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venlafaxine hydrochloride

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Description

Venlafaxine hydrochloride is a serotonin-norepinephrine reuptake inhibitor (SNRI) medication primarily used to treat major depressive disorder, generalized anxiety disorder, and social anxiety disorder. It was synthesized by the pharmaceutical company Wyeth in the late 1980s and approved by the Food and Drug Administration (FDA) in 1993. Venlafaxine acts by increasing the levels of serotonin and norepinephrine in the brain, which are neurotransmitters involved in mood regulation. Studies have shown that venlafaxine is effective in reducing depressive symptoms and anxiety, and it is often prescribed as a first-line treatment for these conditions. The compound is widely studied to understand its mechanisms of action, potential side effects, and optimal dosage for different patient populations. Venlafaxine has been found to be particularly effective in treating patients with severe depression or those who have not responded well to other antidepressant medications. However, it can cause adverse effects such as nausea, dizziness, and sexual dysfunction. Research continues to explore its effectiveness, long-term effects, and potential interactions with other medications.'

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

Cross-References

ID SourceID
PubMed CID62923
CHEMBL ID1201066
CHEBI ID9944
SCHEMBL ID41936
MeSH IDM0136959

Synonyms (121)

Synonym
AC-1696
1-[2-(dimethylamino)-1-(4-methoxyphenyl)ethyl]cyclohexanol hydrochloride
CHEBI:9944 ,
efexor
effexor lp
pw-4112
vandral
venlafaxine ea
pf-00345408
bvf-012
venlafaxine xr
efexor xl
effexor xl
dobupal
effexor
venlafaxine hydrochloride [usan]
wy-45,030
1-(2-(dimethylamino)-1-(4-methoxyphenyl)ethyl)cyclohexanol hydrochloride
effexor xr
cyclohexanol, 1-(2-(dimethylamino)-1-(4-methoxyphenyl)ethyl)-, hydrochloride
venlafaxine hydrochloride
wy-45030
wy 45030
c17h27no2.hcl
1-(2-(dimethylamino)-1-(4-methoxyphenyl)ethyl)cyclohexanol hcl
venlafaxine hcl
MLS001401454
smr000469154
effexor (tn)
D00821
venlafaxine hydrochloride (jan/usp)
99300-78-4
AKOS000280874
1-[2-(dimethylamino)-1-(4-methoxyphenyl)ethyl]cyclohexan-1-ol hydrochloride
venlafaxine (as hydrochloride)
CHEMBL1201066
(rs)-1-(2-dimethylamino-1-(4-methoxyphenyl)ethyl)cyclohexanol hydrochloride
nsc745751
nsc-745751
A845995
1-[2-(dimethylamino)-1-(4-methoxyphenyl)ethyl]-1-cyclohexanol hydrochloride
dtxcid6027397
NCGC00256703-01
cas-99300-78-4
tox21_302508
dtxsid8047397 ,
V0110
CCG-100979
venlafaxine hydrochloride [usan:usp]
7d7rx5a8mo ,
unii-7d7rx5a8mo
nsc 745751
FT-0642395
LP00449
S1441
AKOS016340594
venlafaxine hydrochloride [hsdb]
venlafaxine hydrochloride [who-dd]
venlafaxine hydrochloride [ep monograph]
venlafaxine hydrochloride [jan]
venlafaxine hydrochloride [mart.]
venlafaxine hydrochloride [orange book]
venlafaxine hydrochloride [mi]
venlafaxine hydrochloride [usp-rs]
venlafaxine hydrochloride [vandf]
(+/-)-1-(.alpha.-((dimethylamino)methyl)-p-methoxybenzyl)cyclohexanol hydrochloride
venlafaxine hydrochloride [usp monograph]
venlafaxine hydrochloride [ep impurity]
CCG-213270
HY-B0196A
venlafaxine (hydrochloride)
NC00229
SCHEMBL41936
KS-5049
NCGC00261134-01
tox21_500449
1-[2-dimethylamino-1-(4-methoxyphenyl)ethyl]cyclohexanol -hcl
QYRYFNHXARDNFZ-UHFFFAOYSA-N
1-[2-dimethylamino-1-(4-methoxy-phenyl)-ethyl]-cyclohexanol hydrochloride
vexor
venlift
venlafaxine hydorchloride
venlafaxinehydrochloride
1-(2-(dimethylamino)-1-(4-methoxyphenyl)ethyl)cyclohexan-1-ol hydrochloride
hydrochloride, venlafaxine
wy 45030 hydrochloride
(+/-)-1-(alpha-((dimethylamino)methyl)-p-methoxybenzyl)cyclohexanol hydrochloride
d,l-venlafaxine, hydrochloride
venlafaxine hydrochloride, united states pharmacopeia (usp) reference standard
venlafaxine hydrochloride, >=98% (hplc), powder
venlafaxine hydrochloride, pharmaceutical secondary standard; certified reference material
venlafaxine for system suitability, european pharmacopoeia (ep) reference standard
venlafaxine hydrochloride, european pharmacopoeia (ep) reference standard
venlafaxine hydrochloride 1.0 mg/ml in methanol (as free base)
venlafaxine hydro chloride
SW197609-3
BCP21401
HB1743
1-[2-(dimethylamino)-1-(4-methoxyph enyl)ethyl]cyclohexanol hydrochloride
Q27108525
AMY32694
venlafaxine hydrochloride 100 microg/ml in acetonitrile
dl-venlafaxine hydrochloride- bio-x
BV164514
cyclohexanol, 1-[2-(dimethylamino)-1-(4-methoxyphenyl)ethyl]-, hydrochloride (1:1
EN300-124075
Z1557494602
venlafaxine hcler
venlafaxine hydrochloride (usp-rs)
venlafaxine hydrochloride (ep monograph)
venlafaxine hydrochloride (usan:usp)
venlafaxine hydrochloride (usp monograph)
effexorxr
venlafaxine hydrochloride (ep impurity)
venlafaxine hydrochloride, extended release
effexorxr extended-release
venlafaxine hydrochlorideer
venlafaxine hydrochloride (mart.)
1-((1rs)-2-dimethylamino-1-(4-methoxyphenyl)ethyl)cyclohexanol monohydrochloride
venlafaxine.hcl
venlafaxine.hcl, 1mg/ml in methanol

Research Excerpts

Overview

Venlafaxine hydrochloride is a novel bicyclic antidepressant which inhibits the reuptake of serotonin, norepinephrine and, to a lesser extent, dopamine. Unlike the older antidepressants, has few side-effects.

ExcerptReferenceRelevance
"Venlafaxine hydrochloride (VEN) is an antidepressant drug widely used for the treatment of depression. "( Solid-state evaluation and polymorphic quantification of venlafaxine hydrochloride raw materials using the Rietveld method.
Bernardi, LS; Campos, CE; Cardoso, SG; Cuffini, SL; Ferreira, FF; Kuminek, G; Monti, GA; Oliveira, PR, 2013
)
2.08
"Venlafaxine Hydrochloride (VH) is a highly soluble and highly permeable antidepressant compound. "( Design and evaluation of novel barrier layer technologies for controlling venlafaxine hydrochloride release from tablet dosage form.
Avachat, M; Kulkarni, S; Malewar, N; Pokharkar, V, 2015
)
2.09
"Venlafaxine hydrochloride is a structurally novel antidepressant. "( Preliminary data suggest that venlafaxine environmental concentrations could be toxic to plants.
Catalá, M; Feito, R; Valcárcel, Y, 2013
)
1.83
"Venlafaxine hydrochloride is a novel bicyclic antidepressant which inhibits the reuptake of serotonin, norepinephrine and, to a lesser extent, dopamine. "( A case report of venlafaxine toxicity.
Burkhart, KK; Fantaskey, A, 1995
)
1.73
"Venlafaxine hydrochloride is a structurally novel agent that has recently been approved in the US for the treatment of depression. "( Venlafaxine: a structurally unique and novel antidepressant.
Morton, WA; Sonne, SC; Verga, MA, 1995
)
1.73
"Venlafaxine hydrochloride (Effexor) is a structurally novel antidepressant that inhibits reuptake of 5-hydroxytryptamine and noradrenaline, but unlike the older antidepressants, has few side-effects. "( Venlafaxine hydrochloride (Effexor) relieves thermal hyperalgesia in rats with an experimental mononeuropathy.
Denson, D; Hord, HA; Lang, E, 1996
)
3.18

Toxicity

ExcerptReferenceRelevance
"Venlafaxine has been shown in clinical trials to be safe and well tolerated in patients with major depression."( Safety and tolerance profile of venlafaxine.
Danjou, P; Hackett, D, 1995
)
0.29
" During the study, the adverse events were generally mild to moderate and most subsided with continued treatment; the most frequent were nausea for venlafaxine and dry mouth for imipramine."( Long-term safety and clinical acceptability of venlafaxine and imipramine in outpatients with major depression.
Cohn, C; Crowder, J; Davidson, J; Dunner, D; Feighner, J; Kiev, A; Patrick, R; Shrivastava, RK, 1994
)
0.29
" doses of venlafaxine are safe and effective in treating depression."( Efficacy and safety of b.i.d. doses of venlafaxine in a dose-response study.
Johnston, R; Mattes, J; Mendels, J; Riesenberg, R, 1993
)
0.29
" Serious adverse events were rare among venlafaxine-treated patients."( The safety and tolerability of venlafaxine hydrochloride: analysis of the clinical trials database.
Derivan, AT; Rudolph, RL, 1996
)
0.58
" The rates for individual side effects with the serotonin selective reuptake inhibitors, nefazodone, and venlafaxine are presented and compared with the adverse event experience for mirtazapine."( Safety and tolerability of the new antidepressants.
Nelson, JC, 1997
)
0.3
"The rate of adverse events following discontinuation of treatment with extended-release venlafaxine was compared with the rate associated with discontinuation of placebo administration."( Emergence of adverse events following discontinuation of treatment with extended-release venlafaxine.
Alpert, J; Fava, M; Mulroy, R; Nierenberg, AA; Rosenbaum, JF, 1997
)
0.3
"During the 3 days after discontinuation of treatment with the study drug, seven (78%) of the nine venlafaxine-treated subjects and two (22%) of the nine placebo-treated patients reported the emergence of adverse events, a statistically significant difference."( Emergence of adverse events following discontinuation of treatment with extended-release venlafaxine.
Alpert, J; Fava, M; Mulroy, R; Nierenberg, AA; Rosenbaum, JF, 1997
)
0.3
" In conclusion, our preliminary findings suggest that short-term, 6-week venlafaxine treatment may be a safe and effective antidepressant monotherapy for BP II major depression."( Efficacy and safety of venlafaxine in the treatment of bipolar II major depressive episode.
Amsterdam, J, 1998
)
0.3
" The mechanism of action of antidepressants allows prediction of both adverse effects and therapeutic effects."( Selecting an antidepressant by using mechanism of action to enhance efficacy and avoid side effects.
Stahl, SM, 1998
)
0.3
" The adverse events were not essentially different between treatment groups."( Efficacy, safety, and tolerability of venlafaxine extended release and buspirone in outpatients with generalized anxiety disorder.
Davidson, JR; DuPont, RL; Haskins, JT; Hedges, D, 1999
)
0.3
" Even though the small number of patients used is a significant limitation of this study, we found that combined venlafaxine and ECT appears to be safe when used in depression."( Seizure activity and safety in combined treatment with venlafaxine and ECT: a pilot study.
Arrufat, FJ; Baeza, I; Bernardo, M; Navarro, V; Salvà, J, 2000
)
0.31
" They have a side effect profile that is different from the older drugs and are generally better tolerated."( Antidepressants, old and new. A review of their adverse effects and toxicity in overdose.
Sarko, J, 2000
)
0.31
" This study evaluates a clinician-administered scale, the Toronto Side Effect Scale (TSES), in a natural practice clinic."( Antidepressant side effects in depression patients treated in a naturalistic setting: a study of bupropion, moclobemide, paroxetine, sertraline, and venlafaxine.
Bagby, RM; Kennedy, SH; Vanderkooy, JD, 2002
)
0.31
" A measure of side-effect intensity distinguished paroxetine from the other antidepressants on a measure of sexual dysfunction."( Antidepressant side effects in depression patients treated in a naturalistic setting: a study of bupropion, moclobemide, paroxetine, sertraline, and venlafaxine.
Bagby, RM; Kennedy, SH; Vanderkooy, JD, 2002
)
0.31
"These results confirm the clinical utility of the TSES as a simple, clinician-administered antidepressant side-effect scale."( Antidepressant side effects in depression patients treated in a naturalistic setting: a study of bupropion, moclobemide, paroxetine, sertraline, and venlafaxine.
Bagby, RM; Kennedy, SH; Vanderkooy, JD, 2002
)
0.31
" Treatment seems to be safe at venlafaxine doses <300 mg/day."( Efficacy and safety of venlafaxine-ECT combination in treatment-resistant depression.
Elizagarate, E; Gonzalez, N; Gonzalez-Pinto, A; Gutierrez, M; Mico, JA; Perez de Heredia, JL, 2002
)
0.31
"Selective serotonin reuptake inhibitors (SSRIs) and venlafaxine have been regarded as less toxic in overdose than tricyclic antidepressants (TCAs)."( Relative toxicity of venlafaxine and selective serotonin reuptake inhibitors in overdose compared to tricyclic antidepressants.
Buckley, NA; Dawson, AH; Whyte, IM, 2003
)
0.32
" Adverse events were monitored and recorded systematically during the trial."( Probing the safety of medications in the frail elderly: evidence from a randomized clinical trial of sertraline and venlafaxine in depressed nursing home residents.
Datto, CJ; DiFilippo, S; Katz, IR; Oslin, DW; Streim, JE; Ten Have, TR; Weintraub, D, 2003
)
0.32
"Twelve subjects were discontinued due to serious adverse events (SAE), 5 were discontinued due to other significant side effects, and 2 withdrew consent."( Probing the safety of medications in the frail elderly: evidence from a randomized clinical trial of sertraline and venlafaxine in depressed nursing home residents.
Datto, CJ; DiFilippo, S; Katz, IR; Oslin, DW; Streim, JE; Ten Have, TR; Weintraub, D, 2003
)
0.32
"In this frail elderly population, venlafaxine was less well tolerated and, possibly, less safe than sertraline without evidence for an increase in efficacy."( Probing the safety of medications in the frail elderly: evidence from a randomized clinical trial of sertraline and venlafaxine in depressed nursing home residents.
Datto, CJ; DiFilippo, S; Katz, IR; Oslin, DW; Streim, JE; Ten Have, TR; Weintraub, D, 2003
)
0.32
" Selective serotonin and serotonin-noradrenaline re-uptake inhibitors have become more viable treatments for GAD than the traditionally used benzodiazepines due to greater efficacy and a more tolerable adverse event profile."( The safety of SSRIs in generalised anxiety disorder: any reason to be anxious?
Gupta, S; Masand, PS, 2003
)
0.32
" Adverse events were recorded at each visit."( Efficacy and safety of venlafaxine ER vs. amitriptyline ER in patients with major depression of moderate severity.
Dierkes, W; Huppertz-Helmhold, S; Sauer, H, 2003
)
0.32
" Venlafaxine ER showed a more favorable safety profile than amitriptyline ER: adverse drug reactions were less frequent under venlafaxine ER than under amitriptyline ER."( Efficacy and safety of venlafaxine ER vs. amitriptyline ER in patients with major depression of moderate severity.
Dierkes, W; Huppertz-Helmhold, S; Sauer, H, 2003
)
0.32
"2%) reported adverse events."( [Quality of life, in depressed patients in Primary Health Care setting. Effectiveness and safety of venlafaxine extended release].
Baca Baldomero, E; Cervera Enguix, S,
)
0.13
"Venlafaxine extended release is a safe and effective drug that reduces depressive symptoms of Primary Health Care patients and improves their quality of life."( [Quality of life, in depressed patients in Primary Health Care setting. Effectiveness and safety of venlafaxine extended release].
Baca Baldomero, E; Cervera Enguix, S,
)
0.13
"Mirtazapine and nefazadone appear safe in overdose and were associated with minimal features of neurological or cardiovascular toxicity."( Comparative toxicity of citalopram and the newer antidepressants after overdose.
Bateman, DN; Dhaun, N; Good, AM; Kelly, CA; Laing, WJ; Strachan, FE, 2004
)
0.32
"This study attempted to determine if extended-release venlafaxine is safe for use in severely medically and surgically ill depressed patients."( Safety and tolerability of extended-release venlafaxine in severe medical and surgical illness.
Jindal, S; Schwartz, T; Virk, S; Wade, M,
)
0.13
"Extended-release venlafaxine appears to be a safe and tolerable agent for the medical-surgical depressed inpatient."( Safety and tolerability of extended-release venlafaxine in severe medical and surgical illness.
Jindal, S; Schwartz, T; Virk, S; Wade, M,
)
0.13
" Side effect burden, characterized as the mean number of side effects per postrandomization visit, correlated significantly with neurophysiologic changes in the antidepressant group but not the placebo group."( Neurophysiologic correlates of side effects in normal subjects randomized to venlafaxine or placebo.
Abrams, M; Cook, IA; DeBrota, DJ; Hunter, AM; Leuchter, AF; Morgan, ML; Potter, WZ; Siegman, B, 2005
)
0.33
" Adverse events and patient satisfaction were also evaluated during these visits."( The efficacy and safety of venlafaxine in the prophylaxis of migraine.
Disci, R; Ertas, M; Kiziltan, E; Ozyalcin, SN; Talu, GK; Yucel, B, 2005
)
0.33
"Venlafaxine was more effective than placebo and is safe and well tolerated as migraine prophylaxis."( The efficacy and safety of venlafaxine in the prophylaxis of migraine.
Disci, R; Ertas, M; Kiziltan, E; Ozyalcin, SN; Talu, GK; Yucel, B, 2005
)
0.33
" Discontinuation rates due to associated adverse events were greatest in the venlafaxine treatment group: venlafaxine, 20."( Efficacy and safety of pregabalin in the treatment of generalized anxiety disorder: a 6-week, multicenter, randomized, double-blind, placebo-controlled comparison of pregabalin and venlafaxine.
Kasper, S; Montgomery, SA; Pande, AC; Tobias, K; Zornberg, GL, 2006
)
0.33
" Common adverse events were asthenia, anorexia, pain, and somnolence."( Efficacy and safety of extended-release venlafaxine in the treatment of generalized anxiety disorder in children and adolescents: two placebo-controlled trials.
Kunz, NR; Riddle, MA; Rynn, MA; Yeung, PP, 2007
)
0.34
" Seven adverse events were recorded for four patients (6."( Effectiveness and safety of venlafaxine extended release in elderly depressed patients.
Carrasco, JL; García-Calvo, C; Ibor, JJ; Prieto, R,
)
0.13
" 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
" The efficacy of two treatments was assessed every 2 weeks during treatment, and at the end of study, using responses to IIEF, IELT evaluation, mean intercourse satisfaction domain, mean weekly coitus episodes and adverse drug effects."( Safety and efficacy of venlafaxine in the treatment of premature ejaculation: a double-blind, placebo-controlled, fixed-dose, randomised study.
Safarinejad, MR, 2008
)
0.35
" Adverse events occurring in 10% of patients or more with adjunctive placebo or aripiprazole were akathisia (4."( The efficacy and safety of aripiprazole as adjunctive therapy in major depressive disorder: a second multicenter, randomized, double-blind, placebo-controlled study.
Berman, RM; Carson, WH; Fava, M; Hennicken, D; Marcus, RN; McQuade, RD; Simon, JS; Thase, ME; Trivedi, MH, 2008
)
0.35
" The most common treatment-emergent adverse events were nausea, dizziness, insomnia, constipation, fatigue, anxiety, and decreased appetite."( Efficacy, safety, and tolerability of fixed-dose desvenlafaxine 50 and 100 mg/day for major depressive disorder in a placebo-controlled trial.
Boyer, P; Brisard, C; Ganguly, R; Germain, JM; Lepola, U; Montgomery, S; Padmanabhan, SK; Tourian, KA, 2008
)
0.35
"The authors sought to identify predictors of self-harm adverse events in treatment-resistant, depressed adolescents during the first 12 weeks of treatment."( Predictors of spontaneous and systematically assessed suicidal adverse events in the treatment of SSRI-resistant depression in adolescents (TORDIA) study.
Asarnow, J; Birmaher, B; Brent, DA; Clarke, GN; Debar, LL; Emslie, GJ; Iyengar, S; Keller, MB; Kennard, B; Leonard, H; Mayes, TL; McCracken, JT; Onorato, M; Porta, G; Ritz, L; Ryan, ND; Spirito, A; Strober, M; Suddath, R; Vitiello, B; Zelazny, J, 2009
)
0.35
", suicidal and non-suicidal self-injury adverse events were assessed by spontaneous report for the first 181 participants, and by systematic weekly assessment for the last 153 participants."( Predictors of spontaneous and systematically assessed suicidal adverse events in the treatment of SSRI-resistant depression in adolescents (TORDIA) study.
Asarnow, J; Birmaher, B; Brent, DA; Clarke, GN; Debar, LL; Emslie, GJ; Iyengar, S; Keller, MB; Kennard, B; Leonard, H; Mayes, TL; McCracken, JT; Onorato, M; Porta, G; Ritz, L; Ryan, ND; Spirito, A; Strober, M; Suddath, R; Vitiello, B; Zelazny, J, 2009
)
0.35
"2%), but not serious adverse events (8."( Predictors of spontaneous and systematically assessed suicidal adverse events in the treatment of SSRI-resistant depression in adolescents (TORDIA) study.
Asarnow, J; Birmaher, B; Brent, DA; Clarke, GN; Debar, LL; Emslie, GJ; Iyengar, S; Keller, MB; Kennard, B; Leonard, H; Mayes, TL; McCracken, JT; Onorato, M; Porta, G; Ritz, L; Ryan, ND; Spirito, A; Strober, M; Suddath, R; Vitiello, B; Zelazny, J, 2009
)
0.35
"Since predictors of suicidal adverse events also predict poor response to treatment, and many of these events occurred early in treatment, improving the speed of response to depression, by targeting of family conflict, suicidal ideation, and drug use may help to reduce their incidence."( Predictors of spontaneous and systematically assessed suicidal adverse events in the treatment of SSRI-resistant depression in adolescents (TORDIA) study.
Asarnow, J; Birmaher, B; Brent, DA; Clarke, GN; Debar, LL; Emslie, GJ; Iyengar, S; Keller, MB; Kennard, B; Leonard, H; Mayes, TL; McCracken, JT; Onorato, M; Porta, G; Ritz, L; Ryan, ND; Spirito, A; Strober, M; Suddath, R; Vitiello, B; Zelazny, J, 2009
)
0.35
" Treatment-emergent adverse events, laboratory values, vital signs, and discontinuation symptoms were evaluated."( An integrated analysis of the safety and tolerability of desvenlafaxine compared with placebo in the treatment of major depressive disorder.
Clayton, AH; Guico-Pabia, C; Kornstein, SG; Rosas, G; Tourian, KA, 2009
)
0.35
"In the overall population (placebo: n=1,116; desvenlafaxine: n=1,834), adverse events resulted in discontinuations in 3% of placebo-treated patients and 12% of desvenlafaxine-treated patients; in the subset of fixed-dose studies, the rates were 4% with placebo and increased with desvenlafaxine dose (50 mg/day: 4%; 400 mg/day: 18%)."( An integrated analysis of the safety and tolerability of desvenlafaxine compared with placebo in the treatment of major depressive disorder.
Clayton, AH; Guico-Pabia, C; Kornstein, SG; Rosas, G; Tourian, KA, 2009
)
0.35
" The most common adverse event was transient nausea."( An integrated analysis of the safety and tolerability of desvenlafaxine compared with placebo in the treatment of major depressive disorder.
Clayton, AH; Guico-Pabia, C; Kornstein, SG; Rosas, G; Tourian, KA, 2009
)
0.35
" There is also continuing controversy regarding the relative efficacy and adverse effects of right unilateral and bilateral ECT."( Effect of concomitant pharmacotherapy on electroconvulsive therapy outcomes: short-term efficacy and adverse effects.
Cooper, T; Dillingham, EM; Garcia, K; Haskett, RF; Isenberg, K; McCall, WV; Mulsant, BH; Prudic, J; Rosenquist, P; Sackeim, HA, 2009
)
0.35
"To test the hypotheses that, compared with placebo, concomitant treatment with nortriptline or venlafaxine during the ECT course enhances short-term efficacy without a meaningful effect on adverse effects and reduces the rate of post-ECT relapse, and to test the hypotheses that high-dose, right-sided, unilateral ECT is equivalent in efficacy to moderate-dosage bilateral ECT and retains advantages with respect to cognitive adverse effects."( Effect of concomitant pharmacotherapy on electroconvulsive therapy outcomes: short-term efficacy and adverse effects.
Cooper, T; Dillingham, EM; Garcia, K; Haskett, RF; Isenberg, K; McCall, WV; Mulsant, BH; Prudic, J; Rosenquist, P; Sackeim, HA, 2009
)
0.35
"Scores on the Hamilton Rating Scale for Depression, remission rate following completion of ECT, and selective measures of cognitive adverse effects."( Effect of concomitant pharmacotherapy on electroconvulsive therapy outcomes: short-term efficacy and adverse effects.
Cooper, T; Dillingham, EM; Garcia, K; Haskett, RF; Isenberg, K; McCall, WV; Mulsant, BH; Prudic, J; Rosenquist, P; Sackeim, HA, 2009
)
0.35
"Treatment with nortriptyline enhanced the efficacy and reduced the cognitive adverse effects of ECT relative to placebo."( Effect of concomitant pharmacotherapy on electroconvulsive therapy outcomes: short-term efficacy and adverse effects.
Cooper, T; Dillingham, EM; Garcia, K; Haskett, RF; Isenberg, K; McCall, WV; Mulsant, BH; Prudic, J; Rosenquist, P; Sackeim, HA, 2009
)
0.35
"The efficacy of ECT is substantially increased by the addition of an antidepressant medication, but such medications may differ in whether they reduce or increase cognitive adverse effects."( Effect of concomitant pharmacotherapy on electroconvulsive therapy outcomes: short-term efficacy and adverse effects.
Cooper, T; Dillingham, EM; Garcia, K; Haskett, RF; Isenberg, K; McCall, WV; Mulsant, BH; Prudic, J; Rosenquist, P; Sackeim, HA, 2009
)
0.35
" Agomelatine is probably hepatotoxic; (8) In summary, agomelatine has unproven efficacy and poorly documented adverse effects."( Agomelatine: new drug. Adverse effects and no proven efficacy.
, 2009
)
0.35
"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
" The most common adverse effects (AEs) with GSK372475 were dry mouth, headache, insomnia, and nausea."( Efficacy, safety, and tolerability of a triple reuptake inhibitor GSK372475 in the treatment of patients with major depressive disorder: two randomized, placebo- and active-controlled clinical trials.
Alexander, R; Archer, G; Evoniuk, G; Graff, O; Krishnan, KR; Lavergne, A; Learned, S; Moate, R; Modell, JG; Ratti, E; Roychowdhury, S; Zamuner, S, 2012
)
0.38
" Tolerability and safety were compared by an evaluation of reported adverse events."( An indirect comparison of the efficacy and safety of desvenlafaxine and venlafaxine using placebo as the common comparator.
Canny, LM; Coleman, KA; Meaney, JV; Palmer, TL; Radalj, LM; Xavier, VY, 2012
)
0.38
" Adverse effects were also evaluated."( Efficacy and adverse effects of venlafaxine in children and adolescents with ADHD: a systematic review of non-controlled and controlled trials.
Berk, M; Freeman, RD; Ghanizadeh, A, 2013
)
0.39
" 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
"The aim of this study was to assess whether the combination of low frequency repetitive transcranial magnetic stimulation (rTMS) and venlafaxine (150-225 mg/day) is effective and safe for treatment-resistant unipolar depression (TRD)."( The efficacy and safety of low frequency repetitive transcranial magnetic stimulation for treatment-resistant depression: the results from a large multicenter French RCT.
Attal, J; Brault, C; Brunelin, J; Gay, A; Haffen, E; Jalenques, I; Januel, D; Poulet, E; Schott-Pethelaz, AM; Szekely, D; Trojak, B,
)
0.13
" 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
" Furthermore, combination therapy provides less adverse effects."( [Optimization of the efficacy and safety of antidepressant therapy in patients of a geriatric psychiatric unit].
Gavrilova, SI; Kalyn, YB; Kornilov, VV; Safarova, TP; Sheshenin, VS; Shipilova, ES; Yakovleva, OB, 2015
)
0.42
" Treatment-related adverse events in the treatment period were 51."( A randomized, double-blinded, placebo-controlled study to evaluate the efficacy and safety of venlafaxine extended release and a long-term extension study for patients with major depressive disorder in Japan.
Asami, Y; Higuchi, T; Imaeda, T; Itamura, R; Kamijima, K; Kuribayashi, K; Nakagome, K, 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
" The association between a drug and a rare but potentially serious side effect in an individual patient can be difficult to determine with precision, and the decision to press ahead and try to work around the reaction, versus stopping the likely offender and finding a substitute, is a matter for seasoned clinical judgment."( Commentary on 2 Cases of Rare but Serious Side Effects of Commonly Used Medications: Dilemmas in Clinical Decision-making.
Kahn, DA, 2018
)
0.48
" Moreover, co-exposure with microplastic might lead to more adverse effect against loach."( Enantiospecific toxicity, distribution and bioaccumulation of chiral antidepressant venlafaxine and its metabolite in loach (Misgurnus anguillicaudatus) co-exposed to microplastic and the drugs.
Duan, L; Ma, R; Qu, H; Wang, B; Yang, J; Yu, G, 2019
)
0.51
"The time course of adverse events is an important factor for patient management."( The Course of Adverse Events in Venlafaxine XR Treatment in Generalized Anxiety Disorder.
Cleary, S; Gallop, R; Rickels, K,
)
0.13
" Adverse events were assessed at each treatment visit using a 21-item checklist."( The Course of Adverse Events in Venlafaxine XR Treatment in Generalized Anxiety Disorder.
Cleary, S; Gallop, R; Rickels, K,
)
0.13
" A highly significant race effect was found in that whites had a significantly higher adverse event rate than did nonwhites."( The Course of Adverse Events in Venlafaxine XR Treatment in Generalized Anxiety Disorder.
Cleary, S; Gallop, R; Rickels, K,
)
0.13
"Our findings provide information for clinicians on the course of adverse events over treatment, useful to prepare patients for treatment adherence."( The Course of Adverse Events in Venlafaxine XR Treatment in Generalized Anxiety Disorder.
Cleary, S; Gallop, R; Rickels, K,
)
0.13
" 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
" The most frequent adverse events (AEs) were dizziness and somnolence in the trazodone group, and nausea and headache in the venlafaxine group."( A randomized, double-blind study comparing the efficacy and safety of trazodone once-a-day and venlafaxine extended-release for the treatment of patients with major depressive disorder.
Albert, U; Cattaneo, A; Comandini, A; Di Dato, G; Di Loreto, G; Fagiolini, A; Ferrando, L; Herman, E; Kasper, S; Muntean, C; Olivieri, L; Pálová, E; Salvatori, E; Tongiani, S, 2020
)
0.56
" However, investigation of their toxic effects on aquatic animals, single or in mixture with other occurring psychoactive drugs, has been neglected."( Norfluoxetine and venlafaxine in zebrafish larvae: Single and combined toxicity of two pharmaceutical products relevant for risk assessment.
Cunha, V; Ferreira, M; Guimarães, L; Oliva-Teles, L; Rodrigues, P, 2020
)
0.56
" Neonatal providers should be aware of maternal medications and prepare for possible adverse effects, particularly from common psychotropic exposures."( Why the Maternal Medication List Matters: Neonatal Toxicity From Combined Serotonergic Exposures.
Brajcich, MR; Marks, J; Messer, RD; Murphy, ME; Palau, MA, 2021
)
0.62
"5 mg/day) treatment during the first hospitalization did not cause any side effects, but treatment with mirtazapine (15 mg/day) and venlafaxine (150 mg/day) during the second hospitalization caused clonus and disturbance of consciousness, and these adverse effects resulted in a prolonged period of hospitalization."( A case of mood disorder with severe side effects of antidepressants in association with resistance to thyroid hormone beta with a THRB mutation.
Hasegawa, C; Komahashi-Sasaki, H; Maehara, R; Shimoda, K; Yasui-Furukori, N, 2022
)
0.72
" The results revealed the transformation pathways of these drugs under the UV disinfection process in wastewater treatment plants, especially the formation of toxic by-products during the disinfection process."( Ultraviolet oxidative degradation of typical antidepressants: Pathway, product toxicity, and DFT theoretical calculation.
Ji, Y; Lin, W; Ping, S; Ren, Y; Zhang, X; Zhao, B, 2022
)
0.72
" Moreover, previous reviews have not systematically assessed the occurrence of adverse events."( The risks of adverse events with venlafaxine and mirtazapine versus 'active placebo', placebo, or no intervention for adults with major depressive disorder: a protocol for two separate systematic reviews with meta-analysis and Trial Sequential Analysis.
Gluud, C; Hengartner, MP; Horowitz, MA; Jakobsen, JC; Juul, S; Jørgensen, CK; Kirsch, I; Moncrieff, J; Munkholm, K; Siddiqui, F, 2023
)
0.91
" The primary outcomes will be suicides or suicide attempts, serious adverse events, and non-serious adverse events."( The risks of adverse events with venlafaxine and mirtazapine versus 'active placebo', placebo, or no intervention for adults with major depressive disorder: a protocol for two separate systematic reviews with meta-analysis and Trial Sequential Analysis.
Gluud, C; Hengartner, MP; Horowitz, MA; Jakobsen, JC; Juul, S; Jørgensen, CK; Kirsch, I; Moncrieff, J; Munkholm, K; Siddiqui, F, 2023
)
0.91
" As antidepressants are frequently used for postpartum depression (PPD) treatment, this study investigated the adverse effects of lactational exposure to venlafaxine (VENL, a selective SNRI) on mammary gland development and carcinogenesis in F1 female offspring."( Safety of lactational exposure to venlafaxine on the rat mammary gland development and carcinogenesis in F1 female offspring.
Altieri, MA; Arena, AC; Barbisan, LF; da Silva Moreira, S; da Silva, AS; Zapaterini, JR, 2023
)
0.91

Pharmacokinetics

ExcerptReferenceRelevance
" A randomized three-period crossover study was conducted to obtain pharmacokinetic and dose proportionality data on the drug and its active metabolite, O-desmethylvenlafaxine."( Introduction of a composite parameter to the pharmacokinetics of venlafaxine and its active O-desmethyl metabolite.
Chiang, ST; Jusko, WJ; Klamerus, KJ; Maloney, K; Rudolph, RL; Sisenwine, SF, 1992
)
0.28
" Analysis of variance showed no significant differences between the two venlafaxine regimens for peak concentration (Cmax), area under the curve during 24 hours (AUC0-24), trough concentration, or fluctuation ratio for venlafaxine or O-desmethylvenlafaxine in plasma."( The pharmacokinetics of venlafaxine when given in a twice-daily regimen.
Chiang, ST; Fruncillo, RJ; Parker, VD; Troy, SM, 1995
)
0.29
"To assess possible pharmacokinetic and pharmacodynamic interactions between the antidepressant venlafaxine and diazepam, a randomized, two-period, crossover study was conducted in 18 men."( Pharmacokinetic and pharmacodynamic evaluation of the potential drug interaction between venlafaxine and diazepam.
Chiang, ST; Klockowski, PM; Lucki, I; Parker, VD; Peirgies, AA; Troy, SM, 1995
)
0.29
" Other species differences were seen, including an elimination half-life of venlafaxine that was longer in dog and rhesus monkey (2-4 h) than in rodent (around 1 h)."( Pharmacokinetics of venlafaxine and O-desmethylvenlafaxine in laboratory animals.
Hicks, DR; Howell, SR; Scatina, JA; Sisenwine, SF, 1994
)
0.29
" Thus, there were no clinically significant pharmacokinetic interactions between venlafaxine and lithium."( Pharmacokinetic interaction between multiple-dose venlafaxine and single-dose lithium.
Boudino, FD; Chiang, ST; Hicks, DR; Parker, VD; Troy, SM, 1996
)
0.29
"This single- and multiple-dose, nonrandomized, inpatient study was conducted to determine the effects of age and gender on the pharmacokinetic profiles of the antidepressant venlafaxine and its equally active metabolite, O-desmethylvenlafaxine."( Effects of age and gender on venlafaxine and O-desmethylvenlafaxine pharmacokinetics.
Chiang, ST; Derivan, AT; Klamerus, KJ; Parker, VD; Rudolph, RL,
)
0.13
" The pharmacokinetic disposition of VEN was characterized using a "first-pass" model that incorporates a presystemic compartment (liver) to account for the first-pass metabolism of VEN to ODV."( Application of a first-pass effect model to characterize the pharmacokinetic disposition of venlafaxine after oral administration to human subjects.
Behar, L; DiGregorio, RV; Iyer, GR; Taft, DR, 1997
)
0.3
" A standard, medium-fat breakfast eaten immediately before drug administration delayed the tmax of venlafaxine but did not affect Cmax or AUC."( Pharmacokinetics and effect of food on the bioavailability of orally administered venlafaxine.
Chiang, ST; Hicks, DR; Parker, VP; Pollack, GM; Troy, SM, 1997
)
0.3
" Because many patients taking antidepressant therapy may self-medicate with ethanol, this study was undertaken to assess the possible pharmacokinetic and pharmacodynamic interactions between venlafaxine and ethanol."( Pharmacokinetic and pharmacodynamic evaluation of the potential drug interaction between venlafaxine and ethanol.
Chiang, ST; Parker, VD; Troy, SM; Turner, MB; Unruh, M, 1997
)
0.3
"To document a case of serotonin syndrome associated with venlafaxine and fluoxetine that did not involve a monoamine oxidase inhibitor, and to examine the multiple factors, including pharmacodynamic and pharmacokinetic interactions, that likely caused this adverse drug reaction (ADR)."( Serotonin syndrome induced by venlafaxine and fluoxetine: a case study in polypharmacy and potential pharmacodynamic and pharmacokinetic mechanisms.
Bhatara, VS; Magnus, RD; Paul, KL; Preskorn, SH, 1998
)
0.3
", an idiosyncratic reaction to venlafaxine), a pharmacokinetic interaction, a pharmacodynamic interaction, a combined pharmacokinetic-pharmacodynamic interaction, and the patient' s panic disorder."( Serotonin syndrome induced by venlafaxine and fluoxetine: a case study in polypharmacy and potential pharmacodynamic and pharmacokinetic mechanisms.
Bhatara, VS; Magnus, RD; Paul, KL; Preskorn, SH, 1998
)
0.3
"Potential pharmacokinetic effects of venlafaxine on alprazolam, a substrate of the cytochrome pigment 450 (CYP) isoenzyme CYP3A4, were investigated in 16 healthy volunteers."( Effect of venlafaxine on the pharmacokinetics of alprazolam.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1998
)
0.3
"The effect of steady-state venlafaxine administration on the single-dose pharmacokinetic profile of terfenadine, a cytochrome pigment (P450) isoenzyme CYP3A4 substrate, and its active acid metabolite (fexofenadine) was evaluated in an open-label, nonrandomized study."( Effect of venlafaxine on the pharmacokinetics of terfenadine.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1998
)
0.3
" This open-label study evaluated the effect of steady-state venlafaxine on CYP1A2-dependent metabolism, as measured by the pharmacokinetic disposition of caffeine, and urinary caffeine metabolite ratios (CMRs)."( Effect of venlafaxine on CYP1A2-dependent pharmacokinetics and metabolism of caffeine.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
"An open-label study evaluated the effect of steady-state venlafaxine on the single-dose pharmacokinetic profile of risperidone, a CYP2D6 substrate; its active metabolite, 9-hydroxyrisperidone; and the total active moiety (risperidone plus 9-hydroxyrisperidone)."( Effect of venlafaxine on the pharmacokinetics of risperidone.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
"The Cmax and AUC of venlafaxine were 184% and 484% higher in the group 1 subjects than in the group 3 subjects, and 101% and 203% higher in the group 1 than in the group 2, respectively."( Effect of the CYP2D6*10 genotype on venlafaxine pharmacokinetics in healthy adult volunteers.
Azuma, J; Fukuda, T; Nishida, Y; Ohno, M; Takada, K; Yamamoto, I; Zhou, Q, 1999
)
0.3
" Pharmacokinetic and pharmacodynamic changes in this population may predispose patients to experience an increased number of adverse events."( Pharmacokinetic considerations of antidepressant use in the elderly.
DeVane, CL; Pollock, BG, 1999
)
0.3
" Considerations relevant to drug product selection include: 1) pharmacokinetic issues such as half-life and time to steady-state, and protein binding; 2) pharmacodynamic drug-drug interactions; and 3) drug metabolism-related drug interactions."( Review of the pharmacokinetics, pharmacogenetics, and drug interaction potential of antidepressants: focus on venlafaxine.
Dugan, D; Ereshefsky, L, 2000
)
0.31
" The aim of the present study was to determine the acute pharmacodynamic effects of citalopram and venlafaxine, on cognitive and psychomotor performance."( Serotonin, noradrenaline and cognitive function: a preliminary investigation of the acute pharmacodynamic effects of a serotonin versus a serotonin and noradrenaline reuptake inhibitor.
Nathan, PJ; Sali, A; Silberstein, RB; Sitaram, G; Stough, C, 2000
)
0.31
" The present study assessed the distribution of VEN in different compartments, whether the VEN concentration in the compartments correlated, the effect of VEN on dialysate monoamine levels and on the spontaneous open-field behavior, and possible relations between the pharmacokinetic and pharmacodynamic parameters."( Sustained administration of the antidepressant venlafaxine in rats: pharmacokinetic and pharmacodynamic findings.
Apelqvist, G; Bengtsson, F; Bergqvist, PB; Hjorth, S; Kullingsjö, J; Lundmark, J; Wikell, C, 2001
)
0.31
" The liver impairment may result in pharmacokinetic alterations of the antidepressant drug, which in turn may affect the already perturbed monoaminergic function."( Effect of halving the dose of venlafaxine to adjust for putative pharmacokinetic and pharmacodynamic changes in an animal model of chronic hepatic encephalopathy.
Apelqvist, G; Bengtsson, F; Hjorth, S; Kugelberg, FC; Wikell, C,
)
0.13
" Based on the pharmacologic characteristics of venlafaxine and indinavir, we hypothesized that significant pharmacokinetic drug-drug interactions would not occur when these drugs where taken concurrently."( A pharmacokinetic drug-drug interaction study of venlafaxine and indinavir.
Carson, SW; DeVane, CL; Eisele, G; Levin, GM; Nelson, LA; Preston, SL, 2001
)
0.31
" Potential pharmacokinetic advantages of these formulations include lower peak plasma drug concentrations and smaller fluctuations between peak and trough plasma drug concentrations, which might influence the tolerability of these medications."( Immediate-release versus controlled-release formulations: pharmacokinetics of newer antidepressants in relation to nausea.
DeVane, CL, 2003
)
0.32
" Ten CYP2D6 genotyped and depressive (F32x and F33x, ICD-10) patients participated in an open study on the pharmacokinetic and pharmacodynamic consequences of a carbamazepine augmentation in VEN non-responders."( Combination therapy with venlafaxine and carbamazepine in depressive patients not responding to venlafaxine: pharmacokinetic and clinical aspects.
Baumann, P; Brawand-Amey, M; Brocard, M; Ciusani, E; Eap, CB; Zullino, DF, 2004
)
0.32
" 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
" The method was successfully applied for the evaluation of pharmacokinetic profiles of venlafaxine capsule in 20 healthy volunteers."( Liquid chromatography-mass spectrometry method for the determination of venlafaxine in human plasma and application to a pharmacokinetic study.
Bing-Ren, X; Cai-Yun, W; Wei, Z, 2007
)
0.34
" Blood samples were collected for pharmacokinetic analysis of ADTs."( The pharmacokinetics of standard antidepressants with aripiprazole as adjunctive therapy: studies in healthy subjects and in patients with major depressive disorder.
Balch, AH; Berman, RM; Boulton, DW; Mallikaarjun, S; Patel, CG; Reeves, RA; Royzman, K, 2010
)
0.36
" We used pupillography as a test system for the pharmacodynamic response to venlafaxine, since it had been shown to be useful for assessment of noradrenergic effects on the autonomous nervous system."( Pharmacokinetic/pharmacodynamic modelling of venlafaxine: pupillary light reflex as a test system for noradrenergic effects.
Jaehde, U; Jung, A; Kirch, W; Lindauer, A; Oertel, R; Siepmann, M; Siepmann, T; Ziemssen, T, 2008
)
0.35
"The pharmacokinetic part of the model could be simultaneously fitted to both venlafaxine and O-desmethylvenlafaxine data, yielding precise parameter estimates that were similar to published data."( Pharmacokinetic/pharmacodynamic modelling of venlafaxine: pupillary light reflex as a test system for noradrenergic effects.
Jaehde, U; Jung, A; Kirch, W; Lindauer, A; Oertel, R; Siepmann, M; Siepmann, T; Ziemssen, T, 2008
)
0.35
" Comparisons of AUC and Cmax between cytochrome P450 2D6 EMs and PMs were calculated using a Wilcoxon exact test."( Comparison of the pharmacokinetics of venlafaxine extended release and desvenlafaxine in extensive and poor cytochrome P450 2D6 metabolizers.
Ahmed, S; Burczynski, ME; Isler, JA; Jiang, Q; Nichols, AI; Patroneva, A; Paul, J; Preskorn, S; Silman, H, 2009
)
0.35
" This reduced pharmacokinetic variability of desvenlafaxine may translate into better uniformity of response for patients receiving desvenlafaxine versus venlafaxine, but additional studies are required to test this hypothesis."( Comparison of the pharmacokinetics of venlafaxine extended release and desvenlafaxine in extensive and poor cytochrome P450 2D6 metabolizers.
Ahmed, S; Burczynski, ME; Isler, JA; Jiang, Q; Nichols, AI; Patroneva, A; Paul, J; Preskorn, S; Silman, H, 2009
)
0.35
" The aim of the present pilot study was to compare the pharmacokinetic profiles of brand-name and generic formulations of citalopram and extended-release venlafaxine."( Comparison of pharmacokinetic profiles of brand-name and generic formulations of citalopram and venlafaxine: a crossover study.
Batten, LA; Blier, P; Chenu, F; Hébert, C; Ladstaetter, E; Zernig, G, 2009
)
0.35
" The method herein described was superior to previous methods in sensitivity and sample throughput and successfully applied to clinical pharmacokinetic study of venlafaxine sustained-release capsule in healthy male volunteers after oral administration."( Simultaneous quantification of venlafaxine and O-desmethylvenlafaxine in human plasma by ultra performance liquid chromatography-tandem mass spectrometry and its application in a pharmacokinetic study.
Li, F; Li, N; Qin, F; Qin, T; Zhang, Y, 2010
)
0.36
" The pharmacokinetic parameters of VenHCl from the optimized three-layer tablet was compared to the marketed extended release capsule as a reference in healthy human subjects using a randomized crossover design."( Optimization and in vivo pharmacokinetic study of a novel controlled release venlafaxine hydrochloride three-layer tablet.
Aboelwafa, AA; Basalious, EB, 2010
)
0.59
"Genetically driven variations in the level of cytochrome P450 (CYP) 2D6 metabolic activity have been shown to significantly affect the pharmacokinetic behaviour of medications that are substrates of this enzyme."( Pharmacokinetics of venlafaxine extended release 75  mg and desvenlafaxine 50  mg in healthy CYP2D6 extensive and poor metabolizers: a randomized, open-label, two-period, parallel-group, crossover study.
Focht, K; Jiang, Q; Kane, CP; Nichols, AI; Preskorn, SH, 2011
)
0.37
" Blood samples for pharmacokinetic analyses were collected during the 120 hours following administration of each study drug."( Pharmacokinetics of venlafaxine extended release 75  mg and desvenlafaxine 50  mg in healthy CYP2D6 extensive and poor metabolizers: a randomized, open-label, two-period, parallel-group, crossover study.
Focht, K; Jiang, Q; Kane, CP; Nichols, AI; Preskorn, SH, 2011
)
0.37
"An HPLC-MS/MS method has been developed and validated for the determination of venlafaxine enantiomers in human plasma and applied to a pharmacokinetic study in healthy Chinese volunteers."( Development and validation of a HPLC-MS/MS method for the determination of venlafaxine enantiomers and application to a pharmacokinetic study in healthy Chinese volunteers.
Dai, YC; Deng, N; Liu, W; Liu, XR, 2011
)
0.37
"To assess the effects of venlafaxine extended-release (XR) capsules and desvenlafaxine extended-release (XR) tablets upon indinavir pharmacokinetic properties when co-administrated to healthy volunteers."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
" Indinavir pharmacokinetic parameters were calculated by noncompartmental analysis using validated computer software."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
"No pharmacokinetic drug-drug interaction was demonstrated between venlafaxine XR and indinavir or between desvenlafaxine XR and indinvair."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
" Formulation was optimized on the basis of clarity, pH, gelation temperature, mucoadhesive strength, gel strength, viscosity, drug content, diffusion through sheep nasal mucosa, histopathological evaluation of mucosa, and pharmacodynamic study in rats."( Thermoreversible nasal in situ gel of venlafaxine hydrochloride: formulation, characterization, and pharmacodynamic evaluation.
Avachat, AM; Bhandwalkar, MJ, 2013
)
0.66
" Mechanistic pharmacokinetic simulations suggested that the low metabolite ratio was the result of combined poor metabolizer (PM) status of cytochrome P450 (CYP) 2C19 and CYP2D6."( A poor metabolizer of both CYP2C19 and CYP2D6 identified by mechanistic pharmacokinetic simulation in a fatal drug poisoning case involving venlafaxine.
Ahlner, J; Boel, LW; Brock, B; Jornil, J; Nielsen, TS; Rosendal, I; Zackrisson, AL, 2013
)
0.39
"Among 80 enrolled subjects, 77 were included in pharmacokinetic and safety analyses."( An open-label investigation of the pharmacokinetic profiles of lisdexamfetamine dimesylate and venlafaxine extended-release, administered alone and in combination, in healthy adults.
Corcoran, M; Ermer, J; Haffey, MB; Harlin, B; Lasseter, K; Martin, P; Purkayastha, J; Richards, C; Roesch, B, 2013
)
0.39
" The impact of venlafaxine on ticagrelor pharmacokinetic parameters was also investigated."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.4
" Plasma concentrations of ticagrelor, venlafaxine, and their metabolites (AR-C124910XX and O-desmethylvenlafaxine [ODV], respectively) were quantified for pharmacokinetic analyses."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.4
" Venlafaxine Cmax was increased by 22% in the presence of ticagrelor (121."( Evaluation of the pharmacokinetic interaction between ticagrelor and venlafaxine, a cytochrome P-450 2D6 substrate, in healthy subjects.
Hsia, J; Kujacic, M; Teng, R, 2014
)
0.4
"To evaluate the ability of two biomarkers in reflecting venlafaxine pharmacokinetic variations, and to further examine their relationship with venlafaxine treatment outcomes."( The influences of CYP2D6 genotypes and drug interactions on the pharmacokinetics of venlafaxine: exploring predictive biomarkers for treatment outcomes.
Choi, JY; Chung, MW; Ha, JH; Jiang, F; Kim, HD; Kim, YH; Lee, SY; Na, HS; Seo, DW; Shin, HJ, 2015
)
0.42
"Two well-defined influencing factors: CYP2D6 genotypes and drug interactions were enriched into a three-period crossover study to produce venlafaxine pharmacokinetic variations: In each period, healthy CYP2D6 extensive metabolizers (EM group; n = 12) and CYP2D6*10/*10 intermediate metabolizers (IM group; n = 12) were pretreated with clarithromycin (CYP3A4 inhibitor), or nothing (control), or clarithromycin + paroxetine (CYP3A4 + CYP2D6 inhibitors), before administration of a single-dose of 75 mg venlafaxine."( The influences of CYP2D6 genotypes and drug interactions on the pharmacokinetics of venlafaxine: exploring predictive biomarkers for treatment outcomes.
Choi, JY; Chung, MW; Ha, JH; Jiang, F; Kim, HD; Kim, YH; Lee, SY; Na, HS; Seo, DW; Shin, HJ, 2015
)
0.42
"Our results indicated that an intake of apigenin could increase VEN plasma levels and some of its pharmacokinetic parameters (AUC, Tmax)."( Inhibitory Effect of Apigenin on Pharmacokinetics of Venlafaxine in vivo and in vitro.
Gu, EM; Hu, GX; Hu, XX; Liang, BQ; Lin, D; Zhan, YY; Zheng, ZQ, 2015
)
0.42
" In this article, we report the evidence that contributed to the implementation of pharmacokinetic pharmacogenetic guidelines for antidepressants primarily metabolized by CYP2D6 and CYP2C19."( Pharmacokinetic Pharmacogenetic Prescribing Guidelines for Antidepressants: A Template for Psychiatric Precision Medicine.
Black, JL; Elliott, MA; Frye, MA; Nassan, M; Nicholson, WT; Rohrer Vitek, CR, 2016
)
0.43
" A physiologically based pharmacokinetic absorption model was established and verified to simulate the pharmacokinetic profiles after a single-dose oral administration of ER venlafaxine HCl tablets based on an osmotic pump or openable matrix design."( Physiologically Based Pharmacokinetic Modeling for Substitutability Analysis of Venlafaxine Hydrochloride Extended-Release Formulations Using Different Release Mechanisms: Osmotic Pump Versus Openable Matrix.
Lin, HP; Sun, D; Wen, H; Zhang, X, 2016
)
0.66
"To uncover pharmacokinetic interactions between venlafaxine and doxepin or mirtazapine in a naturalistic sample."( Antidepressant polypharmacy and the potential of pharmacokinetic interactions: Doxepin but not mirtazapine causes clinically relevant changes in venlafaxine metabolism.
Fay, B; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Unholzer, S, 2018
)
0.48
" Validated method was successfully applied to a pharmacokinetic study of VEN orally administered to rats."( Validation of an LC-MS/MS method for simultaneous quantification of venlafaxine and its five metabolites in rat plasma and its application in a pharmacokinetic study.
Bakhtiar, R; Black, M; Cookson, C; Fiorella, A; Gorman, SH; Gu, G; Li, Y, 2018
)
0.48
"9 kg/m²), and high-BMI (≥30 kg/m²) groups, higher values of some pharmacokinetic variables in the lower BMI group did not remain significant after controlling for sex."( Sex and body weight are major determinants of venlafaxine pharmacokinetics.
Correll, CU; Fay, B; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Unholzer, S, 2018
)
0.48
" Although of special clinical relevance, data on pharmacokinetic interactions between AMLO, RAMI, and venlafaxine (VEN) are lacking."( How to Treat Hypertension in Venlafaxine-Medicated Patients-Pharmacokinetic Considerations in Prescribing Amlodipine and Ramipril.
Augustin, M; Gründer, G; Haen, E; Paulzen, M; Schoretsanitis, G, 2018
)
0.48
" Significant associations were found among 3 CYP2D6 phenotypes (NM, IM, and PM) and most pharmacokinetic parameters of venlafaxine."( The Associations Between CYP2D6 Metabolizer Status and Pharmacokinetics and Clinical Outcomes of Venlafaxine: A Systematic Review and Meta-Analysis.
Cai, WK; He, F; He, GH; Lin, XQ; Sun, M; Wang, P; Xu, GL; Yang, M; Zhou, MD, 2019
)
0.51
"The purpose of this study was to identify specific pharmacokinetic (PK) and pharmacodynamics (PD) factors that affect the likelihood of treatment remission with a serotonin norepinephrine reuptake inhibitor (SNRI) in depressed patients whose initial selective serotonin reuptake inhibitor (SSRI) failed."( Pharmacokinetic-Pharmacodynamic interaction associated with venlafaxine-XR remission in patients with major depressive disorder with history of citalopram / escitalopram treatment failure.
Ahmed, AT; Biernacka, JM; Bobo, WV; Frye, MA; Hall-Flavin, DK; Jenkins, G; Kung, S; Rush, AJ; Shinozaki, G; Veldic, M; Wang, L; Weinshilboum, RM, 2019
)
0.51
" We also investigated potential pharmacokinetic correlates of the four UKU categories by comparing patients complaining ADRs with those who did not."( Pharmacokinetic correlates of venlafaxine: associated adverse reactions.
Endres, K; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Ridders, F; Schoretsanitis, G; Veselinovic, T, 2019
)
0.51
" As such, kratom may precipitate pharmacokinetic drug interactions when co-consumed with certain medications."( A Case of Potential Pharmacokinetic Kratom-drug Interactions Resulting in Toxicity and Subsequent Treatment of Kratom Use Disorder With Buprenorphine/Naloxone.
Brogdon, HD; Burns, AG; Cox, EJ; McPhee, MM; Paine, MF,
)
0.13
"Preclinical pharmacokinetic (PK) studies in animal models during the formulation development phase give preliminary evidence and near clear picture of the PK behavior of drug and/or its dosage forms before clinical studies on humans and help in the tailoring of the dosage form according to the expected and requisite clinical behavior."( Multiple-reaction monitoring (MRM) LC-MS/MS quantitation of venlafaxine and its O-desmethyl metabolite for a preclinical pharmacokinetic study in rabbits.
Ahmad, S; Fazli, AA; Khan, NA; Khuroo, A; Kumar, V; Panigrahy, BK; Raza, SN; Wani, TU; Zarger, BA, 2022
)
0.72

Compound-Compound Interactions

ExcerptReferenceRelevance
"Selection of an antidepressant is influenced by many factors, including the patient's current drug regimen and the drug's potential for drug-drug interactions."( Drug-drug interactions involving antidepressants: focus on venlafaxine.
Ereshefsky, L, 1996
)
0.29
" To minimize the potential for an adverse event, the practitioner must remember the drug-drug interactions, and possible consequences when one of these antidepressants is being prescribed."( Pharmacokinetic drug interactions of new antidepressants: a review of the effects on the metabolism of other drugs.
Richelson, E, 1997
)
0.3
" Considerations relevant to drug product selection include: 1) pharmacokinetic issues such as half-life and time to steady-state, and protein binding; 2) pharmacodynamic drug-drug interactions; and 3) drug metabolism-related drug interactions."( Review of the pharmacokinetics, pharmacogenetics, and drug interaction potential of antidepressants: focus on venlafaxine.
Dugan, D; Ereshefsky, L, 2000
)
0.31
" Complications in treating depressed HIV-infected individuals include the use of multiple medications, additive side effects, and potentially significant drug-drug interactions."( A pharmacokinetic drug-drug interaction study of venlafaxine and indinavir.
Carson, SW; DeVane, CL; Eisele, G; Levin, GM; Nelson, LA; Preston, SL, 2001
)
0.31
" Satisfactory release profiles were obtained when VEN pellets were prepared by 4% EC subcoating combined with 4% Eudragit(®) NE30D outercoating and 8% hot-melt subcoating combined with 6% Eudragit(®) NE30D outercoating, respectively."( Comparative study of the stability of venlafaxine hydrochloride sustained-release pellets prepared by double-polymer coatings and hot-melt subcoating combined with Eudragit(®) NE30D outercoating.
Guan, T; Li, G; Tang, X; Wang, J, 2011
)
0.64
" In conclusion, the high suicide potential of VEN in combination with the high prevalence of drugs causing adverse interactions could be the reason for the observed high FTI."( Fatal venlafaxine poisonings are associated with a high prevalence of drug interactions.
Launiainen, T; Ojanperä, I; Rasanen, I; Vuori, E, 2011
)
0.37
"No pharmacokinetic drug-drug interaction was demonstrated between venlafaxine XR and indinavir or between desvenlafaxine XR and indinvair."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
" Bearing in mind that VEN has exhibited large variability in antidepressant response, besides the individual genetic background, several other factors may contribute to those variable clinical outcomes, such as the occurrence of significant drug-drug interactions."( Clinical drug-drug interactions: focus on venlafaxine.
Alves, G; Falcão, A; LLerena, A; Magalhães, P, 2015
)
0.42
" The technique has potential to identify drug-drug interaction involving VX and O-DVX enantiomers while administering indinivar therapy."( Development of an enantioselective assay for simultaneous separation of venlafaxine and O-desmethylvenlafaxine by micellar electrokinetic chromatography-tandem mass spectrometry: Application to the analysis of drug-drug interaction.
Eap, CB; Jann, M; Liu, Y; Shamsi, SA; Vandenberg, C, 2015
)
0.42
"The study was a randomised pragmatic trial comparing venlafaxine and sertraline in combination with psychotherapy and social counselling."( Treatment of trauma-affected refugees with venlafaxine versus sertraline combined with psychotherapy - a randomised study.
Bech, P; Carlsson, J; Elklit, A; Mortensen, EL; Sonne, C, 2016
)
0.43
"Elderly patients with major depressive disorder, as defined by DSM-IV, received open-label high-dose, right unilateral ultrabrief pulse ECT, combined with venlafaxine, as part of participating in phase 1 of the National Institute of Mental Health-supported study Prolonging Remission in Depressed Elderly (PRIDE)."( Effects of a Course of Right Unilateral Ultrabrief Pulse Electroconvulsive Therapy Combined With Venlafaxine on Insomnia Symptoms in Elderly Depressed Patients.
Bailine, SH; Dooley, M; Greenberg, RM; Husain, MM; Kellner, CH; Knapp, RG; Lisanby, SH; McCall, WV; McClintock, SM; McCloud, L; Mueller, M; Petrides, G; Prudic, J; Riley, MA; Rosenquist, PB; Rudorfer, MV; Weiner, RD; Young, RC,
)
0.13
"We found that ECT, combined with venlafaxine, has a modest anti-insomnia effect that is linked to its antidepressant effect."( Effects of a Course of Right Unilateral Ultrabrief Pulse Electroconvulsive Therapy Combined With Venlafaxine on Insomnia Symptoms in Elderly Depressed Patients.
Bailine, SH; Dooley, M; Greenberg, RM; Husain, MM; Kellner, CH; Knapp, RG; Lisanby, SH; McCall, WV; McClintock, SM; McCloud, L; Mueller, M; Petrides, G; Prudic, J; Riley, MA; Rosenquist, PB; Rudorfer, MV; Weiner, RD; Young, RC,
)
0.13

Bioavailability

Venlafaxine hydrochloride (VF), an antidepressant drug, necessitates the frequent administration of VF tablets in a day in order to maintain adequate drug concentration in blood plasma. In situ mucoadhesive thermoreversible gel, was formulated using Lutrol F127 (18%) as a thermo gelling polymer.

ExcerptReferenceRelevance
"The comparative bioavailability of the novel antidepressant venlafaxine and its pharmacologically active metabolite O-desmethylvenlafaxine was assessed when venlafaxine was given orally twice daily (75 mg bid) or 3 times daily (50 mg tid)."( The pharmacokinetics of venlafaxine when given in a twice-daily regimen.
Chiang, ST; Fruncillo, RJ; Parker, VD; Troy, SM, 1995
)
0.29
" Absolute bioavailability was low in rat and rhesus monkey (12."( Pharmacokinetics of venlafaxine and O-desmethylvenlafaxine in laboratory animals.
Hicks, DR; Howell, SR; Scatina, JA; Sisenwine, SF, 1994
)
0.29
" The pharmacokinetics and relative bioavailability of venlafaxine were evaluated in healthy volunteers after oral administration."( Pharmacokinetics and effect of food on the bioavailability of orally administered venlafaxine.
Chiang, ST; Hicks, DR; Parker, VP; Pollack, GM; Troy, SM, 1997
)
0.3
" The absolute bioavailability of the conventional (CF) and extended-release (XR) formulations and their effects on electroencephalograms (EEG) and on a visual analog scale (VAS) for nausea were assessed in a randomized, double-blind, four-way crossover, placebo-controlled study of 16 healthy young men who were given either a single oral dose of 50 mg of CF venlafaxine, 75 mg of XR venlafaxine, or an intravenous dose of 10 mg of venlafaxine, or a placebo at 1-week intervals."( Absolute bioavailability and electroencephalographic effects of conventional and extended-release formulations of venlafaxine in healthy subjects.
Allain, H; Burke, J; Danjou, P; Gandon, JM; Le Coz, F; Patat, A; Trocherie, S; Troy, S, 1998
)
0.3
" Its function is to limit the bioavailability of orally administered compounds."( Venlafaxine induces P-glycoprotein in human Caco-2 cells.
Ehret, MJ; Levin, GM; Narasimhan, M; Rathinavelu, A, 2007
)
0.34
" Relative bioavailability was 103."( Liquid chromatography-mass spectrometry method for the determination of venlafaxine in human plasma and application to a pharmacokinetic study.
Bing-Ren, X; Cai-Yun, W; Wei, Z, 2007
)
0.34
" The aim of this study was to determine whether in major depression changes in the activity patterns of local modulators of glucocorticoid action might contribute to an increase in cortisol bioavailability and if they change during antidepressant treatment and clinical response."( Cortisol metabolism in depressed patients and healthy controls.
Deuschle, M; Frankhauser, P; Gilles, M; Hamann, B; Kopf, D; Lederbogen, F; Lewicka, S; Onken, V; Römer, B; Schilling, C, 2009
)
0.35
" These changes suggest an increase in cortisol bioavailability within tissues."( Cortisol metabolism in depressed patients and healthy controls.
Deuschle, M; Frankhauser, P; Gilles, M; Hamann, B; Kopf, D; Lederbogen, F; Lewicka, S; Onken, V; Römer, B; Schilling, C, 2009
)
0.35
" Further, the bioavailability study using the New Zealand rabbits was carried out."( In vivo, in vitro evaluation of linseed mucilage based buccal mucoadhesive microspheres of venlafaxine.
Gattani, S; Nerkar, PP, 2011
)
0.37
" The bioavailability of F5 by buccal route was 54."( Cress seed mucilage based buccal mucoadhesive gel of venlafaxine: in vivo, in vitro evaluation.
Gattani, SG; Nerkar, PP, 2012
)
0.38
" The relative bioavailability for Formulation 1 and Formulation 2 was evaluated in six healthy beagle dogs after oral administration in a fast state using sustained-release capsules (Effexor XR) as a reference."( Preparation and in vitro/in vivo evaluation of sustained-release venlafaxine hydrochloride pellets.
He, Z; Liu, Y; Sun, J; Sun, M; Sun, Y; Zhao, N, 2012
)
0.62
" However, few studies have assessed the bioavailability of pharmaceuticals to fish in natural waters."( Bioavailability of pharmaceuticals in waters close to wastewater treatment plants: use of fish bile for exposure assessment.
Brozinski, JM; Kronberg, L; Lahti, M; Oikari, A; Segner, H, 2012
)
0.38
" Functional polymorphisms of ABCB1 may influence central nervous system bioavailability of antidepressants subject to efflux."( ABCB1 polymorphism predicts escitalopram dose needed for remission in major depression.
Berk, M; Bousman, CA; Byron, K; Ng, CH; Singh, AB, 2012
)
0.38
"In order to improve the bioavailability of the antidepressant drug, venlafaxine hydrochloride, in situ mucoadhesive thermoreversible gel, was formulated using Lutrol F127 (18%) as a thermo gelling polymer."( Thermoreversible nasal in situ gel of venlafaxine hydrochloride: formulation, characterization, and pharmacodynamic evaluation.
Avachat, AM; Bhandwalkar, MJ, 2013
)
0.9
" Buccal administration of venlafaxine will avoid first pass metabolism, which will increase the bioavailability of the drug."( Oromucosal delivery of venlafaxine by linseed mucilage based gel: in vitro and in vivo evaluation in rabbits.
Gattani, SG; Nerkar, PP, 2013
)
0.39
" However, in the periphery, venlafaxine treatment significantly reduced the topotecan oral bioavailability by nearly 40%, whereas the impact of desvenlafaxine on topotecan plasma levels was more modest (23%)."( Effect of venlafaxine and desvenlafaxine on drug efflux protein expression and biodistribution in vivo.
Bachmeier, C; Beaulieu-Abdelahad, D; Levin, GM; Mullan, M; Reed, J, 2013
)
0.39
" The antidepressant venlafaxine hydrochloride (Vx), a highly soluble drug undergoing first pass effect, low bioavailability and short half-life was selected as a challenging payload."( Mini-tablets versus pellets as promising multiparticulate modified release delivery systems for highly soluble drugs.
Abdallah, OY; Gaber, DM; Nafee, N, 2015
)
0.74
" If their bioavailability is increased, this communication and the state of homeostasis may be disrupted."( NMR-based metabonomic analysis of normal rat urine and faeces in response to (±)-venlafaxine treatment.
García-Pérez, I; Meléndez-Camargo, ME; Serrano-Contreras, JI; Zepeda-Vallejo, LG, 2016
)
0.43
" Pharmacokinetic parameters such as oral clearance, oral volume of distribution of the central compartment, time to reach maximum plasma concentration, absorption rate constant, and half-life in humans were predicted from animals using allometric scaling."( Prediction of Plasma Concentration-time Profiles of Drugs in Humans from Animals Following Oral Administration: An Allometric Approach.
Mahmood, I, 2016
)
0.43
"5%, w/w) exhibited an elevated bioavailability compared to the commercial product, Effexor® XR."( Engineering hot-melt extruded solid dispersion for controlled release of hydrophilic drugs.
Fan, A; Meng, X; Tang, Y; Wang, G; Wang, Z; Zhang, S; Zhao, Y, 2017
)
0.46
" 1-H-benzotriazole, carbamazepine, citalopram, lamotrigine, sucralose, tramadol, and venlafaxine (>80 % frequency of appearance in effluents) were assessed with respect to their bioavailability in soil as part of different scenarios of irrigation with reclaimed water following a qualitative approach."( Multiclass target analysis of contaminants of emerging concern including transformation products, soil bioavailability assessment and retrospective screening as tools to evaluate risks associated with reclaimed water reuse.
Beretsou, VG; Fatta-Kassinos, D; Lundy, L; Manoli, K; Michael, C; Nika, MC; Revitt, DM; Sui, Q; Thomaidis, NS, 2022
)
0.72
"Short half-life and low bioavailability of Venlafaxine hydrochloride (VF), an antidepressant drug, necessitates the frequent administration of VF tablets in a day in order to maintain adequate drug concentration in blood plasma."( Pluronic F-68 Montmorillonite As A Drug Delivery Vehicle For Extended Release Of Venlafaxine Hydrochloride.
Datta, M; Jain, S, 2023
)
1.4

Dosage Studied

ExcerptRelevanceReference
" In addition, venlafaxine has shown a dose-response relationship for efficacy, offering the possibility of a wide dose range, which may be suitably employed in different clinical situations."( Clinical utility of venlafaxine in comparison with other antidepressants.
Lecrubier, Y, 1995
)
0.29
" A positive dose-response effect has been demonstrated with doses of up to 375 mg/day, with a minimum effective dose of 75 mg/day."( Pharmacologic profile and efficacy of venlafaxine.
Mendlewicz, J, 1995
)
0.29
" Basic pharmacokinetic data and clinical trials are reviewed, as well as adverse reactions, drug interactions, dosing guidelines, and therapeutic considerations."( Venlafaxine: a structurally unique and novel antidepressant.
Morton, WA; Sonne, SC; Verga, MA, 1995
)
0.29
" The usual daily dosage ranges from 75 to 225 mg/d in 2 to 3 divided doses, with a maximum daily dosage of 375 mg/d."( Venlafaxine: a structurally unique and novel antidepressant.
Morton, WA; Sonne, SC; Verga, MA, 1995
)
0.29
" The dosage is 75-375 mg/day administered in two or three divided doses."( Venlafaxine: a heterocyclic antidepressant.
Ellingrod, VL; Perry, PJ, 1994
)
0.29
" However, there are important differences among the newer antidepressants in terms of effects of P450 enzymes, dose-response curves for antidepressant response and adverse effects, and dosing schedules."( Antidepressant drug selection: criteria and options.
Preskorn, SH, 1994
)
0.29
" In conclusion, the disposition of venlafaxine and O-desmethylvenlafaxine is markedly altered in renal disease; therefore dosage adjustment is warranted for patients with creatinine clearance values below 30 ml/min."( The effect of renal disease on the disposition of venlafaxine.
Blum, RA; Chiang, ST; Parker, VD; Schultz, RW; Troy, SM, 1994
)
0.29
" Exposure of venlafaxine decreased with repeated dosing in mouse and rat, but was unchanged in dog."( Pharmacokinetics of venlafaxine and O-desmethylvenlafaxine in laboratory animals.
Hicks, DR; Howell, SR; Scatina, JA; Sisenwine, SF, 1994
)
0.29
" Dosage was flexible and administered on a three-times-a-day schedule, with a mean maximum daily dose of 182 mg for venlafaxine and 176 mg for imipramine."( Comparison of venlafaxine and imipramine in the acute treatment of major depression in outpatients.
Feighner, J; Mandos, LA; Rickels, K; Schweizer, E, 1994
)
0.29
" The efficacy and dose-response of venlafaxine, a novel serotonin and norepinephrine reuptake inhibitor, was evaluated in two placebo-controlled studies."( Dose-response relationship with venlafaxine.
Kelsey, JE, 1996
)
0.29
" If the response was inadequate after two weeks of treatment, the dosage of venlafaxine could be increased to 75 mg twice daily."( A double-blind comparison of venlafaxine and fluoxetine for treatment of major depression in outpatients.
Dierick, M; Martin, A; Ravizza, L; Realini, R, 1996
)
0.29
" We conclude that venlafaxine dosage adjustments for age or gender are not necessary based on pharmacokinetics."( Effects of age and gender on venlafaxine and O-desmethylvenlafaxine pharmacokinetics.
Chiang, ST; Derivan, AT; Klamerus, KJ; Parker, VD; Rudolph, RL,
)
0.13
" Low dosage and short length of treatment may account for the lack of efficacy."( Venlafaxine in the treatment of children and adolescents with major depression.
Mandoki, MW; Parker, JL; Sumner, GS; Tapia, MA; Tapia, MR, 1997
)
0.3
"6 years) with attention-deficit/hyperactivity disorder (ADHD) in order to estimate the appropriate dosage range and to determine the extent of side effects."( An open trial of venlafaxine in the treatment of attention-deficit/hyperactivity disorder in children and adolescents.
Luh, J; Olvera, RL; Pliszka, SR; Tatum, R, 1996
)
0.29
" Venlafaxine dosage needs to be lowered in the elderly with renal impairment."( Antidepressant use in the elderly. Current status of nefazodone, venlafaxine and moclobemide.
Goldberg, RJ, 1997
)
0.3
"Venlafaxine (VEN), a drug used in the treatment of depression, undergoes significant first-pass metabolism after oral dosing to O-desmethylvenlafaxine (ODV), a metabolite with comparable therapeutic activity to that of parent drug."( Application of a first-pass effect model to characterize the pharmacokinetic disposition of venlafaxine after oral administration to human subjects.
Behar, L; DiGregorio, RV; Iyer, GR; Taft, DR, 1997
)
0.3
" If the response was inadequate after 2 weeks of treatment, the dosage of venlafaxine XR or IR could be increased to 150 mg daily."( Once-daily venlafaxine extended release (XR) and venlafaxine immediate release (IR) in outpatients with major depression. Venlafaxine XR 208 Study Group.
Cunningham, LA, 1997
)
0.3
" The current study demonstrated that 75 to 200 mg/day of venlafaxine twice daily produced a dose-related improvement in the primary efficacy parameters and in the onset of significant antidepressant effects, which was noted at weeks 1 to 2 with the highest dosage tested (200 mg/day)."( The use of venlafaxine in the treatment of major depression and major depression associated with anxiety: a dose-response study. Venlafaxine Investigator Study Group.
Entsuah, R; Khan, A; Leventer, SM; Rudolph, RL; Upton, GV, 1998
)
0.3
"Each dosage of venlafaxine was associated with statistically significant improvement as compared with placebo, based on the intent-to-treat sample."( A randomized, placebo-controlled, dose-response trial of venlafaxine hydrochloride in the treatment of major depression.
Derivan, AT; Entsuah, R; Fabre, LF; Feighner, JP; Rickels, K; Rudolph, RL, 1998
)
0.55
"Venlafaxine is currently marketed for treatment of depressive disorders as a conventional tablet formulation with a twice or three times daily dosage regimen."( Absolute bioavailability and electroencephalographic effects of conventional and extended-release formulations of venlafaxine in healthy subjects.
Allain, H; Burke, J; Danjou, P; Gandon, JM; Le Coz, F; Patat, A; Trocherie, S; Troy, S, 1998
)
0.3
" Despite a higher mean daily venlafaxine dosage for patients in the young group, no significant changes in systolic blood pressure were noted in either group."( Antidepressant efficacy and cardiovascular safety of venlafaxine in young vs old patients with comorbid medical disorders.
Brilmyer, M; Kant, R; Zeiler, D; Zimmer, B, 1997
)
0.3
"Psychotropic drug dosing regimens are often based on the pharmacokinetic elimination half-life of the compound."( Once- versus twice-daily venlafaxine therapy in major depression: a randomized, double-blind study.
Amchin, J; Amsterdam, JD; Hooper, MB, 1998
)
0.3
" We observed a significant reduction in mean weekly HAM-D and MADRS scores at weeks 1 through 6 for both dosing groups (p < ."( Once- versus twice-daily venlafaxine therapy in major depression: a randomized, double-blind study.
Amchin, J; Amsterdam, JD; Hooper, MB, 1998
)
0.3
" Moreover, the present results suggest that the short elimination half-life of immediate-release venlafaxine should not be the sole determinant for multiple daily dosing and that antidepressant activity may be more profoundly influenced by a drug's pharmacodynamic half-life than by its pharmacokinetic half-life."( Once- versus twice-daily venlafaxine therapy in major depression: a randomized, double-blind study.
Amchin, J; Amsterdam, JD; Hooper, MB, 1998
)
0.3
" On day 15, if clinically indicated to improve patient response, the dosage could be increased at the investigator's discretion to venlafaxine 75 mg twice daily or fluoxetine 40 mg once daily."( A randomized, open-label comparison of venlafaxine and fluoxetine in depressed outpatients.
Basquedano, G; Benassinni, O; Diaz-Martinez, A; Gonzalez, S; Martinez, RA; Ontiveros, A; Salin, R,
)
0.13
" Since psychostimulant treatment often requires frequent dosing and may be associated with unacceptable side effects and risks, other classes of medication have been studied as possible treatment alternatives."( Psychopharmacology of ADHD: children and adolescents.
Dogin, JW; Findling, RL, 1998
)
0.3
" After a 1-week placebo lead-in, patients were randomly assigned to receive double-blind treatment with once- versus twice-daily venlafaxine dosing starting at 37."( Efficacy and safety of venlafaxine in the treatment of bipolar II major depressive episode.
Amsterdam, J, 1998
)
0.3
" Blood samples were drawn before terfenadine dosing and at various intervals for 48 hours after dosing to measure plasma concentrations of terfenadine and its acid metabolite."( Effect of venlafaxine on the pharmacokinetics of terfenadine.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1998
)
0.3
" Samples were collected before and for 24 hours after caffeine dosing for the determination of caffeine in plasma and 1,7-dimethylxanthine, 3,7-dimethylxanthine, 1,7-dimethyluric acid (17U), 1-methylxanthine (1X) and 1-methyluric acid (1U), and 5-acetylamino-6-amino-3-methyluracil (AAMU) in urine."( Effect of venlafaxine on CYP1A2-dependent pharmacokinetics and metabolism of caffeine.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
" Thirty healthy subjects received a 1 mg oral dose of risperidone before and after venlafaxine dosing to steady state."( Effect of venlafaxine on the pharmacokinetics of risperidone.
Albano, D; Amchin, J; Klockowski, PM; Taylor, KP; Zarycranski, W, 1999
)
0.3
" In each session, dose-response curves to both locally infused noradrenaline acid tartrate (0."( Comparison of the effects of venlafaxine, desipramine, and paroxetine on noradrenaline- and methoxamine-evoked constriction of the dorsal hand vein.
Abdelmawla, AH; Bradshaw, CM; Langley, RW; Szabadi, E, 1999
)
0.3
" Recommended initial doses are lower for the elderly for all antidepressants, although optimal doses may not differ from those for younger patients once dosing is individualized."( Pharmacokinetic considerations of antidepressant use in the elderly.
DeVane, CL; Pollock, BG, 1999
)
0.3
" Blood and urine samples were collected under steady-state conditions over one dosing interval (12 h)."( Influence of CYP2D6 activity on the disposition and cardiovascular toxicity of the antidepressant agent venlafaxine in humans.
Hamelin, BA; LeBlanc, J; Lessard, E; O'Hara, G; Turgeon, J; Yessine, MA, 1999
)
0.3
"To compare the 6-month efficacy and safety of a flexible dosage of venlafaxine XR in outpatients with GAD without associated MDD."( Efficacy of venlafaxine extended-release capsules in nondepressed outpatients with generalized anxiety disorder: A 6-month randomized controlled trial.
Aguiar, L; Gelenberg, AJ; Haskins, JT; Lydiard, RB; Rudolph, RL; Salinas, E, 2000
)
0.31
" Its short half-life and time to steady-state, when coupled with the extended release characteristics of the preferred dosage formulation allow for once daily dosing and rapid attainment of therapeutic effects."( Review of the pharmacokinetics, pharmacogenetics, and drug interaction potential of antidepressants: focus on venlafaxine.
Dugan, D; Ereshefsky, L, 2000
)
0.31
" Pharmacological features of venlafaxine, which may benefit the patient with severe depression, include the possibility of a rapid onset of action and a dose-response curve."( Efficacy of venlafaxine in the treatment of severe depression.
Kienke, AS; Rosenbaum, JF, 2000
)
0.31
" Dosing may have to be adjusted for patients with renal failure, but typically not for those with liver disease or other medical conditions."( Efficacy of venlafaxine in geriatric depression.
Evans, DL; Staab, JP, 2000
)
0.31
" Eleven days after increase of the trimipramine dosage to 100 mg/d, she was hospitalized because of seizures suggesting a secondary generalized grand-mal episode."( Seizures associated with therapeutic doses of venlafaxine and trimipramine.
Drewe, J; Eggenberger, C; Klink, MH; Schlienger, RG, 2000
)
0.31
" Such findings have enormous potential ramifications for practicing physicians in terms of venlafaxine's superior remission rate, lower likelihood of relapse, loss of fewer patients to adverse events or lack of efficacy, and flexibility in dosing that enables titration to achieve an optimal response."( The pharmacoeconomics of venlafaxine in depression.
Morrow, TJ, 2001
)
0.31
" Further studies are needed to evaluate the potential of intermittent (luteal phase) dosing for this cyclic disorder and the efficacy of long-term maintenance treatment with venlafaxine."( Venlafaxine in the treatment of premenstrual dysphoric disorder.
Freeman, EW; Kunz, NR; McPherson, M; Rickels, K; Upton, GV; Yonkers, KA, 2001
)
0.31
"25-5 mg/kg) did not affect the cocaine dose-response curve or its ED50 values."( Does combined treatment with novel antidepressants and a dopamine D3 receptor agonist reproduce cocaine discrimination in rats?
Filip, M; Papla, I,
)
0.13
"A rapid, selective and stability indicating high performance liquid chromatographic method was developed and validated for the estimation of venlafaxine in pharmaceutical dosage forms."( Stability indicating LC method for the estimation of venlafaxine in pharmaceutical formulations.
Makhija, SN; Vavia, PR, 2002
)
0.31
" The symptoms resolved when the dosage was kept constant and did not recur when the dosage was reduced more gradually."( [Delirium during withdrawal of venlafaxine].
Koerselman, GF; van Noorden, MS; Vergouwen, AC, 2002
)
0.31
" Methodological limitations included variability in definitions of treatment-resistant depression and response to treatment, dosing of medications, and reporting of adverse events."( Combining antidepressants for treatment-resistant depression: a review.
Cohen, NL; Kennedy, SH; Lam, RW; Wan, DD, 2002
)
0.31
" Over the next 9 days, venlafaxine was administered at a dosage of 50 mg every 8 hours following a brief titration."( A pharmacokinetic drug-drug interaction study of venlafaxine and indinavir.
Carson, SW; DeVane, CL; Eisele, G; Levin, GM; Nelson, LA; Preston, SL, 2001
)
0.31
"Patients with a DSM-IV diagnosis of OCD and a Yale-Brown Obsessive Compulsive Scale (YBOCS) score >/= 16 were randomly assigned to receive venlafaxine, 225 to 350 mg/day (26 patients), or clomipramine, 150 to 225 mg/day (47 patients), for 12 weeks, with dosage adjustments according to tolerability and response to treatment."( Venlafaxine versus clomipramine in the treatment of obsessive-compulsive disorder: a preliminary single-blind, 12-week, controlled study.
Aguglia, E; Albert, U; Bogetto, F; Maina, G, 2002
)
0.31
" A dose-response relationship was apparent, with the lowest rate of withdrawal seen at the highest venlafaxine XR dose."( Effectiveness of venlafaxine, extended release formulation, in the short-term and long-term treatment of generalized anxiety disorder: results of a survival analysis.
Hackett, D; Haudiquet, V; Mahé, V; Montgomery, SA, 2002
)
0.31
" Blood and urine samples were collected under steady-state conditions over one dosing interval (12 h)."( Role of CYP2D6 in the stereoselective disposition of venlafaxine in humans.
Baumann, P; Brawand-Amey, M; Eap, CB; Lessard, E; O'Hara, G; Turgeon, J; Yessine, MA, 2003
)
0.32
"This series of patients was gathered to assess the use of last and slow titration dosage of venlafaxine in in-patients with major depression and to evaluate the action onset."( [Venlafaxine titration dosage in depressive in-patients. A series of cases].
Alberni, J; Bernardo, M; Buisán, E; Durán, A; Gascón, J; Prieto, R; Soler-Insa, PA,
)
0.13
" For both patients symptoms occurred with lowering of the dosage and persisted for 5 days after complete discontinuation of the drug."( Shock-like sensations during venlafaxine withdrawal.
Beddingfield, JJ; Mack, JE; Reeves, RR, 2003
)
0.32
" Thirty women with PMDD were enrolled and treated with a flexible dosage of venlafaxine for two menstrual cycles."( Effective open-label treatment of premenstrual dysphoric disorder with venlafaxine.
Hsiao, MC; Liu, CY, 2003
)
0.32
" This double action is dosage dependent, with the relatively weaker inhibition of norepinephrine becoming clinically relevant only at higher dosages."( Dosage finding and outcome of venlafaxine treatment in psychiatric outpatients and inpatients: results of a drug utilization observation study.
Dierkes, W; Linden, M; Ludewig, K; Munz, T, 2003
)
0.32
"Data from a drug utilization observation (DUO) study, including 6706 patients, are used to investigate which patient and setting variables predict dosage of venlafaxine as prescribed by psychiatrists in inpatient and outpatient settings."( Dosage finding and outcome of venlafaxine treatment in psychiatric outpatients and inpatients: results of a drug utilization observation study.
Dierkes, W; Linden, M; Ludewig, K; Munz, T, 2003
)
0.32
"Treatment setting is the most important factor in predicting high (> 75 mg/day) or low (up to 75 mg/day) dosage of venlafaxine, with inpatients receiving higher dosages."( Dosage finding and outcome of venlafaxine treatment in psychiatric outpatients and inpatients: results of a drug utilization observation study.
Dierkes, W; Linden, M; Ludewig, K; Munz, T, 2003
)
0.32
"Venlafaxine at a dosage of 75 mg/day is sufficient for the majority of cases."( Dosage finding and outcome of venlafaxine treatment in psychiatric outpatients and inpatients: results of a drug utilization observation study.
Dierkes, W; Linden, M; Ludewig, K; Munz, T, 2003
)
0.32
"Considering its modest sample size, naturalistic design and limited observation period, the present study provided preliminary indication that earlier clinical response may occur with higher V+ODV plasma level, extending previous dose-response studies."( Time course of clinical response to venlafaxine: relevance of plasma level and chirality.
Balant, LP; Balant-Gorgia, AE; Bertschy, G; Gex-Fabry, M; Rudaz, S; Veuthey, JL, 2004
)
0.32
" The longer apparent elimination half-life of the drug after single XR doses suggests that it is suitable for once daily dosing compared with the twice daily dosing regimen required by the IR formulation."( The treatment of depression with different formulations of venlafaxine: a comparative analysis.
Burrows, GD; Norman, TR; Olver, JS, 2004
)
0.32
"5 mg/d, are reasonable initial dosages, and if symptoms do not improve within a week or two, the dosage can be doubled."( Management of hot flashes in breast cancer survivors and men with prostate cancer.
Stearns, V, 2004
)
0.32
" Seventy outpatients fulfilling DSM-IV criteria for major depressive disorder were recruited into two demographically matched groups according to their daily dosage of venlafaxine: high dose n = 35 (> or = 375 mg/day, range 375-600 mg, average 437 mg/day) or standard dose n = 35 (< 375 mg/day, range 75-300 mg, average 195 mg/day."( Tolerability of high-dose venlafaxine in depressed patients.
Ferrier, N; Harrison, CL; Young, AH, 2004
)
0.32
"The objective of this study was to examine the efficacy and tolerability of intermittent dosing of venlafaxine for the treatment of premenstrual dysphoric disorder."( Efficacy and tolerability of premenstrual use of venlafaxine (flexible dose) in the treatment of premenstrual dysphoric disorder.
Brandes, M; Cassano, P; Cohen, LS; Leblanc, GA; Lyster, A; Soares, CN, 2004
)
0.32
"Patients received fixed dosing schedule (up to 300 mg/day) of venlafaxine (Effexor XR) for 8 weeks."( An open trial of venlafaxine for the treatment of late-life atypical depression.
Devanand, D; Fitzsimmons, L; Miyazaki, M; Roose, SP; Sackeim, H; Seidman, S; Turret, N, 2004
)
0.32
" The utility of the neuroendocrine response to serotonergic (ipsapirone) and noradrenergic (clonidine) probes as predictors of venlafaxine dosage required for effective treatment was also explored."( Efficacy of open-label venlafaxine in subjects with major depressive disorder: associations with neuroendocrine response to serotonergic and noradrenergic probes.
Goodman, M; Grossman, R; Mitropoulou, V; New, A; Reynolds, D; Schmeidler, J; Siever, LJ; Silverman, J, 2004
)
0.32
" The study is designated as semi-naturalistic due to the fact that, although the venlafaxine treatment regimen was strictly defined, the timing of the trazodone introduction and the dosage were determined by the clinicians."( Trazodone addition for insomnia in venlafaxine-treated, depressed inpatients: a semi-naturalistic study.
Aït-Ameur, A; Bertschy, G; Ferrero, F; Muscionico, M; Osiek, C; Ragama-Pardos, E; Roth, L, 2005
)
0.33
" In vivo studies demonstrated an intense but similar distribution pattern of phospho-p90Rsk staining after chronic venlafaxine dosing of rats compared to naives and no region-specific drug effect was observed in vivo."( Effects of venlafaxine on p90Rsk activity in rat C6-gliomas and brain.
Khawaja, XZ; Liang, JJ; Storm, S, 2004
)
0.32
" The venlafaxine dosage was decreased to 150 mg/day, and symptoms gradually abated over 36 hours."( Serotonin toxicity associated with concomitant use of linezolid.
Bergeron, L; Boulé, M; Perreault, S, 2005
)
0.33
"Clinicians should pay special attention to patients treated with serotonergic drugs, especially those receiving dosages in the higher end of the normal range who are prescribed linezolid, and consider tapering or reducing the dosage of serotonergic drugs for the duration of antibiotic therapy."( Serotonin toxicity associated with concomitant use of linezolid.
Bergeron, L; Boulé, M; Perreault, S, 2005
)
0.33
" The onset of her symptoms correlated with a dosage increase of venlafaxine."( Venlafaxine-associated interstitial pneumonitis.
Gillam, DM; Nelson, JE; Roberts, BT; Turner, RC, 2005
)
0.33
" Serious withdrawal symptoms may occur within hours of cessation or reduction of the usual dosage and may affect motor and coordination skills to such a degree that patients should be explicitly urged either to adhere to a strict medication routine or not to drive a car."( Venlafaxine and serious withdrawal symptoms: warning to drivers.
Campagne, DM, 2005
)
0.33
" Both treatments were administered in a rapidly escalating dosing regimen."( Mirtazapine orally disintegrating tablets versus venlafaxine extended release: a double-blind, randomized multicenter trial comparing the onset of antidepressant response in patients with major depressive disorder.
Baker, RA; Benkert, O; Heinrich, C; Heukels, A; Kohnen, R; Philipp, M; Schutte, AJ; Simmons, JH; Szegedi, A; van der Vegte-Senden, M, 2006
)
0.33
"Outpatients (n = 232) with major depressive disorder were randomly assigned to 8 weeks of treatment with either "standard" (n = 119; mean dose = 148 mg/d) or "higher" (n = 113; mean dose = 309 mg/d) dosage therapies."( Treatment with venlafaxine extended release after SSRI nonresponse or intolerance: a randomized comparison of standard- and higher-dosing strategies.
Khan, A; Shelton, RC; Thase, ME, 2006
)
0.33
" The dosing strategies did not, however, differ significantly in change in HAM-D21 total score or HAM-D21 response or remission rates."( Treatment with venlafaxine extended release after SSRI nonresponse or intolerance: a randomized comparison of standard- and higher-dosing strategies.
Khan, A; Shelton, RC; Thase, ME, 2006
)
0.33
" Although these data provide further evidence of a dose-response relationship for venlafaxine therapy results suggest that slower titration to higher doses of venlafaxine ER may improve tolerability without greatly diminishing the probability of success."( Treatment with venlafaxine extended release after SSRI nonresponse or intolerance: a randomized comparison of standard- and higher-dosing strategies.
Khan, A; Shelton, RC; Thase, ME, 2006
)
0.33
" Pregabalin in both dosage treatment groups (400 mg/day, p < ."( Efficacy and safety of pregabalin in the treatment of generalized anxiety disorder: a 6-week, multicenter, randomized, double-blind, placebo-controlled comparison of pregabalin and venlafaxine.
Kasper, S; Montgomery, SA; Pande, AC; Tobias, K; Zornberg, GL, 2006
)
0.33
" The hypomanic symptoms subsided gradually as the dosage was reduced and the patient thereafter remained in a euthymic state while on venlafaxine at a dose of 18."( [Unipolar depression suddenly switches to hypomania in a patient who has just started taking venlafaxine].
Krol, DG; Nolen, WA, 2006
)
0.33
" Participants 6 to 17 years of age who met DSM-IV criteria for generalized anxiety disorder received a flexible dosage of extended-release venlafaxine (N=157) or placebo (N=163) for 8 weeks."( Efficacy and safety of extended-release venlafaxine in the treatment of generalized anxiety disorder in children and adolescents: two placebo-controlled trials.
Kunz, NR; Riddle, MA; Rynn, MA; Yeung, PP, 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
" Venlafaxine extended release was administered for 24 weeks at a dosage of 75-225 mg/day."( [Gender differences in clinical profile, response and remission of depressive patients treated with venlafaxine extended release].
Baca, E; García-Calvo, C; Prieto, R; Roca, M,
)
0.13
" Following baseline evaluations, the patients were assigned to receive venlafaxine 75-225 mg/day with the mean dosage 141."( Venlafaxine vs. paroxetine in the acute phase of treatment for major depressive disorder among Han Chinese population in Taiwan.
Chen, YC; Lu, RB; Wu, YS, 2007
)
0.34
"To determine whether the presence or absence of a fully functioning cytochrome P450 2D6 allele was associated with the dosage of the antidepressant drug venlafaxine in patients who had either adverse effects or absence of a therapeutic response to treatment with the immediate release or extended release form of venlafaxine."( Cytochrome P450 2D6 genotype variation and venlafaxine dosage.
Black, JL; McAlpine, DE; Mrazek, DA; O'Kane, DJ, 2007
)
0.34
" Their dosage was examined along with their 2D6 genotype to determine whether the presence or absence of a fully functioning 2D6 allele was associated with their venlafaxine dosage."( Cytochrome P450 2D6 genotype variation and venlafaxine dosage.
Black, JL; McAlpine, DE; Mrazek, DA; O'Kane, DJ, 2007
)
0.34
"7) sessions and venlafaxine therapy with a median daily dosage of 225 mg (IQR 150-225 mg) for a median of 4 (IQR 4-5) weeks."( Depressed patients perception of the efficacy of electroconvulsive therapy and venlafaxine therapy.
Bares, M; Cerná, L; Kopecek, M; Raszka, M; Seifertová, D; Sulak, J, 2007
)
0.34
" The case study of a young female patient with a history of Major Depressive Disorder who initiated treatment with venlafaxine 75 mg/day and developed hypotension when the dosage was titrated up to 225 mg/day is described."( Hypotension caused by therapeutic doses of venlafaxine: case report and proposed pathophysiological mechanisms.
Alexandrino-Silva, C; de Andrade, AG; de Toledo Ferraz Alves, TC; Nadalini Mauá, FH, 2008
)
0.35
" Four weeks later, because of the persistence of psychiatric disturbance, the venlafaxine dosage was increased to 150 mg/day."( Venlafaxine-propafenone interaction resulting in hallucinations and psychomotor agitation.
Cotroneo, A; Davoli, A; De Fazio, P; De Fazio, S; De Sarro, G; Gallelli, L; Gareri, P; Seminara, G, 2008
)
0.35
"Further randomized dose-finding studies are needed to learn more about the appropriate dosage in treating depression and comorbid pain with venlafaxine."( Change in pain severity with open label venlafaxine use in patients with a depressive symptomatology: an observational study in primary care.
Begré, S; Gerber, M; Traber, M; von Känel, R, 2008
)
0.35
" Participants were adult outpatients who, following 8 weeks of monotherapy with an adequate dosing regimen of an SSRI other than citalopram and had not responded, met the diagnostic criteria for depression as described in the Diagnostic and statistical manual of mental disorders, fourth edition, and had a score > or =20 on the 21-item Hamilton Rating Scale for Depression (HAM-D21)."( Venlafaxine extended release versus citalopram in patients with depression unresponsive to a selective serotonin reuptake inhibitor.
Jiang, Q; Lenox-Smith, AJ, 2008
)
0.35
" They were treated during 8 weeks with velaxin in dosage 225-375 mg per day."( [Velaxin (venlafaxine) in the treatment of anxious depression].
Il'ina, NA, 2008
)
0.35
" At the end of the fourth week of treatment, a dosage increase to bupropion XR 300 mg/day or venlafaxine XR 150 mg/day was allowed if, in the opinion of the investigator, response was inadequate."( Eight-week, placebo-controlled, double-blind comparison of the antidepressant efficacy and tolerability of bupropion XR and venlafaxine XR.
Chrzanowski, W; Gee, M; Hewett, K; Krishen, A; Leary, MO; Milanova, V; Millen, L; Modell, J; Savela, A; Schmitz, M, 2009
)
0.35
" Over time, he increased the dosage to 50 tablets daily (3750 mg)."( Venlafaxine dependence in a patient with a history of alcohol and amineptine misuse.
Lugoboni, F; Quaglio, G; Schifano, F, 2008
)
0.35
" In conclusion, multiple dosing with venlafaxine did not influence cognitive functions in healthy humans."( The effects of venlafaxine on cognitive functions and quantitative EEG in healthy volunteers.
Kirch, W; Mueck-Weymann, M; Oertel, R; Pittrow, D; Siepmann, M; Siepmann, T, 2008
)
0.35
" No evidence of greater efficacy was observed with doses >50 mg/day; a strong dose-response effect on tolerability was observed."( An integrated analysis of the efficacy of desvenlafaxine compared with placebo in patients with major depressive disorder.
Germain, JM; Guico-Pabia, C; Jiang, Q; Kornstein, SG; Ninan, PT; Thase, ME, 2009
)
0.35
" Greater clinical severity and low initial dosing may increase the risk of switching antidepressants."( Antidepressant switching among adherent patients treated for depression.
Hassan, M; Marcus, SC; Olfson, M, 2009
)
0.35
"An open comparative study of efficacy and tolerability of velaxin (venlafaxine with prolonged action), which has been prescribed in a single dosage of 75 mg daily during 8 weeks, included 47 patients with subacute and chronic spondylogenic dorsopathy (SD)."( [Results of a study of velaxin (venlafaxine) efficacy in patients with subacute and chronic spondylogenic dorsalgia].
Batysheva, TT; Boĭko, AN; Guseva, ME; Kamchatnov, PR; Kostenko, EV; Nesterova, OS; Otcheskaia, OV; Zaĭtsev, KA; Zhuravleva, EIu, 2009
)
0.35
" Since venlafaxine is unavailable here, we supplemented her regular venlafaxine dosage of 37."( Symptoms of delusion: the effects of discontinuation of low-dose venlafaxine.
Kodaka, F; Koga, M; Miyata, H; Nakayama, K, 2009
)
0.35
" Regardless of the treatment received, the following dosing schedule was applied: during the initial 4-week up-titration phase, the dosage was progressively increased from 25 mg/day (qd administration) to 150 mg/day (bid administration)."( [Milnacipran and venlafaxine at flexible doses (up to 200 mg/d) in the outpatient treatment of adults with moderate-to-severe major depressive disorder: a 24-week randomised, double blind exploratory study].
Gourion, D; Montagne, A; Olié, JP; Poirier, MF; Rostin, M, 2009
)
0.35
"It is important that variations in drug metabolism during pregnancy be considered as these changes may necessitate a dosage adjustment to ensure that therapeutic failure does not occur during pregnancy."( Changes in antidepressant metabolism in pregnancy evidenced by metabolic ratios in hair: a novel approach.
Baumer, C; Koren, G; O'Brien, L; Sachs, H; Thieme, D, 2010
)
0.36
", make a patient an outlier on the usual dose-response curve)."( Understanding outliers on the usual dose-response curve: venlafaxine as a way to phenotype patients in terms of their CYP 2D6 status and why it matters.
Preskorn, SH, 2010
)
0.36
" The calibration graph in case of dosage forms and in spiked plasma was found to be rectilinear in the concentrations of 15-600 ng/ml and 20-650 ng/ml respectively."( Sensitive spectrofluorimetric method of analysis for venlafaxine in spiked rat plasma and formulations.
Hoda, Q; Shahnawaz, S; Siddiqui, Z, 2010
)
0.36
"This column continues the discussion of outliers on the dose-response curve begun in earlier columns."( Outliers on the dose-response curve: how to minimize this problem using therapeutic drug monitoring, an underutilized tool in psychiatry.
Preskorn, SH, 2010
)
0.36
"we related medication choice and dosage range to outcomes of treatment as reflected by discharge rates and suicidality."( Was Cipriani right? Audits to compare discharge rates and suicidality between antidepressant monotherapies used in a British community mental health team.
Agius, M; Gardner, J; Liu, K; Zaman, R, 2010
)
0.36
" Regarding Dose Ranges, we note that wheras many patients had their dosage titrated upwards from the starting dose, most did not have the dosage titrated to the highest dose of the relevant medication."( Was Cipriani right? Audits to compare discharge rates and suicidality between antidepressant monotherapies used in a British community mental health team.
Agius, M; Gardner, J; Liu, K; Zaman, R, 2010
)
0.36
" Furthermore, a decision tree is proposed to evaluate if a racemate or an enantiomer drug and active metabolite bioanalysis should be executed for BA/BE regulatory submission using respective achiral or chiral assays when the drug moiety is a racemate or an enantiomer, formulated in modified-release dosage forms."( Bioequivalence of venlafaxine modified-release capsule revisited with an innovative approach using experimental and predictive models.
Goswami, D; Gurule, S; Khuroo, AH; Kumar, A; Monif, T, 2011
)
0.37
" Due to the absence of the effect of the previous treatment, they were treated with venlafaxine in dosage 75-150 mg/day during 35 weeks."( [Treatment-resistant depressions in borderline psychiatry].
Iastrebov, DV, 2011
)
0.37
" After different dosage of venlafaxine treatment, the BDNF expression and cognition increased markedly."( [Effect of venlafaxine on cognitive function and hippocampal brain-derived neurotrophic factor expression in rats with post-stroke depression].
Dai, MH; Han, Y; Li, DQ, 2011
)
0.37
" Starting on day 2, venlafaxine XR was dosed at 37."( Lack of a pharmacokinetic drug-drug interaction with venlafaxine extended-release/indinavir and desvenlafaxine extended-release/indinavir.
Jann, MW; Momary, K; Penzak, SR; Spratlin, V; Turner, D; VanDenBerg, C; Wright, A; Zhang, H, 2012
)
0.38
" It is concluded that sex, age and smoking should be considered for optimal dosing of patients with VEN."( The effect of age, sex, smoking and co-medication on serum levels of venlafaxine and O-desmethylvenlafaxine under naturalistic conditions.
Deckert, J; Greiner, C; Haen, E; Hiemke, C; Jabs, B; Pfuhlmann, B; Unterecker, S, 2012
)
0.38
"Patients with major depression were randomized to either active or placebo pindolol 20 mg retard daily dosage and concomitantly treated with venlafaxine for 19 days."( A short-term double-blind randomized controlled pilot trial with active or placebo pindolol in patients treated with venlafaxine for major depression.
Bech, P; Lunde, M; Martiny, K; Plenge, P, 2012
)
0.38
" Subjects were followed for 12 weeks (6-week dosage adjustment, 6-week maintenance)."( A randomized, double-blind, placebo-controlled trial of antidepressants in Parkinson disease.
Black, KJ; Brodsky, M; Christine, CW; Como, PG; Elmer, L; Factor, SA; Fernandez, HH; Horn, S; Hyson, HC; Jiang, W; Juncos, J; Kurlan, R; Lyness, JM; Manning, C; Marsh, L; McDermott, MP; McDonald, W; Panisset, M; Pearson, N; Pfeiffer, R; Press, D; Richard, IH; Rottenberg, D; Serrano Ramos, C; Shulman, L; Singer, C; Slevin, J, 2012
)
0.38
" Study treatments were dosed incrementally over a three week period, to reach daily doses of 150 mg venlafaxine and 200mg pregabalin by the CO(2) challenge test day."( Evaluation of the effects of venlafaxine and pregabalin on the carbon dioxide inhalation models of Generalised Anxiety Disorder and panic.
Bailey, JE; Craig, K; Dawson, GR; Diaper, A; Dourish, CT; Nutt, DJ; Osman-Hicks, V; Rich, AS, 2013
)
0.39
" Three months before admission to the hospital, the venlafaxine dosage had been increased to 300 mg/d because of severe depression."( Venlafaxine-induced cholestatic hepatitis: case report and review of literature.
Portmann, S; Stadlmann, S; Terracciano, LM; Tschopp, S, 2012
)
0.38
"During an acute ECT phase, 319 patients were randomized to treatment with moderate dosage bilateral ECT or high-dosage right unilateral ECT."( Pharmacological strategies in the prevention of relapse after electroconvulsive therapy.
Cooper, T; Haskett, RF; Isenberg, K; McCall, WV; Mulsant, BH; Prudic, J; Rosenquist, PB; Sackeim, HA, 2013
)
0.39
" Data were derived from an earlier study, designed to compare efficacy and tolerability of fixed dosage of extended-release venlafaxine, mitazapine, paroxetine, and risperidone, sodium valproate, buspirone, trazodone or thyroid hormone augmenting to paroxetine in those patients."( Difference in remission in a Chinese population with anxious versus nonanxious treatment-resistant depression: a report of OPERATION study.
Cao, L; Chen, J; Fang, Y; Hong, W; Peng, D; Wu, Z; Yuan, C; Zhang, C, 2013
)
0.39
" The aim of this study was to evaluate the cardiovascular (CV) effects of 3 weeks of dosing with venlafaxine, pregabalin and placebo on young healthy adults."( Changes in cardiovascular function after venlafaxine but not pregabalin in healthy volunteers: a double-blind, placebo-controlled study of orthostatic challenge, blood pressure and heart rate.
Bailey, JE; Craig, K; Dawson, GR; Diaper, A; Dourish, CT; Nutt, DJ; Rich, AS; Wilson, SJ, 2013
)
0.39
" In this case report, however, two patients with bipolar disorder developed a (hypo)mania while their dosage of venlafaxine was being gradually tapered off."( [Development of (hypo)mania during discontinuation of venlafaxine in two patients with bipolar disorder].
Stevens, AW; Tak, LM, 2013
)
0.39
" As a consequence, if a combination of valproic acid with doxepin or venlafaxine is administered, cautious dosing is advisable and TDM should be performed."( Interaction of valproic acid and the antidepressant drugs doxepin and venlafaxine: analysis of therapeutic drug monitoring data under naturalistic conditions.
Deckert, J; Hempel, S; Pfuhlmann, B; Proft, F; Reif, A; Riederer, P; Unterecker, S, 2014
)
0.4
" However, the UM patient responded to a dosage higher than the usual therapeutic range and without developing side effects, suggesting an association between CYP2D6 gene duplication and the therapeutic efficacy of venlafaxine."( An observational study of Venlafaxine and CYP2D6 in clinical practice.
Bellomo, G; Dalò, V; Gramaglia, C; Meola, S; Pollarolo, P; Prosperini, P; Ressico, F; Rolla, R; Torre, E; Vidali, M; Zeppegno, P, 2014
)
0.4
" Thus controlling VH release from tablet dosage form over a prolonged period is a challenge."( Design and evaluation of novel barrier layer technologies for controlling venlafaxine hydrochloride release from tablet dosage form.
Avachat, M; Kulkarni, S; Malewar, N; Pokharkar, V, 2015
)
0.65
" Whether similar observations would occur after repeated administration of such compounds in an attempt to simulate dosing in humans, or be compromised by dopaminergic-mediated adverse effects warrants further investigation."( Antinociceptive activity of the new triple reuptake inhibitor NS18283 in a mouse model of chemotherapy-induced neuropathic pain.
Coudoré, F; Gardier, AM; Guiard, BP; Hache, G; Munro, G; Nguyen, TH; Peters, D; Quesseveur, G, 2015
)
0.42
" Patients with deviant genotype (that is poor, intermediate or ultrarapid genotype) will be randomly allocated to an intervention group in which the genotype and dosing advice is communicated to the treating physician, or to a control group in which patients receive care as usual."( Effects and cost-effectiveness of pharmacogenetic screening for CYP2D6 among older adults starting therapy with nortriptyline or venlafaxine: study protocol for a pragmatic randomized controlled trial (CYSCEtrial).
Berm, EJ; Boshuisen, M; Breuning, L; Brouwers, JR; Dhondt, T; Hak, E; Jansen, PA; Kok, RM; Maring, JG; Mulder, H; Postma, M; Risselada, AJ; van Marum, R; Venema, H; Vleugel, L; Voshaar, RC; Wilffert, B, 2015
)
0.42
"Whether mini-tablets (tablets, diameters ≤6mm) belong to single- or multiple-unit dosage forms is still questionable."( Mini-tablets versus pellets as promising multiparticulate modified release delivery systems for highly soluble drugs.
Abdallah, OY; Gaber, DM; Nafee, N, 2015
)
0.42
" In one case, a reduction in the dosage of clonazepam was also suggested."( Using venlafaxine to treat behavioral disorders in patients with autism spectrum disorder.
Bertschy, G; Carminati, F; Carminati, GG; Chabert, J; Darbellay, B; Deriaz, N; Fathi, M; Ferrero, F; Gerber, F; Kosel, MM, 2016
)
0.43
"Psychoactive pharmaceuticals have been found as teratogens at clinical dosage during pregnancy."( Maternal exposure to carbamazepine at environmental concentrations can cross intestinal and placental barriers.
Aho, K; Bearden, S; Finney, B; Huber, DP; Kaushik, G; Thomas, MA; Zarbalis, KS, 2016
)
0.43
"The optimised formula is superior to the available once-daily trials regarding enhanced bioavailability, dosage form versatility and ease of scaling up."( Formulation of venlafaxine for once daily administration using polymeric material hybrids.
Ibrahim, HK; Salah, S, 2016
)
0.43
" Therefore, in women with a uterus, it is recommended that physicians prescribe combination therapy only to treat menopausal symptoms such as vasomotor symptoms (hot flashes) and vaginal atrophy, using the smallest effective dosage for the shortest possible duration."( Hormone Therapy and Other Treatments for Symptoms of Menopause.
Crider, M; Hill, DA; Hill, SR, 2016
)
0.43
"This randomized, double-blind, placebo-controlled study evaluated dose-response relationships of lisdexamfetamine dimesylate when used as augmentation for major depressive disorder in individuals exhibiting inadequate responses to antidepressant monotherapy."( A randomized, double-blind, placebo-controlled, dose-ranging study of lisdexamfetamine dimesylate augmentation for major depressive disorder in adults with inadequate response to antidepressant therapy.
Dauphin, M; Geibel, B; Iosifescu, DV; Mago, R; Reynolds, J; Richards, C; Sarkis, E, 2017
)
0.46
"For Montgomery-Åsberg Depression Rating Scale total score change, no significant dose-responses were observed for any candidate dose-response curve (all p>0."( A randomized, double-blind, placebo-controlled, dose-ranging study of lisdexamfetamine dimesylate augmentation for major depressive disorder in adults with inadequate response to antidepressant therapy.
Dauphin, M; Geibel, B; Iosifescu, DV; Mago, R; Reynolds, J; Richards, C; Sarkis, E, 2017
)
0.46
"By showing an association between drug metabolism and VLX concentrations, efficacy and tolerance, there is a hope that testing drug metabolism pathways with a phenotypical approach would help physicians in selecting and dosing antidepressants."( Exploring venlafaxine pharmacokinetic variability with a phenotyping approach, a multicentric french-swiss study (MARVEL study).
Bellivier, F; Besson, M; Calvas, F; Chevret, S; Courtet, P; Cracowski, JL; Daali, Y; Davani, S; Déglon, J; Desmeules, J; Desmidt, T; Doumy, O; El-Hage, W; Galtier, F; Haesebaert, F; Haffen, E; Heron, K; Holtzmann, J; Le Corvoisier, P; Leboyer, M; Llorca, PM; Lloret-Linares, C; Molière, F; Montange, D; Morange, S; Nieto, I; Richieri, RM; Vignaud, P; Yon, L; Yrondi, A, 2017
)
0.46
" The development of seizure activity under therapeutic dosing of venlafaxine should be brought to the attention of the health care prescriber."( Seizure Induced by a Therapeutic Dose of Venlafaxine ER: A Case Report.
Christian, JS; Musselman, D; Ninneman, M; Ye, C; Zhang, F, 2018
)
0.48
" A positive correlation was detected between body weight and daily dosage (rs=0."( Sex and body weight are major determinants of venlafaxine pharmacokinetics.
Correll, CU; Fay, B; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Schoretsanitis, G; Unholzer, S, 2018
)
0.48
" Serum concentration of citalopram and daily dosage correlated positively while daily dosage and mother milk concentration did not (rho = 0."( Antidepressants in breast milk; comparative analysis of excretion ratios.
Augustin, M; Franz, C; Gründer, G; Paulzen, M; Saßmannshausen, H; Schoretsanitis, G, 2019
)
0.51
" Hence, a different dosing strategy is required among smoking and nonsmoking patients."( Analysis of smoking behavior on the pharmacokinetics of antidepressants and antipsychotics: evidence for the role of alternative pathways apart from CYP1A2.
Deckert, J; Hommers, LG; Menke, A; Samanski, L; Scherf-Clavel, M; Unterecker, S, 2019
)
0.51
" Venlafaxine daily dosage did not differ between responders and non-responders (217."( Pharmacokinetics of venlafaxine in treatment responders and non-responders: a retrospective analysis of a large naturalistic database.
Correll, CU; Endres, K; Gründer, G; Haen, E; Hiemke, C; Paulzen, M; Ridders, F; Schoretsanitis, G, 2019
)
0.51
" 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
"We did a systematic review and dose-response meta-analysis of double-blind, randomised controlled trials that examined fixed doses of five selective serotonin reuptake inhibitors (SSRIs; citalopram, escitalopram, fluoxetine, paroxetine, and sertraline), venlafaxine, or mirtazapine in the acute treatment of adults (aged 18 years or older) with major depression, identified from the Cochrane Central Register of Controlled Trials, CINAHL, Embase, LILACS, MEDLINE, PsycINFO, AMED, PSYNDEX, websites of drug licensing agencies and pharmaceutical companies, and trial registries."( Optimal dose of selective serotonin reuptake inhibitors, venlafaxine, and mirtazapine in major depression: a systematic review and dose-response meta-analysis.
Cipriani, A; Cowen, PJ; Egger, M; Furukawa, TA; Leucht, S; Salanti, G, 2019
)
0.51
" We also investigated the effects of dosing time on the pharmacological activity of several antidepressants acting on serotonergic, noradrenergic, and/or dopaminergic neurons."( Antidepressants with different mechanisms of action show different chronopharmacological profiles in the tail suspension test in mice.
Ishibashi, T; Iwadate, R; Kawai, H; Kawashima, Y; Kudo, N; Mitsumoto, A, 2019
)
0.51
" Opioid exposure was analyzed as prescribed (yes or no) and by morphine equivalent dosing (MED)."( Opioid Exposure Negatively Affects Antidepressant Response to Venlafaxine in Older Adults with Chronic Low Back Pain and Depression.
Jung, C; Karp, JF; Peciña, M; Stahl, ST; Weiner, DK, 2020
)
0.56
" Genetic variation of the CYP2D6 isoenzyme can influence the optimal dosage needed for individual patients."( Effects of Pharmacogenetic Screening for CYP2D6 Among Elderly Starting Therapy With Nortriptyline or Venlafaxine: A Pragmatic Randomized Controlled Trial (CYSCE Trial).
Berm, EJJ; Breuning, L; Brouwers, JRBJ; Ditters, K; Hak, E; Jansen, PAF; Kok, RM; Maring, JG; Mulder, H; Nanninga, J; Oude Voshaar, RC; Postma, M; Risselada, AJ; Stek, M; van der Schans, J; van Marum, R; van Schaik, RHN; Vleugel, L; Wilffert, B,
)
0.13
" In the intervention arm (DG-I), the specific genotype accompanied by a standardized dosing recommendation based on the patients' genotype and the prescribed drug was directly communicated to the physician of the participant."( Effects of Pharmacogenetic Screening for CYP2D6 Among Elderly Starting Therapy With Nortriptyline or Venlafaxine: A Pragmatic Randomized Controlled Trial (CYSCE Trial).
Berm, EJJ; Breuning, L; Brouwers, JRBJ; Ditters, K; Hak, E; Jansen, PAF; Kok, RM; Maring, JG; Mulder, H; Nanninga, J; Oude Voshaar, RC; Postma, M; Risselada, AJ; Stek, M; van der Schans, J; van Marum, R; van Schaik, RHN; Vleugel, L; Wilffert, B,
)
0.13
" Those with prior adequate trials were also more likely to require a higher dosage of venlafaxine to achieve remission."( Predicting Remission in Late-Life Major Depression: A Clinical Algorithm Based Upon Past Treatment History.
Blumberger, DM; Buchalter, ELF; Dixon, D; Karp, JF; Lenze, EJ; Miller, JP; Mulsant, BH; Oughli, HA; Reynolds, CF, 2019
)
0.51
"There was no evidence to support added value in terms of efficacy, tolerability or acceptability of flexibly titrating up the dosage over the minimum licensed dose of SSRIs or mirtazapine."( No benefit from flexible titration above minimum licensed dose in prescribing antidepressants for major depression: systematic review.
Cipriani, A; Cowen, PJ; Furukawa, TA; Leucht, S; Salanti, G, 2020
)
0.56
"Median daily dosage of venlafaxine was 75 mg (range 37."( Pregnancy exposure to venlafaxine-Therapeutic drug monitoring in maternal blood, amniotic fluid and umbilical cord blood and obstetrical outcomes.
Augustin, M; Franz, C; Gründer, G; Paulzen, M; Schoretsanitis, G; Stingl, JC, 2020
)
0.56
"Participants with GAD and coprescribed benzodiazepines were treated with a lower mean dosage of escitalopram and were less likely to complete the trial; there was no difference in adherence or treatment response."( Coprescribed Benzodiazepines in Older Adults Receiving Antidepressants for Anxiety and Depressive Disorders: Association With Treatment Outcomes.
Altmann, H; Blumberger, DM; Gebara, MA; Karp, JF; Lenze, EJ; Mulsant, BH; Reynolds, CF; Stahl, ST, 2020
)
0.56
" We examined the relationship of venlafaxine dosage and ECG parameters, as well as the relationship between serum levels of venlafaxine and ECG parameters."( The Effect of Venlafaxine on Electrocardiogram Intervals During Treatment for Depression in Older Adults.
Behlke, LM; Blumberger, DM; Karp, JF; Lenze, EJ; Miller, JP; Mulsant, BH; Pham, V; Reynolds, CF; Saade, Y; Smith, TW; Stefan, C,
)
0.13
" This finding is of clinical relevance when adjusting dosing of CYP2D6 substrates during comedication with BUP."( Dose-Dependent Inhibition of CYP2D6 by Bupropion in Patients With Depression.
Arnestad, M; Haslemo, T; Hole, K; Molden, E,
)
0.13
"This study strongly suggests that TDM could represent a more appropriate tool than the oral dosage to optimise the treatment with VEN."( Venlafaxine and O-desmethylvenlafaxine serum levels are positively associated with antidepressant response in elder depressed out-patients.
Conca, A; De Donatis, D; Florio, V; Giupponi, G; Mercolini, L; Porcelli, S; Serretti, A; Zernig, G, 2022
)
0.72
"Preclinical pharmacokinetic (PK) studies in animal models during the formulation development phase give preliminary evidence and near clear picture of the PK behavior of drug and/or its dosage forms before clinical studies on humans and help in the tailoring of the dosage form according to the expected and requisite clinical behavior."( Multiple-reaction monitoring (MRM) LC-MS/MS quantitation of venlafaxine and its O-desmethyl metabolite for a preclinical pharmacokinetic study in rabbits.
Ahmad, S; Fazli, AA; Khan, NA; Khuroo, A; Kumar, V; Panigrahy, BK; Raza, SN; Wani, TU; Zarger, BA, 2022
)
0.72
"18 uIU/mL during venlafaxine dosage reduction from 225 mg/day to 155 mg/day."( Venlafaxine deprescribing and thyroid function.
Jain, S; Zarowitz, BJ, 2023
)
0.91
"There was a direct relationship between antidepressant dosage reduction and levothyroxine dosage requirements."( Venlafaxine deprescribing and thyroid function.
Jain, S; Zarowitz, BJ, 2023
)
0.91
" Pregnancy-associated physiologic changes can alter pharmacokinetics (PK) and may impact dosing requirements during pregnancy."( Pharmacokinetics of Antidepressants in Pregnancy.
Haas, DM; Katta, S; Kus, L; Li, L; Quinney, SK; Su, I; Yue, M, 2023
)
0.91
" Mianserin and mirtazapine (separately) induced dose-dependent antinociception, each one yielding a biphasic dose-response curve, and they were antagonized by naloxone."( Treatment-Resistant Depression (TRD): Is the Opioid System Involved?
Keidan, L; Pick, CG; Schreiber, S, 2023
)
0.91
"An eco-friendly dispersive liquid-liquid microextraction mediated with a reverse micelle and coupled to an HPLC-DAD was developed for the simultaneous determination of venlafaxine and agomelatine in dosage forms and human plasma."( A reverse micelle-mediated dispersive liquid-liquid microextraction coupled to high-performance liquid chromatography for the simultaneous determination of agomelatine and venlafaxine in pharmaceuticals and human plasma.
El-Deen, AK; Magdy, G; Shimizu, K, 2023
)
0.91
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
hydrochlorideA salt formally resulting from the reaction of hydrochloric acid with an organic base.
[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 (10)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
hypoxia-inducible factor 1 alpha subunitHomo sapiens (human)Potency43.64653.189029.884159.4836AID1224846
GLI family zinc finger 3Homo sapiens (human)Potency6.11310.000714.592883.7951AID1259392
retinoid X nuclear receptor alphaHomo sapiens (human)Potency54.94770.000817.505159.3239AID1159527
pregnane X nuclear receptorHomo sapiens (human)Potency61.13060.005428.02631,258.9301AID1346982
nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105), isoform CRA_aHomo sapiens (human)Potency48.972219.739145.978464.9432AID1159509
nuclear factor erythroid 2-related factor 2 isoform 2Homo sapiens (human)Potency0.16360.00419.984825.9290AID504444
gemininHomo sapiens (human)Potency1.00000.004611.374133.4983AID624297
[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)
Sodium-dependent noradrenaline transporter Homo sapiens (human)IC50 (µMol)2.94660.00081.541620.0000AID1164248; AID1245393; AID1285850; AID1397327; AID1409105; AID1439845; AID1463521; AID1632943
Sodium-dependent serotonin transporterHomo sapiens (human)IC50 (µMol)0.18000.00010.86458.7096AID1164247; AID1245392; AID1285849; AID1397326; AID1409102; AID1439844; AID1463520; AID1632941
Sodium-dependent dopamine transporter Homo sapiens (human)IC50 (µMol)9.12500.00071.841946.0000AID1164249; AID1632942
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (55)

Processvia Protein(s)Taxonomy
monoamine transportSodium-dependent noradrenaline transporter Homo sapiens (human)
neurotransmitter transportSodium-dependent noradrenaline transporter Homo sapiens (human)
chemical synaptic transmissionSodium-dependent noradrenaline transporter Homo sapiens (human)
response to xenobiotic stimulusSodium-dependent noradrenaline transporter Homo sapiens (human)
response to painSodium-dependent noradrenaline transporter Homo sapiens (human)
norepinephrine uptakeSodium-dependent noradrenaline transporter Homo sapiens (human)
neuron cellular homeostasisSodium-dependent noradrenaline transporter Homo sapiens (human)
amino acid transportSodium-dependent noradrenaline transporter Homo sapiens (human)
norepinephrine transportSodium-dependent noradrenaline transporter Homo sapiens (human)
dopamine uptake involved in synaptic transmissionSodium-dependent noradrenaline transporter Homo sapiens (human)
sodium ion transmembrane transportSodium-dependent noradrenaline transporter Homo sapiens (human)
monoamine transportSodium-dependent serotonin transporterHomo sapiens (human)
response to hypoxiaSodium-dependent serotonin transporterHomo sapiens (human)
neurotransmitter transportSodium-dependent serotonin transporterHomo sapiens (human)
response to nutrientSodium-dependent serotonin transporterHomo sapiens (human)
memorySodium-dependent serotonin transporterHomo sapiens (human)
circadian rhythmSodium-dependent serotonin transporterHomo sapiens (human)
response to xenobiotic stimulusSodium-dependent serotonin transporterHomo sapiens (human)
response to toxic substanceSodium-dependent serotonin transporterHomo sapiens (human)
positive regulation of gene expressionSodium-dependent serotonin transporterHomo sapiens (human)
positive regulation of serotonin secretionSodium-dependent serotonin transporterHomo sapiens (human)
negative regulation of cerebellar granule cell precursor proliferationSodium-dependent serotonin transporterHomo sapiens (human)
negative regulation of synaptic transmission, dopaminergicSodium-dependent serotonin transporterHomo sapiens (human)
response to estradiolSodium-dependent serotonin transporterHomo sapiens (human)
social behaviorSodium-dependent serotonin transporterHomo sapiens (human)
vasoconstrictionSodium-dependent serotonin transporterHomo sapiens (human)
sperm ejaculationSodium-dependent serotonin transporterHomo sapiens (human)
negative regulation of neuron differentiationSodium-dependent serotonin transporterHomo sapiens (human)
positive regulation of cell cycleSodium-dependent serotonin transporterHomo sapiens (human)
negative regulation of organ growthSodium-dependent serotonin transporterHomo sapiens (human)
behavioral response to cocaineSodium-dependent serotonin transporterHomo sapiens (human)
enteric nervous system developmentSodium-dependent serotonin transporterHomo sapiens (human)
brain morphogenesisSodium-dependent serotonin transporterHomo sapiens (human)
serotonin uptakeSodium-dependent serotonin transporterHomo sapiens (human)
membrane depolarizationSodium-dependent serotonin transporterHomo sapiens (human)
platelet aggregationSodium-dependent serotonin transporterHomo sapiens (human)
cellular response to retinoic acidSodium-dependent serotonin transporterHomo sapiens (human)
cellular response to cGMPSodium-dependent serotonin transporterHomo sapiens (human)
regulation of thalamus sizeSodium-dependent serotonin transporterHomo sapiens (human)
conditioned place preferenceSodium-dependent serotonin transporterHomo sapiens (human)
sodium ion transmembrane transportSodium-dependent serotonin transporterHomo sapiens (human)
amino acid transportSodium-dependent serotonin transporterHomo sapiens (human)
monoamine transportSodium-dependent dopamine transporter Homo sapiens (human)
neurotransmitter transportSodium-dependent dopamine transporter Homo sapiens (human)
lactationSodium-dependent dopamine transporter Homo sapiens (human)
sensory perception of smellSodium-dependent dopamine transporter Homo sapiens (human)
locomotory behaviorSodium-dependent dopamine transporter Homo sapiens (human)
response to xenobiotic stimulusSodium-dependent dopamine transporter Homo sapiens (human)
response to iron ionSodium-dependent dopamine transporter Homo sapiens (human)
dopamine transportSodium-dependent dopamine transporter Homo sapiens (human)
adenohypophysis developmentSodium-dependent dopamine transporter Homo sapiens (human)
response to nicotineSodium-dependent dopamine transporter Homo sapiens (human)
positive regulation of multicellular organism growthSodium-dependent dopamine transporter Homo sapiens (human)
regulation of dopamine metabolic processSodium-dependent dopamine transporter Homo sapiens (human)
response to cocaineSodium-dependent dopamine transporter Homo sapiens (human)
dopamine biosynthetic processSodium-dependent dopamine transporter Homo sapiens (human)
dopamine catabolic processSodium-dependent dopamine transporter Homo sapiens (human)
response to ethanolSodium-dependent dopamine transporter Homo sapiens (human)
cognitionSodium-dependent dopamine transporter Homo sapiens (human)
dopamine uptake involved in synaptic transmissionSodium-dependent dopamine transporter Homo sapiens (human)
response to cAMPSodium-dependent dopamine transporter Homo sapiens (human)
norepinephrine uptakeSodium-dependent dopamine transporter Homo sapiens (human)
prepulse inhibitionSodium-dependent dopamine transporter Homo sapiens (human)
dopamine uptakeSodium-dependent dopamine transporter Homo sapiens (human)
hyaloid vascular plexus regressionSodium-dependent dopamine transporter Homo sapiens (human)
amino acid transportSodium-dependent dopamine transporter Homo sapiens (human)
norepinephrine transportSodium-dependent dopamine transporter Homo sapiens (human)
sodium ion transmembrane transportSodium-dependent dopamine transporter Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (28)

Processvia Protein(s)Taxonomy
actin bindingSodium-dependent noradrenaline transporter Homo sapiens (human)
neurotransmitter transmembrane transporter activitySodium-dependent noradrenaline transporter Homo sapiens (human)
neurotransmitter:sodium symporter activitySodium-dependent noradrenaline transporter Homo sapiens (human)
dopamine:sodium symporter activitySodium-dependent noradrenaline transporter Homo sapiens (human)
norepinephrine:sodium symporter activitySodium-dependent noradrenaline transporter Homo sapiens (human)
protein bindingSodium-dependent noradrenaline transporter Homo sapiens (human)
monoamine transmembrane transporter activitySodium-dependent noradrenaline transporter Homo sapiens (human)
alpha-tubulin bindingSodium-dependent noradrenaline transporter Homo sapiens (human)
metal ion bindingSodium-dependent noradrenaline transporter Homo sapiens (human)
beta-tubulin bindingSodium-dependent noradrenaline transporter Homo sapiens (human)
integrin bindingSodium-dependent serotonin transporterHomo sapiens (human)
monoatomic cation channel activitySodium-dependent serotonin transporterHomo sapiens (human)
neurotransmitter transmembrane transporter activitySodium-dependent serotonin transporterHomo sapiens (human)
serotonin:sodium:chloride symporter activitySodium-dependent serotonin transporterHomo sapiens (human)
protein bindingSodium-dependent serotonin transporterHomo sapiens (human)
monoamine transmembrane transporter activitySodium-dependent serotonin transporterHomo sapiens (human)
antiporter activitySodium-dependent serotonin transporterHomo sapiens (human)
syntaxin-1 bindingSodium-dependent serotonin transporterHomo sapiens (human)
cocaine bindingSodium-dependent serotonin transporterHomo sapiens (human)
sodium ion bindingSodium-dependent serotonin transporterHomo sapiens (human)
identical protein bindingSodium-dependent serotonin transporterHomo sapiens (human)
nitric-oxide synthase bindingSodium-dependent serotonin transporterHomo sapiens (human)
actin filament bindingSodium-dependent serotonin transporterHomo sapiens (human)
serotonin bindingSodium-dependent serotonin transporterHomo sapiens (human)
protease bindingSodium-dependent dopamine transporter Homo sapiens (human)
signaling receptor bindingSodium-dependent dopamine transporter Homo sapiens (human)
neurotransmitter transmembrane transporter activitySodium-dependent dopamine transporter Homo sapiens (human)
dopamine:sodium symporter activitySodium-dependent dopamine transporter Homo sapiens (human)
protein bindingSodium-dependent dopamine transporter Homo sapiens (human)
monoamine transmembrane transporter activitySodium-dependent dopamine transporter Homo sapiens (human)
dopamine bindingSodium-dependent dopamine transporter Homo sapiens (human)
amine bindingSodium-dependent dopamine transporter Homo sapiens (human)
protein-containing complex bindingSodium-dependent dopamine transporter Homo sapiens (human)
metal ion bindingSodium-dependent dopamine transporter Homo sapiens (human)
protein phosphatase 2A bindingSodium-dependent dopamine transporter Homo sapiens (human)
heterocyclic compound bindingSodium-dependent dopamine transporter Homo sapiens (human)
norepinephrine:sodium symporter activitySodium-dependent dopamine transporter Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (19)

Processvia Protein(s)Taxonomy
plasma membraneSodium-dependent noradrenaline transporter Homo sapiens (human)
cell surfaceSodium-dependent noradrenaline transporter Homo sapiens (human)
membraneSodium-dependent noradrenaline transporter Homo sapiens (human)
neuronal cell body membraneSodium-dependent noradrenaline transporter Homo sapiens (human)
presynaptic membraneSodium-dependent noradrenaline transporter Homo sapiens (human)
plasma membraneSodium-dependent noradrenaline transporter Homo sapiens (human)
axonSodium-dependent noradrenaline transporter Homo sapiens (human)
plasma membraneSodium-dependent serotonin transporterHomo sapiens (human)
focal adhesionSodium-dependent serotonin transporterHomo sapiens (human)
endosome membraneSodium-dependent serotonin transporterHomo sapiens (human)
endomembrane systemSodium-dependent serotonin transporterHomo sapiens (human)
presynaptic membraneSodium-dependent serotonin transporterHomo sapiens (human)
membrane raftSodium-dependent serotonin transporterHomo sapiens (human)
synapseSodium-dependent serotonin transporterHomo sapiens (human)
postsynaptic membraneSodium-dependent serotonin transporterHomo sapiens (human)
serotonergic synapseSodium-dependent serotonin transporterHomo sapiens (human)
synapseSodium-dependent serotonin transporterHomo sapiens (human)
plasma membraneSodium-dependent serotonin transporterHomo sapiens (human)
neuron projectionSodium-dependent serotonin transporterHomo sapiens (human)
cytoplasmSodium-dependent dopamine transporter Homo sapiens (human)
plasma membraneSodium-dependent dopamine transporter Homo sapiens (human)
cell surfaceSodium-dependent dopamine transporter Homo sapiens (human)
membraneSodium-dependent dopamine transporter Homo sapiens (human)
axonSodium-dependent dopamine transporter Homo sapiens (human)
neuron projectionSodium-dependent dopamine transporter Homo sapiens (human)
neuronal cell bodySodium-dependent dopamine transporter Homo sapiens (human)
axon terminusSodium-dependent dopamine transporter Homo sapiens (human)
membrane raftSodium-dependent dopamine transporter Homo sapiens (human)
postsynaptic membraneSodium-dependent dopamine transporter Homo sapiens (human)
dopaminergic synapseSodium-dependent dopamine transporter Homo sapiens (human)
flotillin complexSodium-dependent dopamine transporter Homo sapiens (human)
axonSodium-dependent dopamine transporter Homo sapiens (human)
presynaptic membraneSodium-dependent dopamine transporter Homo sapiens (human)
plasma membraneSodium-dependent dopamine transporter Homo sapiens (human)
neuronal cell body membraneSodium-dependent dopamine transporter Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (58)

Assay IDTitleYearJournalArticle
AID1745845Primary qHTS for Inhibitors of ATXN expression
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.
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.
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.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID1632941Inhibition of [3H]-5-hydroxytryptamine reuptake in human SERT expressed in HEK293 cells by liquid scintillation counting method2016Bioorganic & medicinal chemistry, 11-01, Volume: 24, Issue:21
Exploration of substituted arylpiperazine-tetrazoles as promising dual norepinephrine and dopamine reuptake inhibitors.
AID1210253Total drug level in wild type Crl:CF1 mouse brain expressing Abcb1a mutant at 12 mg/kg/day administered through continuous minipump treatment for 3 days by UPLC-MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210217Unbound brain to plasma partition coefficient of the compound in wild type Sprague-Dawley rat expressing Abcb1a at 9 mg/kg/day administered through continuous minipump treatment for 3 days2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1632942Inhibition of [3H]-5-dopamine reuptake in human DAT expressed in HEK293 cells by liquid scintillation counting method2016Bioorganic & medicinal chemistry, 11-01, Volume: 24, Issue:21
Exploration of substituted arylpiperazine-tetrazoles as promising dual norepinephrine and dopamine reuptake inhibitors.
AID1164247Inhibition of human SERT expressed in HEK293 cells at incubated for 15 mins by neurotransmitter reuptake assay2014ACS medicinal chemistry letters, Sep-11, Volume: 5, Issue:9
Exploration of 3-Aminoazetidines as Triple Reuptake Inhibitors by Bioisosteric Modification of 3-α-Oxyazetidine.
AID1164246Inhibition of human DAT expressed in HEK293 cells at 0.1 uM incubated for 15 mins by neurotransmitter reuptake assay2014ACS medicinal chemistry letters, Sep-11, Volume: 5, Issue:9
Exploration of 3-Aminoazetidines as Triple Reuptake Inhibitors by Bioisosteric Modification of 3-α-Oxyazetidine.
AID1210215Percentage unbound in Sprague-Dawley rat plasma at 1 uM after 5 hrs by equilibrium dialysis method2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210236Total brain to plasma partition coefficient of the compound in mdr1a-deficient rat at 9 mg/kg/day administered through continuous minipump treatment for 3 days2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1409107Inhibition of [3H]serotonin uptake at human SERT expressed in HEK293 cells at 1 uM after 15 to 20 mins by microbeta scintillation counting method2018Bioorganic & medicinal chemistry, 11-01, Volume: 26, Issue:20
Design, synthesis, and systematic evaluation of 4-arylpiperazine- and 4-benzylpiperidine napthyl ethers as inhibitors of monoamine neurotransmitters reuptake.
AID1164244Inhibition of human SERT expressed in HEK293 cells at 0.1 uM incubated for 15 mins by neurotransmitter reuptake assay2014ACS medicinal chemistry letters, Sep-11, Volume: 5, Issue:9
Exploration of 3-Aminoazetidines as Triple Reuptake Inhibitors by Bioisosteric Modification of 3-α-Oxyazetidine.
AID1409102Inhibition of [3H]serotonin uptake at human SERT expressed in HEK293 cells after 15 to 20 mins by microbeta scintillation counting method2018Bioorganic & medicinal chemistry, 11-01, Volume: 26, Issue:20
Design, synthesis, and systematic evaluation of 4-arylpiperazine- and 4-benzylpiperidine napthyl ethers as inhibitors of monoamine neurotransmitters reuptake.
AID1285849Inhibition of [3H]-5-HT reuptake in human SERT transfected into HEK293 cells by liquid scintillation counting method2016Bioorganic & medicinal chemistry, May-01, Volume: 24, Issue:9
Design, synthesis, and biological evaluation of arylpiperazine-benzylpiperidines with dual serotonin and norepinephrine reuptake inhibitory activities.
AID1409110Inhibition of [3H]norepinephrine uptake at human NET expressed in HEK293 cells at 1 uM after 15 to 20 mins by microbeta scintillation counting method2018Bioorganic & medicinal chemistry, 11-01, Volume: 26, Issue:20
Design, synthesis, and systematic evaluation of 4-arylpiperazine- and 4-benzylpiperidine napthyl ethers as inhibitors of monoamine neurotransmitters reuptake.
AID1439845Inhibition of [3H]-5-norepinephrine reuptake in human NET expressed in HEK293 cells by microbeta liquid scintillation counting method2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Design, synthesis and in vitro activity of 1,4-disubstituted piperazines and piperidines as triple reuptake inhibitors.
AID1210234Total plasma concentration in mdr1a-deficient rat at 9 mg/kg/day administered through continuous minipump treatment for 3 days by UPLC-MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210201Total drug level in mdr1a-deficient mouse brain at 12 mg/kg/day administered through continuous minipump treatment for 3 days by UPLC-MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210220Total drug level in wild type Sprague-Dawley rat brain expressing Abcb1a at 9 mg/kg/day administered through continuous minipump treatment for 3 days by UPLC-MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210221Total brain to plasma partition coefficient of the compound in wild type Sprague-Dawley rat expressing Abcb1a at 9 mg/kg/day administered through continuous minipump treatment for 3 days2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1164248Inhibition of human NET expressed in HEK293 cells at incubated for 15 mins by neurotransmitter reuptake assay2014ACS medicinal chemistry letters, Sep-11, Volume: 5, Issue:9
Exploration of 3-Aminoazetidines as Triple Reuptake Inhibitors by Bioisosteric Modification of 3-α-Oxyazetidine.
AID1463521Inhibition of re-uptake of [3H]-NE at human NET expressed in HEK293 cells by liquid scintillation counting2017Bioorganic & medicinal chemistry, 10-15, Volume: 25, Issue:20
Triple reuptake inhibitors: Design, synthesis and structure-activity relationship of benzylpiperidine-tetrazoles.
AID1210219Total plasma concentration in wild type Sprague-Dawley rat expressing Abcb1a at 9 mg/kg/day administered through continuous minipump treatment for 3 days by UPLC-MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1245392Inhibition of human SERT expressed in HEK293 cells assessed as reduction of serotonin reuptake using [3H]-SERT after 15 mins by liquid scintillation counting2015Bioorganic & medicinal chemistry, Oct-01, Volume: 23, Issue:19
Design and synthesis of 4-benzylpiperidine carboxamides as dual serotonin and norepinephrine reuptake inhibitors.
AID1210200Total plasma concentration in mdr1a-deficient mouse at 12 mg/kg/day administered through continuous minipump treatment for 3 days by UPLC-MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210216Percentage unbound in Sprague-Dawley rat brain at 1 uM after 5 hrs by equilibrium dialysis method2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210254Total brain to plasma partition coefficient of the compound in wild type Crl:CF1 mouse expressing Abcb1a mutant at 12 mg/kg/day administered through continuous minipump treatment for 3 days2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210235Total drug level in mdr1a-deficient rat brain at 9 mg/kg/day administered through continuous minipump treatment for 3 days by UPLC-MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210180Unbound brain to plasma partition coefficient of the compound in wild type Crl:CF1 mouse expressing Abcb1a mutant at 12 mg/kg/day administered through continuous minipump treatment for 3 days2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210173Unbound brain to plasma partition coefficient of the compound in mdr1a-deficient rat at 9 mg/kg/day administered through continuous minipump treatment for 3 days2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1439844Inhibition of [3H]-5-hydroxytryptamine reuptake in human SERT expressed in HEK293 cells by microbeta liquid scintillation counting method2017Bioorganic & medicinal chemistry, 04-01, Volume: 25, Issue:7
Design, synthesis and in vitro activity of 1,4-disubstituted piperazines and piperidines as triple reuptake inhibitors.
AID1285850Inhibition of [3H]-NE reuptake in human NET transfected into HEK293 cells by liquid scintillation counting method2016Bioorganic & medicinal chemistry, May-01, Volume: 24, Issue:9
Design, synthesis, and biological evaluation of arylpiperazine-benzylpiperidines with dual serotonin and norepinephrine reuptake inhibitory activities.
AID1463520Inhibition of re-uptake of [3H]-5-HT at human SERT expressed in HEK293 cells by liquid scintillation counting2017Bioorganic & medicinal chemistry, 10-15, Volume: 25, Issue:20
Triple reuptake inhibitors: Design, synthesis and structure-activity relationship of benzylpiperidine-tetrazoles.
AID1210202Total brain to plasma partition coefficient of the compound in mdr1a-deficient mouse at 12 mg/kg/day administered through continuous minipump treatment for 3 days2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210178Percentage unbound in Crl:NMRI(Han) mouse brain at 1 uM after 5 hrs by equilibrium dialysis method2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1245393Inhibition of human NET expressed in HEK293 cells assessed as reduction of serotonin reuptake using [3H]-NET after 15 mins by liquid scintillation counting2015Bioorganic & medicinal chemistry, Oct-01, Volume: 23, Issue:19
Design and synthesis of 4-benzylpiperidine carboxamides as dual serotonin and norepinephrine reuptake inhibitors.
AID1397326Inhibition of human SERT expressed in HEK293 cells assessed as reduction in [3H]5-HT uptake by micro beta scintillation counting analysis2018Bioorganic & medicinal chemistry, 08-07, Volume: 26, Issue:14
Design, synthesis and docking study of 4-arylpiperazine carboxamides as monoamine neurotransmitters reuptake inhibitors.
AID1164250Selectivity index, ratio of IC50 for human NET to IC50 for human SERT2014ACS medicinal chemistry letters, Sep-11, Volume: 5, Issue:9
Exploration of 3-Aminoazetidines as Triple Reuptake Inhibitors by Bioisosteric Modification of 3-α-Oxyazetidine.
AID1409105Inhibition of [3H]norepinephrine uptake at human NET expressed in HEK293 cells after 15 to 20 mins by microbeta scintillation counting method2018Bioorganic & medicinal chemistry, 11-01, Volume: 26, Issue:20
Design, synthesis, and systematic evaluation of 4-arylpiperazine- and 4-benzylpiperidine napthyl ethers as inhibitors of monoamine neurotransmitters reuptake.
AID1210252Total plasma concentration in wild type Crl:CF1 mouse expressing Abcb1a mutant at 12 mg/kg/day administered through continuous minipump treatment for 3 days by UPLC-MS analysis2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1210218Percentage unbound in Crl:NMRI(Han) mouse plasma at 1 uM after 5 hrs by equilibrium dialysis method2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1632943Inhibition of [3H]-5-norepinephrine reuptake in human NET expressed in HEK293 cells by liquid scintillation counting method2016Bioorganic & medicinal chemistry, 11-01, Volume: 24, Issue:21
Exploration of substituted arylpiperazine-tetrazoles as promising dual norepinephrine and dopamine reuptake inhibitors.
AID1164245Inhibition of human NET expressed in HEK293 cells at 0.1 uM incubated for 15 mins by neurotransmitter reuptake assay2014ACS medicinal chemistry letters, Sep-11, Volume: 5, Issue:9
Exploration of 3-Aminoazetidines as Triple Reuptake Inhibitors by Bioisosteric Modification of 3-α-Oxyazetidine.
AID1210163Unbound brain to plasma partition coefficient of the compound in mdr1a-deficient mouse at 12 mg/kg/day administered through continuous minipump treatment for 3 days2012Drug metabolism and disposition: the biological fate of chemicals, Mar, Volume: 40, Issue:3
Species comparison of in vivo P-glycoprotein-mediated brain efflux using mdr1a-deficient rats and mice.
AID1164249Inhibition of human DAT expressed in HEK293 cells at incubated for 15 mins by neurotransmitter reuptake assay2014ACS medicinal chemistry letters, Sep-11, Volume: 5, Issue:9
Exploration of 3-Aminoazetidines as Triple Reuptake Inhibitors by Bioisosteric Modification of 3-α-Oxyazetidine.
AID1164251Selectivity index, ratio of IC50 for human DAT to IC50 for human SERT2014ACS medicinal chemistry letters, Sep-11, Volume: 5, Issue:9
Exploration of 3-Aminoazetidines as Triple Reuptake Inhibitors by Bioisosteric Modification of 3-α-Oxyazetidine.
AID1397327Inhibition of human NET expressed in HEK293 cells assessed as reduction in [3H]-NE uptake by micro beta scintillation counting analysis2018Bioorganic & medicinal chemistry, 08-07, Volume: 26, Issue:14
Design, synthesis and docking study of 4-arylpiperazine carboxamides as monoamine neurotransmitters reuptake inhibitors.
AID1794808Fluorescence-based screening to identify small molecule inhibitors of Plasmodium falciparum apicoplast DNA polymerase (Pf-apPOL).2014Journal of biomolecular screening, Jul, Volume: 19, Issue:6
A High-Throughput Assay to Identify Inhibitors of the Apicoplast DNA Polymerase from Plasmodium falciparum.
AID1794808Fluorescence-based screening to identify small molecule inhibitors of Plasmodium falciparum apicoplast DNA polymerase (Pf-apPOL).
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (2,655)

TimeframeStudies, This Drug (%)All Drugs %
pre-19904 (0.15)18.7374
1990's328 (12.35)18.2507
2000's1048 (39.47)29.6817
2010's1018 (38.34)24.3611
2020's257 (9.68)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 62.67

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 Index62.67 (24.57)
Research Supply Index8.17 (2.92)
Research Growth Index6.91 (4.65)
Search Engine Demand Index106.22 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (62.67)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials686 (24.10%)5.53%
Reviews348 (12.23%)6.00%
Case Studies596 (20.94%)4.05%
Observational14 (0.49%)0.25%
Other1,202 (42.23%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (196)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy of Dynamic Therapy Versus Selective Serotonin Reuptake Inhibitor for Depression [NCT00043550]Phase 3156 participants (Actual)Interventional2001-11-30Completed
Study of Antidepressants in Parkinson's Disease [NCT00086190]Phase 3115 participants (Actual)Interventional2005-06-30Completed
Effects of Antidepressant on Postsynaptic Signal Transduction in Serotonergic System of Depressed Patients [NCT01352572]300 participants (Anticipated)Interventional2002-01-31Active, not recruiting
[NCT01204086]Phase 4200 participants (Anticipated)Interventional2007-03-31Recruiting
A Randomized, Single Blind, Controlled, Longitudinal Study of the Effects of Venlafaxine Hydrochloride Capsules on the Language Function of Stroke Patients With Subcortical Aphasia Using fMRI [NCT03588572]43 participants (Actual)Interventional2018-08-01Completed
An Investigation of the Role of Inflammatory Processes in the Development and Treatment of Idiopathic Unipolar and Bipolar Depression in Patients With Moderate to Severe Depressive Symptoms. [NCT03920475]104 participants (Actual)Observational2015-08-05Completed
EEG Signal Processing as a Predictor of Antidepressant Response [NCT01369290]150 participants (Anticipated)Observational2009-10-31Recruiting
Repetitive Transcranial Magnetic Stimulation (rTMS) Compared or Associated With Venlafaxine for Depressive Disorder: A Functional Magnetic Resonance Imaging (fMRI) Study [NCT01370304]Phase 360 participants (Anticipated)Interventional2011-06-30Recruiting
Prediction of Antidepressant Response Using Pharmacogenetics of Bioamine Transporter and Peripheral Lymphocytic Phenotype [NCT01352559]1,000 participants (Anticipated)Interventional2001-11-30Active, not recruiting
Neurochemical,Metabonomics and Neuroimaging Characterization of TCM Diagnostic Subtypes of Major Depression Disorder [NCT02346682]Phase 475 participants (Anticipated)Interventional2015-02-28Recruiting
Maintenance Therapies in Late-Life Depression: MTLD III [NCT00177671]Phase 4220 participants (Actual)Interventional2003-12-31Completed
International Committee of Medical Journal Editors [NCT02179268]Phase 3203 participants (Actual)Interventional2012-03-31Completed
DRUG USE INVESTIGATION OF EFFEXOR(REGISTERED) SR CAPSULES [NCT02958527]1,408 participants (Actual)Observational2016-10-03Completed
Initial Severity and Antidepressant Efficacy for Anxiety Disorders: an Individual Patient Data Meta-analysis [NCT02476136]8,800 participants (Anticipated)Observational2015-05-31Active, not recruiting
Randomized, 2-Way Crossover, Bioequivalence Study of Venlafaxine 25 mg Tablets and Effexor® 25 mg Tablets Administered as 1 x 25 mg Tablet in Healthy Subjects Under Fed Conditions [NCT00834249]Phase 118 participants (Actual)Interventional2002-12-31Completed
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
Pharmacokinetics and Safety of Commonly Used Drugs in Lactating Women and Breastfed Infants [NCT03511118]1,600 participants (Anticipated)Observational2018-10-04Recruiting
A Ten-Week, Multicenter, Randomized, Double-Blind, Placebo and Active-Controlled, Parallel-Group, Flexible-Dose Study Evaluating the Efficacy, Safety, and Tolerability of GSK372475 (1.5 mg/Day to 2.0 mg/Day) or Extended Release Venlafaxine XR (150 mg/Day [NCT00448058]Phase 2396 participants (Actual)Interventional2007-04-30Completed
Vortioxetine as a Novel Anti-depressant With Improvement in Cognitive Abilities - a Randomized Controlled Parallel Assigned Study [NCT05104918]Phase 3500 participants (Anticipated)Interventional2022-02-28Not yet recruiting
Evaluating Safety and Tolerability of Venlafaxine for Postoperative Pain of Laparoscopic Cholecystectomy [NCT05884268]Phase 1/Phase 260 participants (Anticipated)Interventional2023-05-30Not yet recruiting
Optimizing Antidepressant Treatment by Genotype-dependent Adjustment of Medication According to the ABCB1 Gene [NCT02237937]Phase 480 participants (Anticipated)Interventional2011-09-30Recruiting
Incomplete Response in Late-Life Depression: Getting to Remission With Buprenorphine [NCT02263248]Phase 1/Phase 256 participants (Actual)Interventional2014-12-31Completed
Assessing the Efficacy of a Serotonin and Norepinephrine Reuptake Inhibitor for Improving Meniere's Disease Outcomes [NCT04218123]Phase 2/Phase 340 participants (Actual)Interventional2020-02-05Completed
A Randomized, Double-Blind, Parallel Group, Active- and Placebo-Controlled Study to Assess the Efficacy and Safety of JNJ26489112 in Adult Subjects With Treatment-Resistant Major Depressive Disorder [NCT01114698]Phase 212 participants (Actual)Interventional2011-03-31Terminated(stopped due to Study was terminated due to sponsor portfolio decision.)
A Randomized, Double-blind Study Comparing the Efficacy and Safety of Trazodone OAD and Venlafaxine XR in the Treatment of Patients With Major Depressive Disorder. [NCT02086929]Phase 3364 participants (Actual)Interventional2012-12-31Completed
Study of the Effect of Antidepressant Drugs on Neurotrophic Factors in Patients With Depression [NCT03126188]105 participants (Actual)Observational2017-04-05Completed
Randomized, 2-Way Crossover, Bioequivalence Study of Venlafaxine 25 mg Tablets and Effexor® 25 mg Tablets Administered as 1 x 25 mg Tablet in Healthy Subjects Under Fasting Conditions [NCT00834964]Phase 130 participants (Actual)Interventional2002-12-31Completed
A Double-Blind, Placebo-Controlled Study Examining The Safety, Efficacy, and Tolerability of SEP-225289 in Subjects With Major Depressive Disorder (Including Atypical and Melancholic Features) [NCT00584974]Phase 2523 participants (Actual)Interventional2007-12-31Completed
Predict Antidepressant Responsiveness Using Pharmacogenomics [NCT01228357]1,000 participants (Anticipated)Interventional2003-02-28Recruiting
Serotonin-norepinephrine Reuptake Inhibitors and Acute Kidney Injury [NCT02320240]3,255,526 participants (Actual)Observational2013-06-30Completed
A Randomized, Open-Label Study to Assess the Pain, Toxicity, and Quality of Life Effects of Adding Venlafaxine to the Pain Management Regimen for Patients Treated With Chemoradiation for Head and Neck Cancer [NCT03574792]62 participants (Actual)Interventional2018-05-03Completed
A Randomized Intrapatient Cross-over Study to Assess the Efficacy of Oxybutynin Versus Venlafaxine in Reducing Hot Flashes in Women Using Endocrine Therapy After Breast Cancer. [NCT06106529]Phase 3260 participants (Anticipated)Interventional2024-01-08Not yet recruiting
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)
Randomised Controlled Trial of Electroconvulsive Therapy (ECT) With Pharmacotherapy or Pharmacotherapy Alone in Relapse Prevention of Depression [NCT00627887]Phase 456 participants (Actual)Interventional2008-01-31Completed
Pharmacogenomic Study to Predict Antidepressant Responsiveness in Depressed Patients [NCT00817375]1,000 participants (Anticipated)Interventional2003-02-28Recruiting
Beta-arrestins and Response to Venlafaxine in Major Depressive Disorder [NCT02051413]Phase 467 participants (Actual)Interventional2014-02-18Completed
The Role of Negr1 In Modulating Neuroplasticity in Major Depression (RONIN) [NCT06131268]Phase 430 participants (Anticipated)Interventional2022-03-01Recruiting
A Comparison of Prolonged Exposure Therapy, Pharmacotherapy, and Their Combination for PTSD: What Works Best, and for Whom [NCT04961190]Phase 4300 participants (Anticipated)Interventional2022-05-25Recruiting
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
Serum Concentrations of Antidepressant Drugs in Pregnant Women - a Naturalistic Study [NCT04806230]81 participants (Actual)Observational2011-04-01Completed
Assessment of PACAP-BDNF Signaling System Involvement in Etiology and Treatment of Major Depression [NCT00944996]100 participants (Actual)Interventional2009-06-30Completed
Physiologic Monitoring of Antidepressant Medication Effects in Normal Controls Subjects I [NCT00759317]Phase 437 participants (Actual)Interventional2001-06-30Completed
A Single-Blind Placebo Run-In Study of Venlafaxine for Activity-Limiting Osteoarthritis Pain [NCT00611676]Phase 418 participants (Actual)Interventional2004-09-30Completed
A Multicenter Randomized, Double-Blind, Parallel-Group Study of Sertraline Versus Venlafaxine XR in the Acute Treatment of Outpatients With Major Depressive Disorder [NCT00644982]Phase 4163 participants (Actual)Interventional2002-10-31Completed
Randomised Clinical Trial Comparing Early Medication Change (EMC) Strategy With Treatment as Usual (TAU) in Patients With Major Depressive Disorder - the EMC Trial [NCT00974155]Phase 4889 participants (Actual)Interventional2009-09-30Completed
International Study to Predict Optimised Treatment - in Depression [NCT00693849]Phase 42,688 participants (Anticipated)Interventional2008-09-30Active, not recruiting
A Phase IV, Longitudinal, Observational Study Examining Real-World Outcomes of Non-Hormonal Pharmacotherapies Among Individuals Treated for Bothersome Vasomotor Symptoms [NCT06049797]1,000 participants (Anticipated)Observational2023-11-15Recruiting
Prolonging Remission in Depressed Elderly (PRIDE) [NCT01028508]Phase 4247 participants (Actual)Interventional2010-01-31Completed
Efficacy and Tolerance of Cyproterone Acetate Versus Medroxyprogesterone Acetate Versus Venlafaxine LP in the Treatment of Hot Flushes Caused by Leuprorelin 11.25 mg in Patients Treated for a Prostate Adenocarcinoma [NCT01011751]Phase 3311 participants (Actual)Interventional2004-04-30Completed
Treatment of Bipolar Type II Major Depression [NCT00602537]Phase 4140 participants (Actual)Interventional2007-12-31Completed
Acute Antidepressant Therapy in Bipolar II Major Depression [NCT00641927]Phase 490 participants (Actual)Interventional2002-04-30Completed
Double-blind, Randomised, Placebo-controlled Study Comparing the Efficacy and Safety of Two Fixed Dosages of a Novel Antidepressant Compound to That of Placebo in Patients With Major Depressive Disorder [NCT00839423]Phase 2426 participants (Actual)Interventional2006-08-31Completed
Patient Dimensions as Predictors of Response, Relapse and Recurrence Following Cognitive-Behavioral Therapy, Interpersonal Psychotherapy and Pharmacotherapy Treatment of Patients With Major Depression. [NCT00744406]Phase 272 participants (Actual)Interventional2003-07-31Completed
A Randomised, 6-week, Multicentre, Open-label, Rater-blinded Parallel Group Study Comparing Quetiapine Extended Release Monotherapy and Augmentation With Lithium Augmentation in Patients With Treatment Resistant Depression [NCT00789854]Phase 3688 participants (Actual)Interventional2008-11-30Completed
A Randomised, Double-blind, Parallel-group, Placebo-controlled, and Active-referenced Study Evaluating the Efficacy and Safety of Three Fixed Dose Regimens of Lu AA34893 in the Treatment of Major Depressive Disorder [NCT00766870]Phase 235 participants (Actual)Interventional2008-09-30Terminated(stopped due to Study was previously paused and is now terminated)
Combined Treatment for Generalized Anxiety Disorder (GAD) [NCT00620776]Phase 269 participants (Actual)Interventional2006-10-31Completed
Repetitive Transcranial Magnetic Stimulation Efficacy for Major Resistant Depression Compared or Associated With Venlafaxine : a Multicentric Study. [NCT00714090]Phase 3170 participants (Actual)Interventional2008-05-31Completed
A Single Center, Three Period, Randomized, Three-way Crossover, Double-blind Placebo And Moxifloxacincontrolled Study To Assess The Effects Of Effexor Xr On Cardiac Repolarization In Healthy Adult Subjects [NCT02637193]Phase 154 participants (Actual)Interventional2015-12-31Completed
Examination of the Pharmacokinetic Properties of Two Generic Antidepressants and Their Respective Brand Preparations in Healthy Male Volunteers [NCT00676039]Phase 118 participants (Actual)Interventional2007-11-30Completed
Phase 4 Study of Development of Pharmacogenomic Method to Predict Antidepressant Responsiveness [NCT00817011]1,000 participants (Anticipated)Interventional2006-04-30Recruiting
Bioequivalence Study of Venlafaxine Hydrochloride Sustained-Release Capsules and EFEXOR® XR Under Fed Conditions in Chinese Healthy Volunteers [NCT04229602]28 participants (Anticipated)Interventional2020-01-02Recruiting
A Study Of The Utility Of Effexor® (Venlafaxine) In Achieving Response And Maintaining Remission Among Taiwanese Patients With Depression [NCT00546494]Phase 4350 participants Interventional2004-02-29Completed
A Randomized, Double-Blind, Placebo-Controlled, Pilot Study To Evaluate The Efficacy And Safety Of Venlafaxine Extended-Release In Depressed And Anxious Patients With Multiple, Unexplained Somatic Symptoms [NCT00546923]Phase 4210 participants Interventional2004-08-31Completed
Adapting Marital Therapy in Older Adults With Depression [NCT00612807]Phase 1/Phase 242 participants (Actual)Interventional2006-07-31Completed
Comparative, Randomized, Single-Dose, 2-way Crossover Bioavailability Study of Actavis Group hf 50 mg Venlafaxine Hydrochloride Tablets and Wyeth Pharmaceuticals (Effexor®) 50 mg Venlafaxine Hydrochloride Tablets [NCT00871364]Phase 130 participants (Actual)Interventional2006-04-30Completed
Incomplete Response in Late Life Depression: Getting to Remission [NCT00892047]Phase 4468 participants (Actual)Interventional2009-08-31Completed
A Study to Investigate the Effect of Antidepressants on the Treatment for Korean Major Depressive Disorder (MDD) Patients [NCT00926835]Phase 4692 participants (Actual)Interventional2009-05-31Terminated(stopped due to due to patient recruitment difficulties)
A Controlled Trial of Venlafaxine XR for Major Depression After Spinal Cord Injury: A Multi-site Study [NCT00592384]Phase 4133 participants (Actual)Interventional2007-07-31Completed
Physiologic Monitoring of Antidepressant Treatment Response [NCT00792168]Phase 438 participants (Actual)Interventional1996-11-30Completed
EEG Biomarkers of Response in Depression [NCT00759122]Phase 444 participants (Actual)Interventional2002-11-30Completed
Serotonin-Norepinephrine Reuptake Inhibitors for the Prevention and Treatment of Pain, Depression, and Anxiety in Patients With Head & Neck Cancer [NCT04977271]Phase 4205 participants (Anticipated)Interventional2023-07-28Not yet recruiting
Pharmacokinetic Study Comparing Area Under the Curve for a Single Dose of Venlafaxine ER Pre- and Post-gastric Bypass [NCT01867255]Phase 110 participants (Actual)Interventional2013-10-31Completed
Healing With Venlafaxine After Injury: A Randomized Clinical Trial of Venlafaxine Following Motor Vehicle Collision [NCT01716377]Phase 220 participants (Actual)Interventional2012-10-31Completed
Population Pharmacokinetic and Pharmacodynamic Modeling of Gabapentin in Neuropathic Pain - Effect of Adjuvant Pharmacotherapy [NCT00967707]Phase 230 participants (Anticipated)Interventional2009-08-31Completed
Acute Efficacy of Bupropion, Sertraline, and Venlafaxine as Adjuvant Treatment to Mood Stabilizers in Bipolar Depression: A Randomized, Double-Blind, Comparative Study [NCT00001483]Phase 275 participants Interventional1995-06-30Completed
Effects of Venlafaxine on Chronic Neuropathic Pain Following Spinal Cord Injury [NCT00167856]16 participants (Actual)Interventional2005-06-30Completed
An Open Label, Prospective and Multi-center Recurrence Prevention Study With Effexor XR in MDD Patients in China [NCT00878748]Phase 40 participants (Actual)Interventional2009-04-30Withdrawn
Double-Blind, Acute Depression Study Comparing Venlafaxine XR and Lamotrigine When Added to Mood Stabilizer in the Treatment of Bipolar Depression [NCT00188643]Phase 440 participants Interventional2002-01-31Completed
The Use of Quantitative EEG (QEEG) as a Predictor of Treatment Outcome in Major Depressive Disorder [NCT00157547]Phase 495 participants (Actual)Interventional2003-04-30Completed
Patient Outcomes With Education, Drug Therapy, and Support (POETS): A Multicenter, Open-label, Randomized Study to Evaluate Depressed Subjects Treated With Venlafaxine Extended-release vs. Venlafaxine Extended-release Plus the Dialogues Time to Talk Progr [NCT00401726]Phase 4537 participants (Actual)Interventional2006-06-30Completed
Short-term Versus Long-term Treatment in Generalized Anxiety Disorder [NCT00183274]Phase 4268 participants (Actual)Interventional2004-01-31Completed
A Controlled Trial of Cognitive-Behavioral Therapy as an Adjunct to Serotonin Reuptake Inhibitors in Body Dysmorphic Disorder [NCT00211809]Phase 417 participants (Actual)Interventional2008-09-30Terminated(stopped due to low enrollment)
Randomized Study of Soy Protein and Effexor on Vasomotor Symptoms of Men With Prostate Cancer [NCT00354432]Phase 3120 participants (Actual)Interventional2007-02-01Terminated(stopped due to Stopped by the DSMB for lack of effect per interim stopping rule.)
A Double-Blind, Placebo-Controlled, Parallel-Group, Flexible-Dose Study of Venlafaxine ER In Children and Adolescent Outpatients With Social Anxiety Disorder [NCT00238719]Phase 3293 participants Interventional1999-12-31Completed
Clinical Study on Chemotherapy Induced Peripheral Neuropathy: Preventive Approach Using Venlafaxine [NCT05875610]Phase 460 participants (Anticipated)Interventional2023-05-01Recruiting
A Double-Blind,Venlafaxine-Controlled Study of Efficacy and Safety of Sustained-Release Desvenlafaxine Hydrochloride in the Treatment of Major Depressive Disorder [NCT01977378]Phase 2/Phase 3300 participants (Anticipated)Interventional2013-10-31Recruiting
Comparison of Venlafaxine Augmentation With Quetiapine v.s. Placebo in Treatment Resistant Depression [NCT00253266]Phase 4126 participants (Actual)Interventional2008-04-30Completed
A Comparison of Immediate and Extended Release Venlafaxine Following Bariatric Surgery [NCT02005107]Phase 412 participants (Actual)Interventional2013-12-31Completed
Accurate Clinical Study of Medication in Patients With Depression Via Pharmacogenomics (PGx) and Therapeutic Drug Monitoring (TDM) of Venlafaxine [NCT04207385]Phase 4160 participants (Anticipated)Interventional2019-12-01Recruiting
Randomized, 2-way Crossover, Bioequivalence Study of Venlafaxine Hydrochloride 150 mg Extended-Release Capsules and Effexor® XR 150 mg Extended-Release Capsules Administered as the Content of 1 x 150 mg Extended-Release Capsule Mixed With Applesauce in He [NCT01282814]Phase 124 participants (Actual)Interventional2003-02-28Completed
Randomized, 2-way Crossover, Bioequivalence Study of Venlafaxine Hydrochloride 150 mg Extended-Release Capsules and Effexor® XR 150 mg Extended-Release Capsules Administered as 1 x 150 mg Extended-Release Capsule in Healthy Subjects Under Fasting Conditio [NCT01260896]Phase 124 participants (Actual)Interventional2002-09-30Completed
The Efficacy of Venlafaxine XR (Efexor XR®) Versus SSRIs & Conventional Antidepressants in Depressed Patients Switched From Prior Antidepressants in Psychiatric Outpatient Care Settings in China [NCT00474708]Phase 41,151 participants (Actual)Interventional2007-04-30Completed
Longitudinal Comparative Effectiveness of Bipolar Disorder Therapies [NCT02893371]1,037,352 participants (Actual)Observational2016-09-30Completed
[NCT02711215]Phase 480 participants (Anticipated)Interventional2015-05-31Active, not recruiting
The Efficacy and Safety of Acupuncture for Prophylaxis of Vestibular Migraine [NCT04664088]72 participants (Anticipated)Interventional2021-01-01Not yet recruiting
A Randomized, Open-Label, Two-Period, Parallel Group, Crossover Study to Evaluate the Pharmacokinetics of Venlafaxine Extended-Release and DVS SR in Healthy Subjects Who Are Extensive or Poor Cytochrome P450 2D6 Substrate Metabolizers [NCT00329186]Phase 314 participants (Actual)Interventional2006-05-31Completed
A 31-Week, Efficacy, Safety and Tolerability Study of Eszopiclone 3 mg Co-administered With Venlafaxine in Subjects With Major Depressive Disorder (MDD) and Co-existing Insomnia [NCT00435279]Phase 3678 participants (Actual)Interventional2007-06-30Completed
An Open Label, Randomised, Two Period, Two Treatment, Two Sequence, Crossover, Single-Dose Bioequivalence Study of Venlafaxine Hydrochloride Extended-Release Capsules 150mg (Test Formulation, Torrent Pharmaceutical Limited., India) Versus Effexor XR® 150m [NCT01418612]Phase 10 participants InterventionalCompleted
An Open Label, Randomised, Two Period, Two Treatment, Two Sequence, Crossover, Single-Dose Bioequivalence Study of Venlafaxine Hydrochloride Extended-Release Capsules 150mg (Test Formulation, Torrent Pharmaceutical Limited., India) Versus Effexor XR® 150m [NCT01418625]Phase 10 participants InterventionalCompleted
Does Concurrent Hydrocortisone With Venlafaxine XR Speed Antidepressant Response? [NCT00186264]18 participants (Actual)Interventional2002-08-31Completed
KAVA KAVA in Generalized Anxiety: A Double-Blind Trial [NCT00083980]Phase 216 participants (Actual)Interventional2002-06-30Terminated(stopped due to European reports of liver toxicity from kava meant that the study had to stop)
Safety and Efficacy of Venlafaxine XR in Elderly Patients With Major Depression [NCT00177528]Phase 470 participants Interventional2000-10-31Completed
Treatment of Geriatric Bipolar Mood Disorders: A Pilot Study [NCT00177567]Phase 460 participants Interventional2001-07-31Completed
Evaluation of a Biobehavioral Intervention for Hot Flashes [NCT01000623]0 participants (Actual)Interventional2009-11-30Withdrawn
Pharmacological Intervention in Depression After Traumatic Brain Injury (A Research Study Within the Traumatic Brain Injury Model System) [NCT00205491]Phase 4100 participants (Anticipated)Interventional2004-10-31Completed
A Comparison of Duloxetine Hydrochloride, Venlafaxine Extended Release, and Placebo in the Treatment of Generalized Anxiety Disorder [NCT00122837]Phase 3560 participants Interventional2005-04-30Completed
Randomized, 2-way Crossover, Bioequivalence Study of Venlafaxine Hydrochloride 150 mg Extended-Release Capsules and Effexor® XR 150 mg Extended-Release Capsules Administered as 1 x 150 mg Extended-Release Capsules in Healthy Subjects Under Fed Conditions. [NCT01282801]Phase 118 participants (Actual)Interventional2002-09-30Completed
A Phase 1, Open-label, Drug Interaction Study Evaluating the Pharmacokinetic Profiles of SPD489 and EFFEXOR XR, Administered Alone and in Combination in Healthy Adult Subjects [NCT01235338]Phase 180 participants (Actual)Interventional2010-10-28Completed
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
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
CAMH - McMaster Collaborative Care Initiative For Mental Health Risk Factors In Dementia: Depression, Anxiety, and Mild Cognitive Impairment [NCT02955719]145 participants (Actual)Interventional2016-03-30Completed
[NCT02934035]10,000 participants (Anticipated)Observational2016-09-30Active, not recruiting
Rescuing OSA Patients Unable to Tolerate CPAP Using Endotype-Targeted Combination Drug Therapy: a Randomized, Double-Blind, Placebo-Controlled Trial [NCT04639193]Phase 220 participants (Anticipated)Interventional2020-01-01Recruiting
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, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Flexible-Dose Study of DVS-233 SR and Venlafaxine ER in Adult Outpatients With Major Depressive Disorder [NCT00087737]Phase 3369 participants (Actual)InterventionalCompleted
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
Serotonin Effect in Non-Ulcer Dyspepsia [NCT00115362]300 participants (Anticipated)Interventional2005-07-31Completed
Hippocampal Volume in Young Patients With Major Depression Before and After Combined Antidepressive Therapy - a Monocentric, Double-blind, Placebo-controlled Trial [NCT00150839]Phase 480 participants (Actual)Interventional2006-03-31Completed
A Multi-center, Randomized, Double-blind, Parallel-group Study of Sertraline vs. Venlafaxine XR in the Acute Treatment of Outpatients With Major Depressive Disorder [NCT00179283]Phase 320 participants Interventional2002-04-30Completed
Placebo-Controlled Venlafaxine Treatment for Depressed Cocaine Abusers [NCT00249483]Phase 2150 participants (Actual)Interventional1999-10-31Completed
Phase III Study of Effexor XR for the Treatment of Elderly Patients With Depression [NCT00225485]Phase 3100 participants Interventional2003-12-31Completed
Phase III Long-Term Administration Study of Effexor XR for the Treatment of Depression [NCT00225524]Phase 3150 participants (Anticipated)Interventional2004-09-30Completed
An Open Label, Balanced, Randomized, Two-treatment, Two-sequence Two-period, Single Dose Sprinkled on Apple Sauce, Crossover and Relative Bioavailability Study in Healthy Adult, Human Subjects Under Fed Conditions [NCT01512459]Phase 133 participants (Actual)Interventional2006-05-31Completed
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
The Effect of Antidepressants and Gabapentin on Tamoxifen Pharmacokinetics: A Prospective Study [NCT00667121]85 participants (Anticipated)Observational2011-03-16Active, not recruiting
A Double-blind, Placebo-controlled, Parallel-group, Flexible-dose Study of Venlafaxine Extended-release Capsules in Adult Outpatients With Panic Disorder [NCT00038896]Phase 3343 participants (Actual)Interventional2001-04-30Completed
Optimization of Electroconvulsive Therapy [NCT00045916]Phase 4340 participants (Actual)Interventional2001-02-28Completed
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
[NCT00080158]Phase 2/Phase 3120 participants Interventional2004-03-31Completed
Treatment of SSRI-Resistant Depression in Adolescents (TORDIA) [NCT00018902]Phase 2/Phase 3334 participants (Actual)Interventional2001-01-31Completed
Improving Hispanic Retention in Antidepressant Therapy [NCT00057642]50 participants (Actual)Interventional2002-09-30Completed
Phase III Comparison of Depomedroxyprogesterone Acetate (DPROV) to Venlafaxine for Managing Hot Flashes [NCT00030914]Phase 3227 participants (Actual)Interventional2002-04-30Completed
An 8-Week Multicenter, Randomized, Double-Blind, Placebo-Controlled, Flexible Dose Study Of Pregabalin (300-600 Mg/Day) And Venlafaxine XR (75-225 Mg/Day) For The Acute Treatment Of DSM-IV Generalized Anxiety Disorder In Outpatients [NCT00151450]Phase 3390 participants Interventional2005-03-31Completed
A Double-blind, Placebo-controlled, Parallel-group Comparison of Venlafaxine Extended-release Capsules and Paroxetine in Outpatients With Panic Disorder [NCT00044772]Phase 3653 participants (Actual)Interventional2001-11-30Completed
An Acute and Continuation Phase Study of the Comparative Efficacy Study of Venlafaxine ER (Effexor® XR) and Fluoxetine (Prozac®) in Achieving and Sustaining Remission (Wellness) in Patients With Recurrent Unipolar Major Depression; Followed by a Long Term [NCT00046020]Phase 41,096 participants (Actual)Interventional2000-08-31Completed
Pilot Study of Venlafaxine Extended Release (XR) in the Treatment of Panic Disorder (PD) in Comparison to Paroxetine. [NCT00195598]Phase 370 participants (Anticipated)Interventional2005-01-31Completed
Targeting Insomnia to Enhance Hot Flush Treatment in Women Receiving Therapy for Breast Cancer or Breast Cancer Risk-Reduction [NCT00084669]119 participants (Anticipated)Interventional2004-05-31Completed
Venlafaxine for Hot Flashes After Breast Cancer [NCT00198250]Phase 275 participants (Actual)Interventional2000-05-31Completed
Phase III Multi-Center, Double-Blind, Comparative Study of Effexor XR for the Treatment of Depression [NCT00225511]Phase 3590 participants (Anticipated)Interventional2004-06-30Completed
Combining Medications to Enhance Depression Outcomes [NCT00590863]Phase 4665 participants (Actual)Interventional2008-03-31Completed
Physiologic Monitoring of Antidepressant Medication Effects in Normal Healthy Subjects II [NCT00634283]Phase 46 participants (Actual)Interventional2008-02-29Completed
[NCT02655354]635 participants (Actual)Interventional2015-10-31Completed
The Impact of Venlafaxine on Apnea Hypopnea Index in Patients With Obstructive Sleep Apnea [NCT02714400]Phase 420 participants (Actual)Interventional2016-03-31Completed
The Use of Venlafaxine in Reducing Acute Post-Surgical Pain and Opioid Consumption in Primary Total Knee Replacement [NCT05023278]Phase 4100 participants (Anticipated)Interventional2021-05-10Recruiting
Venlafaxine for the Prevention of Depression in Patients With Head and Neck Cancer [NCT05724849]Phase 264 participants (Anticipated)Interventional2023-08-01Not yet recruiting
A Proof of Concept Study of the Prevention of Mild Cognitive Impairment and Eventual Alzheimer's Disease Using F18 Flutemetamol [NCT03274817]Phase 15 participants (Actual)Interventional2009-06-18Terminated(stopped due to Insufficient Enrollment)
A Open-label Long-term Extension Study To Evaluate The Safety And Efficacy Of Venlafaxine Er In Adult Outpatients With Major Depressive Disorder [NCT01485887]Phase 350 participants (Actual)Interventional2012-01-31Completed
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
A 8-week, Rater-blind, Active-controlled, Randomized Study to Compare the Effectiveness of Venlafaxine With Fluoxetine in the Treatment of Postmenopausal Women With Major Depressive Disorder [NCT01824433]Phase 4189 participants (Actual)Interventional2013-03-07Completed
A Multi-level Life-span Characterization of Adult-depression and Effects of Medication and Exercise [NCT02407704]Phase 431 participants (Actual)Interventional2015-03-31Completed
Augmentation Versus Switch: Comparative Effectiveness Research Trial for Antidepressant Incomplete and Non-responders With Treatment Resistant Depression (ASCERTAIN-TRD) [NCT02977299]Phase 4278 participants (Actual)Interventional2017-05-01Completed
Pilot Combination Treatment Trial of Mild Cognitive Impairment With Depression [NCT01658228]Phase 486 participants (Actual)Interventional2011-09-30Completed
Randomized, Open-Label Quality of Life Study Using Gabapentin Versus Venlafaxine in Treating Hot Flashes in Patients With Prostate Cancer [NCT01533753]Phase 25 participants (Actual)Interventional2012-02-29Terminated(stopped due to Slow accrual)
A Randomized, Double-blind, Placebo Controlled, Multicenter Study To Evaluate The Efficacy And Safety Of Venlafaxine Er In Adult Outpatients With Major Depressive Disorder [NCT01441440]Phase 3538 participants (Actual)Interventional2011-11-30Completed
[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
Effects of Aripiprazole on the Steady-State Pharmacokinetics of Venlafaxine in Healthy Subjects [NCT00362271]Phase 138 participants Interventional2006-08-31Completed
Incomplete Response in Late-Life Depression: Getting to Remission With Buprenorphine [NCT02181231]Phase 1/Phase 218 participants (Actual)Interventional2016-06-01Completed
Efficacy of Interpersonal Psychotherapy in Treatment Resistant Depression [NCT01896349]74 participants (Anticipated)Interventional2013-04-30Recruiting
Treatment of Pediatric OCD for SRI Partial Responders [NCT00074815]Phase 3124 participants (Actual)Interventional2003-09-30Completed
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
Non-Invasive Brain Imaging Techniques That Predict Antidepressant Responsiveness and Provide Insights Into the Mechanism of Action of Venlafaxine ER vs. Fluoxetine [NCT00909155]50 participants (Actual)Interventional2002-07-31Completed
Estimate the Efficiency of the Association of an Injection of Ketamine and the Venlafaxine in the Severe Major Depressive Disorder for Six Weeks. [NCT01557712]Phase 325 participants (Actual)Interventional2012-03-31Completed
A Comparative Study of the Efficacy of Venlafaxine and Naltrexone for Relapse Prevention in Patients With Opioid Use Disorder Attributed to Tramadol [NCT05569031]Phase 452 participants (Actual)Interventional2019-01-01Completed
The Treatment of Traumatised Refugees With Sertraline Versus Venlafaxine in Combination With Psychotherapy - a Randomised Clinical Study [NCT01569685]Phase 4207 participants (Actual)Interventional2012-04-30Completed
Improving Outcomes in Pharmacotherapy of Social Phobia [NCT00282828]Phase 4397 participants (Actual)Interventional2006-03-31Completed
A Twelve-week, Multi-center, Randomized, Double-blind, Double-dummy, Parallel-group, Active Controlled, Escalating Dose Study to Compare the Effects on Sexual Functioning of Bupropion Hydrochloride Extended-release (WELLBUTRIN XL, 150-450 mg/Day) and Exte [NCT00316160]Phase 4347 participants Interventional2004-09-30Completed
A Pilot Randomized, Placebo-controlled, Double Blind Study of Venlafaxine to Prevent Oxaliplatin-Induced Neuropathy [NCT01611155]50 participants (Actual)Interventional2012-02-17Completed
Comparison of Antidepressants in the Real-World: Retrospective Cohort Study Using Big Data [NCT04446039]405,349 participants (Actual)Observational2022-07-04Completed
Venlafaxine for Depression in Alzheimer's Disease [NCT01609348]5 participants (Actual)Interventional2012-04-30Completed
Pilot Randomized Feasibility Trial of Tele-Interpersonal Psychotherapy and Tele-Pharmacotherapy for Depression in Patients With Non-Metastatic Breast Cancer [NCT04973930]Phase 320 participants (Anticipated)Interventional2022-03-01Suspended(stopped due to U.S. Department of Health and Human Services OHRP issued an FWA restriction on NYSPI research that included a pause of human subjects research as of June 23, 2023. This study will resume recruitment after OHRP has approved the resumption of research.)
Bariatric Surgery and Pharmacokinetics of Venlafaxine: BAR-MEDS Venlafaxine [NCT03532477]12 participants (Anticipated)Observational2016-11-02Recruiting
The Potential Protective Role of Venlafaxine Versus Memantine in Paclitaxel Induced Peripheral Neuropathy [NCT04737967]Phase 2/Phase 360 participants (Anticipated)Interventional2021-02-15Recruiting
Comparative Effectiveness of Newer Antidepressants in Combination With Pregabalin for Fibromyalgia Syndrome: A Controlled Randomized Study [NCT02451475]Phase 1/Phase 275 participants (Actual)Interventional2013-02-28Completed
Results From a 24 Week, Double-blind, Placebo-controlled Trial of EMDR Combined With Venlafaxine XR in the Treatment of Posttraumatic Stress Disorder [NCT02433353]Phase 40 participants (Actual)Interventional2016-01-31Withdrawn(stopped due to PI was transferred to another base. No one else available to serve as PI.)
Effectivity of Propranolol and Venlafaxine in Treatment of Vestibular Migraine: A Randomized Controlled Clinical Trial [NCT02350985]Phase 473 participants (Actual)Interventional2014-01-31Completed
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
Randomised, Double-blind, Parallel-group, Active-comparator (Venlafaxine Extended Release), Fixed-dose Study of [Vortioxetine] Lu AA21004 in Major Depressive Disorder in Asian Countries [NCT01571453]Phase 3437 participants (Actual)Interventional2012-05-31Completed
MsFLASH-03: Comparative Efficacy of Low-Dose Estradiol and the SNRI Venlafaxine XR for Treatment of Menopausal Symptoms [NCT01418209]339 participants (Actual)Interventional2011-11-30Completed
Marijuana Addiction and Depression: Venlafaxine Treatment [NCT00131456]Phase 2123 participants (Actual)Interventional2004-03-31Completed
CBT And Venlafaxine Treatments For Anxiety In Alcoholism [NCT00248612]Phase 2/Phase 3162 participants (Actual)Interventional2003-09-30Completed
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
Factors of Treatment Response in Major Depressive Disorder [NCT00200902]Phase 488 participants (Actual)Interventional2005-08-31Completed
A 21-week, Multicenter, Open Label Study to Evaluate the Safety and Tolerability Profile of the Combination of a SSRI or SNRI Antidepressive Therapy With Oral Fingolimod in the Treatment of RRMS Patients With Mild to Moderate Depression [NCT01436643]Phase 454 participants (Actual)Interventional2011-11-30Terminated(stopped due to Due to slow enrollment the study was terminated early)
Treatment of Mild to Moderate Depression Symptoms in Patients With Spinal Cord Injury [NCT00735670]34 participants (Actual)Interventional2008-06-30Completed
Optimizing Care for Older Adults With Back Pain and Depression [NCT01124188]Phase 4263 participants (Actual)Interventional2010-05-31Completed
Effects of Treatment on Decision-making in Major Depression [NCT01916824]Phase 453 participants (Actual)Interventional2013-08-31Completed
A Randomized, Open-Label, Two-Period, Parallel Group, Crossover Study to Evaluate the Pharmacokinetics of Venlafaxine Extended-Release and DVS SR in Healthy Subjects Who Are Extensive or Poor Cytochrome P450 2D6 Substrate Metabolizers [NCT00727064]Phase 114 participants (Actual)Interventional2008-06-30Completed
Proof of Concept Study to Treat Negative Affect in Chronic Low Back Pain [NCT04747314]Phase 2/Phase 3300 participants (Anticipated)Interventional2021-03-31Recruiting
A Pragmatic Trial of Pharmacotherapy Options Following Unsatisfactory Initial Treatment in OCD [NCT04539951]Phase 21,600 participants (Anticipated)Interventional2020-09-22Recruiting
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
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00043550 (1) [back to overview]Hamilton Rating Scale for Depression-17 Item
NCT00074815 (1) [back to overview]Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS)
NCT00086190 (17) [back to overview]Change in Beck Depression Inventory II (BDI-II)
NCT00086190 (17) [back to overview]Change in Brief Psychiatric Rating Scale (BPRS)
NCT00086190 (17) [back to overview]Change in Geriatric Depression Rating Scale (GDS)
NCT00086190 (17) [back to overview]Change in Hamilton Depression Rating Scale (HAM-D) Scores
NCT00086190 (17) [back to overview]Change in Montgomery-Asberg Depression Rating Scale (MADRS)
NCT00086190 (17) [back to overview]Change in Parkinson's Disease Questionnaire (PDQ) - 39 - Emotional Well-Being
NCT00086190 (17) [back to overview]Change in Parkinson's Disease Questionnaire (PDQ) - 39 - Overall
NCT00086190 (17) [back to overview]Change in Pittsburgh Sleep Quality Index (PSQI)
NCT00086190 (17) [back to overview]Change in Short Form 36 Health Survey - Mental Component Summary
NCT00086190 (17) [back to overview]Change in Short Form 36 Health Survey - Mental Health
NCT00086190 (17) [back to overview]Change in Short Form 36 Health Survey - Role-Emotional
NCT00086190 (17) [back to overview]Change in Short Form 36 Health Survey - Vitality
NCT00086190 (17) [back to overview]Change in Snaith Clinical Anxiety Scale (CAS)
NCT00086190 (17) [back to overview]Change in Unified Parkinson's Disease Rating Scale (UPDRS)
NCT00086190 (17) [back to overview]Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Bulbar
NCT00086190 (17) [back to overview]Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Motor
NCT00086190 (17) [back to overview]Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Tremor
NCT00131456 (1) [back to overview]Two Consecutive Weeks of Marijuana Abstinence
NCT00177671 (4) [back to overview]Global Cognitive Performance
NCT00177671 (4) [back to overview]Percentage of Participants With Mild Cognitive Impairment Converting to Dementia.
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)
NCT00183274 (2) [back to overview]Hamilton Rating Scale for Anxiety
NCT00183274 (2) [back to overview]Clinical Global Impressions, Severity of Illness
NCT00200902 (3) [back to overview]Change in Hamilton Depression Assessment Score
NCT00200902 (3) [back to overview]Average Change in 3 Weeks of Participant Treatment Expectations
NCT00200902 (3) [back to overview]Response as Assessed by Participants' Change in Depression Rating
NCT00211809 (6) [back to overview]Beck Depression Inventory II
NCT00211809 (6) [back to overview]Yale Brown Obsessive Scale
NCT00211809 (6) [back to overview]Body Dysmorphic Disorder Examination
NCT00211809 (6) [back to overview]Brown Assessment of Beliefs Scale
NCT00211809 (6) [back to overview]Body Dysmorphic Disorder Clinical Global Impressions Scale
NCT00211809 (6) [back to overview]Beck Anxiety Inventory
NCT00248612 (9) [back to overview]Medication Compliance Rates
NCT00248612 (9) [back to overview]Clinical Global Impression Scale-I (CGI-I)
NCT00248612 (9) [back to overview]Treatment Completion
NCT00248612 (9) [back to overview]Number of Participants Abstinent
NCT00248612 (9) [back to overview]HAM-A Scale
NCT00248612 (9) [back to overview]Craving Desire Scale (CDS)
NCT00248612 (9) [back to overview]HAM-D Scale
NCT00248612 (9) [back to overview]DASS Stress Subscale Score
NCT00248612 (9) [back to overview]Clinical Global Impression Scale-S (CGI-S)
NCT00282828 (2) [back to overview]Rates of Remission (LSAS≤30) After 12 Weeks of Randomized Treatment During Phase II, Among Phase I Non-responders
NCT00282828 (2) [back to overview]Post-treatment Social Phobia Severity as Defined by Endpoint LSAS Scores
NCT00354432 (2) [back to overview]Quality of Life
NCT00354432 (2) [back to overview]Hot Flash Symptom Severity Score
NCT00401726 (8) [back to overview]Patient Global Impression of Improvement (PGI-I) Score
NCT00401726 (8) [back to overview]Number of Patients Compliant With Therapy
NCT00401726 (8) [back to overview]Change in WHO 5-item Well Being Index Score From Baseline to 16 Weeks
NCT00401726 (8) [back to overview]"Number of Patients Responding Very Satisfied on Satisfaction With Depression Care Scale (SDCS)"
NCT00401726 (8) [back to overview]Number of Patients by Clinical Global Improvement - Global Improvement Score at 16 Weeks
NCT00401726 (8) [back to overview]Change in Inventory of Depressive Symptomatology - Self-Report (IDS-SR) Score From Baseline to 16 Weeks
NCT00401726 (8) [back to overview]Change in 17-item Hamilton Depression Scale Score From Baseline to 16 Weeks
NCT00401726 (8) [back to overview]Change in Sheehan Disability Scale Score From Baseline to 16 Weeks
NCT00474708 (2) [back to overview]Number of Patients Achieving Remission
NCT00474708 (2) [back to overview]Number of Patients Achieving Remission (by Co-morbid Anxiety Disorder Status)
NCT00590863 (2) [back to overview]Quality of Life Inventory
NCT00590863 (2) [back to overview]Quick Inventory of Depressive Symptoms
NCT00592384 (2) [back to overview]Hamilton Depression Rating Scale-Maier Subscale
NCT00592384 (2) [back to overview]Hamilton Depression Rating Scale-17
NCT00602537 (2) [back to overview]Treatment-Emergent Mood Symptoms
NCT00602537 (2) [back to overview]Depressive Relapse
NCT00612807 (2) [back to overview]Hamilton Depression Rating Scale (HDRS)
NCT00612807 (2) [back to overview]Dyadic Adjustment Scale (DAS)
NCT00620776 (12) [back to overview]Hamilton Anxiety Rating Scale (HAM-A)
NCT00620776 (12) [back to overview]Hamilton Rating Scale for Depression (HAM-D)-17-item Score
NCT00620776 (12) [back to overview]Hospital Anxiety Depression Scale (HAD)-Anxiety Score
NCT00620776 (12) [back to overview]Hospital Anxiety Depression Scale (HAD)-Depression Score
NCT00620776 (12) [back to overview]Mental Component Score of the 12-item Short Form Survey (SF-12)
NCT00620776 (12) [back to overview]Penn State Worry Questionnaire (PSWQ)
NCT00620776 (12) [back to overview]Physical Component Score of the 12-Item Short Form Survey (SF-12)
NCT00620776 (12) [back to overview]Quality of Life Subscale of the General Health Questionnaire (GHQ)
NCT00620776 (12) [back to overview]Clinical Response Rate
NCT00620776 (12) [back to overview]50 Percent or Greater Reduction in PSWQ Score
NCT00620776 (12) [back to overview]Clinical Global Impression (CGI)-Improvement Score
NCT00620776 (12) [back to overview]Clinical Global Impression (CGI)-Severity Score
NCT00634283 (2) [back to overview]Changes in Quantitative Electroencephalogram (qEEG) Prefrontal Cordance (PFC) Over Time (4 Weeks).
NCT00634283 (2) [back to overview]Changes in Quantitative Electroencephalogram (qEEG) Prefrontal Cordance (PFC) Over 1 Week Placebo lead-in.
NCT00727064 (6) [back to overview]Area Under the Concentration-time Curve (AUC) of Desvenlafaxine After Single Dose of DVS SR by Metabolizer Status
NCT00727064 (6) [back to overview]Maximum Concentration (Cmax) of Venlafaxine After Single Dose of Venlafaxine Extended-release (VEN ER) by Metabolizer Status
NCT00727064 (6) [back to overview]Maximum Concentration (Cmax) of Desvenlafaxine After Single Dose of VEN ER by Metabolizer Status
NCT00727064 (6) [back to overview]Maximum Concentration (Cmax) of Desvenlafaxine After Single Dose of Desvenlafaxine Succinate Sustained-Release (DVS SR) by Metabolizer Status
NCT00727064 (6) [back to overview]Area Under the Concentration-time Curve (AUC) of Venlafaxine After Single Dose of VEN ER by Metabolizer Status
NCT00727064 (6) [back to overview]Area Under the Concentration-time Curve (AUC) of Desvenlafaxine After Single Dose of VEN ER by Metabolizer Status
NCT00735670 (2) [back to overview]16-Item Quick Inventory of Depressive Symptomatology - Self Report (QIDS-SR16)
NCT00735670 (2) [back to overview]Depression Scale of the Patient Health Questionnaire (PHQ-9)
NCT00789854 (30) [back to overview]Change in Clinical Global Impression (CGI) Item 4 Efficacy and Safety Combined, Patients With One Previous Treatment Failure
NCT00789854 (30) [back to overview]Change in Depressive Symptoms Between Randomisation and Week 6 Measured by Change in Montgomery Asberg Depression Rating Scale (MADRS) Total Score (Per Protocol Analysis Set)
NCT00789854 (30) [back to overview]Change in Quality of Life Measured by Health Questionnaire EQ-5D as Utility
NCT00789854 (30) [back to overview]Change in Clinical Global Impression (CGI) Item 4 Efficacy and Safety Combined, Patients With Two Previous Treatment Failures
NCT00789854 (30) [back to overview]Change in Clinical Global Impression Scale (CGI-S), All Patients
NCT00789854 (30) [back to overview]Change in Clinical Global Impression Scale (CGI-S), Patients With One Previous Treatment Failure
NCT00789854 (30) [back to overview]Change in Clinical Global Impression Scale (CGI-S), Patients With Two Previous Treatment Failure
NCT00789854 (30) [back to overview]Change in Depressive Symptoms Between Randomisation and Week 6 Measured by Change in Montgomery Asberg Depression Rating Scale (MADRS) Total Score (Modified Intention to Treat Analysis Set)
NCT00789854 (30) [back to overview]Change in Pain, Measured by Visual Analog Scale (VAS)
NCT00789854 (30) [back to overview]Change in Quality of Life Measured by Short-form Health Survey (SF-36), Mental Component
NCT00789854 (30) [back to overview]Change in Quality of Life Measured by Short-form Health Survey (SF-36), Physical Component
NCT00789854 (30) [back to overview]Change in Sleep Quality Measured by Montgomery Asberg Depression Rating Scale (MADRS), Item 4
NCT00789854 (30) [back to overview]Change in Sleep Quality Measured by Pittsburgh Sleep Quality Index (PSQI)
NCT00789854 (30) [back to overview]Change in Work Productivity and Activity Impairment: General Health (WPAI:GH)
NCT00789854 (30) [back to overview]Depression Remission; Montgomery-Asberg Depression Rating Scale (MADRS) ≤10, Patients With One Previous Treatment Failure
NCT00789854 (30) [back to overview]Depression Remission; Montgomery-Asberg Depression Rating Scale (MADRS) ≤10, Patients With Two Previous Treatment Failure
NCT00789854 (30) [back to overview]Depression Remission; Montgomery-Asberg Depression Rating Scale (MADRS) ≤12
NCT00789854 (30) [back to overview]Depression Remission; Montgomery-Asberg Depression Rating Scale (MADRS) ≤8
NCT00789854 (30) [back to overview]Depression Remission; Montgomery-Asberg Depression Rating Scale MADRS ≤10, All Patients
NCT00789854 (30) [back to overview]Responder: Clinical Global Impression Improvement (CGI-I) Item 2, All Patients
NCT00789854 (30) [back to overview]Responder: Clinical Global Impression Improvement (CGI-I) Item 2, Patients With Two Previous Treatment Failure
NCT00789854 (30) [back to overview]Responder: Clinical Global Impression Improvement (CGI)-I Item 2, Patients With One Previous Treatment Failure
NCT00789854 (30) [back to overview]Response Rate; Montgomery-Asberg Depression Rating Scale (MADRS) Score Reduced ≥ 50%, All Patients
NCT00789854 (30) [back to overview]Response Rate; Montgomery-Asberg Depression Rating Scale (MADRS) Score Reduced ≥ 50%, Patients With One Previous Treatment Failure
NCT00789854 (30) [back to overview]Response Rate; Montgomery-Asberg Depression Rating Scale (MADRS) Score Reduced ≥ 50%, Patients With Two Previous Treatment Failure
NCT00789854 (30) [back to overview]Change in Beck Depression Inventory (BDI)
NCT00789854 (30) [back to overview]Change in Anxiety Measured by STAI, Trait Anxiety Inventory
NCT00789854 (30) [back to overview]Change in Anxiety Measured by State-Trait Anxiety Inventory (STAI), State Anxiety Inventory
NCT00789854 (30) [back to overview]Change in Anxiety Measured by Visual Analog Scale (VAS)
NCT00789854 (30) [back to overview]Change in Clinical Global Impression (CGI) Item 4 Efficacy and Safety Combined, All Patients
NCT00834249 (6) [back to overview]Cmax - O-Desmethylvenlafaxine in Plasma
NCT00834249 (6) [back to overview]Cmax - Maximum Observed Concentration - Venlafaxine in Plasma
NCT00834249 (6) [back to overview]AUC0-t - O-desmethylvenlafaxine in Plasma
NCT00834249 (6) [back to overview]AUC0-t - Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant) - Venlafaxine in Plasma
NCT00834249 (6) [back to overview]AUC0-inf - O-desmethylvenlafazine in Plasma
NCT00834249 (6) [back to overview]AUC0-inf - Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated) - Venlafaxine in Plasma
NCT00834964 (6) [back to overview]Cmax - O-Desmethylvenlafaxine in Plasma
NCT00834964 (6) [back to overview]AUC0-t - O-Desmethylvenlafaxine in Plasma
NCT00834964 (6) [back to overview]AUC0-t - Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant) - Venlafaxine in Plasma
NCT00834964 (6) [back to overview]AUC0-inf - O-Desmethylvenlafaxine in Plasma
NCT00834964 (6) [back to overview]AUC0-inf - Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated) - Venlafaxine in Plasma
NCT00834964 (6) [back to overview]Cmax - Maximum Observed Concentration - Venlafaxine in Plasma
NCT00839423 (8) [back to overview]Change in Clinical Status Using CGI-I Score at Week 6
NCT00839423 (8) [back to overview]Proportion of Remitters at Week 6 (Remission is Defined as a MADRS Total Score <=10)
NCT00839423 (8) [back to overview]Change From Baseline in MADRS Total Score After 1 Week of Treatment
NCT00839423 (8) [back to overview]Proportion of Responders at Week 6 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)
NCT00839423 (8) [back to overview]Change From Baseline in CGI-S Score After 6 Weeks of Treatment
NCT00839423 (8) [back to overview]Change From Baseline in HAM-D 24 Total Score After 6 Weeks of Treatment
NCT00839423 (8) [back to overview]Change From Baseline in HAM-A Total Score After 6 Weeks of Treatment
NCT00839423 (8) [back to overview]Change From Baseline in MADRS Total Score After 6 Weeks of Treatment
NCT00892047 (6) [back to overview]Akathisia
NCT00892047 (6) [back to overview]Emergent Suicidal Ideation in Those With no Ideation at the Start of Treatment
NCT00892047 (6) [back to overview]Parkinsonism
NCT00892047 (6) [back to overview]Percentage of Subjects Who Met Criteria for Remission Based on the Montgomery-Asberg Depression Rating Scale (MADRS)
NCT00892047 (6) [back to overview]QTc Prolongation on EKG (to Greater or Equal to 480 Msec)
NCT00892047 (6) [back to overview]Weight
NCT00909155 (2) [back to overview]Functional Magnetic Resonance Imaging (fMRI) Response to an Emotional Regulation Task.
NCT00909155 (2) [back to overview]Hamilton Depression (HAM-D) and Anxiety (HAM-A) Rating Scales
NCT01124188 (3) [back to overview]Changes in Short Physical Performance Battery From Ph 2 Baseline Till 14 Weeks
NCT01124188 (3) [back to overview]Proportion Responding Initially by Treatment Arm During 14 Weeks Post Randomization
NCT01124188 (3) [back to overview]Change in Roland Morris Disability Questionnaire (RMDQ) From P2 Baseline to 14 Weeks
NCT01235338 (18) [back to overview]Tmax of Venlafaxine Hydrochloride
NCT01235338 (18) [back to overview]Area Under the Steady-state Plasma Concentration-time Curve (AUC) of Lisdexamfetamine Dimesylate
NCT01235338 (18) [back to overview]AUC of Composite (Venlafaxine + o-Desmethylvenlafaxine)
NCT01235338 (18) [back to overview]AUC of d-Amphetamine
NCT01235338 (18) [back to overview]AUC of o-Desmethylvenlafaxine
NCT01235338 (18) [back to overview]AUC of Venlafaxine Hydrochloride
NCT01235338 (18) [back to overview]Cmax of Composite (Venlafaxine + o-Desmethylvenlafaxine)
NCT01235338 (18) [back to overview]Cmax of d-Amphetamine
NCT01235338 (18) [back to overview]Cmax of o-Desmethylvenlafaxine
NCT01235338 (18) [back to overview]Cmax of Venlafaxine Hydrochloride
NCT01235338 (18) [back to overview]Diastolic Blood Pressure
NCT01235338 (18) [back to overview]Maximum Plasma Concentration (Cmax) of Lisdexamfetamine Dimesylate
NCT01235338 (18) [back to overview]Pulse Rate
NCT01235338 (18) [back to overview]Systolic Blood Pressure
NCT01235338 (18) [back to overview]Time of Maximum Plasma Concentration (Tmax) of Lisdexamfetamine Dimesylate
NCT01235338 (18) [back to overview]Tmax of Composite (Venlafaxine + o-Desmethylvenlafaxine)
NCT01235338 (18) [back to overview]Tmax of d-Amphetamine
NCT01235338 (18) [back to overview]Tmax of o-Desmethylvenlafaxine
NCT01260896 (6) [back to overview]AUC0-inf of Venlafaxine.
NCT01260896 (6) [back to overview]AUC0-inf of O-Desmethylvenlafaxine.
NCT01260896 (6) [back to overview]Cmax of O-Desmethylvenlafaxine.
NCT01260896 (6) [back to overview]AUC0-t of O-Desmethylvenlafaxine.
NCT01260896 (6) [back to overview]AUC0-t of Venlafaxine.
NCT01260896 (6) [back to overview]Cmax of Venlafaxine.
NCT01282801 (6) [back to overview]Cmax of O-Desmethylvenlafaxine.
NCT01282801 (6) [back to overview]Cmax of Venlafaxine.
NCT01282801 (6) [back to overview]AUC0-inf of Venlafaxine.
NCT01282801 (6) [back to overview]AUC0-inf of O-Desmethylvenlafaxine.
NCT01282801 (6) [back to overview]AUC0-t of O-Desmethylvenlafaxine.
NCT01282801 (6) [back to overview]AUC0-t of Venlafaxine.
NCT01282814 (3) [back to overview]AUC0-inf of Venlafaxine.
NCT01282814 (3) [back to overview]AUC0-t of Venlafaxine.
NCT01282814 (3) [back to overview]Cmax of Venlafaxine.
NCT01360866 (5) [back to overview]Mean Change From Baseline in Clinical Global Impression - Severity (CGI-S) of Illness Score
NCT01360866 (5) [back to overview]Adverse Events (AEs) - All Participants
NCT01360866 (5) [back to overview]Change From Baseline in Mean Clinical Global Impression - Improvement (CGI-I) Score
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]Summary of Mean Change From Baseline in Sheehan Disability Scale (SDS) Mean Score
NCT01418209 (8) [back to overview]Frequency of Hot Flashes (Daily Vasomotor Symptom [VMS] Frequency) -- Week 8
NCT01418209 (8) [back to overview]Frequency of Hot Flashes (Vasomotor Symptom [VMS] Frequency) -- Week 4
NCT01418209 (8) [back to overview]Perceived Hot Flash Interference (Hot Flash Related Daily Interference Scale; HFRDIS) -- Week 4
NCT01418209 (8) [back to overview]Perceived Hot Flash Interference (Hot Flash Related Daily Interference Scale; HFRDIS) -- Week 8
NCT01418209 (8) [back to overview]Severity of Hot Flashes -- Week 4
NCT01418209 (8) [back to overview]Severity of Hot Flashes -- Week 8
NCT01418209 (8) [back to overview]Bothersomeness of Hot Flashes -- Week 8
NCT01418209 (8) [back to overview]Bothersomeness of Hot Flashes -- Week 4
NCT01436643 (1) [back to overview]Number of Participants Who Experienced Adverse Events, Serious Adverse Events and Death
NCT01441440 (6) [back to overview]Changes From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 8 or Early Termination
NCT01441440 (6) [back to overview]Mean Clinical Global Impression - Improvement (CGI-I) Score at Week 8 or Early Termination
NCT01441440 (6) [back to overview]Changes From Baseline in 6-item Hamilton Rating Scale for Depression (HAM-D6) Total Score at Week 8 or Early Termination
NCT01441440 (6) [back to overview]Changes From Baseline in 16-item Quick Inventory of Depressive Symptomatology Self-Report Japanese Version (QIDS16-SR-J) Total Score at Week 8 or Early Termination
NCT01441440 (6) [back to overview]Changes From Baseline in Clinical Global Impression-Severity (CGI-S) at Week 8 or Early Termination
NCT01441440 (6) [back to overview]Change From Baseline in 17-item Hamilton Raing Scale for Depression (HAM-D17) Total Score at Week 8 or Early Termination
NCT01485887 (9) [back to overview]Number of Participants With no at Baseline and Yes at Any Post Baseline for Columbia Suicide-Severity Rating Scale (C-SSRS) According to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) Categories
NCT01485887 (9) [back to overview]Mean Clinical Global Impression - Improvement (CGI-I) Score at Each Post Baseline Time Point
NCT01485887 (9) [back to overview]Change From Baseline in 16-item Quick Inventory of Depressive Symptomatology Self-Report Japanese Version (QIDS16-SR-J) at Each Post Baseline Time Point
NCT01485887 (9) [back to overview]Change From Baseline in 17-item Hamilton Rating Scale for Depression (HAM-D17) at Each Post Baseline Time Point
NCT01485887 (9) [back to overview]Change From Baseline in Clinical Global Impression - Severity (CGI-S) at Each Post Baseline Time Point
NCT01485887 (9) [back to overview]Number of Participants With Clinical Significant Electrocardiogram (ECG) Changes
NCT01485887 (9) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
NCT01485887 (9) [back to overview]Number of Participants With Clinical Significant Laboratory Tests Changes
NCT01485887 (9) [back to overview]Number of Participants With Clinical Significant Vital Changes
NCT01571453 (6) [back to overview]Remission at Week 8 (Remission Defined as a MADRS Total Score ≤10)
NCT01571453 (6) [back to overview]MADRS Response at Week 8 (Response Defined as a ≥50% Decrease in the MADRS Total Score From Baseline)
NCT01571453 (6) [back to overview]Change in HAM-A Total Score From Baseline to Week 8
NCT01571453 (6) [back to overview]Change in CGI-S Score From Baseline to Week 8
NCT01571453 (6) [back to overview]CGI-I Score at Week 8
NCT01571453 (6) [back to overview]Change From Baseline in MADRS Total Score at Week 8
NCT01611155 (2) [back to overview]Cycle 1 Acute Neuropathy as Measured by EORTC QLQ CIPN20 Motor Subscale (Items 37, 38, 41-45 and 49), and Autonomic Scale (Items 46, 47, 50)
NCT01611155 (2) [back to overview]Cycle 1 Sensory Neuropathy Score (Items 31-36, 39, 40 and 48) of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-CIPN20
NCT01658228 (3) [back to overview]Alzheimer's Disease Assessment Scale - Cognitive (ADAS-Cog)
NCT01658228 (3) [back to overview]Selective Reminding Test (SRT) Delayed Recall
NCT01658228 (3) [back to overview]Selective Reminding Test (SRT) Total Recall
NCT01916824 (1) [back to overview]Money Earned
NCT02181231 (6) [back to overview]Brief Symptom Inventory-Anxiety Subscale (BSI)
NCT02181231 (6) [back to overview]Suicide Ideation Scale (SIS)
NCT02181231 (6) [back to overview]Antidepressant Side Effect Checklist (ASEC)
NCT02181231 (6) [back to overview]Montgomery-Asberg Depression Rating Scale (MADRS)
NCT02181231 (6) [back to overview]Numeric Scale of Pain (NRS-P)
NCT02181231 (6) [back to overview]Frequency, Intensity, and Burden of Side Effects Rating (FIBSER)
NCT02407704 (7) [back to overview]Physical Activity (SenseWear Physical Activity-monitoring Armband)
NCT02407704 (7) [back to overview]Neurocognitive Function (Neuropsychological Battery)
NCT02407704 (7) [back to overview]Functional Magnetic Resonance Imaging (fMRI)
NCT02407704 (7) [back to overview]Cardiovascular Fitness (Submaximal VO2)
NCT02407704 (7) [back to overview]Number of Participants Experiencing Remission
NCT02407704 (7) [back to overview]Inflammatory Biomarkers
NCT02407704 (7) [back to overview]Genetic Biomarkers
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 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]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]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]Percentage of Participants With Onset of Clinical Response by Day 2 and Day 8
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])
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]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]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 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 Sheehan Disability Scale (SDS) Total Score up to Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis
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]Percentage of Participants in Remission (MADRS<=12) at the Endpoint (Double-blind Induction Phase [Day 28])- ANCOVA Analysis (LOCF Data)
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]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]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]Percentage of Participants With Onset of Clinical Response on Day 2 and Day 8
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]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]Change From Baseline in EQ 5D-5L- Sum Score to End of 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 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 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 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]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 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]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
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]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]Percentage of Participants in Remission (MADRS<=12) at Endpoint (Double-blind Induction Phase [Day 28]) (LOCF Data)
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]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 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 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 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 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 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 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 Sheehan Disability Scale (SDS) Total Score at Endpoint in Participants With 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)
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 Clinical Global Impression-Severity (CGI-S) 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 EQ Visual Analogue Scale 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 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-5D-5L Health Status Index at Endpoint in Participants With 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 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)
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 Remission as Assessed by PHQ-9 Total Score During IND Phase
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 Cystitis, Urinary Tract Infections, Renal and Urinary Tract Symptoms, Renal and Urinary Disorders
NCT02497287 (34) [back to overview]Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs)
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]Change From Baseline to Endpoint in PHQ-9 Total Score During OP/MA Phase
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 to Endpoint in MADRS Total Score During Optimization/Maintenance (OP/MA) 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 to Endpoint in CGI-S Scale Score During OP/MA 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 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 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: Detection Test (DET) Score
NCT02497287 (34) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score During IND 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]Change From Baseline in Cognitive Test Battery: Groton Maze Learning Test (GMLT) Score
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 to Endpoint in Montgomery Asberg Depression Rating Scale (MADRS) Total Score During Induction (IND) Phase
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]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]SF-36 Quality of Life
NCT02655354 (13) [back to overview]TSOS Patient Satisfaction: Overall Health Care
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]Cognitive Impairment Scale
NCT02655354 (13) [back to overview]TSOS Patient Satisfaction: Mental Health Care
NCT02655354 (13) [back to overview]Number of Participants With Suicidal Ideation
NCT02655354 (13) [back to overview]Number of Participants Endorsing a Single Item That Assesses Stimulant 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 Marijuana Use
NCT02714400 (5) [back to overview]Arousal Threshold
NCT02714400 (5) [back to overview]Sleep Efficiency
NCT02714400 (5) [back to overview]Loop Gain
NCT02714400 (5) [back to overview]Nadir Oxygen Level During Sleep
NCT02714400 (5) [back to overview]The Apnea Hypopnea Index
NCT02958527 (5) [back to overview]Number of Participants With Adverse Drug Reactions
NCT02958527 (5) [back to overview]Clinical Global Impressions-Severity
NCT02958527 (5) [back to overview]Changes in the Clinical Global Impressions-Improvement
NCT02958527 (5) [back to overview]Change From Baseline in the Montgomery - Asberg Depression Rating Scale (MADRS) Total Scores at Pre-specified Evaluation Points
NCT02958527 (5) [back to overview]Change From Baseline in the 17-item Hamilton Rating Scale for Depression (HAM-D17) Total Scores at Pre-specified Evaluation Points
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 Depressive Symptoms as Measured by the MADRS Total Score to 24 Hours Post First Dose (Day 2)
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 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 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 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]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 Sheehan Disability Scale (SDS) Total Score to the End of Double-blind Treatment Phase (Day 28)
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]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)
NCT03588572 (6) [back to overview]A Change of Outcome Measure:the Chinese Version of Western Aphasia Battery(WAB)
NCT03588572 (6) [back to overview]Follow-up Measurement: Hamilton Anxiety Rating Scale (HAMA)
NCT03588572 (6) [back to overview]Follow-up Measurement: Hamilton Depression Rating Scale (HAMD)
NCT03588572 (6) [back to overview]A Change of Outcome Measure:Spontaneous Language Frequency Test(SLFT)
NCT03588572 (6) [back to overview]Follow-up Measurement: Mini-Mental State Examination (MMSE)
NCT03588572 (6) [back to overview]A Change of Outcome Measure:Picture Naming Test(PNT)

Hamilton Rating Scale for Depression-17 Item

Hamilton Rating Scale for Depression (HRSD) (Hamilton, 1960). We used the 17-item version of the 27-item HRSD, a measure of depression severity. The Structured Interview Guide was used to conduct the interviews (SIGH-D; Williams, 1988). The reliability and validity of the HRSD are well documented (Rabkin & Klein, 1987). Interjudge reliability as assessed by interclass correlations was .92 in our sample. Total 17-item scores could range from 17-48 with higher scores indicating greater distress. (NCT00043550)
Timeframe: symptoms assessed during past 7 days, measure taken at baseline, week 8 and week 16

,,
Interventionunits on a scale (Mean)
Initial HRSD-17Mid-treatment HRSD-17LOCF HRSD-17
1 Sertraline19.013.914.2
2 Supportive-expressive Psychotherapy19.912.514.5
3 Pill Placebo19.412.714.3

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Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS)

"OCD symptom severity was measured using the CY-BOCS, an interviewer-rated instrument that assess obsessions and compulsions separately on time consumed, distress, interference, degree of resistance, and control; it yields separate severity scores for obsessions and for compulsions (0 - 20), and a composite symptom severity score (0 to 40).~Consistent with signal detection analyses examining the optimal criterion for treatment response, a CY-BOCS reduction of 30% or more from baseline to week 12 was used as the criterion for RESPONSE and was the primary dichotomous outcome measure." (NCT00074815)
Timeframe: Measured at baseline and Week 12.

InterventionProportion of Participants with RESPONSE (Number)
MM + CBT0.69
MM + ICBT0.34
MM Only0.30

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Change in Beck Depression Inventory II (BDI-II)

Beck Depression Inventory II ranges from 0-63. Higher score indicates more severe depression. 0-13 minimal depression, 14-19 mild depression, 20-28 moderate depression, 29-63 severe depression. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in BDI-II score (Mean)
Paroxetine-9.7
Venlafaxine Extended Release-9.6
Placebo-5.2

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Change in Brief Psychiatric Rating Scale (BPRS)

Brief Psychiatric Rating Scale. Maximum score 126. Higher score indicates greater psychiatric difficulties. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in BPRS score (Mean)
Paroxetine-9.0
Venlafaxine Extended Release-9.8
Placebo-4.4

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Change in Geriatric Depression Rating Scale (GDS)

Geriatric Depression Scale ranges from 0-30. Higher score indicates more severe depression. 0-9 normal, 10-19 mild depression, 20-30 severe depression. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in GDS score (Mean)
Paroxetine-6.9
Venlafaxine Extended Release-6.9
Placebo-2.8

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Change in Hamilton Depression Rating Scale (HAM-D) Scores

Change in Hamilton Rating Scale for Depression over 12 weeks. Hamilton Depression Rating Scale ranges from 0-50. Higher scores represent more significant depression. Mild depression ranges from 8-13, moderate depression from 14-18, severe 19-22 and very severe any score over 23. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in HAM-D score (Mean)
Paroxetine-13.0
Venlafaxine Extended Release-11.0
Placebo-6.8

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Change in Montgomery-Asberg Depression Rating Scale (MADRS)

Montgomery-Asberg Depression Rating Scale ranges from 0-60. Higher score indicates more severe depression. 0-6 normal, 7-19 mild depression, 20-34 moderate depression, greater than 34 severe depression. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in MADRS score (Mean)
Paroxetine-13.6
Venlafaxine Extended Release-10.9
Placebo-6.6

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Change in Parkinson's Disease Questionnaire (PDQ) - 39 - Emotional Well-Being

Parkinson's Disease Questionnaire (PDQ-39) - Emotional Well-Being maximum score 24, minimum score of 0.Lower score indicates a better perceived health status. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in PDQ-39 Emotional score (Mean)
Paroxetine-21.4
Venlafaxine Extended Release-20.7
Placebo-10.9

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Change in Parkinson's Disease Questionnaire (PDQ) - 39 - Overall

Parkinson's Disease Questionnaire (PDQ-39) Total. Range 0-100. Lower score indicates a better perceived health status. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in PDQ-39 score (Mean)
Paroxetine-8.0
Venlafaxine Extended Release-8.4
Placebo-5.3

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Change in Pittsburgh Sleep Quality Index (PSQI)

Pittsburgh Sleep Quality Index scores range from 0-21, with higher scores indicating severe sleep difficulties. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in PQSI score (Mean)
Paroxetine-2.1
Venlafaxine Extended Release-2.6
Placebo-1.1

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Change in Short Form 36 Health Survey - Mental Component Summary

Short Form 36 Health Survey. Range 0-100. Higher score indicates a better perceived quality of life. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in SF-36 mental score (Mean)
Paroxetine11.4
Venlafaxine Extended Release9.5
Placebo4.8

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Change in Short Form 36 Health Survey - Mental Health

Short Form 36 Health Survey - Mental Health subscale ranges from 0-100. Higher score indicates a better perceived quality of life. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in SF-36 Mental Health score (Mean)
Paroxetine16.7
Venlafaxine Extended Release17.4
Placebo9.7

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Change in Short Form 36 Health Survey - Role-Emotional

Short Form 36 Health Survey - Emotional subscale ranges from 0-100. Higher score indicates a better perceived quality of life. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in SF-36 Role score (Mean)
Paroxetine39.5
Venlafaxine Extended Release26.9
Placebo12.7

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Change in Short Form 36 Health Survey - Vitality

Short Form 36 Health Survey - Vitality subscale ranges from 0-100. Higher score indicates a better perceived quality of life. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in SF-36 vitality score (Mean)
Paroxetine13.5
Venlafaxine Extended Release9.1
Placebo4.7

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Change in Snaith Clinical Anxiety Scale (CAS)

Snaith Clinical Anxiety Scale. Range 0-21. Higher scores indicate increased anxiety. Score greater than 8 indicates clinical anxiety. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in CAS score (Mean)
Paroxetine-3.6
Venlafaxine Extended Release-3.2
Placebo-2.4

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Change in Unified Parkinson's Disease Rating Scale (UPDRS)

Unified Parkinson's Disease Rating Scale. Higher score indicates more severe Parkinson's disease symptoms. Total maximum = 176. Mental maximum = 52, Activities of Daily Living maximum = 52, Motor maximum = 72. Minimum = 0. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in UPDRS score (Mean)
Paroxetine-8.7
Venlafaxine Extended Release-7.0
Placebo-4.3

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Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Bulbar

Unified Parkinson's Disease Rating Scale - Bulbar maximum score 24, minimum score of 0. Higher score indicates more severe Parkinson's disease symptoms. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in UPDRS-Bulbar score (Mean)
Paroxetine-1.4
Venlafaxine Extended Release-1.4
Placebo-0.5

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Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Motor

Unified Parkinson's Disease Rating Scale - Motor has a maximum score of 72, minimum score of 0. Higher score indicates more severe Parkinson's disease symptoms. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in UPDRS-motor score (Mean)
Paroxetine-4.3
Venlafaxine Extended Release-2.0
Placebo-1.0

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Change in Unified Parkinson's Disease Rating Scale (UPDRS) - Tremor

Unified Parkinson's Disease Rating Scale - Tremor subscale ranges from 0-23. Higher score indicates more severe Parkinson's disease symptoms. (NCT00086190)
Timeframe: from the beginning (0 weeks) to end (12 weeks) of the double-blind phase

InterventionChange in UPDRS-tremor score (Mean)
Paroxetine0.4
Venlafaxine Extended Release0.5
Placebo-0.6

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Two Consecutive Weeks of Marijuana Abstinence

The primary outcome measure for marijuana use was a dichotomous abstinence response,defined as at least two consecutive urine-confirmed abstinent weeks. Each week during the study, subjects were scored as urine-confirmed abstinent if both self-reported marijuana use for that week was negative, according to the quantitative substance use daily inventory (Timeline FollowBack), and all urines collected for that week were negative for THC. Patients who achieved the two consecutive abstinent weeks were classified as abstinent whether or not they subsequently dropped out of the study. Patients who dropped out of the study without achieving two continuous weeks of abstinence were classified as not abstinent. (NCT00131456)
Timeframe: measured daily by self report for 12 weeks of the trial or length of study participation

Interventionparticipants (Number)
Placebo19
Venlafaxine6

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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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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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Hamilton Rating Scale for Anxiety

"Hamilton Rating Scale for Anxiety - The assessment of anxiety states by rating~Each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0-56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe." (NCT00183274)
Timeframe: Measured at Months 6 (Open Label), 12 (Double-Blind), and 18 (Double-Blind Relapse)

InterventionHAM-A Rating Score (Mean)
Open-Label: Venlafaxine XR4.17
Double-Blind Venlafaxine XR6.29
Double-Blind Placebo11.35
Double-Blind Relapse Drug After Drug5.80
Double-Blind Relapse Placebo After Drug8.42
Double-Blind Placebo After Placebo6.19

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Clinical Global Impressions, Severity of Illness

"The CGI provides an overall clinician-determined summary measure that takes into account a knowledge of the patient's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the patient's ability to function.~The CGI is rated on the following seven-point scale: 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.~Results of the Placebo After Placebo group in Phase 3 were not entered due to sample size limitations." (NCT00183274)
Timeframe: Measured at Months 6 (Open Label), 12 (Double-Blind), 18 (Double-Blind, and 24 (Double-Blind Relapse)

InterventionSeverity Score (Mean)
Phase 1: Open-Label Venlafaxine XR1.37
Phase 2: Double-Blind Venlafaxine XR1.73
Phase 2: Double-Blind Placebo2.64
Phase 3: Double-Blind Drug After Drug1.86
Phase 3: Placebo After Drug2.25
Placebo After Placebo1.95

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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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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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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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Beck Depression Inventory II

The Beck Depression Inventory II (BDI-II) is a 21 item self-report inventory measuring the severity of depression. Individuals are asked to respond to each question based on a two-week time period. Scoring is from 0 (minimal) to 3 (severe), with total score from 0-63. Higher total scores indicate more severe depressive symptoms. (NCT00211809)
Timeframe: Baseline and up to 16 weeks

Interventionunits on a scale (Mean)
Baseline28.77
Endpoint22.18

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Yale Brown Obsessive Scale

Yale Brown Obsessive Compulsive Scale Modified for Body Dysmorphic Disorder (BDD-YBOCS) - a 12-item semistructured clinician-rated instrument designed to rate severity of body dysmorphic disorder (BDD) symptoms during the past week. The score for each item ranges from 0 (no symptoms) to 4 (extreme symptoms). The BDD-YBOCS Obsession Subtotal score range is 0-20 and the BDD-YBOCS Compulsion Subtotal score range is 0-20. The BDD-YBOCS Insight/Avoidance Subtotal score range is 0-8. The total BDD-YBOCS score range is from 0 (not present or extremely mild) to 48 (severe). Each item is rated as a composite of all the patient's appearance related obsessions and compulsive behaviors independent of their content. (NCT00211809)
Timeframe: baseline and up to 16 weeks

,
Interventionunits on a scale (Mean)
Psychiatrist's Ratings for TotalPsychiatrist's Ratings for ObsessionsPsychiatrist's Ratings for CompulsionsPsychologist's Ratings for TotalPsychologist's Ratings for ObsessionsPsychologist's Ratings for Compulsions
Baseline34.6414.7314.8235.9114.4516.09
Endpoint26.5511.4511.5528.2712.0912.18

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Body Dysmorphic Disorder Examination

Body Dysmorphic Disorder Examination - Self Reported (BDDE-SR) score - The BDDE-SR is a 30-item self-rating of BDD symptoms, with a more specific measure of body image dissatisfaction. Each item is rated 0 (no dissatisfaction to 6 (extreme dissatisfaction), with total score from 0 to 180. (NCT00211809)
Timeframe: baseline and up to 16 weeks

Interventionunits on a scale (Mean)
Baseline113.91
Endpoint107.73

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Brown Assessment of Beliefs Scale

The Brown Assessment of Beliefs Scale (BABS) rates the degree of conviction and insight patients have concerning their beliefs. The BABS consists of 7 items: the first 6 items are added to obtain the total BABS score. An additional item (ideas of reference) is not included in the total score. Scoring is from 0 (least severe) to 4 (most severe), with total score from 0 to 24. (NCT00211809)
Timeframe: Baseline and up to 16 weeks

,
Interventionunits on a scale (Mean)
Psychiatrist's RatingsPsychologist's Ratings
Baseline15.8215.91
Endpoint16.9114.82

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Body Dysmorphic Disorder Clinical Global Impressions Scale

The Clinical Global Impression-Improvement Scale (CGI-I) is a 7 point scale that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. and rated as: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. (NCT00211809)
Timeframe: baseline and up to 16 weeks

Interventionunits on a scale (Mean)
Psychiatrist's RatingsPsychologist's Ratings
Body Dysmorphic Disorder2.733.00

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Beck Anxiety Inventory

The Beck Anxiety Inventory (BAI) is a 21-question multiple choice, self-report inventory that is used for measuring the severity of anxiety. Scoring is from a 0 (not at all) to 3 (severe) with a total score range of 0-63. Higher total scores indicate more severe anxiety symptoms. (NCT00211809)
Timeframe: Baseline and up to 16 weeks

Interventionunits on a scale (Mean)
Baseline16.90
Endpoint12.55

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Medication Compliance Rates

The medication compliance rate is the percentage of participants in each study arm who took their medication based on pill counts. (NCT00248612)
Timeframe: 12 months

Interventionpercentage of participants (Number)
Venlafaxine & CBT96.89
Placebo & CBT97.06
Venlafaxine & PMR88.70
Placebo & PMR95.39

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Clinical Global Impression Scale-I (CGI-I)

"Global improvement of alcohol dependence: Rate the total improvement in the participant's alcohol dependence symptoms whether or not, in your judgment, it is due entirely to treatment. Compared to his/her admission to the project, how much has s/he changed?~(1-Not assessed, first rating, 2-Very much improved, 3-Much improved, 4-Minimally improved, 5-Unchanged, 6-Minimally worse, 7-Much worse, 8-Very much worse)" (NCT00248612)
Timeframe: Session 1 (Baseline) , Session 8 (8 weeks of treatment), Session 11 (11 weeks of treatment)

,,,
Interventionunits on a scale (Mean)
Session 1 CGI-ISession 8 CGI-ISession 11 CGI-I
Placebo & CBT3.813.132.61
Placebo & PMR4.053.532.92
Venlafaxine & CBT3.653.613.13
Venlafaxine & PMR3.863.503.00

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Treatment Completion

The number and percent of participants that completed the treatment in each arm of the study. (NCT00248612)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Venlafaxine & CBT18
Placebo & CBT17
Venlafaxine & PMR11
Placebo & PMR15

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Number of Participants Abstinent

Abstaining from the consumption of intoxicating beverages. (NCT00248612)
Timeframe: Session 8 (8 weeks of treatment)

InterventionParticipants (Count of Participants)
Venlafaxine & CBT2
Placebo & CBT4
Venlafaxine & PMR3
Placebo & PMR1

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HAM-A Scale

The Hamilton Anxiety Rating Scale (HAM-A) is a psychological questionnaire used by clinicians to rate the severity of a patient's anxiety. The HAM-A probes 14 parameters each item is scored on a 5-point scale, ranging from 0=not present to 4=severe. total scores can range from 0 to 56.where <17 indicates mild anxiety, 18-24 moderate anxiety and 25-30 severe anxiety. Higher scores reflect more anxiety. (NCT00248612)
Timeframe: Session 1 (baseline), Session 8 (8 weeks of treatment)

,,,
Interventionunits on a scale (Least Squares Mean)
Session 1 HAM-ASession 8 HAM-A
Placebo & CBT14.29.1
Placebo & PMR12.99.1
Venlafaxine & CBT13.59.8
Venlafaxine & PMR16.57.9

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Craving Desire Scale (CDS)

"The Craving Desire Scale (CDS) is a 3-item scale (1. I do want to drink now, 2. I crave a drink right now, 3. I have a desire for a drink right now) used to identify the degree of current alcohol craving, with responses provided on a Likert scale of 1-7: with 1 meaning strongly disagree, and 7 meaning strongly agree to each of the 3 items. Total scores can range from 3 to 21 with higher scores indicating greater craving for alcohol." (NCT00248612)
Timeframe: 1 (Baseline) , Session 8 (8 weeks of treatment), Session 11 (11 weeks of treatment)

,,,
Interventionunits on a scale (Mean)
Session 1 CDSSession 8 CDSSession 11 CDS
Placebo & CBT8.147.416.11
Placebo & PMR7.555.564.25
Venlafaxine & CBT8.636.444.38
Venlafaxine & PMR8.214.455.10

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HAM-D Scale

HAM-D (Hamilton Rating Scale for Depression) is a multiple item questionnaire used to provide an indication of depression, and as a guide to evaluate recovery. The scoring is based on 17 items. Eight of the items are scored on a 5-point scale, ranging from 0 = not present to 4 = severe. Nine items are scored on a 3 point scale from 0-2 where 0=none or absent and 2= severe. The total scores for the HAM-D can range from 0 to 50. The total scores are interpreted as: 0-7=normal, 8-13=mild, 14-18= moderate, 19-22= severe, and 23+=very severe depression. The higher the score the more severe the participant's depression. (NCT00248612)
Timeframe: Session 1 (baseline), Session 8 (8 weeks of treatment)

,,,
Interventionunits on a scale (Least Squares Mean)
Session 1 HAM-DSession 8 HAM-D
Placebo & CBT11.78.5
Placebo & PMR13.610
Venlafaxine & CBT12.08.8
Venlafaxine & PMR13.05.9

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DASS Stress Subscale Score

DASS (Depression Anxiety Stress Scales) assesses depression, anxiety and stress responses. Each of the three DASS scales contains 14 items, divided into subscales of 2-5 items with similar content. The stress subscale was used which assesses difficulty relaxing, nervous arousal, and being easily upset/agitated, irritable/over-reactive and impatient. Subjects are asked to use 4-point severity/frequency scales to rate the extent to which they have experienced each state over the past week. Stress scores can range form 0-56 with 0-14=normal, 15-18=mild, 19-25=moderate, 26-33=severe. and 34+=extremely severe stress. (NCT00248612)
Timeframe: Session 1 (baseline), Session 11 (11 weeks of treatment)

,,,
Interventionunits on a scale (Least Squares Mean)
Session 1 DASS stress subscaleSession 11 DASS stress subscale
Placebo & CBT19.29.6
Placebo & PMR16.611.2
Venlafaxine & CBT16.78.1
Venlafaxine & PMR21.54.1

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Clinical Global Impression Scale-S (CGI-S)

"Global severity of alcohol dependence: Considering your total clinical experience with the alcohol dependent population how severe are his/her alcohol dependence symptoms at this time?~(1-Normal, no symptoms, 2-Borderline symptoms, 3-Mild symptoms, 4-Moderate symptoms, 5-Marked symptoms, 6-Severe symptoms, 7-Among the most extreme symptoms)" (NCT00248612)
Timeframe: 1 (Baseline) , Session 8 (8 weeks of treatment), Session 11 (11 weeks of treatment)

,,,
Interventionunits on a scale (Mean)
Session 1 CGI-SSession 8 CGI-SSession 11 CGI-S
Placebo & CBT3.762.882.53
Placebo & PMR4.183.402.85
Venlafaxine & CBT4.003.283.00
Venlafaxine & PMR3.933.252.60

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Rates of Remission (LSAS≤30) After 12 Weeks of Randomized Treatment During Phase II, Among Phase I Non-responders

The Liebowitz Social Anxiety Scale (LSAS) is a 24-item scale assessing fear and avoidance in social and performance situations; it is widely used in studies of pharmacological treatment of Generalized Social Anxiety Disorder (GSAD). Scores on the LSAS range from 0 to 144, with higher scores indicating greater pathology. (NCT00282828)
Timeframe: Measured at Week 22 (Endpoint)

Interventionparticipants (Number)
Sertraline and Clonazepam17
Venlafaxine11
Sertraline and Placebo10

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Post-treatment Social Phobia Severity as Defined by Endpoint LSAS Scores

The Liebowitz Social Anxiety Scale (LSAS) is a 24-item scale assessing fear and avoidance in social and performance situations; it is widely used in studies of pharmacological treatment of Generalized Social Anxiety Disorder (GSAD). We analyzed the overall change in LSAS (last Phase II LSAS minus Week 10 LSAS). Higher numbers reflect greater drops in social anxiety disorder severity. Scores on the LSAS range from 0 to 144, with higher scores indicating greater pathology. (NCT00282828)
Timeframe: Change from Week 10 to Week 22

Interventionunits on a scale (Mean)
Sertraline and Clonazepam27
Venlafaxine18
Sertraline and Placebo16

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Quality of Life

Quality of life is quantified by the Functional Assessment of Cancer Therapy - Prostate questionnaire (FACT-P). The FACT-P consists of four general subscales (functional, emotional, social, and physical) consisting of a total of 27 questions as well as a Prostate specific subscale consisting of 12 questions. Each question is answered on a 0 to 4 scale. The FACT-P score ranges from 0 to 156; higher scores denote better quality of life. (NCT00354432)
Timeframe: 12 weeks

Interventionunits on a scale (Least Squares Mean)
Arm I - Placebo115.6
Arm II - Soy121.5
Arm III - Venlafaxine114.3
Arm IV - Soy + Venlafaxine117.7

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Hot Flash Symptom Severity Score

The primary objective of this randomized trial is to assess the effect of soy and Venlafaxine on the hot flash symptom severity score in men undergoing hormonal manipulation for treatment of prostate cancer. Hot flash severity will be quantitated using the symptom diary (as the sum of the number of hot flashes (any number greater than or equal to 0) times their severity (0=none, 1=mild, 2=moderate, 3=severe)). The primary end point is the 12 week hot flash score relative to the baseline value (i.e., 100*(12 week score)/baseline score). The range is 0 to infinity. Lower values represent a better outcome. (NCT00354432)
Timeframe: 12 weeks

Interventionpercent of baseline score (Least Squares Mean)
Arm I - Placebo52.3
Arm II - Soy77.2
Arm III - Venlafaxine68.9
Arm IV - Soy + Venlafaxine73.8

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Patient Global Impression of Improvement (PGI-I) Score

PGI-I is a global rating scale that measures disease improvement. Using a 7-point scale (1=very much improved, 7=very much worse), the patients rate how much their illness has improved or worsened relative to their baseline status. (NCT00401726)
Timeframe: 112 days

Interventionunits on scale (Mean)
Venlafaxine Extended Release (ER)2.33
Venlafaxine Extended Release (ER) Plus Dialogues2.51

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Number of Patients Compliant With Therapy

"Patient compliance with therapy was assessed using a Medical Adherence Questionnaire (MAQ). MAQ consisted of 5 levels of compliance with taking medicine: Never miss, Sometimes miss, Miss half of the time, Miss most of the time, Always miss. Compliance with therapy was defined as a response of Never miss or Sometimes miss." (NCT00401726)
Timeframe: 112 days

Interventionparticipants (Number)
Venlafaxine Extended Release (ER)248
Venlafaxine Extended Release (ER) Plus Dialogues232

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Change in WHO 5-item Well Being Index Score From Baseline to 16 Weeks

WHO 5-item Well Being Index (WHO-5) evaluates positive psychological well-being. WHO-5 consists of 5 questions and each is rated on a 6-point scale. The total score ranges from 0 to 25 (0=worst possible quality of life, 25=best possible quality of life). Change = 16 week adjusted mean WHO-5 score minus baseline. (NCT00401726)
Timeframe: Baseline and 112 days

Interventionunits on scale (Mean)
Venlafaxine Extended Release (ER)6.86
Venlafaxine Extended Release (ER) Plus Dialogues6.97

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"Number of Patients Responding Very Satisfied on Satisfaction With Depression Care Scale (SDCS)"

"Patient satisfaction with depression care treatment was evaluated by patient self-assessment using the SDCS, a 10-point visual analog scale (0=not at all satisfied, 10=extremely satisfied). Very satisfied was defined as a score of greater than or equal to 8." (NCT00401726)
Timeframe: 112 days

Interventionparticipants (Number)
Venlafaxine Extended Release (ER)160
Venlafaxine Extended Release (ER) Plus Dialogues138

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Number of Patients by Clinical Global Improvement - Global Improvement Score at 16 Weeks

CGI-I is a global rating scale that measures disease improvement. Using a 7-point scale, the clinician rates how much the patient's illness has improved or worsened relative to the baseline status (1=very much improved, 7=very much worse). (NCT00401726)
Timeframe: 112 days

,
Interventionpatients (Number)
CGI - 1 (very much improved)CGI - 2 (much improved)CGI - 3 (improved)CGI - 4 (no change)CGI - 5 (worse)CGI - 6 (much worse)CGI - 7 (very much worse)
Venlafaxine Extended Release (ER)828450241120
Venlafaxine Extended Release (ER) Plus Dialogues81754921850

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Change in Inventory of Depressive Symptomatology - Self-Report (IDS-SR) Score From Baseline to 16 Weeks

IDS-SR is a patient self-administered tool used to measure the severity of depressive symptoms. Each symptom is assessed on a scale of 0 to 3 (0=absence of symptom to 3=sever symptom) for a total maximum score of 84. (NCT00401726)
Timeframe: Baseline and 112 days

Interventionunits on scale (Mean)
Venlafaxine Extended Release (ER)-17.75
Venlafaxine Extended Release (ER) Plus Dialogues-17.50

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Change in 17-item Hamilton Depression Scale Score From Baseline to 16 Weeks

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items are scored on a 0 to 2 or 4 scale (0 = none/absent and 4 = most severe) with a maximum total score of 50. Change = 16 week adjusted mean HAM-D17 score minus baseline. (NCT00401726)
Timeframe: Baseline and 112 days

Interventionunits on scale (Mean)
Venlafaxine Extended Release (ER)-10.87
Venlafaxine Extended Release (ER) Plus Dialogues-11.03

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Change in Sheehan Disability Scale Score From Baseline to 16 Weeks

The Sheehan Disability Scale is a self-administered tool that measures functional impairment in 3 domains: Work/School, Social Life and Family Life/Home Responsibilities. The patient rates the extent to which each of these domains are impaired by his/her symptoms using a 10 point visual analog scale: (0=not at all impaired and 10=extremely impaired) for a total maximum score of 30. (NCT00401726)
Timeframe: Baseline and 112 days

Interventionunits on scale (Mean)
Venlafaxine Extended Release (ER)-7.99
Venlafaxine Extended Release (ER) Plus Dialogues-6.99

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Number of Patients Achieving Remission

Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score of ≤ 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on a 0 to 2 or 4 scale (0=none/absent and 4=most sever) for a maximum total score of 50. (NCT00474708)
Timeframe: 12 weeks

Interventionparticipants (Number)
Venlafaxine XR554
SSRI or Conventional Antidepressant Group207

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Number of Patients Achieving Remission (by Co-morbid Anxiety Disorder Status)

Remission is defined as a Hamilton Psychiatric Rating Scale for Depression (HAM-D17) score of ≤ 7. HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Individual items are scored on a 0 to 2 or 4 scale (0=none/absent and 4=most sever) for a maximum total score of 50. (NCT00474708)
Timeframe: 12 weeks

,
Interventionparticipants (Number)
Co-morbid anxiety disorderNo anxiety disorder
SSRI or Conventional Antidepressant Group23184
Venlafaxine XR60494

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Quality of Life Inventory

The Quality of Life Inventory (QOLI) is a 32-item comprehensive self-report of satisfaction in 16 areas of life, such as love, work, and health. Each area is rated in terms of satisfaction and the relationship of that area to overall quality of life. It yields an overall raw score and satisfaction ratings for the 16 individual areas of life. The QOLI raw score is an average of weighted satisfaction ratings computed only over areas of life judged to be Important or Extremely Important to the respondent. Higher scores indicate higher reported quality of life. (NCT00590863)
Timeframe: Measured at Month 7

Interventionunits on a scale (Mean)
Escitalopram + Bupropion SR0.6
Venlafaxine XR + Mirtazapine0.4
Escitalopram + Placebo0.4

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Quick Inventory of Depressive Symptoms

Percentage of patients that achieve remission, as defined as QIDS total score below 6 for last 2 study visits. QIDS depression scores range from 0 (normal) to 27 (very severe). (NCT00590863)
Timeframe: Measured at Month 7

Interventionpercentage of participants (Number)
Escitalopram + Bupropion SR46.6
Venlafaxine XR + Mirtazapine41.8
Escitalopram + Placebo46.0

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Hamilton Depression Rating Scale-Maier Subscale

The Maier is a 6-item sub scale of the Hamilton derived from Rasch analysis. It is a unidimensional scale with superior sensitivity to change. It excludes somatic items and is therefore especially appropriate for individuals who have substantial physical impairment and medical comorbidity. Scores can range from 0-22 with higher scores indicating more severe depression. Scores of 4 or less indicated in remission from depression. (NCT00592384)
Timeframe: 0 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline12-week outcome
Placebo Control8.73.9
Venlafaxine XR9.13.5

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Hamilton Depression Rating Scale-17

The 17-item Hamilton Depression Rating Scale is a clinician rated measure of depression severity (we used a structured interview version (Williams 1988) to improve inter-rater reliability). Scores range from 0-52. Higher scores indicate more severe depression. Scores of 7 or less indicate remission from depression. (NCT00592384)
Timeframe: 0 weeks, 12 weeks

,
Interventionunits on a scale (Mean)
Baseline12-week outcome
Placebo Control19.59.5
Venlafaxine XR19.49.5

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Treatment-Emergent Mood Symptoms

These subjects must be responders. (NCT00602537)
Timeframe: Measured at Weeks 12 and 36

,
InterventionParticipants (Count of Participants)
Any depressionAny subsyndromal hypomania
Antidepressant Therapy153
Mood Stabilizer Therapy113

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Depressive Relapse

"These subjects must be responders. Outcome measures were obtained at continuation weeks. Participant would be considered depressive relapse if relapsed by any of these times." (NCT00602537)
Timeframe: Weeks 16, 20, 24, 30, 36

InterventionParticipants (Count of Participants)
Antidepressant Therapy3
Mood Stabilizer Therapy4

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Hamilton Depression Rating Scale (HDRS)

The HDRS is a semi-structured interview administered by a trained independent evaluator, and used for rating the severity of depressive symptoms. Scores range from 0 to 50, with higher scores indicating greater severity of depression. (NCT00612807)
Timeframe: pre-treatment, monthly, post-treatment, 6 month follow-up

,
InterventionScore on HDRS (Mean)
Baseline assessment (Depressed spouse)Post-test assessment (Depressed spouse)Follow-up assessment (Depressed spouse)Baseline assessment (Non-depressed spouse)Post-test assessment (Non-depressed spouse)Follow-up assessment (Non-depressed spouse)
Semi-weekly Medication Management17.865.009.175.145.333.83
Semi-weekly Medication Management + Weekly Marital Therapy19.07.298.148.863.295.71

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Dyadic Adjustment Scale (DAS)

The DAS is a self-report measure of marital adjustment that includes questions about agreement on lifestyle and household decisions, level of conflict, level of cooperation, and affection. Scores range from 0 to 151, with higher scores representing better relationship functioning. (NCT00612807)
Timeframe: pre-treatment, monthly, post-treatment, 6 month follow-up

,
InterventionScore on DAS measure (Mean)
Baseline assessment (Depressed spouse)Post-test assessment (Depressed spouse)Follow-up assessment (Depressed spouse)Baseline assessment (Non-depressed spouse)Post-test assessment (Non-depressed spouse)Follow-up assessment (Non-depressed spouse)
Semi-weekly Medication Management72.1484.1789.6791.093.33104.17
Semi-weekly Medication Management + Weekly Marital Therapy84.4392.2791.0788.2997.5798.31

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Hamilton Anxiety Rating Scale (HAM-A)

The HAM-A was used to measure the severity of anxiety symptoms. The scale consists of 14 items; each item is scored on a scale of 0 (not present) to 4 (severe), with a total score range of 0-56, where <17 indicates mild severity, 18-24 mild to moderate and 25-30 moderate to severe anxiety. This measure was conducted by research psychiatrists trained and highly experienced in the use of these scales. The evaluators were blind to group assignment. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 2, 4, 6, 8, 12, 16, 20, and 24

,
Interventionunits on a scale (Mean)
BaselineWeek 2Week 4Week 6Week 8Week 12Week 16Week 20Week 24
Combined Treatment25.920.917.313.512.710.88.16.26.5
Medication Alone23.819.414.710.97.85.94.34.33.4

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Hamilton Rating Scale for Depression (HAM-D)-17-item Score

The 17-item version of the HAM-D was used to assess severity of depressive symptoms. Eight items are scored on a 5-point scale, ranging from 0 = not present to 4 = severe. Nine are scored from 0-2.The total score is the sum of the 17 items, with a range from 0 to 50. A higher scores indicates greater depression. The ratings were conducted by research psychiatrists trained and highly experienced in the use of these scales. The evaluators were blind to group assignment. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 12, and week 24

,
Interventionunits on a scale (Mean)
BaselineWeek 12Week 24
Combined Treatment13.17.05.1
Medication Alone12.33.93.0

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Hospital Anxiety Depression Scale (HAD)-Anxiety Score

The HAD was used to assess patients' report of anxiety and depressive symptoms. 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. A higher score indicates greater anxiety. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 2, 4, 6, 8, 12, 16, 20, and 24

,
Interventionunits on a scale (Mean)
BaselineWeek 2Week 4Week 6Week 8Week 12Week 16Week 20Week 24
Combined Treatment13.611.710.99.29.06.96.96.26.2
Medication Alone13.010.98.37.15.74.14.64.94.7

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Hospital Anxiety Depression Scale (HAD)-Depression Score

The HAD was used to assess patients' report of anxiety and depressive symptoms. 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. A higher score indicates greater depression. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 2, 4, 6, 8, 12, 16, 20, and 24

,
Interventionunits on a scale (Mean)
BaselineWeek 2Week 4Week 6Week 8Week 12Week 16Week 20Week 24
Combined Treatment9.88.57.96.37.05.55.64.34.7
Medication Alone7.36.85.34.53.42.92.02.12.9

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Mental Component Score of the 12-item Short Form Survey (SF-12)

The Short Form (12) Health Survey is a 12-item, patient-reported survey of patient health. Physical and Mental Health Component Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 12, and week 24

,
Interventionunits on a scale (Mean)
BaselineWeek 12Week 24
Combined Treatment28.546.245.5
Medication Alone31.448.349.8

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Penn State Worry Questionnaire (PSWQ)

The Penn State Worry Questionaire is a 16-item inventory that aims to measure the trait of worry, using Likert rating from 1 (not at all typical of me) to 5 (very typical of me). A total score is calculated (range = 16 to 80), with higher scores indicating greater worry. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 12, and week 24

,
Interventionunits on a scale (Mean)
BaselineWeek 12Week 24
Combined Treatment61.848.646.4
Medication Alone57.942.345.1

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Physical Component Score of the 12-Item Short Form Survey (SF-12)

The Short Form (12) Health Survey is a 12-item, patient-reported survey of patient health. Physical and Mental Health Component Scores (PCS & MCS) are computed using the scores of twelve questions and range from 0 to 100, where a zero score indicates the lowest level of health measured by the scales and 100 indicates the highest level of health. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 12, and week 24

,
Interventionunits on a scale (Mean)
BaselineWeek 12Week 24
Combined Treatment46.146.245.5
Medication Alone52.751.949.7

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Quality of Life Subscale of the General Health Questionnaire (GHQ)

The General Health Questionnaire (GHQ) is a psychometric screening tool to identify common psychiatric conditions. Patients completed the 12 quality of life questions (each on a 0 to 3 scale) on this questionnaire. Scores on the 12 items were added up to create summary score (range = 0 to 36). Higher scores indicate worse health. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 12, and week 24

,
Interventionunits on a scale (Mean)
BaselineWeek 12Week 24
Combined Treatment34.524.823.8
Medication Alone32.220.422.9

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Clinical Response Rate

Clinical response on the HAM-A was defined as a 50% or greater reduction from baseline to last value with the 24-week open label medication phase. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 2, 4, 6, 8, 12, 16, 20, and 24

InterventionParticipants (Count of Participants)
Combined Treatment17
Medication Alone25

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50 Percent or Greater Reduction in PSWQ Score

"Clinically significant change was defined on the PSWQ as an estimated (based on linear mixed effects model) endpoint score of less than 50.9. This score was calculated using the PSWQ normative data provided by Gillis, Haaga, and Ford (1995) and the baseline PSWQ mean and standard deviation (SD) from the current sample. The PSWQ mean and SD from the normative and current GAD samples were entered into the Jacobson et al. (1984) formula c for clinically significant change. This method provides a cutoff indicating whether or not the level of functioning by a patient is statistically more likely to be in the functional rather than the dysfunctional population." (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 12, and week 24

InterventionParticipants (Count of Participants)
Combined Treatment19
Medication Alone28

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Clinical Global Impression (CGI)-Improvement Score

The Clinical Global Impression - Improvement scale (CGI-I) is a 7 point scale (1= very much improved; 7 = very much worse) that requires the clinician to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of the intervention. The ratings were conducted by research psychiatrists trained and highly experienced in the use of these scales. Evaluators were blind to group assignment. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 2, 4, 6, 8, 12, 16, 20, and 24

,
Interventionunits on a scale (Mean)
BaselineWeek 2Week 4Week 6Week 8Week 12Week 16Week 20Week 24
Combined Treatment2.63.32.72.42.31.91.61.41.4
Medication Alone3.13.22.42.01.51.41.21.21.1

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Clinical Global Impression (CGI)-Severity Score

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale (1=normal; 7 = extremely ill) 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. The ratings were conducted by research psychiatrists trained and highly experienced in the use of these scales. Evaluators were blind to group assignment. (NCT00620776)
Timeframe: Data collected as part of protocol 709012 at baseline, week 2, 4, 6, 8, 12, 16, 20, and 24

,
Interventionunits on a scale (Mean)
BaselineWeek 2Week 4Week 6Week 8Week 12Week 16Week 20Week 24
Combined Treatment4.74.13.63.02.92.42.11.71.8
Medication Alone4.73.93.22.61.91.61.41.41.2

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Changes in Quantitative Electroencephalogram (qEEG) Prefrontal Cordance (PFC) Over Time (4 Weeks).

"Cordance values were calculated from conventional 'absolute' and 'relative' qEEG power measures using a three-step procedure. First, EEG power values were computed using a re-attributional electrode montage. Second, the absolute and relative power values were z-transformed to measure deviation from the mean values for each electrode site s in each frequency band f for that recording, yielding Anorm(s,f) and Rnorm(s,f), respectively. Third, these z-scores were summed to yield a cordance intensity value, Z, for each electrode in each frequency band where Z(s,f) = Anorm(s,f) + Rnorm(s,f). Analyses for this report focused on changes-from-baseline theta-band (8-12Hz) cordance in the prefrontal region (electrodes Fp1, Fpz, Fp2). Results are defined in terms of positive and negative change where a positive change represents an increased physiologic and behavioral response to the drug (sensitization) and a negative change represents an increased tolerance to the drug (habituation)." (NCT00634283)
Timeframe: Average over 4 weeks

,
Interventionz-score (Mean)
PFC change after placebo lead-inPFC at Baseline
Antidepressant Treatment-experienced-0.54-0.09
Antidepressant Treatment-naive-0.09-0.88

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Changes in Quantitative Electroencephalogram (qEEG) Prefrontal Cordance (PFC) Over 1 Week Placebo lead-in.

"Cordance values were calculated from conventional 'absolute' and 'relative' qEEG power measures using a three-step procedure. First, EEG power values were computed using a re-attributional electrode montage. Second, the absolute and relative power values were z-transformed to measure deviation from the mean values for each electrode site s in each frequency band f for that recording, yielding Anorm(s,f) and Rnorm(s,f), respectively. Third, these z-scores were summed to yield a cordance intensity value, Z, for each electrode in each frequency band where Z(s,f) = Anorm(s,f) + Rnorm(s,f). Analyses for this report focused on changes-from-baseline theta-band (8-12Hz) cordance in the prefrontal region (electrodes Fp1, Fpz, Fp2). Results are defined in terms of positive and negative change where a positive change represents an increased physiologic and behavioral response to the drug (sensitization) and a negative change represents an increased tolerance to the drug (habituation)." (NCT00634283)
Timeframe: 1-week placebo lead-in

InterventionZ-score (Mean)
Antidepressant Treatment-experienced-0.54
Antidepressant Treatment-naive-0.09

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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16-Item Quick Inventory of Depressive Symptomatology - Self Report (QIDS-SR16)

The QIDS assesses symptoms of depression across the nine DSM-IV criterion domains for major depressive episode. The primary end-point in this study was the number of participants who had a >50% change in scores on the QIDs from baseline to week 13 (end of treatment period). (NCT00735670)
Timeframe: Baseline and Week 13

Interventionparticipants (Number)
Venlafaxine2
Placebo0

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Depression Scale of the Patient Health Questionnaire (PHQ-9)

The nine items of the PHQ-9 are based directly on the nine diagnostic criteria for major depressive disorder in the DSM-IV. Higher total scores indicate more severe symptomatology, ranging from 0 (no symptoms) to 27 (most severe symptoms). Data in the tables begin with the overall mean for each group that includes all subjects, average across all assessment time points. Each subsequent row reports the mean and standard deviation of each time point by allocation, noting sample size for each group in the arm/group title given missing data in each time point after baseline. (NCT00735670)
Timeframe: Baseline and weeks 1, 2, 3, 5, 9, 13, 14, 15, 16, 18, 20 and 26 weeks

,
Interventionunits on a scale (Mean)
Overall MeanBaselineWeek 1 (7Ven, 6Plac)Week 2 (6Ven, 6Plac)Week 3 (6Ven, 6Plac)Week 5 (6Ven, 6Plac)Week 9 (5Ven, 7Plac)Week 13 (6Ven, 6Plac)Week 14 (4Ven, 6Plac)Week 15 (5Ven, 5 Plac)Week 16 (4Ven, 6 Plac)Week 18 (4Ven, 5Plac)Week 20 (6Ven, 4Plac)Week 26 (6Ven, 5Plac)
Placebo5.4610.369.675.005.003.834.713.334.173.203.204.004.754.40
Venlafaxine4.848.974.52.674.334.805.674.251.802.002.253.675.50

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Change in Depressive Symptoms Between Randomisation and Week 6 Measured by Change in Montgomery Asberg Depression Rating Scale (MADRS) Total Score (Per Protocol Analysis Set)

Change in LS mean total Montgomery Asberg Depression Rating Scale (MADRS) score from randomisation to end-of-treatment (week 6) (Scale 0-60), lower score indicates a better health status. (NCT00789854)
Timeframe: 6 weeks treatment

Interventionscores on a scale (Least Squares Mean)
Quetiapine XR Mono-16.2
Add-on Quetiapine XR-17.2
Add-on Lithium-14.9

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Change in Quality of Life Measured by Health Questionnaire EQ-5D as Utility

Self rating assessment of quality in life using EQ-5D utility (Scale 0-100, where a higher value shows a larger improvement) (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionScores on a scale (Least Squares Mean)
Quetiapine XR Mono0.184
Add-on Quetiapine XR0.224
Add-on Lithium0.208

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Change in Clinical Global Impression Scale (CGI-S), All Patients

Change in severity of illness measured by Clinical Global Impression Scale (CGI-S). Scale form 1-7, where a lower value shows a larger improvement. (NCT00789854)
Timeframe: 6 weeks of treatment

Interventionscores on a scale (Least Squares Mean)
Quetiapine XR Mono-1.43
Add-on Quetiapine XR-1.65
Add-on Lithium-1.49

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Change in Depressive Symptoms Between Randomisation and Week 6 Measured by Change in Montgomery Asberg Depression Rating Scale (MADRS) Total Score (Modified Intention to Treat Analysis Set)

Change in LS mean total Montgomery Asberg Depression Rating Scale (MADRS) score from randomisation to end-of-treatment (week 6) (Scale 0-60), lower score indicates a better health status. (NCT00789854)
Timeframe: 6 weeks of treatment

Interventionscores on a scale (Least Squares Mean)
Quetiapine XR Mono-13.9
Add-on Quetiapine XR-15.1
Add-on Lithium-13.3

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Change in Pain, Measured by Visual Analog Scale (VAS)

Self-rating assessment of pain using a visual analogue scale (VAS). Scale from 0-100, where a lower value shows a larger improvement. (NCT00789854)
Timeframe: 6 weeks of treatment

Interventionscores on a scale (Least Squares Mean)
Quetiapine XR Mono-9.47
Add-on Quetiapine XR-8.03
Add-on Lithium-8.3

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Change in Quality of Life Measured by Short-form Health Survey (SF-36), Mental Component

Self rating assessment of quality in life using SF-36, mental component (Scale 0-100, where a higher value shows a larger improvement) (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionScores on a scale (Least Squares Mean)
Quetiapine XR Mono9.59
Add-on Quetiapine XR10.77
Add-on Lithium9.66

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Change in Quality of Life Measured by Short-form Health Survey (SF-36), Physical Component

Self rating assessment of quality in life using SF-36, physical component (Scale 0-100, where a higher value shows a larger improvement) (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionScores on a scale (Least Squares Mean)
Quetiapine XR Mono5.224
Add-on Quetiapine XR5.065
Add-on Lithium4.566

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Change in Sleep Quality Measured by Montgomery Asberg Depression Rating Scale (MADRS), Item 4

Sleeping quality measured by Montgomery-Asberg Depression Rating Scale (MADRS) item 4 (reduced sleep) (Scale 0-6, where a lower value shows a larger improvement) (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionMADRS item 4 score (Least Squares Mean)
Quetiapine XR Mono-2.2
Add-on Quetiapine XR-2.4
Add-on Lithium-1.63

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Change in Sleep Quality Measured by Pittsburgh Sleep Quality Index (PSQI)

Self-rated sleeping quality measured by PSQI (Scale 0-21, subscales 0-3, 18 questions, where a lower value shows a larger improvement) (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionScores on a scale (Least Squares Mean)
Quetiapine XR Mono-4.77
Add-on Quetiapine XR-4.96
Add-on Lithium-3.51

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Change in Work Productivity and Activity Impairment: General Health (WPAI:GH)

Self rating assessment of working productivity using WPAI:GH (Scale 0 to number of hours worked during a week multiplied with the salary in Euro, a lower value shows a larger improvement) (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionScores on a scale (Least Squares Mean)
Quetiapine XR Mono-233
Add-on Quetiapine XR-185
Add-on Lithium-299

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Depression Remission; Montgomery-Asberg Depression Rating Scale (MADRS) ≤12

Number of patients in remission with total Montgomery Asberg Depression Rating Scale (MADRS) score ≤12. MADRS scale has range from 0 to 60, where the lower score indicates the better health status. (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionParticipants (Number)
Quetiapine XR Mono67
Add-on Quetiapine XR89
Add-on Lithium73

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Depression Remission; Montgomery-Asberg Depression Rating Scale (MADRS) ≤8

Number of patients in remission with total Montgomery Asberg Depression Rating Scale (MADRS) score ≤8. MADRS scale has range from 0 to 60, where the lower score indicates the better health status. (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionParticipants (Number)
Quetiapine XR Mono35
Add-on Quetiapine XR58
Add-on Lithium45

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Depression Remission; Montgomery-Asberg Depression Rating Scale MADRS ≤10, All Patients

Number of patients in remission, with total Montgomery Asberg Depression Rating Scale (MADRS) score ≤10. MADRS scale has range from 0 to 60, where the lower score indicates the better health status. (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionParticipants (Number)
Quetiapine XR Mono53
Add-on Quetiapine XR73
Add-on Lithium60

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Responder: Clinical Global Impression Improvement (CGI-I) Item 2, All Patients

Change in global improvement measured by Clinical Global Impression Improvement (CGI-I). Scale from 1-4, where lower value shows a larger improvement. (NCT00789854)
Timeframe: 6 weeks of treatment

Interventionscores on a scale (Mean)
Quetiapine XR Mono-1.54
Add-on Quetiapine XR-1.85
Add-on Lithium-1.58

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Response Rate; Montgomery-Asberg Depression Rating Scale (MADRS) Score Reduced ≥ 50%, All Patients

Response rate at end of study measured as number of patients with Montgomery Asberg Depression Rating Scale (MADRS) with total score reduction ≥ 50% compared to baseline, the higher number of patients the better (NCT00789854)
Timeframe: 6 week of treatments

InterventionParticipants (Number)
Quetiapine XR Mono114
Add-on Quetiapine XR120
Add-on Lithium102

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Change in Beck Depression Inventory (BDI)

Self-rating assessment of depressive symptoms using Beck Depression Inventory (BDI). Scale from 0-63, where a lower value shows a larger improvement. (NCT00789854)
Timeframe: 6 weeks of treatment

Interventionscores on a scale (Least Squares Mean)
Quetiapine XR Mono-11.7
Add-on Quetiapine XR-13.5
Add-on Lithium-12.2

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Change in Anxiety Measured by STAI, Trait Anxiety Inventory

Self-rating assessment of anxiety measured by State-Trait Anxiety Inventory (STAI), trait anxiety inventory (Scale 20-80, where a lower value shows a larger improvement) (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionScores on a scale (Least Squares Mean)
Quetiapine XR Mono-1.01
Add-on Quetiapine XR-1.36
Add-on Lithium-1.39

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Change in Anxiety Measured by State-Trait Anxiety Inventory (STAI), State Anxiety Inventory

Self-rating assessment of anxiety measured by STAI, state anxiety inventory (Scale 20-80, where a lower value shows a larger improvement) (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionScores on a scale (Least Squares Mean)
Quetiapine XR Mono-0.62
Add-on Quetiapine XR0.014
Add-on Lithium-0.87

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Change in Anxiety Measured by Visual Analog Scale (VAS)

Self-rating assessment of anxiety using a visual analogue scale (VAS). Scale from 0-100, where a lower value shows a larger improvement. (NCT00789854)
Timeframe: 6 weeks of treatment

Interventionscores on a scale (Least Squares Mean)
Quetiapine XR Mono-21.2
Add-on Quetiapine XR-23.4
Add-on Lithium-20.6

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Change in Clinical Global Impression (CGI) Item 4 Efficacy and Safety Combined, All Patients

The physician has evaluated the therapeutic effect and the side effect combined at end of study. Patients with a 'marked/moderate' therapeutic effect and 'None/Do Not Significantly Interfere' side effect has been added. The higher values show more patients with a treatment effect without any side-effect. The range is from 0 patients to the maximum number of patients in the treatment arm (225, 229 or 221). (NCT00789854)
Timeframe: 6 weeks of treatment

InterventionParticipants (Number)
Quetiapine XR Mono135
Add-on Quetiapine XR146
Add-on Lithium131

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Cmax - O-Desmethylvenlafaxine in Plasma

Informational Purposes Only (NCT00834249)
Timeframe: Blood samples collected over 24 hour period

Interventionng/mL (Mean)
Venlafaxine75.15
Effexor®69.17

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Cmax - Maximum Observed Concentration - Venlafaxine in Plasma

Bioequivalence based on Cmax (NCT00834249)
Timeframe: Blood samples collected over 24 hour period

Interventionng/mL (Mean)
Venlafaxine47.13
Effexor®46.45

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AUC0-t - O-desmethylvenlafaxine in Plasma

Informational Purposes Only (NCT00834249)
Timeframe: Blood samples collected over 24 hour period

Interventionng*h/mL (Mean)
Venlafaxine1016.24
Effexor®960.47

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AUC0-t - Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant) - Venlafaxine in Plasma

Bioequivalence based on AUC0-t (NCT00834249)
Timeframe: Blood samples collected over 24 hour period

Interventionng*h/mL (Mean)
Venlafaxine366.94
Effexor®366.50

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AUC0-inf - O-desmethylvenlafazine in Plasma

Informational Purposes Only (NCT00834249)
Timeframe: Blood samples collected over 24 hour period

Interventionng*h/mL (Mean)
Venlafaxine1390.43
Effexor®1315.02

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AUC0-inf - Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated) - Venlafaxine in Plasma

Bioequivalence based on AUC0-inf (NCT00834249)
Timeframe: Blood samples collected over 24 hour period

Interventionng*h/mL (Mean)
Venlafaxine427.09
Effexor®422.70

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Cmax - O-Desmethylvenlafaxine in Plasma

Informational Purposes Only (NCT00834964)
Timeframe: Blood samples collected over 24 hour period

Interventionng/mL (Mean)
Venlafaxine60.01
Effexor®62.07

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AUC0-t - O-Desmethylvenlafaxine in Plasma

Informational Purposes Only (NCT00834964)
Timeframe: Blood samples collected over24 hour period

Interventionng*h/mL (Mean)
Venlafaxine844.35
Effexor®838.37

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AUC0-t - Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant) - Venlafaxine in Plasma

Bioequivalence based on AUC0-t (NCT00834964)
Timeframe: Blood samples collected over 24 hour period

Interventionng*h/mL (Mean)
Venlafaxine273.66
Effexor®273.03

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AUC0-inf - O-Desmethylvenlafaxine in Plasma

Informational Purposes Only (NCT00834964)
Timeframe: Blood samples collected over 24 hour period

Interventionng*h/mL (Mean)
Venlafaxine1181.30
Effexor®1123.62

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AUC0-inf - Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated) - Venlafaxine in Plasma

Bioequivalence based on AUC0-inf (NCT00834964)
Timeframe: Blood samples collected over 24 hour period

Interventionng*h/mL (Mean)
Venlafaxine327.78
Effexor®309.75

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Cmax - Maximum Observed Concentration - Venlafaxine in Plasma

Bioequivalence based on Cmax (NCT00834964)
Timeframe: Blood samples collected over 24 hour period

Interventionng/mL (Mean)
Venlafaxine38.11
Effexor®39.91

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Change in Clinical Status Using CGI-I Score at Week 6

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. (NCT00839423)
Timeframe: Week 6

Interventionunits on a scale (Mean)
Placebo2.64
Vortioxetine 5 mg2.05
Vortioxetine 10 mg2.04
Venlafaxine 225 mg1.96

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Proportion of Remitters at Week 6 (Remission is Defined as a MADRS Total Score <=10)

(NCT00839423)
Timeframe: Week 6

Interventionpercentage of patients (Number)
Placebo26.7
Vortioxetine 5 mg49.1
Vortioxetine 10 mg49.0
Venlafaxine 225 mg55.4

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Change From Baseline in MADRS Total Score After 1 Week of Treatment

(NCT00839423)
Timeframe: Baseline and Week 1

Interventionunits on a scale (Mean)
Placebo-5.04
Vortioxetine 5 mg-5.26
Vortioxetine 10 mg-5.86
Venlafaxine 225 mg-4.50

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Proportion of Responders at Week 6 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)

(NCT00839423)
Timeframe: Week 6

Interventionpercentage of patients (Number)
Placebo44.8
Vortioxetine 5 mg66.7
Vortioxetine 10 mg68.0
Venlafaxine 225 mg72.3

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Change From Baseline in CGI-S Score After 6 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. (NCT00839423)
Timeframe: Baseline and Week 6

Interventionunits on a scale (Mean)
Placebo-1.55
Vortioxetine 5 mg-2.45
Vortioxetine 10 mg-2.51
Venlafaxine 225 mg-2.58

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Change From Baseline in HAM-D 24 Total Score After 6 Weeks of Treatment

The 24-item Hamilton Depression Rating Scale (HAM-D) is based on the 21-item HAM-D plus an additional 3 items (helplessness, hopelessness, and worthlessness). The observer makes his/her assessment on the basis of a specific statement, content, tone, facial expression, and gestures of the patient during the interview, and scores each item from 0 to 2 or 0 to 4. Total score from 0 to 76. The higher the score, the more severe. (NCT00839423)
Timeframe: Baseline and Week 6

Interventionunits on a scale (Mean)
Placebo-12.23
Vortioxetine 5 mg-17.51
Vortioxetine 10 mg-17.57
Venlafaxine 225 mg-17.32

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Change From Baseline in HAM-A Total Score After 6 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. (NCT00839423)
Timeframe: Baseline and Week 6

Interventionunits on a scale (Mean)
Placebo-8.41
Vortioxetine 5 mg-11.71
Vortioxetine 10 mg-11.41
Venlafaxine 225 mg-11.29

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Change From Baseline in MADRS Total Score After 6 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. (NCT00839423)
Timeframe: Baseline and Week 6

Interventionunits on a scale (Mean)
Placebo-14.50
Vortioxetine 5 mg-20.40
Vortioxetine 10 mg-20.20
Venlafaxine 225 mg-20.92

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Akathisia

Percentage of participants who developed clinically significant akathisia. (NCT00892047)
Timeframe: 12 weeks

Interventionpercentage of participants (Number)
1: Venlafaxine Plus Aripiprazole26.7
2: Placebo Comparator12.2

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Emergent Suicidal Ideation in Those With no Ideation at the Start of Treatment

percentage of participants who reported suicidal ideation during treatment but not at baseline (NCT00892047)
Timeframe: 12 weeks

Interventionpercent of participants (Number)
1: Venlafaxine Plus Aripiprazole21.3
2: Placebo Comparator29.2

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Parkinsonism

Percentage of participants who develop signs of parkinsonism (NCT00892047)
Timeframe: 12weeks

Interventionpercentage of participants (Number)
1: Venlafaxine Plus Aripiprazole17.4
2: Placebo Comparator2.5

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Percentage of Subjects Who Met Criteria for Remission Based on the Montgomery-Asberg Depression Rating Scale (MADRS)

The Montgomery-Asberg Depression Rating Scale (MADRS) is a clinician rated ten item instrument assessing depression symptoms. Possible scores range from 0-60; higher scores indicate greater severity of depression. Remission defined as score of 10 or less based on the MADRS. (NCT00892047)
Timeframe: 12 weeks

Interventionpercentage of participants (Number)
1: Venlafaxine Plus Aripiprazole44
2: Placebo Comparator29

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QTc Prolongation on EKG (to Greater or Equal to 480 Msec)

percentage of participants (NCT00892047)
Timeframe: 12 weeks

Interventionpercent of participants (Number)
1: Venlafaxine Plus Aripiprazole1.3
2: Placebo Comparator0

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Weight

Weight change in kilograms (NCT00892047)
Timeframe: Baseline through12 weeks

Interventionkilograms (Mean)
1: Venlafaxine Plus Aripiprazole1.93
2: Placebo Comparator0.01

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Functional Magnetic Resonance Imaging (fMRI) Response to an Emotional Regulation Task.

"Depressed participants were scanned while viewing a sequence of positive and negative images; they were instructed to enhance or supress their emotional response to the image or to continue to attend. To examine brain function when regulating negative affect, we created contrast maps for each participant at all 3 time points by subtracting the attend condition from the suppress condition in response to negative stimuli. Data from all 3 scan sessions were used to assess treatment-induced change in brain activity when regulating emotion. Analyses examining change using difference scores (end vs. starting points), we subtracted initial HAMD score from final HAMD score. For fMRI analyses, in a voxelwise manner, we subtracted initial negative suppress vs attend from final negative suppress vs attend.~Control subjects were not depressed, repeat scans to assess change were not completed.~Reported results are from BA10, one of our areas of interest." (NCT00909155)
Timeframe: At study entry, 2 months and end of study (6 months)

InterventionfMRI signal change (Mean)
Depressed; Venlafaxine Treatment-0.042666667
Depressed; Fluoxetine Treatment0.0414

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Hamilton Depression (HAM-D) and Anxiety (HAM-A) Rating Scales

"Hamilton Depression rating scale is a clinician assessment tool to measure severity of depression symptoms. Minimum score is 0 (no symptoms); maximum score is 52 (severe symptoms of depression).~Hamilton Anxiety rating scale is a clinician assessment tool to measure severity of anxiety symptoms. Minimum score is 0 (no symptoms); maximum score is 56 (severe symptoms of anxiety)." (NCT00909155)
Timeframe: Study entry, 2 months, and at end of study (6 mos)

,,
Interventionunits on a scale (Mean)
HAMD T0HAMA T0HAMD 2monthsHAMA 2monthsHAMD 6monthsHAMA 6months
Control (Non-psychiatric Subjects)1NA1.25NA1.64NA
Currently Depressed Subjects: Fluoxetine21.3615.5710.158.547.335.89
Currently Depressed Subjects: Venlafaxine20.0714.078.867.554.25

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Changes in Short Physical Performance Battery From Ph 2 Baseline Till 14 Weeks

"Change in SPPB scores from randomization to 14 weeks for both arms.~The Short Physical Performance Battery (SPPB) assesses physical performance. The SPPB scores range from 0-12 and assess lower extremity strength, balance, and gait speed, three meaningful predictors of morbidity and mortality in late-life. Lower scores on the SPPB indicates greater limitations. Improvement of 0.5 points indicate clinically meaningful improvement in physical performance" (NCT01124188)
Timeframe: Baseline and 14 weeks

Interventionunits on a scale (Least Squares Mean)
Study Intervention Arm0.49
Active Control0.54

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Proportion Responding Initially by Treatment Arm During 14 Weeks Post Randomization

The PHQ-9 depression questionnaire scores range from 0 to 27. The higher the score the more severe the depression. A PHQ-9 score less than or equal to 5 represents absence of depression. The Numeric Rating scale is a self report pain scale ranging from 0 to 20. Higher numbers indicate more pain. Response in this study was defined as two consecutive PHQ-9 scores < or = to 5 AND Numeric Rating Scale for pain (NRS) > or = 30% reduction from study entry. (NCT01124188)
Timeframe: 14 weeks

InterventionParticipants (Count of Participants)
Study Intervention Arm28
Active Control28

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Change in Roland Morris Disability Questionnaire (RMDQ) From P2 Baseline to 14 Weeks

"Change in RMDQ from randomization to 14 weeks. The Roland-Morris is a 24-item self-report questionnaire about how low-back pain affects functional activities. Each question is worth one point so scores can range from 0 (no disability) to 24 (severe disability).~Improvement of 30% is clinically meaningful" (NCT01124188)
Timeframe: Baseline and 14 weeks

Interventionunits on a scale (Least Squares Mean)
Study Intervention Arm-3.67
Active Control-3.20

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Tmax of Venlafaxine Hydrochloride

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionhours (Mean)
Day 15Day 30
LDX + Venlafaxine XR06.0
Venlafaxine XR + LDX6.45.9

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Area Under the Steady-state Plasma Concentration-time Curve (AUC) of Lisdexamfetamine Dimesylate

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng*hr/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR65.563.9
Venlafaxine XR + LDX060.8

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AUC of Composite (Venlafaxine + o-Desmethylvenlafaxine)

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng*hr/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR010673.9
Venlafaxine XR + LDX10738.010342.2

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AUC of d-Amphetamine

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng*hr/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR1143.41135.4
Venlafaxine XR + LDX01049.2

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AUC of o-Desmethylvenlafaxine

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng*hr/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR08061.3
Venlafaxine XR + LDX8363.36955.1

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AUC of Venlafaxine Hydrochloride

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng*hr/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR02839.7
Venlafaxine XR + LDX2900.03202.6

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Cmax of Composite (Venlafaxine + o-Desmethylvenlafaxine)

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR0603.49
Venlafaxine XR + LDX624.56588.68

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Cmax of d-Amphetamine

d-Amphetamine is the active isomer of Lisdexamfetamine dimesylate (SPD489) and is responsible for the drug's therapeutic activity. (NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR88.9188.91
Venlafaxine XR + LDX085.27

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Cmax of o-Desmethylvenlafaxine

Venlafaxine, after oral administration, is metabolized in the liver to an active metabolite, o-Desmethylvenlafaxine. (NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR0413.71
Venlafaxine XR + LDX420.55371.54

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Cmax of Venlafaxine Hydrochloride

Venlafaxine Hydrochloride is the active ingredient of Effexor XR (NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR0198.5
Venlafaxine XR + LDX210.98228.89

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Diastolic Blood Pressure

(NCT01235338)
Timeframe: Baseline and up to 39 days

,
InterventionmmHg (Mean)
BaselineUp to 39 Days
LDX + Venlafaxine XR73.6977.85
Venlafaxine XR + LDX73.6880.45

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Maximum Plasma Concentration (Cmax) of Lisdexamfetamine Dimesylate

Lisdexamfetamine dimesylate (SPD489) itself is inactive, but following oral administration is converted to the active isomer, d-amphetamine, that is responsible for the drug's therapeutic activity. (NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionng/ml (Mean)
Day 15Day 30
LDX + Venlafaxine XR49.0649.84
Venlafaxine XR + LDX050.77

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Pulse Rate

(NCT01235338)
Timeframe: Baseline and up to 39 days

,
Interventionbpm (Mean)
BaselineUp to 39 Days
LDX + Venlafaxine XR66.2477.47
Venlafaxine XR + LDX66.5581.72

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Systolic Blood Pressure

(NCT01235338)
Timeframe: Baseline and up to 39 days

,
InterventionmmHg (Mean)
BaselineUp to 39 Days
LDX + Venlafaxine XR110.17117.82
Venlafaxine XR + LDX110.48121.51

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Time of Maximum Plasma Concentration (Tmax) of Lisdexamfetamine Dimesylate

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionhours (Mean)
Day 15Day 30
LDX + Venlafaxine XR1.11.1
Venlafaxine XR + LDX01.0

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Tmax of Composite (Venlafaxine + o-Desmethylvenlafaxine)

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionhours (Mean)
Day 15Day 30
LDX + Venlafaxine XR07.1
Venlafaxine XR + LDX7.37.0

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Tmax of d-Amphetamine

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionhours (Mean)
Day 15Day 30
LDX + Venlafaxine XR3.53.2
Venlafaxine XR + LDX03.1

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Tmax of o-Desmethylvenlafaxine

(NCT01235338)
Timeframe: Day 15 and Day 30 (24 hour sampling)

,
Interventionhours (Mean)
Day 15Day 30
LDX + Venlafaxine XR08.5
Venlafaxine XR + LDX7.97.9

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AUC0-inf of Venlafaxine.

Bioequivalence based on Venlafaxine AUC0-inf (area under the concentration-time curve from time zero to infinity). (NCT01260896)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Venlafaxine Hydrochloride (Test)2811.08
Effexor® XR (Reference)2700.62

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AUC0-inf of O-Desmethylvenlafaxine.

Informational comparison of AUC0-inf values for the metabolite O-Desmethylvenlafaxine. (NCT01260896)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Venlafaxine Hydrochloride (Test)6797.15
Effexor® XR (Reference)6927.66

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Cmax of O-Desmethylvenlafaxine.

Informational comparison of Cmax values for the metabolite O-Desmethylvenlafaxine. (NCT01260896)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng/mL (Mean)
Venlafaxine Hydrochloride (Test)192.33
Effexor® XR (Reference)167.42

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AUC0-t of O-Desmethylvenlafaxine.

Informational comparison of AUC0-t values for the metabolite O-Desmethylvenlafaxine. (NCT01260896)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Venlafaxine Hydrochloride (Test)4539.33
Effexor® XR (Reference)4174.60

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AUC0-t of Venlafaxine.

Bioequivalence based on Venlafaxine AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). (NCT01260896)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Venlafaxine Hydrochloride (Test)2257.53
Effexor® XR (Reference)2110.79

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Cmax of Venlafaxine.

Bioequivalence based on Venlafaxine Cmax (maximum observed concentration of drug substance in plasma). (NCT01260896)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng/mL (Mean)
Venlafaxine Hydrochloride (Test)124.75
Effexor® XR (Reference)117.69

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Cmax of O-Desmethylvenlafaxine.

Informational comparison of Cmax values for the metabolite O-Desmethylvenlafaxine. (NCT01282801)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng/mL (Mean)
Velafaxine Hydrochloride (Test)227.02
Effexor® XR (Reference)236.21

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Cmax of Venlafaxine.

Bioequivalence based on Venlafaxine Cmax (maximum observed concentration of drug substance in plasma). (NCT01282801)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng/mL (Mean)
Velafaxine Hydrochloride (Test)81.84
Effexor® XR (Reference)93.50

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AUC0-inf of Venlafaxine.

Bioequivalence based on Venlafaxine AUC0-inf (area under the concentration-time curve from time zero to infinity). (NCT01282801)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Velafaxine Hydrochloride (Test)1596.83
Effexor® XR (Reference)1605.29

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AUC0-inf of O-Desmethylvenlafaxine.

Informational comparison of AUC0-inf values for the metabolite O-Desmethylvenlafaxine. (NCT01282801)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Velafaxine Hydrochloride (Test)7945.58
Effexor® XR (Reference)8102.12

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AUC0-t of O-Desmethylvenlafaxine.

Informational comparison of AUC0-t values for the metabolite O-Desmethylvenlafaxine. (NCT01282801)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Velafaxine Hydrochloride (Test)5591.56
Effexor® XR (Reference)5748.06

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AUC0-t of Venlafaxine.

Bioequivalence based on Venlafaxine AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). (NCT01282801)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Velafaxine Hydrochloride (Test)1358.37
Effexor® XR (Reference)1383.57

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AUC0-inf of Venlafaxine.

Bioequivalence based on Venlafaxine AUC0-inf (area under the concentration-time curve from time zero to infinity). (NCT01282814)
Timeframe: Blood samples collected over a 48 hour period.

Interventionng*h/mL (Mean)
Venlafaxine Hydrochloride (Test)2163.77
Effexor® XR (Reference)2065.50

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AUC0-t of Venlafaxine.

Bioequivalence based on Venlafaxine AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). (NCT01282814)
Timeframe: Blood samples collected over a 48 hour period.

Interventionng*h/mL (Mean)
Venlafaxine Hydrochloride (Test)1972.77
Effexor® XR (Reference)1800.03

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Cmax of Venlafaxine.

Bioequivalence based on Venlafaxine Cmax (maximum observed concentration of drug substance in plasma). (NCT01282814)
Timeframe: Blood samples collected over a 48 hour period.

Interventionng/mL (Mean)
Venlafaxine Hydrochloride (Test)120.07
Effexor® XR (Reference)103.59

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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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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 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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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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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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Frequency of Hot Flashes (Daily Vasomotor Symptom [VMS] Frequency) -- Week 8

Measured by self-report diary twice daily (day and night). The day and night frequencies were summed to produce a single number of hot flashes per day. The single number of hot flashes per day were summed and averaged for one week prior to the week 8 study assessment to produce a mean daily frequency for week 8. (NCT01418209)
Timeframe: Week 8

Interventionnumber of hot flashes per day (Mean)
Low-dose 17-ß-estradiol With Progesterone Taper3.9
Venlafaxine XR4.4
Placebo5.5

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Frequency of Hot Flashes (Vasomotor Symptom [VMS] Frequency) -- Week 4

Measured by self-report diary twice daily (day and night). The day and night frequencies were summed to produce a single number of hot flashes per day. The single number of hot flashes per day were summed and averaged for one week prior to the week 4 study assessment to produce a mean daily frequency for week 4. (NCT01418209)
Timeframe: Week 4

Interventionnumber of hot flashes per day (Mean)
Low-dose 17-ß-estradiol With Progesterone Taper5.3
Venlafaxine XR5.1
Placebo5.8

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Severity of Hot Flashes -- Week 4

Measured by self-report diary twice daily (day and night) for 7 days. Severity ratings ranged from 0 to 3 with lower numbers being less severe and higher numbers being more severe. Data from the day and night severity ratings were averaged for a single daily score. The single daily scores for the week prior to the week 4 study assessment were summed and averaged to produce a mean daily VMS severity for week 4. (NCT01418209)
Timeframe: Week 4

Interventionunits on a scale (Mean)
Low-dose 17-ß-estradiol With Progesterone Taper0.7
Venlafaxine XR0.7
Placebo0.8

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Severity of Hot Flashes -- Week 8

Measured by self-report diary twice daily (day and night) for 7 days. Severity ratings ranged from 0 to 3 with lower numbers being less severe and higher numbers being more severe. Data from the day and night severity ratings were averaged for a single daily score. The single daily scores for the week prior to the week 8 study assessment were summed and averaged to produce a mean daily VMS severity for week 8. (NCT01418209)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Low-dose 17-ß-estradiol With Progesterone Taper0.6
Venlafaxine XR0.6
Placebo0.7

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Bothersomeness of Hot Flashes -- Week 8

Measured by self-report diary twice daily (day and night) for 7 days. Bothersomeness ratings ranged from 0 to 3 with lower numbers being less bothersome and higher numbers being more bothersome. Data from the day and night bothersomeness ratings were averaged for a single daily score. The single daily scores for the week prior to the week 8 study assessment were summed and averaged to produce a mean daily VMS bothersomeness for week 8. (NCT01418209)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Low-dose 17-ß-estradiol With Progesterone Taper1.4
Venlafaxine XR1.4
Placebo1.6

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Bothersomeness of Hot Flashes -- Week 4

Measured by self-report diary twice daily (day and night) for 7 days. Bothersomeness ratings ranged from 0 to 3 with lower numbers being less bothersome and higher numbers being more bothersome. Data from the day and night bothersomeness ratings were averaged for a single daily score. The single daily scores for the week prior to the week 4 study assessment were summed and averaged to produce a mean daily VMS bothersomeness for week 4. (NCT01418209)
Timeframe: Week 4

Interventionunits on a scale (Mean)
Low-dose 17-ß-estradiol With Progesterone Taper1.6
Venlafaxine XR1.6
Placebo1.7

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Number of Participants Who Experienced Adverse Events, Serious Adverse Events and Death

"In this analysis patients with all (serious and non-serious) adverse events, and death were reported.~See Safety Section." (NCT01436643)
Timeframe: 21 weeks

,,,
InterventionParticipants (Number)
Any Adverse EventDeathSerious Adverse Event
Citalopram and Fingolimod1201
Fingolimod1501
Fluoxetine and Fingolimod1100
Venlafaxine and Fingolimod1201

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Changes From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at Week 8 or Early Termination

MADRS is a scale used in subjects with major depressive disorder to measure the overall severity of depressive symptoms. It is a 10 item, clinician-rated scale that assesses treatment-sensitive change by evaluating ten areas of depressive symptomatology: apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts. The items are rated on a 7 point Likert scale (0 - 6) with anchors at 2 point intervals. The total score ranges from 0 to 60, and higher scores indicate more severe symptoms. Change from baseline: mean score at Week 8 or early termination minus mean score at baseline. (NCT01441440)
Timeframe: Baseline, Week 8 or Early termination

InterventionUnits on a scale (Mean)
Placebo-12.41
Venlafaxine 75 mg/Day Fixed-15.30
Venlafaxine 75-225 mg/Day Flexible-15.05

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Mean Clinical Global Impression - Improvement (CGI-I) Score at Week 8 or Early Termination

CGI-I is a 7-point clinician rated scale ranging from 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, to 7=very much worse. Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Scores above 4 reflect worsening of illness state as compared to baseline. (NCT01441440)
Timeframe: Baseline, Week 8 or Early termination

InterventionUnits on a scale (Mean)
Placebo2.53
Venlafaxine 75 mg/Day Fixed2.32
Venlafaxine 75-225 mg/Day Flexible2.28

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Changes From Baseline in 6-item Hamilton Rating Scale for Depression (HAM-D6) Total Score at Week 8 or Early Termination

HAM-D6 is a subset of the HAM-D17 that assesses 6 items associated with major depression. The scale uses HAM-D17 items 1, 2, 7, 8, 10 and 13. Item 13 is scored 0 to 2 and all others are scored 0 to 4. Total score ranges from 0 to 22; higher score indicates more depression. Change from baseline: mean score at Week 8 or early termination minus mean score at baseline. (NCT01441440)
Timeframe: Baseline, Week 8 or Early termination

InterventionUnits on a scale (Mean)
Placebo-4.92
Venlafaxine 75 mg/Day Fixed-6.10
Venlafaxine 75-225 mg/Day Flexible-5.99

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Changes From Baseline in 16-item Quick Inventory of Depressive Symptomatology Self-Report Japanese Version (QIDS16-SR-J) Total Score at Week 8 or Early Termination

QIDS16-SR-J is a self-rated scale used in patients with major depressive disorder to measure the overall severity of depressive symptoms: 1) sad mood; 2) concentration; 3) self-criticism; 4) suicidal ideation; 5) interest; 6) energy/fatigue; 7) sleep disturbance (initial, middle, and late insomnia or hypersomnia); 8) decrease/increase in appetite/weight; and 9) psychomotor agitation/retardation. QIDS16-SR-J items are rated on a scale of 0 to 3. The total score ranges from 0 to 27, and higher scores indicate more severe symptoms. Change from baseline: mean score at Week 8 or early termination minus mean score at baseline. (NCT01441440)
Timeframe: Baseline, Week 8 or Early termination

InterventionUnits on a scale (Mean)
Placebo-6.50
Venlafaxine 75 mg/Day Fixed-8.00
Venlafaxine 75-225 mg/Day Flexible-7.27

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Changes From Baseline in Clinical Global Impression-Severity (CGI-S) at Week 8 or Early Termination

CGI-S is a 7-point clinician rated scale to assess severity of participant's current illness state; range: 1=normal, not ill at all, 2=borderline mentally ill, 3=mildly ill, 4=moderately ill, 5=markedly ill, 6=severely ill, 7=among the most extremely ill patients. Higher scores reflect higher severity of current illness states. Change from baseline: mean score at Week 8 or early termination minus mean score at baseline. (NCT01441440)
Timeframe: Baseline, Week 8 or Early termination

InterventionUnits on a scale (Mean)
Placebo-1.31
Venlafaxine 75 mg/Day Fixed-1.57
Venlafaxine 75-225 mg/Day Flexible-1.56

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Change From Baseline in 17-item Hamilton Raing Scale for Depression (HAM-D17) Total Score at Week 8 or Early Termination

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, work and activities, sleep, suicide, psychomotor agitation/retardation, appetite, sexual interest, anxiety, and somatic symptoms). The items of the HAM-D17 are rated on a scale of 0 to 2 or 0 to 4, and the total score ranges from 0 to 52. Higher scores indicate more severe symptoms. Change from baseline: mean score at Week 8 or early termination minus mean score at baseline. (NCT01441440)
Timeframe: Baseline, Week 8 or Early termination

InterventionUnits on a scale (Mean)
Placebo-9.25
Venlafaxine 75 mg/Day Fixed-10.76
Venlafaxine 75-225 mg/Day Flexible-10.37

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Number of Participants With no at Baseline and Yes at Any Post Baseline for Columbia Suicide-Severity Rating Scale (C-SSRS) According to the Columbia Classification Algorithm of Suicide Assessment (C-CASA) Categories

C-SSRS is a participant rated questionnaire to assess suicidal ideation, suicidal behavior, actual attempts (yes or no responses), and intensity of ideation (rated 1=low severity to 5=high severity). Yes/No responses are mapped to Columbia Classification Algorithm of Suicide Assessment (C-CASA) categories: Completed suicide, suicide attempt, preparatory acts toward imminent suicidal behavior, suicidal ideation, and self-injurious behavior, or no suicidal intent. A participant could have a yes or no response in more than one category. (NCT01485887)
Timeframe: Baseline (Week 8 of the preceding double-blind study B2411263 [NCT01441440]) up to 10 months

InterventionParticipants (Number)
Completed suicideSuicide attemptPreparatory acts toward imminent suicidal behaviorSuicide ideationSelf-injurious behavior, no suicidal intent
Venlafaxine ER 75-225 mg/Day Flexible00000

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Mean Clinical Global Impression - Improvement (CGI-I) Score at Each Post Baseline Time Point

CGI-I is a 7-point clinician rated scale ranging from 1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, to 7=very much worse. Improvement is defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Scores above 4 reflect worsening of illness state as compared to baseline. (NCT01485887)
Timeframe: Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44

InterventionUnits on a scale (Mean)
Week 1 (n=50)Week 2 (n=50)Week 3 (n=50)Week 4 (n=50)Week 6 (n=47)Week 8 (n=48)Week 12 (n=47)Week 16 (n=46)Week 20 (n=45)Week 24 (n=44)Week 28 (n=42)Week 32 (n=41)Week 36 (n=41)Week 40 (n=40)Week 44 (n=40)
Venlafaxine ER 75-225 mg/Day Flexible3.83.53.33.12.92.92.62.42.12.22.22.12.22.12.0

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Change From Baseline in 16-item Quick Inventory of Depressive Symptomatology Self-Report Japanese Version (QIDS16-SR-J) at Each Post Baseline Time Point

QIDS16-SR-J is a self-rated scale used in patients with major depressive disorder to measure the overall severity of depressive symptoms: 1) sad mood; 2) concentration; 3) self-criticism; 4) suicidal ideation; 5) interest; 6) energy/fatigue; 7) sleep disturbance (initial, middle, and late insomnia or hypersomnia); 8) decrease/increase in appetite/weight; and 9) psychomotor agitation/retardation. QIDS16-SR-J items are rated on a scale of 0 to 3, and the total score ranges from 0 to 27. Higher scores indicate more severe symptoms. Change from baseline: mean score at observation minus mean score at baseline. (NCT01485887)
Timeframe: Baseline (Week 8 of the preceding double-blind study B2411263 [NCT01441440]), Weeks 12, 24, 44

InterventionUnits on a scale (Mean)
Week 12 (n=47)Week 24 (n=44)Week 44 (n=40)
Venlafaxine ER 75-225 mg/Day Flexible-2.7-3.8-4.7

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Change From Baseline in 17-item Hamilton Rating Scale for Depression (HAM-D17) at Each Post Baseline Time Point

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, work and activities, sleep, suicide, psychomotor agitation/retardation, appetite, sexual interest, anxiety, and somatic symptoms). The items of the HAM-D17 are rated on a scale of 0 to 2 (8 items) or 0 to 4 (9 items), and the total score ranges from 0 to 52. Higher scores indicate more severe symptoms. Change from baseline: mean score at observation minus mean score at baseline. (NCT01485887)
Timeframe: Baseline (Week 8 of the preceding double-blind study B2411263 [NCT01441440]), Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44

InterventionUnits on a scale (Mean)
Week 1 (n=50)Week 2 (n=50)Week 3 (n=50)Week 4 (n=50)Week 6 (n=47)Week 8 (n=48)Week 12 (n=47)Week 16 (n=46)Week 20 (n=45)Week 24 (n=44)Week 28 (n=42)Week 32 (n=41)Week 36 (n=41)Week 40 (n=40)Week 44 (n=40)
Venlafaxine ER 75-225 mg/Day Flexible-1.0-1.5-2.2-2.9-3.4-3.9-4.1-4.4-6.2-5.7-6.1-6.4-6.5-6.4-7.1

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Change From Baseline in Clinical Global Impression - Severity (CGI-S) at Each Post Baseline Time Point

CGI-S is a 7-point clinician rated scale to assess severity of participant's current illness state; range: 1=normal, not ill at all, 2=borderline mentally ill, 3=mildly ill, 4=moderately ill, 5=markedly ill, 6=severely ill, 7=among the most extremely ill patients. Higher scores reflect higher severity of current illness states. Change from baseline: mean score at observation minus mean score at baseline. (NCT01485887)
Timeframe: Baseline (Week 8 of the preceding double-blind study B2411263 [NCT01441440]), Weeks 1, 2, 3, 4, 6, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44

InterventionUnits on a scale (Mean)
Week 1 (n=50)Week 2 (n=50)Week 3 (n=50)Week 4 (n=50)Week 6 (n=47)Week 8 (n=48)Week 12 (n=47)Week 16 (n=46)Week 20 (n=45)Week 24 (n=44)Week 28 (n=42)Week 32 (n=41)Week 36 (n=41)Week 40 (n=40)Week 44 (n=40)
Venlafaxine ER 75-225 mg/Day Flexible-0.1-0.3-0.3-0.4-0.6-0.6-0.8-0.9-1.2-1.1-1.2-1.2-1.2-1.2-1.3

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Number of Participants With Clinical Significant Electrocardiogram (ECG) Changes

Clinically significant ECG findings included: corrected QT (QTc), QT interval corrected using the Bazett's formula (QTcB), and QT interval corrected using the Fridericia formula (QTcF)> 450 millisecond (ms), >480 ms, and >500 ms respsctively, change from baseline in QTc, QTcB, and QTcF >= 30 ms, and >= 60 ms, respectively. (NCT01485887)
Timeframe: Baseline (Week 8 of the preceding double-blind study B2411263 [NCT01441440]) up to 10 months

InterventionParticipants (Number)
QT Interval > 450 msQT Interval > 480 msQT Interval > 500 msQTcB Interval > 450 msQTcB Interval > 480 msQTcB Interval > 500 msQTcF Interval > 450 msQTcF Interval > 480 msQTcF Interval > 500 msQT Interval increase from baseline >= 30 msQT Interval increase from baseline >= 60 msQTcB Interval increase from baseline >= 30 msQTcB Interval increase from baseline >= 60 msQTcF Interval increase from baseline >= 30 msQTcF Interval increase from baseline >= 60 ms
Venlafaxine ER 75-225 mg/Day Flexible5001741810708040

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

Any untoward medical occurrence in a participant who received study drug was considered an adverse event (AE), without regard to possibility of causal relationship. Treatment-emergent adverse events: those which occurred or worsened after baseline. An AE resulting in any of the following outcomes, was considered to be a serious adverse event: death; lifethreatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. (NCT01485887)
Timeframe: Baseline (Week 8 of the preceding double-blind study B2411263 [NCT01441440]) up to 10 months

InterventionParticipants (Number)
Adverse events (AEs)Serious adverse events (SAEs)
Venlafaxine ER 75-225 mg/Day Flexible492

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Number of Participants With Clinical Significant Laboratory Tests Changes

Clinical significant changes were pre-defined for each laboratory test based on the criteria: Red Blood Cell Count <0.8 x lower limit normal (LLN); Lymphocytes (%) <0.8 x LLN; Eosinophils (%) >1.2 x upper limit normal (ULN); Total Bilirubin >1.5 x ULN; Alanine Aminotransferase (ALT) >3.0 x ULN; Gamma glutamyl transferase (GGT) >3.0 x ULN; Uric Acid >1.2 x ULN; Cholesterol >1.3 x ULN; Low density lipoprotein (LDL) cholesterol >1.2 x ULN; Triglycerides >1.3 x ULN; Glucose >1.5 x ULN; Urine Glucose [qualitative (Qual)] >=1; Urine Protein (Qual) >=1; Urine Blood/Hemoglobin (Hgb) (Qual) >=1. (NCT01485887)
Timeframe: Baseline (Week 8 of the preceding double-blind study B2411263 [NCT01441440]) up to 10 months

InterventionParticipants (Number)
Red Blood Cell Count < 0.8xLLNLymphocytes (%) < 0.8xLLNEosinophils (%) > 1.2xULNTotal Bilirubin > 1.5xULNALT > 3.0xULNGGT > 3.0xULNUric Acid > 1.2xULNCholesterol > 1.3xULNLDL Cholestero l> 1.2xULNTriglycerides > 1.3xULNGlucose > 1.5xULNUrine Glucose (Qual) >= 1Urine Protein (Qual) >= 1Urine Blood/Hgb(Qual) >= 1
Venlafaxine ER 75-225 mg/Day Flexible1231141412833310

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Number of Participants With Clinical Significant Vital Changes

Clinical significant changes were pre-defined for systolic blood pressure (SBP), diastolic blood pressure (DBP) , and pulse rate (PR). An average value of 3 measurements in each visit meeting the following criteria for 3 consecutive visits was determined as clinical siginificant changes: DBP >= 90 mmHg with change from the baseline >= 10 mmHg; SBP >= 140 mmHg with change from the baseline >= 20 mmHg; PR >= 100 bpm with change from the baseline >= 15 bpm. (NCT01485887)
Timeframe: Baseline (Week 8 of the preceding double-blind study B2411263 [NCT01441440]) up to 10 months

InterventionParticipants (Number)
Systoloc blood pressure (SBP)Diastolic bloodpressure (DBP)Pulse rate
Venlafaxine ER 75-225 mg/Day Flexible341

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Remission at Week 8 (Remission Defined as a MADRS Total Score ≤10)

(NCT01571453)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Vortioxetine43.1
Venlafaxine41.4

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MADRS Response at Week 8 (Response Defined as a ≥50% Decrease in the MADRS Total Score From Baseline)

(NCT01571453)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Vortioxetine66.5
Venlafaxine61.4

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Change in HAM-A Total Score From Baseline to Week 8

Hamilton Anxiety Rating Scale (HAM-A) is a 14-item rating scale designed to assess the global anxiety. Each symptom is rated from 0 (absent) to 4 (maximum severity). The total score of the 14 items ranges from 0 to 56. Higher score indicates greater anxiety, thus, a negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms. (NCT01571453)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Vortioxetine-11.38
Venlafaxine-10.56

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Change in CGI-S Score From Baseline to Week 8

Clinical Global Impression Scale - Severity of Illness (CGI-S) provides the clinician's impression of the patient's current state of mental illness. The clinician uses his or her clinical experience of this patient population to rate the severity of the patient's current mental illness on a 7-point scale ranging from 1 (normal - not at all ill) to 7 (among the most extremely ill patients). Higher score indicates that the subject is more ill, thus, a negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms. (NCT01571453)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Vortioxetine-2.26
Venlafaxine-2.12

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CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) provides the clinician's impression of the patient's improvement (or worsening). The clinician assesses the patient's condition relative to a baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). In all cases, the assessment should be made independent of whether the rater believes the improvement is drug-related or not. Higher score = more affected. (NCT01571453)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Vortioxetine1.99
Venlafaxine2.14

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Change From Baseline in MADRS Total Score at Week 8

Montgomery and Asberg Depression Rating Scale (MADRS) is a ten-item rating scale designed to assess the severity of the symptoms in depressive illness and to be sensitive to treatment effects. Symptoms are rated on a 7-point scale from 0 (no symptom) to 6 (severe symptom). Definitions of severity are provided at two-point intervals. The total score of the ten items ranges from 0 to 60. The higher the score, the more severe, thus, a negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms. (NCT01571453)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Vortioxetine-19.36
Venlafaxine-18.16

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Cycle 1 Acute Neuropathy as Measured by EORTC QLQ CIPN20 Motor Subscale (Items 37, 38, 41-45 and 49), and Autonomic Scale (Items 46, 47, 50)

The EORTC QLQ-CIPN20 motor and autonomic neuropathy scores will be calculated using the standard algorithm of EORTC QLQ-CIPN20 and transformed into a 0-100 point scale, where high scores meant less symptom burden. The changes of sensory neuropathy from baseline will be derived by subtracting the baseline score from the sensory neuropathy scores at each cycle of evaluation. (NCT01611155)
Timeframe: Up to 2 weeks

,
Interventionscore on a scale (Mean)
Motor subscaleAutonomic subscale
Arm I (Venlafaxine)97.2891.36
Arm II (Placebo)95.9890.74

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Cycle 1 Sensory Neuropathy Score (Items 31-36, 39, 40 and 48) of the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ)-CIPN20

The EORTC QLQ-CIPN20 sensory neuropathy score will be calculated using the standard algorithm of EORTC QLQ-CIPN20 and transformed into a 0-100 point scale, where high scores meant less symptom burden. The changes of sensory neuropathy from baseline will be derived by subtracting the baseline score from the sensory neuropathy scores at each cycle of evaluation. (NCT01611155)
Timeframe: Up to 2 weeks

Interventionscore on a scale (Mean)
Arm I (Venlafaxine)96.22
Arm II (Placebo)95.83

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Alzheimer's Disease Assessment Scale - Cognitive (ADAS-Cog)

The modified ADAS-Cog is a cognitive battery that assesses learning, memory, language production, language comprehension, constructional praxis, ideational praxis, and orientation. Subjects' scores represent the total number of errors made throughout the various tasks. The total number of possible errors is between 0-85. (NCT01658228)
Timeframe: Week 16

Interventionnumber of errors on a scale from 0-85 (Mean)
Donepezil Treatment Group13.2
Placebo Treatment Group13.9

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Selective Reminding Test (SRT) Delayed Recall

The 12-item, 6-trial SRT is a memory measure used to assess verbal list learning and memory. The total number of words learned over six trials (total immediate recall) and delayed recall (after a 15-minute delay) was obtained. (NCT01658228)
Timeframe: Week 16

InterventionWords (Mean)
Donepezil Treatment Group7.4
Placebo Treatment Group7.4

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Selective Reminding Test (SRT) Total Recall

The 12-item, 6-trial SRT is a memory measure used to assess verbal list learning and memory. The total number of words learned over six trials (total immediate recall) was obtained. (NCT01658228)
Timeframe: Week 16

InterventionWords (Mean)
Donepezil Treatment Group45.6
Placebo Treatment Group46.6

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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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Brief Symptom Inventory-Anxiety Subscale (BSI)

Measure of anxiety. Six anxiety symptoms are rated based on how distressed the subject is for each symptom. The range for each symptom is 0-4, with 4 representing extreme distress. We computed the mean of the final BSI score (range 0-24), with a lower number indicating a better outcome. We also calculated the mean change in anxiety for both groups using baseline and Phase 2 week 8 (final time point) data. (NCT02181231)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Change in BSIFinal BSI score
Buprenorphine.73
Placebo02.7

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Suicide Ideation Scale (SIS)

A 19 item scale used to measure the presence or absence of suicidal ideations and the degree of severity of suicidal ideas. For this study, we computed the total score for all 19 items (total range 0-90). Higher scores represent a worse outcome. We also calculated the mean change in suicidal ideation for both groups using baseline and week 8 (final timepoint). (NCT02181231)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Change in SISFinal SIS score
Buprenorphine-.21.1
Placebo-14.7

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Antidepressant Side Effect Checklist (ASEC)

Measure of side effects, consisting of 21 items, ranging from 0-3 (0 indicates no side effect, 3 indicates severe side effect). We calculated the total final score for the 21 items (total range is 0-63). A higher total number represents a greater severity in reported side effects. We calculated the mean change in side effects for both groups using baseline and 8 week data. (NCT02181231)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Change in ASECFinal ASEC score
Buprenorphine111.4
Placebo1.88.5

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Montgomery-Asberg Depression Rating Scale (MADRS)

Measure of depression severity, range of 0-60, with higher scores indicating more severe depression. We calculated the mean change in depression for both groups using baseline MADRS and week 8 MADRS scores. (NCT02181231)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Change in MADRSFinal MADRS Score
Buprenorphine-121.3
Placebo-5.315.3

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Numeric Scale of Pain (NRS-P)

"Measure used to assess pain, ranging from 0-10, with 10 being the worst possible pain.~We calculated the mean change in pain for both groups using baseline and week 8 (last time point)." (NCT02181231)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Change in NRS-PFinal NRS-P score
Buprenorphine-1.12.9
Placebo-1.32.8

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Frequency, Intensity, and Burden of Side Effects Rating (FIBSER)

"Three item side effect scale used to assess frequency and intensity of side effects (range 0-6 for each item). We calculated the total score of all three items (range 0-18) with lower numbers indicating less frequency.~We calculated the mean score at baseline and week 8 (final timepoint)." (NCT02181231)
Timeframe: Week 1 and week 8

,
Interventionscore on a scale (Mean)
Mean baseline scoreFinal FIBSER Score
Buprenorphine5.63.8
Placebo1.3.5

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Physical Activity (SenseWear Physical Activity-monitoring Armband)

This will be used to acquire objective information about physical activity. This armband is worn around the upper arm (left triceps) for 1 week and collects information about skin temperature, galvanic skin response, heat flux, and motion via a 3-axis accelerometer. This information is used in an algorithm to determine energy expenditure (EE). The device has a resolution of 1-minute indicating that we can acquire the above information on a minute-by-minute basis, which will allow us to determine both duration and intensity of activity during a normal week. Higher values indicate higher levels of activity. (NCT02407704)
Timeframe: Baseline and 12 weeks

,,,
Interventionkcals (Mean)
Baseline Average Daily EE12 Week Average Daily EE
Aerobic Exercise + Venlafaxine XR (20-39 Years of Age)422.70694.21
Aerobic Exercise + Venlafaxine XR (60-79 Years of Age)911.04324.03
Venlafaxine XR Only (20-39 Years of Age)731.06905.36
Venlafaxine XR Only (60-79 Years of Age)201.64212.48

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Neurocognitive Function (Neuropsychological Battery)

The battery evaluates several cognitive domains. The Wechsler Adult Intelligence Scale, 4th ed. Digit Span subtest assesses attention and working memory. The Repeatable Battery of Neuropsychological Status (RBANS) measures Immediate and Delayed Memory, Attention, Language Abilities, and Visuospatial Functioning. Total index scores range from 40-155. The California Verbal Learning Test, 2nd Ed. (CVLT) assesses non-contextual verbal learning and memory. Z-scores are calculated for each of the constructs assessed by the CVLT. Subtests from the Deli-Kaplan Executive Function System (D-KEFS) assess aspects of executive functioning, including set-shifting (Trail Making Test Conditions 4 and 5: scaled score ranging from 0-19) and inhibition (Color-Word Interference Test Condition 3: weighted scaled score ranging from 1-19). Given that standardized scores are calculated for each of the neuropsychological measures, higher scores always indicate better cognitive functioning. (NCT02407704)
Timeframe: Baseline and 12 weeks

,,,
Interventionunits on a scale (Mean)
Baseline RBANS Total Index ScoreWeek 12 RBANS Total Index ScoreBaseline CVLT Long Delay Free RecallWeek 12 CVLT Long Delay Free RecallBaseline DKEFS TrailmakingWeek 12 DKEFS TrailmakingBaseline Digit Span ForwardWeek 12 Digit Span ForwardBaseline Digit Span BackwardsWeek 12 Digit Span BackwardsBaseline Color Word Interference Condition 3Week 12 Color Word Interference Condition 3
Aerobic Exercise + Venlafaxine XR (20-39 Years of Age)101.00102.7512.0013.509.5010.0011.7512.009.759.0011.259.75
Aerobic Exercise + Venlafaxine XR (60-79 Years of Age)77.0081.506.503.0010.005.507.007.007.007.509.007.50
Venlafaxine XR Only (20-39 Years of Age)80.0085.508.507.504.505.5010.008.507.006.507.5010.00
Venlafaxine XR Only (60-79 Years of Age)96.00100.5010.0012.5011.0010.507.509.007.008.5010.0010.50

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Functional Magnetic Resonance Imaging (fMRI)

Brain imaging conducted with a 7 Tesla scanner. Of particular interest were changes in hippocampal volume, GABA, and glutamate. The changes regarding hippocampal volumes are reported below. This measurement is reported in mm^3, with higher numbers indicating higher levels of gray matter in the hippocampal region. Volume is combined between right and left hemispheres. GABA and glutamate are not reported. The method used to obtain the data was being piloted for this study, and due to methodological challenges, the data is not considered to be accurate and therefore cannot be analyzed/shared. (NCT02407704)
Timeframe: Baseline and 12 weeks

,,,
Interventionmm^3 (Mean)
Baseline Hippocampal VolumeWeek 12 Hippocampal Volume
Aerobic Exercise + Venlafaxine XR (20-39 Years of Age)61926040
Aerobic Exercise + Venlafaxine XR (60-79 Years of Age)67036035
Venlafaxine XR Only (20-39 Years of Age)56526091
Venlafaxine XR Only (60-79 Years of Age)65796511

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Cardiovascular Fitness (Submaximal VO2)

Cardiorespiratory fitness was measured via submaximal VO2 on a motorized treadmill while measuring oxygen utilization via Parvo Medics True one metabolic cart. The submaximal test followed a modified Balke protocol in which speed remained constant with the intensity being increased every two minutes via a raise of 2.0% of the incline. The speed was an agreed upon speed between participant and staff (between 2.0 and 4.0 mph). The submaximal VO2 was stopped when participant reached 85% of age predicted maximal heart rate (220 - age), rating of perceived exertion (RPE) equal to or greater than 15 for those who have blunted heart rate response due to beta block medication, or volitional termination by participant. Vital signs were monitored throughout the test and cool down period. Peak VO2 values for this cohort ranged from 14.04 to 36.48 ml/kg/min, with higher values correlated to higher fitness level. (NCT02407704)
Timeframe: Baseline and 12 weeks

,,,
Interventionml/kg/min (Mean)
Baseline Submaximal VO2Week 12 Submaximal V02
Aerobic Exercise + Venlafaxine XR (20-39 Years of Age)30.4033.89
Aerobic Exercise + Venlafaxine XR (60-79 Years of Age)26.1224.23
Venlafaxine XR Only (20-39 Years of Age)24.1722.85
Venlafaxine XR Only (60-79 Years of Age)27.7323.52

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Number of Participants Experiencing Remission

Study completers will be classified as remitters vs. non-remitters. Remission will be defined as a MADRS score of 10 or less for at least two consecutive assessments. The MADRS will also be used to assess clinical response throughout the trial and to determine final medication dosage. At the end of week 6, those with a MADRS score greater than 10 will have the venlafaxine XR increased from 150 mg/d to a maximum of 300 mg/d. (NCT02407704)
Timeframe: Baseline, weekly for weeks 1 and 2, then biweekly for weeks 4-12

InterventionParticipants (Count of Participants)
Aerobic Exercise + Venlafaxine XR (60-79 Years of Age)0
Venlafaxine XR Only (60-79 Years of Age)2
Aerobic Exercise + Venlafaxine XR (20-39 Years of Age)4
Venlafaxine XR Only (20-39 Years of Age)2

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Inflammatory Biomarkers

Blood samples were collected to assess biomarkers, but funding is not yet available to perform analyses. (NCT02407704)
Timeframe: Baseline and 12 weeks

InterventionParticipants (Count of Participants)
Aerobic Exercise + Venlafaxine XR (60-79 Years of Age)NA
Venlafaxine XR Only (60-79 Years of Age)NA
Aerobic Exercise + Venlafaxine XR (20-39 Years of Age)NA
Venlafaxine XR Only (20-39 Years of Age)NA

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Genetic Biomarkers

Blood samples were collected to assess biomarkers, but funding is not yet available to perform analyses. (NCT02407704)
Timeframe: Baseline and 12 weeks

InterventionParticipants (Count of Participants)
Aerobic Exercise + Venlafaxine XR (60-79 Years of Age)NA
Venlafaxine XR Only (60-79 Years of Age)NA
Aerobic Exercise + Venlafaxine XR (20-39 Years of Age)NA
Venlafaxine XR Only (20-39 Years of Age)NA

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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 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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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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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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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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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 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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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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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 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 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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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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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 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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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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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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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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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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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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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 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 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 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 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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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 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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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 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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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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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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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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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 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 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 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 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 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 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 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 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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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 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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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 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 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 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-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 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 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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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 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 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 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 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 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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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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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 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 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 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 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 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 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: 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 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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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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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 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 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 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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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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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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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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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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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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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 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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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 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 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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Arousal Threshold

Change from baseline in respiratory arousal threshold after single dose of Venlafaxine will be estimated. (NCT02714400)
Timeframe: Baseline and 7-day follow up

InterventionPercent V-eupnea (Median)
Venlafaxine115.6
Placebo118.6

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Sleep Efficiency

Change from baseline in sleep efficiency after single dose of Venlafaxine will be estimated using overnight polysomnography. (NCT02714400)
Timeframe: Baseline and 7-day follow up

InterventionPercent Time in Bed (Mean)
Venlafaxine63.1
Placebo72.5

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Loop Gain

Loop gain 1 is used to describe the stability of ventilatory control. The change from baseline in loop gain after a single dose of Venlafaxine will be estimated. (NCT02714400)
Timeframe: Baseline and 7-day follow up

InterventionDimensionless (Mean)
Venlafaxine0.58
Placebo0.56

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Nadir Oxygen Level During Sleep

Change from baseline in nadir oxygen level during sleep after a single dose of Venlafaxine will be evaluated using overnight polysomnography. A lower blood oxygen saturation during sleep is associated with a more severe obstructive sleep apnea. (NCT02714400)
Timeframe: Baseline and 7-day follow up

InterventionPercent Oxygen Saturation (Median)
Venlafaxine82.0
Placebo81.5

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The Apnea Hypopnea Index

The Apnea hypopnea index is an index used to indicate the severity of sleep apnea. It is represented by the number of apnea and hypopnea events per hour of sleep. The change from baseline in apnea hypopnea index after a single dose of Venlafaxine will be evaluated using overnight polysomnography. An apnea hypopnea index less than five events per hour is considered within normal limits. (NCT02714400)
Timeframe: Baseline and 7-day follow up

InterventionEvents per Hour of Sleep (Mean)
Venlafaxine40.5
Placebo46.1

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Number of Participants With Adverse Drug Reactions

An adverse drug reaction (ADR) was any untoward medical occurrence attributed to Effexor in a participant who received Effexor. A serious ADR was a ADR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience (immediate risk of dying); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Relatedness to Effexor was assessed by the physician. (NCT02958527)
Timeframe: 12 weeks from the start date (up until 52 weeks)

InterventionParticipants (Number)
ADRSerious ADR
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride)3124

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Clinical Global Impressions-Severity

"CGI-S is a 7-point clinician-administered rating scale that assesses overall severity of the current illness state. The score ranges from 1 to 7, higher scores indicating more affected: 1: normal, not at all ill, 2: borderline mentally ill, 3: mildly ill, 4: moderately ill, 5: markedly ill, 6: severely ill, or 7: among the most extremely ill patients. Evaluation was performed at Week 4, 8, 12, 16, 24, 36, and 52." (NCT02958527)
Timeframe: 12 weeks from the start date (up until 52 weeks)

,,,,,,
InterventionParticipants (Number)
Week 12 1: Normal, not at all illWeek 12 2: Borderline mentally illWeek 12 3: Mildly illWeek 12 4: Moderately illWeek 12 5: Markedly illWeek 12 6: Severely illWeek 12 7: Among the most extremely ill patientsWeek 52 1: Normal, not at all illWeek 52 2: Borderline mentally illWeek 52 3: Mildly illWeek 52 4: Moderately illWeek 52 5: Markedly illWeek 52 6: Severely illWeek 52 7: Among the most extremely ill patients
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Baseline 100000000000000
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Baseline 221000000200000
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Baseline 319452420002733150000
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Baseline 456981334520076926921210
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Baseline 59385261131040473914500
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Baseline 67151010750161472140
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Baseline 711000001000000

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Changes in the Clinical Global Impressions-Improvement

"CGI-I is a 7-point clinician-administered rating scale that assesses overall improvement of the disease/condition. The score ranges from 1 to 7, higher scores indicating more affected: was assessed as 1: markedly improved, 2: moderately improved, 3: mildly improved, 4: no change, 5: slightly worsened, 6: worsened, or 7: severely worsened. Evaluation was performed at Week 4, 8, 12, 16, 24, 36, and 52." (NCT02958527)
Timeframe: 12 weeks from the start date (up until 52 weeks)

,
InterventionParticipants (Number)
1: Markedly improved2: Moderately improved3: Mildly improved4: No change5: Slightly worsened6: Worsened7: Severely worsened
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Week 1219917521270530
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride) Week 522351788828310

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Change From Baseline in the Montgomery - Asberg Depression Rating Scale (MADRS) Total Scores at Pre-specified Evaluation Points

MADRS is a clinician-administered rating scale that assesses the overall severity of depressive symptoms. The MADRS had a 10-item checklist (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts). Items are scored from 0 to 6, and the total score ranges from 0 to 60, higher scores indicating more severity. Change from baseline: mean score at observation minus mean score at baseline. Evaluation was performed at Week 4, 8, 12, 16, 24, 36, and 52. (NCT02958527)
Timeframe: 12 weeks from the start date ( up until 52 weeks)

InterventionUnit on a scale (Mean)
Week 4 (n=298)Week 8 (n=175)Week 12 (n=501)Week 16 (n=173)Week 24 (n=93)Week 36 (n=81)Week 52 (n=414)
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride)-7.5-11.6-15.4-15.0-13.9-15.7-19.6

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Change From Baseline in the 17-item Hamilton Rating Scale for Depression (HAM-D17) Total Scores at Pre-specified Evaluation Points

HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with depression (symptoms such as depressed mood, work and activities, sleep, suicide, psychomotor agitation/retardation, appetite, sexual interest, anxiety, and somatic symptoms). The items of the HAM-D17 are rated on a scale of 0 to 2 (8 items) or from 0 to 4 (9 items), and the total score ranges from 0 to 52, higher scores indicating more severity. Change from baseline: mean score at observation minus mean score at baseline. Evaluation was performed at Week 4, 8, 12, 16, 24, 36, and 52. (NCT02958527)
Timeframe: 12 weeks from the start date ( up until 52 weeks)

InterventionUnit on a scale (Mean)
Week 4 (n=468)Week 8 (n=290)Week 12 (n=667)Week 16 (n=233)Week 24 (n=124)Week 36 (n=116)Week 52 (n=527)
EFFEXOR SR CAPSULES (Venlafaxine Hydrochloride)-6.0-9.1-12.3-11.2-12.0-12.2-15.2

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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 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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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 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 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 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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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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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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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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A Change of Outcome Measure:the Chinese Version of Western Aphasia Battery(WAB)

The main outcome measure for this scale is Aphasia Quotient(AQ) which mainly tests the ability of spontaneous speech, oral comprehension, repetition, and naming, and reflects the severity of aphasia, and can be used as a reliable indicator to evaluate the improvement and deterioration of aphasia. Score fluctuation is 0-100 points, the normal value is 98.4-100 points, AQ<93.8 can be judged as language dysfunction. (NCT03588572)
Timeframe: This is an outcome measure to assess the improvement of language function from onset to 3 months after treatment. Thus, participates will undergo this assessment on the first days (V1), 28±3 days (V2), and 90±3 days (V3) after randomization.

,
Interventionscore on a scale (Mean)
Visitation 1Visitation 2Visitation 3
Controlled Group78.6083.5188.55
Venlafaxine Group78.1688.2494.23

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Follow-up Measurement: Hamilton Anxiety Rating Scale (HAMA)

The Hamilton Anxiety Rating Scale (HAMA) is a widely used and well-validated tool for measuring the severity of a patient's anxiety. The HAMA is composed of 14 items and takes 15-20 minutes to complete the interview and score the results. Each item is scored on a 5-point scale, ranging from 0=not present to 4=severe.HAMA Scoring Instructions:0-8=Normal, 8-13= Possible Anxiety, 14-17 = Mild Anxiety, 18-24 = Moderate Anxiety, 25-30 = Severe Anxiety(i.e.,the higher the score, the greater the likelihood of anxiety). (NCT03588572)
Timeframe: We must determine that the participant is not in anxiety at each follow-up. Thus, participates will undergo this assessment on the first days (V1), 28±3 days (V2), and 90±3 days (V3) after randomization.

,
Interventionscore on a scale (Mean)
Visitation 1Visitation 2Visitation 3
Controlled Group4.634.003.25
Venlafaxine Group4.884.133.56

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Follow-up Measurement: Hamilton Depression Rating Scale (HAMD)

The Hamilton Depression Rating Scale (HAMD) has proven useful for many years as a way of determining a patient's level of depression before, during, and after treatment. It generally takes 15-20 minutes to complete the interview and score the results. Eight items are scored on a 5-point scale, ranging from 0 = not present to 4 = severe. Nine items are scored from 0-2. HAMD Scoring Instructions:0-7=Normal, 8-13 = Mild Depression, 14-18 = Moderate Depression, 19-22 = Severe Depression, ≥ 23 = Very Severe Depression(i.e.,Minimum 0 points and maximum 50 points, the higher the score, the greater the likelihood of depression). (NCT03588572)
Timeframe: We must determine that the participant is not in depression at each follow-up. Thus, participates will undergo this assessment on the first days (V1), 28±3 days (V2), and 90±3 days (V3) after randomization.

,
Interventionscore on a scale (Mean)
Visitation 1Visitation 2Visitation 3
Controlled Group5.254.633.88
Venlafaxine Group5.634.944.06

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A Change of Outcome Measure:Spontaneous Language Frequency Test(SLFT)

This test mainly assesses spontaneous speech fluency of participants.It requires participants name as many food names as possible within one minute, and each correct one to give one point.The higher the score, the better the language function. (NCT03588572)
Timeframe: This is an outcome measure to assess the improvement of language function from onset to 3 months after treatment. Thus, participates will undergo this assessment on the first days (V1), 28±3 days (V2), and 90±3 days (V3) after randomization.

,
Interventionscore on a scale (Mean)
Visitation 1Visitation 2Visitation 3
Controlled Group5.758.1310.81
Venlafaxine Group5.319.3112.69

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Follow-up Measurement: Mini-Mental State Examination (MMSE)

The Mini-Mental State Examination (MMSE) is a 30-point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. Administration of the test takes between 5 and 10 minutes. The MMSE test includes simple questions and problems in a number of areas: the time and place of the test, repeating lists of words, arithmetic such as the serial sevens, language use and comprehension, and basic motor skills. Any score greater than or equal to 24 points (out of 30) indicates a normal cognition. Below this, scores can indicate severe (≤9 points), moderate (10-18 points) or mild (19-23 points) cognitive impairment.The raw score may also need to be corrected for educational attainment and age. (NCT03588572)
Timeframe: We must determine that the participant is not in moderate or more cognitive impairment at each follow-up. Thus, participates will undergo this assessment on the first days (V1), 28±3 days (V2), and 90±3 days (V3) after randomization.

,
Interventionscore on a scale (Mean)
Visitation 1Visitation 2Visitation 3
Controlled Group23.8825.0026.19
Venlafaxine Group23.8125.3826.38

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A Change of Outcome Measure:Picture Naming Test(PNT)

This test mainly assesses the ability of picture name of participants.we used a program for displaying named pictures on a computer screen (60 photos in total, of which 20 were Chinese celebrity faces). Each image was displayed in 3 seconds, and 1 point was correctly named for an image.The faces of celebrities were selected from the picture database of Chinese celebrities in the State Key Laboratory of Cognitive Neuroscience and Learning at Beijing Normal University.Score fluctuation is 0-60 points, the higher the score, the better the ability of picture name. (NCT03588572)
Timeframe: This is an outcome measure to assess the improvement of language function from onset to 3 months after treatment. Thus, participates will undergo this assessment on the first days (V1), 28±3 days (V2), and 90±3 days (V3) after randomization.

,
Interventionscore on a scale (Mean)
Visitation 1Visitation 2Visitation 3
Controlled Group38.3143.3148.31
Venlafaxine Group39.1946.7552.25

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