 weeks

,
Interventionunits on a scale (Least Squares Mean)
Average Pain ScoreWorst Pain ScoreScore Right Now
Duloxetine/Duloxetine - Extension Phase-10.65-4.15-4.74
Placebo/Duloxetine - Extension Phase-6.44-8.06-6.34

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Change From Baseline to 13 Week Endpoint in Brief Pain Inventory (BPI) Modified Short Form-Adolescent Version Severity and Interference Items

"The Brief Pain Inventory (BPI) - Modified Short Form Adolescent Version is a self-reported scale that measures the severity of pain and the interference of pain on function. The Severity scores range from 0 (no pain) to 10 (pain as bad as you can imagine).There are 4 questions assessing the severity for worst pain, least pain, average pain in the past 24 hours (which is the primary efficacy measure), and the pain right now. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). There are 7 original questions assessing the interference of pain in the past 24 hours on the following: general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The BPI: Adolescent Version added an eighth interference question to assess interference of pain on school work.~MMRM model with terms for treatment, pooled investigator, visit, baseline, treatment by visit, and baseline by visit was used to produce LS means." (NCT01237587)
Timeframe: Baseline, 13 weeks

,
Interventionunits on a scale (Least Squares Mean)
Worst PainLeast PainPain Right NowGeneral ActivityMoodWalking abilityNormal WorkRelations With Other PeopleSleepEnjoyment of LifeSchool Work
Duloxetine - Acute-1.58-1.08-1.56-2.00-2.00-1.30-1.49-1.87-1.40-1.76-1.68
Placebo - Acute-0.90-0.47-1.05-1.03-1.46-1.09-1.21-1.07-1.05-1.47-1.08

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Change From Baseline to 39 Week Endpoint in Brief Pain Inventory (BPI) Modified Short Form-adolescent Version Severity and Interference Items

"The BPI - Modified Short Form Adolescent Version is a self-reported scale that measures the severity of pain and the interference of pain on function. The Severity scores range from 0 (no pain) to 10 (pain as bad as you can imagine).There are 4 questions assessing the severity for worst pain, least pain, average pain in the past 24 hours (which is the primary efficacy measure), and the pain right now. The Interference scores range from 0 (does not interfere) to 10 (completely interferes). There are 7 original questions assessing the interference of pain in the past 24 hours on the following: general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. The BPI: Adolescent Version added an eighth interference question to assess interference of pain on school work.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline (extension phase), 39 weeks

,
Interventionunits on a scale (Least Squares Mean)
Worst PainLeast PainPain Right NowGeneral ActivityMoodWalking AbilityNormal WorkRelations with Other PeopleSleepEnjoyment of LifeSchool Work
Duloxetine/Duloxetine - Extension Phase-0.65-0.29-0.38-0.18-0.15-0.24-0.62-0.12-0.63-0.25-0.59
Placebo/Duloxetine - Extension Phase-0.80-0.45-0.290.20-0.25-0.21-0.32-0.41-0.54-0.26-0.06

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Change From Baseline in Pediatric Pain Questionnaire (PPQ) Item Scores

"Pediatric Pain Questionnaire (PPQ) is a self-reported scale that measures the severity for pain now, worst pain, and average pain in the past week with 100 mm VAS (Visual Analog Scale). The severity scores range from 0 (no hurting, no discomfort, no pain) to 100 (hurting a whole lot, very uncomfortable, severe pain).~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for treatment, pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline, 13 weeks

,
Interventionmm (Least Squares Mean)
Average Pain ScoreWorst Pain ScorePain Score Right Now
Duloxetine - Acute-11.03-14.36-8.99
Placebo - Acute-9.41-8.46-7.20

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Change From Baseline in Children's Depression Inventory (CDI)

"Children's Depression Inventory (CDI) is modeled after the Beck Depression Inventory and is a 27-item self-reported, symptom-oriented scale designed for school-aged children and adolescents. Each item is scored on a 0-to-2-point scale (in increasing severity) and thus the total score ranges from 0 to 54. The higher the score, the more severe the depression.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline (extension phase), 39 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine - Extension Phase-0.42
Placebo/Duloxetine - Extension Phase-1.41

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Change From Baseline in Children's Depression Inventory (CDI)

"Children's Depression Inventory (CDI) is modeled after the Beck Depression Inventory and is a 27-item self-reported, symptom-oriented scale designed for school-aged children and adolescents. Each item is scored on a 0-to-2-point scale (in increasing severity) and thus the total score ranges from 0 to 54. The higher the score, the more severe the depression.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for treatment, pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline, 13 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine - Acute-3.28
Placebo - Acute-2.45

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Change From Baseline in Clinical Global Impression (CGI) Severity: Mental Illness Score

"Clinical Global Impression of Severity: Mental Illness (CGI-S: Mental Illness) scale evaluates the severity of any diagnosed, comorbid Axis I/II condition. The scoring ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). Participants without a diagnosed Axis I/II condition should receive a score of 1 (normal, not at all ill).~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS mean with terms for pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline (extension phase), 39 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine - Extension Phase-0.20
Placebo/Duloxetine - Extension Phase-0.24

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Change From Baseline in Clinical Global Impression (CGI) Severity: Mental Illness Score

"Clinical Global Impression of Severity: Mental Illness (CGI-S: Mental Illness) scale evaluates the severity of any diagnosed, comorbid Axis I/II condition. The scoring ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). Participants without a diagnosed Axis I/II condition should receive a score of 1 (normal, not at all ill).~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS mean with terms for treatment, pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline, 13 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine - Acute-0.16
Placebo - Acute-0.15

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Change From Baseline in Clinical Global Impression (CGI) Severity: Overall Illness Score

"Clinical Global Impression of Severity: Overall Illness (CGI-S: Overall Illness) scale evaluates the severity of the overall illness of JPFS, including all relevant, associated symptoms. The scoring ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). The scoring is based on observed and reported symptoms and behaviors over the past 7 days that are ongoing at the time of the Study Visit.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS mean with terms for pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline (extension phase), 39 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine - Extension Phase-0.67
Placebo/Duloxetine - Extension Phase-0.67

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Change From Baseline in Functional Disability Inventory Child Form (FDI-child)

"Functional Disability Inventory-child form (FDI-child) is a self-reported scale to assess the physical trouble or difficulty the child has doing regular activities. This scale contains 15 items. Each item is scored on a 0- to-4-point scale (0 = no trouble, 1 = a little trouble, 2 = some trouble, 3 = a lot of trouble, 4 = impossible).The total score ranges from 0 to 60. The higher the score, the more physical trouble or difficulty the child has doing regular activities.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline (extension phase), 39 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine/Duloxetine - Extension Phase-1.71
Placebo/Duloxetine - Extension Phase-1.03

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Change From Baseline in Clinical Global Impression (CGI) Severity: Overall Illness Score

"Clinical Global Impression of Severity: Overall Illness (CGI-S: Overall Illness) scale evaluates the severity of the overall illness of JPFS, including all relevant, associated symptoms. The scoring ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). The scoring is based on observed and reported symptoms and behaviors over the past 7 days that are ongoing at the time of the Study Visit.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS mean with terms for treatment, pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline, 13 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine - Acute-0.88
Placebo - Acute-0.66

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Change From Baseline in Functional Disability Inventory Child Form (FDI-Child)

"Functional Disability Inventory-child form (FDI-child) is a self-reported scale to assess the physical trouble or difficulty the child has doing regular activities. This scale contains 15 items. Each item is scored on a 0- to-4-point scale (0 = no trouble, 1 = a little trouble, 2 = some trouble, 3 = a lot of trouble, 4 = impossible).The total score ranges from 0 to 60. The higher the score, the more physical trouble or difficulty the child has doing regular activities.~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) was used to produce LS means with terms for treatment, pooled investigator and baseline value." (NCT01237587)
Timeframe: Baseline, 13 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine - Acute-3.97
Placebo - Acute-5.00

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Change in the Montgomery Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment

A 10-item scale for the evaluation of depressive symptoms. Each Montgomery Asberg Depression Rating Scale (MADRS) item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01288079)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
1 mg BID TC-5214-9.1
4 mg BID TC-5214-11.2
60 mg QD Duloxetine-11.4
Placebo-7.6

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Change From Baseline in the Inventory of Depressive Symptomatology - Self Report (IDS-SR) Total Score

"The IDS-SR was a 30-item self-report measure used to assess core diagnostic depressive symptoms as well as atypical and melancholic symptom features of MDD. 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 (best) to 84 (worst).~Under item 9, two sub-items 9A and 9B exist, with possible scores of 1, 2 or 3 for item 9A, and 0 or 1 for item 9B. The scores for these two sub-items are not included in the calculation of the total score. Item 11 or item 12 should be completed but not both, and similarly, item 13 or item 14 should be completed but not both. If the number of items recorded is 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." (NCT01360866)
Timeframe: From screening to week 52/early termination

Interventionunits on a scale (Mean)
Prior Placebo-5.25
Prior Brexpiprazole-4.76
Prior ADT-3.94
Prior Seroquel-7.44

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Change From Baseline in Mean Clinical Global Impression - Improvement (CGI-I) Score

The efficacy of trial treatment was rated for each participant using the CGI-I. The investigator rated the participant's total improvement whether or not it was due entirely to drug treatment. All responses were compared to the participant's condition at screening. 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. (NCT01360866)
Timeframe: From screening to week 52/early termination

Interventionunits on a scale (Mean)
Prior Placebo2.60
Prior Brexpiprazole2.63
Prior ADT2.63
Prior Seroquel2.40

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Mean Change From Baseline in Clinical Global Impression - Severity (CGI-S) of Illness Score

"The severity of illness for each participant was rated using the CGI-S . On the basis of the investigator answer to the question: Considering your total clinical experience with this particular population, how mentally ill was the participant at that time? Response choices included: 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; and 7 = among the most extremely ill participants." (NCT01360866)
Timeframe: From screening to week 52/early termination

Interventionunits on a scale (Mean)
Prior Placebo-0.77
Prior Brexpiprazole-0.63
Prior ADT-0.48
Prior Seroquel-0.93

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Summary of Mean Change From Baseline in Sheehan Disability Scale (SDS) Mean Score

"The SDS was a self-rated instrument used to measure the effect of the participant's symptoms on regular life responsibilities. The SDS was a visual analogue scale that used spatio-visual, numeric, and verbal descriptive anchors simultaneously to assess disability across the 3 domains with scores from 0 = not at all, to 10 = extremely.~Scores of 5 and above were associated with significant functional impairment." (NCT01360866)
Timeframe: From screening to week 52/early termination

Interventionunits on a scale (Mean)
Prior Placebo-0.80
Prior Brexpiprazole-0.70
Prior ADT-0.40
Prior Seroquel-1.00

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Adverse Events (AEs) - All Participants

To assess the frequency and severity of AEs as the variables of safety and tolerability of brexpiprazole. (NCT01360866)
Timeframe: From screening to week 52/early termination

,,,
InterventionParticipants (Count of Participants)
Participants with adverse eventsParticipants with treatment emergent AE (TEAE)Participants with serious TEAEParticipants with severe TEAEPartcipants discontinued due to AEs
Prior ADT116511633399134
Prior Brexpiprazole511510236458
Prior Placebo400399144855
Prior Seroquel5151146

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Change in Rating of Spontaneous Pelvic Pain (0 -10 Scale).

The primary clinical efficacy measure is the change in spontaneous (non-evoked) pelvic pain from the baseline period to the end of treatment. This was assessed by using the 0-10 numerical pain ratings to derive the primary outcome variable of clinical pain intensity difference due to treatment. Larger values (greater changes in ratings) are better outcomes. (NCT01451606)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Placebo Pill5
Duloxetine5

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Change in Endometriosis Health Profile - 30 Subscale for Functional Limitations Due to Pain

This is a questionnaire assessment of functional limitations due to clinical pain. The range of scores for this subscale is 0-44. The measure is the change in score from baseline to end of treatment period. A greater number (change in score) is a better outcome. (NCT01451606)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Mean)
Placebo Pill21.58
Duloxetine12.92

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Change From Baseline to 14-Week Endpoint in Beck Depression Inventory-II (BDI-II)

The BDI-II is a 21-item self-administered questionnaire designed to assess the characteristics of depression. Each item was scored on a 4-point scale ranging from 0 (not present) to 3 (present in the extreme) and was summed to give a total BDI-II score. A total BDI-II score of 0 through 13 was considered minimal, 14 through 19 was mild, 20 through 28 was moderate, and 29 through 63 was severe depression symptoms. LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups and as fixed effects, and baseline as well as the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 14 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg-4.07
Placebo-1.22

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Change From Baseline to 14-Week Endpoint in Fibromyalgia Impact Questionnaire (FIQ)

FIQ is a 20-item, self-administered questionnaire using Likert-type scales to measure participant (pt) outcomes over the past week. Items 1 through 11 measured physical functioning on 4-point scales. Items 12 and 13 measured the number of days a pt felt well and days a pt was unable to work due to fibromyalgia symptoms. Items 14 through 20 were 11-point scales on which a pt rated work difficulty, pain, fatigue, morning tiredness, stiffness, anxiety, and depression. If a pt did not do all the tasks listed, those items were deleted from scoring. Algorithms were used to determine total FIQ scores which ranged from 0 to 100; higher scores indicated a more negative impact. LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between administration groups as fixed effects, and baseline as well as the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 14 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg-18.41
Placebo-13.05

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Change From Baseline to 14-Week Endpoint in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)

BPI 24-hour average pain severity is a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. Severity scores ranged from 0 (no pain) to 10 (severe pain). Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and BPI average pain severity at baseline and the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 14 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg-1.90
Placebo-1.58

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Change From Baseline to 2 Weeks in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)

BPI 24-hour average pain severity is a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. Severity scores ranged from 0 (no pain) to 10 (severe pain). LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and BPI average pain severity at baseline and the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 2 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg-1.00
Placebo-0.60

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Change From Baseline to 4 Weeks in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)

BPI 24-hour average pain severity is a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. Severity scores ranged from 0 (no pain) to 10 (severe pain). LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and BPI average pain severity at baseline and the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 4 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg-1.55
Placebo-0.94

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Change From Baseline to 10 Weeks in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)

BPI 24-hour average pain severity is a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. Severity scores ranged from 0 (no pain) to 10 (severe pain). LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and BPI average pain severity at baseline and the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 10 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg-1.85
Placebo-1.41

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Change From Baseline to 14-Week Endpoint in Widespread Pain Index (WPI) and Symptom Severity (SS) in American College of Rheumatology (ACR) Fibromyalgia Diagnostic Criteria 2010

WPI: Participant-reported areas (out of 19 points on the body) in which the participant had pain in the past week. WPI scores ranged from 0 (no areas) to 19 (all areas). SS: The sum of severity scores for fatigue, waking unrefreshed, and cognitive symptoms [each rated from 0 (no problem) to 3 (severe; life-disturbing problems)] plus the severity of somatic symptoms in general [rated from 0 (no symptoms) to 3 (a great deal of symptoms)]. The total SS score ranged from 0 and 12. LS mean was calculated using an MMRM approach including administration groups, observation points, interaction between the administration groups and the observation points as fixed effects, and baseline as well as the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 14 weeks

,
Interventionunits on a scale (Least Squares Mean)
WPISS
Duloxetine 60 mg-2.34-1.37
Placebo-1.06-1.00

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Change From Baseline to 14-Week Endpoint in Brief Pain Inventory-Severity (BPI-S) and Brief Pain Inventory-Interference (BPI-I) Scores on the BPI-Modified Short Form

BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function, respectively. Severity scores ranged from 0 (no pain) to 10 (severe pain) for each question assessing worst pain, least pain, and pain right now. Interference scores ranged from 0 (does not interfere) to 10 (completely interferes) for each question assessing interference of pain in past 24 hours with general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference was the average of non-missing scores of individual interference items. LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and baseline as well as the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 14 weeks

,
Interventionunits on a scale (Least Squares Mean)
Worst PainLeast PainPain Right NowInterference With General ActivityInterference With MoodInterference With Walking AbilityInterference With Normal WorkInterference With Relations With Other PeopleInterference With SleepInterference With Enjoyment of LifeAverage Interference
Duloxetine 60 mg-1.91-1.72-1.77-2.22-2.17-1.67-2.18-1.09-1.82-1.90-1.95
Placebo-1.35-1.23-1.20-1.76-1.42-1.29-1.76-0.53-1.57-1.24-1.44

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Change From Baseline to 14-Week Endpoint in Average Pain and Worst Pain Severity Score Within 24-Hours in Participant Diary

Each morning participants rated their average pain and worst pain within the past 24 hours on separate 11-point Likert scales with scores ranging from 0 (no pain) through 10 (worst possible pain). These scores were then averaged for the week and compared to baseline. LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and baseline as well as the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 14 weeks

,
Interventionunits on a scale (Least Squares Mean)
Average PainWorst Pain
Duloxetine 60 mg-1.82-1.81
Placebo-1.48-1.34

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Change From Baseline to 14-Week Endpoint in 36-Item Short-Form (SF-36) Health Survey Domain Scores

The SF-36 Health Survey is a generic, health-related survey assessing the participant's quality of life on 8 domains: physical functioning, daily functioning (physical), bodily pain, general health, vitality, social functioning, daily functioning (emotional), and mental health. Each domain was scored by summing individual items pertaining to that domain and transforming scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. LS mean was calculated using an ANCOVA approach including administration groups as fixed effects, and baseline as well as the presence or absence of complication by major depressive disorder as covariates. (NCT01552057)
Timeframe: Baseline, up to 14 weeks

,
Interventionunits on a scale (Least Squares Mean)
Physical FunctioningRole-PhysicalBodily PainGeneral HealthVitalitySocial FunctioningRole-EmotionalMental Health
Duloxetine 60 mg7.408.2010.956.5510.0510.325.505.91
Placebo3.060.445.283.313.353.28-3.63-2.00

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Patients Global Impression of Improvement (PGI-I) at Endpoint

PGI-I measures the participant's perception of improvement at the time of assessment compared with the start of treatment. Scores ranged from 1 (very much better) to 7 (very much worse). LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: 14 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg2.83
Placebo3.32

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Clinical Global Impression of Improvement (CGI-I) at Endpoint

CGI-I measures the clinician's perception of participant improvement at the time of assessment (compared with the start of treatment). Scores ranged from 1 (very much better) to 7 (very much worse). LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: 14 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg2.83
Placebo3.27

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Change From Baseline up to 14-Week Endpoint in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (ANCOVA)

BPI 24-hour average pain severity is a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. Severity scores ranged from 0 (no pain) to 10 (severe pain). LS mean was calculated using an analysis of covariance (ANCOVA) approach including administration groups as fixed effects, and BPI average pain severity at baseline and the presence or absence of major depressive disorder as covariates. (NCT01552057)
Timeframe: Baseline, up to 14 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg-1.60
Placebo-1.22

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Change From Baseline to 6 Weeks in the BPI 24-Hour Average Pain Severity Item of the BPI-Modified Short Form Score (MMRM)

BPI 24-hour average pain severity is a self-reported scale that measures the severity of pain based on the average pain over the past 24-hours. Severity scores ranged from 0 (no pain) to 10 (severe pain). LS mean was calculated using an MMRM approach including administration groups, observation points, and interaction between the administration groups as fixed effects, and BPI average pain severity at baseline and the presence or absence of major depressive disorder as covariates; a linear model with unstructured error variance was applied. (NCT01552057)
Timeframe: Baseline, 6 weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine 60 mg-1.81
Placebo-1.09

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Change in Brain Gray Matter Volume

The change in gray matter volume is evaluated by subtracting the volume after the treatment (week 16) to the volume before treatment (baseline) (NCT01558700)
Timeframe: 16 weeks compared to baseline

Interventionpercentage of change (Mean)
Duloxetine-0.34
Sugar Pill-0.92

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Change in Pain Magnitude

The Western Ontario and McMaster Osteoarthritis Index (WOMAC) score change was assess by subtracting WOMAC score after treatment (week 16) to the baseline WOMAC score. WOMAC score has a range from 0 up to 96, higher score meaning worse condition. The outcome is the decrease in WOMAC scores, meaning that the higher is the decrease, the most improvement in the condition. (NCT01558700)
Timeframe: 16 weeks compared to baseline

InterventionScores on a scale (Mean)
Duloxetine8.3
Sugar Pill8.7

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Change From Baseline to Week 8 in the Identification Task (IT)

"The IT measured choice reaction time: the participant pressed a yes button whenever an onscreen playing card turned face up and was red, or a no button if the card was not red. The IT took on average 2 minutes to complete. Lower scores equal better performance. A decrease in score over the course of the study indicates improved visual attention/vigilance. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate." (NCT01564862)
Timeframe: Baseline and Week 8

InterventionLog10 milliseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-0.037
Duloxetine-0.030
Placebo-0.024

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

"The CGI-S assesses the clinician's impression of the subject's current state of mental illness and consists of one question for the investigator: Considering your total clinical experience with this particular population, how mentally ill is the patient at this time? which is rated on a seven-point scale (1=normal, not ill at all; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill). A MMRM model with baseline*week, center, week, treatment and week*treatment as factors was used for analyses." (NCT01564862)
Timeframe: Baseline, Week 1, Week 4 and Week 8

,,
Interventionscore on a scale (Least Squares Mean)
Change from Baseline at Week 1 (n=174, 187,167)Change from Baseline at Week 4 (n=173,184,165)Change from Baseline at Week 8 (n=169,179,161)
Duloxetine-0.353-1.170-1.698
Placebo-0.243-0.617-1.225
Vortioxetine (Lu AA21004)-0.289-0.951-1.546

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Change From Baseline to Week 8 in the MADRS Total Score

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. A negative change from Baseline indicates improvement. (NCT01564862)
Timeframe: Baseline, Week 1, Week 4 and Week 8

,,
Interventionscore on a scale (Mean)
Change at Week 1Change at Week 4Change at Week 8
Duloxetine-4.6-11.6-15.5
Placebo-3.4-8.0-12.3
Vortioxetine (Lu AA21004)-3.7-9.8-14.3

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Change From Baseline to Week 8 in the Trail Making Test B (TMT-B)

The TMT is a two-part cognitive test. TMT-B assesses executive functioning and consists of 25 circles distributed over a sheet of paper. Participants have 4 minutes to connect the circles as quickly as possible, without lifting the pen or pencil from the paper. Tester informs participant immediately whenever they make an error and allows for corrections by participants. Lower score for TMT-B represents better executive function. A decrease in score over the study represents an improvement in executive function. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

Interventionseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-18.73
Duloxetine-14.60
Placebo-9.06

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Change From Baseline to Week 8 in the Trail Making Test (TMT-A)

The TMT is a two-part cognitive test. TMT-A assesses cognitive processing speed and consists of 25 circles distributed over a sheet of paper. Participants have 4 minutes to connect the circles as quickly as possible, without lifting the pen or pencil from the paper. Tester informs participant immediately whenever they make an error and allows for corrections by participants. Lower scores represent better speed of processing. A decrease in score over the study represents an improvement in speed in processing. An ANCOVA model was used with treatment and center as fixed factors and the baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

Interventionseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-7.70
Duloxetine-8.06
Placebo-6.65

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Clinical Global Impressions-Improvement (CGI-I) Score at Week 8

"The CGI-I assesses the clinician's impression of the subject's state of mental illness improvement and consists of one question for the investigator: Compared to his condition at the start of the study, how much has this patient changed? which is rated on a seven-point scale (1=very much improved; 2=much improved; 3=minimally improved; 4=no change relative to baseline; 5=minimally worse; 6= much worse; 7=very much worse). Higher scores indicate greater worsening of illness. Values closest to 1 for this outcome measure indicate the greatest improvement of symptoms. A MMRM model was used with baseline*week, center, week, treatment and week*treatment as factors in the analysis." (NCT01564862)
Timeframe: Baseline, Week 8

Interventionscore on a scale (Least Squares Mean)
Vortioxetine (Lu AA21004)2.349
Duloxetine2.235
Placebo2.639

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Percentage of Participants in MADRS Remission at Week 8

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. MADRS Remission was defined as a MADRS total score ≤10. (NCT01564862)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Vortioxetine (Lu AA21004)30.3
Duloxetine33.7
Placebo21.6

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Percentage of Participants With MADRS Response at Week 8

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. MADRS Response was defined as a ≥50% decrease in MADRS Total Score from Baseline. (NCT01564862)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Vortioxetine (Lu AA21004)50.9
Duloxetine54.5
Placebo41.3

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Change From Baseline to Week 8 in the One-Back Task

The One-Back test measures the cognitive domain of attention and working memory through yes or no responses to 30 trials. The task requires participants to report when a stimulus item presented serially is the same as an item one step back from the item at hand for a total correct responses 0 to 100. It usually takes 2-3 minutes to be administered. Higher scores equal better performance. An increase in score over the course of the study indicates improved attention/working memory. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

InterventionLog 10 milliseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-0.028
Duloxetine-0.024
Placebo-0.022

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Change From Baseline to Week 8 in the Groton Maze Learning Test (GMLT)

"The GMLT measures executive functioning and spatial problem solving. Participants learn a hidden pathway through a maze of 10 x 10 grid of tiles on a computer touch screen using step-by-step guess, with trial and error feedback after each step. Once the pathway is learned, participants repeat the same pathway four more times. It usually takes 5-6 minutes to administer this test. Lower score equals better performance. A decrease in score over the course of the study indicates improved executive function.~An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate." (NCT01564862)
Timeframe: Baseline and Week 8

InterventionErrors (Least Squares Mean)
Vortioxetine (Lu AA21004)-5.43
Duloxetine-5.16
Placebo-3.49

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Change From Baseline to Week 8 in the Digit Symbol Substitution Test (DSST)

The DSST assesses relative contributions of speed, memory, executive function and visual scanning. Participants are required to copy symbols that are paired with simple geometric shapes or numbers within a specific time for a total possible score of 0 to 133. Higher scores-correct number of symbols reflects greater objective cognitive functioning. An increase in score represents an improvement in an integrated measure of cognitive function. An Analysis of Covariance (ANCOVA) model was used with treatment and center as fixed factors and the Baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

InterventionCorrect symbols (Least Squares Mean)
Vortioxetine (Lu AA21004)4.60
Duloxetine4.06
Placebo2.85

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Change From Baseline to Week 8 in the Detection Task (DT)

"The DT is a computerized test that measures simple reaction time and psychomotor speed. The task requires participants to respond by pressing a yes button as soon as an onscreen playing card is turned over and is red, and by pressing a no button if the card is not red. It takes 2 minutes to be administered. There is no minimum or maximum scores since it is a time-based assessment. Lower score equals better performance. A decrease in score over the course of the study indicates improved speed of processing and psychomotor function. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate." (NCT01564862)
Timeframe: Baseline and Week 8

InterventionLog10 milliseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-0.050
Duloxetine-0.039
Placebo-0.033

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Proportion of Cognitive Dysfunction Improvement Due to Improvement of Depression

Improvement of Cognitive Dysfunction is determined using the change from Baseline to Week 8 in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score and the Digital Symbol Substitution Test (DSST) total number of correct symbols. The MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression). The DSST assesses relative contributions of speed, memory, executive function and visual scanning. The proportion of direct effect from treatment = DSST difference / (DSST difference + coefficient*MADRS difference). (NCT01564862)
Timeframe: Baseline and Week 8

Interventionproportion of direct effect (Number)
Vortioxetine (Lu AA21004)75.66
Duloxetine48.69

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Change From Baseline to Week 8 in the Perceived Deficits Questionnaire (PDQ) Attention/Concentration and Planning/Organization Subscore

PDQ is a patient-rated scale designed to subjectively assess cognitive dysfunction, comprising four 5-item subscales: Attention/Concentration, Retrospective Memory, Prospective Memory, and Planning/Organization for a total possible score of 0 to 40. The subscale Attention/Concentration is the sum of items 1, 5, 9, 13, and 17 with a range of 0-20; while the subscale Planning/Organization is the sum of items 4, 8, 12, 16, and 20 with the score range of 0 to 20. The scores of the subscales Attention/Concentration and Planning/Organization were summed. Higher scores reflect greater participant-perceived cognitive dysfunction in the domains identified. A decrease in score represents an improvement in subjective cognitive function in the domains identified. A Mixed Model Repeated Measures (MMRM) model was used with baseline*week, center, week, treatment and week*treatment as factors in the analysis. (NCT01564862)
Timeframe: Baseline and Week 8

Interventionscore on a scale (Least Squares Mean)
Vortioxetine (Lu AA21004)-8.9
Duloxetine-9.3
Placebo-6.3

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Change in Time From Baseline to Week 8 in the Stroop Test

The STROOP test assesses the ability to inhibit a prepotent response to reading words while performing a task that requires attention control. It comprises of 2 sheets with 50 words each, up to 50 correct responses for each of the congruent and incongruent Stroop tests. Participants have 4 minutes to name the ink color of each word. Lower time to complete the test indicates better performance. Higher number of correct responses indicates better responses. A decrease in the time to complete the tests and an increase in the number of correct responses both indicate improvement over the course of the study. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

,,
Interventionseconds (Mean)
Congruent (n=174,187,167)Incongruent (n=172,186,166)
Duloxetine-4.54-9.83
Placebo-4.37-8.11
Vortioxetine (Lu AA21004)-3.30-8.17

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Worst Joint Pain According to the BPI-SF

"Worst joint pain according to the BPI-SF worst pain score (item #2). This item has a scale of 0 to 10 with 0 indicating No pain and 10 indicating Pain as bad as you can imagine." (NCT01598298)
Timeframe: Weeks 2, 6, 12, and 24; Week 12 reported

Interventionunits on a scale (Mean)
Arm I: Duloxetine4.0
Arm II: Placebo4.9

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Average Joint Pain According to BPI-SF

"Average joint pain according to the Brief Pain Inventory - Short Form (BPI-SF) average pain score (item #4). This item has a scale of 0 to 10 with 0 indicating No pain and 10 indicating Pain as bad as you can imagine." (NCT01598298)
Timeframe: Weeks 2, 6, 12, and 24; Week 12 reported

Interventionunits on a scale (Mean)
Arm I: Duloxetine2.9
Arm II: Placebo3.5

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Pain Interference According to the BPI-SF

"Pain interference according to the BPI-SF: this item has a scale of 0 to 10 with 0 indicating Does not interfere and 10 indicating Completely interferes." (NCT01598298)
Timeframe: Weeks 2, 6, 12, and 24; Week 12 reported

Interventionunits on a scale (Mean)
Arm I: Duloxetine1.9
Arm II: Placebo2.6

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Change From Baseline to 50-Week Endpoint in Beck Depression Inventory-II (BDI-II)

The BDI-II is a 21-item self-administered questionnaire designed to assess the characteristics of depression. Each item was scored on a 4-point scale ranging from 0 (not present) to 3 (present in the extreme) and was summed to give a total BDI-II score. A total BDI-II score of 0 through 13 was considered minimal, 14 through 19 was mild, 20 through 28 was moderate, and 29 through 63 was severe depression symptoms. (NCT01621191)
Timeframe: Baseline, 50 weeks

Interventionunits on a scale (Mean)
Duloxetine 60 mg-0.94

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Clinical Global Impression-Improvement (CGI-I) at Endpoint

CGI-I measures the clinician's perception of participant improvement at the time of assessment (compared with the start of treatment). Scores ranged from 1 (very much better) to 7 (very much worse). (NCT01621191)
Timeframe: 50 weeks

Interventionunits on a scale (Mean)
Duloxetine 60 mg2.34

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Change From Baseline to 50-Week Endpoint in Fibromyalgia Impact Questionnaire (FIQ)

FIQ is a 20-item, self-administered questionnaire using Likert-type scales to measure participant outcomes over the past week. Items 1 through 11 measured physical functioning on 4-point scales. Items 12 and 13 measured the number of days a participant felt well and days a participant was unable to work due to fibromyalgia symptoms, respectively. Items 14 through 20 were 11-point scales on which a participant rated work difficulty, pain, fatigue, morning tiredness, stiffness, anxiety, and depression, respectively. If a participant did not do all the tasks listed, those items were deleted from scoring. Algorithms were used to determine total FIQ scores which ranged from 0 to 100; higher scores indicated a more negative impact. (NCT01621191)
Timeframe: Baseline, 50 weeks

Interventionunits on a scale (Mean)
Duloxetine 60 mg-6.00

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Change From Baseline to 50-Week Endpoint in Widespread Pain Index (WPI) and Symptom Severity (SS) in American College of Rheumatology (ACR) Fibromyalgia Diagnostic Criteria 2010

WPI: Participant-reported areas (out of 19 points on the body) in which the participant had pain in the past week. WPI scores ranged from 0 (no areas) to 19 (all areas). SS: The sum of severity scores for fatigue, waking unrefreshed, and cognitive symptoms [each rated from 0 (no problem) to 3 (severe; life-disturbing problems)] plus the severity of somatic symptoms in general [rated from 0 (no symptoms) to 3 (a great deal of symptoms)]. The total SS score ranged from 0 and 12. (NCT01621191)
Timeframe: Baseline, 50 weeks

Interventionunits on a scale (Mean)
WPISS
Duloxetine 60 mg-1.46-0.37

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Change From Baseline to 50-Week Endpoint in Brief Pain Inventory-Severity (BPI-S) and Brief Pain Inventory-Interference (BPI-I) Scores on the BPI-Modified Short Form

BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function, respectively. Severity scores ranged from 0 (no pain) to 10 (severe pain) for each question assessing average pain, worst pain, least pain, and pain right now. Interference scores ranged from 0 (does not interfere) to 10 (completely interferes) for each question assessing interference of pain in past 24 hours with general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference was the average of non-missing scores of individual interference items. (NCT01621191)
Timeframe: Baseline, 50 weeks

Interventionunits on a scale (Mean)
Average PainWorst PainLeast PainPain Right NowInterference With General ActivityInterference With MoodInterference With Walking AbilityInterference With Normal WorkInterference With Relations With Other PeopleInterference With SleepInterference With Enjoyment of LifeAverage Interference
Duloxetine 60 mg-1.31-1.53-1.26-1.47-0.72-0.82-0.73-0.66-0.38-1.00-0.68-0.71

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Change From Baseline to 50-Week Endpoint in 36-Item Short-Form (SF-36) Health Survey Domain Scores

The SF-36 Health Survey is a generic, health-related survey assessing the participant's quality of life on 8 domains: physical functioning, daily functioning (physical), bodily pain, general health, vitality, social functioning, daily functioning (emotional), and mental health. Each domain was scored by summing individual items pertaining to that domain and transforming scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. (NCT01621191)
Timeframe: Baseline, 50 weeks

Interventionunits on a scale (Mean)
Physical FunctioningRole-PhysicalBodily PainGeneral HealthVitalitySocial FunctioningRole-EmotionalMental Health
Duloxetine 60 mg4.264.026.894.140.163.263.552.13

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Patient Global Impression-Improvement (PGI-I) at Endpoint

PGI-I measures the participant's perception of improvement at the time of assessment compared with the start of treatment. Scores ranged from 1 (very much better) to 7 (very much worse). (NCT01621191)
Timeframe: 50 weeks

Interventionunits on a scale (Mean)
Duloxetine 60 mg2.48

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Number of Participants Who Experienced an Adverse Event (AE)

A summary of serious and other non-serious AEs regardless of causality is located in the Reported Adverse Events module. (NCT01621191)
Timeframe: Baseline through 53 weeks

Interventionparticipants (Number)
Duloxetine 60 mg138

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Montgomery-Asberg Depression Rating Scale (MADRS)

Clinician-administered 10-item scale measuring depressive symptoms (range 0-60); higher scores indicate greater severity of major depression. (NCT01754493)
Timeframe: Weeks 0, 8, 12

Interventionunits on a scale (Mean)
Week 0Week 8Week 12
Treatment With Duloxetine31.5915.6711.4

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Visual Analogue Scales (VAS)

Five self-report 11-point Likert scales measuring pain severity in the following domains (one item each): overall pain, pain interfering with daily activities, headaches, back pain, and shoulder pain. Range is 0-10; higher scores indicate higher pain severity. (NCT01754493)
Timeframe: Measured at weeks 0, 8, 12

Interventionunits on a scale (Mean)
Overall pain, Week 0Pain interfering with daily activities, Week 0Headaches, Week 0Back pain, Week 0Shoulder pain, Week 0Overall pain, Week 8Pain interfering with daily activities, Week 8Headaches, Week 8Back pain, Week 8Shoulder pain, Week 8Overall pain, Week 12Pain interfering with daily activities, Week 12Headaches, Week 12Back pain, Week 12Shoulder pain, Week 12
Treatment With Duloxetine54.944.245.475.296.0864.55.585.174.14.83.44.94.7

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Somatization Module of the Patient's Health Questionnaire (PHQ-15)

Self-report 15-item scale measuring somatization symptoms (range 0-30); higher score indicates greater severity of somatization symptoms. (NCT01754493)
Timeframe: Measured at weeks 0, 8, 12

Interventionunits on a scale (Mean)
Week 0Week 8Week 12
Treatment With Duloxetine16.0612.8711.1

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Gastrointestinal Symptoms Rating Scale (GSRS)

Clinician-administered 15-item scale measuring IBS symptoms (range 15-105); higher score indicates greater IBS severity. (NCT01754493)
Timeframe: Weeks 0, 8, 12

Interventionunits on a scale (Mean)
Week 0Week 8Week 12
Treatment With Duloxetine54.7636.3331.4

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Clinician-Rated Global Impression Scales (CGI)

Two clinician-administered scales measuring level of change in (1) depressive symptoms and (2) IBS symptoms, assessed separately. Range is 1-7, ranging from very much improved (1) to very much worsened (7). (NCT01754493)
Timeframe: Measured at weeks 0, 8, 12

Interventionunits on a scale (Mean)
CGI - Major Depression, Week 0CGI - Major Depression, Week 8CGI - Major Depression, Week 12CGI - IBS, Week 0CGI - IBS, Week 8CGI - IBS, Week 12
Treatment With Duloxetine4.713.5834.653.583

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Change in Cornell Dysthymia Rating Scale Scores From Week 0 to Week 12

Cornell Dysthymia Rating Scale scores from range 0-64. Lower or decreasing scores represent decreased severity and a better outcome, while higher or increasing scores represent more severe depression and a worse outcome. The change score was calculated by subtracting the Week 12 score from the Week 0 score. (NCT01852383)
Timeframe: Week 0 and 12

Interventionunits on a scale (Mean)
Duloxetine28.8

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Maximum Duloxetine Oral Dose

Maximum duloxetine oral dose (NCT01852383)
Timeframe: Week 0, 1, 2, 4, 6, 8, 10, 12

Interventionmg (Mean)
Duloxetine101

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Change in the Treatment Emergent Symptom Scale (TESS) Total Score From Week 0 to Week 12.

The Treatment Emergent Symptom Scale (TESS) documents the presence of common side effects. There are 26 items and the total score range is 0-26. Low scores or decrease in scores represent less side effects and high scores or increase in scores represent more side effects. The change in side effect severity scores was calculated by subtracting the Week 12 score from the Week 0 score. (NCT01852383)
Timeframe: 0 and 12 weeks

Interventionunits on a scale (Mean)
Duloxetine5.2

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Change in Hamilton Rating Scale for Depression (HAM-D, 24-item) From 0 Weeks to 12 Weeks.

The research rater completed the 24-item Hamilton Rating Scale for Depression (HAM-D) and documented the scores on each visit. Hamilton Rating Scale for Depression scores range from 0-50 with low scores or decreasing scores representing decreased severity and better outcome, and higher scores or increasing scores representing more severe depressive symptoms and a worse outcome. The change score was calculated by subtracting the Week 12 score from the Week 0 score. (NCT01852383)
Timeframe: Screen (0) and 12 weeks

Interventionunits on a scale (Mean)
Duloxetine8

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Percentage of Participants With Reduction of ≥30% and ≥50% in BPI Average Pain Score at Week 14

Pain severity was measured using an 11 point BPI scale from 0 (no pain) to 10 (worst pain) to determine average pain in the past 24 hours (average pain). A 30% (or 50%) improvement was defined as a ≥30% (or ≥50%) reduction in BPI pain severity from baseline to endpoint. Percentage of participants = (number of participants with ≥30% or ≥50% pain reduction / total number of participants in treatment group) * 100. (NCT01855919)
Timeframe: Baseline, Week 14

,
Interventionpercentage of participants (Number)
≥30% pain reduction≥50% pain reduction
Duloxetine68.756.5
Placebo52.239.4

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Number of Participants With Suicidal Thoughts And Behaviors During Study [Columbia Suicide Severity Rating Scale (C-SSRS)]

"C-SSRS captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior is defined as a yes answer to any 1 of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation is defined as a yes answer to any 1 of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation." (NCT01855919)
Timeframe: Baseline through Week 14

,
Interventionpercentage of participants (Number)
Wish to be dead (n=226, 220)Nonspecific active suicidal thoughts (n=231, 223)Suicidal behavior (n=232, 224)
Duloxetine000
Placebo000

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Change From Baseline in Work Productivity and Activity Impairment (WPAI) Instrument to Week 14

WPAI is a self-administered instrument used to measure effect of general health and symptom severity on work productivity and regular activities, and yields 4 types of scores: Absenteeism (work time missed)=Question (Q)2/(Q2+4))*100); Presenteeism (impairment at work/reduced on-the-job effectiveness)=(Q5/10)*100); Work Productivity Loss (overall work impairment/absenteeism plus presenteeism)=(Q2/(Q2+Q4)+[(1-Q2/(Q2+Q4))x(Q5/10)])*100); and Activity Impairment=(Q6/10)*100. Scores range from 0 to 1 for each of the above 4 types; higher scores indicate greater impairment. LS means calculated using ANCOVA adjusted for treatment, as fixed effect and baseline as covariate. (NCT01855919)
Timeframe: Baseline, Week 14

,
Interventionhours (Least Squares Mean)
Work time missed (n=135, 140)Impairment at work (n=136, 140)Work productivity loss (n=135, 140)Work activity impairment (n=230, 226)
Duloxetine-0.01-0.13-0.13-0.14
Placebo0.02-0.09-0.09-0.12

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Change From Baseline in Weekly Mean of 24 Hour Average Pain and Worst Daily Pain Severity Scores to Week 14

24-hour average pain severity scores were recorded daily on an 11-point Likert scale, an ordinal scale, with scores ranging from 0 (no pain) to 10 (worst possible pain). The 11-point Likert scale was also used for assessment of average pain and worst pain within 24-hours. For the analysis, weekly mean was calculated. LS means calculated using MMRM adjusted for treatment, week, interaction between treatment and week as fixed effects and baseline value as covariate. (NCT01855919)
Timeframe: Baseline, Week 14

,
Interventionunits on a scale (Least Squares Mean)
Average PainWorst Pain
Duloxetine-2.15-2.25
Placebo-1.73-1.91

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Change From Baseline in BPI Pain Severity Items (BPI-S) and Interference Items (BPI-I) Scores to Week 14

BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function. Severity scores range from: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores range from: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference is defined as the average of non-missing scores of individual interference items. Higher scores indicated worsening of pain. LS means calculated using MMRM adjusted for treatment, visit, interaction between treatment and visit as fixed effects and baseline value as covariate. (NCT01855919)
Timeframe: Baseline, Week 14

,
Interventionunits on a scale (Least Squares Mean)
Worst PainLeast PainCurrent PainGeneral ActivityMoodWalking AbilityNormal WorkRelationship PeopleSleepEnjoyment of LifeAverage of 7 Interference Items
Duloxetine-2.63-1.69-2.42-2.46-2.15-2.05-2.17-1.02-1.41-1.52-1.83
Placebo-2.33-1.19-2.03-2.16-1.83-1.92-2.17-0.98-1.40-1.48-1.70

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) to Week 14

SF-36 Health Status Survey is a generic, health-related scale assessing participant's quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health. Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. LS means calculated using ANCOVA adjusted for treatment, as fixed effect and baseline as covariate. (NCT01855919)
Timeframe: Baseline, Week 14

,
Interventionunits on a scale (Least Squares Mean)
Physical FunctioningRole (Physical)Bodily PainGeneral HealthVitalitySocial FunctioningRole (Emotional)Mental Health
Duloxetine8.4710.5812.566.725.566.405.785.63
Placebo7.2010.0011.013.784.414.776.182.42

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Percentage of Participants With Sustained Pain Reduction in BPI Average Pain Score

Pain severity was measured using an 11 point BPI scale from 0 (no pain) to 10(worst pain) to determine average pain in the past 24 hours (average pain). Participants were considered to have sustained pain reduction of ≥30% in the BPI-severity score (average pain) at the time of final evaluation and at least 1 other time point prior to the time of final evaluation compared with baseline, and a reduction of ≥20% from baseline sustained at all evaluation time points between that period. Percentage of participants = (number of participants with sustained pain reduction / total number of participants in treatment group) * 100. (NCT01855919)
Timeframe: Baseline through Week 14

Interventionpercentage of participants (Number)
Duloxetine61.3
Placebo46.0

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Percentage of Participants With Fall Events in Fall Questionnaire

Participants evaluated their experience with and details of falls which were recorded. Percentage = (number of participants with fall events) /(total in treatment group) * 100. (NCT01855919)
Timeframe: Baseline through Week 14

Interventionpercentage of participants (Number)
Duloxetine10.3
Placebo8.0

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Patient Global Impression of Improvement (PGI-I) at Week 14

PGI-I measures a participant's perception of improvement at the time of assessment compared with the start of treatment. Score ranges from 1 (very much better) to 7 (very much worse). LS means calculated using MMRM adjusted for treatment, visit, interaction between treatment and visit as fixed effects and baseline value as covariate. (NCT01855919)
Timeframe: Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.46
Placebo2.76

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Change From Baseline to Week 14 in Brief Pain Inventory (BPI) 24-Hour Average Pain Severity Item

BPI is a self-reported scale that measures the severity of pain based on the average pain during the past 24-hours. The severity scores ranged from 0 (no pain) to 10 (pain as severe as you can imagine). Higher scores indicated worsening of pain. Least squares (LS) means calculated using mixed model repeating measure (MMRM) adjusted for treatment, visit, interaction between treatment and visit as fixed effects and baseline value as covariate. (NCT01855919)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.43
Placebo-1.96

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Change From Baseline in Roland Morris Disability Questionnaire (RMDQ-24) to Week 14

The RMDQ-24 is a health status measure completed by participants to assess physical disability due to low back pain. Participants answered 24 questions about impairment of daily living activities (standing, walking, sitting, wearing clothes, working, etc.) resulting from low back pain. The number of statements marked was summed by the clinician for a total score. The total scores range from 0 (no disability) to 24 (severe disability). LS means calculated using analysis of covariance (ANCOVA) with treatment group as a fixed effect, and baseline value as a covariate. (NCT01855919)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine-3.86
Placebo-3.23

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Change From Baseline in European Quality of Life Questionnaire-5 Dimension (EQ-5D) to Week 14

The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood using a 3 level scale (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the Japan population-based algorithm ranging from -0.111 to 1.0, with higher scores indicating better quality of life. LS means calculated using ANCOVA adjusted for treatment, as fixed effect and baseline as covariate. (NCT01855919)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine0.09
Placebo0.08

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Change From Baseline in Clinical Global Impression of Severity (CGI-Severity) to Week 14

CSI-S measures severity of illness at the time of assessment compared with start of treatment with scores ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). LS means calculated using MMRM adjusted for treatment, visit, interaction between treatment and visit as fixed effects and baseline value as covariate. (NCT01855919)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.46
Placebo-1.17

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Change From Baseline in Beck Depression Inventory-II (BDI-II) to Week 14

BDI-II is a 21-question multiple-choice self-reported inventory about depressive symptoms (sadness, pessimism, past failure, loss of pleasure, guilty feelings, punishment feelings, self-dislike, self-criticalness, suicidal thoughts or wishes, crying, agitation, loss of interest, indecisiveness, worthlessness, loss of energy, changes in sleeping patterns, irritability, changes in appetite, concentration difficulties, tiredness or fatigue, and loss of interest in sex). The scores for each item range from 0 (best) to 3 (worst) with possible total scores of 0 to 63, where higher total scores indicate more severe depressive symptoms. LS means calculated using ANCOVA adjusted for treatment, as fixed effect and baseline as covariate. (NCT01855919)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.39
Placebo-1.04

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Change in Cognitive Difficulties - Attention/Concentration Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Attention/Concentration will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean attention/concentration score for all individual patients in arm 1 (intervention)~5 weeks: Mean attention/concentration score for all individual patients in arm 1 (intervention)~Range of attention/concentration score 0-40 (0=no attention/concentration difficulties, 40=maximum attention/concentration difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)14.10

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Change in Cognitive Difficulties - Attention/Concentration Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Attention/Concentration will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean attention/concentration score for all individual patients in arm 1 (intervention)~5 weeks: Mean attention/concentration score for all individual patients in arm 1 (intervention)~Range of attention/concentration score 0-40 (0=no attention/concentration difficulties, 40=maximum attention/concentration difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)17.2615.83

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Change in Cognitive Difficulties - Language Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Language will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean language score for all individual patients in arm 1 (intervention)~5 weeks: Mean language score for all individual patients in arm 1 (intervention)~Range of language score 0-40 (0=no language difficulties, 40=maximum language difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)12.42

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Change in Objectively Assessed Pain Sensitivity Between Baseline and 5 Weeks of Treatment With Duloxetine

"Pain sensitivity will be assessed at baseline and 5 weeks for each individual patient using quantitative sensory testing to assess pressure pain threshold (Pain50).~Baseline: Mean Pain50 for all individual patients in arm 1 (intervention) and arm 2 (control)~5 weeks: Mean Pain50 for all individual patients in arm 1 (intervention)~Range of Pain50 score: 0-10 kg/cm2 (higher number reflects higher pain threshold or lower pain sensitivity)" (NCT01912612)
Timeframe: 5 weeks

Interventionkg/cm2 (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)3.203.30

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Change in Cognitive Difficulties - Verbal Memory Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Verbal Memory will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean verbal memory score for all individual patients in arm 1 (intervention)~5 weeks: Mean verbal memory score for all individual patients in arm 1 (intervention)~Range of verbal memory score 0-40 (0=no verbal memory difficulties, 40=maximum verbal memory difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)13.97

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Change in Cognitive Difficulties - Verbal Memory Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Verbal Memory will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean verbal memory score for all individual patients in arm 1 (intervention)~5 weeks: Mean verbal memory score for all individual patients in arm 1 (intervention)~Range of verbal memory score 0-40 (0=no verbal memory difficulties, 40=maximum verbal memory difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)17.1516.90

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Change in Cognitive Difficulties - Visual-Perceptual Ability Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Visual-Perceptual Ability will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean visual-perceptual ability score for all individual patients in arm 1 (intervention)~5 weeks: Mean visual-perceptual ability score for all individual patients in arm 1 (intervention)~Range of visual-perceptual ability score 0-30 (0=no visual-perceptual difficulties, 30=maximum visual-perceptual difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)8.62

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Change in Cognitive Difficulties - Visual-Perceptual Ability Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Visual-Perceptual Ability will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean visual-perceptual ability score for all individual patients in arm 1 (intervention)~5 weeks: Mean visual-perceptual ability score for all individual patients in arm 1 (intervention)~Range of visual-perceptual ability score 0-30 (0=no visual-perceptual difficulties, 30=maximum visual-perceptual difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)10.7910.33

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Change in PainDETECT Score Between Baseline and 5 Weeks of Treatment With Duloxetine

"PainDETECT score will be assessed at baseline and 5 weeks for each individual patient using the PainDETECT questionnaire.~Baseline: Mean PainDETECT score for all individual patients in arm 1 (intervention)~5 weeks: Mean PainDETECT score for all individual patients in arm 1 (intervention)~Range of PainDETECT score -1-38 (-1=no neuropathic pain; 38=most consistent with neuropathic pain)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on questionnaire (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)11.448.54

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Change in Cognitive Difficulties - Language Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Language will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean language score for all individual patients in arm 1 (intervention)~5 weeks: Mean language score for all individual patients in arm 1 (intervention)~Range of language score 0-40 (0=no language difficulties, 40=maximum language difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)15.4314.83

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Change in Sleep Disturbance Between Baseline and 5 Weeks of Treatment With Duloxetine

"Sleep Disturbance will be assessed at baseline and 5 weeks for each individual patient using the PROMIS Sleep Disturbance Short Form 8b v1.0 questionnaire. Raw scores are converted to standardized T scores based on national norms for patients with cancer.~Baseline: Mean sleep disturbance T score for all individual patients in arm 1 (intervention)~5 weeks: Mean sleep disturbance T score for all individual patients in arm 1 (intervention)~Average sleep disturbance T score for the reference population of patients with cancer is 50.0, with standard deviation of 10.0 (higher score=more sleep disturbance)" (NCT01912612)
Timeframe: 5 weeks

InterventionT score (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)57.4453.85

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Change in Sleep Disturbance Between Baseline and 5 Weeks of Treatment With Duloxetine

"Sleep Disturbance will be assessed at baseline and 5 weeks for each individual patient using the PROMIS Sleep Disturbance Short Form 8b v1.0 questionnaire. Raw scores are converted to standardized T scores based on national norms for patients with cancer.~Baseline: Mean sleep disturbance T score for all individual patients in arm 1 (intervention)~5 weeks: Mean sleep disturbance T score for all individual patients in arm 1 (intervention)~Average sleep disturbance T score for the reference population of patients with cancer is 50.0, with standard deviation of 10.0 (higher score=more sleep disturbance)" (NCT01912612)
Timeframe: 5 weeks

InterventionT score (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)43.91

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Change in Physical Function Between Baseline and 5 Weeks of Treatment With Duloxetine

"Physical Function will be assessed at baseline and 5 weeks for each individual patient using the PROMIS Physical Function Short Form 10a v1.0 questionnaire. Raw scores are converted to standardized T scores based on national norms for patients with cancer.~Baseline: Mean physical function T score for all individual patients in arm 1 (intervention)~5 weeks: Mean physical function T score for all individual patients in arm 1 (intervention)~Average physical function T score for the reference population of patients with cancer is 50.0, with standard deviation of 10.0 (higher score=better physical function)" (NCT01912612)
Timeframe: 5 weeks

InterventionT score (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)41.9644.03

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Change in Physical Function Between Baseline and 5 Weeks of Treatment With Duloxetine

"Physical Function will be assessed at baseline and 5 weeks for each individual patient using the PROMIS Physical Function Short Form 10a v1.0 questionnaire. Raw scores are converted to standardized T scores based on national norms for patients with cancer.~Baseline: Mean physical function T score for all individual patients in arm 1 (intervention)~5 weeks: Mean physical function T score for all individual patients in arm 1 (intervention)~Average physical function T score for the reference population of patients with cancer is 50.0, with standard deviation of 10.0 (higher score=better physical function)" (NCT01912612)
Timeframe: 5 weeks

InterventionT score (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)56.60

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Change in Patient-reported Worst Pain Between Baseline and 5 Weeks of Treatment With Duloxetine

"Worst pain will be assessed at baseline and 5 weeks for each individual patient using the Brief Pain Inventory.~Baseline: Mean worst pain for all individual patients in arm 1 (intervention) and arm 2 (control)~5 weeks: Mean worst pain for all individual patients in arm 1 (intervention)~Range of pain score 0-10 (0=no pain; 10=worst pain)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline5 weeks
Arm 1 (Patients With Pain)6.544.06

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Change in Patient-reported Worst Pain Between Baseline and 5 Weeks of Treatment With Duloxetine

"Worst pain will be assessed at baseline and 5 weeks for each individual patient using the Brief Pain Inventory.~Baseline: Mean worst pain for all individual patients in arm 1 (intervention) and arm 2 (control)~5 weeks: Mean worst pain for all individual patients in arm 1 (intervention)~Range of pain score 0-10 (0=no pain; 10=worst pain)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)0.25

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Change in Patient-reported Average Pain Between Baseline and 5 Weeks of Treatment With Duloxetine

"Average pain will be assessed at baseline and 5 weeks for each individual patient using the Brief Pain Inventory.~Baseline: Mean average pain for all individual patients in arm 1 (intervention) and arm 2 (control)~5 weeks: Mean average pain for all individual patients in arm 1 (intervention)~Range of pain score 0-10 (0=no pain; 10=worst pain)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline5 week timepoint
Arm 1 (Patients With Pain)4.863.10

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Change in Patient-reported Average Pain Between Baseline and 5 Weeks of Treatment With Duloxetine

"Average pain will be assessed at baseline and 5 weeks for each individual patient using the Brief Pain Inventory.~Baseline: Mean average pain for all individual patients in arm 1 (intervention) and arm 2 (control)~5 weeks: Mean average pain for all individual patients in arm 1 (intervention)~Range of pain score 0-10 (0=no pain; 10=worst pain)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)0.15

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Change in PainDETECT Score Between Baseline and 5 Weeks of Treatment With Duloxetine

"PainDETECT score will be assessed at baseline and 5 weeks for each individual patient using the PainDETECT questionnaire.~Baseline: Mean PainDETECT score for all individual patients in arm 1 (intervention)~5 weeks: Mean PainDETECT score for all individual patients in arm 1 (intervention)~Range of PainDETECT score -1-38 (-1=no neuropathic pain; 38=most consistent with neuropathic pain)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on questionnaire (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)1.13

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Change in Pain Interference Between Baseline and 5 Weeks of Treatment With Duloxetine

"Pain interference will be assessed at baseline and 5 weeks for each individual patient using the Brief Pain Inventory.~Baseline: Mean pain interference for all individual patients in arm 1 (intervention)~5 weeks: Mean pain interference for all individual patients in arm 1 (intervention)~Range of pain interference score 0-10 (0=no interference; 10=worst interference)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline5 week timepoint
Arm 1 (Patients With Pain)4.912.30

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Change in Pain Interference Between Baseline and 5 Weeks of Treatment With Duloxetine

"Pain interference will be assessed at baseline and 5 weeks for each individual patient using the Brief Pain Inventory.~Baseline: Mean pain interference for all individual patients in arm 1 (intervention)~5 weeks: Mean pain interference for all individual patients in arm 1 (intervention)~Range of pain interference score 0-10 (0=no interference; 10=worst interference)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)0.03

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Change in Objectively Assessed Pain Sensitivity Between Baseline and 5 Weeks of Treatment With Duloxetine

"Pain sensitivity will be assessed at baseline and 5 weeks for each individual patient using quantitative sensory testing to assess pressure pain threshold (Pain50).~Baseline: Mean Pain50 for all individual patients in arm 1 (intervention) and arm 2 (control)~5 weeks: Mean Pain50 for all individual patients in arm 1 (intervention)~Range of Pain50 score: 0-10 kg/cm2 (higher number reflects higher pain threshold or lower pain sensitivity)" (NCT01912612)
Timeframe: 5 weeks

Interventionkg/cm2 (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)4.06

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Change in Objectively Assessed Conditioned Pain Modulation Between Baseline and 5 Weeks of Treatment With Duloxetine

"Conditioned pain modulation (CPM) will be assessed at baseline and 5 weeks for each individual patient using quantitative sensory testing~Baseline: Mean CPM for all individual patients in arm 1 (intervention) and arm 2 (control)~5 weeks: Mean CPM for all individual patients in arm 1 (intervention)~Range of CPM score: -60 to +60 (more positive values reflect more impaired CPM)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)9.6811.93

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Change in Objectively Assessed Conditioned Pain Modulation Between Baseline and 5 Weeks of Treatment With Duloxetine

"Conditioned pain modulation (CPM) will be assessed at baseline and 5 weeks for each individual patient using quantitative sensory testing~Baseline: Mean CPM for all individual patients in arm 1 (intervention) and arm 2 (control)~5 weeks: Mean CPM for all individual patients in arm 1 (intervention)~Range of CPM score: -60 to +60 (more positive values reflect more impaired CPM)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)7.97

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Change in Number of Sites of Pain Between Baseline and 5 Weeks of Treatment With Duloxetine

"Number of sites of pain will be assessed at baseline and 5 weeks for each individual patient using the Michigan Body Map.~Baseline: Mean number of sites of pain for all individual patients in arm 1 (intervention)~5 weeks: Mean number of sites of pain for all individual patients in arm 1 (intervention)~Range of number of sites of pain 0-35 (0=no pain; 35=every pre-defined body site has pain)" (NCT01912612)
Timeframe: 5 weeks

Interventionnumber of sites (Mean)
Baseline5 week timepoint
Arm 1 (Patients With Pain)9.637.90

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Change in Cognitive Difficulties - Visual-Spatial Memory Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Visual-Spatial Memory will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean visual-spatial memory score for all individual patients in arm 1 (intervention)~5 weeks: Mean visual-spatial memory score for all individual patients in arm 1 (intervention)~Range of visual-spatial memory score 0-40 (0=no visual-spatial memory difficulties, 40=maximum visual-spatial memory difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)13.03

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Change in Number of Sites of Pain Between Baseline and 5 Weeks of Treatment With Duloxetine

"Number of sites of pain will be assessed at baseline and 5 weeks for each individual patient using the Michigan Body Map.~Baseline: Mean number of sites of pain for all individual patients in arm 1 (intervention)~5 weeks: Mean number of sites of pain for all individual patients in arm 1 (intervention)~Range of number of sites of pain 0-35 (0=no pain; 35=every pre-defined body site has pain)" (NCT01912612)
Timeframe: 5 weeks

Interventionnumber of sites (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)0.52

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Change in Neuropathy Between Baseline and 5 Weeks of Treatment With Duloxetine

"Neuropathy will be assessed at baseline and 5 weeks for each individual patient using the Functional Assessment of Cancer Therapy-Gynecologic Oncology Group-Neurotoxicity (FACT/GOG-NTX) questionnaire.~Baseline: Mean neuropathy score for all individual patients in arm 1 (intervention)~5 weeks: Mean neuropathy score for all individual patients in arm 1 (intervention)~Range of neuropathy score 0-44 (0=no neuropathy; 44=most consistent with neuropathy)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on questionnaire (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)14.099.10

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Change in Neuropathy Between Baseline and 5 Weeks of Treatment With Duloxetine

"Neuropathy will be assessed at baseline and 5 weeks for each individual patient using the Functional Assessment of Cancer Therapy-Gynecologic Oncology Group-Neurotoxicity (FACT/GOG-NTX) questionnaire.~Baseline: Mean neuropathy score for all individual patients in arm 1 (intervention)~5 weeks: Mean neuropathy score for all individual patients in arm 1 (intervention)~Range of neuropathy score 0-44 (0=no neuropathy; 44=most consistent with neuropathy)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on questionnaire (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)1.44

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Change in Fibromyalgia Symptom Severity Score Between Baseline and 5 Weeks of Treatment With Duloxetine

"Fibromyalgia Symptom Severity Score will be assessed at baseline and 5 weeks for each individual patient using the Michigan Body Map and Symptom Severity Scale.~Baseline: Mean Fibromyalgia Symptom Severity Score for all individual patients in arm 1 (intervention)~5 weeks: Mean Fibromyalgia Symptom Severity Score for all individual patients in arm 1 (intervention)~Range of Fibromyalgia Symptom Severity Score 0-12 (0=not consistent with fibromyalgia; 12=most consistent with fibromyalgia)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)5.354.90

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Change in Fibromyalgia Symptom Severity Score Between Baseline and 5 Weeks of Treatment With Duloxetine

"Fibromyalgia Symptom Severity Score will be assessed at baseline and 5 weeks for each individual patient using the Michigan Body Map and Symptom Severity Scale.~Baseline: Mean Fibromyalgia Symptom Severity Score for all individual patients in arm 1 (intervention)~5 weeks: Mean Fibromyalgia Symptom Severity Score for all individual patients in arm 1 (intervention)~Range of Fibromyalgia Symptom Severity Score 0-12 (0=not consistent with fibromyalgia; 12=most consistent with fibromyalgia)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)1.68

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Change in Fatigue Between Baseline and 5 Weeks of Treatment With Duloxetine

"Fatigue will be assessed at baseline and 5 weeks for each individual patient using the Patient Reported Outcomes Measurement Information System (PROMIS) Fatigue Short Form 7a v1.0 questionnaire. Raw scores are converted to standardized T scores based on national norms for patients with cancer.~Baseline: Mean fatigue T score for all individual patients in arm 1 (intervention)~5 weeks: Mean fatigue T score for all individual patients in arm 1 (intervention)~Average fatigue T score for the reference population of patients with cancer is 50.0, with standard deviation of 10.0 (higher score=more fatigue)" (NCT01912612)
Timeframe: 5 weeks

InterventionT score (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)56.7954.51

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Change in Fatigue Between Baseline and 5 Weeks of Treatment With Duloxetine

"Fatigue will be assessed at baseline and 5 weeks for each individual patient using the Patient Reported Outcomes Measurement Information System (PROMIS) Fatigue Short Form 7a v1.0 questionnaire. Raw scores are converted to standardized T scores based on national norms for patients with cancer.~Baseline: Mean fatigue T score for all individual patients in arm 1 (intervention)~5 weeks: Mean fatigue T score for all individual patients in arm 1 (intervention)~Average fatigue T score for the reference population of patients with cancer is 50.0, with standard deviation of 10.0 (higher score=more fatigue)" (NCT01912612)
Timeframe: 5 weeks

InterventionT score (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)45.63

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Change in Depression Between Baseline and 5 Weeks of Treatment With Duloxetine

"Depression will be assessed at baseline and 5 weeks for each individual patient using the Hospital Anxiety and Depression Scale.~Baseline: Mean depression score for all individual patients in arm 1 (intervention)~5 weeks: Mean depression score for all individual patients in arm 1 (intervention)~Range of depression score 0-21 (0=no depression, 21=maximum depression)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)5.854.23

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Change in Depression Between Baseline and 5 Weeks of Treatment With Duloxetine

"Depression will be assessed at baseline and 5 weeks for each individual patient using the Hospital Anxiety and Depression Scale.~Baseline: Mean depression score for all individual patients in arm 1 (intervention)~5 weeks: Mean depression score for all individual patients in arm 1 (intervention)~Range of depression score 0-21 (0=no depression, 21=maximum depression)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)1.46

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Change in Cognitive Difficulties - Visual-Spatial Memory Between Baseline and 5 Weeks of Treatment With Duloxetine

"Cognitive Difficulties - Visual-Spatial Memory will be assessed at baseline and 5 weeks for each individual patient using the Multiple Ability Self-Report Questionnaire.~Baseline: Mean visual-spatial memory score for all individual patients in arm 1 (intervention)~5 weeks: Mean visual-spatial memory score for all individual patients in arm 1 (intervention)~Range of visual-spatial memory score 0-40 (0=no visual-spatial memory difficulties, 40=maximum visual-spatial memory difficulties)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 5 timepoint
Arm 1 (Patients With Pain)14.4314.53

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Change in Anxiety Between Baseline and 5 Weeks of Treatment With Duloxetine

"Anxiety will be assessed at baseline and 5 weeks for each individual patient using the Hospital Anxiety and Depression Scale.~Baseline: Mean anxiety score for all individual patients in arm 1 (intervention)~5 weeks: Mean anxiety score for all individual patients in arm 1 (intervention)~Range of anxiety score 0-21 (0=no anxiety, 21=maximum anxiety)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baseline
Arm 2 (Patients Without Pain -- Control)3.90

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Change in Anxiety Between Baseline and 5 Weeks of Treatment With Duloxetine

"Anxiety will be assessed at baseline and 5 weeks for each individual patient using the Hospital Anxiety and Depression Scale.~Baseline: Mean anxiety score for all individual patients in arm 1 (intervention)~5 weeks: Mean anxiety score for all individual patients in arm 1 (intervention)~Range of anxiety score 0-21 (0=no anxiety, 21=maximum anxiety)" (NCT01912612)
Timeframe: 5 weeks

Interventionscore on a scale (Mean)
Baselineweek 4 timepoint
Arm 1 (Patients With Pain)6.975.03

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Number of Participants With Fall Events From Fall Questionnaire

Participants evaluated their experience with and details of falls which were recorded. Percentage = (number of participants with fall events) /(total in treatment group) * 100. (NCT01914666)
Timeframe: Week 53

Interventionparticipants (Number)
Naïve13
Rollover (Pre-Placebo)5
Rollover (Pre-Duloxetine 60 mg)6

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Change From Baseline in Beck Depression Inventory-II (BDI-II) to Week 50

BDI-II is a 21-item, participant-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to symptoms of depression were scored on a 4-point scale ranging from 0 to 3 and was summed to give a single score. A total score of 0-13 was considered minimal range, 14-19 was mild, 20-28 was moderate, and 29-63 was severe. (NCT01914666)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Naïve-1.81
Rollover (Pre-Placebo)-1.83
Rollover (Pre-Duloxetine 60 mg)-0.56

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Change From Baseline in Clinical Global Impression of Severity (CGI-Severity) to Week 50

CGI-S measures severity of illness at the time of assessment compared with start of treatment with scores ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). (NCT01914666)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Naïve2.09
Rollover (Pre-Placebo)2.00
Rollover (Pre-Duloxetine 60 mg)2.73

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Change From Baseline in European Quality of Life Questionnaire-5 Dimension (EQ-5D) to Week 50

The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood using a three level scale (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the Japan population-based algorithm ranging from -0.111 to 1.0, with higher scores indicating better quality of life. (NCT01914666)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Naïve0.16
Rollover (Pre-Placebo)0.15
Rollover (Pre-Duloxetine 60 mg)0.11

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Patient Global Impression of Improvement (PGI-Improvement) to Week 50

PGI-I measures a participant's perception of improvement at the time of assessment compared with the start of treatment. Score ranges from 1 (very much better) to 7 (very much worse). (NCT01914666)
Timeframe: Week 50

Interventionunits on a scale (Mean)
Naïve2.12
Rollover (Pre-Placebo)2.05
Rollover (Pre-Duloxetine 60 mg)2.61

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Change From Baseline in Roland Morris Disability Questionnaire (RMDQ-24) to Week 50

RMDQ-24 is a participant completed questionnaire and measures the degree of disability due to back pain. The questionnaire consists of 24 statements and the participant was instructed to put a mark next to each appropriate statement. The number of statements marked was summed by the clinician for a total score. The total score ranged from 0 (no disability) to 24 (severe disability). (NCT01914666)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Naïve-3.69
Rollover (Pre-Placebo)-5.50
Rollover (Pre-Duloxetine 60 mg)-3.29

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Change From Baseline in Columbia Suicide Severity Rating Scale (C-SSRS) to Week 52

"C-SSRS captures occurrence, severity, and frequency of suicide-related thoughts and behaviors. Suicidal behavior is defined as a yes answer to any of 5 suicidal behavior questions: preparatory acts or behavior, aborted attempt, interrupted attempt, actual attempt, and completed suicide. Suicidal ideation is defined as a yes answer to any one of 5 suicidal ideation questions: wish to be dead, and 4 different categories of active suicidal ideation." (NCT01914666)
Timeframe: Baseline, Week 53

,,
Interventionparticipants (Number)
Suicidal Ideation- wish to be dead (n=65,39,40)Nonspecific suicidal thoughts (n=67,42,41)Suicidal Behavior (n=67,42,41)
Naïve000
Rollover (Pre-Duloxetine 60 mg)000
Rollover (Pre-Placebo)000

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) to Week 50

SF-36 Health Status Survey is a generic, health-related scale assessing participant's quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health. Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. (NCT01914666)
Timeframe: Baseline, Week 50

,,
Interventionunits on a scale (Mean)
Physical FunctioningRole (Physical)Bodily PainGeneral HealthVitalitySocial FunctioningRole (Emotional)Mental Health
Naïve10.6016.8817.648.4210.076.9011.575.97
Rollover (Pre-Duloxetine 60 mg)10.127.0112.625.516.103.354.474.63
Rollover (Pre-Placebo)9.5211.3120.268.9013.248.6311.518.81

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Change From Baseline in Brief Pain Inventory (BPI) Pain Severity Item and Interference Item to Week 50

A self-reported scale measuring severity of pain and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference = average of non-missing scores of individual interference items. (NCT01914666)
Timeframe: Baseline, Week 50

,,
Interventionunits on a scale (Mean)
Average PainWorst PainLeast PainPain Right NowGeneral ActivityMoodWalking AbilityNormal WorkRelationship with PeopleSleepEnjoyment of LifeAverage of 7 Interference Items
Naïve-3.30-4.16-1.82-2.70-3.22-2.52-2.09-3.22-1.42-1.73-2.07-2.33
Rollover (Pre-Duloxetine 60 mg)-2.88-3.24-2.12-2.68-2.24-2.07-1.71-2.05-0.83-1.34-1.83-1.72
Rollover (Pre-Placebo)-3.79-4.71-2.52-3.93-3.26-3.12-2.74-3.21-1.79-2.40-2.50-2.72

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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 Western Ontario and McMaster Universities Arthritis Index (WOMAC) Total and Subscale Scores

WOMAC consists of 24 items divided into 3 subscales:Pain(5 items):during walking,using stairs,in bed,sitting or lying,and standing Stiffness;(2 items):after first waking and later in the day Physical Function;(17 items):stair use,rising from sitting, standing, bending,walking,getting in/out of a car,shopping,putting on/taking off socks,rising from bed,lying in bed,getting in/out of bath,sitting,getting on/off toilet,heavy household duties,light household duties.Each question is answered using a 5-point Likert scale(0 to 4).Pain subscale has a range of scores of 0(none) to 20(extreme).Stiffness subscale has a range of scores of 0(none) to 8(extreme).Physical function subscale has a range of scores of 0(none) to 68(extreme).Total score ranges from 0(none) to 96(extreme).Least squares(LS) mean was calculated using analysis of covariance(ANCOVA) and adjusted for treatment, pooled investigator,and baseline score.Last observation carried forward (LOCF) method was be used for these analyses. (NCT01931475)
Timeframe: Baseline, Week 13

,
Interventionunits on a scale (Least Squares Mean)
Total ScorePainPhysical FunctionStiffness
60 mg Duloxetine-13.58-3.03-9.64-0.83
Placebo-10.09-2.32-7.28-0.44

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Percentage of Participants With Reduction of ≥30% and ≥50% in BPI Average Pain Score

Pain severity was measured using an 11 point BPI scale from 0 (no pain) to 10 (worst pain) to determine average pain in the past 24 hours (average pain). A 30% (or 50%) improvement was defined as a ≥30% (or ≥50%) reduction in BPI pain severity from baseline to endpoint. Percentage of participants = (number of participants with ≥30% or ≥50% pain reduction / total number of participants in treatment group) * 100.The last observation carried forward (LOCF) method will be used for these analyses. (NCT01931475)
Timeframe: Week 13

,
Interventionpercentage of participants (Number)
Participants with >=30% ReductionsParticipants with >=50% Reductions
60 mg Duloxetine63.4042.80
Placebo49.7034.50

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Change From Baseline in the Brief Pain Inventory (BPI) 24-hour Average Pain Score

BPI is a self-reported scale that measures the severity of pain based on the average pain during the past 24-hours. The severity scores ranged from 0 (no pain) to 10 (pain as severe as you can imagine). Least squares (LS) mean was calculated using mixed model repeating measures (MMRM) and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01931475)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Least Squares Mean)
60 mg Duloxetine-2.23
Placebo-1.73

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Change in Brief Pain Inventory (BPI) Average Pain Intensity Scores, Hospital Anxiety and Depression Scale (HADS) Depression Subscale (HADS-D) and HADS Anxiety Subscale (HADS-A)

Evaluation on whether the change in BPI average pain intensity scores is a direct analgesic effect of duloxetine and is independent of treatment effect on mood, as measured by Hospital Anxiety and Depression Scale (HADS) depression subscale (HADS-D), or anxiety as measured by HADS anxiety subscale (HADS-A). Path analysis for the direct analgesic effect was used to test the null hypothesis that the change in BPI average pain severity depends on the improvement of HADS-D or HADS-A, versus the alternative that the improvement in BPI average pain severity is due to a direct analgesic effect of the treatment and not dependent upon the improvement in depression and anxiety symptoms. (NCT01931475)
Timeframe: Baseline, Week 13

Interventionunits on a scale (Mean)
BPI average pain scoreHADS-Depression subscale scoreHADS-Anxiety subscale score
All Participants (60 mg Duloxetine & Placebo)-1.91-0.100.05

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

CGI-S measures severity of illness at the time of assessment compared with start of treatment with scores ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). Least squares (LS) mean was calculated using mixed model repeating measures (MMRM) and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01931475)
Timeframe: Baseline,13 Weeks

Interventionunits on a scale (Least Squares Mean)
60 mg Duloxetine-0.81
Placebo-0.53

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Patient Global Impressions of Improvement (PGI-I) Score

PGI-I measures a participant's perception of improvement at the time of assessment compared with the start of treatment. Score ranges from 1 (very much better) to 7 (very much worse). Least squares (LS) mean was calculated using mixed model repeating measures (MMRM) and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01931475)
Timeframe: 13 Weeks

Interventionunits on a scale (Least Squares Mean)
60 mg Duloxetine2.73
Placebo3.09

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Change From Baseline in Brief Pain Inventory (BPI) Interference

BPI Interference Average Score is a self-reported scale that measures interference of pain on average of the 7 questions assessing the interference of pain for general activity, mood, walking ability, normal work, relations with other people,sleep, and enjoyment of life.The average Interference scores ranged from 0 to 10. General activity, mood,walking ability, normal work,relations with other people, sleep and enjoyment of life is each is a self-reported scale that measures the interference of pain in the past 24 hours on general activity, mood, walking ability, normal work, relations with other people, sleep and enjoyment of life.The Interference scores ranged from 0 (does not interfere) to 10 (completely interferes).Least squares (LS) mean was calculated using mixed model repeating measures (MMRM) and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01931475)
Timeframe: Baseline, Week 13

,
Interventionunits on a scale (Least Squares Mean)
BPI Interference Average ScoreGeneral activityMoodWalking abilityNormal workRelations with other peopleSleepEnjoyment of life
60 mg Duloxetine-1.63-2.39-1.43-2.35-2.06-0.90-1.21-1.14
Placebo-1.36-1.83-1.04-1.88-1.76-0.84-0.99-1.07

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Change From Baseline in Brief Pain Inventory (BPI) Severity

BPI Severity of Worst Pain is self-reported scale that measures the severity of pain based on the worst pain experienced during the past 24-hours. The severity scores ranged from 0 (no pain) to 10 (pain as severe as you can imagine). BPI Severity of Least Pain is a self-reported scale that measures the severity of pain based on the least pain experienced during the past 24-hours. The severity scores ranged from 0 (no pain) to 10 (pain as severe as you can imagine). BPI Severity of Right Now Pain is a self-reported scale that measures the severity of pain based on the pain right now. The severity scores ranged from 0 (no pain) to 10 (pain as severe as you can imagine). Least squares (LS) mean was calculated using mixed model repeating measures (MMRM) and adjusted for treatment, pooled investigator, visit, and treatment-by-visit interaction, as well as baseline score and baseline score-by-visit interaction. (NCT01931475)
Timeframe: Baseline, Week 13

,
Interventionunits on a scale (Least Squares Mean)
BPI Severity of Worst PainBPI Severity of Least PainBPI Severity of Right Now Pain
60 mg Duloxetine-2.71-1.48-2.21
Placebo-2.00-1.20-1.74

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Change From Baseline in Hospital Anxiety and Depression Scale-Depression (HADS-D) or HADS-Anxiety (HADS-A) Subscale Scores

HADS is a 14-item questionnaire with 2 subscales: anxiety and depression. Each item was rated on a 4-point scale [0 (low level of anxiety or depression) to 3 (high level of anxiety or depression)], giving maximum scores of 21 for anxiety and depression. Scores of 11 or more on either subscale were considered to be a 'significant' case of psychological morbidity, while scores of 8-10 represent 'borderline' and 0-7, 'normal.' Mean was calculated using analysis of covariance (ANCOVA) and adjusted for treatment, pooled investigator, and baseline score. The last observation carried forward (LOCF) method will be used for these analyses. (NCT01931475)
Timeframe: Baseline, Week 13

,
Interventionunits on a scale (Mean)
Depression SubscaleAnxiety Subscale
60 mg Duloxetine-0.100.02
Placebo-0.100.08

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Percentage of Participants With Response to Treatment on Patient Global Impression-Improvement (PGI-I) at Endpoint

"PGI-I measures the participant's perception of improvement at the time of assessment compared with the start of treatment. Scores ranged from 1 (very much better) to 7 (very much worse). Response to treatment is defined by endpoint PGI rating of either much better or very much better.The last observation carried forward (LOCF) method will be used for these analyses." (NCT01931475)
Timeframe: Week 13

,
Interventionpercentage of participants (Number)
Response to Treatment1=Very much better2=Much better3=A little better4=The same5=A little worse6=Much worse7 = Very much worse
60 mg Duloxetine38.73.1035.6040.7019.101.500.000.00
Placebo20.42.6017.9051.0023.003.602.000.00

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Swiss Spinal Stenosis (SSS) Questionnaire Score

Our primary aim included a primary outcome measure of self-reported pain/function, which was the change in SSS total score between baseline and 8 weeks. The Swiss Spinal Stenosis Questionnaire (SSS) is a validated 12-item condition-specific instrument for patients with lumbar spinal stenosis. It provides a patient self-report measure of pain and physical function. Higher scores represent worse symptoms and less physical function. The 12-item SSS total score range is 12-55. For our analysis, we compared the change in the 12-item Total score from baseline to 8 weeks. (NCT01943435)
Timeframe: Primary End-Point was 8 weeks ( 2 weeks after completion of 6-week intervention).

Interventionunits on a scale (Mean)
Medical Care-2.0
Group Exercise-1.7
Manual Therapy and Exercise-4.1

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Sense Wear Armband

Our secondary aim was to measure the change in physical activity between baseline and 8 weeks using the Sense Wear armband (SWA). The outcome measure was the average number of minutes spent daily performing physical activities >1.5 metabolic equivalents (METs).The SWA is a small device that collects information from multiple sensors: a triaxial accelerometer, heat flux, skin temperature, and galvanic signal. The information is integrated and processed by software using proprietary algorithms utilizing subjects' demographic characteristics (gender, age, height, and weight) to provide minute-by-minute estimates of physical activity. The SWA has shown good reliability and validity. The research participants in our study will wear the SWA for a week before and after they complete the treatment interventions. (NCT01943435)
Timeframe: Primary End-Point was 8 weeks ( 2 weeks after completion of 6-week intervention).

Interventionminutes per day (Mean)
Medical Care-23.1
Group Exercise4.3
Manual Therapy and Exercise-6.0

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Self Paced Walking Test (SPWT)

Our primary aim also included a performance-based outcome measure, which was the distance walked during the SPWT. The analysis was a comparison of between-group changes in SPWT between baseline and 8 weeks. The Self-Paced Walking Test (SPWT) is a validated objective measure of a patient's walking capacity, which is performed on a level walking surface. The patient is instructed to walk at their own pace and to stop when the symptoms are troublesome enough that s/he needs to sit down to rest. The total time and total distance walked are measured by the research assistant. Our unit of measure was the total distance walked, expressed in meters. (NCT01943435)
Timeframe: Primary end-point was 8 weeks ( 2 weeks after 6 week intervention is completed).

Interventionmeters (Mean)
Medical Care130.5
Group Exercise219.2
Manual Therapy and Exercise267.8

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World Health Organization Disability Assessment 2.0 (36-item)--Stratified by Baseline Frailty

"Assesses the level of functioning of patients, a component of the frailty evaluation. The scores assigned to each of the items: none (0), mild (1) moderate (2), severe (3), and extreme (4) - are summed. Each of the items is simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.~Step 1 - Summing of recoded item scores within each domain. Step 2 - Summing of all six domain scores. Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability)." (NCT01973283)
Timeframe: Week 8

Interventionscore on a scale (Mean)
Frail77.9
Not/Intermediate Frail59.4

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World Health Organization Disability Assessment 2.0 (36-item)--Stratified by Baseline Frailty

"Assesses the level of functioning of patients, a component of the frailty evaluation. The scores assigned to each of the items: none (0), mild (1) moderate (2), severe (3), and extreme (4) - are summed. Each of the items is simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.~Step 1 - Summing of recoded item scores within each domain. Step 2 - Summing of all six domain scores. Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability)." (NCT01973283)
Timeframe: Month 6

Interventionscore on a scale (Mean)
Frail77.2
Not/Intermediate Frail58.0

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World Health Organization Disability Assessment 2.0 (36-item)--Stratified by Baseline Frailty

"Assesses the level of functioning of patients, a component of the frailty evaluation. The scores assigned to each of the items: none (0), mild (1) moderate (2), severe (3), and extreme (4) - are summed. Each of the items is simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.~Step 1 - Summing of recoded item scores within each domain. Step 2 - Summing of all six domain scores. Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability)." (NCT01973283)
Timeframe: Month 12

Interventionscore on a scale (Mean)
Frail80.9
Not/Intermediate Frail56.7

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World Health Organization Disability Assessment 2.0 (36-item)

"Assesses the level of functioning of patients, a component of the frailty evaluation. The scores assigned to each of the items: none (0), mild (1) moderate (2), severe (3), and extreme (4) - are summed. Each of the items is simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.~Step 1 - Summing of recoded item scores within each domain. Step 2 - Summing of all six domain scores. Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability)." (NCT01973283)
Timeframe: Baseline (Week 0)

Interventionscore on a scale (Mean)
Medication Treatment71.7

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World Health Organization Disability Assessment 2.0 (36-item)

"Assesses the level of functioning of patients, a component of the frailty evaluation. The scores assigned to each of the items: none (0), mild (1) moderate (2), severe (3), and extreme (4) - are summed. Each of the items is simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.~Step 1 - Summing of recoded item scores within each domain. Step 2 - Summing of all six domain scores. Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability)." (NCT01973283)
Timeframe: 12 Months

Interventionscore on a scale (Mean)
Medication Treatment67.8

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World Health Organization Disability Assessment 2.0 (36-item)

"Assesses the level of functioning of patients, a component of the frailty evaluation. Simple: the scores assigned to each of the items - none (0), mild (1) moderate (2), severe (3), and extreme (4) - are summed. This method is referred to as simple scoring because the scores from each of the items are simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. This approach is practical to use as a hand-scoring approach and may be the method of choice in busy clinical settings or in paper-pencil interview situations. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.~Step 1 - Summing of recoded item scores within each domain. Step 2 - Summing of all six domain scores. Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability)." (NCT01973283)
Timeframe: Week 8

Interventionscore on a scale (Mean)
Medication Treatment68.7

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Hamilton Rating Scale for Depression (HRSD)

Measure Description: Our target is depressive symptomatology as measured by the Hamilton Rating Scale for Depression (HRSD). The HRSD is a 24-item questionnaire used as an indication of depression and a guide to evaluating recovery. Total scores range from 0-74, not including atypical symptoms sub-scale. A score above 16 is typically considered to indicate the presence of depressive symptoms. Higher scores indicate greater severity. (NCT01973283)
Timeframe: Week 8

Interventionscore on a scale (Mean)
Medication Treatment13.3

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Hamilton Rating Scale for Depression (HRSD)

Measure Description: Our target is depressive symptomatology as measured by the Hamilton Rating Scale for Depression (HRSD). The HRSD is a 24-item questionnaire used as an indication of depression and a guide to evaluating recovery. Total scores range from 0-74, not including atypical symptoms sub-scale. A score above 16 is typically considered to indicate the presence of depressive symptoms. Higher scores indicate greater severity. (NCT01973283)
Timeframe: 6 Months

Interventionscore on a scale (Mean)
Medication Treatment12.5

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Hamilton Depression Rating Scale: Stratified by Baseline Frailty

Measure Description: Our target is depressive symptomatology as measured by the Hamilton Rating Scale for Depression (HRSD). The HRSD is a 24-item questionnaire used as an indication of depression and a guide to evaluating recovery. Total scores range from 0-74, not including atypical symptoms sub-scale. A score above 16 is typically considered to indicate the presence of depressive symptoms. Higher scores indicate greater severity. (NCT01973283)
Timeframe: Baseline (Week 0)

Interventionscore on a scale (Mean)
Frail21
Not/Intermediate Frail19.7

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Hamilton Depression Rating Scale: Stratified by Baseline Frailty

Measure Description: Our target is depressive symptomatology as measured by the Hamilton Rating Scale for Depression (HRSD). The HRSD is a 24-item questionnaire used as an indication of depression and a guide to evaluating recovery. Total scores range from 0-74, not including atypical symptoms sub-scale. A score above 16 is typically considered to indicate the presence of depressive symptoms. Higher scores indicate greater severity. (NCT01973283)
Timeframe: Month 12

Interventionscore on a scale (Mean)
Frail14.3
Not/Intermediate Frail13.0

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Hamilton Depression Rating Scale (HRSD)

Measure Description: Our target is depressive symptomatology as measured by the Hamilton Rating Scale for Depression (HRSD). The HRSD is a 24-item questionnaire used as an indication of depression and a guide to evaluating recovery. Total scores range from 0-74, not including atypical symptoms sub-scale. A score above 16 is typically considered to indicate the presence of depressive symptoms. Higher scores indicate greater severity. (NCT01973283)
Timeframe: 12 Months

Interventionscore on a scale (Mean)
Medication Treatment13.6

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Hamilton Depression Rating Scale: Stratified by Baseline Frailty

Measure Description: Our target is depressive symptomatology as measured by the Hamilton Rating Scale for Depression (HRSD). The HRSD is a 24-item questionnaire used as an indication of depression and a guide to evaluating recovery. Total scores range from 0-74, not including atypical symptoms sub-scale. A score above 16 is typically considered to indicate the presence of depressive symptoms. Higher scores indicate greater severity. (NCT01973283)
Timeframe: Month 6

Interventionscore on a scale (Mean)
Frail14.8
Not/Intermediate Frail10.8

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World Health Organization Disability Assessment 2.0 (36-item)--Stratified by Baseline Frailty

"Assesses the level of functioning of patients, a component of the frailty evaluation. The scores assigned to each of the items: none (0), mild (1) moderate (2), severe (3), and extreme (4) - are summed. Each of the items is simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.~Step 1 - Summing of recoded item scores within each domain. Step 2 - Summing of all six domain scores. Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability)." (NCT01973283)
Timeframe: Baseline (Week 0)

Interventionscore on a scale (Mean)
Frail82.3
Not/Intermediate Frail56.8

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Hamilton Depression Rating Scale: Stratified by Baseline Frailty

Measure Description: Our target is depressive symptomatology as measured by the Hamilton Rating Scale for Depression (HRSD). The HRSD is a 24-item questionnaire used as an indication of depression and a guide to evaluating recovery. Total scores range from 0-74, not including atypical symptoms sub-scale. A score above 16 is typically considered to indicate the presence of depressive symptoms. Higher scores indicate greater severity. (NCT01973283)
Timeframe: Week 8

Interventionscore on a scale (Mean)
Frail15.1
Not/Intermediate Frail11.6

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World Health Organization Disability Assessment 2.0 (36-item)

"Assesses the level of functioning of patients, a component of the frailty evaluation. The scores assigned to each of the items: none (0), mild (1) moderate (2), severe (3), and extreme (4) - are summed. Each of the items is simply added up without recoding or collapsing of response categories; thus, there is no weighting of individual items. As a result, the simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations.~Step 1 - Summing of recoded item scores within each domain. Step 2 - Summing of all six domain scores. Step 3 - Converting the summary score into a metric ranging from 0 to 100 (where 0 = no disability; 100 = full disability)." (NCT01973283)
Timeframe: 6 Months

Interventionscore on a scale (Mean)
Medication Treatment66.7

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Total Daily Opioid Use (mg Oral Morphine Equivalents)

Total daily opioid use (including PO, PCEA, IV, subcutaneous, IV push) in mg oral morphine equivalents on POD 1. (NCT02005601)
Timeframe: POD 1

Interventionmg oral morphine equivalents (Mean)
Duloxetine57.8
Control72.7

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NRS Pain With Ambulation at 2 Weeks

When considering the pain in the knee in which you are having/had surgery, on a scale of 0-10, with 0 being no pain and 10 being pain as bad as you can imagine, how would you describe your level of pain in the last 24 hours during ambulation? (NCT02005601)
Timeframe: 2 weeks after surgery

InterventionNRS pain score (Mean)
Duloxetine3.5
Control3.8

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Nausea Severity

Nausea severity measured using Likert scale ranging from 0 (none) to 10 (severe). (NCT02005601)
Timeframe: POD 1

Interventionunits on a scale (Mean)
Duloxetine0.9
Control2.3

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Change in Hamilton Scale of Anxiety (HAMA) Score From Baseline to Week 4

"HAMA scale consists of 14 items to measure the severity of anxiety symptoms. Each item ranges from 0 (not present) to 4 (very severe). The total score is calculated as the sum over all items, ranging from 0 to 56, with a higher score implying a worse outcome. Change from baseline to week 4 is reported. Reduction in the score over time is interpreted as improvement in the patient´s status.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At baseline and at week 4.

InterventionUnits on a score (Mean)
60 mg Duloxetine-13.0
120 mg Duloxetine-13.6

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Change in Hamilton Scale of Anxiety (HAMA) Score From Baseline to Week 8 - by Post-week 4 Treatment Groups

"HAMA scale consists of 14 items to measure the severity of anxiety symptoms. Each item ranges from 0 (not present) to 4 (very severe). The total score is calculated as the sum over all items, ranging from 0 to 56, with a higher score implying a worse outcome. Change from baseline to week 8 is reported. Reduction in the score over time is interpreted as improvement in the patient´s status.~Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At baseline and at week 8.

InterventionScore on a scale (Mean)
60 mg Duloxetine - Responder-19.6
60 mg Duloxetine - Non-Responder-12.1
120 mg Duloxetine - Responder-21.0
120 mg Duloxetine - Non-Responder-10.8

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Patient Global Impressions of Improvement (PGI-I) Score: Number of Patients Per Score at Week 1, 2, 3 and Week 4

"Patient Global Impression of Improvement scale is a patient-rated instrument that measures the improvement of the patient's symptoms, ranging from 1 (very much better) to 7 (much worse). A higher score indicates a worse outcome.~Number of patients per score is reported. Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine).~At week 4 treatment groups were compared using the Cochran Mantel-Haenszel test with stratification by centre." (NCT02229825)
Timeframe: At week 1, 2, 3 and week 4.

InterventionParticipants (Count of Participants)
Week 172510956Week 172510957Week 272510956Week 272510957Week 372510956Week 372510957Week 472510956Week 472510957
MissingA little betterNo changeA little worseMuch worseVery much worseVery much betterMuch better
60 mg Duloxetine7
60 mg Duloxetine45
120 mg Duloxetine26
60 mg Duloxetine62
120 mg Duloxetine83
60 mg Duloxetine40
120 mg Duloxetine47
60 mg Duloxetine8
120 mg Duloxetine7
60 mg Duloxetine22
120 mg Duloxetine20
60 mg Duloxetine63
120 mg Duloxetine56
60 mg Duloxetine56
120 mg Duloxetine73
60 mg Duloxetine17
120 mg Duloxetine18
60 mg Duloxetine1
60 mg Duloxetine35
120 mg Duloxetine34
120 mg Duloxetine62
60 mg Duloxetine49
120 mg Duloxetine50
60 mg Duloxetine10
120 mg Duloxetine19
60 mg Duloxetine3
60 mg Duloxetine0
120 mg Duloxetine2
60 mg Duloxetine2
120 mg Duloxetine0
60 mg Duloxetine43
120 mg Duloxetine49
60 mg Duloxetine66
120 mg Duloxetine64
60 mg Duloxetine38
120 mg Duloxetine37
60 mg Duloxetine11
120 mg Duloxetine12
120 mg Duloxetine3
120 mg Duloxetine4
60 mg Duloxetine4
120 mg Duloxetine1

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Clinical Global Impression of Improvement (CGI-I) Scale: Number of Patients Per Score at Week 6 and Week 8 - by Post-week 4 Treatment Groups

"Clinical Global Impression (CGI) scale was developed as an independent, simple way for clinicians to make overall evaluations of a patients disease status. The CGI-I rates the total improvement with the following question:~Compared to the patients condition as admission, how much has he or she changed?. The CGI-I score ranges from 1 (very much improved) to 7 (very much worse). A higher score indicates a worse patient outcome.~Number of patients per score is reported. Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At week 6 and week 8.

InterventionParticipants (Count of Participants)
Week 672510966Week 672510962Week 672510959Week 672510960Week 872510966Week 872510962Week 872510959Week 872510960
Very much improvedMuch improvedMinimally improvedNo changeMinimally worseMuch worseVery much worse
60 mg Duloxetine - Responder55
120 mg Duloxetine - Responder61
120 mg Duloxeting - Non-Responder6
60 mg Duloxetine - Responder35
60 mg Duloxetine - Non-Responder39
120 mg Duloxetine - Responder38
120 mg Duloxeting - Non-Responder27
120 mg Duloxetine - Responder5
120 mg Duloxeting - Non-Responder15
60 mg Duloxetine - Responder3
60 mg Duloxetine - Non-Responder6
120 mg Duloxeting - Non-Responder13
120 mg Duloxeting - Non-Responder1
120 mg Duloxeting - Non-Responder2
120 mg Duloxeting - Non-Responder0
60 mg Duloxetine - Responder64
60 mg Duloxetine - Non-Responder12
120 mg Duloxetine - Responder71
120 mg Duloxeting - Non-Responder8
60 mg Duloxetine - Responder25
60 mg Duloxetine - Non-Responder36
120 mg Duloxetine - Responder30
120 mg Duloxeting - Non-Responder26
60 mg Duloxetine - Responder5
60 mg Duloxetine - Responder2
60 mg Duloxetine - Non-Responder7
120 mg Duloxetine - Responder2
120 mg Duloxeting - Non-Responder14
60 mg Duloxetine - Non-Responder4
120 mg Duloxetine - Responder1
60 mg Duloxetine - Responder0
60 mg Duloxetine - Non-Responder3
60 mg Duloxetine - Non-Responder1
120 mg Duloxetine - Responder0

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Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Week 4

"The MADRS total score is used to measure the severity of depression. It is based on 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts) scored from 0 to 6 each. The total score is calculated as the sum over the 10 items, ranging from 0 to 60. A lower score indicates a better outcome.~Missing items (≤2 items) were replaced by the mean score of the participant's treatment group per time point. Otherwise, the MADRS total score was set to missing.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At baseline and at Week 4.

InterventionUnits on a scale (Mean)
60 mg Duloxetine-20.1
120 mg Duloxetine-19.9

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Number of Patients Withdrawn Due to Adverse Events

"Number of patients withdrawn due to adverse events.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: From start of treatment until 3 days after end of treatment, up to 120 days.

InterventionParticipants (Count of Participants)
60 mg Duloxetine11
120 mg Duloxetine9

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Change From Baseline in Weight to Week 4 and Week 8

"Change from baseline in weight to week 4 and week 8.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At baseline, at week 4 and week 8.

,
InterventionKilogram (kg) (Mean)
Change from baseline to week 4Change from baseline to week 8
120 mg Duloxetine0.00.1
60 mg Duloxetine0.10.5

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Patient Global Impressions of Improvement (PGI-I) Score: Number of Patients Per Score at Week 6 and Week 8 - by Post-week 4 Treatment Groups

"Patient Global Impression of Improvement scale is a patient-rated instrument that measures the improvement of the patient's symptoms, ranging from 1 (very much better) to 7 (much worse). A higher score indicates a worse outcome.~Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At week 6 and week 8.

InterventionParticipants (Count of Participants)
Week 672510962Week 672510959Week 672510967Week 672510968Week 872510967Week 872510968Week 872510959Week 872510962
MissingVery much betterMuch betterA little worseVery much worseA little betterNo changeMuch worse
60 mg Duloxetine - Responder0
60 mg Duloxetine - Non-Responder1
60 mg Duloxetine - Responder48
60 mg Duloxetine - Non-Responder7
120mg Duloxetine - Responder61
120mg Duloxetine - Non-Responder5
60 mg Duloxetine - Responder37
60 mg Duloxetine - Non-Responder33
120mg Duloxetine - Responder34
120mg Duloxetine - Non-Responder25
60 mg Duloxetine - Responder5
120mg Duloxetine - Responder7
60 mg Duloxetine - Responder4
60 mg Duloxetine - Non-Responder5
120mg Duloxetine - Non-Responder12
60 mg Duloxetine - Responder1
120mg Duloxetine - Non-Responder2
60 mg Duloxetine - Non-Responder4
120mg Duloxetine - Non-Responder1
120mg Duloxetine - Non-Responder0
60 mg Duloxetine - Responder62
60 mg Duloxetine - Non-Responder17
120mg Duloxetine - Responder72
120mg Duloxetine - Non-Responder17
60 mg Duloxetine - Responder26
60 mg Duloxetine - Non-Responder25
120mg Duloxetine - Responder27
120mg Duloxetine - Non-Responder10
60 mg Duloxetine - Non-Responder11
120mg Duloxetine - Responder4
120mg Duloxetine - Non-Responder18
60 mg Duloxetine - Non-Responder8
120mg Duloxetine - Responder2
120mg Duloxetine - Non-Responder15
120mg Duloxetine - Responder1
60 mg Duloxetine - Non-Responder2
120mg Duloxetine - Responder0

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Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Week 1, 2 and Week 3

"The MADRS total score is used to measure the severity of depression. It is based total score is based on 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts) ranging from 0 to 6 each. The total score is calculated as the sum over the 10 items, ranging from 0 to 60. A lower score indicates a better outcome.~Missing items (≤2 items) were replaced by the mean score of the participant's treatment group per time point. Otherwise, the MADRS total score was set to missing.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At baseline and at Week 1, 2 and Week 3.

,
InterventionUnits on a scale (Mean)
Change from baseline to Week 1Change from baseline to Week 2Change from baseline to Week 3
120 mg Duloxetine-7.6-13.5-16.9
60 mg Duloxetine-8.3-14.7-18.1

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Clinical Global Impressions Scales of Severity of Illness (CGI-SI): Number of Patients Per Score at Week 6 and Week 8 - by Post-week 4 Treatment Groups

"The Clinical Global Impressions scales of Severity of Illness (CGI-SI) were developed as an independent, simple way for clinicians to make overall evaluations of a patient's disease status. The CGI-SI assess the severity of illness, with the following question: Considering your total clinical experience with the particular population, how mentally ill is the patient at this time?.~The scale ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). A higher score indicates a worse patient status.~Number of patients per score is reported. Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups.~At week 8, within-group comparison versus week 4 was performed for each post-week 4 treatment group using Mc Nemar test." (NCT02229825)
Timeframe: At week 6 and week 8.

InterventionParticipants (Count of Participants)
Week 672510962Week 672510965Week 672510960Week 672510961Week 872510962Week 872510965Week 872510960Week 872510961
Not at all illBorderline illMildly illModerately illMarkedly illSeverely illMost extremely ill
60 mg Duloxetine - Responder38
60 mg Duloextine - Non-Responder1
120 mg Duloxetine - Responder41
120 mg Duloxetine - Non-Responder2
60 mg Duloxetine - Responder31
60 mg Duloextine - Non-Responder9
120 mg Duloxetine - Responder40
120 mg Duloxetine - Non-Responder6
60 mg Duloxetine - Responder21
60 mg Duloextine - Non-Responder32
120 mg Duloxetine - Responder21
120 mg Duloxetine - Non-Responder16
60 mg Duloxetine - Responder4
60 mg Duloextine - Non-Responder11
120 mg Duloxetine - Responder3
120 mg Duloxetine - Non-Responder19
60 mg Duloxetine - Responder1
60 mg Duloextine - Non-Responder12
120 mg Duloxetine - Responder1
120 mg Duloxetine - Non-Responder14
60 mg Duloextine - Non-Responder4
120 mg Duloxetine - Responder0
60 mg Duloxetine - Responder0
120 mg Duloxetine - Non-Responder1
60 mg Duloxetine - Responder51
60 mg Duloextine - Non-Responder6
120 mg Duloxetine - Responder54
120 mg Duloxetine - Non-Responder5
60 mg Duloxetine - Responder30
60 mg Duloextine - Non-Responder23
120 mg Duloxetine - Responder39
120 mg Duloxetine - Non-Responder13
60 mg Duloxetine - Responder10
60 mg Duloextine - Non-Responder19
120 mg Duloxetine - Responder10
120 mg Duloxetine - Non-Responder15
120 mg Duloxetine - Responder2
120 mg Duloxetine - Non-Responder11
60 mg Duloextine - Non-Responder10
120 mg Duloxetine - Non-Responder12
60 mg Duloextine - Non-Responder5
120 mg Duloxetine - Non-Responder7

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Clinical Global Impressions Scales of Severity of Illness (CGI-SI): Number of Patients Per Score at Baseline, Week 1, 2, 3 and Week 4

"Clinical Global Impression (CGI) scales were developed as an independent, simple way for clinicians to make overall evaluations of a patient's disease status. The CGI-SI assess the severity of illness, with the following question: Considering your total clinical experience with the particular population, how mentally ill is the patient at this time?. The CGI-SI ranges from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). A higher score indicates a worse patient status.~Reported is the number of patients per score by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine).~At week 4 treatment groups were compared using the Cochran Mantel-Haenszel test with stratification by centre." (NCT02229825)
Timeframe: At baseline and at week 1, 2, 3 and week 4.

InterventionParticipants (Count of Participants)
Baseline72510957Baseline72510956Week 172510957Week 172510956Week 272510956Week 272510957Week 372510956Week 372510957Week 472510956Week 472510957
Not at all illBorderline illMildly illModerately illMarkedly illSeverely illMost extremely ill
120 mg Duloxetine0
120 mg Duloxetine30
60 mg Duloxetine93
120 mg Duloxetine87
60 mg Duloxetine40
120 mg Duloxetine51
120 mg Duloxetine2
60 mg Duloxetine6
120 mg Duloxetine3
60 mg Duloxetine20
60 mg Duloxetine62
120 mg Duloxetine64
120 mg Duloxetine68
60 mg Duloxetine16
60 mg Duloxetine0
60 mg Duloxetine8
60 mg Duloxetine22
120 mg Duloxetine11
60 mg Duloxetine45
120 mg Duloxetine48
60 mg Duloxetine53
120 mg Duloxetine61
60 mg Duloxetine33
120 mg Duloxetine39
60 mg Duloxetine5
120 mg Duloxetine5
60 mg Duloxetine17
120 mg Duloxetine9
60 mg Duloxetine30
120 mg Duloxetine29
60 mg Duloxetine48
120 mg Duloxetine56
60 mg Duloxetine41
120 mg Duloxetine49
60 mg Duloxetine27
120 mg Duloxetine22
60 mg Duloxetine3
120 mg Duloxetine4
60 mg Duloxetine28
60 mg Duloxetine35
120 mg Duloxetine46
60 mg Duloxetine34
120 mg Duloxetine50
60 mg Duloxetine47
120 mg Duloxetine33
60 mg Duloxetine18
120 mg Duloxetine17
120 mg Duloxetine6
60 mg Duloxetine1
120 mg Duloxetine1

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Change in Hamilton Depression 6-item Scale (HAMD-6) Total Score From Baseline to Week 6 and Week 8 - by Post-week 4 Treatment Groups

"HAMD-6 is a 6-item rating instrument that assesses items thought to represent 'core' symptoms of depression. It was derived from standard 17-item Hamilton Depression Scale (HAMD-17) with assessment being restricted to items 1, 2, 7, 8, 10 and 13. The HAMD-6 score is calculated as the sum over the 6 items, ranging from 0 to 22, with a lower score indicating a better patient status.~Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At baseline and at Week 6 and Week 8.

,,,
InterventionUnits on a scale (Mean)
Change from baseline to week 6Change from baseline to week 8
120 mg Duloxetine - Non-Responder-5.5-6.7
120 mg Duloxetine - Responder-11.8-12.5
60 mg Duloxetine - Non-Responder-6.4-7.6
60 mg Duloxetine - Responder-11.6-12.3

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Change From Baseline in Blood Pressure to Week 4 and Week 8

"Change from baseline in systolic and diastolic blood pressure (BP) to week 4 and week 8.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At baseline, at week 4 and week 8.

,
InterventionMillimeters of mercury (mmHg) (Mean)
Systolic BP: Change from baseline to week 4.Systolic BP: Change from baseline to week 8Diastolic BP: Change from baseline to week 4.Diastolic BP: Change from baseline to week 8
120 mg Duloxetine0.52.00.72.5
60 mg Duloxetine2.02.51.92.3

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Reason for Living (RFL) Questionaire at Baseline

"The Reason for Living (RFL) questionnaire is a self-report instrument, to evaluate a variety of expectations and adaptive beliefs for living, if suicide is considered.~The RFL is thought to assess 6 domains of reasons for living: 1) survival and coping beliefs, 2) responsibility to family, 3) child related concerns, 4) fear of suicide, 5) fear of social disapproval, and 6) moral objections.~The RFL uses a 6-point rating scale, with the total score ranging from 1 not at all important and to 6 extremely important. A higher score indicates more reasons to live (i.e. better outcome).~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At baseline.

InterventionScore on a scale (Mean)
60 mg Duloxetine3.8
120 mg Duloxetine3.7

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Change in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Baseline to Week 6 and Week 8 - by Post-week 4 Treatment Groups

"The MADRS total score is based on 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts) ranging from 0 to 6 each. The total score is calculated as the sum over the 10 items, ranging from 0 to 60. A lower score indicates a better outcome.~Missing items (≤2 items) were replaced by the mean score of the participant's treatment group per time point. Otherwise, the MADRS total score was set to missing.~Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At baseline and at Week 6 and Week 8.

,,,
InterventionUnits on a scale (Mean)
Change from baseline to week 6Change from baseline to week 8
120 mg Duloxetine - Non-responder-14.8-17.2
120 mg Duloxetine - Responder-28.1-29.5
60 mg Duloxetine - Non-responder-16.1-19.0
60 mg Duloxetine - Responder-28.3-29.8

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Percentage of Responders at Week 6 and Week 8 According to Montgomery-Asberg Depression Rating Scale (MADRS) Scale - by Post-week 4 Treatment Groups

"Percentage of patient 'responders', i.e. patients with at least a 50% improvement in MADRS scores from baseline.~The MADRS total score is used to measure the severity of depression. It is based on 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts) ranging from 0 to 6 each. The total score is calculated as the sum over the 10 items, ranging from 0 to 60. A lower score indicates a better outcome.~Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At week 6 and week 8.

,,,
InterventionPercentage of Participants (Number)
Week 6Week 8
120 mg Duloxetine - Non-Responder39.154.7
120 mg Duloxetine - Responder98.198.1
60 mg Duloxetine - Non-Responder52.965.7
60 mg Duloxetine - Responder94.893.8

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Number of Patients With Treatment Emergent Adverse Event

"Number of patients with any adverse event occuring during on-treatment phase.~Results are reported for treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: From start of treatment until 3 days after end of treatment, up to 120 days.

InterventionParticipants (Count of Participants)
60 mg Duloxetine97
120 mg Duloxetine89

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Change in Hamilton Depression 6-item Scale (HAMD-6) Total Score From Baseline to Week 1, 2, 3 and Week 4

"HAMD-6 is a 6-item rating instrument that assesses items thought to represent 'core' symptoms of depression. It was derived from standard 17-item Hamilton Depression Scale (HAMD-17) with assessment being restricted to items 1, 2, 7, 8, 10 and 13. The HAMD-6 score is calculated as the sum over the 6 items, ranging from 0 to 22, with a lower score indicating a better patient status.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At baseline and at Week 1, 2, 3 and Week 4.

,
InterventionUnits on a scale (Mean)
Change from baseline to week 1Change from baseline to week 2Change from baseline to week 3Change from baseline to week 4
120 mg Duloxetine-2.7-5.2-6.8-8.1
60 mg Duloxetine-3.1-5.8-7.2-8.0

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Number of Patients With Intake of Concomitant Medication for Anxiety and Sleep

"Number of patients with concomitant medication for anxiety and sleep taken at different timepoints.~V1: Screening V2: Baseline V3: Week 1 V4: Week2 V5: Week 3 V6: Week 4 V7: Week 6 V8: Week 8.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: 1 week prior to baseline and at baseline, week 1, 2, 3, 4, 5, 6, 7, 8 and week 10.

,
InterventionParticipants (Count of Participants)
Number of patients with medication taken before V1Number of patients with medication taken between V1 - V2Number of patients with medication taken between V2 - V3Patients with medication taken between V3 - V4Number of patients with medication taken between V4 - V5Number of patients with medication taken between V5 - V6Number of patients with medication taken between V6 - V7Number of patients with medication taken between V7 - V8Number of patients with medication taken after V8 (week 10)Number of patients with medication not taken between two consecutive visits
120 mg Duloxetine5988898467584952108
60 mg Duloxetine6593958062554751188

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Number of Patients With Potentially Clinically Significant Laboratory Findings

Number of patients with potentially clinically significant abnormalities. Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine). (NCT02229825)
Timeframe: Up to week 8.

,
InterventionParticipants (Count of Participants)
Haematocrit DecreaseHaenatocrit IncreaseRed blood cell ct. DecreaseRed blood cell ct. IncreaseMCV DecreaseMCV IncreaseMCHC DecreaseMCHC IncreaseWhite blood cell ct. DecreaseWhite blood cell ct. IncreasePlatelets DecreasePlatelets IncreaseEosinophils DecreaseEosinophils IncreaseBasophils DecreaseBasophils IncreaseLymphocytes DecreaseLymphocytes IncreaseMonocytes DecreaseMonocytes IncreaseNeut., bands (stabs) DecreaseNeut., bands (stabs) IncreaseSodium DecreaseSodium IncreasePotassium DecreasePotassium IncreaseCalcium DecreaseCalcium IncreaseChloride DecreaseChloride IncreasePhosphate DecreasePhosphate IncreaseBicarbonate DecreaseBicarbonate IncreaseAST/GOT, SGOT DecreaseAST/GOT, SGOT IncreaseALT/GPT, SGPT DecreaseALT/GPT, SGPT IncreaseAlkaline phosphatase DecreaseAlkaline phosphatase IncreaseGGT DecreaseGGT IncreaseCreatine kinase DecreaseCreatine kinase Increase
120 mg Duloxetine10100100200000000000000001000000000001010003
60 mg Duloxetine00000000100000000000001000000000000203000206

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Percentage of Patients Reaching Remission at Week 8

"Remission is defined as a total Montgomery-Asberg Depression Rating Scale (MADRS) score of ≤ 12 at week 8.~The MADRS total score is based on 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts) ranging from 0 to 6 each and a total MADRS score ranging from 0 to 60.~Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At week 8.

,,,
InterventionPercentage of participants (Number)
NoYes
120 mg Duloxetine - Non-Responder71.928.1
120 mg Duloxetine - Responder11.388.7
60 mg Duloxetine - Non-Responder58.641.4
60 mg Duloxetine - Responder11.588.5

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Percentage of Responders at Week 1, 2, 3 and Week 4 According to Hamilton Depression 6-item Scale (HAMD-6)

"Percentage of patient 'responders', i.e. patients with at least a 50% improvement in HAMD-6 scores from baseline.~HAMD-6 is a 6-item rating instrument that assesses items thought to represent 'core' symptoms of depression. It was derived from standard 17-item Hamilton Depression Scale (HAMD-17) with assessment being restricted to items 1, 2, 7, 8, 10 and 13. The HAMD-6 score is calculated as the sum over the 6 items, ranging from 0 to 22, with a lower score indicating a better patient status.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At week 1, 2, 3 and week 4.

,
InterventionPercentage of Participants (Number)
Week 1Week 2Week 3Week 4
120 mg Duloxetine10.026.544.158.2
60 mg Duloxetine12.032.542.855.4

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Percentage of Responders at Week 1, 2, 3 and Week 4 According to Montgomery-Asberg Depression Rating Scale (MADRS) Scale

"Percentage of patient 'responders', i.e. patients with at least a 50% improvement in MADRS scores from baseline.~The MADRS total score is used to measure the severity of depression. It is based on 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts and suicidal thoughts) ranging from 0 to 6 each. The total score is calculated as the sum over the 10 items, ranging from 0 to 60. A lower score indicates a better outcome.~Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine)." (NCT02229825)
Timeframe: At week 1, 2, 3 and week 4.

,
InterventionPercentage of Participants (Number)
Week 1Week 2Week 3Week 4
120 mg Duloxetine8.231.246.564.1
60 mg Duloxetine14.533.750.059.0

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Percentage of Responders at Week 6 and Week 8 According to Hamilton Depression 6-item Scale (HAMD-6) - by Post-week 4 Treatment Group

"Percentage of patient 'responders', i.e. patients with at least a 50% improvement in HAMD-6 scores from baseline.~HAMD-6 is a 6-item rating instrument that assesses items thought to represent 'core' symptoms of depression. It was derived from standard 17-item Hamilton Depression Scale (HAMD-17) with assessment being restricted to items 1, 2, 7, 8, 10 and 13. The HAMD-6 score is calculated as the sum over the 6 items, ranging from 0 to 22, with a lower score indicating a better patient status.~Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At week 6 and week 8.

,,,
InterventionPercentage of participants (Number)
Week 6Week 8
120 mg Duloxetine - Non-Responder31.346.9
120 mg Duloxetine - Responder90.695.3
60 mg Duloxetine - Non-Responder47.160.0
60 mg Duloxetine - Responder90.692.7

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Change From Baseline to Week 8 in Reason for Living (RFL) Questionnaire - by Post-week 4 Treatment Groups

"The Reason for Living (RFL) questionnaire is a self-report instrument, to evaluate a variety of expectations and adaptive beliefs for living, if suicide is considered.~The RFL is thought to assess 6 domains of reasons for living: 1) survival and coping beliefs, 2) responsibility to family, 3) child related concerns, 4) fear of suicide, 5) fear of social disapproval, and 6) moral objections.~The RFL uses a 6-point rating scale, with the total score ranging from 1 not at all important and to 6 extremely important. A higher score indicates more reasons to live (i.e. better outcome).~Results are reported by 'post-week 4 treatment groups' (treatment regimen (60 vs. 120 mg duloxetine) and responder/non-responder status). Patients were assigned their responder status at Visit 6 and the data were retrospectively divided into these groups." (NCT02229825)
Timeframe: At baseline and at week 8.

InterventionScore on a scale (Mean)
60 mg Duloxetine - Responder0.7
60 mg Duloxetine - Non-Responder0.4
120 mg Duloxetine - Responder0.8
120 mg Duloxetine - Non-Responder0.1

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Clinical Global Impression of Improvement (CGI-I) Scale: Number of Patients Per Score at Week 1, 2, 3 and Week 4

"The Clinical Global Impression of Improvement (CGI-I) scale was developed as an independent, simple way for clinicians to make overall evaluations of a patients disease status. The CGI-I rates the total improvement with the following question:~Compared to the patients condition at admission, how much has he or she changed?. The scale ranges from 1 (very much improved) to 7 (very much worse). A higher score indicates a worse patient status.~Number of patients per score is reported. Results are reported by treatment regimen (60 mg duloxetine vs. 120 mg duloxetine).~At week 4 treatment groups were compared using the Cochran Mantel-Haenszel test with stratification by centre." (NCT02229825)
Timeframe: At week 1, 2, 3 and week 4.

InterventionParticipants (Count of Participants)
Week 172510956Week 172510957Week 272510956Week 272510957Week 372510956Week 372510957Week 472510956Week 472510957
Much improvedMinimally improvedNo changeMuch worseMinimally worseVery much worseVery much improved
60 mg Duloxetine5
120 mg Duloxetine2
60 mg Duloxetine29
120 mg Duloxetine25
60 mg Duloxetine75
120 mg Duloxetine84
60 mg Duloxetine52
120 mg Duloxetine55
120 mg Duloxetine4
60 mg Duloxetine0
60 mg Duloxetine22
120 mg Duloxetine16
60 mg Duloxetine64
120 mg Duloxetine60
60 mg Duloxetine61
120 mg Duloxetine76
60 mg Duloxetine13
120 mg Duloxetine17
120 mg Duloxetine1
60 mg Duloxetine1
60 mg Duloxetine31
60 mg Duloxetine76
120 mg Duloxetine78
60 mg Duloxetine46
120 mg Duloxetine53
60 mg Duloxetine8
120 mg Duloxetine11
60 mg Duloxetine4
120 mg Duloxetine3
120 mg Duloxetine0
60 mg Duloxetine38
120 mg Duloxetine44
60 mg Duloxetine67
60 mg Duloxetine45
120 mg Duloxetine34
60 mg Duloxetine10
60 mg Duloxetine3
60 mg Duloxetine2

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Change From Baseline on the WOMAC Questionnaire Physical Function Subscale

The WOMAC osteoarthritis scale consists of 24 items in 3 subscales: pain, stiffness, and physical function. The physical function subscale rates participant pain during stair use, rising from sitting, standing, bending, walking, getting in/out of a car, shopping, putting on/taking off socks, rising from bed, lying in bed, getting in/out of the bath, sitting, getting on/off the toilet, heavy household duties, and light household duties. Each question was answered using a 5-point Likert scale (0 to 4). Physical Function Subscale has a range of scores of 0 (none) to 68 (extreme). Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, baseline data as covariates. (NCT02248480)
Timeframe: Baseline, 14 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-11.77
Placebo-7.07

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Change From Baseline on the WOMAC Questionnaire Stiffness Subscale

The WOMAC index (pain, stiffness, physical function subscales) will be completed by the participant.The stiffness subscale had 2 questions on stiffness associated with time of day (morning versus later in the day). Each question was answered using a 5-point Likert scale (0 to 4). The stiffness subscale has a range of scores of 0 (none) to 8 (extreme). Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, baseline data as covariates. (NCT02248480)
Timeframe: Baseline, 14 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.66
Placebo-0.98

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

CSI-S measures severity of illness at the time of assessment compared with start of treatment with scores ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, and baseline data as covariates. (NCT02248480)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.71
Placebo-1.22

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Percentage of Participants With a Responder Rate Based on OMERACT-OARSI Criteria

A responder is required to meet at least one condition: reduction of ≥50% and ≥2 score in Weekly Mean of the 24-Hour Average Pain Score, reduction of ≥50% or ≥13.6 score in WOMAC (difficulty in dairy activity) and meet ≥2 out of following 3 conditions: reduction of ≥20% and ≥1 score in Weekly Mean of the 24-Hour Average Pain, reduction of ≥20% and ≥6.8 score in WOMAC (difficulty in dairy activity), PGAI score ≥2. (NCT02248480)
Timeframe: Baseline, Week 14

Interventionpercentage of participants (Number)
Duloxetine83.6
Placebo61.9

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Percentage of Participants With Reduction of ≥30% and ≥50% in BPI Average Pain Score

Brief Pain Inventory Severity: Average Pain Score: A self-reported scale that measures the severity of pain based on the average pain experienced during the past 24-hours. The severity scores ranged from 0 (no pain) to 10 (pain as severe as you can imagine). (NCT02248480)
Timeframe: Baseline, Week 14

,
Interventionpercentage of participants (Number)
>=30%>=50%
Duloxetine72.355.4
Placebo52.838.6

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Percentage of Participants With Fall Events From Fall Questionnaire

Participants evaluated their experience with and details of falls which were recorded. (NCT02248480)
Timeframe: Baseline through Week 14

Interventionpercentage of participants (Number)
Duloxetine10.1
Placebo9.7

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Change From Baseline on the 36-Item Short-Form Health Survey (SF-36)

36-item Short-Form Health Survey: SF-36 Health Status Survey is a generic, health-related scale assessing participant's quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health. Domain scores: general health (range: 5-25); physical functioning (range: 10-30); role-physical (range: 4-8); role-emotional (range: 3-15); social functioning (range: 2-10); bodily pain (range: 2-12); vitality (range: 4-20); mental health (range: 5-25). Each raw scale score was converted to a scale score ranging from 0-100 points, , with higher values representing a better outcome [(Raw score) - min{raw score}] / (max {raw score} - min{raw score}) x 100]. Least squares (LS) mean was calculated using Analysis of covariance (ANCOVA) approach including administration groups as fixed effects, and baseline data as covariate. (NCT02248480)
Timeframe: Baseline, Week 14

,
Interventionunits on a scale (Least Squares Mean)
Physical FunctioningRole (Physical)Bodily PainGeneral HealthVitalitySocial FunctioningRole (Emotional)Mental Health
Duloxetine12.6211.4416.325.583.995.666.323.02
Placebo6.233.669.631.823.162.540.701.48

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Change From Baseline in Patient Global Impression of Improvement (PGI-Improvement)

Patient's Global Impressions of Improvement Scale: PGI-I measures a participant's perception of improvement at the time of assessment compared with the start of treatment. Score ranges from 1 (very much better) to 7 (very much worse). Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, and PGI-severity at baseline as covariates. (NCT02248480)
Timeframe: Baseline, 14 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine2.23
Placebo2.84

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Change From Baseline on Weekly Mean of the 24-Hour Average Pain and Worst Pain Score

24-hour average pain severity scores were recorded daily on an 11-point Likert scale, an ordinal scale, with scores ranging from 0 (no pain) to 10 (worst possible pain). The 11-point Likert scale was also used for assessment of average pain and worst pain within 24-hours. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, and baseline data as covariates. (NCT02248480)
Timeframe: Baseline, Week 14

,
Interventionunits on a scale (Least Squares Mean)
Average PainWorst Pain
Duloxetine-2.45-2.73
Placebo-1.79-1.97

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Change in Baseline in Brief Pain Inventory Severity and Interference Scores (BPI-S, BPI-I) Change From Baseline in BPI Pain Severity Items and Interference Items Score

BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference = average of non-missing scores of individual interference items. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, and baseline data as covariates. (NCT02248480)
Timeframe: Baseline, Week 14

,
Interventionunits on a scale (Least Squares Mean)
Worse PainLeast PainPain Right NowGeneral ActivityWalking AbilityMoodNormal WorkRelationship to PeopleSleepEnjoyment of LifeAverage of 7 Items
Duloxetine-2.92-1.61-2.29-2.42-2.58-1.95-2.48-1.23-1.65-1.78-2.01
Placebo-2.13-1.05-1.52-1.52-1.74-1.43-1.67-0.81-1.19-1.16-1.34

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Change From Baseline on the 5 Dimension (EQ-5D) Version of the European Quality of Life Instrument

The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument and was completed on five dimensions (mobility, self care, usual activities, pain/discomfort and anxiety/depression) to measure health-related quality of life on a scale from 0-1, with the higher score indicating a better health state perceived by the participant. The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and mood using a three level scale (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the Japan population-based algorithm. Least squares (LS) mean was calculated using an ANCOVA approach including administration groups as fixed effects, and baseline data as covariate. (NCT02248480)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine0.12
Placebo0.07

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Percentage of Participants With a 30% and 50% Reduction in Average Pain Score on Weekly Mean of the 24-Hour Average Pain Score on the 11-Point Numeric Rating Scale

24-hour average pain severity scores were recorded daily on an 11-point Likert scale, an ordinal scale, with scores ranging from 0 (no pain) to 10 (worst possible pain). The 11-point Likert scale was also used for assessment of average pain within 24-hours. (NCT02248480)
Timeframe: Baseline,Week 14

,
Interventionpercentage of participants (Number)
>=30%>=50%
Duloxetine72.355.4
Placebo52.838.6

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Change From Baseline on the Beck Depression Inventory (BDI-II) Total Score

Beck Depression Inventory-II: BDI-II is a 21-item, participant-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to symptoms of depression were scored on a 4-point scale ranging from 0 to 3 and was summed to give a single score. A total score of 0-13 was considered minimal range, 14-19 was mild, 20-28 was moderate, and 29-63 was severe. Least squares (LS) mean was calculated using a ANCOVA approach' including administration groups as fixed effects, and baseline data as covariate. (NCT02248480)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine-0.78
Placebo-0.51

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Change From Baseline on the Brief Pain Inventory (BPI) 24-Hour Average Pain Score

Brief Pain Inventory Severity: Average Pain Score: A self-reported scale that measures the severity of pain based on the average pain experienced during the past 24-hours. The severity scores ranged from 0 (no pain) to 10 (pain as severe as you can imagine). Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, and BPI average pain severity at baseline as covariates. (NCT02248480)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine-2.57
Placebo-1.80

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Change From Baseline on the Western Ontario and McMaster Osteoarthritis Index (WOMAC) Questionnaire Total Score

The 24-question WOMAC Osteoarthritis Index assesses osteoarthritis symptoms using pain (5 questions), stiffness (2 questions) and physical function (17 questions) subscales. The WOMAC Osteoarthritis Index version 3.1 was administered according to the study schedule. The WOMAC total score was calculated for each participant at each time point for analysis as the mean total score, range 0 (none) -96 (extreme). Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, and baseline data as covariates. (NCT02248480)
Timeframe: Baseline, Week 14

Interventionunits on a scale (Least Squares Mean)
Duloxetine-17.41
Placebo-10.45

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Change From Baseline on the WOMAC Questionnaire Pain Subscale

The WOMAC index (pain, stiffness, physical function subscales) was completed by the participant.The pain subscale had 5 questions on pain associated with every day tasks. Each question was answered using a 5-point Likert scale (0 to 4). The pain subscale has a range of scores of 0 (none) to 20 (extreme). Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including administration groups, observation points, and interaction between the administration groups and observation points as fixed effects, baseline data as covariates. (NCT02248480)
Timeframe: Baseline, 14 Weeks

Interventionunits on a scale (Least Squares Mean)
Duloxetine-3.99
Placebo-2.43

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PROMIS Fatigue Short Form v1.0 8a

"Higher scores for fatigue represents worse outcome (more fatigue). T-score metric: 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.~On the T-score metric: A score of 40 is one SD lower than the mean of the reference population; A score of 60 is one SD higher than the mean of the reference population." (NCT02260388)
Timeframe: 12 Weeks

InterventionT-Score (Mean)
Nortriptyline53.6
Duloxetine55.4
Pregabalin56.7
Mexiletine51.6

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PROMIS Pain Interference Short Form v1.0 8a T Score

"Higher scores for pain interference represents worse outcome (more pain interference) T-score metric: 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.~On the T-score metric: A score of 40 is one SD lower than the mean of the reference population; A score of 60 is one SD higher than the mean of the reference population." (NCT02260388)
Timeframe: 12 weeks

InterventionT-Score (Mean)
Nortriptyline56.4
Duloxetine56.5
Pregabalin60.0
Mexiletine54.5

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PROMIS Sleep Disturbance Short Form v1.0 8a

"Higher scores for sleep disturbance represents worse outcome (more sleep disturbance).~T-score metric: 50 is the mean of a relevant reference population and 10 is the standard deviation (SD) of that population.~On the T-score metric: A score of 40 is one SD lower than the mean of the reference population; A score of 60 is one SD higher than the mean of the reference population.~Higher scores equals more of the concept being measured" (NCT02260388)
Timeframe: 12 weeks

InterventionT-Score (Mean)
Nortriptyline58.9
Duloxetine58.9
Pregabalin58.3
Mexiletine59.1

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SF12 Health Composite Scores

"SF-12v2® Health Survey Standard The Optum™ SF-12v2® Health Survey is a shorter version of the SF-36v2® Health Survey that uses just 12 questions to measure functional health and well-being from the patient's point of view.~Survey provides psychometrically-based physical component summary (PCS) and mental component summary (MCS) scores.~Scores are calibrated so that 50 is the average score or norm, standard deviation = 10.~Higher scores indicate better health for both mental and physical component summary scores." (NCT02260388)
Timeframe: 12 weeks

,,,
InterventionNorm-Based Standardization Score (Mean)
Mental Component ScorePhysical Component Score
Duloxetine50.942.1
Mexiletine51.343.7
Nortriptyline51.042.8
Pregabalin47.240.0

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Percentage of Participants With Fall Events From Fall Questionnaire

Participants reported the details of their falls. Percentage equals the number of participants with fall events / total in treatment group * 100. (NCT02335346)
Timeframe: Baseline through Week 50

InterventionPercentage of Participants (Number)
Duloxetine23.7

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Change From Baseline to 50 Weeks on the 36-Item Short-Form Health Survey (SF-36)

36-item Short-Form Health Survey: SF-36 Health Status Survey is a generic, health-related scale assessing participant's quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health. Each domain is scored by summing the individual items and transforming the scores into a 0 to 100 scale, with higher scores indicating better health status or functioning. Domain scores: general health (range: 5-25); physical functioning (range: 10-30); role-physical (range: 4-8); role-emotional (range: 3-6); social functioning (range: 2-10); bodily pain (range: 2-11); vitality (range: 4-24); mental health (range: 5-30). (NCT02335346)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Physical FunctioningRole (Physical)Bodily PainGeneral HealthVitalitySocial FunctioningRole(Emotional)Mental Health
Duloxetine15.2711.9021.3210.899.616.458.784.89

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Change From Baseline to 50 Weeks on the Brief Pain Inventory-Severity and Interference Rating Short Form (BPI-SF)

Brief Pain Inventory Severity and Interference Scores: BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function. Severity scores: 0 (no pain) to 10 (severe pain) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference = average of non-missing scores of individual interference items. (NCT02335346)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Worst PainLeast PainAverage PainPain Right NowGeneral ActivityMoodWalking AbilityNormal WorkRelationship PeopleSleepEnjoy of LifeAverage of 7 items
Duloxetine-4.29-2.16-3.33-2.94-3.03-2.48-3.11-3.10-1.43-1.81-1.92-2.41

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Change From Baseline in Clinical Global Impression of Severity (CGI-S) to Week 50

CSI-S measures severity of illness at the time of assessment compared with start of treatment with scores ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). (NCT02335346)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Duloxetine-2.19

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Change From Baseline to 50 Weeks on the 5 Dimension (EQ-5D) Version of the European Quality of Life Instrument

The EQ-5D is a generic, multidimensional, health-related, quality-of-life instrument.The profile allows participants to rate their health state in 5 health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression using a three level scale (no problem, some problems, and major problems). These combinations of attributes were converted into a weighted health-state Index Score according to the Japan population-based algorithm with scores ranging from -0.111 to 1.0. A higher score indicates better health state. (NCT02335346)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Duloxetine0.15

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Change From Baseline to 50 Weeks on the Beck Depression Inventory (BDI-II) Total Score

Beck Depression Inventory-II: BDI-II is a 21-item, participant-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to symptoms of depression were scored on a 4-point scale ranging from 0 to 3 and was summed to give a single score. A total score of 0-13 was considered minimal range, 14-19 was mild, 20-28 was moderate, and 29-63 was severe. (NCT02335346)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Duloxetine-1.14

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Change From Baseline to 50 Weeks on the Western Ontario and McMaster Osteoarthritis Index (WOMAC) Questionnaire Total Score

The 24-question WOMAC Osteoarthritis Index assesses osteoarthritis symptoms using pain (5 questions), stiffness (2 questions) and physical function (17 questions) subscales. The WOMAC Osteoarthritis Index version 3.1 was administered according to the study schedule. The WOMAC total score was calculated for each participant at each time point for analysis as the mean total score, range 0 (none) -96 millimeter (mm)(extreme). (NCT02335346)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Duloxetine-20.23

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Patient Global Impression-Improvement (PGI-I) at 50 Weeks

Patient Global Impressions of Improvement Scale: PGI-I measures a participant's perception of improvement at the time of assessment compared with the start of treatment. Score ranges from 1 (very much better) to 7 (very much worse). (NCT02335346)
Timeframe: Week 50

Interventionunits on a scale (Mean)
Duloxetine2.09

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Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Day 28 of Double- Blind Induction Phase- Mixed- Effects Model Using Repeated Measures (MMRM) Analysis

MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. (NCT02417064)
Timeframe: Baseline up to Day 28 of Double-blind Induction Phase

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-19.0
Intranasal Esketamine 84 mg Plus Oral AD-18.8
Oral AD Plus Intranasal Placebo-14.8

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Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis

"MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. Missing data was imputed using Last Observation Carried Forward (LOCF) method and last post baseline observation during double-blind induction phase was carried forward as End Point for that phase." (NCT02417064)
Timeframe: Baseline up to Double-blind Endpoint (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-18.3
Intranasal Esketamine 84 mg Plus Oral AD-17.4
Oral AD Plus Intranasal Placebo-14.3

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Percentage of Participants With Onset of Clinical Response by Day 2 and Day 8

A participant was defined as having a clinical response if there was at least 50% improvement (decrease) from baseline in the MADRS total score with onset by Day 2 and Day 8 that was maintained to Day 28. Participants were allowed one excursion (non-response) on Days 8, 15 or 22, however score must show at least 25% improvement. Participants who did not meet these criteria or discontinued during the study before Day 28 were considered as non-responders and were assigned the value of 0 (that is no). MADRS is clinician-rated scale that consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), for total possible score of 0 to 60. Higher scores represent more severe condition. (NCT02417064)
Timeframe: Day 2 up to Day 28 and Day 8 up to Day 28

,,
InterventionPercentage of Participants (Number)
Day 2 up to Day 28Day 8 up to Day 28
Intranasal Esketamine 56 mg Plus Oral Antidepressant10.413.0
Intranasal Esketamine 84 mg Plus Oral AD8.811.4
Oral AD Plus Intranasal Placebo1.83.5

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Percentage of Participants Who Achieved at Least 50% Reduction From Baseline in MADRS Total Score at the Endpoint (Double-blind Induction Phase [Day 28]) (LOCF Data)

"A participant was defined as a responder (yes=1 and no=0) at a given time point if the percent reduction from baseline in MADRS total score is at least 50 percent (%). The percentage of participants who achieved at least 50% reduction from baseline were reported. MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. Missing data was imputed using LOCF method and the last post baseline observation during the double-blind induction phase was carried forward as End Point for that phase." (NCT02417064)
Timeframe: At Day 28 (Double-blind Endpoint)

InterventionPercentage of Participants (Number)
Intranasal Esketamine 56 mg Plus Oral Antidepressant53.0
Intranasal Esketamine 84 mg Plus Oral AD47.8
Oral AD Plus Intranasal Placebo37.2

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Percentage of Participants Who Achieved at Least 50% Reduction From Baseline in MADRS Total Score at Day 28 of Double-blind Induction Phase (Observed Data)

A participant was defined as a responder (yes=1 and no=0) at a given time point if the percent reduction from baseline in MADRS total score is at least 50 percent (%). The percentage of participants who achieved at least 50% reduction from baseline were reported. MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. (NCT02417064)
Timeframe: At Day 28 of Double-blind Induction phase

InterventionPercentage of Participants (Number)
Intranasal Esketamine 56 mg Plus Oral Antidepressant54.1
Intranasal Esketamine 84 mg Plus Oral AD53.1
Oral AD Plus Intranasal Placebo38.9

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Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score up to Day 28 of Double-blind Induction Phase- MMRM Analysis

PHQ-9 is 9-item, self-reported scale assessing 9 symptom domains of Diagnostic and Statistical Manual of Mental Disorders, Major Depressive Disorder criteria. Each item is rated on 4-point scale (0 = Not at all, 1 = Several Days, 2 = More than half days, 3 = Nearly every day). The scores are summed for a total score ranging from 0-27. Higher score indicates greater severity of depression. Severity of PHQ-9 categorized as follows: None-minimal (0-4), Mild (5-9), Moderate (10-14), Moderately Severe (15-19), Severe (20-27). The recall period is 2 weeks. (NCT02417064)
Timeframe: Baseline up to Day 28 of Double-blind Induction phase

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-11.0
Intranasal Esketamine 84 mg Plus Oral AD-11.7
Oral AD Plus Intranasal Placebo-9.1

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Percentage of Participants in Remission (MADRS<=12) at the Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis (LOCF Data)

"Participants who had a MADRS total score of less than or equal to (<=) 12 were considered as remitters. MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. Missing data was imputed using LOCF method and the last post baseline observation during the double-blind induction phase was carried forward as End Point for that phase." (NCT02417064)
Timeframe: At Day 28 (Double-blind Endpoint)

InterventionPercentage of participants (Number)
Intranasal Esketamine 56 mg Plus Oral Antidepressant34.8
Intranasal Esketamine 84 mg Plus Oral AD35.4
Oral AD Plus Intranasal Placebo29.2

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis

"The SDS is a participant-reported outcome measure and 5 item questionnaire used for assessment of functional impairment and associated disability. The first 3 items assess disruption of 1) work/school, 2) social life, and 3) family life/home responsibilities using 0 (not at all) to 10 (extremely) rating scale. Score for first 3 items are summed to create total score of 0 (unimpaired) to 30 (highly impaired) where higher score indicates greater impairment. Missing data was imputed using LOCF method and the last post baseline observation during the double-blind induction phase was carried forward as End Point for that phase." (NCT02417064)
Timeframe: Baseline up to Double-blind Endpoint (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-10.7
Intranasal Esketamine 84 mg Plus Oral AD-10.2
Oral AD Plus Intranasal Placebo-8.1

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Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis

"PHQ-9 is 9-item, self-reported scale assessing 9 symptom domains of Diagnostic and Statistical Manual of Mental Disorders, Major Depressive Disorder criteria. Each item is rated on 4-point scale (0 = Not at all, 1 = Several Days, 2 = More than half days, 3 = Nearly every day). The scores are summed for a total score ranging from 0-27. Higher score indicates greater severity of depression. Severity of PHQ-9 categorized as follows: None-minimal (0-4), Mild (5-9), Moderate (10-14), Moderately Severe (15-19), Severe (20-27). The recall period is 2 weeks. Missing data was imputed using LOCF method and the last post baseline observation during the double-blind induction phase was carried forward as End Point for that phase." (NCT02417064)
Timeframe: Baseline up to Double-blind Endpoint (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-10.9
Intranasal Esketamine 84 mg Plus Oral AD-10.9
Oral AD Plus Intranasal Placebo-8.9

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Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score up to Endpoint (Double-blind Induction Phase [Day 28])

"CGI-S provides measure of severity of participant's illness including participant's history, psychosocial circumstances, symptoms, behavior and impact of symptoms on ability to function. CGI-S evaluates severity of psychopathology on scale of 0 to 7. Considering total clinical experience, participant is assessed on severity of mental illness according to: 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 most extremely ill patients (a decrease in score indicates improvement). Missing data was imputed using LOCF method and the last post baseline observation during the double-blind induction phase was carried forward as End Point for that phase." (NCT02417064)
Timeframe: Baseline up to Double-blind Endpoint (Day 28)

InterventionUnits on a scale (Median)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-2.0
Intranasal Esketamine 84 mg Plus Oral AD-2.0
Oral AD Plus Intranasal Placebo-1.0

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Percentage of Participants in Remission (MADRS<=12) at Day 28 of Double-blind Induction Phase (Observed Data)

Participants who had a MADRS total score of less than or equal to (<=) 12 were considered as remitters. MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. (NCT02417064)
Timeframe: At Day 28 of Double-blind Induction Phase

InterventionPercentage of participants (Number)
Intranasal Esketamine 56 mg Plus Oral Antidepressant36
Intranasal Esketamine 84 mg Plus Oral AD38.8
Oral AD Plus Intranasal Placebo30.6

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score up to Day 28 of Double-blind Induction Phase- MMRM Analysis

The SDS is a participant-reported outcome measure and 5 item questionnaire used for assessment of functional impairment and associated disability. The first 3 items assess disruption of 1) work/school, 2) social life, and 3) family life/home responsibilities using 0 (not at all) to 10 (extremely) rating scale. Score for first 3 items are summed to create total score of 0 (unimpaired) to 30 (highly impaired), where higher score indicates greater impairment. (NCT02417064)
Timeframe: Baseline up to Day 28 of Double-blind Induction phase

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-11.0
Intranasal Esketamine 84 mg Plus Oral AD-11.1
Oral AD Plus Intranasal Placebo-8.4

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Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) up to End of Double-blind Induction Phase (Day 28): EQ-VAS

EQ-5D-5L measures health outcome self-completed by respondents. It consists of EQ-5D-5L descriptive system and EQ visual analogue scale (EQ-VAS). EQ-VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on scale of 0 (the worst health you can imagine) to 100 (the best health you can imagine). (NCT02417064)
Timeframe: Baseline up to end of Double-blind induction phase (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant20.9
Intranasal Esketamine 84 mg Plus Oral AD19.1
Oral AD Plus Intranasal Placebo14.9

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Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) up to End of Double-blind Induction Phase (Day 28): Health Status Index

EQ-5D-5L measures health outcome self-completed by respondents. It consists of EQ-5D-5L descriptive system and EQ visual analogue scale (EQ-VAS). The descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each has 5 levels (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). The responses are used to generate Health Status Index (HSI). HSI range is -0.148 to 0.949, is anchored at 0 (dead) and 1 (full health). (NCT02417064)
Timeframe: Baseline up to End of Double-blind Induction Phase (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant0.224
Intranasal Esketamine 84 mg Plus Oral AD0.243
Oral AD Plus Intranasal Placebo0.181

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Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) up to End of Double-blind Induction Phase (Day 28): Sum Score

EQ-5D-5L measures health outcome self-completed by respondents. It consists of EQ-5D-5L descriptive system and EQ visual analogue scale (EQ-VAS). The descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort, anxiety/depression. Each has 5 levels (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). The responses are used to generate Health Status Index (HSI). HSI range is -0.148 to 0.949, is anchored at 0 (dead) and 1 (full health). EQ-VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on scale of 0 (the worst health you can imagine) to 100 (the best health you can imagine). Sum score ranges from 0 to 100 where, sum score = (sum of the scores from the 5 dimensions minus 5) *5. Higher score indicates worst health state. (NCT02417064)
Timeframe: Baseline up to end of Double-blind Induction phase (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-19.0
Intranasal Esketamine 84 mg Plus Oral AD-19.4
Oral AD Plus Intranasal Placebo-14.6

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Change From Baseline in Generalized Anxiety Disorder-7 Item (GAD-7) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])

"GAD-7 is a brief and validated 7-item self-reported assessment of overall anxiety. Participants responded to each item using a 4 point scale with response categories of 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day. Item responses are summed to yield a total score with a range of 0 to 21, where higher scores indicate more anxiety. The recall period is 2 weeks. The severity of the GAD-7 is categorized as follows: None (0-4), Mild (5-9), Moderate (10-14) and Severe (15-21). Missing data was imputed using LOCF method and the last post baseline observation during the double-blind induction phase was carried forward as End Point for that phase." (NCT02417064)
Timeframe: Baseline up to Double-blind Endpoint (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine 56 mg Plus Oral Antidepressant-7.4
Intranasal Esketamine 84 mg Plus Oral AD-7.7
Oral AD Plus Intranasal Placebo-6.0

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Change From Baseline to 12 Weeks on the Neuropathic Pain Symptom Inventory (NPSI)

"NPSI questionnaire is a 12-item self-administered questionnaire that will be completed by the participant. It assesses 5 different dimensions of neuropathic pain on a scale of 0 (no symptom) to 10 (worst imaginable symptom): burning spontaneous pain, pressing spontaneous pain, paroxysmal pain, evoked pain, and paresthesias/dysesthesias. The NPSI includes 12 items: 10 descriptors of the different symptoms and 2 items for assessing the duration of spontaneous ongoing and paroxysmal pain. A total score can be calculated as the sum of the scores of the 10 descriptors with scale range: 0 (no pain) -100 (worst pain imaginable).~Analysis of Covariance (ANCOVA) model with last observation carried forward (LOCF) with baseline, treatment, and duration of DPNP as fixed effects was used to produce LS mean." (NCT02417935)
Timeframe: Baseline, Week 12

,
Interventionunits on a scale (Least Squares Mean)
Total ScoreBurning PainPressing PainParoxysmal PainEvoked PainParesthesia/Dysesthesia
Duloxetine-16.1-1.3-1.4-1.7-1.2-2.6
Pregabalin-15.4-1.1-1.4-1.7-1.0-2.5

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Change From Baseline to 12 Weeks in the Weekly Mean of the 24-Hour Average Pain Score on the 11-Point Numeric Rating Scale (NRS)

"11-point NRS measures the severity of pain over the previous 24 hours. Participants were asked to provide 24-hour average pain scores in the daily Participant diary and among these, the weekly mean of the 24-hour average pain score was calculated. Scores range from 0 (no pain) to 10 (pain as bad as you can imagine).~Mixed Model Repeated Measures (MMRM) model with baseline value, Duration of diabetic peripheral neuropathic pain (DPNP), treatment, week, treatment-by-week interaction as fixed effects was used to produce Least Square Mean (LS Mean)." (NCT02417935)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Least Squares Mean)
Pregabalin-2.358
Duloxetine-2.286

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Number of Participants With a 30% and 50% Reduction in the Weekly Mean of the 24-Hour Average Pain Score on the 11-Point NRS at 12 Weeks

11-point NRS measures the severity of pain over the previous 24 hours. Patients were asked to provide 24-hour average pain scores in the daily patient diary. scores range from 0 (no pain) to 10 (pain as bad as you can imagine) and among these, the weekly mean of the 24-hour average pain score was calculated based on daily score. (NCT02417935)
Timeframe: Week 12

,
InterventionParticipants (Count of Participants)
30% Reduction50% Reduction
Duloxetine10062
Pregabalin9462

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Change From Baseline to 12 Weeks on the Brief Pain Inventory-Severity and Interference Rating Short Form (BPI-SF)

"Brief Pain Inventory Severity and Interference Scores: BPI-S and BPI-I are self-reported scales measuring severity of pain and interference on function. Severity scores: 0 (no pain) to 10 (pain as bad as you can imagine) on each question assessing worst pain, least pain, and average pain in past 24 hours, and pain right now. Interference scores: 0 (does not interfere) to 10 (completely interferes) on each question assessing interference of pain in past 24 hours for general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Average interference = average of non-missing scores of individual interference items.~MMRM model with baseline, duration of DPNP, treatment, visit, treatment-by-visit interaction as fixed effects was used to produce LS mean." (NCT02417935)
Timeframe: Baseline, Week 12

,
Interventionunits on a scale (Least Squares Mean)
Worst PainLeast PainAverage PainPain Right NowGeneral ActivityMoodWalking AbilityNormal WorkRelations with Other PeopleSleepEnjoyment of LifeAverage Interference
Duloxetine-2.7-1.9-2.4-2.4-2.1-2.1-1.9-1.8-0.9-1.7-1.8-1.77
Pregabalin-2.8-1.7-2.5-2.4-1.9-1.9-1.8-1.6-0.7-1.7-1.6-1.60

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Patient Global Impression of Improvement (PGI-I) at 12 Weeks

"PGI-I assessments was completed by the participant. The participant records how he/she perceives the degree of improvement (or worsening) at the time of assessment since taking treatment. The score ranges from 1 (very much better) to 7 (very much worse).~MMRM model with duration of DPNP, treatment, visit, treatment-by-visit interaction as fixed effects was used to produce LS Mean." (NCT02417935)
Timeframe: Week 12

Interventionunits on a scale (Least Squares Mean)
Pregabalin2.6
Duloxetine2.4

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Clinical Global Impression of Improvement (CGI-I) at 12 Weeks

"CGI-I measures clinician's perception of participant improvement at the time of assessment (compared with the start of treatment) with scores ranging from 1 (very much better) to 7 (very much worse).~MMRM model with duration of DPNP, treatment, visit and treatment-by-visit interaction as fixed effects was used to produce LS Mean." (NCT02417935)
Timeframe: Week 12

Interventionunits on a scale (Least Squares Mean)
Pregabalin2.6
Duloxetine2.5

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Change From Baseline to 12 Weeks on the EuroQol 5 Dimension (EQ-5D)

"The EQ-5D is a self-reported, 5-item scale used to assess the patient's health utility (mobility, self-care, usual activities, pain and discomfort, and depression/anxiety). Scoring is on a 3-point scale.These combinations of attributes were converted into a weighted health-state Index Score according to the Japan population-based algorithm (range of the Index score is -0.111 - 1).A higher score indicates better health state.~ANCOVA model with LOCF with baseline value, treatment and duration of DPNP as fixed effects was used to produce LS mean." (NCT02417935)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Least Squares Mean)
Pregabalin0.1004
Duloxetine0.1144

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Change From Baseline to 12 Weeks in the Weekly Mean of Night Pain Scores on the 11-Point NRS

"Night pain severity scores were recorded on an 11-point NRS in the daily patient diary, ranging from 0 (no pain) to 10 (pain as bad as you can imagine).The weekly mean of the night pain score was calculated based on the daily pain score.~MMRM model with baseline value, treatment, week, duration of DPNP and treatment-by-week interaction as fixed effects was used to produce LS mean." (NCT02417935)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Least Squares Mean)
Pregabalin-2.166
Duloxetine-2.160

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Change From Baseline to 12 Weeks in the Weekly Mean of the 24-Hour Worst Pain Scores on the 11-Point NRS

"24-hour worst pain severity scores were recorded on an 11-point NRS in the daily patient diary, ranging from 0 (no pain) to 10 (pain as bad as you can imagine).The weekly mean of the worst pain score was calculated based on the daily score.~MMRM model with baseline value, duration of DPNP, treatment, week, treatment-by-week interaction as fixed effects was used to produce LS mean." (NCT02417935)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Least Squares Mean)
Pregabalin-2.553
Duloxetine-2.416

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Change From Baseline to 12 Weeks on the Beck Depression Inventory-II (BDI-II) Total Score

"Beck Depression Inventory-II: BDI-II is a 21-item, participant-completed questionnaire to assess characteristics of depression. Each of the 21 items corresponding to symptoms of depression were scored on a 4-point scale ranging from 0 to 3 and was summed to give a single score. A total score of 0-13 was considered minimal range, 14-19 was mild, 20-28 was moderate, and 29-63 was severe.~MMRM model with baseline value, duration of DPNP, treatment, visit and treatment-by-visit interaction as fixed effects was used to produce LS mean." (NCT02417935)
Timeframe: Baseline, Week 12

Interventionunits on a scale (Least Squares Mean)
Pregabalin-2.5
Duloxetine-2.3

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Change From Baseline in Clinical Global Impression-Severity (CGI-S) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])

"CGI-S provides measure of severity of participant's illness including participant's history, psychosocial circumstances, symptoms, behavior and impact of symptoms on ability to function. CGI-S evaluates severity of psychopathology on scale of 0 to 7. Considering total clinical experience, participant is assessed on severity of mental illness according to: 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 most extremely ill patients. CGI-S permits global evaluation of participant's condition at given time. The last post baseline observation during the phase was carried forward as End Point for that phase." (NCT02418585)
Timeframe: Baseline up to Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Median)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-2.0
Intranasal Placebo Plus Oral AD-2.0

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Percentage of Participants in Response (SDS Total Score <=12 and Individual Item Scores Each <=4) at the End of 4-Week Double-blind Induction Phase (Day 28)

Response defined as SDS total score <= 12 and individual item scores each <= 4. SDS is a participant-reported outcome measure and 5 item questionnaire used for assessment of functional impairment and associated disability. First three items assess disruption of 1 work/school, 2 social life, 3 family life/home responsibilities using a 0(no impairment)-10 (most severe impairment). Score for first 3 items are summed to create total score of 0-30 where higher score indicates greater impairment and a negative change in score indicates improvement. It also has one item on days lost from school or work and one item on days when under productive. (NCT02418585)
Timeframe: At Day 28 [end of Double-blind Induction Phase]

InterventionPercentage of participants (Number)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)57.0
Intranasal Placebo Plus Oral AD39.5

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Percentage of Participants With Onset of Clinical Response on Day 2 and Day 8

A participant was defined as having a clinical response if there is at least 50 percent (%) improvement from baseline in the MADRS total score with onset by Day 2 and Day 8 that was maintained to Day 28. MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. Participants who did not meet such criterion or discontinue during the study before Day 28 for any reason were considered as non-responders. (NCT02418585)
Timeframe: Day 2 up to Day 28 and Day 8 up to Day 28

,
InterventionPercentage of participants (Number)
Onset of Clinical response on Day 2Onset of Clinical response on Day 8
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)7.910.5
Intranasal Placebo Plus Oral AD4.66.4

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Percentage of Participants Who Achieved >=50% Reduction From Baseline in MADRS Total Score at the Endpoint (Double-blind Induction Phase [Day 28])

"MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. The percentage of participants with greater than or equal to (>=) 50 % reduction from baseline in MADRS total score was reported. The last post baseline observation during the phase was carried forward as End Point for that phase." (NCT02418585)
Timeframe: At Endpoint (Double-blind Induction Phase [Day 28])

InterventionPercentage of participants (Number)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)63.4
Intranasal Placebo Plus Oral AD49.5

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Percentage of Participants in Remission (MADRS<=12) at the Endpoint (Double-blind Induction Phase [Day 28])

"Remission was defined as participants who had a MADRS total score of less than or equal to (=<) 12. MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. The last post baseline observation during the phase was carried forward as End Point for that phase." (NCT02418585)
Timeframe: At Endpoint (Double-blind Induction Phase [Day 28])

InterventionPercentage of participants (Number)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)48.2
Intranasal Placebo Plus Oral AD30.3

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis

"The SDS is a participant-reported outcome measure and 5 item questionnaire used for assessment of functional impairment and associated disability. First three items assess disruption of 1 work/school, 2 social life, 3 family life/home responsibilities using a 0(no impairment)-10 (most severe impairment). Score for first 3 items are summed to create total score of 0-30 where higher score indicates greater impairment and a negative change in score indicates improvement. It also has one item on days lost from school or work and one item on days when under productive. The last post baseline observation during the phase was carried forward as End Point for that phase." (NCT02418585)
Timeframe: Baseline up to Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-12.5
Intranasal Placebo Plus Oral AD-9.3

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score up to Day 28 of Double-blind Induction Phase- MMRM Analysis

The SDS is a participant-reported outcome measure and 5 item questionnaire used for assessment of functional impairment and associated disability. First three items assess disruption of 1 work/school, 2 social life, 3 family life/home responsibilities using a 0(no impairment)-10 (most severe impairment). Score for first 3 items are summed to create total score of 0-30 where higher score indicates greater impairment and a negative change in score indicates improvement. It also has one item on days lost from school or work and one item on days when under productive. (NCT02418585)
Timeframe: Baseline up to Day 28 of Double-blind Induction phase

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-13.6
Intranasal Placebo Plus Oral AD-9.4

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Change From Baseline in Patient Health Questionnaire - 9-Item Depression Module (PHQ-9) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis

"PHQ-9 is 9-item, self-report scale assessing depressive symptoms. Each item is rated on 4-point scale (0=Not at all, 1=Several Days, 2=More than half days, 3=Nearly every day). Scale scores each of 9 symptom domains of Diagnostic and Statistical Manual of Mental Disorders, Major Depressive Disorder criteria and it has been used both as screening tool and measure of response to treatment for depression. The participant's item responses are summed to provide a total score (range of 0 to 27) with higher scores indicating greater severity of depressive symptoms. Severity of PHQ-9 categorized as follows: None-minimal (0-4), Mild (5-9), Moderate (10-14), Moderately Severe (15-19), Severe (20-27). The last post baseline observation during the phase was carried forward as End Point for that phase." (NCT02418585)
Timeframe: Baseline up to Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-12.2
Intranasal Placebo Plus Oral AD-10.1

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Change From Baseline in Patient Health Questionnaire - 9-Item Depression Module (PHQ-9) Total Score up to Day 28 of Double-blind Induction Phase- MMRM Analysis

PHQ-9 is 9-item, self-report scale assessing depressive symptoms. Each item is rated on 4-point scale (0=Not at all, 1=Several Days, 2=More than half days, 3=Nearly every day. Scale scores each of 9 symptom domains of Diagnostic and Statistical Manual of Mental Disorders, Major Depressive Disorder criteria and it has been used both as screening tool and measure of response to treatment for depression. The participant's item responses are summed to provide a total score (range of 0 to 27) with higher scores indicating greater severity of depressive symptoms. Severity of PHQ-9 categorized as follows: None-minimal (0-4), Mild (5-9), Moderate (10-14), Moderately Severe (15-19), Severe (20-27). (NCT02418585)
Timeframe: Baseline up to Day 28 of Double-blind Induction phase

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-13.0
Intranasal Placebo Plus Oral AD-10.2

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Change From Baseline in EQ 5D-5L- European Quality of Life - Visual Analogue Scale (EQ-VAS) to End of Double-blind Induction Phase (Day 28)

EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and EQ VAS. The EQ VAS self-rating records the respondent's own assessment of his or her overall health status at the time of completion, on a scale of 0 (the worst health you can imagine) to 100 (the best health you can imagine). (NCT02418585)
Timeframe: Baseline up to End of Double-blind Induction Phase (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)29.1
Intranasal Placebo Plus Oral AD20.9

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Percentage of Participants in Remission (SDS Total Score <=6 and Individual Item Scores Each <=2) at the End of 4-Week Double-blind Induction Phase (Day 28)

Remission defined as SDS total score <= 6 and individual item scores each <= 2. SDS is a participant reported outcome measure and is a 5-item questionnaire which has been widely used and accepted for assessment of functional impairment and associated disability. The first three items assess disruption of (1) work/school, (2) social life, and (3) family life/home responsibilities using a 0-10 rating scale. The score for the first three items were summed to create a total score of 0-30 where a higher score indicates greater impairment. It also has one item on days lost from school or work and one item on days when under productive. (NCT02418585)
Timeframe: At Day 28 (End of Double-blind Induction Phase)

InterventionPercentage of participants (Number)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)39.5
Intranasal Placebo Plus Oral AD20.9

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Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- Analysis of Covariance (ANCOVA) Analysis

"MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. The last post baseline observation during the phase was carried forward as End Point for that phase." (NCT02418585)
Timeframe: Baseline up to Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-19.6
Intranasal Placebo Plus Oral AD-16.3

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Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Day 28 in the Double-blind Induction Phase- Mixed-Effects Model Using Repeated Measures (MMRM) Analysis

MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. (NCT02418585)
Timeframe: Baseline up to Day 28 of Double-blind Induction Phase

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-21.4
Intranasal Placebo Plus Oral AD-17.0

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Change From Baseline in Generalized Anxiety Disorder (GAD-7) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])

"GAD-7 is a brief and validated 7-item self-report assessment of overall anxiety. Participants respond to each item using a 4-point scale with response categories of 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day. Item responses are summed to yield a total score with a range of 0 to 21, where higher scores indicate more anxiety. The recall period is 2 weeks. The severity of the GAD-7 is categorized as follows: None (0-4), Mild (5-9), Moderate (10-14) and Severe (15 -21). The last post baseline observation during the phase was carried forward as End Point for that phase." (NCT02418585)
Timeframe: Baseline up to Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-7.9
Intranasal Placebo Plus Oral AD-6.8

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Change From Baseline in EQ 5D-5L-Health Status Index to End of Double-blind Induction Phase (Day 28)

"European Quality of Life Group-5 Dimension-5-Level (EQ-5D-5L) is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and EQ VAS. EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a Health Status Index (HSI). Health Status Index range is -0.148 - 0.949, is anchored at 0 (dead) and 1 (full health)." (NCT02418585)
Timeframe: Baseline up to End of Double-blind Induction Phase (Day 28)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)0.288
Intranasal Placebo Plus Oral AD0.231

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Change From Baseline in EQ 5D-5L- Sum Score to End of Double-blind Induction Phase (Day 28)

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ visual analogue scale (EQ VAS). EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a Health Status Index (HSI). Health Status Index range is -0.148 - 0.949, is anchored at 0 (dead) and 1 (full health). EQ VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Sum score ranges from 0 to 100 where, sum score = (sum of the scores from the 5 dimensions minus 5) *5. Higher score indicates worst health state." (NCT02418585)
Timeframe: Baseline up to End of Double-blind Induction Phase (Day 28)

InterventionUnits on a scale (Mean)
Intranasal Esketamine (Esk) Plus Oral Antidepressant (AD)-23.2
Intranasal Placebo Plus Oral AD-17.1

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Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) to Endpoint (Double-blind Induction Phase [Day 28]): EQ-VAS

EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and EQ VAS. The EQ VAS self-rating records the respondent's own assessment of his or her overall health status at the time of completion, on a scale of 0 (the worst health you can imagine) to 100 (the best health you can imagine). (NCT02422186)
Timeframe: Baseline and Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine Plus Oral Antidepressant (AD)6.2
Oral AD Plus Intranasal Placebo4.4

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Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) to Endpoint (Double-blind Induction Phase [Day 28]): Sum Score

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ visual analogue scale (EQ VAS). EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a Health Status Index (HSI). HSI ranges from -0.148 (health state value equal to dead) and 0.949 (full health). EQ VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Sum score ranges from 0 to 100 where, sum score = (sum of the scores from the 5 dimensions minus 5) *5. Higher score indicates worst health state." (NCT02422186)
Timeframe: Baseline and Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine Plus Oral Antidepressant (AD)-6.6
Oral AD Plus Intranasal Placebo-1.6

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Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score to Endpoint (Double-blind Induction Phase [Day 28])- Analysis of Covariance (ANCOVA) Analysis

"The MADRS is a clinician-rated scale designed to measure depression severity and to detect changes due to antidepressant treatment. The scale consists of 10 items (to evaluates apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, inability to feel [interest level], pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score range of 0-60. Higher scores represent a more severe condition. Negative change in score indicates improvement. Missing data was imputed using Last Observation Carried Forward (LOCF) method and last post baseline observation during the double-blind induction phase was carried forward as the End Point for that phase." (NCT02422186)
Timeframe: Baseline and Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine Plus Oral Antidepressant (AD)-9.3
Oral AD Plus Intranasal Placebo-5.6

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Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- Mixed-Effects Model Using Repeated Measures (MMRM) Analysis

The MADRS is a clinician-rated scale designed to measure depression severity and to detect changes due to antidepressant treatment. The scale consists of 10 items (to evaluates apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, inability to feel [interest level], pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score range of 0-60. Higher scores represent a more severe condition. Negative change in score indicates improvement. (NCT02422186)
Timeframe: Baseline up to Endpoint (Double-blind Induction Phase[Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine Plus Oral Antidepressant (AD)-10.0
Oral AD Plus Intranasal Placebo-6.3

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Percentage of Participants in Remission (MADRS<=12) at Endpoint (Double-blind Induction Phase [Day 28]) (LOCF Data)

"Remission was defined as participants who had a MADRS total score of less than or equal to (=<) 12. MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. Missing data was imputed using LOCF method and last post baseline observation during the double-blind induction phase was carried forward as the End Point for that phase." (NCT02422186)
Timeframe: At Endpoint-Double-blind Induction Phase [Day 28]

InterventionPercentage of Participants (Number)
Intranasal Esketamine Plus Oral Antidepressant (AD)15.5
Oral AD Plus Intranasal Placebo6.3

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Percentage of Participants Who Achieved >=50% Reduction From Baseline in MADRS Total Score at Endpoint (Double-blind Induction Phase [Day 28]) (LOCF Data)

"Percentage of participants with greater than or equal to (>=50) percent (%) reduction from baseline are reported. MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. Missing data was imputed using LOCF method and last post baseline observation during the double-blind induction phase was carried forward as the End Point for that phase." (NCT02422186)
Timeframe: At Endpoint-Double-blind Induction Phase [Day 28]

InterventionPercentage of Participants (Number)
Intranasal Esketamine Plus Oral Antidepressant (AD)23.9
Oral AD Plus Intranasal Placebo12.5

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Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) to Endpoint (Double-blind Induction Phase [Day 28]): Health Status Index

"EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and EQ VAS. EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a health status index (HSI). HSI ranges from -0.148 (health state value equal to dead) and 0.949 (full health), is anchored at 0 (dead) and 1 (full health)." (NCT02422186)
Timeframe: Baseline and Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Mean)
Intranasal Esketamine Plus Oral Antidepressant (AD)0.081
Oral AD Plus Intranasal Placebo0.026

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Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis on Ranks

"CGI-S provides an overall clinician-determined summary measure of the severity of the participants illness including participants history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the participants ability to function. The CGI-S evaluates the severity of psychopathology on a scale of 0 to 7. Considering total clinical experience, a participant is assessed on severity of mental illness at the time of rating according to: 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. Missing data was imputed using LOCF method and last post baseline observation during the double-blind induction phase was carried forward as the End Point for that phase." (NCT02422186)
Timeframe: Baseline and Endpoint (Double-blind Induction Phase [Day 28])

InterventionUnits on a scale (Median)
Intranasal Esketamine Plus Oral Antidepressant (AD)-1.0
Oral AD Plus Intranasal Placebo0.0

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Endpoint in Participants With Stable Remission (Maintenance Phase)

The SDS is a participant-reported outcome measure and is a 5-item questionnaire used and accepted for assessment of functional impairment and associated disability. The first 3 items assess disruption of 1: work/school 2: social life 3: family life/home responsibilities using a 0-10 rating scale. It also has one item on days lost from school or work and one item on days when underproductive. The score for the first 3 items are summed to create a total score of 0-30 where a higher score indicates greater impairment. The recall period is 7 days. Scores <= 4 for each item and <= 12 for the total score are considered response. Scores <= 2 for each item and <= 6 for the total score are considered remission. The change from baseline in SDS total Score, (LOCF data), at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD4.7
Oral AD+ Intranasal Placebo7.2

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Change From Baseline in PHQ-9 Total Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

PHQ-9 is a 9-item, self-report scale assessing depressive symptoms. Each item is rated on a 4-point scale (0 = Not at all, 1 = Several Days, 2 = More than half the days, and 3 = Nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27) with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: None-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27). The change from baseline in PHQ-9 total score, (LOCF data) at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD1.7
Oral AD+ Intranasal Placebo4.7

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Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score at Endpoint in Participants With Stable Remission (Maintenance Phase)

PHQ-9 is a 9-item, self-report scale assessing depressive symptoms. Each item is rated on a 4-point scale (0 = Not at all, 1 = Several Days, 2 = More than half the days, and 3 = Nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27) with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: None-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27). The change from baseline in PHQ-9 total score, (LOCF data) at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD3.3
Oral AD+ Intranasal Placebo5.9

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Change From Baseline in MADRS Total Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

MADRS: clinician-rated scale to measure depression severity and to detect changes due to antidepressant treatment. It has 10 items, scored from 0-6 (not present/normal - severe/continuous symptoms), with total score of 60. Higher scores mean more severe condition. The change from baseline in MADRS total score (LOCF data), at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD4.4
Oral AD+ Intranasal Placebo11.4

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Change From Baseline in MADRS Total Score at Endpoint in Participants With Stable Remission (Maintenance Phase)

MADRS: clinician-rated scale to measure depression severity and to detect changes due to antidepressant treatment. It has 10 items, scored from 0-6 (not present/normal - severe/continuous symptoms), with total score of 60. Higher scores mean more severe condition. The change from baseline in MADRS total score (last observation carried forward [LOCF] data), at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD7.5
Oral AD+ Intranasal Placebo12.5

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Change From Baseline in Generalized Anxiety Disorder-7 Items Total Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

GAD-7 is a brief and validated 7-item self-report assessment of overall anxiety. Participants respond to each item using a 4-point scale with response categories of 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day. Item responses are summed to yield a total score with a range of 0 to 21, where higher scores indicate more anxiety. The recall period is 2 weeks. The severity of the GAD-7 is categorized as follows: None (0-4), Mild (5-9), Moderate (10-14) and Severe (15 -21). Item responses are summed to yield a total score (range of 0 to 21), with higher scores indicating more anxiety. The change from baseline in GAD-7 total score, (LOCF data), at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD1.4
Oral AD+ Intranasal Placebo2.6

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Change From Baseline in Generalized Anxiety Disorder-7 Items (GAD-7) Total Score at Endpoint in Participants With Stable Remission (Maintenance Phase)

GAD-7 is a brief and validated 7-item self-report assessment of overall anxiety. Participants respond to each item using a 4-point scale with response categories of 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day. Item responses are summed to yield a total score with a range of 0 to 21, where higher scores indicate more anxiety. The recall period is 2 weeks. The severity of the GAD-7 is categorized as follows: None (0-4), Mild (5-9), Moderate (10-14) and Severe (15 -21). Item responses are summed to yield a total score (range of 0 to 21), with higher scores indicating more anxiety. The change from baseline in GAD-7 total score, (LOCF data), at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD2.2
Oral AD+ Intranasal Placebo4.0

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Change From Baseline in EuroQol-5 Dimension-5 Level Sum Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ VAS. EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a HSI. HSI ranges from 0 (dead) to 1.00 (full health). EQ VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Sum score ranges from 0 to 100 where, sum score = (sum of the scores from the 5 dimensions minus 5) *5. Higher score indicates worst health state." (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD3.0
Oral AD+ Intranasal Placebo8.4

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Change From Baseline in EuroQol-5 Dimension-5 Level (EQ-5D-5L) Sum Score at Endpoint in Participants With Stable Remission (Maintenance Phase)

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ visual analogue scale (EQ VAS). EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a Health Status Index (HSI). HSI ranges from 0 (dead) to 1.00 (full health). EQ VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Sum score ranges from 0 to 100 where, sum score = (sum of the scores from the 5 dimensions minus 5) *5. Higher score indicates worst health state." (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD7.5
Oral AD+ Intranasal Placebo10.9

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Change From Baseline in EQ-5D-5L Health Status Index at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

"EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and EQ VAS. EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a HSI. HSI ranges from 0 (dead) to 1.00 (full health)." (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD-0.023
Oral AD+ Intranasal Placebo-0.073

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Change From Baseline in EQ-5D-5L Health Status Index at Endpoint in Participants With Stable Remission (Maintenance Phase)

"EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and EQ VAS. EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a HSI. HSI ranges from 0 (dead) to 1.00 (full health)." (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD-0.067
Oral AD+ Intranasal Placebo-0.096

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Change From Baseline in EQ-5D-5L EQ Visual Analogue Scale Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and EQ VAS. The EQ VAS self-rating records the respondent's own assessment of his or her overall health status at the time of completion, on a scale of 0 (the worst health you can imagine) to 100 (the best health you can imagine). (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD-1.3
Oral AD+ Intranasal Placebo-13.8

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Change From Baseline in EQ Visual Analogue Scale Score at Endpoint in Participants With Stable Remission (Maintenance Phase)

EQ-5D-5L is a 2-part instrument for use as a measure of health outcome, designed for self-completion by respondents. It consists of EQ-5D-5L descriptive system and EQ VAS. The EQ VAS self-rating records the respondent's own assessment of his or her overall health status at the time of completion, on a scale of 0 (the worst health you can imagine) to 100 (the best health you can imagine). (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD-10.4
Oral AD+ Intranasal Placebo-16.1

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Change From Baseline in Clinical Global Impression-Severity Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

CGI-S provides an overall clinician-determined summary measure of the severity of the participant's illness that takes into account all available information, including knowledge of the participant's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the participant's ability to function. The CGI-S evaluates the severity of psychopathology on a scale of 0 to 7. Considering total clinical experience, a participant is assessed on severity of mental illness at the time of rating according to: 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 change from baseline in CGI-S score, (LOCF data) at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Median)
Intranasal Esketamine + Oral AD0.0
Oral AD+ Intranasal Placebo1.0

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Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Endpoint in Participants With Stable Remission (Maintenance Phase)

CGI-S provides an overall clinician-determined summary measure of the severity of the participant's illness that takes into account all available information, including knowledge of the participant's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the participant's ability to function. The CGI-S evaluates the severity of psychopathology on a scale of 0 to 7. Considering total clinical experience, a participant is assessed on severity of mental illness at the time of rating according to: 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 change from baseline in CGI-S score, (LOCF data) at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Median)
Intranasal Esketamine + Oral AD0.0
Oral AD+ Intranasal Placebo1.0

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Time to Relapse in Participants With Stable Remission (Maintenance Phase)

Relapse is defined as any of following: Montgomery-asberg depression rating scale (MADRS) total score greater than or equal to (>=) 22 for 2 consecutive assessments separated by 5-15 days and/or hospitalization for worsening depression or any other clinically relevant event to be suggestive of a relapse of depressive illness such as suicide attempt/completed suicide/hospitalization for suicide prevention; If hospitalized, start date of hospitalization will be date of relapse, if not hospitalized date of event will be used. MADRS: clinician-rated scale to measure depression severity and to detect changes due to antidepressant treatment. It has 10 items, scored from 0-6 (not present/normal-severe/continuous symptoms), with total score of 60. Higher scores mean more severe condition. Stable remission: MADRS total score less than or equal to (<=) 12 for at least 3 of last 4 weeks of OP phase, with 1 excursion total score greater than (>) 12 or one missing assessment at OP week 13 or 14. (NCT02493868)
Timeframe: Time from randomization to the first relapse during the maintenance phase (up to 92 Weeks)

InterventionDays (Median)
Intranasal Esketamine + Oral ADNA
Oral AD+ Intranasal Placebo273.0

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Time to Relapse in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

Relapse is defined as any of following: MADRS total score >= 22 for 2 consecutive assessments separated by 5-15 days and/or hospitalization for worsening depression or any other clinically relevant event to be suggestive of a relapse of depressive illness such as suicide attempt/completed suicide/hospitalization for suicide prevention; If hospitalized, start date of hospitalization will be date of relapse, if not hospitalized date of event will be used. MADRS: clinician-rated scale to measure depression severity and to detect changes due to antidepressant treatment. It has 10 items, scored from 0-6 (not present/normal-severe/continuous symptoms), with total score of 60. Higher scores mean more severe condition. Stable response is defined as >= 50 percent (%) reduction in MADRS total score from baseline (Day 1 of induction phase, prior to first intranasal dose) in each of the last 2 weeks of the OP phase, but without meeting criteria for stable remission. (NCT02493868)
Timeframe: Time from randomization to the first relapse during the maintenance phase (up to 92 Weeks)

InterventionDays (Median)
Intranasal Esketamine + Oral AD635.0
Oral AD+ Intranasal Placebo88.0

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Change From Baseline in Sheehan Disability Total Score at Endpoint in Participants With Stable Response (But Not in Stable Remission) (Maintenance Phase)

The SDS is a participant-reported outcome measure and is a 5-item questionnaire used and accepted for assessment of functional impairment and associated disability. The first 3 items assess disruption of 1: work/school 2: social life 3: family life/home responsibilities using a 0-10 rating scale. It also has one item on days lost from school or work and one item on days when underproductive. The score for the first 3 items are summed to create a total score of 0-30 where a higher score indicates greater impairment. The recall period is 7 days. Scores <= 4 for each item and <= 12 for the total score are considered response. Scores <= 2 for each item and <= 6 for the total score are considered remission. The change from baseline in SDS total Score, (LOCF data), at endpoint was reported. The last post baseline observation was carried forward as the endpoint. (NCT02493868)
Timeframe: Baseline and Endpoint (Up to 92 Weeks)

InterventionUnits on a scale (Mean)
Intranasal Esketamine + Oral AD2.2
Oral AD+ Intranasal Placebo6.8

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Change From Baseline to Endpoint in MADRS Total Score During Optimization/Maintenance (OP/MA) Phase

"MADRS measure depression severity, detects changes due to AD treatment. It evaluates 10 items: apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, suicidal thoughts, each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score of 0 to 60. Higher scores represent a more severe condition. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Baseline (OP/MA) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA Phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant0.3

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Change From Baseline to Endpoint in Montgomery Asberg Depression Rating Scale (MADRS) Total Score During Induction (IND) Phase

"MADRS measures depression severity, detects changes due to AD treatment. It consists 10 items (evaluate apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, suicidal thoughts), scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score of 0 to 60. Higher scores indicate more severe condition. Negative change in score indicates improvement. Missing data was imputed using last observation carried forward (LOCF) method, last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 4 weeks of IND phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-16.4

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Change From Baseline to Endpoint in Generalized Anxiety Disorder (GAD-7) Total Score During IND Phase

"GAD-7 is brief, validated 7-item self-reported assessment of overall anxiety. Participant's responded to each item using a 4 point scale with response categories: 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day. Item responses are summed to yield total score ranges from 0 to 21, higher scores indicate more anxiety. Negative change in score indicates improvement. Severity of GAD-7 is categorized as: None (0-4), Mild (5-9), Moderate (10-14), Severe (15 -21). Missing data was imputed using LOCF method, last post baseline observation during the phase was carried forward as Endpoint." (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 4 weeks of IND phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-5.9

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Change From Baseline to Endpoint in GAD-7 Total Score During OP/MA Phase

"GAD-7 is brief and validated 7-item self-reported assessment of overall anxiety. Participants respond to each item using a 4 point scale with response categories: 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day. Item responses are summed to yield a total score ranges from 0 to 21, higher scores indicate more anxiety. Negative change in score indicates improvement. Severity of the GAD-7 is categorized as follows: None (0-4), Mild (5-9), Moderate (10-14), Severe (15 -21). Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Baseline (OP/MA) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant0.2

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Change From Baseline to Endpoint in European Quality of Life (EuroQol) 5-Dimension, 5-Level (EQ 5D-5L) During OP/MA Phase: Sum Score

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ VAS. EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a Health Status Index (HSI). HSI ranges from -0.148 to 0.949 and is anchored at 0 (health state value equal to dead) and 1 (full health). EQ VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Sum score ranges from 0 to 100 where, sum score = (sum of the scores from the 5 dimensions minus 5) *5. Higher score indicates worst health state." (NCT02497287)
Timeframe: Baseline (OP/MA) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-0.7

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Change From Baseline to Endpoint in European Quality of Life (EuroQol) 5-Dimension, 5-Level (EQ 5D-5L) During IND Phase: Sum Score

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ visual analogue scale (EQ VAS). EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a Health Status Index (HSI). HSI ranges from -0.148 to 0.949 and is anchored at 0 (health state value equal to dead) and 1 (full health). EQ VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Sum score ranges from 0 to 100 where, sum score = (sum of the scores from the 5 dimensions minus 5) *5. Higher score indicates worst health state." (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 4 weeks of IND phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-15.3

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Change From Baseline to Endpoint in EQ-5D-5L Score During OP/MA Phase: EQ-VAS

EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ VAS. EQ VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). (NCT02497287)
Timeframe: Baseline (OP/MA) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant1.6

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Change From Baseline to Endpoint in EQ-5D-5L Score During IND Phase: EQ-VAS

EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ VAS. EQ VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 4 weeks of IND phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant17.0

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Change From Baseline to Endpoint in EQ-5D-5L Scale Score During OP/MA Phase: Health Status Index

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ VAS. EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a HSI. HSI ranges from -0.148 to 0.949 and is anchored at 0 (health state value equal to dead) and 1 (full health)." (NCT02497287)
Timeframe: Baseline (OP/MA) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-0.009

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Change From Baseline to Endpoint in EQ-5D-5L Scale Score During IND Phase: Health Status Index

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ VAS. EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a HSI. HSI ranges from -0.148 to 0.949 and is anchored at 0 (health state value equal to dead) and 1 (full health)." (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 4 weeks of IND phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant0.190

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Change From Baseline to Endpoint in Clinical Global Impression of Severity (CGI-S) Scale Score During IND Phase

"CGI-S measures severity of participant's illness that include knowledge of participant's history, psychosocial circumstances, symptoms, behavior, impact of symptoms on participant's ability to function. CGI-S evaluates severity of psychopathology on a scale range from 0 - 7, where 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. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as Endpoint." (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 4 weeks of IND phase)

InterventionUnits on a Scale (Median)
Intranasal Esketamine + Oral Antidepressant-2.0

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Change From Baseline in Sheehan Disability Scale Total Score During OP/MA Phase

"SDS was a participant-reported outcome measure and was a 5 item questionnaire used for assessment of functional impairment and associated disability. The first three items assess disruption of (1) work/school, (2) social life, and (3) family life/home responsibilities using a 0 to 10 rating scale. The score for the first three items are summed to create a total score of 0 to 30 where a higher score indicates greater impairment and a negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Baseline (OP/MA) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-1.6

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score During IND Phase

"SDS was a 5 item questionnaire used for assessment of functional impairment and associated disability. The first three items assess disruption of (1) work/school, (2) social life, (3) family life/home responsibilities using a 0 to 10 rating scale. Score for the first three items are summed to create a total score of 0 to 30, higher score indicates greater impairment and a negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 4 weeks of IND Phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-9.3

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Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score: Total Recall

Hopkins Verbal Learning Test (HVLT) measures performance in verbal memory, learning, and long-term recall in which a list of words is read up to three times. Approximately 20-25 minutes later, a delayed recall trial and a recognition trial are completed. The delayed recall requires free recall of any words remembered. The recognition trial is composed of 24 words, including the 12 target words and 12 false-positives. When scoring the HVLT, the three learning trials are combined to calculate a total recall score (0-36); the delayed recall trial creates the delayed recall score (0 -12); the retention (%) score (0-100%) is calculated by dividing the delayed recall trial by the higher of learning trial 2 or 3; and the recognition discrimination index is comprised by subtracting the total number of false positives from the total number of true positives. A higher score = higher cognition. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA Phase)

InterventionNumber correct (Mean)
Intranasal Esketamine + Oral Antidepressant2.8

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Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score: Recognition Discrimination Index

HVLT measures performance in verbal memory, learning, and long-term recall in which a list of words is read up to three times. Approximately 20-25 minutes later, a delayed recall trial and a recognition trial are completed. The delayed recall requires free recall of any words remembered. The recognition trial is composed of 24 words, including the 12 target words and 12 false-positives. When scoring the HVLT, the three learning trials are combined to calculate a total recall score (0-36); the delayed recall trial creates the delayed recall score (0 -12); the retention (%) score (0-100%) is calculated by dividing the delayed recall trial by the higher of learning trial 2 or 3; and the recognition discrimination index is comprised by subtracting the total number of false positives from the total number of true positives. A higher score = higher cognition. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA phase)

InterventionNumber of words (Mean)
Intranasal Esketamine + Oral Antidepressant0.5

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Change From Baseline to Endpoint in Patient Health Questionnaire - 9 (PHQ-9) Total Score During IND Phase

"PHQ-9 is a 9-item, self-reporting scale assessing depressive symptoms. Each item was rated on a 4-point scale (0 = Not at all, 1 = Several Days, 2 = More than half the days, and 3 = Nearly every day), with a total score range of 0-27. A higher score indicates greater severity of depression. Severity of PHQ-9 categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), severe (20-27). The recall period is 2 weeks. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 4 weeks of IND phase)

InterventionUnit on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-8.9

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Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score: Number of Words Recalled

HVLT measures performance in verbal memory, learning, and long-term recall in which a list of words is read up to three times. Approximately 20-25 minutes later, a delayed recall trial and a recognition trial are completed. The delayed recall requires free recall of any words remembered. The recognition trial is composed of 24 words, including the 12 target words and 12 false-positives. When scoring the HVLT, the three learning trials are combined to calculate a total recall score (0-36); the delayed recall trial creates the delayed recall score (0 -12); the retention (%) score (0-100%) is calculated by dividing the delayed recall trial by the higher of learning trial 2 or 3; and the recognition discrimination index is comprised by subtracting the total number of false positives from the total number of true positives. A higher score = higher cognition. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA Phase)

InterventionNumber of words recalled (Mean)
Intranasal Esketamine + Oral Antidepressant0.3

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Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) Score: Delayed Recall

HVLT measures performance in verbal memory, learning, and long-term recall in which a list of words is read up to three times. Approximately 20-25 minutes later, a delayed recall trial and a recognition trial are completed. The delayed recall requires free recall of any words remembered. The recognition trial is composed of 24 words, including the 12 target words and 12 false-positives. When scoring the HVLT, the three learning trials are combined to calculate a total recall score (0-36); the delayed recall trial creates the delayed recall score (0 -12); the retention (%) score (0-100%) is calculated by dividing the delayed recall trial by the higher of learning trial 2 or 3; and the recognition discrimination index is comprised by subtracting the total number of false positives from the total number of true positives. A higher score = higher cognition. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA Phase)

InterventionNumber correct (Mean)
Intranasal Esketamine + Oral Antidepressant0.8

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Change From Baseline in Cognitive Test Battery: One Card Learning Test (OCL) Score

This battery is a series of computerized cognition tests (detection, identification, one card learning, one back and groton maze learning) designed to measure reaction time, visual learning and memory, and executive function/sequencing. OCL test is a measure of visual episodic memory and visual recall test scored using arcsine transformation of the percentage of correct responses (CR). The range for OCL is 0 to 100 percent (%) accuracy; presented as an arcsin transformation, the range is 0 to 1.57. Higher score indicates better performance. Higher change from baseline indicates better performance. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA Phase)

InterventionArcsine ([sqrt] of proportion of [CR]) (Mean)
Intranasal Esketamine + Oral Antidepressant0.0502

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Change From Baseline in Cognitive Test Battery: One Back Test (ONB) Score

The ONB is a measure of working memory and scored for speed of correct response (mean of the log10-transformed reaction times for correct responses). Total score ranges from 2 to 3.54 log10 msec. Lower score indicates better performance. Higher change from baseline indicates better performance. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA Phase)

Interventionlog10 msec (Mean)
Intranasal Esketamine + Oral Antidepressant0.0177

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Change From Baseline in Cognitive Test Battery: Identification Test (IDN) Score

This battery is a series of computerized cognition tests (detection, identification, one card learning, one back and groton maze learning) designed to measure reaction time, visual learning and memory, and executive function/sequencing. IDN test is a measure of visual attention (choice reaction time) and scored for speed of response (mean of the log10 transformed reaction times for correct responses). Total score ranges from 2 to 3.3 log 10 msec. Lower score indicates better performance. Higher change from baseline indicates better performance. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA Phase)

Interventionlog10 msec (Mean)
Intranasal Esketamine + Oral Antidepressant-0.0083

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Change From Baseline in Cognitive Test Battery: Groton Maze Learning Test (GMLT) Score

This battery is a series of computerized cognition tests (detection, identification, one card learning, one back and groton maze learning) designed to measure reaction time, visual learning and memory, and executive function/sequencing. GMLT measures executive function; maze/sequencing test, scored for total number of errors. Total score ranges from 0 to 999 number of errors. Lower score indicates better performance. Higher change from baseline indicates better performance. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA Phase)

InterventionNumber of Errors (Mean)
Intranasal Esketamine + Oral Antidepressant6.9

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Percentage of Participants With an Increase Score From Predose at Any Time in CADSS Total Score During OP/MA Phase

"The CADSS used to measure present-state dissociative symptoms, and to assess treatment-emergent dissociative symptoms. It comprises 23 subjective items divided into 3 components: depersonalization (with score range from 0 to 28), derealization (with score range from 0 to 52), and amnesia (with score range from 0 to 8). Participants responses are coded on a 5-point scale (0 = Not at all, 1 = Mild, 2 = Moderate, 3 = 'Severe and 4 = Extreme). The total score is sum of the 23 items and range from 0 to 92, where 0 (best) and 92 (worst). A higher score indicates a more severe condition." (NCT02497287)
Timeframe: Predose, up to 1.5 hours postdose (up to end of OP/MA phase [Week 52])

InterventionPercentage of participants (Number)
Intranasal Esketamine + Oral Antidepressant86.1

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Percentage of Participants With an Increase Score From Predose at Any Time in Clinician-Administered Dissociative States Scale (CADSS) Total Score During IND Phase

"The CADSS used to measure present-state dissociative symptoms, and to assess treatment-emergent dissociative symptoms. It comprises 23 subjective items divided into 3 components: depersonalization (with score range from 0 to 28), derealization (with score range from 0 to 52), and amnesia (with score range from 0 to 8). Participants responses are coded on a 5-point scale (0 = Not at all, 1 = Mild, 2 = Moderate, 3 = 'Severe and 4 = Extreme). The total score is sum of the 23 items and range from 0 to 92, where 0 (best) and 92 (worst). A higher score indicates a more severe condition." (NCT02497287)
Timeframe: Predose, up to 1.5 hours postdose (up to end of IND phase [Week 4])

InterventionPercentage of participants (Number)
Intranasal Esketamine + Oral Antidepressant92.0

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

An adverse event is any untoward medical occurrence in a clinical study participants who administered a medicinal (investigational or non-investigational) product and does not necessarily have a causal relationship with the treatment. A TEAE defined as an event that was new in onset or increased in severity following treatment initiation. (NCT02497287)
Timeframe: Up to End of Follow up Phase (Week 56)

InterventionPercentage of participants (Number)
Intranasal Esketamine + Oral Antidepressant90.1

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Percentage of Participants With Cystitis, Urinary Tract Infections, Renal and Urinary Tract Symptoms, Renal and Urinary Disorders

"Percentage of participants with cystitis, urinary tract infections, renal and urinary tract symptoms, renal and urinary disorders were evaluated. Cystitis and urinary tract infections are selected MedDRA preferred terms, renal and urinary tract symptoms refers to any preferred term (PT) in the group of selected PTs; and renal and urinary disorders refers to a MedDRA System Organ Class (SOC)." (NCT02497287)
Timeframe: Up to End of Follow up Phase (Week 56)

InterventionPercentage of participants (Number)
CystitisUrinary tract infectionsRenal and urinary disordersRenal and urinary tract symptoms
Intranasal Esketamine + Oral Antidepressant0.68.110.517.0

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Percentage of Participants With Remission as Assessed by MADRS Total Score During IND Phase

"Remission is defined as MADRS total score less than or equal to (<=) 12. MADRS measures depression severity, detects changes due to AD treatment. It consists 10 items (evaluate apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, suicidal thoughts), scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score of 0 to 60. Higher scores indicate more severe condition. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Days 8, 15, 22 and Endpoint (last post-baseline assessment value during 4 weeks of IND Phase)

InterventionPercentage of participants (Number)
Day 8Day 15Day 22End point
Intranasal Esketamine + Oral Antidepressant7.315.627.247.2

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Percentage of Participants With Remission as Assessed by PHQ-9 Total Score During IND Phase

"Remission is defined as PHQ-9 total score <= 4. PHQ-9 is a 9-item, self-reporting scale assessing depressive symptoms. Each item was rated on a 4-point scale (0 = Not at all, 1 = Several Days, 2 = More than half the days, and 3 = Nearly every day), with a total score range of 0-27. The scores are summed for a total score ranging from 0-27. A higher score indicates greater severity of depression. severity of PHQ-9 categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), severe (20-27). The recall period is 2 weeks. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Day 15 and Endpoint (last post-baseline assessment value during 4 weeks of IND phase)

InterventionPercentage of participants (Number)
Day 15Endpoint
Intranasal Esketamine + Oral Antidepressant12.726.9

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Percentage of Participants With Response as Assessed by MADRS Total Score During IND Phase

"Response is defined as greater than or equal to (>=) 50 % reduction from baseline in the MADRS total score. MADRS measures depression severity, detects changes due to AD treatment. It consists 10 items (evaluate apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, suicidal thoughts), scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score of 0 to 60. Higher scores indicate more severe condition. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Days 8, 15, 22 and Endpoint (last post-baseline assessment during 4 weeks of IND phase)

InterventionPercentage of participants (Number)
Day 8Day 15Day 22End point
Intranasal Esketamine + Oral Antidepressant11.625.042.878.4

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Percentage of Participants With Response as Assessed by PHQ-9 Total Score During IND Phase

"Response is defined as >= 50 % reduction from baseline (IND phase) in PHQ-9 total score. PHQ-9 is a 9-item, self-reporting scale assessing depressive symptoms. Each item was rated on a 4-point scale (0 = Not at all, 1 = Several Days, 2 = More than half the days, and 3 = Nearly every day), with a total score range of 0-27. The scores are summed for a total score ranging from 0-27. A higher score indicates greater severity of depression. Severity of PHQ-9 categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), severe (20-27). The recall period is 2 weeks. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Day 15 and Endpoint (last post-baseline assessment value during 4 Week IND phase)

InterventionPercentage of participants (Number)
Day 15End point
Intranasal Esketamine + Oral Antidepressant37.262.0

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Percentage of Participants With Treatment-Emergent Acute Hypertension (Systolic and Diastolic) During IND and OP/MA Phases

Percentage of participants with treatment-emergent acute hypertension (Systolic Blood Pressure >=180 millimeters of mercury [mm Hg] or Diastolic Blood Pressure >= 110 mm Hg) during IND and OP/MA Phases were evaluated. (NCT02497287)
Timeframe: Up to End of OP/MA phase (Week 52)

InterventionPercentage of participants (Number)
Systolic BP >=180Diastolic BP >=110Acute hypertension
Intranasal Esketamine + Oral Antidepressant2.22.44.1

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Change From Baseline in Cognitive Test Battery: Detection Test (DET) Score

This battery is a series of computerized cognition tests (detection, identification, one card learning, one back and groton maze learning) designed to measure reaction time, visual learning and memory, and executive function/sequencing. The DET is a measure of psychomotor function and uses a well-validated simple reaction time. In this outcome measure, speed of performance of participants (calculated as mean of the logarithmic base 10 transformed reaction times) for correct responses was reported. Total score ranges from 2 to 3.3 log 10 milliseconds (msec). Lower score indicates better performance. Higher change from baseline indicates better performance. (NCT02497287)
Timeframe: Baseline (IND) up to the Endpoint (last post-baseline assessment value during 52 weeks of Optimization/Maintenance [OP/MA] Phase)

Interventionlog10 msec (Mean)
Intranasal Esketamine + Oral Antidepressant-0.0028

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Change From Baseline to Endpoint in CGI-S Scale Score During OP/MA Phase

"The CGI-S measures the severity of the participant's illness that include knowledge of the participant's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the participant's ability to function. The CGI-S evaluates the severity of psychopathology on a scale of 0 to 7, where 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. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Baseline (OP/MA) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA phase)

InterventionUnits on a Scale (Median)
Intranasal Esketamine + Oral Antidepressant0.0

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Change From Baseline to Endpoint in PHQ-9 Total Score During OP/MA Phase

"PHQ-9 is a 9-item, self-reporting scale assessing depressive symptoms. Each item was rated on a 4-point scale (0 = Not at all, 1 = Several Days, 2 = More than half the days, and 3 = Nearly every day), with a total score range of 0-27. A higher score indicates greater severity of depression. severity of PHQ-9 categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), severe (20-27). The recall period is 2 weeks. Negative change in score indicates improvement. Missing data was imputed using LOCF method and the last post baseline observation during the phase was carried forward as the Endpoint." (NCT02497287)
Timeframe: Baseline (OP/MA) up to the Endpoint (last post-baseline assessment value during 52 weeks of OP/MA phase)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant-0.2

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Self Reported Pain Score Range From 0 (no Pain) to 10 (Worst Possible Pain).

At the beginning of the study, Group C (placebo) would have 30 patients and D (duloxetine) would also have 30 patients. However, 1 patient in Group C and 2 patients in Group D were excluded due to the cancellation of the proposed surgery, after the patient had received 60 milligrams of duloxetine. Self reported pain score range from 0 (no pain) to 10 (worst possible pain) 2, 6, 12, 24, 36 and 48 hours after surgery. Higher scores mean a worse score and low scores mean a better score. (NCT02535000)
Timeframe: up to 2 days.

,
InterventionNumber (pain score range 0 to 10). (Mean)
Pain score 2 hours after surgery.pain score 6 hours after surgeryPain score 12 hours after surgery.Pain score 24 hours after surgery.Pain score 36 hours after surgery.Pain score 48 hours after surgery.
Group C (Control)2.272.672.101.681.481.51
Group D (Duloxetine)2.142.282.071.661.371.07

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Total Consumption of Fentanyl (in Micrograms) Self-administered by the Patient and Accessed at 24 and 48 Hours After Spine Surgery.

The main evaluation parameter was the total consumption of fentanyl (in micrograms) self-administered by the patient and accessed at 24 and 48 hours after surgery. At the beginning of the study, Group C (placebo) would have 30 patients and D (duloxetine) would also have 30 patients. However, 1 patient in Group C and 2 patients in Group D were excluded due to the cancellation of the proposed surgery, after the patient had received 60 milligrams of duloxetine. The lower the consumption of fentanyl, the better the analgesic effect of duloxetine. (NCT02535000)
Timeframe: up to 2 days.

,
Interventionmicrograms (Mean)
Fentanyl consumption in between 0 and 24 hours.Fentanyl consumption in between 24 and 48 hours.
Group C (Control)726180
Group D (Duloxetine)503136

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Change From Baseline PTSD Checklist- Civilian (PCL-C) Over the Course of the Year After Injury

The investigators will use the PTSD Checklist - Civilian (PCL-C). The scoring of the scale ranges from a minimum of 17 to a maximum of 85, with higher scores indicating a worse outcome. The measure can also provide a rating of symptoms consistent with a diagnosis of PTSD. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
Interventionscore on a scale (Mean)
Change from Baseline at 3 MonthsChange from Baseline at 6 MonthsChange from Baseline at 12 Months
Intervention-1.65-4.02-5.51
Usual Care0.08-1.44-4.25

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Change From Baseline Short Form (SF)-12/36 Physical Function Over the Course of the Year After Injury

The investigators used the Medical Outcomes Study Short Form healthy survey (MOS SF-12/36) physical components summary to assess physical function. The minimum and maximum scores are 0-100 with higher scores representing a better outcome. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
Interventionscore on a scale (Mean)
Change from Baseline at 3 MonthsChange from Baseline at 6 MonthsChange from Baseline at 12 Months
Intervention-16.78-14.17-13.23
Usual Care-15.90-13.83-11.68

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TSOS Patient Satisfaction: Mental Health Care

Satisfaction with mental health care was rated on a scale of 1 to 5, with 1 indicating very dissatisfied and 5 indicating very satisfied. (NCT02655354)
Timeframe: Baseline, 3 Month, 6 Month, 12 Month

,
Interventionscore on a scale (Mean)
Baseline3 Month6 Month12 Month
Intervention4.13.63.63.7
Usual Care4.03.53.43.5

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Number of Participants Endorsing a Single Item That Assesses Marijuana Use

Single items that assess marijuana use. Single item self-report dichotomized as none versus at least monthly use. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
InterventionParticipants (Count of Participants)
Baseline3 Month6 Month12 Month
Intervention125606051
Usual Care177728279

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Number of Participants Endorsing a Single Item That Assesses Opioid Use

Single items that assess non-prescribed opioid use. Single item self-report dichotomized as none versus at least monthly use. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
InterventionParticipants (Count of Participants)
Baseline3 Month6 Month12 Month
Intervention18446
Usual Care4415206

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Number of Participants Endorsing a Single Item That Assesses Stimulant Use

Single items that assess non-prescribed stimulant use. Single item self-report dichotomized as none versus at least monthly use. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
InterventionParticipants (Count of Participants)
Baseline3 Month6 Month12 Month
Intervention58978
Usual Care77172216

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Number of Participants With Suicidal Ideation

Item 9 of the Patient Health Questionnaire 9-item (PHQ-9) scale assesses suicidal ideation. It is scored from 0 to 3, with a score of 1 or greater indicating a patient has suicidal ideation. Participants with a PHQ-9 item 9 score of greater than or equal to 1 are reported for this outcome. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
InterventionParticipants (Count of Participants)
Baseline3 Month6 Month12 Month
Intervention67696351
Usual Care909910692

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SF-36 Quality of Life

The SF-36 assess quality of life domains that span emotional health, overall health status, and role function; a score of 100 indicates perfect health and a score of 0 indicates extremely poor health. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
Interventionscore on a scale (Mean)
Baseline3 Month6 Month12 Month
Intervention44.338.338.439.2
Usual Care45.139.139.541.4

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Cognitive Impairment Scale

The investigators will use the National Study on the Costs and Outcomes of Trauma (NSCOT) Cognitive Screen, a 4 - Item Traumatic Brain Injury / Post-concussive Symptom Screen. The scoring of the scale ranges from a minimum of 4 to a maximum of 20, with lower scores indicating a worse outcome. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
Interventionscore on a scale (Mean)
Baseline3 Month6 Month12 Month
Intervention13.513.313.213.8
Usual Care13.413.213.414.2

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Brief Pain Inventory

A brief measure scored on a 0 to 10 scale to assess a patient's pain, with a higher score indicating more severe pain; a score of 0 indicates no pain and a score of 10 indicates very severe pain. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
Interventionscore on a scale (Mean)
Baseline3 Month6 Month12 Month
Intervention6.84.34.13.9
Usual Care6.74.74.53.8

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Change From Baseline Alcohol Use Disorders Identification Over the Course of the Year After Injury

The investigators will use the Alcohol Use Disorders Identification Test (AUDIT) as a continuous measure. The 10-item scale score ranges from 0-40, with higher values indicating a worse outcome. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
Interventionscore on a scale (Mean)
Change from Baseline at 3 MonthsChange from Baseline at 6 MonthsChange from Baseline at 12 Months
Intervention-2.04-1.69-1.81
Usual Care-1.90-1.63-1.45

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Change From Baseline Patient Health Questionnaire 9 Item Depression Scale Over the Course of the Year After Injury

The investigators will use the Patient Health Questionnaire 9-item Depression Scale (PHQ-9). The scoring of the scale ranges from a minimum of 0 to a maximum of 27, with higher scores indicating a worse outcome. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
Interventionscore on a scale (Mean)
Change from Baseline at 3 MonthsChange from Baseline at 6 MonthsChange from Baseline at 12 Months
Intervention-0.79-1.17-1.84
Usual Care-0.50-0.90-2.16

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TSOS Patient Satisfaction: Overall Health Care

Satisfaction with health care was rated on a scale of 1 to 5, with 1 indicating very dissatisfied and 5 indicating very satisfied. (NCT02655354)
Timeframe: Baseline, 3-month, 6-month, 12-month

,
Interventionscore on a scale (Mean)
Baseline3 Month6 Month12 Month
Intervention4.43.94.03.9
Usual Care4.43.83.83.8

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Brain Regional Gray Matter Density

"Gray matter density (GMD) of the prefrontal cortex region identified as placebo biomarker. Placebo responders/non-responders were identified based on the VAS score. A minimum of 20% decrease in VAS score was needed to be qualified as responders.~GMD is a value between 0 and 1 representing the intensity of every brain voxels. The GMD of the prefrontal cortex region represent the average GMD of every voxels in this region." (NCT02903238)
Timeframe: 2 weeks

InterventionGray Matter Density: 0 to 1 (Mean)
Placebo Responders0.420
Placebo Non-responders0.425

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WOMAC Pain Index

Osteoarthritis (OA) specific pain and quality of life index (the Western Ontario and McMaster Universities Osteoarthritis Index WOMAC). The WOMAC score is from 0 to 96 where 0 represent no pain and quality of life impairment due to OA and 96 represent the worst pain and quality of life impairment due to OA. The outcome is reported as the percent change from baseline to end of treatment (2 weeks). (NCT02903238)
Timeframe: 2 weeks

InterventionPercent Change in WOMAC score (Mean)
Placebo Responders38.6
Placebo Non-responders4.6

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Prolactin Level at 10 Weeks

Prolactin level (ng/mL) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

Interventionng/mL (Mean)
Duloxetine8.83
Placebo11.6

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Prolactin Level at 2 Weeks

Prolactin level (ng/mL) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

Interventionng/dL (Mean)
Duloxetine9.74
Placebo11.3

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Prolactin Level at 6 Weeks

Prolactin level (ng/mL) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

Interventionng/mL (Mean)
Duloxetine10.3
Placebo9.60

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Prolactin Level at 8 Weeks

Prolactin level (ng/mL) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

Interventionng/mL (Mean)
Duloxetine10.1
Placebo8.98

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Sperm Concentration at 0 Weeks

Sperm concentration (number of sperm/mL) in semen analysis at 0 weeks (NCT03038867)
Timeframe: 0 weeks

InterventionNumber of sperm/mL (Mean)
Duloxetine57.4
Placebo50.2

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Sperm Concentration at 10 Weeks

Sperm concentration (number of sperm/mL) in semen analysis at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

InterventionNumber of sperm/mL (Mean)
Duloxetine42.0
Placebo42.7

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Sperm Concentration at 2 Weeks

Sperm concentration (number of sperm/mL) in semen analysis at 2 weeks (NCT03038867)
Timeframe: 2 weeks

InterventionNumber of sperm/mL (Mean)
Duloxetine48.9
Placebo50.0

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Sperm Concentration at 6 Weeks

Sperm concentration (number of sperm/mL) in semen analysis at 6 weeks (NCT03038867)
Timeframe: 6 weeks

InterventionNumber of sperm/mL (Mean)
Duloxetine44.6
Placebo43.9

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Sperm Concentration at 8 Weeks

Sperm concentration (number of sperm/mL) in semen analysis at 8 weeks (NCT03038867)
Timeframe: 8 weeks

InterventionNumber of sperm/mL (Mean)
Duloxetine45.7
Placebo47.1

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Sperm Head Defects at 0 Weeks

Sperm head defects (mean number) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

Interventiondefects (Mean)
Duloxetine88.4
Placebo89.9

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Sperm Head Defects at 10 Weeks

Sperm head defects (mean number) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

Interventiondefects (Mean)
Duloxetine90.8
Placebo88.3

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Sperm Head Defects at 2 Weeks

Sperm head defects (mean number) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

Interventiondefects (Mean)
Duloxetine91.5
Placebo90.7

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Sperm Head Defects at 6 Weeks

Sperm head defects (mean number) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

Interventiondefects (Mean)
Duloxetine91.6
Placebo91.3

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Sperm Head Defects at 8 Weeks

Sperm head defects (mean number) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

Interventiondefects (Mean)
Duloxetine92.3
Placebo88.7

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Sperm Motility at 0 Weeks

Sperm motility (mean percent) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

Interventionpercent motility (Mean)
Duloxetine61.7
Placebo59.7

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Sperm Motility at 10 Weeks

Sperm motility (mean percent) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

Interventionpercent motility (Mean)
Duloxetine54.4
Placebo53.9

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Sperm Motility at 2 Weeks

Sperm motility (mean percent) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

Interventionpercent motility (Mean)
Duloxetine54.3
Placebo55.2

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Sperm Motility at 6 Weeks

Sperm motility (mean percent) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

Interventionpercent motility (Mean)
Duloxetine57.2
Placebo50.4

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Sperm Motility at 8 Weeks

Sperm motility (mean percent) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

Interventionpercent motility (Mean)
Duloxetine51.1
Placebo58.5

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Sperm Neck Defects at 0 Weeks

Sperm neck defects (mean number) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

Interventiondefects (Mean)
Duloxetine1.36
Placebo2.55

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Sperm Neck Defects at 10 Weeks

Sperm neck defects (mean number) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

Interventiondefects (Mean)
Duloxetine0.91
Placebo1.55

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Sperm Neck Defects at 2 Weeks

Sperm neck defects (mean number) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

Interventiondefects (Mean)
Duloxetine2.65
Placebo1.00

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Sperm Neck Defects at 6 Weeks

Sperm neck defects (mean number) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

Interventiondefects (Mean)
Duloxetine1.12
Placebo0.62

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Sperm Neck Defects at 8 Weeks

Sperm neck defects (mean number) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

Interventiondefects (Mean)
Duloxetine1.17
Placebo0.50

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Sperm Tail Defects at 0 Weeks

Sperm tail defects (mean number) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

Interventiondefects (Mean)
Duloxetine0.13
Placebo1.89

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Sperm Tail Defects at 10 Weeks

Sperm tail defects (mean number) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

Interventiondefects (Mean)
Duloxetine1.09
Placebo0.96

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Sperm Tail Defects at 2 Weeks

Sperm tail defects (mean number) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

Interventiondefects (Mean)
Duloxetine0.00
Placebo1.66

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Sperm Tail Defects at 6 Weeks

Sperm tail defects (mean number) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

Interventiondefects (Mean)
Duloxetine0.04
Placebo2.64

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Sperm Tail Defects at 8 Weeks

Sperm tail defects (mean number) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

Interventiondefects (Mean)
Duloxetine0.35
Placebo1.25

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Testosterone Level at 0 Weeks

Testosterone level (ng/dL) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

Interventionng/dL (Mean)
Duloxetine464
Placebo448

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Testosterone Level at 10 Weeks

Testosterone level (ng/dL) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

Interventionng/dL (Mean)
Duloxetine445
Placebo509

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Testosterone Level at 2 Weeks

Testosterone level (ng/dL) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

Interventionng/dL (Mean)
Duloxetine431
Placebo482

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Testosterone Level at 6 Weeks

Testosterone level (ng/dL) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

Interventionng/dL (Mean)
Duloxetine485
Placebo438

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Testosterone Level at 8 Weeks

Testosterone level (ng/dL) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

Interventionng/dL (Mean)
Duloxetine534
Placebo460

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Estrogen Level at 0 Weeks

Estrogen level (pg/mL) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

Interventionpg/mL (Mean)
Duloxetine51.8
Placebo58.5

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Luteinizing Hormone Level at 10 Weeks

Luteinizing hormone level (mIU/mL) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

InterventionmIU/mL (Mean)
Duloxetine4.98
Placebo3.78

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Estrogen Level at 10 Weeks

Estrogen level (pg/mL) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

Interventionpg/mL (Mean)
Duloxetine31.7
Placebo133

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Estrogen Level at 2 Weeks

Estrogen level (pg/mL) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

Interventionpg/mL (Mean)
Duloxetine53.0
Placebo44.4

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Estrogen Level at 6 Weeks

Estrogen level (pg/mL) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

Interventionpg/mL (Mean)
Duloxetine45.8
Placebo43.5

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Estrogen Level at 8 Weeks

Estrogen level (pg/mL) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

Interventionpg/mL (Mean)
Duloxetine49.3
Placebo39.0

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Follicle Stimulating Hormone Level at 0 Weeks

Follicle stimulating hormone level (mIU/mL) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

InterventionmIU/mL (Mean)
Duloxetine6.56
Placebo5.26

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Follicle Stimulating Hormone Level at 10 Weeks

Follicle stimulating hormone level (mIU/mL) at 10 weeks (NCT03038867)
Timeframe: 10 Weeks

InterventionmIU/mL (Mean)
Duloxetine5.54
Placebo5.95

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Follicle Stimulating Hormone Level at 2 Weeks

Follicle stimulating hormone level (mIU/mL) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

InterventionmIU/mL (Mean)
Duloxetine5.56
Placebo5.30

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Follicle Stimulating Hormone Level at 6 Weeks

Follicle stimulating hormone level (mIU/mL) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

InterventionmIU/mL (Mean)
Duloxetine4.57
Placebo5.14

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Follicle Stimulating Hormone Level at 8 Weeks

Follicle stimulating hormone level (mIU/mL) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

InterventionmIU/mL (Mean)
Duloxetine4.18
Placebo5.29

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Luteinizing Hormone Level at 0 Weeks

Luteinizing hormone level (mIU/mL) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

InterventionmIU/mL (Mean)
Duloxetine4.11
Placebo3.37

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Luteinizing Hormone Level at 2 Weeks

Luteinizing hormone level (mIU/mL) at 2 weeks (NCT03038867)
Timeframe: 2 weeks

InterventionmIU/mL (Mean)
Duloxetine4.00
Placebo3.57

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Luteinizing Hormone Level at 6 Weeks

Luteinizing hormone level (mIU/mL) at 6 weeks (NCT03038867)
Timeframe: 6 weeks

InterventionmIU/mL (Mean)
Duloxetine4.51
Placebo3.42

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Luteinizing Hormone Level at 8 Weeks

Luteinizing hormone level (mIU/mL) at 8 weeks (NCT03038867)
Timeframe: 8 weeks

InterventionmIU/mL (Mean)
Duloxetine4.18
Placebo3.70

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Number of Participants With Abnormal Sperm DNA Fragmentation at 0 Weeks

Number of participants with Tunel Values > 25% at 0 Weeks (baseline) in each treatment group (NCT03038867)
Timeframe: 0 weeks

InterventionParticipants (Count of Participants)
Duloxetine0
Placebo0

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Number of Participants With Abnormal Sperm DNA Fragmentation at 10 Weeks

Number of participants with Tunel values > 25% at 10 weeks in each treatment group (NCT03038867)
Timeframe: 10 Weeks

InterventionParticipants (Count of Participants)
Duloxetine0
Placebo2

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Number of Participants With Abnormal Sperm DNA Fragmentation at 2 Weeks

Number of participants with Tunel values > 25% at 2 weeks in each treatment group (NCT03038867)
Timeframe: 2 weeks

InterventionParticipants (Count of Participants)
Duloxetine1
Placebo2

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Number of Participants With Abnormal Sperm DNA Fragmentation at 6 Weeks

Number of participants with TUNEL values > 25% at 6 weeks in each treatment group (NCT03038867)
Timeframe: 6 Weeks (primary time point of interest)

InterventionParticipants (Count of Participants)
Duloxetine0
Placebo2

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Number of Participants With Abnormal Sperm DNA Fragmentation at 8 Weeks

Number of participants with Tunel values > 25% at 8 weeks in each treatment group (NCT03038867)
Timeframe: 8 weeks

InterventionParticipants (Count of Participants)
Duloxetine1
Placebo0

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Prolactin Level at 0 Weeks

Prolactin level (ng/mL) at 0 weeks (NCT03038867)
Timeframe: 0 weeks

Interventionng/mL (Mean)
Duloxetine11.9
Placebo12.4

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Opioid Use

Opioid use (measured in cumulative morphine equivalents) (NCT03271151)
Timeframe: Post-operative day 14

InterventionOral Morphine Equivalent (mg) (Mean)
"Duloxetine (Cymbalta)"288
Placebo432.5

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Pain Scores

Numerical Rating Score pain with movement. Minimum value of 0, maximum value of 10. Higher scores mean more pain and worse outcome. (NCT03271151)
Timeframe: Post-operative day 14

Interventionscore on a scale (NRS) (Mean)
"Duloxetine (Cymbalta)"4.2
Placebo4.8

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Pain Phenotype

2011 Survey Criteria for Fibromyalgia. Minimum value of 0, and maximum value of 12. A higher score means a worse outcome. (NCT03271151)
Timeframe: Day of surgery

Interventionscore on a scale (Median)
"Duloxetine (Cymbalta)"2
Placebo2

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

CGI-S measures severity of illness at the time of assessment compared with start of treatment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). Presented here are the LS mean change from baseline on CGI-S calculated using a mixed-effects model repeated measures (MMRM) approach including treatment group, observation time-points, and interaction between treatment group and observation time-points as fixed effects, and baseline CGI-S and age as covariates. (NCT03315793)
Timeframe: Baseline, Week 6

Interventionunits on a scale (Least Squares Mean)
Duloxetine-1.24
Placebo-1.38

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Change From Baseline on the Children's Depression Rating Scale-Revised (CDRS-R) Total Score

Change from baseline on the Children's Depression Rating Scale-Revised (CDRS-R) total score. CDRS-R Total score measures the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning and a higher number indicates a greater degree of depression. The total sum of scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, scores of 40 to 60 indicate moderate depression, and scores greater than 60 indicate severe depression. Least squares (LS) mean was calculated using a mixed-effects model repeated measures (MMRM) approach including treatment group, observation time-points, and interaction between treatment group and observation time-points as fixed effects, and baseline CDRS-R total score and age as covariates. (NCT03315793)
Timeframe: Baseline, Week 6

Interventionunits on a scale (Least Squares Mean)
Duloxetine-21.03
Placebo-22.42

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Percentage of Participants Whose CDRS-R Total Score Decreased by More Than 50% From Baseline

The Children's Depression Rating Scale-Revised (CDRS-R) total score measures the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning with higher numbers indicating a greater degree of depression . The total sum of scores range from 17 to 113. The total sum of scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, scores of 40 to 60 indicate moderate depression, and scores greater than 60 indicate severe depression. (NCT03315793)
Timeframe: Baseline, Week 6

Interventionpercentage of participants (Number)
Duloxetine21.6
Placebo21.6

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Percentage of Participants Whose Children's Depression Rating Scale-Revised (CDRS-R) Total Score Decreased by More Than 30% From Baseline

The Children's Depression Rating Scale-Revised (CDRS-R) Total score measures the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning and higher numbers indicate a greater degree of depression. The total sum of scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, scores of 40 to 60 indicate moderate depression, and scores greater than 60 indicate severe depression. (NCT03315793)
Timeframe: Baseline, Week 6

Interventionpercentage of participants (Number)
Duloxetine48.6
Placebo43.2

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

The Children's Depression Rating Scale-Revised (CDRS-R) total score measures the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning and higher numbers indicate a greater degree of depression. The total sum of scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, scores of 40 to 60 indicate moderate depression, and scores greater than 60 indicate severe depression. Remission was defined for the CDRS-R total score below 28. (NCT03315793)
Timeframe: Baseline, Week 6

Interventionpercentage of participants (Number)
Duloxetine9.5
Placebo13.5

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Clinical Global Impression Severity and Improvement (CGI)

Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale (range 0-7) that requires the clinician to rate the severity of the patient's illness at the time of assessment: range is from 0 (=normal, not at all ill) to 7 (=extremely ill, among the most extremely ill patients worsening) (NCT03321006)
Timeframe: 12 weeks

Interventionscore on a scale (Mean)
Antidepressant (AD) + Low Amplification (Sham) Hearing Aids3.17
Antidepressant (AD) + Full Amplification Hearing Aids3.20

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Hamilton Rating Score for Depression (HRSD)

The patient is rated by a clinician among 24 dimensions (24-item HRSD) with a score on a 3 or 5 point scale. Maximum score is a 74. 0-7 are considered as being normal, 8-16 suggest mild depression, 17-23 moderate depression and scores over 24 are indicative of severe depression. (NCT03321006)
Timeframe: 12 weeks

Interventionscore on a scale (Mean)
Antidepressant (AD) + Low Amplification (Sham) Hearing Aids12.04
Antidepressant (AD) + Full Amplification Hearing Aids13.86

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Social Adjustment Scale Self-Report (SAS-SR) Score

"The SAS-SR contains 54 questions that measure instrumental and expressive role performance over the past 2 weeks. Each question is rated on a 5-point scale. The overall adjustment score is obtained by summing the scores of all the items and dividing by the number of items answered.~The SAS-R overall score ranges from 0-270, with higher questions indication more impairment." (NCT03321006)
Timeframe: 12 weeks

Interventionscore on a scale (Mean)
Antidepressant (AD) + Low Amplification (Sham) Hearing Aids1.96
Antidepressant (AD) + Full Amplification Hearing Aids2.10

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Change From Baseline on the Children's Depression Rating Scale-Revised (CDRS-R)

Children's Depression Rating Scale-Revised (CDRS-R) Total score measures the presence and severity of depression in children. The scale consists of 17 items scored on a 1-to-5- or 1-to-7-point scale. A rating of 1 indicates normal functioning and higher numbers indicate a higher degree of depression. The total sum of scores range from 17 to 113. In general, scores below 20 indicate an absence of depression, scores of 20 to 30 indicate borderline depression, scores of 40 to 60 indicate moderate depression, and scores greater than 60 indicate severe depression. (NCT03395353)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Duloxetine-12.8

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

CGI-S measures severity of illness at the time of assessment compared with start of treatment with scores ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill participants). (NCT03395353)
Timeframe: Baseline, Week 50

Interventionunits on a scale (Mean)
Duloxetine-0.9

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Pharmacokinetics (PK): Trough Concentration of Duloxetine

Trough concentrations of duloxetine are defined as the plasma concentrations in 18 - 30 hours post the previous dose. PK samples were obtained from each subject from Week 4 to the end of treatment period (Week 50) for analysis of steady state duloxetine concentrations. If duloxetine dose changed, PK samples were taken after 2 week or more administration of the new dose. Principally 1 or 2 blood samples were drawn from each subject at pre-dose for trough concentrations. (NCT03395353)
Timeframe: Week 4 through Week 50

Interventionng/mL (Mean)
Duloxetine 40 mg (9 to 11 Years Old)8.51
Duloxetine 40 mg (12 to 17 Years Old)18
Duloxetine 60 mg (9 to 11 Years Old)33.4
Duloxetine 60 mg (12 to 17 Years Old)39.5

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Change From Baseline in Participant-Reported Health Status as Assessed by EuroQol-5 Dimension-5 Level (EQ-5D-5L) Score up to the Endpoint (Double-blind Treatment Phase [Day 28]): Visual Analogue Scale (VAS)

The EQ-5D-5L is a standardized 2-part instrument for use as a measure of health outcome, primarily designed for self-completion by respondents. It essentially consists of the EQ-5D-5L descriptive system and the EQ-VAS. EQ-VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Positive change in score indicates improvement. (NCT03434041)
Timeframe: Baseline up to Double-blind Endpoint (Day 28)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant (AD)16.7
Intranasal Placebo + Oral AD11.9

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Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score to the End of Double-blind Treatment Phase (Day 28)

The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, inability to feel (interest level), pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score range of 0 to 60. Higher scores represent a more severe condition. Negative change in score indicates improvement. (NCT03434041)
Timeframe: Baseline up to end of the double-blind treatment phase (Day 28)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant (AD)-10.1
Intranasal Placebo + Oral AD-8.1

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Change From Baseline in Generalized Anxiety Disorder 7-item (GAD-7) Scale Score up to the Endpoint (Double-blind Treatment Phase [Day 28])

"The GAD-7 is a brief and validated 7-item self-reported assessment of overall anxiety. Participants respond to each item using a 4 point scale with response categories of 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day. Item responses are summed to yield a total score with a range of 0 to 21, where higher scores indicate more anxiety. The recall period is 2 weeks. The severity of the GAD-7 is categorized as follows: None (0-4), Mild (5-9), Moderate (10-14) and Severe (15-21). The last post-baseline observation during the double-blind phase was carried forward as the Endpoint." (NCT03434041)
Timeframe: Baseline up to Endpoint (double-blind treatment phase [Day 28])

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant (AD)-4.3
Intranasal Placebo + Oral AD-2.9

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Change From Baseline in Depressive Symptoms as Measured by the MADRS Total Score to 24 Hours Post First Dose (Day 2)

The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, inability to feel (interest level), pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score range of 0 to 60. Higher scores represent a more severe condition. Negative change in score indicates improvement. (NCT03434041)
Timeframe: Baseline (Day 1: predose) to 24 hours post first dose (Day 2)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant (AD)-8.0
Intranasal Placebo + Oral AD-4.4

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Percentage of Participants in Remission at the End of Double-blind Treatment Phase (Day 28)

Percentage of participants in remission at the end of double-blind treatment phase (Day 28) were assessed. A participant was considered as a remitter if participant had a MADRS total score of less than or equal to [<=] 12 at a visit. MADRS scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, inability to feel (interest level), pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score range of 0 to 60. Higher scores represent a more severe condition. Negative change in score indicates improvement. (NCT03434041)
Timeframe: Day 28

InterventionPercentage of Participants (Number)
Intranasal Esketamine + Oral Antidepressant (AD)12.8
Intranasal Placebo + Oral AD10.4

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score to the End of Double-blind Treatment Phase (Day 28)

The SDS is a subject-reported outcome measure that consists of a 5-item questionnaire which has been widely used and accepted for assessment of functional impairment and associated disability. The first three items assess disruption of (1) work/school, (2) social life, and (3) family life/home responsibilities using a 0-10 rating scale. The score for the first three items are summed to create a total score of 0-30, where a higher score indicates greater impairment. It also has one item on days lost from school or work and one item on days when underproductive. (NCT03434041)
Timeframe: Baseline up to end of the double-blind treatment phase (Day 28)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant (AD)-6.3
Intranasal Placebo + Oral AD-5.3

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Change From Baseline in Clinical Global Impression Severity (CGI-S) Scale Score up to the Endpoint (Double-blind Treatment Phase [Day 28])

The CGI-S provides an overall clinician-determined summary measure of the severity of the participant's illness that takes into account all available information, including knowledge of the participant's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the participant's ability to function. The CGI-S evaluates the severity of psychopathology on a scale of 1 to 7. Considering total clinical experience, a participant is assessed on severity of mental illness at the time of rating according to: 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 CGI-S permits a global evaluation of the participant's condition at a given time. Negative change in score indicates improvement. The last post-baseline observation during the double-blind phase was carried forward as Endpoint. (NCT03434041)
Timeframe: Baseline up to Double-blind Endpoint (Day 28)

InterventionUnits on a Scale (Median)
Intranasal Esketamine + Oral Antidepressant (AD)-1.0
Intranasal Placebo + Oral AD-1.0

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Change From Baseline in Participant-Reported Health Status as Assessed by EuroQol-5 Dimension-5 Level (EQ-5D-5L) up to the Endpoint (Double-blind Treatment Phase [Day 28]): Sum Score

"EQ-5D-5L consists of EQ-5D-5L descriptive system and EQ visual analogue scale (EQ-VAS). EQ-5D-5L descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each has 5 levels of perceived problems (1-no problem, 2-slight problems, 3-moderate problems, 4-severe problems, 5-extreme problems). Participant selects answer for each of 5 dimensions considering response that best matches his/her health today. Responses were used to generate a Health Status Index (HSI). HSI ranges from -0.148 to 0.949 and is anchored at 0 (health state value equal to dead) and 1 (full health). EQ-VAS self-rating records the respondent's own assessment of his/her overall health status at time of completion, on a scale of 0 (worst health you can imagine) to 100 (best health you can imagine). Sum score ranges from 0 to 100 where, sum score = (sum of the scores from the 5 dimensions minus 5) *5. Higher score indicates worst health state." (NCT03434041)
Timeframe: Baseline up to Double-blind Endpoint (Day 28)

InterventionUnits on a Scale (Mean)
Intranasal Esketamine + Oral Antidepressant (AD)-13.4
Intranasal Placebo + Oral AD-9.5

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Percentage of Participants With Onset of Clinical Response

Onset of clinical response is defined as greater than or equal to (>=) 50 percent (%) improvement from baseline in MADRS total score with onset by Day 2 that was maintained through Day 28. The MADRS scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, inability to feel (interest level), pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score range of 0 to 60. Higher scores represent a more severe condition. Negative change in score indicates improvement. (NCT03434041)
Timeframe: Day 2 up to Day 28

InterventionPercentage of participants (Number)
Intranasal Esketamine + Oral Antidepressant (AD)6.5
Intranasal Placebo + Oral AD1.6

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Percentage of Participants With Sustained Remission

Sustained remission is defined as the first occurrence of remission (MADRS Total score <=12) that was maintained through the Day 28 assessment with one excursion prior to Day 28. The MADRS scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, inability to feel (interest level), pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score range of 0 to 60. Higher scores represent a more severe condition. Negative change in score indicates improvement. (NCT03434041)
Timeframe: Up to Day 28

InterventionPercentage of Participants (Number)
Intranasal Esketamine + Oral Antidepressant (AD)5.6
Intranasal Placebo + Oral AD6.3

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Percentage of Responders at the End of Double-blind Treatment Phase (Day 28)

Percentage of responders at the end of double-blind treatment phase (Day 28) were assessed. A participant was defined as a responder at a given time point if the percent improvement from baseline in MADRS total score is at least 50%. The MADRS scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, inability to feel (interest level), pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed for a total possible score range of 0 to 60. Higher scores represent a more severe condition. Negative change in score indicates improvement. (NCT03434041)
Timeframe: Day 28

InterventionPercentage of Responders (Number)
Intranasal Esketamine + Oral Antidepressant (AD)19.3
Intranasal Placebo + Oral AD16.0

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Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (0 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.000.500.000.0013.754.2516.000.0027.9920.5025.2512.000.2523.5026.2516.0020.5023.000.2524.50
Placebo Comparator: Placebo10.330.670.670.3320.001.0021.670.6735.6736.6750.0026.3332.6738.3337.6731.3336.6730.3323.6738.33

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Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (60 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.001.000.000.0011.003.7511.752.0023.0018.0023.759.500.0017.2523.7510.7515.7520.250.0020.75
Placebo Comparator: Placebo0.005.000.004.6729.000.0028.333.6725.0036.0033.3314.675.3333.0032.6727.3327.0025.334.6724.67

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Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (40 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine5.501.000.000.2513.751.259.750.0020.2517.0017.2511.252.259.5015.004.5010.259.252.5011.50
Placebo Comparator: Placebo8.675.333.002.0018.672.0030.006.3322.3333.0039.3320.006.0031.3333.6730.0030.3331.333.6730.33

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Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (20 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.500.500.000.0013.750.0013.000.0016.2518.5021.7513.000.0011.7514.003.0014.259.750.2514.75
Placebo Comparator: Placebo10.672.002.000.3314.670.0022.000.6717.3333.3340.0015.005.6720.3335.3319.0021.6721.006.3316.00

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Subjective Effects of Methamphetamine (10 mg) Administration Following Methylphenidate (0 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.001.000.000.0012.502.2518.250.0025.5022.2523.5011.500.0014.2515.008.2512.0013.750.0016.00
Placebo Comparator: Placebo22.331.000.673.004.330.3315.671.0015.3323.0046.337.0011.3321.3333.6710.679.3312.672.6712.67

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Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (60 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.000.000.000.000.000.500.000.000.250.003.000.000.000.000.500.002.000.750.003.50
Placebo Comparator: Placebo0.000.000.000.0012.330.0015.330.0014.0032.3331.009.0014.3324.0029.6713.3312.0013.673.0015.33

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Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (40 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.000.500.000.000.500.000.000.000.500.751.000.000.000.501.250.001.251.250.004.25
Placebo Comparator: Placebo0.000.000.000.008.000.677.000.6710.3317.3323.006.677.6717.3316.338.0010.678.336.337.00

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Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (20 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.001.000.000.000.750.250.000.000.751.001.500.750.250.251.500.001.501.500.001.50
Placebo Comparator: Placebo3.001.331.671.674.001.674.003.003.338.0011.672.672.334.677.674.674.334.002.673.67

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Subjective Effects of Methamphetamine (0 mg) Administration Following Methylphenidate (0 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.000.000.000.000.000.000.000.001.500.251.500.000.002.250.000.250.000.250.001.25
Placebo Comparator: Placebo1.331.001.001.001.001.330.671.331.331.331.671.331.001.001.001.000.671.331.001.00

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Snaith-Hamilton-Pleasure Scale to Measure Anhedonia (Inability to Experience Pleasure)

A 14-item Snaith-Hamilton-Pleasure Scale covers four domains of pleasure response (interest/pastimes, social interaction, sensory experience and food/drink) with higher scores representing less anhedonia. Scores range from 0 to 56 units: lower scores representing greater anhedonia. (NCT04178993)
Timeframe: 4 times over approximately 4.5 weeks

,
InterventionUnits on a Scale (Mean)
Methylphenidate (0 mg)Methylphenidate (20 mg)Methylphenidate (40 mg)Methylphenidate (60 mg)
Active Comparator: Duloxetine (60 mg)51.2552.7554.0053.00
Placebo Comparator: Placebo44.3344.0044.3344.67

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Reinforcing Effects of Methamphetamine Following Methylphenidate (40 mg) Maintenance.

"Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to work for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose)." (NCT04178993)
Timeframe: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

,
InterventionTrials Completed (Mean)
Methamphetamine (0mg)Methamphetamine (10mg)Methamphetamine (20mg)
Active Comparator: Duloxetine05.0010
Placebo Comparator: Placebo1.671010

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Reinforcing Effects of Methamphetamine Following Methylphenidate (20 mg) Maintenance.

"Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to work for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose)." (NCT04178993)
Timeframe: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

,
InterventionTrials Completed (Mean)
Methamphetamine (0mg)Methamphetamine (10mg)Methamphetamine (20mg)
Active Comparator: Duloxetine (60 mg)2.507.009.75
Placebo Comparator: Placebo06.678.00

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Reinforcing Effects of Methamphetamine Following Methylphenidate (0 mg; Placebo) Maintenance.

"Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have ten opportunities (e.g., trials) to work for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose)." (NCT04178993)
Timeframe: Following at least 4 days of maintenance on placebo during inpatient admission, up to 1 week

,
InterventionTrials Completed (Mean)
Methamphetamine (0mg)Methamphetamine (10mg)Methamphetamine (20mg)
Active Comparator: Duloxetine (60 mg)07.259.75
Placebo Comparator: Placebo03.3310

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Reinforcing Effects of Methamphetamine Following Methylphenidate (60 mg) Maintenance.

"Number of methamphetamine doses earned by subjects on a progressive ratio schedule of reinforcement. Subjects sample a dose of methamphetamine (0, 10, or 20 mg) and then have the ten opportunities (e.g., trials) to work for a 1/10th of the sampled dose via clicking on a computer mouse (i.e., 10 completed trials is the full sampled dose)." (NCT04178993)
Timeframe: Following at least 4 days of maintenance on drug during inpatient admission, up to 1 week

,
InterventionTrials Completed (Mean)
Methamphetamine (0mg)Methamphetamine (10mg)Methamphetamine (20mg)
Active Comparator: Duloxetine (60 mg)07.509.75
Placebo Comparator: Placebo2.333.3310

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Heart Rate After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionBeats Per Minute (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine88.0087.5088.00
Placebo Comparator: Placebo87.3383.6799.67

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Heart Rate After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionBeats Per Minute (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine91.2587.7587.00
Placebo Comparator: Placebo85.0089.6787.67

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Heart Rate After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionBeats Per Minute (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine76.0078.5089.50
Placebo Comparator: Placebo83.6784.3385.67

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Heart Rate After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

Heart Rate (beats per minute) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionBeats Per Minute (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine78.0077.2583.75
Placebo Comparator: Placebo77.6787.3381.33

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Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeter of Mercury (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine82.2582.2584.25
Placebo Comparator: Placebo82.6781.6788.33

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Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeter of Mercury (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine81.0082.2585.00
Placebo Comparator: Placebo78.0084.6784.67

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Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeter of Mercury (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine74.5083.2585.00
Placebo Comparator: Placebo81.6785.3383.00

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Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeter of Mercury (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine128.75131.00144.25
Placebo Comparator: Placebo132.67133.00132.67

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Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (60 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.001.250.000.0018.251.0018.000.2521.5018.7521.5018.7513.5020.2521.502.5020.2520.250.0019.25
Placebo Comparator: Placebo6.670.000.330.0029.3330.6732.332.0037.3334.0037.6722.0010.3336.0036.3335.6737.0039.009.6738.00

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Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (40 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.001.250.000.0015.500.7514.751.2524.7521.2523.7515.000.0023.2524.756.7520.5022.750.0019.50
Placebo Comparator: Placebo1.330.330.000.0025.332.3333.007.0028.0038.0041.6712.335.3331.6734.3329.0028.0035.0012.0033.67

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Diastolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

Diastolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeter of Mercury (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine78.5083.7586.25
Placebo Comparator: Placebo80.0082.3387.33

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Delay Discounting for Money

"Subjects will complete a delay discounting task in 4 sessions following 4 days of medication maintenance. Subjects are presented a series of hypothetical choices between a smaller sum of money offered now or a larger sum of money offered a later times in the future (e.g., 4 hours, a day, 3 weeks). The discounting rate, 'k', is calculated and log10-transformed. Greater values of log-transformed 'k' correspond with greater rates of discounting (i.e., preference for smaller reinforcer provided now rather than larger, delayed reinforcers [e.g., smaller sum of money given now as opposed to a larger sum given later]). The units for discounting rates are theoretical and not linked to a physical dimension (e.g., number of button presses) and the range is theoretically not bound (i.e., negative infinity to positive infinity)." (NCT04178993)
Timeframe: 4 sessions over approximately 4.5 weeks

,
Interventionlog(k) (Mean)
Methylphenidate (0mg)Methylphenidate (20mg)Methylphenidate (40mg)Methylphenidate (60mg)
Active Comparator: Duloxetine (60 mg)-1.29-1.37-1.15-1.04
Placebo Comparator: Placebo-1.40-1.40-1.45-1.48

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Delay Discounting for Methamphetamine

"Subjects will complete a delay discounting task in 4 sessions following 4 days of medication maintenance. Subjects are presented a series of hypothetical choices between a smaller amount of methamphetamine offered now or a larger amount of methamphetamine offered a later times in the future (e.g., 4 hours, a day, 3 weeks). The discounting rate, 'k', is calculated and log10-transformed. Greater values of log-transformed 'k' correspond with greater rates of discounting (i.e., preference for smaller reinforcer provided now rather than larger, delayed reinforcers [e.g., smaller amount of methamphetamine given now as opposed to a larger amount given later]). The units for discounting rates are theoretical and not linked to a physical dimension (e.g., number of button presses) and the range is theoretically not bound (i.e., negative infinity to positive infinity)." (NCT04178993)
Timeframe: 4 sessions over approximately 4.5 weeks

,
Interventionlog(k) (Mean)
Methylphenidate (0mg)Methylphenidate (20mg)Methylphenidate (40mg)Methylphenidate (60mg)
Active Comparator: Duloxetine (60 mg)-1.31-1.27-1.15-1.04
Placebo Comparator: Placebo-1.40-1.04-1.45-1.17

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Attentional Bias

"Subjects will complete an attentional bias task. The number of inhibitory failures (i.e., commission errors) to no-go targets following methamphetamine-related stimuli will be used to evaluate attentional bias (range 0 - 1: greater values represent greater number of errors committed). Commission errors are when you response (i.e., press the corresponding key on a computer) when you were instructed not to respond." (NCT04178993)
Timeframe: 12 sessions over approximately 4.5 weeks

,
InterventionProportion of Responses (Mean)
Methylphenidate (0mg)Methylphenidate (20mg)Methylphenidate (40mg)Methylphenidate (60mg)
Active Comparator: Duloxetine (60 mg)0.080.130.110.12
Placebo Comparator: Placebo0.070.040.080.12

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Subjective Effects of Methamphetamine (20 mg) Administration Following Methylphenidate (20 mg) Maintenance.

Subjective effects (i.e., mood) of methamphetamine are recorded following administration. Data are presented as mean peak effect. Peak effect means the highest rated value (0 - 100 mm) following administration of methamphetamine. (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeters (Mean)
Sluggish/Fatigued/LazyRestlessNervous/AnxiousNauseated/Queasy/Sick to StomachTalkative/FriendlyIrregular/Racing HeartbeatEuphoricShaky/JitteryActive/Alert/EnergeticWill Pay ForWill Take AgainPerformance ImprovedPerformance ImpairedStimulatedLike DrugRushHighGood EffectsBad EffectsAny Effect
Active Comparator: Duloxetine0.001.000.000.5014.503.5014.250.0024.5017.2524.7514.500.2519.7518.7512.7516.5014.250.0013.75
Placebo Comparator: Placebo4.339.333.331.6722.673.0033.331.3330.0045.6748.0016.6711.3336.6747.3333.3333.3335.676.3336.33

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Temperature After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionDegrees Fahrenheit (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine98.6598.6598.58
Placebo Comparator: Placebo98.3798.4398.47

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Temperature After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionDegrees Fahrenheit (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine98.6098.6598.55
Placebo Comparator: Placebo98.1798.1398.43

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Temperature After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionDegrees Fahrenheit (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine98.5098.7598.35
Placebo Comparator: Placebo98.3798.1098.27

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Temperature After Methamphetamine Administration Following Methylphenidate (0 mg) Maintenance.

Oral temperature (degrees fahrenheit) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionDegrees Fahrenheit (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine98.4598.4898.48
Placebo Comparator: Placebo98.1098.2398.40

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Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (60 mg) Maintenance.

Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeter of Mercury (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine127.00129.75135.25
Placebo Comparator: Placebo139.00138.67139.67

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Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (40 mg) Maintenance.

Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeter of Mercury (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine129.75132.25139.25
Placebo Comparator: Placebo133.33129.00130.00

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Systolic Blood Pressure After Methamphetamine Administration Following Methylphenidate (20 mg) Maintenance.

Systolic blood pressure (millimeter of mercury) is recorded following administration of methamphetamine. Data are presented as mean peak effect. Peak effect means the highest rated value following administration of methamphetamine (0, 10, and 20 mg) (NCT04178993)
Timeframe: Daily over approximately 1 week of inpatient stay.

,
InterventionMillimeter of Mercury (Mean)
Methamphetamine (0 mg)Methamphetamine (10 mg)Methamphetamine (20 mg)
Active Comparator: Duloxetine124.25128.00132.75
Placebo Comparator: Placebo129.67131.67130.33

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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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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 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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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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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 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 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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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 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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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 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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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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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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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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Change in Hamilton Rating Score for Depression (HRSD) From Baseline to Week 8

Our target is depressive symptomatology as measured by the Hamilton Rating Scale for Depression (HRSD). The HRSD is a 24-item questionnaire used as an indication of depression and a guide to evaluating recovery. Total scores range from 0-74, not including atypical symptoms sub-scale. A score above 16 is typically considered to indicate the presence of depressive symptoms. Higher scores indicate greater severity. The change in Hamilton Rating Score for Depression (HRSD) from baseline to week 8 was calculated as Week 8 HRSD - Baseline HRSD. (NCT04697693)
Timeframe: Baseline and Week 8

Interventionscore on a scale (Mean)
Treatment With Escitalopram or Duloxetine3

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