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vortioxetine

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Description

Vortioxetine: A piperazine derivative that acts as a serotonin reuptake inhibitor, as a 5-HT3 receptor antagonist, and 5-HT1A receptor agonist. It is used for the treatment of anxiety and depression. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

vortioxetine : An N-arylpiperazine in which the aryl group is specified as 2-[(2,4-dimethylphenyl)sulfanyl]phenyl. Used (as its hydrobromide salt) for treatment of major depressive disorder. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID9966051
CHEMBL ID2104993
CHEBI ID76016
SCHEMBL ID236115
MeSH IDM0586839

Synonyms (62)

Synonym
1-[2-(2,4-dimethylphenyl)sulfanylphenyl]piperazine
vortioxetine (usan)
D10184
508233-74-7
piperazine, 1-[2-[(2,4-dimethylphenyl)thio]phenyl]-
lu aa21004
3o2k1s3wqv ,
unii-3o2k1s3wqv
1-(2-((2,4-dimethylphenyl)sulfanyl)phenyl}piperazine
vortioxetine [usan:inn]
vortioxetine
piperazine, 1-(2-((2,4-dimethylphenyl)thio)phenyl)-
hsdb 8250
AKOS016008748
bdbm50400902
FT-0686961
vortioxetine [usan]
vortioxetine [inn]
vortioxetine [who-dd]
vortioxetine [mi]
vortioxetine [vandf]
chebi:76016 ,
CHEMBL2104993
lu-aa21004
luaa21004
S5506
vortioxetinum
vortioxetina
1-{2-[(2,4-dimethylphenyl)sulfanyl]phenyl}piperazine
gtpl7351
SCHEMBL236115
HY-15414
CS-1471
1-(2-(2,4-dimethylphenylsulfanyl)phenyl)piperazine
1-[2-(2,4-dimethylphenylsulfanyl)-phenyl]piperazine
1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine
1-[2-(2,4-dimethyl-phenylsulfanyl)-phenyl]-piperazine
YQNWZWMKLDQSAC-UHFFFAOYSA-N
vortioxetine, lu aa21004
GG-0052
1-(2-((2,4-dimethylphenyl)thio)phenyl)piperazine
AC-27648
DB09068
CCG-229998
lu aa 21004
piperazine, 1-[2-[(2,4-dimethylphenyl)thio]phenyl]-; 1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine; lu aa 21004; vortioxetine
vortioxetine (lu aa21004)
BCP05996
lu aa 21004 pound>>luaa21004 pound>> lu-aa21004 pound>> lu aa21004 pound>> aa21004
Q3563148
508233-74-7 (free base)
vortioxetine free base
SB16506
AR-270/43507985
HMS3886M08
AMY38899
DTXSID80965062
NCGC00386237-08
A853366
EN300-746942
n06ax26
ps37 - vortioxetine

Research Excerpts

Overview

Vortioxetine is a novel multimodal antidepressant for the treatment of major depressive disorders and is widely used in clinical practice. It is a serotoninergic multi-target antidepressant, approved to treat major depressive disorder, and carries out its behavioral, pharmacological, and physiological effects through the blocking of serotonin 5-HT.

ExcerptReferenceRelevance
"Vortioxetine is a multimodal-acting antidepressant that provides improvements on cognitive function aside from antidepressants and anxiolytic effects. "( Vortioxetine in major depressive disorder: from mechanisms of action to clinical studies. An updated review.
Crespo, JM; De Diego-Adeliño, J; Gutiérrez-Rojas, L; Iborra, P; Mora, F; Neyra, A; Salonia, SF, 2022
)
3.61
"Vortioxetine is a novel multimodal antidepressant for the treatment of major depressive disorders and is widely used in clinical practice. "( Vortioxetine-Induced Amenorrhea: A Case Report.
Işik, M; Kurhan, F; Özdemir, PG; Ülkevan, T,
)
3.02
"Vortioxetine (VOR) is a new antidepressant drug used to treat major depressive disorder. "( Development of the Validated Stability-Indicating Method for the Determination of Vortioxetine in Bulk and Pharmaceutical Formulation by HPLC-DAD, Stress Degradation Kinetics Studies and Detection of Degradation Products by LC-ESI-QTOF-MS.
Buszewski, B; Janiszewska, D; Petruczynik, A; Szultka-Młyńska, M; Wróblewski, K, 2022
)
2.39
"Vortioxetine is a new antidepressant with multipharmacologic actions that elevate the concentration of serotonin and modulate multiple neurotransmitter receptors in the brain."( Effect of Vortioxetine on Cognitive Impairment in Patients With Major Depressive Disorder: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
Chang, TS; Chen, C; Huang, IC; Sung, JY, 2022
)
1.85
"Vortioxetine is a serotoninergic multi-target antidepressant, approved to treat major depressive disorder, and carries out its behavioral, pharmacological, and physiological effects through the blocking of serotonin 5-HT"( Vortioxetine treatment decreases cocaine-induced locomotor sensitization in rats.
Barbosa-Méndez, S; Perez-Sánchez, G; Salazar-Juárez, A, 2022
)
3.61
"Vortioxetine is a new antidepressant drug with multimodal action, which gives it a unique profile."( Role of vortioxetine in the treatment of neuropathic pain.
Alcántara Montero, A; Pacheco de Vasconcelos, SR, 2022
)
1.88
"Vortioxetine is an antidepressant recently licensed in USA and EU for the treatment of major depressive disorder. "( Development and validation of a LC-MS/MS method for analysis of vortioxetine in postmortem specimens. First data from an authentic case.
Barbera, N; Carnazza, G; Zuccarello, P, 2023
)
2.59
"Vortioxetine is a new multimodal antidepressant with 5-HT1A agonism, 5-HT1B partial agonism, 5-HT3, 5-HT7, and 5-HT1D antagonism, and serotonin reuptake inhibition."( Vortioxetine improved negative and cognitive symptoms of schizophrenia in subchronic MK-801 model in rats.
Bozkurt, NM; Unal, G, 2023
)
3.07
"Vortioxetine is an antidepressant recently licensed in the US and EU for the treatment of major depressive disorder. "( Lethal vortioxetine poisoning? A forensic investigation.
Arcifa, V; Barbera, N; Carnazza, G; Cosentino, S; Giorlandino, A; Zuccarello, P, 2023
)
2.81
"Vortioxetine is a monoaminergic drug with a novel multimodal mechanism of action. "( A 6-Month Open-Label Study of Vortioxetine among Cancer Patients with Major Depressive Disorder (MDD).
Abdul Taib, NIA; Abousheishaa, AA; Awaluddin, AB; Ismail, F; Loo, TH; Low, SY; Mohamad Kamal, NAB; Ng, CG; Nik Jaafar, NR; Thong, KS; Yacob, SB; Zainal, NZ; Zamaniah Wi, W, 2023
)
2.64
"Vortioxetine is a novel, multimodal antidepressant with unique targets, including the inhibition of the serotonin transporter (SET), of serotonin 5-HT"( Vortioxetine Subchronically Activates Serotonergic Transmission via Desensitization of Serotonin 5-HT
Fukuyama, K; Okada, M; Okubo, R, 2019
)
3.4
"Vortioxetine is a multimodal antidepressant, which has been proposed as a suitable treatment option for cognitive symptoms in depression."( Vortioxetine on Cognition in Schizophrenia: A Pilot Study.
Bruno, A; Cedro, C; Mento, C; Muscatello, MRA; Pandolfo, G; Santoro, V; Scala, L; Spina, E; Troili, GM; Zoccali, RA,
)
2.3
"Vortioxetine is a novel antidepressant whose safety, tolerability, and therapeutic action have been supported by several studies. "( Effectiveness, tolerability, and dropout rates of vortioxetine in comorbid depression: A naturalistic study.
Benatti, B; Bosi, MF; Colombo, A; De Carlo, V; Dell'Osso, B; Grancini, B; Viganò, CA; Vismara, M, 2020
)
2.25
"Vortioxetine is an antidepressant with a novel mechanism of action."( Tolerability and efficacy of vortioxetine versus SSRIs in elderly with major depression. Study protocol of the VESPA study: a pragmatic, multicentre, open-label, parallel-group, superiority, randomized trial.
Aguglia, A; Aguglia, E; Alessi, MC; Amaddeo, F; Amore, M; Barbato, A; Barbui, C; Bartoli, F; Biondi, M; Bortolaso, P; Callegari, C; Carrà, G; Caruso, R; Cavallotti, S; Crocamo, C; D'Agostino, A; D'Avanzo, B; De Fazio, P; Di Natale, C; Gastaldon, C; Giusti, L; Grassi, L; Martinotti, G; Monti, I; Nosé, M; Ostuzzi, G; Papola, D; Purgato, M; Rodolico, A; Roncone, R; Ruggeri, M; Tarsitani, L; Tettamanti, M; Turrini, G; Zanini, E, 2020
)
1.57
"Vortioxetine is a potent antagonist of the 5-hydroxytryptamine receptor and serotonin transporter and has been reported to function as an antidepressant in the treatment of major depressive disorder. "( Vortioxetine induces apoptosis and autophagy of gastric cancer AGS cells via the PI3K/AKT pathway.
Lv, GB; Sun, W; Wang, HK; Wang, TT; Zhao, LF; Zhu, HL, 2020
)
3.44
"Vortioxetine (VOR) is a multimodal antidepressant drug with pro-cognitive actions in animal models and MDD patients."( Sub-chronic vortioxetine (but not escitalopram) normalizes brain rhythm alterations and memory deficits induced by serotonin depletion in rats.
Artigas, F; Celada, P; Riga, MS; Sanchez, C, 2020
)
1.66
"Vortioxetine is a novel antidepressant drug for the treatment of major depressive disorders."( Vortioxetine increases absence-like seizures in WAG/Rij rats but decreases penicillin- and pentylenetetrazole-induced seizures in Wistar rats.
Aygun, H; Ayyildiz, M, 2021
)
2.79
"Vortioxetine (Vot) is an effective antidepressant with unique mechanisms exerting multi-target effects. "( Vortioxetine Derivatives with Amino Acid as Promoiety: Synthesis, Activity, Stability and Preliminary Pharmacokinetic Study.
Bi, X; Li, J; Li, X; Li, Y; Mo, X; Zhou, H; Zhu, X, 2021
)
3.51
"Vortioxetine is an antidepressant primarily metabolized by the polymorphic enzyme cytochrome P450 (CYP) 2D6. "( Validation of a Population Pharmacokinetic Model of Vortioxetine Using Therapeutic Drug Monitoring Data.
Areberg, J; Frederiksen, T; Molden, E; Smith, RL; Wollmann, BM, 2021
)
2.31
"Vortioxetine (VTX) is a multimodal antidepressant agent that balances 5-HT receptors and represses the serotonin transporter."( Vortioxetine mitigates neuronal damage by restricting PERK/eIF2α/ATF4/CHOP signaling pathway in rats subjected to focal cerebral ischemia-reperfusion.
Ahmed, NA; Emam, AM; Saad, MA; Zaki, HF, 2021
)
2.79
"Vortioxetine is a novel multimodal antidepressant that has improved cognitive function including executive function in depressed patients in randomised placebo-controlled clinical trials."( Vortioxetine reduces BOLD signal during performance of the N-back working memory task: a randomised neuroimaging trial in remitted depressed patients and healthy controls.
Browning, M; Buchbjerg, J; Christensen, SR; Conen, S; Dawson, GR; Deakin, JF; Goodwin, G; Harmer, CJ; Hawkins, P; Larsen, KG; Morris, R; Olsen, CK; Smallman, R; Smith, J, 2018
)
2.64
"Vortioxetine appears to be a valid option for patients with MDD who have not been effectively treated with first-line pharmacotherapies."( Comparative evaluation of vortioxetine as a switch therapy in patients with major depressive disorder.
Brignone, M; Danchenko, N; Diamand, F; Florea, I; Jacobsen, PL; Thase, ME; Vieta, E, 2017
)
1.48
"Vortioxetine is a novel multimodal antidepressant that possesses pro-cognitive properties and differentiates from other conventional antidepressants on various cognitive and plasticity measures."( Neuroplasticity pathways and protein-interaction networks are modulated by vortioxetine in rodents.
Abdourahman, A; du Jardin, KG; Elfving, B; Li, Y; Nygaard, SH; Pehrson, AL; Sánchez, C; Tamm, JA; Waller, JA; Wernersson, R, 2017
)
1.41
"Vortioxetine is a novel antidepressant with a unique profile, as it acts as a multimodal serotoninergic agent."( Vortioxetine: A new alternative for the treatment of major depressive disorder.
Grande, I; Salagre, E; Sanchez-Moreno, J; Solé, B; Vieta, E,
)
2.3
"Vortioxetine is an approved antidepressant that has also demonstrated positive effects on anxiety symptoms in subjects with generalized anxiety disorder (GAD). "( Efficacy of vortioxetine in working patients with generalized anxiety disorder.
Christensen, MC; Florea, I; Loft, H; McIntyre, RS, 2019
)
2.34
"Vortioxetine is a multimodal drug that blocks serotonin (5-HT) reuptake and directly modulates 5-HT receptors. "( Partial inhibition of catecholamine activity and enhanced responsiveness to NMDA after sustained administration of vortioxetine.
Blier, P; Ebrahimzadeh, M; El Mansari, M, 2018
)
2.13
"Vortioxetine is a multimodal antidepressant that has been developed for the treatment of major depressive and anxiety disorders. "( Vortioxetine Treatment for Anxiety Disorder: A Meta-Analysis Study.
Ng, CG; Seng, LH; Yee, A, 2018
)
3.37
"Vortioxetine is a novel antidepressant with multimodal activity currently approved for the treatment of major depressive disorder. "( Vortioxetine: Clinical Pharmacokinetics and Drug Interactions.
Areberg, J; Chen, G; Højer, AM; Nomikos, G, 2018
)
3.37
"Vortioxetine is a relatively new, multi-functional agent."( VORTIOXETINE - THE NEW ANTIDEPRESSANT AGENT WITH PROCOGNITIVE PROPERTIES.
Dziwota, E; Olajossy, M, 2016
)
2.6
"Vortioxetine is an antidepressant agent with multimodal activity that is approved for the treatment of major depressive disorder at doses of 5 to 20 mg once daily. "( Effects of Intrinsic Factors on the Clinical Pharmacokinetics of Vortioxetine.
Affinito, J; Chen, G; Jacobson, W; Nomikos, GG; Wang, S; Xie, J; Zhao, Z, 2018
)
2.16
"Vortioxetine is a new multimodal antidepressant approved by the Food and Drug Administration for the treatment of Major Depressive Disorder and recently introduced in Europe. "( Vortioxetine overdose in a suicidal attempt: A case report.
Botti, ER; Clerici, M; Mazza, MG; Rossetti, A, 2018
)
3.37
"Vortioxetine is a novel antidepressant capable of improving depressive and cognitive symptoms associated with major depressive disorder (MDD). "( Effects of vortioxetine and fluoxetine on the level of Brain Derived Neurotrophic Factors (BDNF) in the hippocampus of chronic unpredictable mild stress-induced depressive rats.
Ho, CS; Ho, RC; Lu, Y; McIntyre, RS; Wang, W, 2018
)
2.31
"Vortioxetine is a multimodal antidepressant that potently antagonizes 5-HT3 serotonin receptors, inhibits the high-affinity serotonin transporter, activates 5-HT1A and 5-HT1B receptors, and antagonizes 5-HT1D and 5-HT7 receptors. "( Multimodal antidepressant vortioxetine causes analgesia in a mouse model of chronic neuropathic pain.
Alemà, GS; Casolini, P; Dal Moro, F; Lattanzi, R; Maftei, D; Nicoletti, F; Zuena, AR,
)
1.87
"Vortioxetine is a multimodal antidepressant drug with combined effects on SERT as an inhibitor, 5-HT1A as agonist and 5-HT3A as an antagonist. "( QSAR Analysis of Multimodal Antidepressants Vortioxetine Analogs Using Physicochemical Descriptors and MLR Modeling.
Parthasarathy, S; Rajathei, DM; Selvaraj, S, 2019
)
2.22
"Vortioxetine is a novel antidepressant drug approved for the treatment of major depressive disorder (MDD) in adults. "( Vortioxetine: a novel antidepressant for the treatment of major depressive disorder.
Gonda, X; Sharma, SR; Tarazi, FI, 2019
)
3.4
"Vortioxetine is a novel multimodal antidepressant approved in 2013 by the Food and Drug Administration and the European Medicines Agency for the treatment of major depressive disorder (MDD). "( Chronic vortioxetine treatment improves the responsiveness to an acute stress acting through the ventral hippocampus in a glucocorticoid-dependent way.
Brivio, P; Calabrese, F; Corsini, G; Riva, MA, 2019
)
2.39
"Vortioxetine is a recently developed pharmacological agent with effects on the serotonergic but also other neurochemical systems, which has yet to be evaluated in this context."( A double-blind, placebo-controlled study of vortioxetine in the treatment of binge-eating disorder.
Cavic, E; Chamberlain, SR; Grant, JE; Redden, SA; Valle, S, 2019
)
1.5
"Vortioxetine is a multimodal antidepressant agent that modulates 5-HT receptors and inhibits the serotonin transporter. "( The effect of vortioxetine on penicillin-induced epileptiform activity in rats.
Beyazçiçek, E; Çetinkaya, A; Ögün, MN, 2019
)
2.32
"Vortioxetine (Lu AA21004) is a new potential substance for the treatment of anxiety and mood disorders. "( 5-HTT and 5-HT(1A) receptor occupancy of the novel substance vortioxetine (Lu AA21004). A PET study in control subjects.
Halldin, C; Lundberg, J; Stenkrona, P, 2013
)
2.07
"Vortioxetine (Lu AA21004) is an investigational novel antidepressant with multimodal activity that functions as a 5-HT3, 5-HT7 and 5-HT(1D) receptor antagonist, 5-HT(1B) receptor partial agonist, 5-HT(1A) receptor agonist and inhibitor of the 5-HT transporter in vitro. "( Antidepressant and anxiolytic potential of the multimodal antidepressant vortioxetine (Lu AA21004) assessed by behavioural and neurogenesis outcomes in mice.
David, DJ; Ebert, B; Gardier, AM; Guiard, BP; Guilloux, JP; Hen, R; Mendez-David, I; Miller, S; Orvoën, S; Pehrson, A; Repérant, C; Sanchez, C, 2013
)
2.06
"Vortioxetine is a multi-modal antidepressant that functions as a human 5-HT3A and 5-HT7 receptor antagonist, 5-HT1B receptor partial agonist, 5-HT1A receptor agonist, and inhibitor of the serotonin transporter. "( Vortioxetine for major depressive disorder: a systematic review of the efficacy and safety profile for this newly approved antidepressant - what is the number needed to treat, number needed to harm and likelihood to be helped or harmed?
Citrome, L, 2014
)
3.29
"Vortioxetine is an orally administered small molecule developed by Lundbeck A/S for the once-daily treatment of major depressive disorder (MDD) and generalized anxiety disorder (GAD). "( Vortioxetine: first global approval.
Deeks, ED; Gibb, A, 2014
)
3.29
"Vortioxetine is a recently approved multimodal antidepressant with anxiolytic properties in preclinical studies."( A randomized, double-blind, fixed-dose study comparing the efficacy and tolerability of vortioxetine 2.5 and 10 mg in acute treatment of adults with generalized anxiety disorder.
Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M, 2014
)
2.07
"Vortioxetine is a novel multimodal antidepressant agent, which inhibits the 5-HT transporter protein, acts as a 5-HT3 antagonist, 5-HT1A receptor agonist, 5-HT7 receptor antagonist, and a partial agonist of the 5-HT1B receptor. "( Vortioxetine for the treatment of depression.
Murphy, JA; Pearce, EF, 2014
)
3.29
"Vortioxetine is an effective agent for the treatment of MDD, but it does not have any clear advantages over other available treatment options."( Vortioxetine for the treatment of depression.
Murphy, JA; Pearce, EF, 2014
)
3.29
"Vortioxetine (Lu AA21004) is a new antidepressant that combines a number of neurotransmitter reuptake and receptor effects that have been thought to predict efficacy as a treatment for depressive and anxiety disorders."( Pharmacokinetic evaluation of vortioxetine for the treatment of major depressive disorder.
Dubovsky, SL, 2014
)
1.41
"Vortioxetine is a new multi-modal drug against major depressive disorder with high affinity for a range of different serotonergic targets in the CNS. "( (11)C-labeling and preliminary evaluation of vortioxetine as a PET radioligand.
Andersen, VL; Hansen, HD; Herth, MM; Knudsen, GM; Kristensen, JL, 2014
)
2.1
"Vortioxetine is a 5-HT3 , 5-HT7 , and 5-HT1D receptor antagonist, 5-HT1B partial agonist, 5-HT1A agonist, and 5-HT transporter inhibitor."( Multimodal antidepressant vortioxetine increases frontal cortical oscillations unlike escitalopram and duloxetine--a quantitative EEG study in rats.
Leiser, SC; Pehrson, AL; Robichaud, PJ; Sanchez, C, 2014
)
1.42
"Vortioxetine is an antidepressant with multimodal activity which has shown efficacy in major depressive disorder (MDD) patients in six of ten short-term, randomized, placebo-controlled trials (completed end 2012)."( Relative efficacy and tolerability of vortioxetine versus selected antidepressants by indirect comparisons of similar clinical studies.
Brignone, M; Ereshefsky, L; Francois, C; Lançon, C; Llorca, PM; Rive, B; Salah, S, 2014
)
2.12
"Vortioxetine is a novel multimodal compound that has recently been approved by the FDA for the treatment of major depressive disorder (MDD). "( Vortioxetine in the treatment of adult patients with major depressive disorder: a meta-analysis of randomized double-blind controlled trials.
Barker, A; Berhan, A, 2014
)
3.29
"Vortioxetine is an agonist of 5-HT1A, a partial agonist of 5-HT1B and an antagonist of 5-HT1D, 5-HT3 and 5-HT7 serotoninergic receptors."( The efficacy of vortioxetine for the treatment of major depressive disorder.
Dhir, A; Sarvaiya, J, 2014
)
1.47
"Vortioxetine is a multimodal antidepressant that inhibits 5-HT1D, 5-HT3, 5-HT7 receptor activity, 5-HT reuptake, and enhances the activity of 5-HT1A and 5-HT1B receptors."( Involvement of 5-HT₇ receptors in vortioxetine's modulation of circadian rhythms and episodic memory in rodents.
Dkhissi-Benyahya, O; Haddjeri, N; Sánchez, C; Westrich, L, 2015
)
1.42
"Vortioxetine is a multimodal acting antidepressant that functions as a 5-HT3 and 5-HT7 and 5-HT1D receptor antagonist, 5-HT1B receptor partial agonist, 5-HT1A receptor agonist and inhibitor of the 5-HT transporter."( Effect of the multimodal acting antidepressant vortioxetine on rat hippocampal plasticity and recognition memory.
Bétry, C; Etiévant, A; Haddjeri, N; Pehrson, A; Sánchez, C, 2015
)
1.4
"Vortioxetine is a new treatment for MDD, and its adverse event profile is similar to that of other SSRIs."( The US Food and Drug Administration's perspective on the new antidepressant vortioxetine.
Dow, A; Fossom, L; Jackson, AJ; Kordzakhia, G; Mathis, MV; Patel, H; Sellers, JW; Temple, RJ; Unger, EF; Yang, P; Zhang, J; Zhu, H, 2015
)
2.09
"Vortioxetine is an antidepressant with multimodal activity approved for the treatment of major depressive disorder. "( Lack of effect of multiple doses of vortioxetine on the pharmacokinetics and pharmacodynamics of aspirin and warfarin.
Chen, G; Serenko, M; Zhang, W, 2015
)
2.13
"Vortioxetine is a novel multimodal antidepressant that is a 5-HT1B receptor partial agonist, a 5-HT1A receptor agonist, an inhibitor of the serotonin (5-HT) transporter, and a 5-HT1D, 5-HT3, and 5-HT7 receptor antagonist in vitro. "( Effects of acute and sustained administration of vortioxetine on the serotonin system in the hippocampus: electrophysiological studies in the rat brain.
Blier, P; El Mansari, M; Lecours, M, 2015
)
2.11
"Vortioxetine is a novel antidepressant with a unique mechanism of action: it acts through the serotonine reuptake inhibition, but works also as 5HT(1A) agonist, as well as partial agonist of the 5HT(1B) receptor and antagonist of the 5HT(1D), 5HT(3) and 5HT(7) receptors."( [Cognitive dysfunctions in depression - underestimated symptom or new dimension?].
Czernikiewicz, A; Dudek, D; Jarema, M,
)
0.85
"Vortioxetine is an antidepressant that targets multiple pharmacologic modes of action at sites--or nodes--where serotonergic neurons connect to various brain circuits. "( Modes and nodes explain the mechanism of action of vortioxetine, a multimodal agent (MMA): enhancing serotonin release by combining serotonin (5HT) transporter inhibition with actions at 5HT receptors (5HT1A, 5HT1B, 5HT1D, 5HT7 receptors).
Stahl, SM, 2015
)
2.11
"Vortioxetine is a serotonin reuptake inhibitor with additional serotonergic receptor effects of uncertain significance; hence, its classification as 'multimodal'. "( Vortioxetine: A multimodal antidepressant or another selective serotonin reuptake inhibitor?
Culhane, C; Hope, J; Keks, NA, 2015
)
3.3
"Vortioxetine is a pharmacodynamically novel antidepressant that exerts effects on various neurotransmitters including serotonin, noradrenaline, dopamine, glutamate, histamine and acetylcholine. "( Vortioxetine : a review of efficacy, safety and tolerability with a focus on cognitive symptoms in major depressive disorder.
Al-Sukhni, M; Maruschak, NA; McIntyre, RS, 2015
)
3.3
"Vortioxetine (Lu AA21004) is an antidepressant with a mechanism of action thought to be related to a combination of 2 pharmacologic actions: direct modulation of several receptors and inhibition of the serotonin transporter."( A randomized, double-blind, placebo-controlled study of the efficacy and safety of vortioxetine 10 mg and 20 mg in adults with major depressive disorder.
Chan, S; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M; Trivedi, MH, 2015
)
2.08
"Vortioxetine is an antidepressant with multiple pharmacologic modes of action at targets where serotonin neurons connect with other neurons. "( Modes and nodes explain the mechanism of action of vortioxetine, a multimodal agent (MMA): modifying serotonin's downstream effects on glutamate and GABA (gamma amino butyric acid) release.
Stahl, SM, 2015
)
2.11
"Vortioxetine is an antidepressant with multiple pharmacologic modes of action that enhance release of dopamine, norepinephrine, acetylcholine, and histamine. "( Modes and nodes explain the mechanism of action of vortioxetine, a multimodal agent (MMA): actions at serotonin receptors may enhance downstream release of four pro-cognitive neurotransmitters.
Stahl, SM, 2015
)
2.11
"Vortioxetine is an antidepressant with multiple pharmacologic modes of action at targets where serotonin neurons connect with other neurons. "( Modes and nodes explain the mechanism of action of vortioxetine, a multimodal agent (MMA): blocking 5HT3 receptors enhances release of serotonin, norepinephrine, and acetylcholine.
Stahl, SM, 2015
)
2.11
"Vortioxetine is a new antidepressant, which mechanism of action is multimodal, targeting the 5-HT1A, 5-HT1B, 5-HT1D, 5-HT3, 5-HT7 receptors and the serotonin transporter (5-HTT). "( [Vortioxetine: a new antidepressant to treat depressive episodes].
Colle, R; Corruble, E, 2016
)
2.79
"Vortioxetine is a novel antidepressant that has been developed in a joint partnership between H. "( Quantitative determination of the antidepressant vortioxetine and its major human metabolite in plasma.
Jørgensen, M; Kall, MA; Rohde, M, 2015
)
2.11
"Vortioxetine is a well tolerated treatment, showing statistically lower withdrawal rates due to AEs compared with other antidepressants."( Efficacy and tolerability of switching therapy to vortioxetine versus other antidepressants in patients with major depressive disorder.
Brignone, M; Diamand, F; Painchault, C; Takyar, S, 2016
)
1.41
"Vortioxetine is a structurally novel medication that has recently been approved for treatment of major depressive disorder (MDD). "( Vortioxetine: a New Treatment for Major Depressive Disorder.
Connolly, KR; Thase, ME, 2016
)
3.32
"Vortioxetine is a novel multimodal antidepressant that acts as a serotonin (5-HT)3, 5-HT7, and 5-HT1D receptor antagonist; 5-HT1B receptor partial agonist; 5-HT1A receptor agonist; and 5-HT transporter inhibitor in vitro. "( Histamine may contribute to vortioxetine's procognitive effects; possibly through an orexigenic mechanism.
Budac, DP; Li, Y; Pehrson, AL; Sánchez, C; Smagin, GN; Song, D; Waller, JA, 2016
)
2.17
"Vortioxetine (VRX) is a multimodal antidepressant with a unique mechanism of action, by acting as 5-HT3A, 5-HT1D and 5-HT7 receptor antagonist, partial agonist at the 5-HT1A and 5-HT1B receptors and inhibitor at the 5-HT transporter."( New advances in the treatment of generalized anxiety disorder: the multimodal antidepressant vortioxetine.
Buonaguro, EF; de Bartolomeis, A; De Berardis, D; Di Giannantonio, M; Fiengo, A; Fornaro, M; Iasevoli, F; Martinotti, G; Mazza, M; Orsolini, L; Perna, G; Tomasetti, C; Valchera, A; Vecchiotti, R; Vellante, F, 2016
)
1.38
"Vortioxetine is a multimodal-acting antidepressant that exert its therapeutic activity through serotonin (5-hydroxytryptamine; 5-HT) reuptake inhibition and modulation of several 5-HT receptors."( A single dose of vortioxetine, but not ketamine or fluoxetine, increases plasticity-related gene expression in the rat frontal cortex.
du Jardin, KG; Elfving, B; Müller, HK; Sanchez, C; Wegener, G, 2016
)
1.5
"Vortioxetine is a multimodal-acting antidepressant that is hypothesized to exert its therapeutic activity through 5-HT reuptake inhibition and modulation of several 5-HT receptors."( Differential interaction with the serotonin system by S-ketamine, vortioxetine, and fluoxetine in a genetic rat model of depression.
du Jardin, KG; Elfving, B; Liebenberg, N; Müller, HK; Sanchez, C; Wegener, G, 2016
)
1.39
"Vortioxetine is a recently introduced antidepressant with a multimodal mechanism of action."( A prospective, longitudinal study of platelet serotonin and plasma brain-derived neurotrophic factor concentrations in major depression: effects of vortioxetine treatment.
Kusevic, Z; Maravic, A; Mihaljevic Peles, A; Nikolac Perkovic, M; Pivac, N; Sagud, M; Svob Strac, D; Vuksan-Cusa, B; Zivkovic, M, 2016
)
1.36
"Vortioxetine is a multimodal antidepressant that may improve some aspects of cognitive function in patients with MDD, including attention, processing speed, executive function, and memory."( Task- and Treatment Length-Dependent Effects of Vortioxetine on Scopolamine-Induced Cognitive Dysfunction and Hippocampal Extracellular Acetylcholine in Rats.
Budac, D; Cajina, M; Haddjeri, N; Hillhouse, TM; Mørk, A; Pehrson, AL; Porter, JH; Rovera, R; Sanchez, C; Smagin, G; Song, D, 2016
)
1.41
"Vortioxetine (VRX) is a multimodal antidepressant that acts as serotonin (5HT) transporter inhibitor as well as 5HT3A and 5HT7 receptors antagonist, 5HT1A and 5HT1B receptors partial agonist. "( Current and Future Perspectives on the Major Depressive Disorder: Focus on the New Multimodal Antidepressant Vortioxetine.
Buonaguro, EF; Carano, A; De Berardis, D; De Giannantonio, M; Di Bartolomeis, A; Di Nicola, M; Fiengo, ALC; Fornaro, M; Iasevoli, F; Martinotti, G; Matarazzo, I; Orsolini, L; Perna, G; Tomasetti, C; Valchera, A; Vecchiotti, R; Vellante, F, 2017
)
2.11
"Vortioxetine is a multi-modal antidepressant that functions both as serotonin transporter (SERT) inhibitor and as 5-HT3, 5-HT7 and 5-HT1D receptors antagonist, 5-HT1A receptor agonist and 5-HT1B receptor partial agonist."( [Vortioxetine in the treatment of major depression].
de Bartolomeis, A; Fagiolini, A; Maina, G,
)
1.76
"Vortioxetine is a multimodal antidepressant, with anxiolytic properties observed in preclinical studies. "( Vortioxetine (Lu AA21004) in generalized anxiety disorder: results of an 8-week, multinational, randomized, double-blind, placebo-controlled clinical trial.
Bidzan, L; Jacobsen, P; Mahableshwarkar, AR; Sheehan, DV; Yan, M, 2012
)
3.26
"Vortioxetine (Lu AA21004) is a multi-modal antidepressant in clinical development for the treatment of major depressive disorder (MDD). "( A randomized, double-blind, placebo-controlled 6-wk trial of the efficacy and tolerability of 5 mg vortioxetine in adults with major depressive disorder.
Chen, Y; Jacobsen, PL; Jain, R; Mahableshwarkar, AR; Thase, ME, 2013
)
2.05
"Vortioxetine (Lu AA21004) is an investigational antidepressant. "( A randomized, double-blind trial of 2.5 mg and 5 mg vortioxetine (Lu AA21004) versus placebo for 8 weeks in adults with major depressive disorder.
Chen, Y; Jacobsen, PL; Mahableshwarkar, AR, 2013
)
2.08

Effects

Vortioxetine has a positive effect on cognitive function in patients with major depressive disorder (MDD) It has a beneficial pharmacological profile for reducing anxiety and depression.

Vortioxetine has been reported to exhibit a variety of neurobiological functions and neuroprotective effects. It has been found to improve cognitive performance in several preclinical rat models and in patients with major depressive disorder.

ExcerptReferenceRelevance
"Vortioxetine has a positive effect on cognitive function in patients with major depressive disorder (MDD). "( Improved cognitive function in patients with major depressive disorder after treatment with vortioxetine: A EEG study.
Baik, SY; Kim, H; Kim, YW; Lee, SH, 2022
)
2.38
"Vortioxetine has a safe profile."( Vortioxetine-Induced Amenorrhea: A Case Report.
Işik, M; Kurhan, F; Özdemir, PG; Ülkevan, T,
)
2.3
"Vortioxetine has a unique "multi-modal" mechanism of action."( Vortioxetine for the treatment of major depression.
Dhir, A, 2013
)
2.55
"Vortioxetine has a beneficial pharmacological profile for reducing anxiety and depression. "( Vortioxetine, a multimodal antidepressant for generalized anxiety disorder: a systematic review and meta-analysis.
Han, C; Lee, SJ; Masand, PS; Pae, CU; Patkar, AA; Serretti, A; Wang, SM, 2015
)
3.3
"Vortioxetine has been found to be one of the most effective and best tolerated options for major depressive disorder (MDD) in head-to-head trials."( Vortioxetine in major depressive disorder: from mechanisms of action to clinical studies. An updated review.
Crespo, JM; De Diego-Adeliño, J; Gutiérrez-Rojas, L; Iborra, P; Mora, F; Neyra, A; Salonia, SF, 2022
)
2.89
"Vortioxetine has been reported to exhibit a variety of neurobiological functions and neuroprotective effects. "( Vortioxetine administration attenuates cognitive and synaptic deficits in 5×FAD mice.
Huang, GD; Jiang, LX; Su, F; Wang, H; Yu, X; Zhang, C, 2020
)
3.44
"Vortioxetine has been effective in various animal models of depression and anxiety and clinical studies have shown the antidepressant and antianxiety properties of vortioxetine in a dose range of 5-20 mg/day."( Vortioxetine for the treatment of major depression.
Dhir, A, 2013
)
2.55
"Vortioxetine has been shown to improve cognitive performance in several preclinical rat models and in patients with major depressive disorder."( Vortioxetine disinhibits pyramidal cell function and enhances synaptic plasticity in the rat hippocampus.
Dale, E; Leiser, SC; Lu, D; Plath, N; Sanchez, C; Xiao, Y; Yang, CR; Zhang, H, 2014
)
2.57
"Vortioxetine has been registered by regulatory authorities for the treatment of major depressive disorder."( Vortioxetine: A multimodal antidepressant or another selective serotonin reuptake inhibitor?
Culhane, C; Hope, J; Keks, NA, 2015
)
2.58

Actions

Vortioxetine had a lower risk of low adherence compared to duloxetine, paroxetines, and venlafaxine. It did not cause cognitive or psychomotor impairment.

ExcerptReferenceRelevance
"Vortioxetine had a lower risk of low adherence compared to duloxetine, paroxetine, and venlafaxine and a higher risk compared to citalopram, escitalopram, and sertraline."( Adherence to, and Persistence of, Antidepressant Therapy in Patients with Major Depressive Disorder: Results from a Population-based Study in Italy.
Cipelli, R; Dell'Osso, B; Di Nicola, M; Martinotti, G; Peduto, I; Pugliese, AC; Signorelli, MS; Ventriglio, A, 2023
)
1.63
"Vortioxetine did not cause cognitive or psychomotor impairment."( A randomized trial on the acute and steady-state effects of a new antidepressant, vortioxetine (Lu AA21004), on actual driving and cognition.
Højer, AM; Ramaekers, JG; Street, D; Theunissen, EL; van Oers, A; Vermeeren, A, 2013
)
1.34
"Vortioxetine displays an antidepressant and anxiolytic profile following repeated administration associated with increased neurogenesis at several stages."( Antidepressant and anxiolytic potential of the multimodal antidepressant vortioxetine (Lu AA21004) assessed by behavioural and neurogenesis outcomes in mice.
David, DJ; Ebert, B; Gardier, AM; Guiard, BP; Guilloux, JP; Hen, R; Mendez-David, I; Miller, S; Orvoën, S; Pehrson, A; Repérant, C; Sanchez, C, 2013
)
1.34

Treatment

Vortioxetine treatment improved cognitive function and induced changes in EEG (decreased theta power and increased beta power) in patients with MDD. VortioxETine treatment was well tolerated; common adverse events (incidence ≥ 5%) were nausea, headache, diarrhea, dry mouth and dizziness.

ExcerptReferenceRelevance
"Vortioxetine treatment improved cognitive function and induced changes in EEG (decreased theta power and increased beta power) in patients with MDD. "( Improved cognitive function in patients with major depressive disorder after treatment with vortioxetine: A EEG study.
Baik, SY; Kim, H; Kim, YW; Lee, SH, 2022
)
2.38
"Vortioxetine treatment significantly attenuated IGF-1 levels and improved all psychopathological, neuropsychological parameters."( Serum insulin-like growth factor-1 as a potential marker for MDD diagnosis, its clinical characteristics, and treatment efficacy validation: data from an open-label vortioxetine study.
Levada, OA; Pinchuk, IY; Troyan, AS, 2020
)
1.47
"Vortioxetine treatment was superior in simple attention efficiency."( Distinct association of plasma BDNF concentration and cognitive function in depressed patients treated with vortioxetine or escitalopram.
Dvojkovic, A; Jaksic, N; Kusevic, Z; Mihaljevic-Peles, A; Nikolac Perkovic, M; Pivac, N; Sagud, M; Vuksan-Cusa, B; Zivkovic, M, 2021
)
1.56
"Vortioxetine treatment was associated with significant improvement in cognitive function and a favorable safety profile in community-dwelling older adults with MCI."( Vortioxetine improves cognition in mild cognitive impairment.
Tan, C; Tan, SN, 2021
)
2.79
"Vortioxetine treatment was safe and well tolerated in both studies."( Randomized, 8-week, double-blind, placebo-controlled trial of vortioxetine in Japanese adults with major depressive disorder, followed by a 52-week open-label extension trial.
Inoue, T; Kitagawa, T; Nishimura, A; Sasai, K, 2018
)
1.44
"Both vortioxetine and placebo treatment were associated with significant reductions in binge-eating frequency. "( A double-blind, placebo-controlled study of vortioxetine in the treatment of binge-eating disorder.
Cavic, E; Chamberlain, SR; Grant, JE; Redden, SA; Valle, S, 2019
)
1.29
"Vortioxetine treatment was well tolerated; common adverse events (incidence ≥ 5%) were nausea, headache, diarrhea, dry mouth and dizziness."( Efficacy and safety of vortioxetine (Lu AA21004), 15 and 20 mg/day: a randomized, double-blind, placebo-controlled, duloxetine-referenced study in the acute treatment of adult patients with major depressive disorder.
Boulenger, JP; Loft, H; Olsen, CK, 2014
)
1.43
"Vortioxetine 2.5 and 10 mg treatment did not significantly improve generalized anxiety disorder symptoms versus placebo. "( A randomized, double-blind, fixed-dose study comparing the efficacy and tolerability of vortioxetine 2.5 and 10 mg in acute treatment of adults with generalized anxiety disorder.
Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M, 2014
)
2.07
"Vortioxetine is a new treatment for MDD, and its adverse event profile is similar to that of other SSRIs."( The US Food and Drug Administration's perspective on the new antidepressant vortioxetine.
Dow, A; Fossom, L; Jackson, AJ; Kordzakhia, G; Mathis, MV; Patel, H; Sellers, JW; Temple, RJ; Unger, EF; Yang, P; Zhang, J; Zhu, H, 2015
)
2.09
"Vortioxetine treatment was also associated with significantly higher rates of response and remission and with significant improvements in other depression-related scores versus placebo."( A meta-analysis of randomized, placebo-controlled trials of vortioxetine for the treatment of major depressive disorder in adults.
Dragheim, M; Loft, H; Mahableshwarkar, AR; Thase, ME; Vieta, E, 2016
)
1.4
"Vortioxetine treatment significantly (p < 0.0001; ω = 0.80) decreased platelet 5-HT concentration and significantly (p = 0.004; ω = 0.80) increased plasma BDNF concentration in depressed patients compared to their baseline values."( A prospective, longitudinal study of platelet serotonin and plasma brain-derived neurotrophic factor concentrations in major depression: effects of vortioxetine treatment.
Kusevic, Z; Maravic, A; Mihaljevic Peles, A; Nikolac Perkovic, M; Pivac, N; Sagud, M; Svob Strac, D; Vuksan-Cusa, B; Zivkovic, M, 2016
)
1.36
"Treatment with vortioxetine for 52 weeks was well tolerated, with no new safety signals identified."( Safety, tolerability, and efficacy of vortioxetine (Lu AA21004) in major depressive disorder: results of an open-label, flexible-dose, 52-week extension study.
Alam, MY; Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M, 2014
)
1.01
"Rats treated with vortioxetine 1h before training spent more time exploring the novel object in the novel object recognition test."( Vortioxetine (Lu AA21004), a novel multimodal antidepressant, enhances memory in rats.
Gulinello, M; Li, Y; Miller, S; Montezinho, LP; Mørk, A; Plath, N; Sanchez, C; Trippodi-Murphy, C, 2013
)
2.16

Toxicity

Vortioxetine was safe and well tolerated. The rate and pattern of adverse events were similar across the sub-groups with comorbidities. We believe that these results highlight the adverse effects of vortioxatine on non-target organisms.

ExcerptReferenceRelevance
" NNH for discontinuation because of an adverse event (AE) was 36 (95% CI 24-70)."( Vortioxetine for major depressive disorder: a systematic review of the efficacy and safety profile for this newly approved antidepressant - what is the number needed to treat, number needed to harm and likelihood to be helped or harmed?
Citrome, L, 2014
)
1.85
" Among the 834 evaluable study participants, treatment-emergent adverse events were reported in 70."( Safety, tolerability, and efficacy of vortioxetine (Lu AA21004) in major depressive disorder: results of an open-label, flexible-dose, 52-week extension study.
Alam, MY; Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M, 2014
)
0.67
" Vortioxetine treatment was well tolerated; common adverse events (incidence ≥ 5%) were nausea, headache, diarrhea, dry mouth and dizziness."( Efficacy and safety of vortioxetine (Lu AA21004), 15 and 20 mg/day: a randomized, double-blind, placebo-controlled, duloxetine-referenced study in the acute treatment of adult patients with major depressive disorder.
Boulenger, JP; Loft, H; Olsen, CK, 2014
)
1.62
" (2) The common adverse effects included nausea, dizziness, headache, dry mouth, and diarrhea."( The efficacy and safety of 5 mg/d Vortioxetine compared to placebo for major depressive disorder: A meta-analysis.
Chen, Y; Fu, J, 2015
)
0.7
" Current pharmaceutical treatment options are limited in their success by modest effects and adverse events that often lead to discontinuation."( A review of the clinical efficacy, safety and tolerability of the antidepressants vilazodone, levomilnacipran and vortioxetine.
Deardorff, WJ; Grossberg, GT, 2014
)
0.61
" The most common adverse events were nausea and vomiting which increased in frequency with higher doses."( The safety and efficacy of vortioxetine for acute treatment of major depressive disorder: a systematic review and meta-analysis.
Hartung, DM; Haxby, DG; Herink, MC; Meeker, AS, 2015
)
0.71
" Safety and tolerability were assessed on the basis of treatment-emergent adverse events (TEAEs), vital signs, laboratory values, physical examination, and the Columbia-Suicide Severity Rating Scale."( Safety and tolerability of vortioxetine (15 and 20 mg) in patients with major depressive disorder: results of an open-label, flexible-dose, 52-week extension study.
Chan, S; Chrones, L; Harper, L; Jacobsen, PL; Mahableshwarkar, AR, 2015
)
0.71
" Treatment was well tolerated, with the most frequently reported adverse events consisting of nausea, headache, diarrhea, and dizziness."( A randomized, double-blind, placebo-controlled study of the efficacy and safety of vortioxetine 10 mg and 20 mg in adults with major depressive disorder.
Chan, S; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M; Trivedi, MH, 2015
)
0.64
" Adverse events were recorded during the study, suicidal ideation and behavior were assessed using the Columbia-Suicide Severity Rating Scale (C-SSRS), and sexual dysfunction was assessed using the Arizona Sexual Experience (ASEX) scale."( A randomized, double-blind, placebo-controlled study of the efficacy and safety of 2 doses of vortioxetine in adults with major depressive disorder.
Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M; Trivedi, MH, 2015
)
0.64
" Discontinuation due to adverse events occurred in 7 subjects (4."( A randomized, double-blind, placebo-controlled study of the efficacy and safety of 2 doses of vortioxetine in adults with major depressive disorder.
Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Serenko, M; Trivedi, MH, 2015
)
0.64
" 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
)
0.72
" Adverse events (AEs), vital signs, ECG values, liver enzymes, and body weight were pooled from the same studies."( Efficacy, safety, and tolerability of vortioxetine for the treatment of major depressive disorder in patients aged 55 years or older.
Affinito, J; Nomikos, GG; Palo, W; Tomori, D; Zhong, W, 2017
)
0.73
" Most adverse events were mild in severity and consistent with those seen in adults."( Pharmacokinetics and Safety of Vortioxetine in Pediatric Patients.
Areberg, J; Auby, P; Chen, G; DelBello, M; Findling, RL; Huss, M; Lemming, OM; McNamara, N; Poulsen, LH; Robb, AS; Sarkis, E; Scheffer, R, 2017
)
0.74
" Adverse events were summarized."( Randomized, double-blind, placebo-controlled 8-week trial of the efficacy, safety, and tolerability of 5, 10, and 20 mg/day vortioxetine in adults with major depressive disorder.
Aritomi, Y; Kitagawa, T; Mahableshwarkar, AR; Nishimura, A; Sasai, K, 2018
)
0.69
" Vortioxetine was safe and well tolerated."( Randomized, double-blind, placebo-controlled 8-week trial of the efficacy, safety, and tolerability of 5, 10, and 20 mg/day vortioxetine in adults with major depressive disorder.
Aritomi, Y; Kitagawa, T; Mahableshwarkar, AR; Nishimura, A; Sasai, K, 2018
)
1.6
" The primary end points included pharmacokinetic parameters of vortioxetine and incidence of adverse events (AEs)."( Pharmacokinetics, Safety, and Tolerability of Vortioxetine Following Single- and Multiple-Dose Administration in Healthy Japanese Adults.
Aritomi, Y; Matsuno, K; Nakamura, K; Nishimura, A, 2018
)
0.98
" It facilitates early adverse drug reaction detection which enables health professionals to identify adverse events that may not have been identified in pre-marketing clinical trials."( Novel adverse events of vortioxetine: A disproportionality analysis in USFDA adverse event reporting system database.
Beulah, E; Maheswari, E; Singh, H; Subeesh, V, 2017
)
0.76
"The present study suggests that vortioxetine may result in these adverse events."( Novel adverse events of vortioxetine: A disproportionality analysis in USFDA adverse event reporting system database.
Beulah, E; Maheswari, E; Singh, H; Subeesh, V, 2017
)
1.05
" Although rates of overall adverse events and discontinuation due to adverse events were similar, RCTs reported several differences in specific adverse events."( Efficacy and safety of levomilnacipran, vilazodone and vortioxetine compared with other second-generation antidepressants for major depressive disorder in adults: A systematic review and network meta-analysis.
Gartlehner, G; Klerings, I; Schultes, MT; Teufer, B; Titscher, V; Wagner, G, 2018
)
0.73
" Moreover, there was no statistically significant difference regarding the remission rates, discontinuation for any reason rates, discontinuation due to adverse events rates, Short-Form 36 Health Survey scores or Sheehan Disability Scale scores between administration of multiple doses (2."( Vortioxetine treatment for generalised anxiety disorder: a meta-analysis of anxiety, quality of life and safety outcomes.
Chen, H; Gao, W; Huang, G; Qin, B; Yang, M; Yang, Q; Zhao, M, 2019
)
1.96
"Although our results suggest that vortioxetine did not improve the GAD symptoms, QoL and functional status impairment of patients with GAD, it was safe and well tolerated."( Vortioxetine treatment for generalised anxiety disorder: a meta-analysis of anxiety, quality of life and safety outcomes.
Chen, H; Gao, W; Huang, G; Qin, B; Yang, M; Yang, Q; Zhao, M, 2019
)
2.24
"The aim of this study was to explore the adverse event reporting pattern of vortioxetine through a cluster analysis."( Post-Marketing Safety Profile of Vortioxetine Using a Cluster Analysis and a Disproportionality Analysis of Global Adverse Event Reports.
Chandler, R; Ekhart, C; Meldau, EL; Norén, GN; Taavola, H; van Hunsel, F; van Puijenbroek, E, 2022
)
1.23
"Individual case safety reports for vortioxetine in VigiBase up to 1 November, 2019 were subjected to consensus clustering, to identify and describe natural groupings of reports based on their reported adverse events."( Post-Marketing Safety Profile of Vortioxetine Using a Cluster Analysis and a Disproportionality Analysis of Global Adverse Event Reports.
Chandler, R; Ekhart, C; Meldau, EL; Norén, GN; Taavola, H; van Hunsel, F; van Puijenbroek, E, 2022
)
1.28
" The two largest clusters included 48% of the vortioxetine reports and appeared to represent gastrointestinal adverse events and hypersensitivity adverse events."( Post-Marketing Safety Profile of Vortioxetine Using a Cluster Analysis and a Disproportionality Analysis of Global Adverse Event Reports.
Chandler, R; Ekhart, C; Meldau, EL; Norén, GN; Taavola, H; van Hunsel, F; van Puijenbroek, E, 2022
)
1.26
"A pattern of co-reported adverse events that is consistent with labelled adverse events for vortioxetine and the safety profile for selective serotonin reuptake inhibitors in general was revealed."( Post-Marketing Safety Profile of Vortioxetine Using a Cluster Analysis and a Disproportionality Analysis of Global Adverse Event Reports.
Chandler, R; Ekhart, C; Meldau, EL; Norén, GN; Taavola, H; van Hunsel, F; van Puijenbroek, E, 2022
)
1.22
" We believe that these results highlight the adverse effects of vortioxetine on non-target organisms and that further investigations will be required to provide a higher confidence."( Toxicity of waterborne vortioxetine, a new antidepressant, in non-target aquatic organisms: From wonder to concern drugs?
Hong, X; Zha, J; Zhang, L, 2022
)
1.27
" The rate and pattern of adverse events were similar across the sub-groups with comorbidities and was consistent with that expected for vortioxetine treatment."( Efficacy and safety of vortioxetine in treatment of patients with major depressive disorder and common co-morbid physical illness.
Baldwin, DS; Necking, O; Reines, EH; Ren, H; Schmidt, SN, 2022
)
1.23
" Vortioxetine was generally safe and well tolerated and without unexpected adverse events in these subpopulations, most of whom are taking multiple concomitant medications."( Efficacy and safety of vortioxetine in treatment of patients with major depressive disorder and common co-morbid physical illness.
Baldwin, DS; Necking, O; Reines, EH; Ren, H; Schmidt, SN, 2022
)
1.94
"Vortioxetine is effective, well tolerated, and safe for treating MDD in clinical practice, with significant improvements observed in depressive severity, cognitive function, and functioning."( Effectiveness and Safety of Vortioxetine for the Treatment of Major Depressive Disorder in the Real World: A Systematic Review and Meta-Analysis.
Chen, S; Hao, Y; He, L; Li, J; Li, M; Li, Z; Liu, S; Liu, T; Liu, Y; Peng, P; Wang, Q; Wang, X; Wang, Y; Wu, Q; Xu, H; Yang, Q, 2023
)
2.65

Pharmacokinetics

Concomitant administration of these agents with vortioxetine was generally well tolerated. No clinically relevant drug-drug pharmacokinetic or pharmacodynamic interactions identified.

ExcerptReferenceRelevance
" Standard pharmacokinetic parameters were estimated with non-compartmental analysis."( The clinical pharmacokinetics of Lu AA21004 and its major metabolite in healthy young volunteers.
Areberg, J; Højer, AM; Søgaard, B, 2012
)
0.38
" Clinical studies in healthy subjects were performed to evaluate potential pharmacokinetic interactions between vortioxetine (Lu AA21004) and co-administered agents, including fluconazole (cytochrome P450 [CYP] 2C9, CYP2C19 and CYP3A inhibitor), ketoconazole (CYP3A and P-glycoprotein inhibitor), rifampicin (CYP inducer), bupropion (CYP2D6 inhibitor and CYP2B6 substrate), ethinyl estradiol/levonorgestrel (CYP3A substrates) and omeprazole (CYP2C19 substrate and inhibitor)."( Pharmacokinetic drug interactions involving vortioxetine (Lu AA21004), a multimodal antidepressant.
Buchbjerg, JK; Chen, G; Højer, AM; Lee, R; Serenko, M; Zhao, Z, 2013
)
0.86
", area under the plasma concentration-time curve [AUC] and maximum plasma concentration [C max]) was used to assess pharmacokinetic interactions."( Pharmacokinetic drug interactions involving vortioxetine (Lu AA21004), a multimodal antidepressant.
Buchbjerg, JK; Chen, G; Højer, AM; Lee, R; Serenko, M; Zhao, Z, 2013
)
0.65
" The average elimination half-life was 65."( Population pharmacokinetic meta-analysis of vortioxetine in healthy individuals.
Areberg, J; Chen, G; Naik, H; Petersen, KB, 2014
)
0.66
" Vortioxetine had no effect on the steady-state pharmacokinetic parameters of aspirin or its metabolite salicylic acid, and no statistically significant effect on the inhibition of arachidonic acid-, adenosine-5'-diphosphate-, or collagen-induced platelet aggregation at any time points."( Lack of effect of multiple doses of vortioxetine on the pharmacokinetics and pharmacodynamics of aspirin and warfarin.
Chen, G; Serenko, M; Zhang, W, 2015
)
1.6
" The method has been successfully applied to a pharmacokinetic study of vortioxetine in rats for the first time, which provides the basis for the further development and application of vortioxetine."( An UPLC-MS/MS method for the quantitation of vortioxetine in rat plasma: Application to a pharmacokinetic study.
Gu, EM; Hu, G; Huang, C; Lan, T; Liang, B; Yuan, L; Zhou, H, 2015
)
0.91
" Polysomnography and blood sampling for pharmacokinetic analysis were performed on the pre-dose night and nights 1 and 3 of dosing in each period."( Differentiated effects of the multimodal antidepressant vortioxetine on sleep architecture: Part 1, a pharmacokinetic/pharmacodynamic comparison with paroxetine in healthy men.
Areberg, J; Buchberg, J; Højer, AM; Nutt, DJ; Wilson, S, 2015
)
0.66
" This analysis aimed to develop pharmacokinetic (PK) and PK/Efficacy models to evaluate the exposure-response relationship for vortioxetine in patients with MDD."( A Population Pharmacokinetic-Pharmacodynamic Meta-Analysis of Vortioxetine in Patients with Major Depressive Disorder.
Areberg, J; Chan, S; Chen, G; Loft, H; Mahableshwarkar, AR; Naik, H; Vakilynejad, M, 2016
)
0.88
"These studies evaluated whether there are pharmacokinetic and/or pharmacodynamic interactions between vortioxetine and ethanol, diazepam, or lithium."( Lack of Effect of Vortioxetine on the Pharmacokinetics and Pharmacodynamics of Ethanol, Diazepam, and Lithium.
Affinito, J; Chen, G; Nomikos, GG; Zhao, Z, 2016
)
0.98
" These two studies evaluated the effect of coadministration on standardized psychomotor parameters and on selected pharmacokinetic parameters of each drug."( Lack of Effect of Vortioxetine on the Pharmacokinetics and Pharmacodynamics of Ethanol, Diazepam, and Lithium.
Affinito, J; Chen, G; Nomikos, GG; Zhao, Z, 2016
)
0.77
"Concomitant administration of these agents with vortioxetine was generally well tolerated, with no clinically relevant drug-drug pharmacokinetic or pharmacodynamic interactions identified."( Lack of Effect of Vortioxetine on the Pharmacokinetics and Pharmacodynamics of Ethanol, Diazepam, and Lithium.
Affinito, J; Chen, G; Nomikos, GG; Zhao, Z, 2016
)
1.02
" The analytical method was successfully applied to a pharmacokinetic interaction study of vortioxetine and carvedilol after oral administration vortioxetine and carvedilol in rats."( Simultaneous quantification of vortioxetine, carvedilol and its active metabolite 4-hydroxyphenyl carvedilol in rat plasma by UPLC-MS/MS: Application to their pharmacokinetic interaction study.
Huang, Y; Li, T; Pan, Y; Shao, MM; Xu, ZS; Zheng, S, 2016
)
0.94
" The primary end points included pharmacokinetic parameters of vortioxetine and incidence of adverse events (AEs)."( Pharmacokinetics, Safety, and Tolerability of Vortioxetine Following Single- and Multiple-Dose Administration in Healthy Japanese Adults.
Aritomi, Y; Matsuno, K; Nakamura, K; Nishimura, A, 2018
)
0.98
" The pharmacokinetics of vortioxetine are linear and dose proportional, with a mean terminal half-life of approximately 66 h and steady-state plasma concentrations generally achieved within 2 weeks of dosing."( Vortioxetine: Clinical Pharmacokinetics and Drug Interactions.
Areberg, J; Chen, G; Højer, AM; Nomikos, G, 2018
)
2.23
" A series of single- and multiple-dose pharmacokinetic studies were performed to evaluate the impact of intrinsic (ie, subject-related) factors, such as age, sex, race, and renal and hepatic function, on the pharmacokinetics of vortioxetine."( Effects of Intrinsic Factors on the Clinical Pharmacokinetics of Vortioxetine.
Affinito, J; Chen, G; Jacobson, W; Nomikos, GG; Wang, S; Xie, J; Zhao, Z, 2018
)
0.9
" In addition, the method was successfully applied to a plasma pharmacokinetic study of JJH201501 tablets in healthy volunteers which was part of the phase I trial."( Simultaneous determination of deuterated vortioxetine and its major metabolite in human plasma by UPLC-MS/MS and application to a pharmacokinetic study in healthy volunteers.
Chen, X; Li, N; Lu, Y; Ren, G; Yi, Y; Zhao, D; Zheng, M, 2020
)
0.82
" The aim of this study was to quantify the in vivo CYP2D6 activity of different CYP2D6 alleles and genotypes through population pharmacokinetic (PopPK) modeling of vortioxetine and Lu AA34443."( Quantification of In Vivo Metabolic Activity of CYP2D6 Genotypes and Alleles Through Population Pharmacokinetic Analysis of Vortioxetine.
Areberg, J; Bjerregaard Stage, T; Brøsen, K; Frederiksen, T; Schmidt, E, 2021
)
1.02
" A population pharmacokinetic (popPK) model of vortioxetine and its CYP2D6-dependent metabolite was recently published."( Validation of a Population Pharmacokinetic Model of Vortioxetine Using Therapeutic Drug Monitoring Data.
Areberg, J; Frederiksen, T; Molden, E; Smith, RL; Wollmann, BM, 2021
)
1.13

Compound-Compound Interactions

ExcerptReferenceRelevance
"The identification and quantification of potential drug-drug interactions is important for avoiding or minimizing the interaction-induced adverse events associated with specific drug combinations."( Pharmacokinetic drug interactions involving vortioxetine (Lu AA21004), a multimodal antidepressant.
Buchbjerg, JK; Chen, G; Højer, AM; Lee, R; Serenko, M; Zhao, Z, 2013
)
0.65
" Like other antidepressants enhancing serotonergic activity, vortioxetine is associated with a potential risk of serotonin syndrome when used in combination with other serotonergic agents."( Drug interactions with vortioxetine, a new multimodal antidepressant.
Santoro, V; Spina, E,
)
0.68

Bioavailability

The pharmacokinetics of vortioxetine was best characterised by a two-compartment model with first-order absorption, lag-time and linear elimination, with interindividual error terms for absorption rate constant, oral clearance and central volume of distribution. The mean absolute oral bioavailability of vortsoxetine is 75%.

ExcerptReferenceRelevance
" The absolute bioavailability was 75%."( The clinical pharmacokinetics of Lu AA21004 and its major metabolite in healthy young volunteers.
Areberg, J; Højer, AM; Søgaard, B, 2012
)
0.38
" The pharmacokinetics of vortioxetine was best characterised by a two-compartment model with first-order absorption, lag-time and linear elimination, with interindividual error terms for absorption rate constant, oral clearance and central volume of distribution."( Population pharmacokinetic meta-analysis of vortioxetine in healthy individuals.
Areberg, J; Chen, G; Naik, H; Petersen, KB, 2014
)
0.97
" The mean absolute oral bioavailability of vortioxetine is 75%."( Vortioxetine: Clinical Pharmacokinetics and Drug Interactions.
Areberg, J; Chen, G; Højer, AM; Nomikos, G, 2018
)
2.19
" The results of our study provide conclusive in-vivo evidence that in mice vortioxetine's brain bioavailability is P-gp dependent, expanding previous findings on this topic."( abcb1ab p-glycoprotein is involved in the uptake of the novel antidepressant vortioxetine into the brain of mice.
Namendorf, C; Namendorf, T; Spieler, D; Uhr, M, 2019
)
0.97

Dosage Studied

Patients with a primary diagnosis of MDD and comorbid early-stage dementia received vortioxetine for 12 weeks. Rates of treatment-emergent sexual dysfunction (TESD) were similar to placebo. Dosing adjustments may be required when vortoxetine is coadministered with strong CYP2D6 inhibitors or broad-spectrum CYP inducers.

ExcerptRelevanceReference
" The metabolite was found in urine and plasma from humans and animals dosed with 1-[2-(2,4-dimethyl-phenylsulfanyl)-phenyl]-piperazine hydrobromide (Lu AA21004, 1), as a novel multimodal antidepressant under development for treatment of depression."( Biosynthesis and identification of an N-oxide/N-glucuronide metabolite and first synthesis of an N-O-glucuronide metabolite of Lu AA21004.
Dalgaard, L; Juhl, M; Pedersen, H; Uldam, HK, 2011
)
0.37
" The exposure of Lu AA21004 showed a linear relationship with dose in the dose ranges studied (up to 75-mg single dosing and 60-mg multiple dosing)."( The clinical pharmacokinetics of Lu AA21004 and its major metabolite in healthy young volunteers.
Areberg, J; Højer, AM; Søgaard, B, 2012
)
0.38
" Acute dosing of vortioxetine inhibited neuronal firing activity more potently than fluoxetine."( The rapid recovery of 5-HT cell firing induced by the antidepressant vortioxetine involves 5-HT(3) receptor antagonism.
Bétry, C; Ebert, B; Etiévant, A; Haddjeri, N; Pehrson, AL; Sánchez, C, 2013
)
0.96
" In this study 11 control subjects were examined with PET and [¹¹C]MADAM at baseline, after a single dose and after 9 days of dosing with Lu AA21004 (2."( 5-HTT and 5-HT(1A) receptor occupancy of the novel substance vortioxetine (Lu AA21004). A PET study in control subjects.
Halldin, C; Lundberg, J; Stenkrona, P, 2013
)
0.63
" Acute and repeated dosing of vortioxetine produced more pronounced anxiolytic- and antidepressant-like activities than fluoxetine."( Antidepressant and anxiolytic potential of the multimodal antidepressant vortioxetine (Lu AA21004) assessed by behavioural and neurogenesis outcomes in mice.
David, DJ; Ebert, B; Gardier, AM; Guiard, BP; Guilloux, JP; Hen, R; Mendez-David, I; Miller, S; Orvoën, S; Pehrson, A; Repérant, C; Sanchez, C, 2013
)
0.91
" Rats were acutely dosed with vortioxetine, ondansetron (5-HT3 receptor antagonist) or flesinoxan (5-HT1A receptor agonist)."( Vortioxetine dose-dependently reverses 5-HT depletion-induced deficits in spatial working and object recognition memory: a potential role for 5-HT1A receptor agonism and 5-HT3 receptor antagonism.
du Jardin, KG; Jensen, JB; Pehrson, AL; Sanchez, C, 2014
)
2.13
" Rates of treatment-emergent sexual dysfunction (TESD) in the vortioxetine dosing groups were similar to placebo."( A randomised, double-blind, placebo-controlled, duloxetine-referenced study of the efficacy and tolerability of vortioxetine in the acute treatment of adults with generalised anxiety disorder.
Chen, Y; Jacobsen, PL; Mahableshwarkar, AR; Simon, JS, 2014
)
0.85
" The applicant has agreed to conduct a US maintenance dose-response study covering the US-approved dose range."( The US Food and Drug Administration's perspective on the new antidepressant vortioxetine.
Dow, A; Fossom, L; Jackson, AJ; Kordzakhia, G; Mathis, MV; Patel, H; Sellers, JW; Temple, RJ; Unger, EF; Yang, P; Zhang, J; Zhu, H, 2015
)
0.65
"We compared the effect of vortioxetine, paroxetine and placebo after three days of dosing on sleep architecture."( Differentiated effects of the multimodal antidepressant vortioxetine on sleep architecture: Part 1, a pharmacokinetic/pharmacodynamic comparison with paroxetine in healthy men.
Areberg, J; Buchberg, J; Højer, AM; Nutt, DJ; Wilson, S, 2015
)
0.96
" On the other hand, dosage adjustments may be required when vortioxetine is coadministered with strong CYP2D6 inhibitors or broad-spectrum CYP inducers."( Drug interactions with vortioxetine, a new multimodal antidepressant.
Santoro, V; Spina, E,
)
0.68
" Rats were dosed for 1 and 4 weeks with vortioxetine and fluoxetine at doses relevant for antidepressant activity."( Vortioxetine promotes early changes in dendritic morphology compared to fluoxetine in rat hippocampus.
Chen, F; du Jardin, KG; Nyengaard, JR; Sanchez, C; Waller, JA; Wegener, G, 2016
)
2.14
" These data suggest that vortioxetine has some effects on memory that could be mediated through cholinergic neurotransmission, however these effects are modest and only seen under acute dosing conditions."( Task- and Treatment Length-Dependent Effects of Vortioxetine on Scopolamine-Induced Cognitive Dysfunction and Hippocampal Extracellular Acetylcholine in Rats.
Budac, D; Cajina, M; Haddjeri, N; Hillhouse, TM; Mørk, A; Pehrson, AL; Porter, JH; Rovera, R; Sanchez, C; Smagin, G; Song, D, 2016
)
0.99
"The primary objectives of this study were to evaluate the pharmacokinetics (PK) and tolerability of single and multiple doses of vortioxetine in children and adolescents with a depressive or anxiety disorder and to provide supportive information for appropriate dosing regimens for pediatric clinical trials."( Pharmacokinetics and Safety of Vortioxetine in Pediatric Patients.
Areberg, J; Auby, P; Chen, G; DelBello, M; Findling, RL; Huss, M; Lemming, OM; McNamara, N; Poulsen, LH; Robb, AS; Sarkis, E; Scheffer, R, 2017
)
0.95
"This OLE confirms the findings from the lead-in study, which concluded that a dosing strategy of 5-20 mg/day is safe, well tolerated, and suitable for future clinical studies of vortioxetine in pediatric patients."( A 6-Month Open-Label Extension Study of Vortioxetine in Pediatric Patients with Depressive or Anxiety Disorders.
Auby, P; Chen, G; DelBello, MP; Findling, RL; Huss, M; Lemming, OM; McNamara, NK; Poulsen, LH; Robb, AS; Sarkis, EH; Scheffer, RE, 2018
)
0.94
" In addition, increasing the dosage improved the efficacy of vortioxetine but worsened the tolerability."( Efficacy and tolerability of different doses of three new antidepressants for treating major depressive disorder: A PRISMA-compliant meta-analysis.
An, X; Fan, Y; Guo, L; He, H; Lyu, J; Ma, X; Wang, W; Zheng, J, 2018
)
0.72
"6 years) on stable clozapine treatment, assessed by neuropsychological (Wisconsin Card Sorting Test, Verbal Fluency, and Stroop task) and psychodiagnostic instruments (Positive and Negative Syndrome Scale [PANSS] and Calgary Depression Scale for Schizophrenia), received vortioxetine at the single daily dose of 10 mg/d until week 12; the dose was increased at 20 mg/d afterward, and this dosage was maintained unchanged until week 24."( Vortioxetine on Cognition in Schizophrenia: A Pilot Study.
Bruno, A; Cedro, C; Mento, C; Muscatello, MRA; Pandolfo, G; Santoro, V; Scala, L; Spina, E; Troili, GM; Zoccali, RA,
)
1.75
" The mean vortioxetine daily dosage was 12."( Effectiveness, tolerability, and dropout rates of vortioxetine in comorbid depression: A naturalistic study.
Benatti, B; Bosi, MF; Colombo, A; De Carlo, V; Dell'Osso, B; Grancini, B; Viganò, CA; Vismara, M, 2020
)
1.21
"We conducted a 12-week placebo-controlled, randomized clinical trial of vortioxetine (flexibly dosed from 10 to 20 mg/d) versus placebo in adults with PTSD."( Efficacy of Vortioxetine Monotherapy for Posttraumatic Stress Disorder: A Randomized, Placebo-Controlled Trial.
Barone, K; Dunlop, BW; Harvey, PD; Mletzko-Crowe, T; Nemeroff, CB; Newport, DJ; Rakofsky, JJ,
)
0.74
" After experiencing a major Covid-19-related personal trauma, patients showed clinical worsening which required dosage adjustment (20 mg/day vortioxetine; 600 mg/day trazodone, and 200 mg/day sertraline) and, for some of them, hospitalisation."( Differential Response to Three Antidepressants in Patients with Major Depressive Episode Who Suffered Covid-19-Related Trauma.
Amici, E; De Filippis, S; Di Giovanni, A; Giovanetti, V; Kotzalidis, GD; Lombardozzi, G; Matrone, M; Perrini, F; Trovini, G, 2022
)
0.92
" Vortioxetine starting dosage was 10 mg/day, with forced up-titration to 20 mg/day after 1 week."( Effectiveness of vortioxetine in patients with major depressive disorder comorbid with generalized anxiety disorder: Results of the RECONNECT study.
Christensen, MC; Grande, I; Schmidt, S, 2022
)
1.97
" Findings support increasing vortioxetine dosage to 20 mg/day early in the course of therapy, and show that this may be achieved without compromising tolerability."( Effectiveness of vortioxetine in patients with major depressive disorder comorbid with generalized anxiety disorder: Results of the RECONNECT study.
Christensen, MC; Grande, I; Schmidt, S, 2022
)
1.35
" This study assessed the real-world effectiveness of vortioxetine in patients with MDD, with particular focus on functioning; dose-response was also assessed."( Real-world effectiveness of vortioxetine in outpatients with major depressive disorder: functioning and dose effects.
Balta, G; Ettrup, A; Galanopoulos, A; Karavelas, E; Kontis, D; Markopoulou, M; Panagiotidis, P; Papalexi, E; Vlachos, T, 2022
)
1.26
" Analyses were stratified according to vortioxetine dosage at 3 months: 5-10 mg/day versus 15-20 mg/day."( Real-world effectiveness of vortioxetine in outpatients with major depressive disorder: functioning and dose effects.
Balta, G; Ettrup, A; Galanopoulos, A; Karavelas, E; Kontis, D; Markopoulou, M; Panagiotidis, P; Papalexi, E; Vlachos, T, 2022
)
1.28
" Vortioxetine has demonstrated efficacy in treating anxiety symptoms in patients with MDD; however, efficacy and tolerability have not been assessed across the entire approved dosage range."( Vortioxetine in patients with major depressive disorder and high levels of anxiety symptoms: An updated analysis of efficacy and tolerability.
Adair, M; Christensen, MC; Fagiolini, A; Florea, I; Loft, H, 2023
)
3.26
"The pooled analysis of fixed-dose studies demonstrated a clear dose-response relationship for vortioxetine 5-20 mg/day for improvements in MADRS, HAM-A, and SDS total scores."( Vortioxetine in patients with major depressive disorder and high levels of anxiety symptoms: An updated analysis of efficacy and tolerability.
Adair, M; Christensen, MC; Fagiolini, A; Florea, I; Loft, H, 2023
)
2.57
"Biorelevant dissolution tests of oral solid dosage forms open the gate to valid in vitro-in vivo predictions (IVIVP)."( Application of a novel PhysioCell apparatus for biopredictive dissolution tests of oral immediate release formulations - A case study workflow for in vitro-in vivo predictions.
Danielak, D; Dobosz, J; Garbacz, G; Hrem, O; Kątny, M; Paszkowska, J; Pieczuro, J; Puk, E; Renn-Hojan, M; Romanova, S; Romański, M; Roznerska, D; Schraube, M; Staniszewska, M; Szczepański, J, 2023
)
0.91
"Patients (n = 82) aged 55-85 years with a primary diagnosis of MDD (onset before age 55 years) and comorbid early-stage dementia (diagnosed ≥6 months before screening and after onset of MDD; Mini-Mental State Examination-2 total score, 20-24) received vortioxetine for 12 weeks (initiated at 5 mg/day and up-titrated to 10 mg/day at day 8, with flexible dosing thereafter [5-20 mg/day])."( Effectiveness of vortioxetine in patients with major depressive disorder and early-stage dementia: The MEMORY study.
Christensen, MC; Grande, I; Schmidt, SN, 2023
)
1.43
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (4)

RoleDescription
antidepressantAntidepressants are mood-stimulating drugs used primarily in the treatment of affective disorders and related conditions.
anxiolytic drugAnxiolytic drugs are agents that alleviate anxiety, tension, and anxiety disorders, promote sedation, and have a calming effect without affecting clarity of consciousness or neurologic conditions.
serotonergic agonistAn agent that has an affinity for serotonin receptors and is able to mimic the effects of serotonin by stimulating the physiologic activity at the cell receptors. Serotonin agonists are used as antidepressants, anxiolytics, and in the treatment of migraine disorders.
serotonergic antagonistDrugs that bind to but do not activate serotonin receptors, thereby blocking the actions of serotonin or serotonergic agonists.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (2)

ClassDescription
N-arylpiperazine
aryl sulfideAny organic sulfide in which the sulfur is attached to at least one aromatic group.
[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 (9)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
PPM1D proteinHomo sapiens (human)Potency26.21230.00529.466132.9993AID1347411
Interferon betaHomo sapiens (human)Potency26.21230.00339.158239.8107AID1347411
Spike glycoproteinSevere acute respiratory syndrome-related coronavirusPotency39.81070.009610.525035.4813AID1479145
[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)
5-hydroxytryptamine receptor 1AHomo sapiens (human)Ki0.01060.00010.532610.0000AID1368107; AID1403536; AID1610335; AID1611371; AID1916456
Sodium-dependent serotonin transporterHomo sapiens (human)Ki0.00160.00000.70488.1930AID1916458
Sodium-dependent serotonin transporterRattus norvegicus (Norway rat)IC50 (µMol)0.00290.00030.81978.4900AID1610339; AID1611373
5-hydroxytryptamine receptor 7Homo sapiens (human)Ki0.02460.00030.380610.0000AID1368108; AID1403538; AID1610337; AID1611372; AID1916461
Alpha-1A adrenergic receptorHomo sapiens (human)Ki0.02600.00000.272610.0000AID1403538
5-hydroxytryptamine receptor 3AHomo sapiens (human)Ki0.00370.00000.74119.9000AID1916457
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (114)

Processvia Protein(s)Taxonomy
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell activation involved in immune responseInterferon betaHomo sapiens (human)
cell surface receptor signaling pathwayInterferon betaHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to virusInterferon betaHomo sapiens (human)
positive regulation of autophagyInterferon betaHomo sapiens (human)
cytokine-mediated signaling pathwayInterferon betaHomo sapiens (human)
natural killer cell activationInterferon betaHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylation of STAT proteinInterferon betaHomo sapiens (human)
cellular response to interferon-betaInterferon betaHomo sapiens (human)
B cell proliferationInterferon betaHomo sapiens (human)
negative regulation of viral genome replicationInterferon betaHomo sapiens (human)
innate immune responseInterferon betaHomo sapiens (human)
positive regulation of innate immune responseInterferon betaHomo sapiens (human)
regulation of MHC class I biosynthetic processInterferon betaHomo sapiens (human)
negative regulation of T cell differentiationInterferon betaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIInterferon betaHomo sapiens (human)
defense response to virusInterferon betaHomo sapiens (human)
type I interferon-mediated signaling pathwayInterferon betaHomo sapiens (human)
neuron cellular homeostasisInterferon betaHomo sapiens (human)
cellular response to exogenous dsRNAInterferon betaHomo sapiens (human)
cellular response to virusInterferon betaHomo sapiens (human)
negative regulation of Lewy body formationInterferon betaHomo sapiens (human)
negative regulation of T-helper 2 cell cytokine productionInterferon betaHomo sapiens (human)
positive regulation of apoptotic signaling pathwayInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell differentiationInterferon betaHomo sapiens (human)
natural killer cell activation involved in immune responseInterferon betaHomo sapiens (human)
adaptive immune responseInterferon betaHomo sapiens (human)
T cell activation involved in immune responseInterferon betaHomo sapiens (human)
humoral immune responseInterferon betaHomo sapiens (human)
behavioral fear response5-hydroxytryptamine receptor 1AHomo sapiens (human)
G protein-coupled receptor signaling pathway5-hydroxytryptamine receptor 1AHomo sapiens (human)
adenylate cyclase-inhibiting serotonin receptor signaling pathway5-hydroxytryptamine receptor 1AHomo sapiens (human)
serotonin receptor signaling pathway5-hydroxytryptamine receptor 1AHomo sapiens (human)
gamma-aminobutyric acid signaling pathway5-hydroxytryptamine receptor 1AHomo sapiens (human)
positive regulation of cell population proliferation5-hydroxytryptamine receptor 1AHomo sapiens (human)
regulation of serotonin secretion5-hydroxytryptamine receptor 1AHomo sapiens (human)
regulation of vasoconstriction5-hydroxytryptamine receptor 1AHomo sapiens (human)
exploration behavior5-hydroxytryptamine receptor 1AHomo sapiens (human)
regulation of dopamine metabolic process5-hydroxytryptamine receptor 1AHomo sapiens (human)
serotonin metabolic process5-hydroxytryptamine receptor 1AHomo sapiens (human)
regulation of hormone secretion5-hydroxytryptamine receptor 1AHomo sapiens (human)
regulation of behavior5-hydroxytryptamine receptor 1AHomo sapiens (human)
chemical synaptic transmission5-hydroxytryptamine receptor 1AHomo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messenger5-hydroxytryptamine receptor 1AHomo 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)
smooth muscle contraction5-hydroxytryptamine receptor 7Homo sapiens (human)
circadian rhythm5-hydroxytryptamine receptor 7Homo sapiens (human)
blood circulation5-hydroxytryptamine receptor 7Homo sapiens (human)
vasoconstriction5-hydroxytryptamine receptor 7Homo sapiens (human)
G protein-coupled serotonin receptor signaling pathway5-hydroxytryptamine receptor 7Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messenger5-hydroxytryptamine receptor 7Homo sapiens (human)
chemical synaptic transmission5-hydroxytryptamine receptor 7Homo sapiens (human)
MAPK cascadeAlpha-1A adrenergic receptorHomo sapiens (human)
negative regulation of heart rate involved in baroreceptor response to increased systemic arterial blood pressureAlpha-1A adrenergic receptorHomo sapiens (human)
norepinephrine-epinephrine vasoconstriction involved in regulation of systemic arterial blood pressureAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of heart rate by epinephrine-norepinephrineAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of the force of heart contraction by epinephrine-norepinephrineAlpha-1A adrenergic receptorHomo sapiens (human)
apoptotic processAlpha-1A adrenergic receptorHomo sapiens (human)
smooth muscle contractionAlpha-1A adrenergic receptorHomo sapiens (human)
signal transductionAlpha-1A adrenergic receptorHomo sapiens (human)
G protein-coupled receptor signaling pathwayAlpha-1A adrenergic receptorHomo sapiens (human)
activation of phospholipase C activityAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of cytosolic calcium ion concentrationAlpha-1A adrenergic receptorHomo sapiens (human)
adult heart developmentAlpha-1A adrenergic receptorHomo sapiens (human)
negative regulation of cell population proliferationAlpha-1A adrenergic receptorHomo sapiens (human)
response to xenobiotic stimulusAlpha-1A adrenergic receptorHomo sapiens (human)
response to hormoneAlpha-1A adrenergic receptorHomo sapiens (human)
negative regulation of autophagyAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of cardiac muscle hypertrophyAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of synaptic transmission, GABAergicAlpha-1A adrenergic receptorHomo sapiens (human)
intracellular signal transductionAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of MAPK cascadeAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of action potentialAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of vasoconstrictionAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of smooth muscle contractionAlpha-1A adrenergic receptorHomo sapiens (human)
calcium ion transport into cytosolAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of cardiac muscle contractionAlpha-1A adrenergic receptorHomo sapiens (human)
cell growth involved in cardiac muscle cell developmentAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of ERK1 and ERK2 cascadeAlpha-1A adrenergic receptorHomo sapiens (human)
positive regulation of protein kinase C signalingAlpha-1A adrenergic receptorHomo sapiens (human)
pilomotor reflexAlpha-1A adrenergic receptorHomo sapiens (human)
neuron-glial cell signalingAlpha-1A adrenergic receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayAlpha-1A adrenergic receptorHomo sapiens (human)
adenylate cyclase-activating adrenergic receptor signaling pathwayAlpha-1A adrenergic receptorHomo sapiens (human)
cell-cell signalingAlpha-1A adrenergic receptorHomo sapiens (human)
serotonin receptor signaling pathway5-hydroxytryptamine receptor 3AHomo sapiens (human)
monoatomic ion transmembrane transport5-hydroxytryptamine receptor 3AHomo sapiens (human)
excitatory postsynaptic potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
inorganic cation transmembrane transport5-hydroxytryptamine receptor 3AHomo sapiens (human)
regulation of presynaptic membrane potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
chemical synaptic transmission5-hydroxytryptamine receptor 3AHomo sapiens (human)
regulation of membrane potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (27)

Processvia Protein(s)Taxonomy
cytokine activityInterferon betaHomo sapiens (human)
cytokine receptor bindingInterferon betaHomo sapiens (human)
type I interferon receptor bindingInterferon betaHomo sapiens (human)
protein bindingInterferon betaHomo sapiens (human)
chloramphenicol O-acetyltransferase activityInterferon betaHomo sapiens (human)
G protein-coupled serotonin receptor activity5-hydroxytryptamine receptor 1AHomo sapiens (human)
protein binding5-hydroxytryptamine receptor 1AHomo sapiens (human)
receptor-receptor interaction5-hydroxytryptamine receptor 1AHomo sapiens (human)
neurotransmitter receptor activity5-hydroxytryptamine receptor 1AHomo sapiens (human)
serotonin binding5-hydroxytryptamine receptor 1AHomo 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)
protein binding5-hydroxytryptamine receptor 7Homo sapiens (human)
G protein-coupled serotonin receptor activity5-hydroxytryptamine receptor 7Homo sapiens (human)
neurotransmitter receptor activity5-hydroxytryptamine receptor 7Homo sapiens (human)
alpha1-adrenergic receptor activityAlpha-1A adrenergic receptorHomo sapiens (human)
protein bindingAlpha-1A adrenergic receptorHomo sapiens (human)
protein heterodimerization activityAlpha-1A adrenergic receptorHomo sapiens (human)
protein binding5-hydroxytryptamine receptor 3AHomo sapiens (human)
serotonin-gated monoatomic cation channel activity5-hydroxytryptamine receptor 3AHomo sapiens (human)
identical protein binding5-hydroxytryptamine receptor 3AHomo sapiens (human)
serotonin binding5-hydroxytryptamine receptor 3AHomo sapiens (human)
ligand-gated monoatomic ion channel activity involved in regulation of presynaptic membrane potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
transmitter-gated monoatomic ion channel activity involved in regulation of postsynaptic membrane potential5-hydroxytryptamine receptor 3AHomo sapiens (human)
excitatory extracellular ligand-gated monoatomic ion channel activity5-hydroxytryptamine receptor 3AHomo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (25)

Processvia Protein(s)Taxonomy
extracellular spaceInterferon betaHomo sapiens (human)
extracellular regionInterferon betaHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 1AHomo sapiens (human)
synapse5-hydroxytryptamine receptor 1AHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 1AHomo sapiens (human)
dendrite5-hydroxytryptamine receptor 1AHomo 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)
plasma membrane5-hydroxytryptamine receptor 7Homo sapiens (human)
trans-Golgi network membrane5-hydroxytryptamine receptor 7Homo sapiens (human)
synapse5-hydroxytryptamine receptor 7Homo sapiens (human)
dendrite5-hydroxytryptamine receptor 7Homo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 7Homo sapiens (human)
nucleusAlpha-1A adrenergic receptorHomo sapiens (human)
nucleoplasmAlpha-1A adrenergic receptorHomo sapiens (human)
cytoplasmAlpha-1A adrenergic receptorHomo sapiens (human)
cytosolAlpha-1A adrenergic receptorHomo sapiens (human)
plasma membraneAlpha-1A adrenergic receptorHomo sapiens (human)
caveolaAlpha-1A adrenergic receptorHomo sapiens (human)
nuclear membraneAlpha-1A adrenergic receptorHomo sapiens (human)
intracellular membrane-bounded organelleAlpha-1A adrenergic receptorHomo sapiens (human)
plasma membraneAlpha-1A adrenergic receptorHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3AHomo sapiens (human)
cleavage furrow5-hydroxytryptamine receptor 3AHomo sapiens (human)
postsynaptic membrane5-hydroxytryptamine receptor 3AHomo sapiens (human)
serotonin-activated cation-selective channel complex5-hydroxytryptamine receptor 3AHomo sapiens (human)
synapse5-hydroxytryptamine receptor 3AHomo sapiens (human)
plasma membrane5-hydroxytryptamine receptor 3AHomo sapiens (human)
transmembrane transporter complex5-hydroxytryptamine receptor 3AHomo sapiens (human)
neuron projection5-hydroxytryptamine receptor 3AHomo sapiens (human)
virion membraneSpike glycoproteinSevere acute respiratory syndrome-related coronavirus
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (46)

Assay IDTitleYearJournalArticle
AID1610339Inhibition of rat synaptosomes 5HT transporter assessed as reduction in [3H]serotonin reuptake incubated for 15 mins by scintillation counting method
AID1368109Half-life in rat liver microsomes at 1 uM in presence of NADPH regenerating system by LC-MS/MS analysis
AID1611380Antidepressant activity in mouse assessed as decrease in immobility time at 40 mg/kg, po administrated for daily for 7 days measured 1 hr post last dose by forced swim test relative to control
AID1611377Clearance in human liver microsomes at 1 uM in presence of NADPH generating system measured for 10 to 90 mins by LC-MS/MS analysis
AID1611368Displacement of [3H]-8-OH-DPAT from 5HT1A receptor (unknown origin) expressed in HEK293 cells membranes at 1 uM incubated for 60 mins by scintillation counting method relative to control
AID1611370Inhibition of rat synaptosomes 5HT transporter assessed as reduction in [3H]serotonin reuptake at 1 uM incubated for 15 mins by scintillation counting method relative to control
AID1611372Displacement of [3H]-LSD from 5HT7 receptor (unknown origin) expressed in CHO cell membranes incubated for 120 mins by scintillation counting method
AID1368107Displacement of [3H]8-OH-DPAT from recombinant human 5-HT1A receptor expressed in HEK293 cell membranes measured after 60 mins by scintillation counting method
AID1368108Displacement of [3H]-LSD from recombinant human 5-HT7 receptor expressed in CHO cell membranes measured after 60 mins by scintillation counting method
AID1610341Half life in rat liver microsomes at 1 uM in presence of NADPH generating system measured for 10 to 90 mins by LC-MS/MS analysis
AID1610349Antidepressant activity in ICR mouse assessed as decrease in immobility time at 40 mg/kg, po administrated for daily for 7 days measured 1 hr post last dose by forced swim test relative to control
AID1368110Clearance in rat liver microsomes at 1 uM measured after 90 mins in presence of NADPH regenerating system by LC-MS/MS analysis
AID1610343Half life in human liver microsomes at 1 uM in presence of NADPH generating system measured for 10 to 90 mins by LC-MS/MS analysis
AID1611383Antidepressant activity in mouse assessed as decrease in immobility time at 30 mg/kg, po administrated for daily for 7 days measured 1 hr post last dose by tail suspension test relative to control
AID1368106Inhibition of SERT in rat brain synaptosomes assessed as reduction in [3H]-5-HT uptake measured after 15 mins by scintillation counting method
AID1611375Clearance in rat liver microsomes at 1 uM in presence of NADPH generating system measured for 10 to 90 mins by LC-MS/MS analysis
AID1368111Antidepressant-like activity in mouse assessed as reduction in immobility time at 20 mg/kg, po administered once daily for 7 days measured last 4 mins of 6 mins test by forced swim test relative to control
AID1610335Displacement of [3H]-8-OH-DPAT from 5HT1A receptor (unknown origin) expressed in HEK293 cells membranes incubated for 60 mins by scintillation counting method
AID1611376Half life in human liver microsomes at 1 uM in presence of NADPH generating system measured for 10 to 90 mins by LC-MS/MS analysis
AID1610337Displacement of [3H]-LSD from 5HT7 receptor (unknown origin) expressed in CHO cell membranes incubated for 120 mins by scintillation counting method
AID1403541Antidepressant-like activity in mouse assessed as reduction in immobility time at 40 mg/kg/day, po once daily for 7 days measured for last 4 mins of 6 mins test at 1 hr post last dose by forced swim test relative to control
AID1403538Displacement of [3H]LSD from recombinant human 5-HT7 receptor expressed in CHO cell membranes after 120 mins by TopCount scintillation counting method
AID1610344Clearance in human liver microsomes at 1 uM in presence of NADPH generating system measured for 10 to 90 mins by LC-MS/MS analysis
AID1916456Binding affinity to human 5-HT1A assessed as inhibition constant2021Bioorganic & medicinal chemistry letters, 10-01, Volume: 49Chemical update on the potential for serotonin 5-HT
AID1611369Displacement of [3H]-LSD from 5HT7 receptor (unknown origin) expressed in CHO cell membranes at 1 uM incubated for 120 mins by scintillation counting method relative to control
AID1403540Clearance in rat liver microsomes at 1 uM in presence of NADPH by LC-MS/MS analysis
AID1611374Half life in rat liver microsomes at 1 uM in presence of NADPH generating system measured for 10 to 90 mins by LC-MS/MS analysis
AID1403534Inhibition of [3H]serotonin reuptake in rat brain synaptosomes SERT after 15 mins by TopCount scintillation counting method
AID1610342Clearance in rat liver microsomes at 1 uM in presence of NADPH generating system measured for 10 to 90 mins by LC-MS/MS analysis
AID1916458Binding affinity to human SERT assessed as inhibition constant2021Bioorganic & medicinal chemistry letters, 10-01, Volume: 49Chemical update on the potential for serotonin 5-HT
AID1403536Displacement of [3H]8-OH-DPAT from recombinant human 5-HT1A receptor expressed in HEK293 cell membranes after 60 mins by TopCount scintillation counting method
AID1917795Antidepressant activity in ICR mouse assessed as reduction in immobility time at 40 mg/kg, po for 7 days by forced swimming test2022Bioorganic & medicinal chemistry letters, 11-15, Volume: 76Synthesis and antidepressant activity of novel 1-(1-benzoylpiperidin-4-yl) methanamine derivatives selectively targeting SSRI/5-HT
AID1403539Half life in rat liver microsomes at 1 uM in presence of NADPH by LC-MS/MS analysis
AID1916457Binding affinity to human 5-HT3R assessed as inhibition constant2021Bioorganic & medicinal chemistry letters, 10-01, Volume: 49Chemical update on the potential for serotonin 5-HT
AID1916461Binding affinity to human 5-HT7R assessed as inhibition constant2021Bioorganic & medicinal chemistry letters, 10-01, Volume: 49Chemical update on the potential for serotonin 5-HT
AID1611373Inhibition of rat synaptosomes 5HT transporter assessed as reduction in [3H]serotonin reuptake incubated for 15 mins by scintillation counting method
AID1611371Displacement of [3H]-8-OH-DPAT from 5HT1A receptor (unknown origin) expressed in HEK293 cells membranes incubated for 60 mins by scintillation counting method
AID1345170Human 5-HT6 receptor (5-Hydroxytryptamine receptors)2011Journal of medicinal chemistry, May-12, Volume: 54, Issue:9
Discovery of 1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine (Lu AA21004): a novel multimodal compound for the treatment of major depressive disorder.
AID1346943Human SERT (Monoamine transporter subfamily)2011Journal of medicinal chemistry, May-12, Volume: 54, Issue:9
Discovery of 1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine (Lu AA21004): a novel multimodal compound for the treatment of major depressive disorder.
AID1345615Human 5-HT1A receptor (5-Hydroxytryptamine receptors)2011Journal of medicinal chemistry, May-12, Volume: 54, Issue:9
Discovery of 1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine (Lu AA21004): a novel multimodal compound for the treatment of major depressive disorder.
AID1345291Human 5-HT7 receptor (5-Hydroxytryptamine receptors)2011Journal of medicinal chemistry, May-12, Volume: 54, Issue:9
Discovery of 1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine (Lu AA21004): a novel multimodal compound for the treatment of major depressive disorder.
AID1346481Rat 5-HT1D receptor (5-Hydroxytryptamine receptors)2004Journal of medicinal chemistry, Sep-09, Volume: 47, Issue:19
Synthesis and structure--activity relationship in a class of indolebutylpiperazines as dual 5-HT(1A) receptor agonists and serotonin reuptake inhibitors.
AID1259419Human 5-HT2A receptor (5-Hydroxytryptamine receptors)2011Journal of medicinal chemistry, May-12, Volume: 54, Issue:9
Discovery of 1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine (Lu AA21004): a novel multimodal compound for the treatment of major depressive disorder.
AID1345068Human 5-HT5A receptor (5-Hydroxytryptamine receptors)2011Journal of medicinal chemistry, May-12, Volume: 54, Issue:9
Discovery of 1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine (Lu AA21004): a novel multimodal compound for the treatment of major depressive disorder.
AID1346264Human 5-HT1B receptor (5-Hydroxytryptamine receptors)2011Journal of medicinal chemistry, May-12, Volume: 54, Issue:9
Discovery of 1-[2-(2,4-dimethylphenylsulfanyl)phenyl]piperazine (Lu AA21004): a novel multimodal compound for the treatment of major depressive disorder.
AID1347411qHTS to identify inhibitors of the type 1 interferon - major histocompatibility complex class I in skeletal muscle: primary screen against the NCATS Mechanism Interrogation Plate v5.0 (MIPE) Libary2020ACS chemical biology, 07-17, Volume: 15, Issue:7
High-Throughput Screening to Identify Inhibitors of the Type I Interferon-Major Histocompatibility Complex Class I Pathway in Skeletal Muscle.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (395)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (0.25)29.6817
2010's244 (61.77)24.3611
2020's150 (37.97)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 94.64

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 Index94.64 (24.57)
Research Supply Index6.25 (2.92)
Research Growth Index6.91 (4.65)
Search Engine Demand Index166.93 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (94.64)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials103 (24.76%)5.53%
Reviews86 (20.67%)6.00%
Case Studies20 (4.81%)4.05%
Observational10 (2.40%)0.25%
Other197 (47.36%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (103)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 3, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Duloxetine-Referenced, Fixed-Dose Study Comparing the Efficacy and Safety of 2 Doses (15 and 20 mg) of Lu AA21004 in Acute Treatment of Adults With Major Depressive Disorder [NCT01153009]Phase 3614 participants (Actual)Interventional2010-06-30Completed
Relationship Among Changes in Brain Network Activation, Changes in Core Depressive and Cognitive Symptoms and Safety and Tolerability in Adults With Major Depressive Disorder Treated With Open-Label, Flexible-Dose Vortioxetine [NCT02749721]Phase 431 participants (Actual)Interventional2016-12-31Completed
An Open-Label Clinical Trial Evaluating Sensitivity to Change in Cognition Using the THINC-it Following Treatment With Vortioxetine in Major Depressive Disorder [NCT03053362]Phase 2/Phase 3158 participants (Actual)Interventional2017-05-24Completed
An Open-Label, Single-Arm, Multicenter, Prospective, Phase 4, Interventional, Flexible Dose Study to Evaluate the Effectiveness of Vortioxetine on Goal Achievement After a Change in Antidepressant Medication for the Treatment of Subjects With Major Depres [NCT02972632]Phase 4123 participants (Actual)Interventional2016-12-22Completed
A 10-Week, Open-Label, Flexible Dose Adaptive Study Evaluating the Efficacy of Vortioxetine in Subjects With Panic Disorder [NCT02395510]Phase 427 participants (Actual)Interventional2015-05-31Completed
Interventional, Open-Label, Single Cohort, Canadian Study to Describe the Relationship Between Cognitive Symptoms and Work Productivity in Working Adults Treated With Vortioxetine for Major Depressive Disorder (MDD) [NCT02332954]Phase 4226 participants (Actual)Interventional2015-02-28Completed
Interventional, Randomised, Double-blind, Placebo-controlled, Active Comparator, Four-way Crossover Electroencephalography Study Investigating the Effects of Vortioxetine (Lu AA21004) in Healthy Male Subjects [NCT02072278]Phase 132 participants (Actual)Interventional2014-02-28Completed
A Randomized, Double-Blind, Parallel Group, Placebo- and Active-Controlled, Phase 4 Study Evaluating the Effect of Vortioxetine 10 and 20 mg/Day vs Paroxetine 20 mg/Day on Sexual Functioning in Healthy Subjects [NCT02932904]Phase 4361 participants (Actual)Interventional2016-11-21Completed
Single Dose Oral Bioequivalence Study of Vortioxetine Hemihydrobromide Orally Disintegrating Tablets 20 mg and 'Trintellix' (Vortioxetine) Tablets 20 mg in Healthy Adult Human Subjects Under Fasting Conditions [NCT05417087]Phase 148 participants (Actual)Interventional2022-06-27Completed
Single Dose Oral Food Effect Bioavailability Study of Vortioxetine Hemihydrobromide Orally Disintegrating Tablets 20 mg in Healthy Adult Human Subjects Under Fasting and Fed Conditions [NCT05416957]Phase 124 participants (Actual)Interventional2022-09-18Completed
Single Dose Study to Evaluate Dose-proportionality of Vortioxetine Hemihydrobromide Orally Disintegrating Tablets (5 mg, 10 mg and 20 mg) in Healthy Adult Human Subjects Under Fasting Conditions [NCT05416762]Phase 130 participants (Actual)Interventional2022-09-19Completed
A Double-blind, Randomised, Placebo-controlled, Multicentre, Relapse-prevention Study With Two Doses of [Vortioxetine] Lu AA21004 in Patients With Major Depressive Disorder [NCT00596817]Phase 3639 participants (Actual)Interventional2007-12-31Completed
Cognitive Effects of Adjuvant Vortioxetine in Early Schizophrenia [NCT04895488]Phase 2/Phase 337 participants (Anticipated)Interventional2021-11-15Not yet recruiting
Post-marketing Database Survey: A Cohort Study of Comparison the Risk of Haemorrhage (Serious Intracranial Haemorrhage Such as Cerebral Haemorrhage and Subarachnoid Haemorrhage) Between Vortioxetine Tablets and SSRIs In Patients With Depression Using JMDC [NCT05932407]115,000 participants (Anticipated)Observational2024-06-01Not yet recruiting
Substance Misuse To Psychiatric Disorders for Cannabis (SToP-C)--an Early Assertive Pharmacotherapy Intervention Pilot Study [NCT03485274]Phase 2/Phase 337 participants (Actual)Interventional2018-07-25Completed
Interventional, Open-label Study of Flexible Doses of Vortioxetine on Depressive Symptoms in Patients With Major Depressive Disorder and Early Dementia [NCT04294654]Phase 482 participants (Actual)Interventional2020-02-28Completed
Real-life Effectiveness of Vortioxetine in Patients With Major Depressive Disorder: Non-interventional, Multi-national, Prospective Cohort Study to Assess Real-life Effectiveness of Vortioxetine [NCT03555136]992 participants (Actual)Observational2017-11-17Completed
Interventional, Randomised, Double-blind, Placebo-controlled, Active Reference (Fluoxetine), Fixed-dose Study of Vortioxetine in Paediatric Patients Aged 12 to 17 Years, With Major Depressive Disorder (MDD) [NCT02709746]Phase 3784 participants (Actual)Interventional2016-05-31Completed
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
Interventional, Randomised, Double-blind 4-way Crossover Study Comparing the Gastro-intestinal Tolerability and Absorption Profile of Vortioxetine After Administration of Modified-release Formulations and Immediate-release Formulation in Healthy Women [NCT02112903]Phase 140 participants (Actual)Interventional2014-04-30Completed
Adjunctive Vortioxetine in Schizophrenia [NCT02357797]Phase 488 participants (Anticipated)Interventional2016-02-29Active, not recruiting
Interventional, Open-label, Sequential-period Study Investigating the Pharmacokinetic Properties and Safety and Tolerability of Sublingual Formulations of Vortioxetine in Healthy Subjects [NCT03884491]Phase 116 participants (Actual)Interventional2019-03-18Completed
A Randomized, Double-blind, Placebo- and Active- Controlled, Multicenter Study of Rapastinel as Monotherapy in Major Depressive Disorder [NCT03855865]Phase 30 participants (Actual)Interventional2019-07-01Withdrawn(stopped due to Business decision to stop the program.)
Interventional, Randomized, Double-blind, Placebo-controlled Study of the Efficacy and Safety of Initial Administration of 25 mg Vortioxetine Intravenously With 10 mg/Day Vortioxetine Orally in Patients With Major Depressive Disorder [NCT03766867]Phase 280 participants (Actual)Interventional2018-12-03Completed
Long-term, Open-label, Flexible-dose, Extension Study of Vortioxetine in Child and Adolescent Patients With Major Depressive Disorder (MDD) From 7 to 18 Years of Age [NCT02871297]Phase 3662 participants (Actual)Interventional2016-08-17Terminated(stopped due to The study was terminated based on new efficacy data from another study.)
Interventional, Open-label, Flexible-dose Study of Vortioxetine on Emotional Functioning in Patients With Major Depressive Disorder With Inadequate Response to SSRI/SNRI Treatment [NCT03835715]Phase 4150 participants (Actual)Interventional2019-02-05Completed
A Long-Term, Open-Label, Flexible-Dose, Extension Study Evaluating the Safety and Tolerability of Lu AA21004 in Subjects With Major Depressive Disorder [NCT00707980]Phase 3836 participants (Actual)Interventional2008-06-30Completed
Interventional, Open-label Effectiveness Study of Flexible Doses of Vortioxetine on Depressive Symptoms in Patients With Major Depressive Disorder Comorbid With Generalized Anxiety Disorder [NCT04220996]Phase 4100 participants (Actual)Interventional2019-12-27Completed
Vortioxetine for Cancer Patients With Depression: An Observational Study [NCT04253678]140 participants (Anticipated)Observational2019-12-12Recruiting
An Interventional, Randomised, Double-blind, Parallel-group, Placebo-controlled Study on the Efficacy of Vortioxetine on Cognitive Dysfunction in Patients With Partial or Full Remission of Major Depressive Disorder [NCT02279953]Phase 3151 participants (Actual)Interventional2014-10-31Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase III Study to Assess the Efficacy and Safety of Lu AA21004 in Patients With Major Depressive Disorder [NCT01355081]Phase 3366 participants (Actual)Interventional2011-05-31Completed
A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Phase III Study to Evaluate the Efficacy and Safety of Once Daily Oral Lu AA21004 in Patients With Major Depressive Disorder [NCT02389816]Phase 3493 participants (Actual)Interventional2015-04-10Completed
A Randomised, Double-blind, Parallel-group, Placebo-controlled, Duloxetine-referenced, Fixed-dose Study Evaluating the Efficacy and Safety of Three Dosages of [Vortioxetine] Lu AA21004, in Acute Treatment of Major Depressive Disorder [NCT00635219]Phase 3766 participants (Actual)Interventional2008-02-29Completed
[NCT02294305]Phase 440 participants (Anticipated)Interventional2014-12-31Active, not recruiting
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Fixed-Dose Study Comparing the Efficacy and Safety of a Single Dose of Lu AA21004 in Acute Treatment of Adults With Generalized Anxiety Disorder [NCT00744627]Phase 3301 participants (Actual)Interventional2008-09-30Completed
Vortioxetine for the Treatment of Major Depression and Neuropsychiatric Co-morbidities After Traumatic Brain Injury (TBI) [NCT02845349]Phase 30 participants (Actual)Interventional2016-10-31Withdrawn(stopped due to Funding withdrawn.)
Vortioxetine Versus Sertraline in Control Metabolic, Distress and Depression in Mexican Patients With Type 2 Diabetes [NCT03978286]Phase 421 participants (Actual)Interventional2016-06-30Completed
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
An Open-label, Long-Term Extension Study to Assess the Safety and Efficacy of Lu AA21004 in Patients With Major Depressive Disorder (Extension to Lu AA21004/CCT-003 Study) [NCT01395147]Phase 3119 participants (Actual)Interventional2011-07-31Completed
A Randomized, Double-blind, Parallel-group, Placebo-controlled, Fixed-dose Study Comparing the Efficacy and Safety of Lu AA21004 Versus Placebo in Acute Treatment of Adults With Major Depressive Disorder [NCT00672958]Phase 3600 participants (Actual)Interventional2008-04-30Completed
A Long-term, Open-label Study Evaluating the Safety and Tolerability of [Vortioxetine] Lu AA21004 in Patients With Major Depressive Disorder [NCT00761306]Phase 274 participants (Actual)Interventional2007-06-30Completed
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Fixed-Dose Study Comparing the Efficacy and Safety of 2 Doses of Lu AA21004 in Acute Treatment of Adults With Generalized Anxiety Disorder [NCT00731120]Phase 3457 participants (Actual)Interventional2008-06-30Completed
A Phase 3, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Fixed-Dose Study Comparing the Efficacy and Safety of 2 Doses (10 and 15 mg) of Lu AA21004 in Acute Treatment of Adults With Major Depressive Disorder [NCT01179516]Phase 3469 participants (Actual)Interventional2010-08-31Completed
A Phase 3, Long-Term, Open-Label, Flexible-Dose, Extension Study Evaluating the Safety and Tolerability of Lu AA21004 (15 and 20 mg) in Subjects With Major Depressive Disorder [NCT01152996]Phase 31,075 participants (Actual)Interventional2010-09-30Completed
A Randomised, Double-blind, Parallel-group, Placebo-controlled, Duloxetine-referenced, Fixed-dose Study Evaluating the Efficacy and Safety of Lu AA21004 (15 and 20 mg/Day) in the Acute Treatment of Adult Patients With Major Depressive Disorder [NCT01140906]Phase 3607 participants (Actual)Interventional2010-05-31Completed
A Phase 1, Single-Center, Randomized, Single-Blind, Placebo-Controlled, Multiple-Dose Study to Assess the Effects of Oral Administration of Lu AA21004 20 mg on the Concentrations of Selected Neurotransmitters in Healthy Male Subjects [NCT01299805]Phase 117 participants (Actual)Interventional2011-03-31Completed
Vortioxetine for the Treatment of Hoarding Disorder- an Open Label Study [NCT04035850]Phase 330 participants (Anticipated)Interventional2019-08-01Not yet recruiting
A Long-term, Open-label, Flexible-dose, Extension Study Evaluating the Safety and Tolerability of [Vortioxetine] Lu AA21004 in Patients With Major Depressive Disorder [NCT00694304]Phase 3535 participants (Actual)Interventional2008-05-31Completed
A Phase 3, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Fixed-Dose Study Comparing the Efficacy and Safety of 2 Doses (10 and 20 mg) of Lu AA21004 in Acute Treatment of Adults With Major Depressive Disorder [NCT01163266]Phase 3462 participants (Actual)Interventional2010-07-31Completed
A Double-blind, Randomised, Placebo-controlled, Multicentre, Relapse-prevention Study With Lu AA21004 in Patients With Generalized Anxiety Disorder [NCT00788034]Phase 3459 participants (Actual)Interventional2008-10-31Completed
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Active-Referenced, Fixed-Dose Study Comparing the Efficacy and Safety of 2 Doses of Lu AA21004 in Acute Treatment of Adults With Major Depressive Disorder [NCT00672620]Phase 3611 participants (Actual)Interventional2008-04-30Completed
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Fixed-Dose Study Comparing the Efficacy and Safety of Single Dose of Lu AA21004 in Acute Treatment of Adults With Generalized Anxiety Disorder [NCT00734071]Phase 3304 participants (Actual)Interventional2008-06-30Completed
Randomised, Double-blind, Parallel-group, Placebo-controlled, Duloxetine-referenced, Fixed Dose Study Comparing the Efficacy and Safety of [Vortioxetine] Lu AA21004 in Acute Treatment of Major Depressive Disorder in Elderly Patients [NCT00811252]Phase 3453 participants (Actual)Interventional2009-01-31Completed
A Randomized, Double-blind, Parallel-Group, Placebo-Controlled, Fixed-Dose Study Comparing the Efficacy and Safety of 3 Doses of Lu AA21004 in Acute Treatment of Adults With Major Depressive Disorder [NCT00735709]Phase 3560 participants (Actual)Interventional2008-08-31Completed
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Active-Referenced, Fixed-Dose Study Comparing the Efficacy and Safety of 3 Doses of Lu AA21004 in Acute Treatment of Adults With Generalized Anxiety Disorder [NCT00730691]Phase 3781 participants (Actual)Interventional2008-06-30Completed
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
An Interventional, Randomised, Double-blind, Parallel-group, Placebo-controlled, Active-referenced (Paroxetine), Fixed-dose Study on the Efficacy of Vortioxetine on Cognitive Dysfunction in Working Patients With Major Depressive Disorder [NCT02279966]Phase 3152 participants (Actual)Interventional2014-10-31Completed
An Interventional, Randomised, Double-blind, Parallel-group, Active-comparator, Flexible-dose Study on the Efficacy of Vortioxetine Versus Escitalopram on Cognitive Dysfunction in Patients With Inadequate Response to Current Antidepressant Treatment of Ma [NCT02272517]Phase 3101 participants (Actual)Interventional2014-12-31Completed
Vortioxetine Monotherapy for Major Depressive Disorder in Type 2 Diabetes: Role of Inflammation, Kynurenine Pathway, and Structural and Functional Brain Connectivity as Biomarkers [NCT03580967]Phase 40 participants (Actual)Interventional2019-07-01Withdrawn(stopped due to COVID-19 Pandemic interfered with Pt recruitment)
A Double-blind, Placebo-controlled, Randomized Study of Vortioxetine Treatment on Major Depression, Cognition, and Systemic Inflammatory Biomarkers Associated With Depression and Cancer Progression in Women With Breast Cancer. [NCT02637466]Phase 40 participants (Actual)Interventional2016-07-31Withdrawn(stopped due to Funding not received)
Combining Data Sources to Identify Effect Moderation for Personalized Mental Health [NCT05267873]14,146 participants (Anticipated)Observational2015-01-01Active, not recruiting
Randomized, Double-Blinded, Placebo-Controlled Study Evaluating Vortioxetine for Cognitive Deficits in Persons With Post-COVID-19 Condition [NCT05047952]Phase 2200 participants (Actual)Interventional2021-09-16Completed
Interventional, Randomised, Double-blind, Parallel-group Study of the Efficacy and Safety of Initial Administration of 17 mg Vortioxetine Intravenously With 10 mg/Day Vortioxetine Orally in Patients With Major Depressive Disorder [NCT02919501]Phase 255 participants (Actual)Interventional2016-09-27Completed
Vortioxetine add-on Treatment Improves the Symptoms in Patients With Bipolar Depression [NCT03598868]Phase 2100 participants (Anticipated)Interventional2018-08-08Recruiting
A Long-term, Open-label, Flexible-dose, Extension Study Evaluating the Safety and Tolerability of [Vortioxetine] Lu AA21004 (15 and 20 mg/Day) in Patients With Major Depressive Disorder [NCT01323478]Phase 371 participants (Actual)Interventional2011-04-30Completed
Comparative Evaluation of Vortioxetine Versus Other Antidepressants With Pregabalin Augmentation in Treatment-resistant Burning Mouth Syndrome: a Prospective Longitudinal Clinical Trial With Treatment Response Prediction [NCT06025474]Phase 3203 participants (Anticipated)Interventional2023-01-01Recruiting
A Double-Blind, Placebo-Controlled Study of Vortioxetine in the Treatment of Binge Eating Disorder [NCT02528409]Phase 280 participants (Actual)Interventional2016-06-30Completed
A Multinational, Randomized, Double-Blind, Placebo-Controlled, Dose Ranging Study to Assess the Efficacy and Safety of Lu AA21004 in Patients With Major Depressive Disorder [NCT01255787]Phase 2/Phase 3600 participants (Actual)Interventional2010-11-30Completed
Open-label, Flexible-dose Study of Vortioxetine in Patients With Major Depressive Disorder in India [NCT04288895]Phase 4400 participants (Actual)Interventional2020-02-20Completed
Interventional, Randomised, Double-blind, Parallel-group, Placebo-controlled, Exploratory Study Investigating the Effects of [Vortioxetine] Lu AA21004 on Cognition and BOLD fMRI Signals in Subjects Remitted From Depression and Controls [NCT01607125]Phase 196 participants (Actual)Interventional2012-07-31Completed
Randomised, Double-blind, Parallel-group, Placebo-controlled, Fixed Dose Study on the Efficacy of [Vortioxetine] Lu AA21004 on Cognitive Dysfunction in Adult Patients With Major Depressive Disorder (MDD) [NCT01422213]Phase 3598 participants (Actual)Interventional2011-12-31Completed
An Open-label Study Evaluating the Pharmacokinetics and Tolerability of [Vortioxetine] Lu AA21004 in Connection With Multiple Oral Dosing of [Vortioxetine] Lu AA21004 in Child and Adolescent Patients With a DSM-IV Diagnosis of Depressive or Anxiety Disord [NCT01491035]Phase 248 participants (Actual)Interventional2012-04-30Completed
A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Active-Referenced, Flexible Dose Study on the Efficacy of Lu AA21004 on Cognitive Dysfunction in Adult Subjects With Major Depressive Disorder (MDD) [NCT01564862]Phase 2602 participants (Actual)Interventional2012-04-30Completed
A Randomized, Double-Blind, Placebo-Controlled, Phase 4, Relapse Prevention Study Evaluating the Efficacy and Safety of Vortioxetine (5, 10 and 20 mg) in Adults With Major Depressive Disorder [NCT02371980]Phase 41,106 participants (Actual)Interventional2015-02-10Completed
A Randomised, Double-blind, Parallel-group, Active Controlled Study Evaluating the Efficacy of Vortioxetine Versus Desvenlafaxine in Adult Patients Suffering From Major Depressive Disorder With Partial Response to SSRI Treatment [NCT04448431]Phase 4605 participants (Actual)Interventional2020-06-18Completed
Effect of Vortioxetine on Cognitive Symptoms in Patients With [NCT04456777]Early Phase 1120 participants (Anticipated)Interventional2020-07-01Recruiting
Efficacy of Mindfulness-based Relapse Prevention With or Without Vortioxetine on the Prevention of Relapse in Chronic Methamphetamine Users [NCT03830827]Phase 4220 participants (Anticipated)Interventional2020-09-01Not yet recruiting
Prediction of the Therapeutic Response in Depression Based on an Early Neuro-computational Modeling Assessment of Motivation [NCT05866575]136 participants (Anticipated)Interventional2023-06-01Not yet recruiting
Interventional, Randomised, Double-blind, Placebo-controlled, Fixed-dose Study of Vortioxetine in Adults With Attention Deficit Hyperactivity Disorder (ADHD) [NCT02327013]Phase 2227 participants (Actual)Interventional2014-12-31Completed
Comparison of Antidepressants in the Real-World: Retrospective Cohort Study Using Big Data [NCT04446039]405,349 participants (Actual)Observational2022-07-04Completed
Using 18F-FPEB PET to Identify mGLUR5 Availability in Affective Disorders [NCT05840861]59 participants (Anticipated)Observational2020-11-05Recruiting
Sequenced Treatment Alternatives to Relieve Adolescent Depression (STAR-AD) a Multicentre Open-label Randomized Controlled Trial Protocol [NCT05814640]Phase 1/Phase 2520 participants (Anticipated)Interventional2023-02-20Recruiting
Pattern Separation, Brain Derived Neurotrophic Factors, and Mechanisms of Vortioxetine [NCT02969876]Phase 42 participants (Actual)Interventional2017-08-24Terminated(stopped due to Site was unable to reach Sponsor recruitment goals.)
A Randomized, Open-Label, 2×2 Crossover Phase 1 Study to Evaluate the Bioequivalence of Single Oral Dose of Lu AA21004 20 mg Tablet and 2× Lu AA21004 10 mg Tablets in Healthy Adult Subjects [NCT03437564]Phase 128 participants (Actual)Interventional2018-02-16Completed
A Randomised, Open-label, Single-centre, Single- and Multiple-dose Interventional Study Investigating the Pharmacokinetic Properties of Vortioxetine in Healthy Young Chinese Men and Women [NCT02386488]Phase 164 participants (Actual)Interventional2015-03-31Completed
Assessing Tolerability and Efficacy of Vortioxetine Versus SSRIs in Elderly Patients With Depression: a Pragmatic, Multicenter, Open-label, Parallel-group, Superiority, Randomized Trial [NCT03779789]Phase 4362 participants (Actual)Interventional2019-02-01Completed
A Randomised, Double-blind, Parallel-group, Active-controlled, Flexible Dose Study Evaluating the Effects of [Vortioxetine] Lu AA21004 Versus Agomelatine in Adult Patients Suffering From Major Depressive Disorder With Inadequate Response to Antidepressant [NCT01488071]Phase 3495 participants (Actual)Interventional2012-01-31Completed
Remediation of Age-related Cognitive Decline: Vortioxetine and Cognitive Training [NCT03272711]Phase 4129 participants (Actual)Interventional2016-08-31Completed
A Multicenter, Randomized, Double-blind, Controlled Clinical Trial of Votioxetine in the Treatment of Depression After Radiotherapy for Head and Neck Cancer [NCT04818099]Phase 3208 participants (Anticipated)Interventional2020-10-10Recruiting
Clinical Efficacy and Safety of Vortioxetine Combined With Mood Stabilizer in the Treatment of Bipolar Disorder Type II Depression [NCT05481957]Phase 4131 participants (Actual)Interventional2022-03-01Completed
Interventional, Randomized, Double-blind, Placebo-controlled, Active-reference (Fluoxetine), Fixed-dose Study of Vortioxetine in Paediatric Patients Aged 7 to 11 Years, With Major Depressive Disorder (MDD) [NCT02709655]Phase 3683 participants (Actual)Interventional2016-05-18Completed
Cognitive Dysfunction in Patients With Major Depressive Disorder, Clinical Peculiarities, Biological Markers, and Treatment Efficacy [NCT03187093]Phase 4150 participants (Anticipated)Interventional2016-10-31Recruiting
Tolerability, Safety and Efficacy of Vortioxetine for Treatment od Depression in Parkinson's Disease: a 16 Week Open Label Study [NCT04301492]Phase 420 participants (Anticipated)Interventional2019-11-20Recruiting
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
A Double-blind, Randomized, Placebo-controlled, Multicentre, Relapse-prevention Study of Vortioxetine in Paediatric Patients Aged 7 to 11 Years With Major Depressive Disorder [NCT05014919]Phase 335 participants (Actual)Interventional2021-08-10Terminated(stopped due to The study was terminated based on new efficacy data from another study.)
A Phase 1, Open-Label, Parallel-Group Study to Evaluate the Pharmacokinetics, Safety and Tolerability of a Single Oral Dose of 5 mg Vortioxetine in Subjects With Normal Hepatic Function or Severe Hepatic Impairment [NCT02170220]Phase 112 participants (Actual)Interventional2014-07-31Completed
A Single-centre, Open-label, Single-dose Interventional Study Investigating the Pharmacokinetic Properties of Lu AA21004 in Healthy Young Chinese Men and Women [NCT01676571]Phase 116 participants (Actual)Interventional2012-10-31Completed
Evaluation of the Efficacy of Vortioxetine for Posttraumatic Stress Disorder [NCT02637895]Phase 441 participants (Actual)Interventional2016-12-31Completed
A Randomized, Double-Blind, Parallel-Group, Active-Controlled, Flexible-Dose Study Evaluating the Effect of Lu AA21004 vs Escitalopram on Sexual Functioning in Adults With Well-Treated Major Depressive Disorder Experiencing Selective Serotonin Reuptake In [NCT01364649]Phase 3447 participants (Actual)Interventional2011-06-30Completed
Vortioxetine for Menopausal Depression and Associated Symptoms [NCT02234362]Phase 447 participants (Actual)Interventional2015-06-12Completed
A Randomized, Double-Blind, Placebo-Controlled Trial of Vortioxetine for Depressive Mood and Alcohol Use in Adults With Major Depressive Disorder and Alcohol Use Disorder [NCT04498897]Phase 2128 participants (Anticipated)Interventional2019-01-25Recruiting
Long-term, Open-label, Flexible-dose, Continuation Extension Study With Vortioxetine in Child and Adolescent Patients With Major Depressive Disorder (MDD) From 7 to 17 Years of Age [NCT03108625]Phase 394 participants (Actual)Interventional2017-03-01Completed
An 8-week, Open-Label Clinical Trial of the Efficacy and Safety of Vortioxetine in Patients With Major Depressive Disorder and Coronary Artery Disease [NCT02454426]Early Phase 10 participants (Actual)Interventional2016-04-30Withdrawn(stopped due to PI left institution)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00596817 (9) [back to overview]Change From Double-blind Baseline in HAM-A Total Score After 24 Weeks of Double-blind Treatment
NCT00596817 (9) [back to overview]Relapse Within First 24 Weeks of the Double-blind Period Based on a MADRS Total Score >=22 or an Unsatisfactory Treatment Effect (Lack of Efficacy) as Judged by the Investigator
NCT00596817 (9) [back to overview]Relapse During the Entire Double-blind Period Based on a MADRS Total Score >=22 or an Unsatisfactory Treatment Effect (Lack of Efficacy) as Judged by the Investigator
NCT00596817 (9) [back to overview]Proportion of Responders at Week 24 of the Double-blind Period (Response Defined as a >=50% Reduction in MADRS Total Score From Open-label Baseline)
NCT00596817 (9) [back to overview]Change From Double-blind Baseline in HAM-D-17 Total Score After 24 Weeks of Double-blind Treatment
NCT00596817 (9) [back to overview]Change From Double-blind Baseline in MADRS Total Score After 24 Weeks of Double-blind Treatment
NCT00596817 (9) [back to overview]Change From Double-blind Baseline in SDS Total Score at Week 24 of the Double-blind Period
NCT00596817 (9) [back to overview]Proportion of Remitters at Week 24 of the Double-blind Period (Remission Defined as a MADRS Total Score <=10)
NCT00596817 (9) [back to overview]Change From Double-blind Baseline in CGI-S Score After 24 Weeks of Double-blind Treatment
NCT00635219 (10) [back to overview]Change in Clinical Status Using CGI-I Score at Week 8
NCT00635219 (10) [back to overview]Change From Baseline in ASEX Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in CGI-S Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in MADRS Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment
NCT00635219 (10) [back to overview]Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment in Patients With Baseline HAM-A Total Score >=20
NCT00635219 (10) [back to overview]Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)
NCT00635219 (10) [back to overview]Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)
NCT00635219 (10) [back to overview]Change From Baseline in SDS Total Score After 8 Weeks of Treatment
NCT00672620 (12) [back to overview]Clinical Global Impression Scale-Global Improvement Scale
NCT00672620 (12) [back to overview]Healthcare Resource Utilization as Assessed by the Health Economic Assessment Questionnaire
NCT00672620 (12) [back to overview]Percentage of Responders in HAM-D 24 Total Score by Study Visit
NCT00672620 (12) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score
NCT00672620 (12) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT00672620 (12) [back to overview]Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Week 8
NCT00672620 (12) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT00672620 (12) [back to overview]Percentage of Participants With a Sustained Response in HAM-D24
NCT00672620 (12) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale - Self-assessment (MADRS-S)
NCT00672620 (12) [back to overview]Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Other Weeks Assessed
NCT00672620 (12) [back to overview]Change From Baseline in the Clinical Global Impression Scale-Severity of Illness Scale
NCT00672620 (12) [back to overview]Change From Baseline in the Montgomery Åsberg Depression Rating Scale (MADRS) Total Score
NCT00672958 (13) [back to overview]Percentage of Responders in HAM-D24 Total Score by Study Visit
NCT00672958 (13) [back to overview]Health Care Resource Utilization as Assessed by the Health Economic Assessment Questionnaire
NCT00672958 (13) [back to overview]Clinical Global Impression Scale-Global Improvement Scale
NCT00672958 (13) [back to overview]Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Other Weeks Assessed
NCT00672958 (13) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale - Self-assessment (MADRS-S)
NCT00672958 (13) [back to overview]Change From Baseline in Montgomery Åsberg Depression Rating Scale (MADRS) Total Score
NCT00672958 (13) [back to overview]Change From Baseline in Hamilton Anxiety Scale (HAM-A)
NCT00672958 (13) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity of Illness
NCT00672958 (13) [back to overview]Change From Baseline in 36-item Short-form Health Survey (SF-36) at Week 6
NCT00672958 (13) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 6
NCT00672958 (13) [back to overview]Percentage of Participants With a Sustained Response in HAM-D24
NCT00672958 (13) [back to overview]Percentage of Participants in MADRS Remission at Week 6
NCT00672958 (13) [back to overview]Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Week 6
NCT00694304 (10) [back to overview]Change From Baseline in CGI-S Score After 52 Weeks of Treatment
NCT00694304 (10) [back to overview]Change From Baseline in HAM-A Total Score After 52 Weeks of Treatment
NCT00694304 (10) [back to overview]Change From Baseline in HAM-D-24 Total Score After 52 Weeks of Treatment
NCT00694304 (10) [back to overview]Change From Baseline in MADRS Total Score After 52 Weeks of Treatment
NCT00694304 (10) [back to overview]Change From Baseline in SDS Total Score After 52 Weeks of Treatment
NCT00694304 (10) [back to overview]Percentage of Patients Who Withdrew Due to Intolerance to Treatment
NCT00694304 (10) [back to overview]Proportion of Patients With a MADRS Total Score >=22 After 52 Weeks of Treatment
NCT00694304 (10) [back to overview]Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10)
NCT00694304 (10) [back to overview]Number of Patients With Adverse Events (AEs)
NCT00694304 (10) [back to overview]Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score)
NCT00707980 (12) [back to overview]Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
NCT00707980 (12) [back to overview]Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
NCT00707980 (12) [back to overview]Number of Participants With Potentially Clinically Significant Laboratory Evaluation Findings
NCT00707980 (12) [back to overview]Number of Participants With Potentially Clinically Significant Vital Sign Findings
NCT00707980 (12) [back to overview]Physical Examination Findings
NCT00707980 (12) [back to overview]Change From Baseline in Hamilton Depression Scale-24 Item (HAM-D24) Total Score
NCT00707980 (12) [back to overview]Change From Baseline to the Final Visit in the Sheehan Disability Scale
NCT00707980 (12) [back to overview]Number of Participants With Adverse Events (AEs)
NCT00707980 (12) [back to overview]Change From Baseline in the Clinical Global Impression of Severity of Illness Scale
NCT00707980 (12) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score
NCT00707980 (12) [back to overview]Change From Baseline in the Montgomery Åsberg Depression Rating Scale (MADRS) Total Score
NCT00707980 (12) [back to overview]Change From Baseline to the Final Visit in 36-item Short-form Health Survey (SF-36)
NCT00730691 (16) [back to overview]Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Other Weeks Assessed
NCT00730691 (16) [back to overview]Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
NCT00730691 (16) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25
NCT00730691 (16) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) at Other Weeks Assessed
NCT00730691 (16) [back to overview]Change From Baseline in Hospital Anxiety and Depression (HAD) - Depression Subscale at All Weeks Assessed
NCT00730691 (16) [back to overview]Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Other Weeks Assessed
NCT00730691 (16) [back to overview]Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
NCT00730691 (16) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
NCT00730691 (16) [back to overview]Percentage of Responders in HAM-A Total Score at Week 8
NCT00730691 (16) [back to overview]Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Week 8
NCT00730691 (16) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25
NCT00730691 (16) [back to overview]Change From Baseline in the Hamilton Anxiety (HAM-A) Scale Total Score at Week 8
NCT00730691 (16) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) at Week 8
NCT00730691 (16) [back to overview]Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Week 8
NCT00730691 (16) [back to overview]Percentage of Responders in HAM-A Total Score at Other Weeks Assessed
NCT00730691 (16) [back to overview]Percentage of Participants in HAM-A Remission at Each Week Assessed
NCT00731120 (10) [back to overview]Clinical Global Impression Scale-Global Improvement (CGI-I) at Each Week Assessed
NCT00731120 (10) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) at Week 8
NCT00731120 (10) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score
NCT00731120 (10) [back to overview]Percentage of Participants in HAM-A Remission at Week 8
NCT00731120 (10) [back to overview]Percentage of Responders in HAM-A Total Score at Week 8
NCT00731120 (10) [back to overview]Change From Baseline in 36-item Short-form Health Survey (SF-36)
NCT00731120 (10) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
NCT00731120 (10) [back to overview]Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
NCT00731120 (10) [back to overview]Change From Baseline in Hospital Anxiety and Depression (HAD) Scales
NCT00731120 (10) [back to overview]Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Week 8
NCT00734071 (25) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT00734071 (25) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8
NCT00734071 (25) [back to overview]Change From Baseline in the Hospital Anxiety and Depression (HAD) Anxiety Subscale at Week 8
NCT00734071 (25) [back to overview]Clinical Global Impression Scale-Global Improvement at Week 8
NCT00734071 (25) [back to overview]Percentage of Responders in HAM-A Total Score at Week 8
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Bodily Pain Subscore at Each Week Assessed
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) General Health Subscore at Each Week Assessed
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Mental Health Subscore at Each Week Assessed
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Physical Functioning Subscore at Each Week Assessed
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Emotional Subscore at Each Week Assessed
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Physical Subscore at Each Week Assessed
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Other Weeks Assessed
NCT00734071 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Vitality Subscore at Each Week Assessed
NCT00734071 (25) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25
NCT00734071 (25) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Other Weeks Assessed
NCT00734071 (25) [back to overview]Percentage of Responders in HAM-A Total Score at Other Weeks Assessed
NCT00734071 (25) [back to overview]Percentage of Participants in HAM-A Remission at Each Week Assessed
NCT00734071 (25) [back to overview]Health Care Resource Utilization as Assessed by the Health Economic Assessment Questionnaire
NCT00734071 (25) [back to overview]Clinical Global Impression Scale-Global Improvement at Other Weeks Assessed
NCT00734071 (25) [back to overview]Change From Baseline in the Hospital Anxiety and Depression (HAD) Depression Subscale at Each Week Assessed
NCT00734071 (25) [back to overview]Change From Baseline in the Hospital Anxiety and Depression (HAD) Anxiety Subscale at Other Weeks Assessed
NCT00734071 (25) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25
NCT00734071 (25) [back to overview]Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
NCT00734071 (25) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity of Illness at Each Week Assessed
NCT00735709 (26) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Vitality Subscore at All Weeks Assessed
NCT00735709 (26) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity of Illness at Each Week Assessed
NCT00735709 (26) [back to overview]Change From Baseline in HAM-D24 Total Score at Other Weeks Assessed in Participants With a Baseline HAM-A Score ≥20
NCT00735709 (26) [back to overview]Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Each Week Assessed
NCT00735709 (26) [back to overview]Change From Baseline in Hospital Anxiety and Depression (HAD) Scales at Each Week Assessed
NCT00735709 (26) [back to overview]Change From Baseline in Montgomery Åsberg Depression Rating Scale (MADRS) Total Score at Each Week
NCT00735709 (26) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Other Weeks Assessed
NCT00735709 (26) [back to overview]Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Other Weeks Assessed
NCT00735709 (26) [back to overview]Clinical Global Impression Scale-Global Improvement at Other Weeks Assessed
NCT00735709 (26) [back to overview]Change From Baseline in HAM-D24 Total Score at Week 8 in Participants With Baseline HAM-A Score ≥20
NCT00735709 (26) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Other Weeks Assessed
NCT00735709 (26) [back to overview]Percentage of Responders in HAM-D24 Total Score at Week 8
NCT00735709 (26) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Mental Health Subscore at All Weeks Assessed
NCT00735709 (26) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Emotional Subscore at All Weeks Assessed
NCT00735709 (26) [back to overview]Healthcare Resource Utilization as Assessed by the Health Economic Assessment Questionnaire.
NCT00735709 (26) [back to overview]Change From Baseline in the 24-item Hamilton Depression Scale Total Score At Week 8
NCT00735709 (26) [back to overview]Percentage of Participants in MADRS Remission at Other Weeks Assessed
NCT00735709 (26) [back to overview]Percentage of Responders in HAM-D24 Total Score at Other Weeks Assessed
NCT00735709 (26) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) General Health Subscore at All Weeks Assessed
NCT00735709 (26) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Bodily Pain Subscore at All Weeks Assessed
NCT00735709 (26) [back to overview]Percentage of Participants With a Sustained Response in HAM-D24 Total Score
NCT00735709 (26) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Physical Functioning Subscore at All Weeks Assessed
NCT00735709 (26) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT00735709 (26) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Physical Subscore at All Weeks Assessed
NCT00735709 (26) [back to overview]Clinical Global Impression Scale-Global Improvement at Week 8
NCT00735709 (26) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Week 8
NCT00744627 (25) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT00744627 (25) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8
NCT00744627 (25) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25
NCT00744627 (25) [back to overview]Change From Baseline in the Hospital Anxiety and Depression (HAD) Anxiety Subscale at Week 8
NCT00744627 (25) [back to overview]Clinical Global Impression Scale-Global Improvement at Week 8
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Bodily Pain Subscore at Each Week Assessed
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) General Health Subscore at Each Week Assessed
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Mental Health Subscore at Each Week Assessed
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Physical Functioning Subscore at Each Week Assessed
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Emotional Subscore at Each Week Assessed
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Other Weeks Assessed
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Vitality Subscore at Each Week Assessed
NCT00744627 (25) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity of Illness at Each Week Assessed
NCT00744627 (25) [back to overview]Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed
NCT00744627 (25) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Other Weeks Assessed
NCT00744627 (25) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25
NCT00744627 (25) [back to overview]Percentage of Participants in HAM-A Remission at Each Week Assessed
NCT00744627 (25) [back to overview]Percentage of Responders in HAM-A Total Score at Other Weeks Assessed
NCT00744627 (25) [back to overview]Percentage of Responders in HAM-A Total Score at Week 8
NCT00744627 (25) [back to overview]Change From Baseline in the Hospital Anxiety and Depression (HAD) Depression Subscale at Each Week Assessed
NCT00744627 (25) [back to overview]Change From Baseline in the Hospital Anxiety and Depression (HAD) Anxiety Subscale at Other Weeks Assessed
NCT00744627 (25) [back to overview]Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Physical Subscore at Each Week Assessed
NCT00744627 (25) [back to overview]Clinical Global Impression Scale-Global Improvement at Other Weeks Assessed
NCT00744627 (25) [back to overview]Health Care Resource Utilization as Assessed by the Health Economic Assessment Questionnaire
NCT00761306 (6) [back to overview]Change From Baseline in HAM-D-24 Total Score After 52 Weeks of Treatment
NCT00761306 (6) [back to overview]Number of Patients With Adverse Events (AEs)
NCT00761306 (6) [back to overview]Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score)
NCT00761306 (6) [back to overview]Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10)
NCT00761306 (6) [back to overview]Percentage of Patients Who Withdrew Due to Intolerance to Treatment
NCT00761306 (6) [back to overview]Change From Baseline in MADRS Total Score After 52 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 1 Week of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 2 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 4 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 6 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in CGI-S Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Risk of Suicidality Using C-SSRS Scores
NCT00811252 (13) [back to overview]Proportion of Responders at Week 8 (Response Defined as a >=50% Reduction in the HAM-D-24 Total Score)
NCT00811252 (13) [back to overview]Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)
NCT00811252 (13) [back to overview]Change in Clinical Status Using CGI-I Score at Week 8
NCT00811252 (13) [back to overview]Change From Baseline in MADRS Total Score After 8 Weeks of Treatment
NCT00811252 (13) [back to overview]Change From Baseline in GDS Total Score After 8 Weeks of Treatment
NCT00839423 (8) [back to overview]Change From Baseline in MADRS Total Score After 1 Week 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 CGI-S Score After 6 Weeks 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]Proportion of Remitters at Week 6 (Remission is Defined as a MADRS Total Score <=10)
NCT00839423 (8) [back to overview]Change in Clinical Status Using CGI-I Score at Week 6
NCT00839423 (8) [back to overview]Change From Baseline in MADRS Total 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
NCT01140906 (8) [back to overview]Change From Baseline in ASEX Total Score After 8 Weeks of Treatment
NCT01140906 (8) [back to overview]Change From Baseline in MADRS Total Score After 8 Weeks of Treatment in Patients With Baseline HAM-A Total Score ≥20
NCT01140906 (8) [back to overview]Change From Baseline in MADRS Total Score After 8 Weeks of Treatment.
NCT01140906 (8) [back to overview]Change From Baseline in SDS Total Score After 8 Weeks of Treatment
NCT01140906 (8) [back to overview]Change in Clinical Status Using CGI-I Score at Week 8
NCT01140906 (8) [back to overview]Potential Discontinuation Symptoms After Abrupt Discontinuation of Treatment With Vortioxetine
NCT01140906 (8) [back to overview]Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)
NCT01140906 (8) [back to overview]Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)
NCT01152996 (10) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score
NCT01152996 (10) [back to overview]Number of Participants With Serious Treatment-Emergent Adverse Events
NCT01152996 (10) [back to overview]Treatment-Emergent Adverse Events Leading to Study Discontinuation
NCT01152996 (10) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity of Illness (CGI-S)
NCT01152996 (10) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
NCT01152996 (10) [back to overview]Change From Baseline in SDS Family Life/Home Responsibilities Subscale
NCT01152996 (10) [back to overview]Change From Baseline in SDS Social Life Subscale
NCT01152996 (10) [back to overview]Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score
NCT01152996 (10) [back to overview]Number of Participants With Treatment-Emergent Adverse Events at a Frequency Threshold of ≥5%
NCT01152996 (10) [back to overview]Change From Baseline in SDS Work/School Subscale
NCT01153009 (6) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT01153009 (6) [back to overview]Change From Baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
NCT01153009 (6) [back to overview]Mean Clinical Global Impression Scale - Improvement (CGI-I) Score at Week 8
NCT01153009 (6) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT01153009 (6) [back to overview]Percentage of Participants With a MADRS Response at Week 8
NCT01153009 (6) [back to overview]Change From Baseline in MADRS Total Score at Week 8 in Participants With Baseline Hamilton Anxiety Scale (HAM-A) Total Score ≥20
NCT01163266 (6) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT01163266 (6) [back to overview]Percentage of Participants With a MADRS Response at Week 8
NCT01163266 (6) [back to overview]Mean Clinical Global Impression Scale-Improvement (CGI-I) Score at Week 8
NCT01163266 (6) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT01163266 (6) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
NCT01163266 (6) [back to overview]Change From Baseline in MADRS Total Score at Week 8 in Participants With Baseline Hamilton Anxiety Scale (HAM-A) Total Score ≥20
NCT01179516 (6) [back to overview]Percentage of Participants With a MADRS Response at Week 8
NCT01179516 (6) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT01179516 (6) [back to overview]Mean Clinical Global Impression Scale - Improvement (CGI-I) Score at Week 8
NCT01179516 (6) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score
NCT01179516 (6) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
NCT01179516 (6) [back to overview]Change From Baseline in MADRS Total Score at Week 8 in Participants With Baseline Hamilton Anxiety Scale (HAM-A) Total Score ≥ 20
NCT01255787 (5) [back to overview]Percentage of Participants With a MADRS Response at Week 8
NCT01255787 (5) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT01255787 (5) [back to overview]Mean Clinical Global Impression Scale - Improvement (CGI-I) Score at Week 8
NCT01255787 (5) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8
NCT01255787 (5) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
NCT01299805 (12) [back to overview]Maximum Concentration of 5-HT in Cerobrospinal Fluid
NCT01299805 (12) [back to overview]Maximum Concentration of 5-HIAA in Plasma
NCT01299805 (12) [back to overview]Maximum Concentration of 5-HIAA in Cerebrospinal Fluid
NCT01299805 (12) [back to overview]Area Under the Effect Curve From Time Zero to 24 Hours Postdose of 5-hydroxytryptamine (5-HT) in Plasma
NCT01299805 (12) [back to overview]Area Under the Effect Curve From Time Zero to 24 Hours Postdose of 5-hydroxyindoleacetic Acid (5-HIAA) in Plasma
NCT01299805 (12) [back to overview]Area Under the Effect Curve From Time Zero to 24 Hours Postdose of 5-HT in Cerebrospinal Fluid
NCT01299805 (12) [back to overview]Area Under the Effect Curve From Time Zero to 24 Hours Postdose of 5-HIAA in Cerebrospinal Fluid
NCT01299805 (12) [back to overview]Maximum Concentration of 5-HT in Plasma
NCT01299805 (12) [back to overview]Time to Maximum Concentration of 5-HT in Plasma
NCT01299805 (12) [back to overview]Time to Maximum Concentration of 5-HT in Cerebrospinal Fluid
NCT01299805 (12) [back to overview]Time to Maximum Concentration of 5-HIAA in Plasma
NCT01299805 (12) [back to overview]Time to Maximum Concentration of 5-HIAA in Cerebrospinal Fluid
NCT01323478 (10) [back to overview]Number of Patients With Adverse Events (AEs)
NCT01323478 (10) [back to overview]Risk of Suicidality Using C-SSRS Scores
NCT01323478 (10) [back to overview]Change From Baseline in CGI-S Score After 52 Weeks of Treatment
NCT01323478 (10) [back to overview]Change From Baseline in HAM-A Total Score After 52 Weeks of Treatment
NCT01323478 (10) [back to overview]Change From Baseline in MADRS Total Score After 52 Weeks of Treatment
NCT01323478 (10) [back to overview]Percentage of Patients Who Withdrew Due to Intolerance to Treatment
NCT01323478 (10) [back to overview]Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10)
NCT01323478 (10) [back to overview]ASEX Total Score After 52 Weeks of Treatment
NCT01323478 (10) [back to overview]Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score)
NCT01323478 (10) [back to overview]SDS Total Score After 52 Weeks of Treatment
NCT01355081 (6) [back to overview]Percentage of Patients With MADRS Response After 8 Weeks of Treatment
NCT01355081 (6) [back to overview]Percentage of Patients With MADRS Remission After 8 Weeks of Treatment
NCT01355081 (6) [back to overview]Clinical Global Impression Scale-Improvement (CGI-I) Score After 8 Weeks of Treatment
NCT01355081 (6) [back to overview]Change From Baseline in the Hamilton Depression Scale (HAM-D17) Total Score After 8 Weeks of Treatment
NCT01355081 (6) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score After 8 Weeks of Treatment
NCT01355081 (6) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score After 8 Weeks of Treatment
NCT01364649 (3) [back to overview]Number of Participants With Shifts in the CSFQ-14 From Abnormal to Normal at Each Week Assessed
NCT01364649 (3) [back to overview]Change From Baseline in the CSFQ-14 Total Score at All Other Time Points Assessed
NCT01364649 (3) [back to overview]Change From Baseline in the Changes in Sexual Functioning Questionnaire Short-Form (CSFQ-14) Total Score at Week 8
NCT01422213 (18) [back to overview]Risk of Suicidality Using C-SSRS Scores
NCT01422213 (18) [back to overview]Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline
NCT01422213 (18) [back to overview]Proportion of Remitters at Week 8 (Remission is Defined as a MADRS Total Score <=10)
NCT01422213 (18) [back to overview]Clinical Status Using CGI-I Score at Week 8
NCT01422213 (18) [back to overview]Change From Baseline to Week 1 Using the MADRS Total Score and the Composite Z-score
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in CGI-S Score
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in Congruent STROOP Time to Complete (Executive Function)
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in DSST (Number of Correct Symbols)
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 Using the MADRS Total Score and the Composite Z-score
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in DSST (Number of Correct Symbols) and RAVLT (Acquisition and Delayed Recall) Using the Composite Z-score Defined as the Weighted Sum of the Individual Patient Z-scores
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in Incongruent STROOP Time to Complete (Executive Function)
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in MADRS Total Score
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in RAVLT (Acquisition)
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in RAVLT (Delayed Recall)
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in the CRT (Attention)
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in the SRT (Speed of Processing)
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in the TMT A (Speed of Processing)
NCT01422213 (18) [back to overview]Change From Baseline to Week 8 in the TMT B (Executive Function)
NCT01488071 (14) [back to overview]Change From Baseline in MADRS Total Score at Week 8
NCT01488071 (14) [back to overview]Change From Baseline in MADRS Total Score at Week 12
NCT01488071 (14) [back to overview]Change From Baseline in HAM-A Total Score at Week 8
NCT01488071 (14) [back to overview]Change From Baseline in HAM-A Total Score at Week 12
NCT01488071 (14) [back to overview]Change From Baseline in CGI-S Score at Week 8
NCT01488071 (14) [back to overview]Change From Baseline in CGI-S Score at Week 12
NCT01488071 (14) [back to overview]Change From Baseline in SDS Total Score at Week 8
NCT01488071 (14) [back to overview]Change in Clinical Status Using CGI-I Score at Week 12
NCT01488071 (14) [back to overview]Proportion of Patients Who Are in Remission at Week 12 (Remission is Defined as a MADRS Total Score <=10)
NCT01488071 (14) [back to overview]Proportion of Patients Who Are in Remission at Week 8 (Remission is Defined as a MADRS Total Score <=10)
NCT01488071 (14) [back to overview]Proportion of Patients Who Respond at Week 12 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)
NCT01488071 (14) [back to overview]Proportion of Patients Who Respond at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)
NCT01488071 (14) [back to overview]Change in Clinical Status Using CGI-I Score at Week 8
NCT01488071 (14) [back to overview]Change From Baseline in SDS Total Score at Week 12
NCT01491035 (7) [back to overview]t½ of Vortioxetine
NCT01491035 (7) [back to overview]Cmax of Vortioxetine
NCT01491035 (7) [back to overview]Oral Clearance (CL/F) of Vortioxetine
NCT01491035 (7) [back to overview]t½ of Lu AA34443
NCT01491035 (7) [back to overview]Cmax of Lu AA34443
NCT01491035 (7) [back to overview]AUC(0-24h) of Lu AA34443
NCT01491035 (7) [back to overview]AUC(0-24h) of Vortioxetine
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Trail Making Test B (TMT-B)
NCT01564862 (15) [back to overview]Change in Time From Baseline to Week 8 in the Stroop Test
NCT01564862 (15) [back to overview]Clinical Global Impressions-Improvement (CGI-I) Score at Week 8
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Detection Task (DT)
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Digit Symbol Substitution Test (DSST)
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Groton Maze Learning Test (GMLT)
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Identification Task (IT)
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the One-Back Task
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Perceived Deficits Questionnaire (PDQ) Attention/Concentration and Planning/Organization Subscore
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Clinical Global Impressions-Severity (CGI-S) Score
NCT01564862 (15) [back to overview]Proportion of Cognitive Dysfunction Improvement Due to Improvement of Depression
NCT01564862 (15) [back to overview]Percentage of Participants in MADRS Remission at Week 8
NCT01564862 (15) [back to overview]Percentage of Participants With MADRS Response at Week 8
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the MADRS Total Score
NCT01564862 (15) [back to overview]Change From Baseline to Week 8 in the Trail Making Test (TMT-A)
NCT01571453 (6) [back to overview]Change From Baseline in MADRS Total Score at Week 8
NCT01571453 (6) [back to overview]Change in CGI-S Score From Baseline to Week 8
NCT01571453 (6) [back to overview]Change in HAM-A Total Score From Baseline to Week 8
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]Remission at Week 8 (Remission Defined as a MADRS Total Score ≤10)
NCT01571453 (6) [back to overview]CGI-I Score at Week 8
NCT02170220 (11) [back to overview]AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Vortioxetine Metabolite Lu AA34443
NCT02170220 (11) [back to overview]AUC(0-inf)u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to Infinity for Vortioxetine
NCT02170220 (11) [back to overview]AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Vortioxetine
NCT02170220 (11) [back to overview]AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Vortioxetine Metabolite Lu AA34443
NCT02170220 (11) [back to overview]AUC(0-tlqc)u: Area Under the Unbound Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Vortioxetine
NCT02170220 (11) [back to overview]Cmax: Maximum Observed Plasma Concentration for Vortioxetine
NCT02170220 (11) [back to overview]Cmax: Maximum Observed Plasma Concentration for Vortioxetine Metabolite Lu AA34443
NCT02170220 (11) [back to overview]Cmax: Maximum Observed Plasma Concentration for Vortioxetine Metabolite Lu AA39835
NCT02170220 (11) [back to overview]Cmaxu: Maximum Observed Unbound Plasma Concentration for Vortioxetine
NCT02170220 (11) [back to overview]AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Vortioxetine Metabolite Lu AA39835
NCT02170220 (11) [back to overview]AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Vortioxetine
NCT02234362 (14) [back to overview]Change From Baseline in Vasomotor Symptoms (VMS) Severity During Nighttime at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Beck Anxiety Inventory (BAI) Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Clinical Global Impression-Fatigue (CGI-F) Scale Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Clinical Global Impression-Severity (CGI-S) Scale Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Cognitive and Physical Functioning Questionnaire (CPFQ) Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Digit Symbol Substitution Test (DSST) Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Greene Climacteric Scale (GCS) Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Menopause Specific Quality of Life (MENQOL) Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Montgomery-Asberg Depression Rating Scale Score (MADRS) at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Pain Assessment (PEG) Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Pittsburgh Sleep Quality Index (PSQI) Score at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Vasomotor Symptoms (VMS) Frequency During Daytime at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Vasomotor Symptoms (VMS) Frequency During Nighttime at Week 8 (Visit 5)
NCT02234362 (14) [back to overview]Change From Baseline in Vasomotor Symptoms (VMS) Severity During Daytime at Week 8 (Visit 5)
NCT02327013 (42) [back to overview]Change in BRIEF-A Subscales - Emotional Control
NCT02327013 (42) [back to overview]Change in AISRS Inattention Sub-score
NCT02327013 (42) [back to overview]Change in Adult ADHD Self-Report Scale (ASRS) Total Score
NCT02327013 (42) [back to overview]Change in Adult ADHD Quality of Life Measure (AAQoL) Total Score
NCT02327013 (42) [back to overview]Change in ADHD Investigator Symptom Rating Scale (AISRS) Total Score
NCT02327013 (42) [back to overview]Change in AAQoL Subscales - Relationships Sub-score
NCT02327013 (42) [back to overview]Change in AAQoL Subscales - Psychological Health Sub-score
NCT02327013 (42) [back to overview]Change in AAQoL Subscales - Life Productivity Sub-score
NCT02327013 (42) [back to overview]Change in AAQoL Subscales - Life Outlook Sub-score
NCT02327013 (42) [back to overview]Change BRIEF-A Subscales - Initiate
NCT02327013 (42) [back to overview]Change in Perceived Deficits Questionnaire - Depression (PDQ-D) Total Score
NCT02327013 (42) [back to overview]Change AISRS Hyperactivity/Impulsivity Sub-score
NCT02327013 (42) [back to overview]Response (Defined as a CGI-I Score of 1 or 2), Stage 1
NCT02327013 (42) [back to overview]Productivity: Change in Work Limitations Questionnaire (WLQ) Productivity Loss Score
NCT02327013 (42) [back to overview]Percentage of Patients Responding (Response Defined as 30% or Greater Reduction From Baseline in AISRS Total Score)
NCT02327013 (42) [back to overview]Overall Functioning: Change in Sheehan Disability Scale (SDS) Total Score
NCT02327013 (42) [back to overview]Inattention/Meta-cognition: Change in Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A) Using Metacognition Index
NCT02327013 (42) [back to overview]Cognitive Function/Global Executive Function: Change in BRIEF-A Using the Global Executive Composite Score
NCT02327013 (42) [back to overview]Clinical Global Impression - Global Improvement (CGI-I) Score
NCT02327013 (42) [back to overview]Change in WLQ Using the Global Productivity Index
NCT02327013 (42) [back to overview]Change in WLQ Domain Scores - Physical Demands
NCT02327013 (42) [back to overview]Change in WLQ Domain Scores - Output Demands
NCT02327013 (42) [back to overview]Change in WLQ Domain Scores - Mental-Interpersonal Work Demands
NCT02327013 (42) [back to overview]Change in WLQ Domain Scores - Limitations Handling Time
NCT02327013 (42) [back to overview]Change in SDS Item Scores - Work
NCT02327013 (42) [back to overview]Change in SDS Item Scores - Social Life
NCT02327013 (42) [back to overview]Change in SDS Item Scores - Number of Underproductive Days
NCT02327013 (42) [back to overview]Change in SDS Item Scores - Number of Days Lost
NCT02327013 (42) [back to overview]Change in SDS Item Scores - Family
NCT02327013 (42) [back to overview]Change in PDQ-D Subscales - Attention and Concentration Sub-score
NCT02327013 (42) [back to overview]Change in PDQ-D Sub-scales - Retrospective Memory Sub-score
NCT02327013 (42) [back to overview]Change in PDQ-D Sub-scales - Prospective Memory Sub-score
NCT02327013 (42) [back to overview]Change in PDQ-D Sub-scales - Planning and Organisation Sub-score
NCT02327013 (42) [back to overview]Change in Clinical Global Impression - Severity of Illness (CGI-S) Score
NCT02327013 (42) [back to overview]Change in BRIEF-A Using the Behavioural Regulation Index
NCT02327013 (42) [back to overview]Change in BRIEF-A Subscales - Working Memory
NCT02327013 (42) [back to overview]Change in BRIEF-A Subscales - Task Monitor
NCT02327013 (42) [back to overview]Change in BRIEF-A Subscales - Shift
NCT02327013 (42) [back to overview]Change in BRIEF-A Subscales - Self Monitor
NCT02327013 (42) [back to overview]Change in BRIEF-A Subscales - Planning/Organize
NCT02327013 (42) [back to overview]Change in BRIEF-A Subscales - Organization of Materials
NCT02327013 (42) [back to overview]Change in BRIEF-A Subscales - Inhibit
NCT02371980 (5) [back to overview]Clinical Global Impression Scale-Global Improvement Scale (CGI-I) Score
NCT02371980 (5) [back to overview]Time From Randomization to Relapse of Major Depressive Disorder During the Entire 32-Week Double-Blind Treatment Period
NCT02371980 (5) [back to overview]Time From Randomization to Relapse of Major Depressive Disorder During the First 28 Weeks of the 32-Week Double-Blind Treatment Period
NCT02371980 (5) [back to overview]Change From Baseline in Clinical Global Impression Scale-Severity (CGI-S) Score at Each Week Assessed
NCT02371980 (5) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score
NCT02389816 (9) [back to overview]Clinical Global Impressions-Improvement (CGI-I) Score at Week 8 (LOCF)
NCT02389816 (9) [back to overview]Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score to Week 8
NCT02389816 (9) [back to overview]Change From Baseline in Sheehan Disability Scale (SDS) Total Score to Week 8 (LOCF)
NCT02389816 (9) [back to overview]MADRS Remission at Week 8 (LOCF)
NCT02389816 (9) [back to overview]MADRS Response at Week 8 (Last Observation Carried Forward (LOCF))
NCT02389816 (9) [back to overview]Change From Baseline in Perceived Deficits Questionnaire (PDQ-5) Total Score to Week 8 (LOCF)
NCT02389816 (9) [back to overview]Change From Baseline in Clinical Global Impressions-Severity (CGI-S) Score to Week 8 (LOCF)
NCT02389816 (9) [back to overview]Change From Baseline in Digit Symbol Substitution Test (DSST) Total Score to Week 8 (LOCF)
NCT02389816 (9) [back to overview]Change From Baseline in Hamilton Depression Scale (HAM-D17) Total Score to Week 8 (LOCF)
NCT02528409 (9) [back to overview]Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating
NCT02528409 (9) [back to overview]Change in Number of Binge Eating Episodes
NCT02528409 (9) [back to overview]BMI
NCT02528409 (9) [back to overview]Clinical Global Impression Improvement Scale (CGI)
NCT02528409 (9) [back to overview]Hamilton Anxiety Rating Scale
NCT02528409 (9) [back to overview]Hamilton Depression Rating Scale
NCT02528409 (9) [back to overview]Number of Participants With 4-week Cessation From Binge Eating
NCT02528409 (9) [back to overview]Quality of Life Inventory
NCT02528409 (9) [back to overview]Three-Factor Eating Questionnaire
NCT02637895 (4) [back to overview]Change Clinician Administered PTSD Scale Score
NCT02637895 (4) [back to overview]Change in Depressive Symptoms in PTSD
NCT02637895 (4) [back to overview]Number of Participants That Achieve Treatment Response Via CGI-I
NCT02637895 (4) [back to overview]Number of Participants That Achieve Treatment Response Via Clinician Administered PTSD Scale (CAPS)-5
NCT02709655 (21) [back to overview]Change From Baseline in PQ-LES-Q Overall Evaluation Score (Item 15) at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Clinical Global Impression - Global Improvement (CGI-I) Score
NCT02709655 (21) [back to overview]Parent Global Assessment (PGA) Score
NCT02709655 (21) [back to overview]Percentage of Participants With CDRS-R Remission
NCT02709655 (21) [back to overview]Percentage of Participants With CGI-S Remission
NCT02709655 (21) [back to overview]Percentage of Participants With CDRS-R Response
NCT02709655 (21) [back to overview]Change From Baseline in Children Depression Rating Scale - Revised (CDRS-R) Total Score at Week 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in CDRS-R Subscores (Mood, Somatic, Subjective, and Behaviour) at Weeks 2, 4, 6, and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in CDRS-R Total Score at Weeks 2, 4, and 6 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in Children's Global Assessment Scale (CGAS) Score at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in Clinical Global Impression - Severity of Illness (CGI-S) Score at Weeks 1, 2, 3, 4, 6, and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in General Behaviour Inventory (GBI) Depression Subscale Score, Using the 10-Item Depression Subscale Assessed by Parent (PGBI-10D) and Child (CGBI-10D) at Weeks 2, 4, 6, and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in Paediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Total Score (Items 1 to 14) at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in Pediatric Quality of Life Inventory (PedsQL) Visual Analogue Scales (VAS): Afraid or Scared (Anxiety) Score at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in PedsQL Emotional Distress Summary Average Score at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in PedsQL VAS Total Average Score at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in PedsQL VAS: Angry Score at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in PedsQL VAS: Pain or Hurt Score at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in PedsQL VAS: Sad or Blue (Sadness) Score at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in PedsQL VAS: Tired (Fatigue) Score at Weeks 4 and 8 of Phase B
NCT02709655 (21) [back to overview]Change From Baseline in PedsQL VAS: Worry Score at Weeks 4 and 8 of Phase B
NCT02709746 (28) [back to overview]Change in Paediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Total Scores
NCT02709746 (28) [back to overview]Change in PedsQL VAS: Tired (Fatigue) Score
NCT02709746 (28) [back to overview]Change in PedsQL VAS: Worry Score
NCT02709746 (28) [back to overview]Change General Behaviour Inventory (GBI) Depression Subscale Score Assessed by the Child
NCT02709746 (28) [back to overview]Change in CDRS-R Behaviour Score
NCT02709746 (28) [back to overview]Change in CDRS-R Somatic Score
NCT02709746 (28) [back to overview]Change in PQ-LES-Q Overall Score
NCT02709746 (28) [back to overview]Change in Symbol Digit Modalities Test (SDMT)
NCT02709746 (28) [back to overview]Clinical Global Impression - Global Improvement (CGI-I) Score
NCT02709746 (28) [back to overview]Parent Global Assessment-Global Improvement (PGA) Score
NCT02709746 (28) [back to overview]Change in CDRS-R Subjective Score
NCT02709746 (28) [back to overview]Change in CDRS-R Total Score During Treatment (at Week 4)
NCT02709746 (28) [back to overview]Change in CDRS-R Total Score During Treatment (at Week 2)
NCT02709746 (28) [back to overview]Change in CDRS-R Total Score During Treatment (at Week 6)
NCT02709746 (28) [back to overview]CDRS-R Remission
NCT02709746 (28) [back to overview]CDRS-R Response
NCT02709746 (28) [back to overview]Change in Children Depression Rating Scale - Revised (CDRS-R) Total Score After Treatment
NCT02709746 (28) [back to overview]Change in Children's Global Assessment Scale (CGAS) Score
NCT02709746 (28) [back to overview]Change in Clinical Global Impression Severity of Illness (CGI-S) Score
NCT02709746 (28) [back to overview]Change in CDRS-R Mood Score
NCT02709746 (28) [back to overview]Change in General Behaviour Inventory (GBI) Depression Sub Scale Score Assessed by the Parents
NCT02709746 (28) [back to overview]Change in PedsQL Emotional Distress Summary Average Score
NCT02709746 (28) [back to overview]CGI-S Remission
NCT02709746 (28) [back to overview]Change in Pediatric Quality of Life Inventory (PedsQL) Visual Analogue Scales (VAS): Afraid or Scared (Anxiety) Score
NCT02709746 (28) [back to overview]Change in PedsQL VAS Total Average Score
NCT02709746 (28) [back to overview]Change in PedsQL VAS: Angry Score
NCT02709746 (28) [back to overview]Change in PedsQL VAS: Pain or Hurt Score
NCT02709746 (28) [back to overview]Change in PedsQL VAS: Sad or Blue (Sadness) Score
NCT02749721 (10) [back to overview]Correlations Between BNA Latency Scores and Clinical, Cognitive, and Functionality Assessments Using Baseline Scores
NCT02749721 (10) [back to overview]Changes in Quick Inventory of Depressive Symptomatology - Self-Report (QIDS-16-SR) From Baseline to 8 Week Endpoint
NCT02749721 (10) [back to overview]Changes in Hamilton Depression Rating Scale (HDRS) 28 From Baseline to 8 Week Endpoint
NCT02749721 (10) [back to overview]Changes in Hamilton Depression Rating Scale (HDRS) 17 From Baseline to 8 Week Endpoint
NCT02749721 (10) [back to overview]Changes in Clinical Global Impression Scale (CGI-S) From Baseline to 8 Week Endpoint
NCT02749721 (10) [back to overview]Change in Montgomery and Asberg Depression Rating Scale (MADRS)
NCT02749721 (10) [back to overview]Change From Baseline to Endpoint in Digital Symbol Substitution Test.
NCT02749721 (10) [back to overview]BNA Scores Latencies
NCT02749721 (10) [back to overview]Correlations Between BNA Amplitude Scores and Clinical, Cognitive, and Functionality Assessments Using Baseline Scores
NCT02749721 (10) [back to overview]BNA Scores Amplitudes
NCT02871297 (12) [back to overview]Clinical Global Impression - Global Improvement (CGI-I) Score
NCT02871297 (12) [back to overview]Adolescents (12-18 Years): Change From Baseline in Behaviour Rating Inventory of Executive Function - Self-report (BRIEF-SR) Using the GEC Score at Week 26
NCT02871297 (12) [back to overview]Number of Participants With Response to the Palatability Questionnaire
NCT02871297 (12) [back to overview]Number of Participants With Response to the Acceptability Questionnaire
NCT02871297 (12) [back to overview]Children (7-11 Years): Change From Baseline in BRIEF-P Using the MI Score at Week 26
NCT02871297 (12) [back to overview]Children (7-11 Years): Change From Baseline in Behaviour Rating Inventory of Executive Function - Preschool (BRIEF-P) Using the Global Executive Composite (GEC) Score at Week 26
NCT02871297 (12) [back to overview]Change From Baseline in Pediatric Quality of Life Inventory Present Functioning Visual Analogue Scale (PedsQL VAS) Total Score at Week 26
NCT02871297 (12) [back to overview]Change From Baseline in Clinical Global Impression - Severity of Illness (CGI-S) Score at Week 26
NCT02871297 (12) [back to overview]Change From Baseline in Children's Global Assessment Scale (CGAS) Score at Week 26
NCT02871297 (12) [back to overview]Change From Baseline in Children Depression Rating Scale - Revised (CDRS-R) Total Score at Week 26
NCT02871297 (12) [back to overview]Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
NCT02871297 (12) [back to overview]Adolescents (12-18 Years): Change From Baseline in BRIEF-SR Using the MI Score at Week 26
NCT02932904 (9) [back to overview]Change From Baseline in the Changes in Sexual Functioning Questionnaire (CSFQ-14) Total Score Difference for Vortioxetine Versus Paroxetine at Week 5 in Full Analysis Set (FAS)
NCT02932904 (9) [back to overview]Change From Baseline in the CSFQ-14 Total Score Difference for Vortioxetine Versus Paroxetine at Week 5 in Modified Full Analysis Set 1 (mFAS1)
NCT02932904 (9) [back to overview]Change From Baseline in the CSFQ-14 Total Score Difference for Vortioxetine Versus Paroxetine at Week 5 in Modified Full Analysis Set 2 (mFAS2)
NCT02932904 (9) [back to overview]Change From Baseline in the CSFQ-14 Total Score Difference for Vortioxetine Versus Paroxetine at Weeks 1, 2, 3 and 4
NCT02932904 (9) [back to overview]Change From Baseline in CSFQ-14 Total Score Difference for Vortioxetine Versus Placebo at Weeks 1, 2, 3, 4 and 5
NCT02932904 (9) [back to overview]Percentage of Participants Meeting Criteria for Sexual Dysfunction at Weeks 1, 2, 3, 4 and 5
NCT02932904 (9) [back to overview]Change From Baseline in CSFQ-14 3 Phases of the Sexual Response Cycle (Desire, Arousal, and Orgasm/Completion) at Weeks 1, 2, 3, 4 and 5
NCT02932904 (9) [back to overview]Change From Baseline in CSFQ-14 Subscales 5 Dimensions at Weeks 1, 2, 3, 4 and 5
NCT02932904 (9) [back to overview]Change From Baseline in CSFQ-14 Total Score Difference for Paroxetine Versus Placebo at Weeks 1, 2, 3, 4 and 5
NCT02969876 (3) [back to overview]Quick Inventory of Depressive Symptomatology - Clinician Version (QIDS-C)
NCT02969876 (3) [back to overview]Rey Auditory Verbal Learning Test
NCT02969876 (3) [back to overview]Digital Symbol Substitution Test
NCT02972632 (8) [back to overview]Change From Baseline in Total Goal Attainment Scale Score at Weeks 6 and 12
NCT02972632 (8) [back to overview]Change From Baseline in Quality of Life Enjoyment and Satisfaction Scale (Q-LES-Q) Total Score at Week 12
NCT02972632 (8) [back to overview]Change From Baseline in Perceived Deficits Questionnaire-Depression (PDQ-D) at Weeks 6 and 12
NCT02972632 (8) [back to overview]Change From Baseline in Patient Health Questionnaire (PHQ-9) Score at Weeks 6 and 12
NCT02972632 (8) [back to overview]Change From Baseline in Clinical Global Impression Scale Severity (CGI-S) at Week 12
NCT02972632 (8) [back to overview]Change From Baseline in 5-Item World Health Organization Well-being Index (WHO-5) Score at Week 12
NCT02972632 (8) [back to overview]Percentage of Participants Who Achieved Goal Attainment Scale (GAS) Score of ≥50 at Week 12
NCT02972632 (8) [back to overview]Clinical Global Impression Scale-Improvement (CGI-I) Score at Week 12
NCT03053362 (7) [back to overview]Cognition Measured Using the THINC-it Tool
NCT03053362 (7) [back to overview]Changes in the World Health Organization Wellbeing Index (5-Item)
NCT03053362 (7) [back to overview]Changes in Mood as Measured by the Montgomery Åsberg Depression Rating Scale (MADRS)
NCT03053362 (7) [back to overview]Changes in Global Functional Impairment Using the Sheehan Disability Scale Total Score
NCT03053362 (7) [back to overview]Changes in Cognitive Function Assessed by the Trail Making Test - Part B (TMT-B)
NCT03053362 (7) [back to overview]Changes in Cognitive Function Assessed by the Digit Symbol Substitution Task (DSST)
NCT03053362 (7) [back to overview]Changes in Changes in Anhedonia From Baseline to Week 8
NCT03272711 (3) [back to overview]Change in Total Fluid Cognitive Score
NCT03272711 (3) [back to overview]Change in Total Fluid Cognitive Score
NCT03272711 (3) [back to overview]Participant Function
NCT03437564 (12) [back to overview]AUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity of Unchanged Lu AA21004
NCT03437564 (12) [back to overview]AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Quantifiable Time Point of Unchanged Lu AA21004
NCT03437564 (12) [back to overview]Cmax: Maximum Plasma Concentration (Observed Value) of Unchanged Lu AA21004
NCT03437564 (12) [back to overview]MRTlast, ev: Mean Residence Time From Time 0 to the Time of the Last Quantifiable Concentration of Unchanged Lu AA21004
NCT03437564 (12) [back to overview]λz: Apparent Elimination Rate Constant of Unchanged Lu AA21004
NCT03437564 (12) [back to overview]Number of Participants With TEAE Related to Clinical Laboratory Tests (Alanine Aminotransferase Increased)
NCT03437564 (12) [back to overview]Tmax: Time to Reach Cmax (Observed Value) of Unchanged Lu AA21004
NCT03437564 (12) [back to overview]MRT∞, ev: Mean Residence Time 0 to Infinity of Unchanged Lu AA21004
NCT03437564 (12) [back to overview]Number of Participants With TEAE Related to Vital Sign
NCT03437564 (12) [back to overview]Number of Participants With TEAE Related to 12-lead Electrocardiograms
NCT03437564 (12) [back to overview]Number of Participants Who Experienced at Least One Treatment-Emergent Adverse Event (TEAE)
NCT03437564 (12) [back to overview]T1/2z: Apparent Elimination Half-Life of Unchanged Lu AA21004

Change From Double-blind Baseline in HAM-A Total Score After 24 Weeks of Double-blind 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. (NCT00596817)
Timeframe: Double-blind Baseline and Week 24 of the double-blind period

Interventionunits on a scale (Mean)
Placebo0.89
Vortioxetine: 5 or 10 mg-0.23

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Relapse Within First 24 Weeks of the Double-blind Period Based on a MADRS Total Score >=22 or an Unsatisfactory Treatment Effect (Lack of Efficacy) as Judged by the Investigator

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. (NCT00596817)
Timeframe: Within first 24 weeks of the double-blind period

Interventionpercentage of patients who relapsed (Number)
Placebo26.0
Vortioxetine: 5 or 10 mg13.2

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Relapse During the Entire Double-blind Period Based on a MADRS Total Score >=22 or an Unsatisfactory Treatment Effect (Lack of Efficacy) as Judged by the Investigator

(NCT00596817)
Timeframe: Within 64 weeks of the double-blind period

Interventionpercentage of patients who relapsed (Number)
Placebo30.2
Vortioxetine: 5 or 10 mg15.2

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Proportion of Responders at Week 24 of the Double-blind Period (Response Defined as a >=50% Reduction in MADRS Total Score From Open-label Baseline)

(NCT00596817)
Timeframe: Week 24 of the double-blind period (Counted From Open-label Baseline)

Interventionpercentage of patients (Number)
Placebo91.7
Vortioxetine: 5 or 10 mg98.0

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Change From Double-blind Baseline in HAM-D-17 Total Score After 24 Weeks of Double-blind Treatment

The Hamilton Depression Scale - 17 items (HAM-D-17) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 52. The higher the score, the more severe. (NCT00596817)
Timeframe: Double-blind Baseline and Week 24 of the double-blind period

Interventionunits on a scale (Mean)
Placebo1.61
Vortioxetine: 5 or 10 mg0.30

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Change From Double-blind Baseline in MADRS Total Score After 24 Weeks of Double-blind Treatment

(NCT00596817)
Timeframe: Double-blind Baseline and Week 24 of the double-blind period

Interventionunits on a scale (Mean)
Placebo1.45
Vortioxetine: 5 or 10 mg-0.62

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Change From Double-blind Baseline in SDS Total Score at Week 24 of the Double-blind Period

The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe. (NCT00596817)
Timeframe: Week 24 of the double-blind period (Counted From Double-blind Baseline)

Interventionunits on a scale (Mean)
Placebo0.14
Vortioxetine: 5 or 10 mg-0.53

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Proportion of Remitters at Week 24 of the Double-blind Period (Remission Defined as a MADRS Total Score <=10)

(NCT00596817)
Timeframe: Week 24 of the double-blind period

Interventionpercentage of patients (Number)
Placebo82.6
Vortioxetine: 5 or 10 mg94.7

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Change From Double-blind Baseline in CGI-S Score After 24 Weeks of Double-blind 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. (NCT00596817)
Timeframe: Double-blind Baseline and Week 24 of the double-blind period

Interventionunits on a scale (Mean)
Placebo0.24
Vortioxetine: 5 or 10 mg-0.14

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Change in Clinical Status Using CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) is a 7-point scale rated from 1 (very much improved) to 7 (very much worse). The investigator rated the patient's overall improvement relative to baseline, whether or not, in the opinion of the investigator, this was entirely due to the drug treatment. (NCT00635219)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Placebo2.52
Vortioxetine 2.5 mg2.32
Vortioxetine 5 mg2.32
Vortioxetine 10 mg2.35
Duloxetine 60 mg2.31

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Change From Baseline in ASEX Total Score After 8 Weeks of Treatment

"The Arizona Sexual Experience Scale (ASEX) is a 5-item, patient self-rated scale that evaluates a patient's recent sexual experience. Patients are asked to assess their own experience over the last week (for example, How strong is your sex drive?, Are your orgasms satisfying?) and respond on a 6-point scale for each item. The ASEX is used to identify individuals with sexual dysfunction. Possible total score ranges from 5 to 30, with the higher score indicating more patient sexual dysfunction. A negative change indicates a lower sexual dysfunction." (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-0.41
Vortioxetine 2.5 mg-0.53
Vortioxetine 5 mg-0.66
Vortioxetine 10 mg-0.62
Duloxetine 60 mg-0.38

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Change From Baseline in CGI-S Score After 8 Weeks of Treatment

The Clinical Global Impression - Severity of Illness (CGI-S) is a 7-point scale rated from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). The investigator should use his/her total clinical experience with this patient population to judge how mentally ill the patient is at the time of rating. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-1.64
Vortioxetine 2.5 mg-1.83
Vortioxetine 5 mg-1.81
Vortioxetine 10 mg-1.83
Duloxetine 60 mg-1.82

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Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment

The Hamilton Anxiety Rating Scale (HAM-A) consists of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behaviour at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic, and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total score from 0 to 56. The higher the score, the more severe. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-9.57
Vortioxetine 2.5 mg-9.87
Vortioxetine 5 mg-10.7
Vortioxetine 10 mg-10.6
Duloxetine 60 mg-11.0

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Change From Baseline in MADRS Total Score After 8 Weeks of Treatment

The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-14.8
Vortioxetine 2.5 mg-16.2
Vortioxetine 5 mg-16.5
Vortioxetine 10 mg-16.3
Duloxetine 60 mg-16.8

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Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment

The Hamilton Depression Scale - 24 Items (HAM-D-24) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 76. The higher the score, the more severe. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-13.3
Vortioxetine 2.5 mg-14.4
Vortioxetine 5 mg-15.0
Vortioxetine 10 mg-14.9
Duloxetine 60 mg-15.7

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Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment in Patients With Baseline HAM-A Total Score >=20

(NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-14.7
Vortioxetine 2.5 mg-14.3
Vortioxetine 5 mg-15.8
Vortioxetine 10 mg-15.8
Duloxetine 60 mg-17.3

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Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)

(NCT00635219)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo46.9
Vortioxetine 2.5 mg54.2
Vortioxetine 5 mg56.1
Vortioxetine 10 mg57.6
Duloxetine 60 mg57.1

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Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)

(NCT00635219)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo33.8
Vortioxetine 2.5 mg32.9
Vortioxetine 5 mg36.1
Vortioxetine 10 mg35.8
Duloxetine 60 mg34.9

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Change From Baseline in SDS Total Score After 8 Weeks of Treatment

The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe. (NCT00635219)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-6.11
Vortioxetine 2.5 mg-7.10
Vortioxetine 5 mg-6.52
Vortioxetine 10 mg-7.81
Duloxetine 60 mg-7.91

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Clinical Global Impression Scale-Global Improvement Scale

The Clinical Global Impression - Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from an ANCOVA model with treatment and center as fixed factors and the CGI-S Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 149, 147)Week 2 (n=149, 146, 153, 149)Week 4 (149, 146, 153, 149)Week 6 (149, 146, 153, 149)Week 8 (n=149, 146, 153, 149)
Duloxetine 60 mg3.312.992.732.502.39
Placebo3.543.212.972.832.79
Vortioxetine 2.5 mg3.423.172.932.822.73
Vortioxetine 5 mg3.463.102.872.742.63

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Healthcare Resource Utilization as Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00672620)
Timeframe: Baseline and Week 8

,,,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to depressionBaseline: Any sick leaveBaseline: Sick leave related to depressionWeek 8: Any resource useWeek 8: Any hospitalization-related serviceWeek 8: Hospitalization related to depressionWeek 8: Any sick leaveWeek 8: Sick leave related to depression
Duloxetine 60 mg42301411272152
Placebo40421813211052
Vortioxetine 2.5 mg5111119190054
Vortioxetine 5 mg42001110201093

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Percentage of Responders in HAM-D 24 Total Score by Study Visit

A responder is defined as a participant with a ≥50% decrease from Baseline in HAM-D24 total score. The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74, where a higher score indicates a greater depressive state. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,,
Interventionpercentage of participants (Number)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)Week 8 (n=149, 146, 153, 149)
Duloxetine 60 mg10.222.134.947.051.0
Placebo9.215.426.232.932.2
Vortioxetine 2.5 mg8.417.130.837.741.1
Vortioxetine 5 mg8.717.624.237.337.9

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)Week 8 (n=149, 146, 153, 149)
Duloxetine 60 mg-2.30-3.94-4.88-6.15-6.56
Placebo-2.63-3.82-5.12-5.84-5.75
Vortioxetine 2.5 mg-2.98-4.41-5.10-5.77-5.91
Vortioxetine 5 mg-2.55-3.76-4.25-4.89-5.29

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-6.83
Vortioxetine 2.5 mg-6.46
Vortioxetine 5 mg-6.59
Duloxetine 60 mg-8.91

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Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Week 8

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74 where a higher score indicates a greater depressive state. Least squares (LS) means were from an Analysis of Covariance (ANCOVA) model with terms for treatment and center as factors and the Baseline rank value as a covariate. (NCT00672620)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-10.50
Vortioxetine 2.5 mg-12.04
Vortioxetine 5 mg-11.08
Duloxetine 60 mg-13.47

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Percentage of Participants in MADRS Remission at Week 8

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT00672620)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo22.8
Vortioxetine 2.5 mg28.8
Vortioxetine 5 mg23.5
Duloxetine 60 mg37.6

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Percentage of Participants With a Sustained Response in HAM-D24

A sustained response is defined as a ≥ 20% decrease from Baseline in HAM-D24 total score obtained at Week 1 and sustained through Week 7 and at least 50% decrease from Baseline at Week 8. (NCT00672620)
Timeframe: Baseline to Week 8

Interventionpercentage of participants (Number)
Placebo12.1
Vortioxetine 2.5 mg15.8
Vortioxetine 5 mg17.0
Duloxetine 60 mg21.5

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Change From Baseline in Montgomery-Åsberg Depression Rating Scale - Self-assessment (MADRS-S)

The MADRS-S is a patient-reported outcome measure based on MADRS, administered to evaluate treatment effectiveness in depression. This scale consists of 9 items assessing patients' mood, feelings of unease, sleep, appetite, ability to concentrate, initiative, emotional involvement, pessimism and zest for life. Each item is scored between 0 (best) and 3 (worst). The total score is calculated by summing the answers of the nine items, ranging between 0 and 27 (higher scores indicate increased impairment). LS means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=141, 142, 149, 146)Week 4 (148, 145, 152, 149)Week 8 (n=148, 145, 152, 149)
Duloxetine 60 mg-2.88-4.89-5.70
Placebo-2.51-4.02-4.25
Vortioxetine 2.5 mg-2.43-3.65-3.98
Vortioxetine 5 mg-2.74-3.69-4.04

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Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Other Weeks Assessed

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74 where a higher score indicates a greater depressive state. LS means were from an ANCOVA model with terms for treatment and center as factors and the Baseline rank value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, and 6

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)
Duloxetine 60 mg-5.66-8.42-10.88-12.78
Placebo-5.12-7.19-9.39-10.43
Vortioxetine 2.5 mg-5.44-7.95-9.94-11.21
Vortioxetine 5 mg-5.28-7.99-8.96-10.97

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Change From Baseline in the Clinical Global Impression Scale-Severity of Illness Scale

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)Week 8 (n=149, 146, 153, 149)
Duloxetine 60 mg-0.44-0.75-1.12-1.39-1.56
Placebo-0.28-0.63-0.92-1.11-1.14
Vortioxetine 2.5 mg-0.40-0.65-0.92-1.08-1.21
Vortioxetine 5 mg-0.37-0.66-0.90-1.08-1.17

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Change From Baseline in the Montgomery Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. LS means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672620)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=142, 143, 150, 147)Week 2 (n=149, 146, 153, 149)Week 4 (n=149, 146, 153, 149)Week 6 (n=149, 146, 153, 149)Week 8 (149, 146, 153, 149)
Duloxetine 60 mg-5.49-8.95-11.34-13.29-14.10
Placebo-4.90-7.57-9.66-11.04-11.22
Vortioxetine 2.5 mg-5.16-7.71-9.58-11.25-11.61
Vortioxetine 5 mg-5.06-7.81-9.35-11.27-11.30

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Percentage of Responders in HAM-D24 Total Score by Study Visit

A responder is defined as a participant with a ≥50% decrease from Baseline in HAM-D24 total score. The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74, where a higher score indicates a greater depressive state. (NCT00672958)
Timeframe: Baseline and Weeks 1, 2, 3, 4, 5 and 6.

,
Interventionpercentage of participants (Number)
Week 1 (n=281, 286)Week 2 (n=286, 291)Week 3 (n=286, 292)Week 4 (n=286, 292)Week 5 (n=286, 292)Week 6 (n=286, 292)
Placebo7.823.831.839.244.446.2
Vortioxetine7.021.032.937.043.846.2

[back to top]

Health Care Resource Utilization as Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors the participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00672958)
Timeframe: Baseline and Week 6

,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to depressionBaseline: Any sick leaveBaseline: Sick leave related to depressionWeek 6: Any resource useWeek 6: Any hospitalization-related serviceWeek 6: Hospitalization related to depressionWeek 6: Any sick leaveWeek 6: Sick leave related to depression
Placebo8211169583073
Vortioxetine77002113411072

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Clinical Global Impression Scale-Global Improvement Scale

The Clinical Global Impression - Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from an ANCOVA model with treatment and center as fixed factors and the CGI-S Baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Weeks 1, 2, 3, 4, 5 and 6.

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=281, 286)Week 2 (n=286, 291)Week 3 (n=286, 292)Week 4 (n=286, 292)Week 5 (n=286, 292)Week 6 (n=286, 292)
Placebo3.383.092.902.742.742.61
Vortioxetine3.463.082.842.752.652.57

[back to top]

Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Other Weeks Assessed

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74 where a higher score indicates a greater depressive state. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Weeks 1, 2, 3, 4 and 5

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=281, 286)Week 2 (n= 286, 291)Week 3 (n= 286, 292)Week 4 (n= 286, 292)Week 5 (n=286, 292)
Placebo-6.03-9.30-11.05-12.33-13.11
Vortioxetine-5.96-9.05-11.73-12.66-13.98

[back to top]

Change From Baseline in Montgomery-Åsberg Depression Rating Scale - Self-assessment (MADRS-S)

The MADRS-S is a patient-reported outcome measure based on MADRS, administered to evaluate treatment effectiveness in depression. This scale consists of 9 items assessing patients' mood, feelings of unease, sleep, appetite, ability to concentrate, initiative, emotional involvement, pessimism and zest for life. Each item is scored between 0 (best) and 3 (worst). The total score is calculated by summing the answers of the nine items, ranging between 0 and 27 (higher scores indicate increased impairment). LS means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Weeks 1, 4 and 6.

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=279, 286)Week 4 (n=284, 292)Week 6 (n=284, 292)
Placebo-2.81-4.18-4.56
Vortioxetine-2.73-4.05-4.97

[back to top]

Change From Baseline in Montgomery Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. Least square means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Weeks 1, 2, 3, 4, 5 and 6.

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=281, 286)Week 2 (n=286, 291)Week 3 (n=286, 292)Week 4 (n=286, 292)Week 5 (n=286, 292)Week 6 (n=286, 292)
Placebo-6.88-10.57-12.48-13.72-14.40-15.48
Vortioxetine-6.38-9.82-12.76-13.70-15.12-15.80

[back to top]

Change From Baseline in Hamilton Anxiety Scale (HAM-A)

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least squares means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Weeks 1, 2, 4 and 6.

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=281, 286)Week 2 (n=286, 291)Week 4 (n=286, 292)Week 6 (n=286, 292)
Placebo-3.25-4.92-6.52-7.60
Vortioxetine-3.21-4.77-6.88-7.84

[back to top]

Change From Baseline in Clinical Global Impression Scale-Severity of Illness

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Weeks 1, 2, 3, 4, 5 and 6.

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=281, 286)Week 2 (n=286, 291)Week 3 (n=286, 292)Week 4 (n=286, 292)Week 5 (n=286, 292)Week 6 (n=286, 292)
Placebo-0.47-0.82-1.07-1.25-1.28-1.46
Vortioxetine-0.40-0.82-1.08-1.20-1.36-1.46

[back to top]

Change From Baseline in 36-item Short-form Health Survey (SF-36) at Week 6

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The 8 health concepts are: 1. Limitation in physical activities because of health problems. 2. Limitations in usual role activities because of physical health problems. 3. Bodily pain. 4. Limitations in social activities because of physical or emotional problems. 5. General mental health (psychological distress and well-being). 6. Limitations in usual role activities because of emotional problems. 7. Vitality (energy and fatigue). 8. General health perception. Each scale ranges from 0 (best) - 100 (worst). LS means are from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Week 6

,
Interventionscores on a scale (Least Squares Mean)
Physical functioningRole - physicalBodily painGeneral healthVitalitySocial functioningRole - emotionalMental health
Placebo5.4711.7310.777.6518.0021.3419.4318.98
Vortioxetine6.8714.4110.397.3717.3422.0120.7620.00

[back to top]

Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 6

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Week 6

Interventionscores on a scale (Least Squares Mean)
Placebo-6.61
Vortioxetine-6.69

[back to top]

Percentage of Participants With a Sustained Response in HAM-D24

A sustained response is defined as a ≥20% decrease from Baseline in HAM-D24 total score obtained at Week 1 and sustained through Week 5 and at least 50% decrease from Baseline at Week 6. (NCT00672958)
Timeframe: Baseline to Week 6

Interventionpercentage of participants (Number)
Placebo21.0
Vortioxetine19.5

[back to top]

Percentage of Participants in MADRS Remission at Week 6

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT00672958)
Timeframe: Week 6

Interventionpercentage of participants (Number)
Placebo32.2
Vortioxetine29.1

[back to top]

Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Week 6

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score range is from 0 to 74 where a higher score indicates a greater depressive state. Least squares (LS) means were from an Analysis of Covariance (ANCOVA) model with treatment and center as fixed factors and the baseline value as a covariate. (NCT00672958)
Timeframe: Baseline and Week 6

Interventionscores on a scale (Least Squares Mean)
Placebo-13.87
Vortioxetine-14.61

[back to top]

Change From Baseline in CGI-S Score After 52 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. (NCT00694304)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 2.5, 5, or 10 mg/Day-1.00

[back to top]

Change From Baseline in HAM-A Total Score After 52 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. (NCT00694304)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 2.5, 5, or 10 mg/Day-5.44

[back to top]

Change From Baseline in HAM-D-24 Total Score After 52 Weeks of Treatment

The Hamilton Depression Scale - 24 Items (HAM-D-24) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 76. The higher the score, the more severe. (NCT00694304)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 2.5, 5, or 10 mg/Day-6.86

[back to top]

Change From Baseline in MADRS Total Score After 52 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. (NCT00694304)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 2.5, 5, or 10 mg/Day-7.35

[back to top]

Change From Baseline in SDS Total Score After 52 Weeks of Treatment

The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe. (NCT00694304)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 2.5, 5, or 10 mg/Day-5.60

[back to top]

Percentage of Patients Who Withdrew Due to Intolerance to Treatment

(NCT00694304)
Timeframe: Baseline to Week 52

Interventionpercentage of patients (Number)
Vortioxetine 2.5, 5, or 10 mg/Day7.7

[back to top]

Proportion of Patients With a MADRS Total Score >=22 After 52 Weeks of Treatment

(NCT00694304)
Timeframe: Baseline and Week 52

Interventionpercentage of patients (Number)
Vortioxetine 2.5, 5, or 10 mg/Day2.74

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Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10)

(NCT00694304)
Timeframe: Week 52

Interventionpercentage of patients (Mean)
Vortioxetine 2.5, 5, or 10 mg/Day83.0

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Number of Patients With Adverse Events (AEs)

(NCT00694304)
Timeframe: Baseline to end of the 4-week safety follow-up period

Interventionparticipants (Number)
Patients With AEsPatients With SAEsPatients With AEs Leading to Withdrawal
Vortioxetine 2.5, 5, or 10 mg/Day3911842

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Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score)

(NCT00694304)
Timeframe: Week 52

Interventionpercentage of patients (Mean)
Vortioxetine 2.5, 5, or 10 mg/Day94.2

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Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00707980)
Timeframe: Baseline and Week 52

Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to depressionBaseline: Any sick leaveBaseline: Sick leave related to depressionWeek 52: Any resource useWeek 52:Any hospitalization-related servicesFinal Visit: Hospitalization related to depressionWeek 52: Any sick leaveWeek 52: Sick leave related to depression
Vortioxetine137405342138704125

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Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings

A standard 12-lead ECG was performed at the designated study visits. The central reader reviewed and recorded the intervals (PR, QRS, RR, QT, and corrected QT interval [QTc]), and interpreted the ECG using 1 of the following categories: within normal limits or abnormal. The number of participants with at least one post-baseline potentially clinically significant ECG finding is reported. bpm = beats per minute; QTcB = QT interval corrected using Bazett's formula; QTcF = QT interval corrected using Fridericia's formula. (NCT00707980)
Timeframe: Weeks 4, 12, 24, 36 and 52

Interventionparticipants (Number)
Heart rate ≤50 bpm and change ≤-15bpmHeart rate ≥120 bpm and change ≥15 bpmRR interval <500 msec and change ≤-200 msecRR interval >1200 msec and change ≥200 msecPR interval <120 msecPR interval ≥250 msecQT interval <280 msecQT interval >500 msecQTcB <340 msecQTcB >500 msecQTcB Change <-60 msecQTcB Change >60 msecQTcF <340 msecQTcF >500 msecQTcF Change <-60 msecQTcF Change >60 msec
Vortioxetine900133120203640232

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Number of Participants With Potentially Clinically Significant Laboratory Evaluation Findings

Participants with at least one post-baseline potentially clinically significant (as defined in the table below) serum chemistry, hematology or urinalysis result. ULN = upper limit of normal; LLN = Lower limit of normal. (NCT00707980)
Timeframe: Weeks 4, 8, 12, 20, 28, 36, 44 and 52

Interventionparticipants (Number)
Alanine aminotransferase (ALT) ≥ 3 X ULNAspartate aminotransferase (AST) ≥ 3 X ULNBilirubin ≥ 34.2 μmol/LCholesterol ≥ 7.8 mmol/LCreatine kinase ≥ 2 X ULNCreatinine ≥ 175 μmol/LGlucose ≤ 2.8 mmol/LGlucose ≥ 13.9 mmol/LHigh density lipoprotein cholesterol < 0.9 mmol/LLow density lipoprotein cholesterol ≥ 5.0 mmol/LPotassium ≤ 3.0 mmol/LPotassium ≥ 5.5 mmol/LSodium ≤ 125 mmol/LSodium ≥ 155 mmol/LTriglycerides ≥ 3.40 mmol/LUrate ≤ 0.7 X LLNUrate ≥ 1.3 XULNEosinophils ≥ 0.6 10^9/LErythrocytes ≤ 0.9 X LLNErythrocytes ≥ 1.1 X ULNHematocrit ≤ 0.9 X LLNHemoglobin ≤ 0.9 X LLNLeukocytes ≤ 2.8 X 10^9/LLeukocytes ≥ 16 X 10^9/LLymphocytes ≤ 0.6 X 10^9/LLymphocytes ≥ 7 X 10^9/LNeutrophils ≤ 1.4 X 10^9/LNeutrophils ≥ 15 X 10^9/L
Vortioxetine361498019710269045111684122491164110350262

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Number of Participants With Potentially Clinically Significant Vital Sign Findings

Participants with at least one potentially clinically significant post-baseline vital sign finding. The definition of clinically significant is included in the table below for each parameter. SSBP = supine systolic blood pressure; SDBP = supine diastolic blood pressure. (NCT00707980)
Timeframe: Weeks 1, 2, 4, 8, 12, 16, 20, 24, 28, 36, 44 and 52

Interventionparticipants (Number)
SSBP ≤90 mmHg and decrease of ≥20 mmHgSSBP ≥180 mmHg and increase of ≥20 mmHgSDBP ≤50 mmHg and decrease of ≥15 mmHgSDBP ≥105 mmHg and increase of ≥15 mmHgSupine pulse rate ≤50 bpm and decrease of ≥15 bpmSupine pulse rate ≥120 bpm and increase of ≥15 bpmWeight Change of ≥7% weight
Vortioxetine741872155

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Physical Examination Findings

"Physical examination consisted of the following body systems: (1) appearance; (2) extremities; (3) skin; (4) head and neck; (5) eyes, ears, nose, and throat; (6) lungs and chest; (7) heart and cardiovascular system; (8) abdomen; and (9) musculoskeletal system. An assessment of the nervous system was conducted; any findings were captured under the appropriate body area.~Each system was assessed as normal or abnormal." (NCT00707980)
Timeframe: Baseline and Week 52

Interventionparticipants (Number)
Appearance at Baseline: NormalAppearance at Baseline: AbnormalAppearance at Week 52: NormalAppearance at Week 52: AbnormalExtremities at Baseline: NormalExtremities at Baseline: AbnormalExtremities at Week 52: NormalExtremities at Week 52: AbnormalSkin at Baseline: NormalSkin at Baseline: AbnormalSkin at Week 52: NormalSkin at Week 52: AbnormalHead-Neck at Baseline: NormalHead-Neck at Baseline: AbnormalHead-Neck at Week 52: NormalHead-Neck at Week 52: AbnormalEyes-Ears-Nose-Throat at Baseline: NormalEyes-Ears-Nose-Throat at Baseline: AbnormalEyes-Ears-Nose-Throat at Week 52: NormalEyes-Ears-Nose-Throat at Week 52: AbnormalLungs-Chest at Baseline: NormalLungs-Chest at Baseline: AbnormalLungs-Chest at Week 52: NormalLungs-Chest at Week 52: AbnormalHeart/Cardiovascular at Baseline: NormalHeart/Cardiovascular at Baseline: AbnormalHeart/Cardiovascular at Week 52: NormalHeart/Cardiovascular at Week 52: AbnormalAbdomen at Baseline: NormalAbdomen at Baseline: AbnormalAbdomen at Baseline: Not doneAbdomen at Week 52: NormalAbdomen at Week 52: AbnormalAbdomen at Week 52: Not doneMusculoskeletal at Baseline: NormalMusculoskeletal at Baseline: AbnormalMusculoskeletal at Week 52: NormalMusculoskeletal at Week 52: Abnormal
Vortioxetine75876484408062851113730104465598221251867726248539827752318161851212818124515817904449331

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Change From Baseline in Hamilton Depression Scale-24 Item (HAM-D24) Total Score

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74 where a higher score indicates a greater depressive state. Final Visit includes data from Week 52 or earlier for participants who didn't complete the 52 weeks. (NCT00707980)
Timeframe: Baseline and Weeks 1, 2, 4, 8, 12, 16, 20, 24, 28, 36, 44 and 52.

Interventionscores on a scale (Mean)
Week 1 (n=805)Week 2 (n=822)Week 4 (n=805)Week 8 (n=752)Week 12 (n=715)Week 16 (n=671)Week 20 (n=639)Week 24 (n=613)Week 28 (n=599)Week 36 (n=568)Week 44 (n=540)Week 52 (n=522)Final Visit (n=829)
Vortioxetine-1.1-3.1-4.7-6.5-7.0-7.7-8.4-8.3-8.9-9.3-9.6-10.0-7.9

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Change From Baseline to the Final Visit in the Sheehan Disability Scale

The Sheehan Disability Scale (SDS) assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. (NCT00707980)
Timeframe: Baseline and Week 52

Interventionscores on a scale (Mean)
Vortioxetine-4.6

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Number of Participants With Adverse Events (AEs)

"The intensity (severity) of each AE was defined as:~Mild: caused minimal discomfort and did not interfere in a significant manner with normal activities.~Moderate: sufficiently uncomfortable to produce some impairment of normal activities.~Severe: incapacitating, preventing the patient from participating in normal activities.~The causal relationship between an AE and study drug was assessed by the investigator as Probable, Possible or Not Related; Related=AEs with causality of Possibly or Probably. A serious AE (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, led to a congenital anomaly/birth defect, or was an important medical event that either jeopardized the patient, required intervention to prevent any of the SAEs defined above, a suicide attempt or an abortion." (NCT00707980)
Timeframe: From the first dose of open-label study drug until 4 weeks after the last dose (up to 56 weeks)

Interventionparticipants (Number)
Any adverse eventRelated adverse eventNot related adverse eventMild adverse eventModerate adverse eventSevere adverse eventAdverse event leading to early terminationSerious adverse eventSerious related adverse eventSerious not related adverse eventSerious adverse event leading to early terminationDeaths
Vortioxetine589413176187320825029533110

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Change From Baseline in the Clinical Global Impression of Severity of Illness Scale

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. Final Visit includes data from Week 52 or earlier for participants who didn't complete the 52 weeks. (NCT00707980)
Timeframe: Baseline and Weeks 4, 24 and 52

Interventionscores on a scale (Mean)
Week 4 (n=818)Week 24 (n=642)Week 52 (n= 527)Final Visit (n=818)
Vortioxetine-0.53-0.98-1.33-1.00

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Final Visit includes data from Week 52 or earlier for participants who didn't complete the 52 weeks. (NCT00707980)
Timeframe: Baseline and Weeks 4, 24 and 52

Interventionscores on a scale (Mean)
Week 4 (n=818)Week 24 (n=642)Week 52 (n=527)Final Visit (n= 818)
Vortioxetine-2.9-5.1-6.6-5.2

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Change From Baseline in the Montgomery Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. Final Visit includes data from Week 52 or earlier for participants who didn't complete the 52 weeks. (NCT00707980)
Timeframe: Baseline and Weeks 4, 24 and 52

Interventionscores on a scale (Mean)
Week 4 (n=818)Week 24 (n=642)Week 52 (n=526)Final Visit (n=818)
Vortioxetine-4.5-7.9-9.5-7.4

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Change From Baseline to the Final Visit in 36-item Short-form Health Survey (SF-36)

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The 8 health concepts are: 1. Limitation in physical activities because of health problems. 2. Limitations in usual role activities because of physical health problems. 3. Bodily pain. 4. Limitations in social activities because of physical or emotional problems. 5. General mental health (psychological distress and well-being). 6. Limitations in usual role activities because of emotional problems. 7. Vitality (energy and fatigue). 8. General health perception. Each scale ranges from 0 (best) - 100 (worst). (NCT00707980)
Timeframe: Baseline and Week 52

Interventionscores on a scale (Mean)
Physical functioning subscore (n=824)Role-physical subscore (n=824)Bodily pain subscore (n=824)General health subscore (n=823)Vitality subscore (n=824)Social functioning subscore (n=824)Role-emotional subscore (n=824)Mental health subscore (n=824)
Vortioxetine4.58.14.96.410.110.912.310.7

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Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Other Weeks Assessed

The Clinical Global Impression - Global Improvement scale measures the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 2, 4 and 6

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=151, 148, 141, 149, 141)Week 2 (n=147, 145, 142, 147, 129)Week 4 (n=140, 135, 132, 134, 116)Week 6 (n=127, 123, 121, 120, 112)
Duloxetine 60 mg3.362.762.442.25
Placebo3.443.032.812.61
Vortioxetine 10 mg3.402.962.682.41
Vortioxetine 2.5 mg3.463.082.672.53
Vortioxetine 5 mg3.412.902.672.43

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Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors the participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00730691)
Timeframe: Baseline and Week 8

,,,,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to anxietyBaseline: Any sick leaveBaseline: Sick leave related to anxietyWeek 8: Any resource useWeek 8: Any hospitalization-related serviceWeek 8: Hospitalization related to anxietyWeek 8: Any sick leaveWeek 8: Sick leave related to anxiety
Duloxetine 60 mg38201272231114
Placebo34001452600132
Vortioxetine 10 mg4300159231071
Vortioxetine 2.5 mg36321610240062
Vortioxetine 5 mg2611139290073

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to weeks 1, 2, 4 and 6

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=63, 76, 70, 70, 66)Week 2 (n=62, 73, 70, 68, 62)Week 4 (n=60, 68, 67, 63, 54)Week 6 (n=58, 63, 62, 54, 51)
Duloxetine 60 mg-6.78-10.40-12.56-14.35
Placebo-5.32-7.55-8.61-10.72
Vortioxetine 10 mg-5.94-8.51-10.98-12.75
Vortioxetine 2.5 mg-6.07-8.82-11.61-12.86
Vortioxetine 5 mg-5.96-10.18-12.87-14.11

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Change From Baseline in Sheehan Disability Scale (SDS) at Other Weeks Assessed

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 2 and 4

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=116, 111, 109, 125, 112)Week 2 (n=116, 114, 116, 123, 103)Week 4 (n=108, 106, 106, 115, 91)
Duloxetine 60 mg-4.74-7.09-7.95
Placebo-3.22-4.53-4.55
Vortioxetine 10 mg-4.11-5.46-6.47
Vortioxetine 2.5 mg-2.74-4.18-4.98
Vortioxetine 5 mg-3.28-5.02-5.92

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Change From Baseline in Hospital Anxiety and Depression (HAD) - Depression Subscale at All Weeks Assessed

The HAD-Depression subscale is completed by the participant and measures depression, focusing on the state of lost interest and diminished pleasure response. The subscale is made up of 7 items that are assessed on a scale from 0 (no depression) to 3 (severe feeling of depression). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. The item scores are summed and the total subscore ranges from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) model with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 4 and 8

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=150, 149, 141, 149, 141)Week 4 (n=141, 142, 139, 141, 126)Week 8 (n=123, 120, 119, 111, 108)
Duloxetine 60 mg-1.19-2.62-2.77
Placebo-0.81-1.32-2.21
Vortioxetine 10 mg-1.25-1.61-1.94
Vortioxetine 2.5 mg-0.83-1.83-1.82
Vortioxetine 5 mg-0.88-1.70-1.96

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Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Other Weeks Assessed

The HAD-Anxiety subscale is completed by the participant and measures anxiety, including anxious mood, restlessness, anxious thoughts, and panic attacks. The subscale is made up of 7 items that are assessed on a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1 and 4

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=150, 149, 141, 149, 141)Week 4 (n=141, 142, 139, 141, 126)
Duloxetine 60 mg-2.91-5.11
Placebo-1.81-3.24
Vortioxetine 10 mg-2.22-4.01
Vortioxetine 2.5 mg-1.85-3.34
Vortioxetine 5 mg-1.89-3.60

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Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 2, 4 and 6

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n= 151, 149, 142, 149, 143)Week 2 (n=147, 145, 143, 147, 130)Week 4 (n= 139, 135, 132, 133, 116)Week 6 (n= 127, 123, 122, 120, 112)
Duloxetine 60 mg-5.48-9.29-11.13-12.66
Placebo-4.70-7.30-8.66-10.28
Vortioxetine 10 mg-5.04-7.63-9.73-11.05
Vortioxetine 2.5 mg-4.56-7.28-9.77-10.82
Vortioxetine 5 mg-4.90-8.22-9.84-11.26

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

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Weeks 1, 2, 4, 6 and 8

,,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=151, 148, 141, 149, 142)Week 2 (n=147, 145, 142, 147, 130)Week 4 (n=140, 135, 132, 134, 115)Week 6 (n=127, 123, 121, 120, 112)Week 8 (n=120, 118, 114, 111, 106)
Duloxetine 60 mg-0.54-0.97-1.28-1.55-1.77
Placebo-0.42-0.71-0.95-1.22-1.42
Vortioxetine 10 mg-0.42-0.75-1.11-1.35-1.44
Vortioxetine 2.5 mg-0.37-0.74-1.12-1.32-1.50
Vortioxetine 5 mg-0.39-0.80-1.02-1.31-1.38

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Percentage of Responders in HAM-A Total Score at Week 8

Response was defined as participants with a ≥50% decrease from Baseline in the HAM-A total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00730691)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo42.2
Vortioxetine 2.5 mg44.8
Vortioxetine 5 mg42.6
Vortioxetine 10 mg44.8
Duloxetine 60 mg51.0

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Mean Clinical Global Impression Scale-Global Improvement (CGI-I) at Week 8

The Clinical Global Impression - Global Improvement scale measures the participant's improvement (or worsening) as assessed by the investigator relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.47
Vortioxetine 2.5 mg2.36
Vortioxetine 5 mg2.38
Vortioxetine 10 mg2.38
Duloxetine 60 mg2.03

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-11.61
Vortioxetine 2.5 mg-14.12
Vortioxetine 5 mg-13.87
Vortioxetine 10 mg-13.22
Duloxetine 60 mg-16.15

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

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-11.27
Vortioxetine 2.5 mg-12.23
Vortioxetine 5 mg-11.57
Vortioxetine 10 mg-11.66
Duloxetine 60 mg-13.87

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Change From Baseline in Sheehan Disability Scale (SDS) at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-6.35
Vortioxetine 2.5 mg-6.15
Vortioxetine 5 mg-6.68
Vortioxetine 10 mg-7.95
Duloxetine 60 mg-8.81

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Change From Baseline in Hospital Anxiety and Depression (HAD) - Anxiety Subscale at Week 8

The HAD-Anxiety subscale is completed by the participant and measures anxiety, including anxious mood, restlessness, anxious thoughts, and panic attacks. The subscale is made up of 7 items that are assessed on a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM) with week, Baseline score-by-week and treatment-by-week interaction as factors. (NCT00730691)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-4.00
Vortioxetine 2.5 mg-3.89
Vortioxetine 5 mg-4.24
Vortioxetine 10 mg-5.09
Duloxetine 60 mg-5.54

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Percentage of Responders in HAM-A Total Score at Other Weeks Assessed

Response was defined as participants with a ≥50% decrease from Baseline in the HAM-A total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00730691)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,,,,
Interventionpercentage of participants (Number)
Week 1 (n=151, 149, 142, 149, 143)Week 2 (n=154, 154, 147, 154, 149)Week 4 (n=154, 154, 148, 154, 149)Week 6 (n=154, 154, 148, 154, 149)
Duloxetine 60 mg16.828.942.347.7
Placebo11.320.826.036.4
Vortioxetine 10 mg10.121.435.140.9
Vortioxetine 2.5 mg6.720.130.537.7
Vortioxetine 5 mg8.521.132.440.5

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Percentage of Participants in HAM-A Remission at Each Week Assessed

Remission is defined as a Hamilton Anxiety Scale (HAM-A) total score ≤ 7. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00730691)
Timeframe: Weeks 1, 2, 4, 6 and 8

,,,,
Interventionpercentage of participants (Number)
Week 1 (n=151, 149, 142, 149, 143)Week 2 (n=154, 154, 147, 154, 149)Week 4 (n=154, 154, 148, 154, 149)Week 6 (n=154, 154, 148, 154, 149)Week 8 (n=154, 154, 148, 154, 149)
Duloxetine 60 mg4.912.117.420.828.2
Placebo4.06.510.416.222.1
Vortioxetine 10 mg2.03.913.016.920.1
Vortioxetine 2.5 mg2.08.413.614.920.1
Vortioxetine 5 mg0.77.511.514.919.6

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Clinical Global Impression Scale-Global Improvement (CGI-I) at Each Week Assessed

The Clinical Global Impression - Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from an ANCOVA model adjusting for Baseline CGI-S score, center, and treatment. (NCT00731120)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=146, 141, 143)Week 2 (n=148, 143, 146)Week 4 (n=148, 144, 146)Week 6 (n=148, 144, 146)Week 8 (n=148, 144, 146)
Placebo3.352.992.872.682.60
Vortioxetine 10 mg3.382.922.692.602.51
Vortioxetine 2.5 mg3.302.912.752.582.56

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Change From Baseline in Sheehan Disability Scale (SDS) at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00731120)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-4.26
Vortioxetine 2.5 mg-5.73
Vortioxetine 10 mg-5.24

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from an analysis of covariance (ANCOVA) model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00731120)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-9.87
Vortioxetine 2.5 mg-10.75
Vortioxetine 10 mg-10.68

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Percentage of Participants in HAM-A Remission at Week 8

Remission is defined as a Hamilton Anxiety Scale (HAM-A) total score ≤ 7. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00731120)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo21.6
Vortioxetine 2.5 mg21.5
Vortioxetine 10 mg19.2

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Percentage of Responders in HAM-A Total Score at Week 8

Response was defined as a participant with a ≥50% decrease from Baseline in the HAM-A total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00731120)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo41.9
Vortioxetine 2.5 mg46.5
Vortioxetine 10 mg41.8

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Change From Baseline in 36-item Short-form Health Survey (SF-36)

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The 8 health concepts are: 1. Limitation in physical activities because of health problems. 2. Limitations in usual role activities because of physical health problems. 3. Bodily pain. 4. Limitations in social activities because of physical or emotional problems. 5. General mental health (psychological distress and well-being). 6. Limitations in usual role activities because of emotional problems. 7. Vitality (energy and fatigue). 8. General health perception. Each scale ranges from 0 (best) - 100 (worst). LS means were from an ANCOVA model with treatment and center as fixed factors and the baseline value as a covariate. (NCT00731120)
Timeframe: Baseline and Week 8

,,
Interventionscores on a scale (Least Squares Mean)
Physical functioning subscoreRole - physical subscoreBodily pain subscoreGeneral health subscoreVitality subscoreSocial functioning subscoreRole-emotional subscoreMental health subscore
Placebo0.464.445.904.4412.3515.3515.1612.93
Vortioxetine 10 mg2.076.178.125.9014.3317.5616.6014.74
Vortioxetine 2.5 mg2.698.1710.677.0115.6218.3821.7217.25

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

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the participant's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from an ANCOVA model adjusting for Baseline score, center, and treatment. (NCT00731120)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8.

,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=146, 140, 143)Week 2 (n=148, 143, 146)Week 4 (n=148, 144, 146)Week 6 (n=148, 144, 146)Week 8 (n=148, 144, 146)
Placebo-0.40-0.68-0.82-0.93-1.10
Vortioxetine 10 mg-0.37-0.69-0.93-1.03-1.14
Vortioxetine 2.5 mg-0.47-0.82-1.01-1.14-1.21

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Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00731120)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=147, 142, 143)Week 2 (n=148, 144, 146)Week 4 (n=148, 144, 146)Week 6 (n=148, 144, 146)
Placebo-5.07-7.41-8.88-9.54
Vortioxetine 10 mg-5.30-8.05-9.54-10.50
Vortioxetine 2.5 mg-5.29-8.11-9.45-10.35

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Change From Baseline in Hospital Anxiety and Depression (HAD) Scales

The HAD scale is completed by the participant and comprises two subscales, one measuring depression (focusing on the state of lost interest and diminished pleasure response) and one measuring anxiety (including anxious mood, restlessness, anxious thoughts, panic attacks). Each subscale is made up of 7 items that are assessed on a scale of 0 = no anxiety/depression to 3 = severe feeling of anxiety/depression. Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. Scores for the depression and anxiety subscales are summed separately and not combined, with each score ranging from 0 to 21 (maximal severity). LS means were from an ANCOVA model with treatment and center as fixed factors and the Baseline value as a covariate. (NCT00731120)
Timeframe: Baseline and Weeks 1, 4 and 8.

,,
Interventionscores on a scale (Mean)
Anxiety Scale at Week 1 (n=147, 142, 143)Anxiety Scale at Week 4 (n=148, 144, 146)Anxiety Scale at Week 8 (n=148, 144, 146)Depression Scale at Week 1 (n=147, 142, 143)Depression Scale at Week 4 (n=148, 144, 146)Depression Scale at Week 8 (n=148, 144, 146)
Placebo-1.64-2.81-3.63-0.71-1.66-1.76
Vortioxetine 10 mg-2.03-3.39-4.20-1.15-2.10-2.21
Vortioxetine 2.5 mg-2.07-3.66-4.29-1.35-2.23-2.56

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Health Care Resource Utilization Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00731120)
Timeframe: Baseline and Week 8

,,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to anxietyBaseline: Any sick leaveBaseline: Sick leave related to anxietyWeek 8: Any resource useWeek 8: Any hospitalization-related serviceWeek 8: Hospitalization related to anxietyWeek 8: Any sick leaveWeek 8: Sick leave related to anxiety
Placebo322154143051
Vortioxetine 10 mg3210104191081
Vortioxetine 2.5 mg3410138230064

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Week 8

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The social functioning subscale assesses limitations in social activities because of physical or emotional problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo17.43
Vortioxetine 5 mg18.44

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-6.68
Vortioxetine 5 mg-6.35

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

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-13.16
Vortioxetine 5 mg-12.57

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Change From Baseline in the Hospital Anxiety and Depression (HAD) Anxiety Subscale at Week 8

The Hospital Anxiety and Depression (HAD) Anxiety sub-scale consists of 7 items that are assessed by a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). The anxiety subscale determines a state of generalized anxiety including anxious mood, restlessness, anxious thoughts and panic attacks. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-4.84
Vortioxetine 5 mg-5.06

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Clinical Global Impression Scale-Global Improvement at Week 8

The Clinical Global Impression - Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.25
Vortioxetine 5 mg2.25

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Percentage of Responders in HAM-A Total Score at Week 8

Response was defined as participants with a ≥50% decrease from Baseline in the Hamilton Anxiety Scale (HAM-A) total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00734071)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo50.0
Vortioxetine 5 mg53.1

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Bodily Pain Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The bodily pain sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=137, 143)Week 4 (n=129, 134)Week 8 (n=113, 125)
Placebo7.249.8110.14
Vortioxetine 5 mg6.498.968.58

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) General Health Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The general health sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=137, 143)Week 4 (n=129, 134)Week 8 (n=113, 125)
Placebo2.794.856.14
Vortioxetine 5 mg3.611.763.90

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Mental Health Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The mental health sub-score assesses general mental health (psychological distress and well-being) and ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=137, 143)Week 4 (n=129, 134)Week 8 (n=113, 125)
Placebo10.3212.5817.95
Vortioxetine 5 mg11.7215.1216.91

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Physical Functioning Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The physical functioning subscale assesses limitations in physical activities because of health problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=137, 143)Week 4 (n=129, 134)Week 8 (n=113, 125)
Placebo1.544.763.50
Vortioxetine 5 mg3.694.224.18

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Emotional Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The role-emotional subscale assesses limitations in usual role activities because of emotional problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=137, 143)Week 4 (n=129, 134)Week 8 (n=113, 125)
Placebo14.5416.0021.64
Vortioxetine 5 mg13.2515.0019.01

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Physical Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The role-physical subscale assesses limitations in usual role activities because of physical health problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=137, 143)Week 4 (n=129, 134)Week 8 (n=113, 125)
Placebo5.038.6510.02
Vortioxetine 5 mg4.905.197.74

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Other Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The social functioning subscale assesses limitations in social activities because of physical or emotional problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 2 and 4

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=137, 143)Week 4 (n=129, 134)
Placebo11.9617.12
Vortioxetine 5 mg14.0616.22

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Vitality Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The vitality sub-score assesses energy and fatigue, and ranges from 0 (best) - 100 (worst). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=137, 143)Week 4 (n=129, 134)Week 8 (n=113, 125)
Placebo8.9112.4816.06
Vortioxetine 5 mg10.4612.6714.65

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-14.04
Vortioxetine 5 mg-14.05

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Other Weeks Assessed

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means and P-values were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 1, 2 and 4

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=117, 116)Week 2 (n=109, 114)Week 4 (n=106, 108)
Placebo-2.13-4.35-5.57
Vortioxetine 5 mg-2.46-4.02-5.38

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Percentage of Responders in HAM-A Total Score at Other Weeks Assessed

Response was defined as participants with a ≥50% decrease from Baseline in the Hamilton Anxiety Scale (HAM-A) total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00734071)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,
Interventionpercentage of participants (Number)
Week 1 (n=141, 144)Week 2 (n=144, 145)Week 4 (n=144, 145)Week 6 (n=144, 145)
Placebo9.922.934.747.2
Vortioxetine 5 mg6.924.137.245.5

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Percentage of Participants in HAM-A Remission at Each Week Assessed

Remission is defined as a Hamilton Anxiety Scale (HAM-A) total score ≤ 7. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00734071)
Timeframe: Weeks 1, 2, 4, 6 and 8

,
Interventionpercentage of participants (Number)
Week 1 (n-141, 144)Week 2 (n=144, 145)Week 4 (n=144, 145)Week 6 (n=144, 145)Week 8 (n=144, 145)
Placebo2.15.615.322.222.2
Vortioxetine 5 mg0.77.612.422.125.5

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Health Care Resource Utilization as Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors the participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00734071)
Timeframe: Baseline and Week 8

,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to anxietyBaseline: Any sick leaveBaseline: Sick leave related to anxietyWeek 8: Any resource useWeek 8: Any hospitalization-related serviceWeek 8: Hospitalization related to anxietyWeek 8: Any sick leaveWeek 8: Sick leave related to anxiety
Placebo301087220042
Vortioxetine 5 mg3000104191061

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Clinical Global Impression Scale-Global Improvement at Other Weeks Assessed

The Clinical Global Impression - Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 1, 2, 4 and 6

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=141, 144)Week 2 (n=134, 142)Week 4 (n=131, 135)Week 6 (n=124, 129)
Placebo3.322.922.572.42
Vortioxetine 5 mg3.382.832.572.39

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Change From Baseline in the Hospital Anxiety and Depression (HAD) Depression Subscale at Each Week Assessed

The HAD-Depression subscale is completed by the participant and measures depression, focusing on the state of lost interest and diminished pleasure response. The subscale is made up of 7 items that are assessed on a scale from 0 (no depression) to 3 (severe feeling of depression). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. The item scores are summed and the total subscore ranges from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 1, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=139, 142)Week 4 (n=130, 135)Week 8 (n=111, 124)
Placebo-1.02-1.84-2.55
Vortioxetine 5 mg-1.09-2.28-2.62

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Change From Baseline in the Hospital Anxiety and Depression (HAD) Anxiety Subscale at Other Weeks Assessed

The Hospital Anxiety and Depression (HAD) Anxiety sub-scale consists of 7 items that are assessed by a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). The anxiety subscale determines a state of generalized anxiety including anxious mood, restlessness, anxious thoughts and panic attacks. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 1 and 4

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=139, 142)Week 4 (n=130, 135)
Placebo-1.81-3.41
Vortioxetine 5 mg-2.07-3.72

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 1, 2, 4 and 6

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=71, 71)Week 2 (n=70, 70)Week 4 (n=67, 67)Week 6 (n=63, 65)
Placebo-5.39-8.37-10.90-13.60
Vortioxetine 5 mg-4.73-8.94-10.74-12.82

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Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 1, 2, 4 and 6.

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=141, 144)Week 2 (n=134, 142)Week 4 (n=131, 135)Week 6 (n=124, 129)
Placebo-4.84-7.78-10.13-12.39
Vortioxetine 5 mg-4.59-8.22-9.82-11.61

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Change From Baseline in Clinical Global Impression Scale-Severity of Illness at Each Week Assessed

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from a mixed model for repeated measurements (MMRM). (NCT00734071)
Timeframe: Baseline to Weeks 1, 2, 4, 6 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=141, 144)Week 2 (n=134, 142)Week 4 (n=131, 135)Week 6 (n=124, 129)Week 8 (n=113, 124)
Placebo-0.37-0.75-1.15-1.45-1.72
Vortioxetine 5 mg-0.38-0.86-1.05-1.40-1.54

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Vitality Subscore at All Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The vitality sub-score assesses energy and fatigue, and ranges from 0 (best) - 100 (worst). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 2, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=138, 139, 136, 136)Week 4 (n=135, 132, 135, 128)Week 8 (n=129, 129, 128, 122)
Placebo5.9712.0616.14
Vortioxetine 1 mg10.3916.6922.34
Vortioxetine 10 mg8.0316.0724.17
Vortioxetine 5 mg8.8316.0421.21

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Change From Baseline in Clinical Global Impression Scale-Severity of Illness at Each Week Assessed

The Clinical Global Impression - Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the participant's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 1, 2, 4, 6, and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=139, 137, 138, 138)Week 2 (n=138, 138, 135, 135)Week 4 (n=135, 133, 135, 127)Week 6 (n=134, 130, 129, 126)Week 8 (n=128, 124, 129, 122)
Placebo-0.24-0.46-0.75-0.96-1.12
Vortioxetine 1 mg-0.20-0.58-1.07-1.41-1.50
Vortioxetine 10 mg-0.24-0.60-1.06-1.55-1.74
Vortioxetine 5 mg-0.22-0.61-1.10-1.38-1.63

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Change From Baseline in HAM-D24 Total Score at Other Weeks Assessed in Participants With a Baseline HAM-A Score ≥20

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score range from 0 to 74 where a higher score indicates a greater depressive state. The Hamilton Anxiety Scale (HAM-A) is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (symptoms severe). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=66, 70, 62, 75)Week 2 (n=65, 70, 59, 72)Week 4 (n=64, 68, 60, 69)Week 6 (n=64, 67, 57, 68)
Placebo-3.79-5.76-8.56-10.25
Vortioxetine 1 mg-2.94-7.21-11.41-13.68
Vortioxetine 10 mg-3.19-7.74-12.06-15.10
Vortioxetine 5 mg-3.55-6.58-10.20-13.23

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Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Each Week Assessed

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56, where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 1, 2, 4, 6, and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=139, 137, 138, 138)Week 2 (n=138, 138, 135, 135)Week 4 (n=135, 133, 135, 127)Week 6 (n=134, 130, 129, 126)Week 8 (n=128, 124, 129, 122)
Placebo-1.58-3.06-4.54-5.44-5.98
Vortioxetine 1 mg-1.27-3.72-5.95-7.29-8.08
Vortioxetine 10 mg-1.56-3.77-6.11-8.33-8.86
Vortioxetine 5 mg-1.41-3.09-5.60-7.21-8.11

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Change From Baseline in Hospital Anxiety and Depression (HAD) Scales at Each Week Assessed

The HAD scale is completed by the participant and comprises two subscales, one measuring depression (focusing on the state of lost interest and diminished pleasure response) and one measuring anxiety (including anxious mood, restlessness, anxious thoughts, panic attacks). Each subscale is made up of 7 items that are assessed on a scale of 0 = no anxiety/depression to 3 = severe feeling of anxiety/depression. Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. Scores for the depression and anxiety subscales are summed separately and not combined, with each score ranging from 0 to 21 (maximal severity). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis (NCT00735709)
Timeframe: Baseline and Weeks 1, 4, and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Anxiety Scale at Week 1 (n=139, 137, 138, 137)Anxiety Scale at Week 4 (n=137, 138, 135, 134)Anxiety Scale at Week 8 (n=129, 129, 127, 122)Depression Scale at Week 1 (n=139, 137, 138, 137)Depression Scale at Week 4 (n=137, 138, 135, 134)Depression Scale at Week 8 (n=129, 129, 127, 122)
Placebo-0.46-1.95-2.55-0.32-2.32-3.19
Vortioxetine 1 mg-1.14-2.83-3.79-0.90-3.45-4.67
Vortioxetine 10 mg-0.91-2.80-4.38-0.92-3.80-5.49
Vortioxetine 5 mg-0.87-2.81-3.70-0.74-3.32-5.02

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Change From Baseline in Montgomery Åsberg Depression Rating Scale (MADRS) Total Score at Each Week

The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 1, 2, 4, 6, and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=139, 137, 138, 138)Week 2 (n=138, 138, 135, 135)Week 4 (n=135, 133, 135, 127)Week 6 (n=134, 130, 129, 126)Week 8 (n=128, 124, 129, 122)
Placebo-2.90-4.92-7.85-9.72-10.91
Vortioxetine 1 mg-2.55-6.65-10.79-13.16-14.89
Vortioxetine 10 mg-2.57-6.51-10.89-14.19-15.65
Vortioxetine 5 mg-2.66-6.40-10.30-13.10-15.09

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Other Weeks Assessed

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 1, 2 and 6

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=104, 101, 105, 97)Week 2 (n=102, 101, 100, 96)Week 6 (n=99, 97, 97, 88)
Placebo-1.22-2.53-5.95
Vortioxetine 1 mg-1.13-3.44-5.69
Vortioxetine 10 mg-1.43-3.40-8.27
Vortioxetine 5 mg-1.78-4.14-6.92

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Change From Baseline in the 24-item Hamilton Depression Scale Total Score at Other Weeks Assessed

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score range is from 0 to 74 where a higher score indicates a greater depressive state. LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=139, 137, 138, 138)Week 2 (n=138, 138, 135, 135)Week 4 (n=135, 133, 135, 127)Week 6 (n=134, 130, 129, 126)
Placebo-3.47-5.66-8.42-10.23
Vortioxetine 1 mg-2.81-7.27-11.09-13.35
Vortioxetine 10 mg-3.20-7.42-11.88-15.22
Vortioxetine 5 mg-3.20-7.27-11.00-13.67

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Clinical Global Impression Scale-Global Improvement at Other Weeks Assessed

The Clinical Global Impression - global improvement assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,,,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=139, 137, 138, 138)Week 2 (n=138, 138, 135, 135)Week 4 (n=135, 133, 135, 127)Week 6 (n=134, 130, 129, 126)
Placebo3.653.403.032.95
Vortioxetine 1 mg3.713.162.692.48
Vortioxetine 10 mg3.643.232.782.37
Vortioxetine 5 mg3.673.192.822.50

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Change From Baseline in HAM-D24 Total Score at Week 8 in Participants With Baseline HAM-A Score ≥20

The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74 where a higher score indicates a greater depressive state. The Hamilton Anxiety Scale (HAM-A) is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (severe symptoms). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-11.02
Vortioxetine 1 mg-15.16
Vortioxetine 5 mg-15.50
Vortioxetine 10 mg-15.61

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Other Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The social functioning subscale assesses limitations in social activities because of physical or emotional problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 2 and 4

,,,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=138, 139, 136, 136)Week 4 (n=135, 132, 135, 128)Week 8 (n=129, 129, 128, 122)
Placebo6.3812.3415.60
Vortioxetine 1 mg9.7115.7121.71
Vortioxetine 10 mg10.0315.8424.94
Vortioxetine 5 mg12.0218.5721.87

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Percentage of Responders in HAM-D24 Total Score at Week 8

A responder is defined as a participant with a ≥50% decrease from Baseline in HAM-D24 total score. The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74, where a higher score indicates a greater depressive state. (NCT00735709)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo23.0
Vortioxetine 1 mg47.5
Vortioxetine 5 mg45.3
Vortioxetine 10 mg49.6

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Mental Health Subscore at All Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The mental health sub-score assesses general mental health (psychological distress and well-being) and ranges from 0 (best) - 100 (worst). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 2, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=138, 139, 136, 136)Week 4 (n= 135, 132, 135, 128)Week 8 (n=129, 129, 128, 122)
Placebo6.9813.0616.28
Vortioxetine 1 mg10.6216.7823.61
Vortioxetine 10 mg10.2616.3824.89
Vortioxetine 5 mg9.5616.5622.24

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Emotional Subscore at All Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The role-emotional subscale assesses limitations in usual role activities because of emotional problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 2, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=138, 139, 136, 136)Week 4 (n=135, 132, 135, 128)Week 8 (n=129, 129, 128, 122)
Placebo6.8412.0515.96
Vortioxetine 1 mg8.7817.0123.06
Vortioxetine 10 mg9.9314.5824.71
Vortioxetine 5 mg10.8718.0822.89

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Healthcare Resource Utilization as Assessed by the Health Economic Assessment Questionnaire.

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors the participants' absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00735709)
Timeframe: Baseline and Week 8

,,,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to depressionBaseline: Any sick leaveBaseline: Sick leave related to depressionWeek 8: Any resource useWeek 8: Any hospitalization-related serviceWeek 8: Hospitalization related to depressionWeek 8: Any sick leaveWeek 8: Sick leave related to depression
Placebo6243171231301613
Vortioxetine 1 mg643376130066
Vortioxetine 10 mg6142211825201814
Vortioxetine 5 mg716414102511119

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Change From Baseline in the 24-item Hamilton Depression Scale Total Score At Week 8

The 24-item Hamilton Depression Scale (HAM-D24) is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score range is from 0 to 74 where a higher score indicates a greater depressive state. Least squares (LS) means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-11.30
Vortioxetine 1 mg-14.82
Vortioxetine 5 mg-15.42
Vortioxetine 10 mg-16.23

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Percentage of Participants in MADRS Remission at Other Weeks Assessed

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT00735709)
Timeframe: Weeks 1, 2, 4 and 6

,,,
Interventionpercentage of participants (Number)
Week 1 (n=139, 137, 138, 138)Week 2 (n=139, 139, 139, 139)Week 4 (n=139, 139, 139, 139)Week 6 (n=139, 139, 139, 139)
Placebo0.72.26.510.1
Vortioxetine 1 mg0.72.211.520.1
Vortioxetine 10 mg01.410.822.3
Vortioxetine 5 mg01.411.520.9

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Percentage of Responders in HAM-D24 Total Score at Other Weeks Assessed

A responder is defined as a participant with a ≥50% decrease from Baseline in HAM-D24 total score. The HAM-D24 is a clinician-rated 24-item scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 74, where a higher score indicates a greater depressive state. (NCT00735709)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,,,
Interventionpercentage of participants (Number)
Week 1 (n=139, 137, 138, 138)Week 2 (n=139, 139, 139, 139)Week 4 (n=139, 139, 139, 139)Week 6 (n=139, 139, 139, 139)
Placebo0.75.018.023.7
Vortioxetine 1 mg0.77.927.338.1
Vortioxetine 10 mg1.48.626.643.9
Vortioxetine 5 mg0.77.224.536.0

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) General Health Subscore at All Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The general health sub-score scale ranges from 0 (best) - 100 (worst). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 2, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=138, 139, 136, 136)Week 4 (n=135, 132, 135, 128)Week 8 (n=129, 129, 128, 121)
Placebo2.836.518.68
Vortioxetine 1 mg5.548.9812.46
Vortioxetine 10 mg5.4710.9913.87
Vortioxetine 5 mg5.649.9613.67

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Bodily Pain Subscore at All Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The bodily pain sub-score scale ranges from 0 (best) - 100 (worst). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 2, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=138, 139, 136, 136)Week 4 (n=135, 132, 135, 128)Week 8 (n=129, 129, 128, 122)
Placebo2.994.457.17
Vortioxetine 1 mg5.065.3311.99
Vortioxetine 10 mg7.2210.6612.89
Vortioxetine 5 mg4.527.759.63

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Percentage of Participants With a Sustained Response in HAM-D24 Total Score

A sustained response is defined as a ≥20% decrease from Baseline in HAM-D24 total score obtained at Week 1 and sustained through Week 7 and at least 50% decrease from Baseline at Week 8. (NCT00735709)
Timeframe: From Baseline through Week 8

Interventionpercentage of participants (Number)
Placebo10.1
Vortioxetine 1 mg9.4
Vortioxetine 5 mg10.1
Vortioxetine 10 mg10.8

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Physical Functioning Subscore at All Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The physical functioning subscale assesses limitations in physical activities because of health problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 2, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=138,139,136,136)Week 4 (n=135,132,135,128)Week 8 (n=129,129,128,122)
Placebo2.245.108.77
Vortioxetine 1 mg5.397.779.59
Vortioxetine 10 mg3.346.9211.28
Vortioxetine 5 mg7.559.3512.31

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Percentage of Participants in MADRS Remission at Week 8

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT00735709)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo16.5
Vortioxetine 1 mg25.9
Vortioxetine 5 mg28.8
Vortioxetine 10 mg26.6

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Physical Subscore at All Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The role-physical subscale assesses limitations in usual role activities because of physical health problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline and Weeks 2, 4 and 8

,,,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=138, 139, 136, 136)Week 4 (n=135, 132, 135, 128)Week 8 (n=129, 129, 128, 122)
Placebo0.744.538.46
Vortioxetine 1 mg6.0910.6214.09
Vortioxetine 10 mg5.008.2815.76
Vortioxetine 5 mg7.3812.9715.64

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Clinical Global Impression Scale-Global Improvement at Week 8

The Clinical Global Impression - Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.84
Vortioxetine 1 mg2.37
Vortioxetine 5 mg2.37
Vortioxetine 10 mg2.29

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means are from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week, and week-by-treatment as factors in the analysis. (NCT00735709)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-6.54
Vortioxetine 1 mg-6.58
Vortioxetine 5 mg-7.65
Vortioxetine 10 mg-8.08

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Week 8

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The social functioning subscale assesses limitations in social activities because of physical or emotional problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo18.02
Vortioxetine 5 mg26.80

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-6.14
Vortioxetine 5 mg-8.10

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

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. Least Squares (LS) means were from a mixed model for repeated measurements (MMRM) with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-10.49
Vortioxetine 5 mg-14.30

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Week 8 in Participants With Baseline HAM-A ≥25

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-10.44
Vortioxetine 5 mg-15.55

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Change From Baseline in the Hospital Anxiety and Depression (HAD) Anxiety Subscale at Week 8

The Hospital Anxiety and Depression (HAD) Anxiety sub-scale consists of 7 items that are assessed on a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). The anxiety subscale determines a state of generalized anxiety including anxious mood, restlessness, anxious thoughts and panic attacks. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-4.20
Vortioxetine 5 mg-6.49

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Clinical Global Impression Scale-Global Improvement at Week 8

The Clinical Global Impression-Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a MMRM with baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.66
Vortioxetine 5 mg2.19

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Bodily Pain Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The bodily pain sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=147, 149)Week 4 (n=136, 137)Week 8 (n=128, 129)
Placebo6.496.8110.90
Vortioxetine 5 mg7.4010.6215.38

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) General Health Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The general health sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=147, 149)Week 4 (n=136, 137)Week 8 (n=128, 129)
Placebo4.548.459.76
Vortioxetine 5 mg6.0410.3616.30

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Mental Health Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The mental health sub-score assesses general mental health (psychological distress and well-being) and ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=147, 149)Week 4 (n=136, 137)Week 8 (n=128, 129)
Placebo5.589.7913.51
Vortioxetine 5 mg8.9014.7321.75

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Physical Functioning Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The physical functioning subscale assesses limitations in physical activities because of health problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=147, 149)Week 4 (n=136, 137)Week 8 (n=128, 129)
Placebo2.542.154.48
Vortioxetine 5 mg3.398.3410.69

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Emotional Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The role-emotional subscale assesses limitations in usual role activities because of emotional problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=147, 149)Week 4 (n=136, 137)Week 8 (n=128, 129)
Placebo7.2713.4118.96
Vortioxetine 5 mg9.6219.0428.13

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Social Functioning Subscore at Other Weeks Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The social functioning subscale assesses limitations in social activities because of physical or emotional problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 2 and 4

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=147, 149)Week 4 (n=136, 137)
Placebo8.5011.41
Vortioxetine 5 mg8.8318.45

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Vitality Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The vitality sub-score assesses energy and fatigue, and ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=147, 149)Week 4 (n=136, 137)Week 8 (n= 128, 129)
Placebo5.448.3612.56
Vortioxetine 5 mg8.1113.3822.53

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Change From Baseline in Clinical Global Impression Scale-Severity of Illness at Each Week Assessed

The Clinical Global Impression-Severity scale (CGI-S) is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness on the following scale: 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 1, 2, 4, 6 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=146, 148)Week 2 (n=147, 144)Week 4 (n=136, 137)Week 6 (n=128, 129)Week 8 (n=126, 128)
Placebo-0.23-0.53-0.87-1.09-1.26
Vortioxetine 5 mg-0.19-0.60-1.04-1.40-1.78

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Change From Baseline in Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 1, 2, 4 and 6.

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=146, 148)Week 2 (n=147, 144)Week 4 (n=136, 137)Week 6 (n=128, 129)
Placebo-2.46-5.05-7.43-9.17
Vortioxetine 5 mg-2.50-6.21-9.62-11.93

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Other Weeks Assessed

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 1, 2 and 4

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=121, 117)Week 2 (n=122, 114)Week 4 (n=112, 107)
Placebo-1.32-2.93-4.35
Vortioxetine 5 mg-1.12-3.04-5.13

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score at Other Weeks Assessed in Participants With Baseline HAM-A ≥25

The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 to 56 where <17 indicates mild severity, 18-24 mild to moderate severity and 25-30 moderate to severe. Total scores above 30 are rare, but indicate very severe anxiety. LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 1, 2, 4 and 6

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=100, 95)Week 2 (n=99, 92)Week 4 (n=89, 89)Week 6 (n=83, 83)
Placebo-2.64-4.89-7.33-9.02
Vortioxetine 5 mg-2.62-6.43-10.08-12.90

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Percentage of Participants in HAM-A Remission at Each Week Assessed

Remission is defined as a Hamilton Anxiety Scale (HAM-A) total score ≤ 7. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00744627)
Timeframe: Weeks 1, 2, 4, 6 and 8

,
Interventionpercentage of participants (Number)
Week 1 (n=146, 148)Week 2 (n=148, 149)Week 4 (n=148, 149)Week 6 (n=148, 149)Week 8 (n=148, 149)
Placebo02.76.812.217.6
Vortioxetine 5 mg02.78.716.830.2

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Percentage of Responders in HAM-A Total Score at Other Weeks Assessed

Response was defined as participants with a ≥ 50% decrease from Baseline in the Hamilton Anxiety Scale (HAM-A) total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00744627)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,
Interventionpercentage of participants (Number)
Week 1 (n=146, 148)Week 2 (n=148, 149)Week 4 (n=148, 149)Week 6 (n=148, 149)
Placebo2.712.220.329.7
Vortioxetine 5 mg2.012.128.943.6

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Percentage of Responders in HAM-A Total Score at Week 8

Response was defined as participants with a ≥ 50% decrease from Baseline in the Hamilton Anxiety Scale (HAM-A) total score. The HAM-A is an anxiety rating scale consisting of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behavior at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total scores range from 0 (symptoms absent) to 56 (maximum severity). (NCT00744627)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo39.9
Vortioxetine 5 mg61.7

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Change From Baseline in the Hospital Anxiety and Depression (HAD) Depression Subscale at Each Week Assessed

The HAD-Depression subscale is completed by the participant and measures depression, focusing on the state of lost interest and diminished pleasure response. The subscale is made up of 7 items that are assessed on a scale from 0 (no depression) to 3 (severe feeling of depression). Participants are required to indicate the response which most accurately reflects the way they have felt over the last few days. The item scores are summed and the total subscore ranges from 0 to 21 (maximal severity). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 1, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=146, 148)Week 4 (n=140, 140)Week 8 (n=128, 129)
Placebo-0.18-1.08-1.50
Vortioxetine 5 mg-0.28-1.62-3.18

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Change From Baseline in the Hospital Anxiety and Depression (HAD) Anxiety Subscale at Other Weeks Assessed

The Hospital Anxiety and Depression (HAD) Anxiety sub-scale consists of 7 items that are assessed on a scale from 0 (no anxiety) to 3 (severe feeling of anxiety). The anxiety subscale determines a state of generalized anxiety including anxious mood, restlessness, anxious thoughts and panic attacks. Scores are summed and range from 0 to 21 (maximal severity). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 1 and 4

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=146, 148)Week 4 (n=140, 140)
Placebo-1.42-3.13
Vortioxetine 5 mg-1.14-4.07

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Change From Baseline in 36-Item Short-Form Health Survey (SF-36) Role-Physical Subscore at Each Week Assessed

The Medical Outcomes Study SF-36 is a participant self-rated questionnaire that is a general measure of perceived health status comprising 36 questions, which yields an 8-scale health profile. The role-physical subscale assesses limitations in usual role activities because of physical health problems. The sub-score scale ranges from 0 (best) - 100 (worst). LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 2, 4 and 8

,
Interventionscores on a scale (Least Squares Mean)
Week 2 (n=147, 149)Week 4 (n=136, 137)Week 8 (n=128, 129)
Placebo4.726.898.96
Vortioxetine 5 mg5.9911.8918.39

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Clinical Global Impression Scale-Global Improvement at Other Weeks Assessed

The Clinical Global Impression-Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a MMRM with Baseline-by-week, center, week and week-by-treatment as factors in the analysis. (NCT00744627)
Timeframe: Baseline to Weeks 1, 2, 4 and 6

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=146, 148)Week 2 (n=147, 144)Week 4 (n=136, 137)Week 6 (n=128, 129)
Placebo3.583.312.992.74
Vortioxetine 5 mg3.673.102.662.43

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Health Care Resource Utilization as Assessed by the Health Economic Assessment Questionnaire

Healthcare resource utilization was assessed by the Health Economic Assessment (HEA) questionnaire, which monitors the participants absenteeism from work, as well as resource use such as visits to a general practitioner, outpatient and inpatient services, hospitalization, medications, and other relevant services over the past 8 weeks. (NCT00744627)
Timeframe: Baseline and Week 8

,
Interventionparticipants (Number)
Baseline: Any resource useBaseline: Any hospitalization-related servicesBaseline: Hospitalization related to anxietyBaseline: Any sick leaveBaseline: Sick leave related to anxietyWeek 8: Any resource useWeek 8: Any hospitalization-related serviceWeek 8: Hospitalization related to anxietyWeek 8: Any sick leaveWeek 8: Sick leave related to anxiety
Placebo797474140022
Vortioxetine 5 mg843274251043

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Change From Baseline in HAM-D-24 Total Score After 52 Weeks of Treatment

The Hamilton Depression Scale - 24 Items (HAM-D-24) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 76. The higher the score, the more severe. (NCT00761306)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 5 or 10 mg/Day-3.46

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Number of Patients With Adverse Events (AEs)

(NCT00761306)
Timeframe: Up to 52 weeks and a 4-week safety follow-up period

Interventionparticipants (Number)
Patients With AEsPatients With SAEsPatients With AEs Leading to WithdrawalPatients With Baseline Events
Vortioxetine 5 or 10 mg/Day641516

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Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score)

(NCT00761306)
Timeframe: Week 52

Interventionpercentage of patients (Number)
Vortioxetine 5 or 10 mg/Day92.7

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Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10)

(NCT00761306)
Timeframe: Week 52

Interventionpercentage of patients (Number)
Vortioxetine 5 or 10 mg/Day81.8

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Percentage of Patients Who Withdrew Due to Intolerance to Treatment

(NCT00761306)
Timeframe: Baseline to Week 52

Interventionpercentage of patients (Number)
Vortioxetine 5 or 10 mg/Day6.8

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Change From Baseline in MADRS Total Score After 52 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. (NCT00761306)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 5 or 10 mg/Day-4.33

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Change From Baseline in HAM-A Total Score After 8 Weeks of Treatment

The Hamilton Anxiety Rating Scale (HAM-A) consists of 14 items that assess anxious mood, tension, fear, insomnia, intellectual (cognitive) symptoms, depressed mood, behaviour at interview, somatic (sensory), cardiovascular, respiratory, gastrointestinal, genitourinary, autonomic, and somatic (muscular) symptoms. Each symptom is rated from 0 (absent) to 4 (maximum severity). Total score from 0 to 56. The higher the score, the more severe. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-5.74
Vortioxetine 5 mg-8.09
Duloxetine 60 mg-9.28

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Change From Baseline in HAM-D-24 Total Score After 1 Week of Treatment

(NCT00811252)
Timeframe: Baseline and Week 1

Interventionunits on a scale (Mean)
Placebo-3.62
Vortioxetine 5 mg-4.04
Duloxetine 60 mg-3.48

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Change From Baseline in HAM-D-24 Total Score After 2 Weeks of Treatment

(NCT00811252)
Timeframe: Baseline and Week 2

Interventionunits on a scale (Mean)
Placebo-6.66
Vortioxetine 5 mg-6.95
Duloxetine 60 mg-7.91

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Change From Baseline in HAM-D-24 Total Score After 4 Weeks of Treatment

(NCT00811252)
Timeframe: Baseline and Week 4

Interventionunits on a scale (Mean)
Placebo-8.99
Vortioxetine 5 mg-10.1
Duloxetine 60 mg-12.3

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

(NCT00811252)
Timeframe: Baseline and Week 6

Interventionunits on a scale (Mean)
Placebo-10.2
Vortioxetine 5 mg-12.3
Duloxetine 60 mg-14.4

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Change From Baseline in HAM-D-24 Total Score After 8 Weeks of Treatment

The Hamilton Depression Scale - 24 Items (HAM-D-24) measures depression severity. Items are rated on a scale from 0 (symptoms not present) to a maximum of 2 to 4 (symptom extremely severe) for a total score range of 0 to 76. The higher the score, the more severe. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-10.3
Vortioxetine 5 mg-13.7
Duloxetine 60 mg-15.8

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Change From Baseline in CGI-S Score After 8 Weeks of Treatment

The Clinical Global Impression - Severity of Illness (CGI-S) is a 7-point scale rated from 1 (normal, not at all ill) to 7 (among the most extremely ill patients). The investigator should use his/her total clinical experience with this patient population to judge how mentally ill the patient is at the time of rating. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-1.03
Vortioxetine 5 mg-1.63
Duloxetine 60 mg-2.05

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Risk of Suicidality Using C-SSRS Scores

The Columbia-Suicide Severity Rating Scale (C-SSRS) was developed by researchers at Columbia University as a tool to systematically assess suicidal ideation and behaviour in patients during participation in a clinical study. The C-SSRS is composed of questions that address suicidal behaviour and questions that address suicidal ideation, with sub-questions that assess severity. The tool was administered via an interview with the patient. (NCT00811252)
Timeframe: Up to 8 weeks

,,
Interventionparticipants (Number)
No ideation or behaviorCompleted SuicideSuicide AttemptPreparatory Actions Toward Imminent Suicidal BehavSuicidal Ideation: PassiveSuicidal Ideation: Active / NonspecificSuicidal Ideation: Active / Method, but no intentSuicidal Ideation: Active / Method and intent, butSuicidal Ideation: Active / Method, intent, and plSelf-Injurious Behavior Without Suicidal Intent
Duloxetine 60 mg106010700000
Placebo103000830000
Vortioxetine 5 mg1070001400000

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Proportion of Responders at Week 8 (Response Defined as a >=50% Reduction in the HAM-D-24 Total Score)

(NCT00811252)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo35
Vortioxetine 5 mg53
Duloxetine 60 mg63

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Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)

(NCT00811252)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo21
Vortioxetine 5 mg34
Duloxetine 60 mg47

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Change in Clinical Status Using CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) is a 7-point scale rated from 1 (very much improved) to 7 (very much worse). The investigator rated the patient's overall improvement relative to baseline, whether or not, in the opinion of the investigator, this was entirely due to the drug treatment. (NCT00811252)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Placebo2.91
Vortioxetine 5 mg2.35
Duloxetine 60 mg2.07

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Change From Baseline in MADRS Total Score After 8 Weeks of Treatment

The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-11.2
Vortioxetine 5 mg-15.5
Duloxetine 60 mg-18.0

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Change From Baseline in GDS Total Score After 8 Weeks of Treatment

The Geriatric Depression Scale (GDS) is a patient self-rating scale designed for the screening of depression in the elderly. It has also been validated as a measure of depression severity. The original version consists of 30 questions with a yes/no answer. In this study, the short 15-item version was used. The total score ranges from 0 to 15, with 15 representing maximum severity. (NCT00811252)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-0.65
Vortioxetine 5 mg-1.08
Duloxetine 60 mg-1.32

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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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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 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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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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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 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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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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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 ASEX Total Score After 8 Weeks of Treatment

"The Arizona Sexual Experience Scale (ASEX) is a 5-item, patient self-rated scale that evaluates a patient's recent sexual experience. Patients are asked to assess their own experience over the last week (for example, How strong is your sex drive?, Are your orgasms satisfying?) and respond on a 6-point scale for each item. The ASEX is used to identify individuals with sexual dysfunction. Possible total score ranges from 5 to 30, with the higher score indicating more patient sexual dysfunction. A negative change indicates a lower sexual dysfunction." (NCT01140906)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo0.28
Vortioxetine 15 mg-0.39
Vortioxetine 20 mg-0.20
Duloxetine 60 mg-1.25

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Change From Baseline in MADRS Total Score After 8 Weeks of Treatment in Patients With Baseline HAM-A Total Score ≥20

(NCT01140906)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-12.20
Vortioxetine 15 mg-17.44
Vortioxetine 20 mg-18.62
Duloxetine 60 mg-20.91

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Change From Baseline in MADRS Total Score After 8 Weeks of Treatment.

The Montgomery Åsberg Depression Rating Scale (MADRS) is a depression rating scale consisting of 10 items, each rated 0 (no symptom) to 6 (severe symptom). The 10 items represent the core symptoms of depressive illness. The rating should be based on a clinical interview with the patient, moving from broadly phrased questions about symptoms to more detailed ones, which allow a precise rating of severity, covering the last 7 days. Total score from 0 to 60. The higher the score, the more severe. (NCT01140906)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-11.70
Vortioxetine 15 mg-17.23
Vortioxetine 20 mg-18.79
Duloxetine 60 mg-21.15

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Change From Baseline in SDS Total Score After 8 Weeks of Treatment

The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe. (NCT01140906)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-4.46
Vortioxetine 15 mg-7.70
Vortioxetine 20 mg-8.38
Duloxetine 60 mg-11.39

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Change in Clinical Status Using CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) is a 7-point scale rated from 1 (very much improved) to 7 (very much worse). The investigator rated the patient's overall improvement relative to baseline, whether or not, in the opinion of the investigator, this was entirely due to the drug treatment. (NCT01140906)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Placebo2.86
Vortioxetine 15 mg2.18
Vortioxetine 20 mg1.92
Duloxetine 60 mg1.75

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Potential Discontinuation Symptoms After Abrupt Discontinuation of Treatment With Vortioxetine

The Discontinuation-Emergent Signs and Symptoms Scale (DESS) was designed to evaluate possible effects of discontinuation of antidepressant therapy. It is a clinician-rated instrument that queries for signs and symptoms on a 43-item checklist (for example, agitation, insomnia, fatigue, and dizziness) to assess whether the item (event) is discontinuation-emergent. A new or worsened event reported after discontinuation of therapy scores 1 point on the checklist, and the DESS total score is the sum of all positive scores on the checklist. A higher score indicates more symptoms. (NCT01140906)
Timeframe: Change from Week 8 in DESS total score analyzed at Week 10

Interventionunits on a scale (Mean)
Placebo0.15
Vortioxetine 15 mg0.01
Vortioxetine 20 mg0.72
Duloxetine 60 mg2.28

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Proportion of Remitters at Week 8 (Remission Defined as a MADRS Total Score <=10)

(NCT01140906)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo19
Vortioxetine 15 mg35
Vortioxetine 20 mg38
Duloxetine 60 mg54

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Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)

(NCT01140906)
Timeframe: Week 8

Interventionpercentage of patients (Number)
Placebo32
Vortioxetine 15 mg57
Vortioxetine 20 mg62
Duloxetine 60 mg74

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

The change between the SDS total score at each assessed visit and the total score collected at baseline. The SDS is a 3 item rating scale to assess functional impairment (panic, anxiety, phobic and depressive symptoms) over three inter-related domains (work/school, social life, and family life/home responsibilities) rated on an 11 point scale from 0 (not at all) to 10 (extremely) with a total score range from 0 to 30. Higher scores indicate greater severity of impairment. (NCT01152996)
Timeframe: Baseline and Weeks 12, 24, 36, and 52

Interventionunits on a scale (Mean)
Week 12 (n=650)Week 24 (n=494)Week 36 (n=414)Week 52 (n=381)
Vortioxetine-2.8-3.9-4.0-4.7

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Number of Participants With Serious Treatment-Emergent Adverse Events

Serious treatment-emergent adverse events (serious-TEAE) are adverse events with an onset that occurs after receiving study drug and within 30 days after receiving the last dose of study drug. A serious-TEAE may also be a pretreatment adverse event or a concurrent medical condition diagnosed prior to the date of first dose of study drug that increases in severity after the start of dosing. Serious Adverse Events include adverse events that result in death, require either inpatient hospitalization or the prolongation of hospitalization, are life-threatening, result in a persistent or significant disability/incapacity or result in a congenital anomaly/birth defect. Other important medical events, based upon appropriate medical judgment, may also be considered serious adverse events if a trial participant's health is at risk and intervention is required to prevent an outcome mentioned. (NCT01152996)
Timeframe: Over the 52 week period

Interventionparticipants (Number)
Vortioxetine29

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Treatment-Emergent Adverse Events Leading to Study Discontinuation

Treatment-emergent adverse events are adverse events with an onset that occurs after receiving study drug and within 30 days after receiving the last dose of study drug. A TEAE may also be a pre-treatment adverse event or a concurrent medical condition diagnosed prior to the date of first dose of study drug that increases in severity after the start of dosing. (NCT01152996)
Timeframe: Over the 52 week period

Interventionparticipants (Number)
Vortioxetine117

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

"The change between CGI-S score at each assessed visit and CGI-S score at baseline. The CGI-S assesses the clinician's impression of the subject's current state of mental illness and consists of one question for the investigator: Considering your total clinical experience with this particular population, how mentally ill is the patient at this time? which is rated on a seven-point scale (1=normal, not ill at all; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=extremely ill). Higher scores indicate greater severity of illness." (NCT01152996)
Timeframe: Baseline and Weeks 4, 24, and 52

Interventionunits on a scale (Mean)
Week 4 (n=1030)Week 24 (n=743)Week 52 (n=549)
Vortioxetine-0.6-1.0-1.2

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Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score

The change between MADRS total score at each assessed visit and MADRS score at baseline. MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (i.e., apparent sadness, reported sadness, inner tension, etc.) rated on a 7-point Likert scale from 0 (normal) to 6 (most abnormal) with a total score range from 0 to 60. Higher scores indicate greater severity of symptoms. (NCT01152996)
Timeframe: Baseline and Weeks 1, 2, 4, 8, 12, 16, 20, 24, 28, 36, 44, and 52

Interventionunits on a scale (Mean)
Week 1 (n=1043)Week 2 (n=1043)Week 4 (n=1004)Week 8 (n=936)Week 12 (n=843)Week 16 (n=777)Week 20 (n=747)Week 24 (n=697)Week 28 (n=670)Week 36 (n=617)Week 44 (n=573)Week 52 (n=534)
Vortioxetine-2.7-4.8-6.1-7.9-8.5-9.1-9.4-9.7-9.5-9.7-10.3-10.3

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Change From Baseline in SDS Family Life/Home Responsibilities Subscale

The change between the Sheehan Disability family life/home responsibilities subscale score at each assessed visit and family life/home responsibilities subscale score collected at baseline. The SDS is a 3 item rating scale to assess functional impairment (panic, anxiety, phobic and depressive symptoms) over three inter-related domains (work/school, social life, and family life/home responsibilities) rated on an 11 point scale from 0 (not at all) to 10 (extremely). Higher scores indicate greater severity of impairment. (NCT01152996)
Timeframe: Baseline and Weeks 12, 24, 36, and 52

Interventionunits on a scale (Mean)
Week 12 (n=942)Week 24 (n=721)Week 36 (n=617)Week 52 (n=545)
Vortioxetine-0.9-1.3-1.4-1.6

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Change From Baseline in SDS Social Life Subscale

The change between the Sheehan Disability social life subscale score at each assessed visit and social life subscale score collected at baseline. The SDS is a 3 item rating scale to assess functional impairment (panic, anxiety, phobic and depressive symptoms) over three inter-related domains (work/school, social life, and family life/home responsibilities) rated on an 11 point scale from 0 (not at all) to 10 (extremely). Higher scores indicate greater severity of impairment. (NCT01152996)
Timeframe: Baseline and Weeks 12, 24, 36, and 52

Interventionunits on a scale (Mean)
Week 12 (n=942)Week 24 (n=721)Week 36 (n=617)Week 52 (n=545)
Vortioxetine-1.0-1.4-1.4-1.6

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Change From Baseline in the Hamilton Anxiety Scale (HAM-A) Total Score

The change between HAM-A score at each assessed visit and HAM-A score at baseline. HAM-A is a 14 item rating scale to quantify anxiety symptomatology severity (i.e., anxious mood, tension, fear, insomnia, etc.) rated on a 5-point scale from 0 (not present) to 4 (severe) with a total score range from 0 to 56. Higher scores indicate greater severity of symptoms. (NCT01152996)
Timeframe: Baseline and Weeks 4, 24, and 52

Interventionunits on a scale (Mean)
Week 4 (n=1029)Week 24 (n=742)Week 52 (n=548)
Vortioxetine-2.6-4.2-4.8

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Number of Participants With Treatment-Emergent Adverse Events at a Frequency Threshold of ≥5%

Treatment-emergent adverse events (TEAE) are adverse events with an onset that occurs after receiving study drug and within 30 days after receiving the last dose of study drug. A TEAE may also be a pretreatment adverse event or a concurrent medical condition diagnosed prior to the date of first dose of study drug that increases in severity after the start of dosing. (NCT01152996)
Timeframe: Over the 52 week period

Interventionparticipants (Number)
NauseaDiarrheaVomitingConstipationNasopharyngitisViral upper respiratory tract infectionUpper respiratory tract infectionWeight increasedHeadacheInsomnia
Vortioxetine2588068656866606513656

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Change From Baseline in SDS Work/School Subscale

The change between the Sheehan Disability work/school subscale score at each assessed visit and work/school subscale score collected at baseline. The SDS is a 3 item rating scale to assess functional impairment (panic, anxiety, phobic and depressive symptoms) over three inter-related domains (work/school, social life, and family life/home responsibilities) rated on an 11 point scale from 0 (not at all) to 10 (extremely). Higher scores indicate greater severity of impairment. (NCT01152996)
Timeframe: Baseline and Weeks 12, 24, 36, and 52

Interventionunits on a scale (Mean)
Week 12 (n=650)Week 24 (n=494)Week 36 (n=414)Week 52 (n=381)
Vortioxetine-0.8-1.2-1.2-1.4

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline SDS total score-by-week as fixed effects. (NCT01153009)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-7.68
Vortioxetine 15 mg-7.73
Vortioxetine 20 mg-8.55
Duloxetine 60 mg-9.66

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Change From Baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. Least squares (LS) means are from a mixed model for repeated measurements (MMRM) analysis of covariance (ANCOVA) with treatment, center, week, treatment-by-week interaction, Baseline MADRS total score-by-week as fixed effects. (NCT01153009)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-12.83
Vortioxetine 15 mg-14.30
Vortioxetine 20 mg-15.57
Duloxetine 60 mg-16.90

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Mean Clinical Global Impression Scale - Improvement (CGI-I) Score at Week 8

The Clinical Global Impression-Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline Clinical Global Impression Scale-Severity of Illness (CGI-S) score-by-week as fixed effects. (NCT01153009)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.65
Vortioxetine 15 mg2.54
Vortioxetine 20 mg2.47
Duloxetine 60 mg2.31

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Percentage of Participants in MADRS Remission at Week 8

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01153009)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo26.8
Vortioxetine 15 mg26.9
Vortioxetine 20 mg29.3
Duloxetine 60 mg26.0

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Percentage of Participants With a MADRS Response at Week 8

Response is defined as a participant with a ≥50% decrease in Montgomery Åsberg Depression Rating Scale (MADRS) total score from Baseline. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01153009)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo39.2
Vortioxetine 15 mg44.1
Vortioxetine 20 mg44.2
Duloxetine 60 mg54.8

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Change From Baseline in MADRS Total Score at Week 8 in Participants With Baseline Hamilton Anxiety Scale (HAM-A) Total Score ≥20

"The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. LS means are from a mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline MADRS total score-by-week as fixed effects.~HAM-A is a 14 item rating scale to quantify anxiety severity rated on a 5-point scale from 0 (not present) to 4 (severe) with a total score range from 0 to 56, where lower scores indicate mild severity." (NCT01153009)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-14.27
Vortioxetine 15 mg-13.34
Vortioxetine 20 mg-14.89
Duloxetine 60 mg-18.31

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Percentage of Participants in MADRS Remission at Week 8

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01163266)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo14.2
Vortioxetine 10 mg21.4
Vortioxetine 20 mg22.3

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Percentage of Participants With a MADRS Response at Week 8

Response is defined as a participant with a ≥50% decrease in Montgomery Åsberg Depression Rating Scale (MADRS) total score from Baseline. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01163266)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo28.4
Vortioxetine 10 mg33.8
Vortioxetine 20 mg39.2

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Mean Clinical Global Impression Scale-Improvement (CGI-I) Score at Week 8

The Clinical Global Impression-Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline Clinical Global Impression Scale-Severity of Illness Scale (CGI-S) score-by-week as fixed effects. (NCT01163266)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.89
Vortioxetine 10 mg2.69
Vortioxetine 20 mg2.59

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline SDS total score-by-week as fixed effects. (NCT01163266)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-5.86
Vortioxetine 10 mg-7.25
Vortioxetine 20 mg-8.26

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Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. Least squares (LS) means are from a mixed model for repeated measurements (MMRM) analysis of covariance (ANCOVA) with treatment, center, week, treatment-by-week interaction, Baseline MADRS total score-by-week as fixed effects. (NCT01163266)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-10.77
Vortioxetine 10 mg-12.96
Vortioxetine 20 mg-14.41

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Change From Baseline in MADRS Total Score at Week 8 in Participants With Baseline Hamilton Anxiety Scale (HAM-A) Total Score ≥20

"The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. LS means are from a mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline MADRS total score-by-week as fixed effects.~The HAM-A is a 14 item rating scale to quantify anxiety severity rated on a 5-point scale from 0 (not present) to 4 (severe) with a total score range from 0 to 56, where lower scores indicate mild severity." (NCT01163266)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-10.26
Vortioxetine 10 mg-14.55
Vortioxetine 20 mg-17.52

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Percentage of Participants With a MADRS Response at Week 8

Response is defined as a participant with a ≥50% decrease in Montgomery Åsberg Depression Rating Scale (MADRS) total score from Baseline. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01179516)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo32.9
Vortioxetine 10 mg37.8
Vortioxetine 15 mg37.3

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Percentage of Participants in MADRS Remission at Week 8

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01179516)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo22.1
Vortioxetine 10 mg26.6
Vortioxetine 15 mg23.9

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Mean Clinical Global Impression Scale - Improvement (CGI-I) Score at Week 8

The Clinical Global Impression - global improvement assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from a mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline Clinical Global Impression Scale-Severity of Illness (CGI-S) score-by-week as fixed effects. (NCT01179516)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.65
Vortioxetine 10 mg2.56
Vortioxetine 15 mg2.60

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

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline SDS total score-by-week as fixed effects. (NCT01179516)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-9.38
Vortioxetine 10 mg-10.30
Vortioxetine 15 mg-8.69

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Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. Least squares (LS) means are from a mixed model for repeated measurements (MMRM) analysis of covariance (ANCOVA) with treatment, center, week, treatment-by-week interaction, Baseline MADRS total score-by-week as fixed effects. (NCT01179516)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-12.87
Vortioxetine 10 mg-13.66
Vortioxetine 15 mg-13.36

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Change From Baseline in MADRS Total Score at Week 8 in Participants With Baseline Hamilton Anxiety Scale (HAM-A) Total Score ≥ 20

"The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. LS means are from a mixed model for repeated measurements (MMRM) ANCOVA with treatment, center, week, treatment-by-week interaction, Baseline MADRS total score-by-week as fixed effects.~HAM-A is a 14 item rating scale to quantify anxiety severity rated on a 5-point scale from 0 (not present) to 4 (severe) with a total score range from 0 to 56, where lower scores indicate mild severity." (NCT01179516)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-14.11
Vortioxetine 10 mg-15.07
Vortioxetine 15 mg-12.37

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Percentage of Participants With a MADRS Response at Week 8

Response is defined as a participant with a ≥50% decrease in Montgomery Åsberg Depression Rating Scale (MADRS) total score from Baseline. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01255787)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo39.3
Vortioxetine 5 mg49.3
Vortioxetine 10 mg54.4
Vortioxetine 20 mg51.0

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Percentage of Participants in MADRS Remission at Week 8

Remission is defined as a participant with a Montgomery Åsberg Depression Rating Scale (MADRS) total score ≤10. The MADRS is a depression rating scale consisting of 10 items, each rated 0 to 6. The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). Decrease in the total score or on individual items indicates improvement. (NCT01255787)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo26.7
Vortioxetine 5 mg24.6
Vortioxetine 10 mg29.3
Vortioxetine 20 mg30.9

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Mean Clinical Global Impression Scale - Improvement (CGI-I) Score at Week 8

The Clinical Global Impression - Global Improvement scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale: 1, very much improved; 2, much improved; 3, minimally improved; 4, no change; 5, minimally worse; 6, much worse; or 7, very much worse. LS means were from an ANCOVA model with treatment as a fixed factor and the Baseline Clinical Global Impression-Severity of Illness (CGI-S) score as a covariate. (NCT01255787)
Timeframe: Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo2.54
Vortioxetine 5 mg2.37
Vortioxetine 10 mg2.27
Vortioxetine 20 mg2.36

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 8

The Sheehan Disability Scale assesses functional impairment in 3 domains: work/school, social life or leisure activities, and family life or home responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. LS means were from an ANCOVA model with treatment as a fixed factor and the Baseline value as a covariate. (NCT01255787)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-6.20
Vortioxetine 5 mg-6.38
Vortioxetine 10 mg-7.97
Vortioxetine 20 mg-7.26

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Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score

The MADRS is a depression rating scale consisting of 10 items, each rated 0 (normal) to 6 (most abnormal). The 10 items represent the core symptoms of depressive illness. The overall score ranges from 0 (symptoms absent) to 60 (severe depression). A decrease in the total score or on individual items indicates improvement. Least squares (LS) means were from an Analysis of Covariance (ANCOVA) model with treatment as a fixed factor and the Baseline value as a covariate. (NCT01255787)
Timeframe: Baseline and Week 8

Interventionscores on a scale (Least Squares Mean)
Placebo-13.99
Vortioxetine 5 mg-14.61
Vortioxetine 10 mg-15.68
Vortioxetine 20 mg-15.82

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Maximum Concentration of 5-HT in Cerobrospinal Fluid

The maximum observed effect (Emax), assessed by the maximum concentration of 5-HT in cerebrospinal fluid (CSF) measured at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1 (Baseline), Day 1 and Day 14. CSF samples were taken prior to dose and at 1, 2, 4, 8, 12, 16, and 24 hours postdose.

,
Interventionpg/mL (Mean)
Day -1 (n=11, 5)Day 1 (n=11, 5)Day 14 (n=9, 5)
Placebo67.7424.1051.46
Vortioxetine116.6035.4659.80

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Maximum Concentration of 5-HIAA in Plasma

The maximum observed effect (Emax), assessed by the maximum observed concentration of 5-HIAA in plasma measured after a single dose (Day 1) and after multiple doses (Day 14). Note: Plasma samples for 5-HIAA on Day -1 were lost in shipping. Therefore, no PD parameters were calculated for Day -1 (NCT01299805)
Timeframe: Day 1 and Day 14. Blood samples were taken predose (up to 15 minutes prior) and at 1, 2, 4, 8, 12, 16 and 24 hours post-dose.

,
Interventionng/mL (Mean)
Day 1 (n=12, 5)Day 14 (n=10, 5)
Placebo6.977.10
Vortioxetine7.256.90

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Maximum Concentration of 5-HIAA in Cerebrospinal Fluid

The maximum observed effect (Emax), assessed by the maximum observed concentration of 5-HIAA in cerebrospinal fluid (CSF) measured at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1 (Baseline), Day 1 and Day 14. CSF samples were taken prior to dose and at 1, 2, 4, 8, 12, 16, and 24 hours postdose.

,
Interventionng/mL (Mean)
Day -1 (n=12, 5)Day 1 (n=12, 5)Day 14 (n=9, 5)
Placebo34.3036.9830.16
Vortioxetine29.8731.1320.18

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Area Under the Effect Curve From Time Zero to 24 Hours Postdose of 5-hydroxytryptamine (5-HT) in Plasma

The area under the effect-time curve from time 0 to 24 hours postdose (AUEC[0-24]) of the neurotransmitter 5-HT (serotonin) in plasma was measured at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1 (Baseline), Day 1 and Day 14. Blood samples were taken predose (up to 15 minutes prior) and at 1, 2, 4, 8, 12, 16 and 24 hours post-dose.

,
Interventionpg*hr/mL (Mean)
Day -1 (n=10, 4)Day 1 (n=6, 4)Day 14 (n=9, 5)
Placebo385439939122923858350
Vortioxetine418302442240581718863

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Area Under the Effect Curve From Time Zero to 24 Hours Postdose of 5-hydroxyindoleacetic Acid (5-HIAA) in Plasma

Area under the effect-time curve from time 0 to 24 hours postdose (AUEC[0-24]) of 5-HIAA, a metabolite of the neurotransmitter serotonin, in plasma was measured after a single dose (Day 1) and after multiple doses (Day 14). Note: Plasma samples for 5-HIAA on Day -1 were lost in shipping. Therefore, no PD parameters were calculated for Day -1. (NCT01299805)
Timeframe: Day 1 and Day 14. Blood samples were taken predose and at 1, 2, 4, 8, 12, 16 and 24 hours post-dose.

,
Interventionng*hr/mL (Mean)
Day 1 (n=12, 5)Day 14 (n=10, 5)
Placebo145.92140.40
Vortioxetine140.01143.69

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Area Under the Effect Curve From Time Zero to 24 Hours Postdose of 5-HT in Cerebrospinal Fluid

The area under the effect-time curve from time 0 to 24 hours postdose (AUEC[0-24]) of 5-hydroxytryptamine (5-HT) in cerebrospinal fluid (CSF) was measured at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1 (Baseline), Day 1 and Day 14. CSF samples were taken prior to dose and at 1, 2, 4, 8, 12, 16, and 24 hours postdose.

,
Interventionpg*hr/mL (Mean)
Day -1 (n=11, 5)Day 1 (n=11, 5)Day 14 (n=9, 5)
Placebo509.77497.40444.88
Vortioxetine987.71627.781165.73

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Area Under the Effect Curve From Time Zero to 24 Hours Postdose of 5-HIAA in Cerebrospinal Fluid

The area under the effect-time curve from time 0 to 24 hours postdose (AUEC[0-24]) of 5-hydroxyindoleacetic acid (5-HIAA) in cerebrospinal fluid (CSF) was measured at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1 (Baseline), Day 1 and Day 14. CSF samples were taken prior to dose and at 1, 2, 4, 8, 12, 16, and 24 hours postdose.

,
Interventionng*hr/mL (Mean)
Day -1 (n=12, 5)Day 1 (n=12, 5)Day 14 (n=9, 5)
Placebo718.14774.95644.24
Vortioxetine620.61636.14429.23

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Maximum Concentration of 5-HT in Plasma

The maximum observed effect (Emax), assessed by the maximum observed concentration of 5-HT in plasma measured at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1 (Baseline), Day 1 and Day 14. Blood samples were taken predose (up to 15 minutes prior) and at 1, 2, 4, 8, 12, 16 and 24 hours post-dose.

,
Interventionpg/mL (Mean)
Day -1 (n=10, 4)Day 1 (n=6, 4)Day 14 (n=9, 5)
Placebo231500251250242200
Vortioxetine27380024766794233.3

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Time to Maximum Concentration of 5-HT in Plasma

The time to reach maximum pharmacodynamic effect (Emax) was assessed by the time to maximum concentration of 5-HT in plasma at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1 (Baseline), Day 1 and Day 14. Blood samples were taken predose and at 1, 2, 4, 8, 12, 16, and 24 hours postdose.

,
Interventionhours (Mean)
Day -1 (n=10, 4)Day 1 (n=6, 4)Day 14 (n=9, 5)
Placebo7.2614.428.40
Vortioxetine12.654.869.11

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Time to Maximum Concentration of 5-HT in Cerebrospinal Fluid

The time to reach maximum pharmacodynamic effect (Emax) was assessed by the time to maximum concentration of 5-HT in cerebrospinal fluid (CSF) at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1, Day 1 and Day 14. CSF samples were taken predose and at 1, 2, 4, 8, 12, 16, and 24 hours postdose.

,
Interventionhours (Mean)
Day -1 (n=11, 5)Day 1 (n=11, 5)Day 14 (n=9, 5)
Placebo7.136.924.94
Vortioxetine4.3017.323.02

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Time to Maximum Concentration of 5-HIAA in Plasma

The time to reach maximum pharmacodynamic effect (Emax) was assessed by the time to maximum concentration of 5-hydroxyindoleacetic acid (5-HIAA) in plasma after a single dose (Day 1) and after multiple doses (Day 14). Note: Plasma samples for 5-HIAA on Day -1 were lost in shipping. Therefore, no PD parameters were calculated for Day -1. (NCT01299805)
Timeframe: Day 1 and Day 14. Blood samples were taken predose and at 1, 2, 4, 8, 12, 16 and 24 hours post-dose.

,
Interventionhours (Mean)
Day 1 (n=12, 5)Day 14 (n=10, 5)
Placebo15.1318.40
Vortioxetine13.0216.80

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Time to Maximum Concentration of 5-HIAA in Cerebrospinal Fluid

The time to reach maximum pharmacodynamic effect (Emax) was assessed by the time to maximum concentration of 5-hydroxyindoleacetic acid (5-HIAA) in cerebrospinal fluid (CSF) at Baseline, after a single dose (Day 1) and after multiple doses (Day 14). (NCT01299805)
Timeframe: Day -1, Day 1 and Day 14. CSF samples were taken prior to dose and at 1, 2, 4, 8, 12, 16, and 24 hours postdose.

,
Interventionhours (Mean)
Day -1 (n=12, 5)Day 1 (n=12, 5)Day 14 (n=9, 5)
Placebo19.7819.009.90
Vortioxetine14.166.2411.70

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Number of Patients With Adverse Events (AEs)

(NCT01323478)
Timeframe: Baseline to end of the 4-week safety follow-up period

Interventionparticipants (Number)
Patients With AEsPatients With Serious AEs (SAEs)Patients With AEs Leading to Withdrawal
Vortioxetine 15 or 20 mg/Day5617

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Risk of Suicidality Using C-SSRS Scores

The Columbia-Suicide Severity Rating Scale (C-SSRS) was developed by researchers at Columbia University as a tool to systematically assess suicidal ideation and behaviour in patients during participation in a clinical study. The C-SSRS is composed of questions that address suicidal behaviour and questions that address suicidal ideation, with subquestions that assess severity. The tool was administered via an interview with the patient. Different versions of the C-SSRS are available. In this study, the Since Last Visit Version was used at all visits. In order to assess the potential relationship between Vortioxetine and suicidality more accurately and systematically, C-SSRS data were collected during the Entire Study Period. (NCT01323478)
Timeframe: Up to 52 weeks

Interventionparticipants (Number)
No suicidal ideation or behaviourAny non-suicidal self-injurious behaviorSuicidal IdeationPreparatory action towards imminent suicidal behavNot fatal suicide attemptCompleted suicide
Vortioxetine 15 or 20 mg/Day6704000

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Change From Baseline in CGI-S Score After 52 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. (NCT01323478)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 15 or 20 mg/Day-1.49

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Change From Baseline in HAM-A Total Score After 52 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. (NCT01323478)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 15 or 20 mg/Day-7.85

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Change From Baseline in MADRS Total Score After 52 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. (NCT01323478)
Timeframe: Baseline and Week 52

Interventionunits on a scale (Mean)
Vortioxetine 15 or 20 mg/Day-10.9

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Percentage of Patients Who Withdrew Due to Intolerance to Treatment

(NCT01323478)
Timeframe: Baseline to Week 52

Interventionpercentage of patients (Number)
Vortioxetine 15 or 20 mg/Day9.9

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Proportion of Remitters at Week 52 (Remission Defined as a MADRS Total Score <=10)

(NCT01323478)
Timeframe: Baseline and Week 52

Interventionpercentage of patients (Number)
Vortioxetine 15 or 20 mg/Day80.9

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ASEX Total Score After 52 Weeks of Treatment

"The Arizona Sexual Experience Scale (ASEX) is a 5-item, patient selfrated scale that evaluates a patient's recent sexual experience. Patients are asked to assess their own experience over the last week (for example, How strong is your sex drive?, Are your orgasms satisfying?) and respond on a 6-point scale for each item. The ASEX is used to identify individuals with sexual dysfunction. Possible total score ranges from 5 to 30, with the higher score indicating more patient sexual dysfunction." (NCT01323478)
Timeframe: Week 52

Interventionunits on a scale (Mean)
Vortioxetine 15 or 20 mg/Day18.60

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Proportion of Responders at Week 52 (Response Defined as a >=50% Decrease in MADRS Total Score)

(NCT01323478)
Timeframe: Baseline from lead-in study 13267A (NCT01140906) and Week 52

Interventionpercentage of patients (Number)
Vortioxetine 15 or 20 mg/Day93.6

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SDS Total Score After 52 Weeks of Treatment

The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe. (NCT01323478)
Timeframe: Week 52

Interventionunits on a scale (Mean)
Vortioxetine 15 or 20 mg/Day4.85

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Percentage of Patients With MADRS Response After 8 Weeks of Treatment

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. Response is defined as a ≥50% decrease in the MADRS Total Score from Baseline. (NCT01355081)
Timeframe: Baseline, Week 8

Interventionpercentage of participants (Number)
Vortioxetine 5 mg51.3
Vortioxetine 10 mg45.9
Placebo39.8

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Percentage of Patients With MADRS Remission After 8 Weeks of Treatment

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. Remission is defined as a MADRS Total Score ≤10. (NCT01355081)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Vortioxetine 5 mg29.4
Vortioxetine 10 mg28.7
Placebo22.0

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Clinical Global Impression Scale-Improvement (CGI-I) Score After 8 Weeks of Treatment

"The CGI-I assesses the clinician's impression of the participant's state of mental illness improvement and consists of one question for the investigator: Compared to his condition at the start of the study, how much has this patient changed? which is rated on a seven-point scale (1=very much improved; 2=much improved; 3=minimally improved; 4=no change from baseline; 5=minimally worse; 6= much worse; 7=very much worse). Higher scores indicate greater severity of illness. Values closest to 1 for this outcome measure indicate the greatest improvement of symptoms. ANCOVA model was used with treatment as a fixed effect and the baseline CGI-Severity (CGI-S) score as a covariate." (NCT01355081)
Timeframe: Baseline, Week 8

Interventionscores on a scale (Least Squares Mean)
Vortioxetine 5 mg2.44
Vortioxetine 10 mg2.57
Placebo2.66

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Change From Baseline in the Hamilton Depression Scale (HAM-D17) Total Score After 8 Weeks of Treatment

The HAM-D17 is a 17-item rating scale that assesses depressed mood, agitation and somatic symptoms of depression, rated on a 5-point scale from 0 (absent) to 4 (very severe) with a total score range from 0 to 52. Higher scores indicate greater severity of depression symptoms. A negative change from Baseline indicates that symptoms have improved. ANCOVA model was used with treatment as a fixed effect and the baseline HAM-D17 score as a covariate. (NCT01355081)
Timeframe: Baseline, Week 8

Interventionscores on a scale (Least Squares Mean)
Vortioxetine 5 mg-9.56
Vortioxetine 10 mg-8.54
Placebo-8.40

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score After 8 Weeks of Treatment

The SDS is a 3 item rating scale to assess functional impairment (panic, anxiety, phobic and depressive symptoms) over three inter-related domains (work/school, social life, and family life/home responsibilities) rated on an 11 point scale from 0 (not at all) to 10 (extremely) with a total score range from 0 to 30. Higher scores indicate greater severity of impairment. A negative change from Baseline indicates that symptoms have improved. ANCOVA model was used with treatment as a fixed effect and the Baseline SDS total score as a covariate. (NCT01355081)
Timeframe: Baseline, Week 8

Interventionscores on a scale (Least Squares Mean)
Vortioxetine 5 mg-5.01
Vortioxetine 10 mg-4.02
Placebo-2.91

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Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score After 8 Weeks of Treatment

MADRS is a 10-item clinician rated scale that measures overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. A negative change from Baseline indicates that symptoms have improved. An analysis of covariance (ANCOVA) model was used with change in MADRS total score as a dependent variable, treatment as a fixed effect and the baseline MADRS total score as a covariate. (NCT01355081)
Timeframe: Baseline, Week 8

Interventionscores on a scale (Least Squares Mean)
Vortioxetine 5 mg-15.84
Vortioxetine 10 mg-14.85
Placebo-13.81

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Number of Participants With Shifts in the CSFQ-14 From Abnormal to Normal at Each Week Assessed

The CSFQ-14 is a structured self reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), and orgasm (3 items), rated on an 5 point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. Normal sexual functioning is defined as a CSFQ-14 total score of >41 for women and >47 for men. Abnormal sexual functioning is defined as a CSFQ-14 total score of ≤41 for women and ≤47 for men. All subjects entered the study with abnormal sexual functioning. A shift to normal indicates that symptoms have improved. (NCT01364649)
Timeframe: Baseline and Weeks 1, 2, 4, 6 and 8

,
Interventionnumber of participants (Number)
Week 1 (n=213, 205)Week 2 (n=217, 206)Week 4 (n=217, 206)Week 6 (n=217, 206)Week 8 (n=217, 206)
Escitalopram3663849391
Vortioxetine488193112113

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Change From Baseline in the CSFQ-14 Total Score at All Other Time Points Assessed

The CSFQ-14 is a structured self reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), and orgasm (3 items), rated on an 5 point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. A positive change from Baseline indicates that symptoms have improved. The primary analysis was based on a mixed model for repeated measurements (MMRM) analysis of covariance with treatment, center, week, treatment-by-week interaction as fixed effects, Baseline CSFQ-14 total score-by-week as covariate, and a completely unstructured covariance matrix. (NCT01364649)
Timeframe: Baseline and Weeks 1, 2, 4 and 6

,
Interventionscores on a scale (Least Squares Mean)
Week 1 (n=213, 206)Week 2 (n=203, 200)Week 4 (n=187, 188)Week 6 (n=175, 176)
Escitalopram2.23.74.86.4
Vortioxetine2.54.97.08.0

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Change From Baseline in the Changes in Sexual Functioning Questionnaire Short-Form (CSFQ-14) Total Score at Week 8

The CSFQ-14 is a structured self reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), and orgasm (3 items), rated on an 5 point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. A positive change from Baseline indicates that symptoms have improved. The primary analysis was based on a mixed model for repeated measurements (MMRM) analysis of covariance with treatment, center, week, treatment-by-week interaction as fixed effects, Baseline CSFQ-14 total score-by-week as covariate, and a completely unstructured covariance matrix. (NCT01364649)
Timeframe: Baseline, Week 8

Interventionscores on a scale (Least Squares Mean)
Vortioxetine8.8
Escitalopram6.6

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Risk of Suicidality Using C-SSRS Scores

"The Columbia-Suicide Severity Rating Scale (C-SSRS) was developed by researchers at Columbia University as a tool to systematically assess suicidal ideation and behaviour in patients during participation in a clinical study. The C-SSRS is composed of questions that address suicidal behaviour and questions that address suicidal ideation, with subquestions that assess severity. The tool was administered via an interview with the patient.~For 2 patients in each treament group (6 in total) the CSSRS assessments are missing during study." (NCT01422213)
Timeframe: Up to 8 weeks

,,
Interventionparticipants (Number)
No suicidal ideation or behaviourAny non-suicidal self-injurious behaviorAny suicidal ideation or behaviour
Placebo173021
Vortioxetine 10 mg175018
Vortioxetine 20 mg178027

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Proportion of Responders at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline

(NCT01422213)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Placebo29.4
Vortioxetine 10 mg47.7
Vortioxetine 20 mg58.8

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Proportion of Remitters at Week 8 (Remission is Defined as a MADRS Total Score <=10)

(NCT01422213)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Placebo17.0
Vortioxetine 10 mg29.5
Vortioxetine 20 mg38.2

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Clinical Status Using CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) is a 7-point scale rated from 1 (very much improved) to 7 (very much worse). The investigator rated the patient's overall improvement relative to baseline, whether or not, in the opinion of the investigator, this was entirely due to the drug treatment. (NCT01422213)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Placebo2.85
Vortioxetine 10 mg2.24
Vortioxetine 20 mg1.99

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Change From Baseline to Week 1 Using the MADRS Total Score and the Composite Z-score

"Effect on cognitive dysfunction after correcting for the effect on depressive symptoms.~The estimation of the effect on cognitive dysfunction after correcting for the effect on depressive symptoms was based on the composite z-score and the MADRS total score. The effect was estimated in an ANCOVA model using the composite z-score at week 1 as dependent variable and the change from baseline to week 1 in the MADRS total score, the baseline MADRS total score, the baseline composite z-score, the treatment group and site as independent variables.~In the week 1 analysis the vortioxetine 10 and 20 mg groups were pooled because patients randomized to vortioxetine 20 mg received vortioxetine 10 mg in the first week of the study." (NCT01422213)
Timeframe: Baseline and Week 1

Interventionz score (Least Squares Mean)
Placebo-0.079
Vortioxetine 10 mg0.042

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Change From Baseline to Week 8 in CGI-S Score

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. (NCT01422213)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-1.15
Vortioxetine 10 mg-1.80
Vortioxetine 20 mg-2.00

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Change From Baseline to Week 8 in Congruent STROOP Time to Complete (Executive Function)

Stroop Colour Naming Test (STROOP) is a cognitive test designed to assess the ability to inhibit a prepotent response to reading words while performing a task that requires attention control. It comprises two sheets with 50 words on each, and each word is the name of a colour. On the first sheet, the Congruent STROOP Sheet, the word and ink colour match; on the Incongruent STROOP Sheet, the word and ink colour do not match. For each sheet, the patient has 4 minutes to name the ink colour of each word. When the patient finishes the sheet, or once 4 minutes is up, the clinician notes the time taken and counts the number of correct and incorrect responses. The scale ranges from 0-100, the higher score the greater the cognitive flexibility. (NCT01422213)
Timeframe: Baseline and Week 8

Interventionseconds (Mean)
Placebo-5.97
Vortioxetine 10 mg-9.97
Vortioxetine 20 mg-10.43

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Change From Baseline to Week 8 in DSST (Number of Correct Symbols)

"Digit Symbol Substitution Test (DSST) is a cognitive test designed to assess psychomotor speed of performance requiring visual perception, spatial decision-making, and motor skills. It consists of 133 digits and requires the patient to substitute each digit with a simple symbol in a 90-second period. Each correct symbol is counted, and the total score ranges from 0 (less than normal functioning) to 133 (greater than normal functioning). as a description of DSST." (NCT01422213)
Timeframe: Baseline and Week 8

Interventionnumber of correct symbols (Mean)
Placebo4.83
Vortioxetine 10 mg9.03
Vortioxetine 20 mg9.09

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Change From Baseline to Week 8 Using the MADRS Total Score and the Composite Z-score

"Effect on cognitive dysfunction after correcting for the effect on depressive symptoms.~The estimation of the effect on cognitive dysfunction after correcting for the effect on depressive symptoms was based on the composite z-score and the MADRS total score. The effect was estimated in an ANCOVA model using the composite z-score at week 1 as dependent variable and the change from baseline to week 1 in the MADRS total score, the baseline MADRS total score, the baseline composite z-score, the treatment group and site as independent variables." (NCT01422213)
Timeframe: Baseline and Week 8

Interventionz score (Least Squares Mean)
Placebo-0.189
Vortioxetine 10 mg0.041
Vortioxetine 20 mg-0.036

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Change From Baseline to Week 8 in DSST (Number of Correct Symbols) and RAVLT (Acquisition and Delayed Recall) Using the Composite Z-score Defined as the Weighted Sum of the Individual Patient Z-scores

"DSST assesses psychomotor speed of performance requiring visual perception, spatial decision-making, and motor skills. It consists of 133 digits and requires the patient to substitute each digit with a simple symbol in a 90-s period. Each correct symbol is counted, and the total score ranges from 0 (< normal functioning) to 133 (> normal functioning).~RAVLT assesses verbal learning and memory, including immediate memory, efficiency of learning, retroactive and proactive interference effects, and encoding versus retrieval. It consists of a number of tasks, including immediate recall and delayed recall. The number of words correctly recalled on each task is recorded.~The scores are standardized by subtracting the overall mean change from baseline from the individual change from baseline and dividing by the standard deviation estimate of the change from baseline. The 2 tests, DSST and RAVLT are each assigned a weight of 0.5, the 2 subtests of RAVLT are each assigned a weight of 0.25." (NCT01422213)
Timeframe: Baseline and Week 8

Interventionz score (Mean)
Placebo-0.235
Vortioxetine 10 mg0.128
Vortioxetine 20 mg0.095

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Change From Baseline to Week 8 in Incongruent STROOP Time to Complete (Executive Function)

(NCT01422213)
Timeframe: Baseline and Week 8

Interventionseconds (Mean)
Placebo-10.94
Vortioxetine 10 mg-17.69
Vortioxetine 20 mg-17.45

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Change From Baseline to Week 8 in MADRS Total Score

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. (NCT01422213)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Placebo-10.85
Vortioxetine 10 mg-15.56
Vortioxetine 20 mg-17.55

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Change From Baseline to Week 8 in RAVLT (Acquisition)

Rey Auditory Verbal Learning Task (RAVLT) is a cognitive test designed to assess verbal learning and memory, including immediate memory, efficiency of learning, retroactive and proactive interference effects, and encoding versus retrieval. It consists of a number of tasks, including immediate recall and delayed recall. The number of words correctly recalled on each task is recorded. (NCT01422213)
Timeframe: Baseline and Week 8

Interventionnumber of words correctly recalled (Mean)
Placebo3.06
Vortioxetine 10 mg4.08
Vortioxetine 20 mg3.65

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Change From Baseline to Week 8 in RAVLT (Delayed Recall)

Rey Auditory Verbal Learning Task (RAVLT) is a cognitive test designed to assess verbal learning and memory, including immediate memory, efficiency of learning, retroactive and proactive interference effects, and encoding versus retrieval. It consists of a number of tasks, including immediate recall and delayed recall. The number of words correctly recalled on each task is recorded. (NCT01422213)
Timeframe: Baseline and Week 8

Interventionnumber of words correctly recalled (Mean)
Placebo0.91
Vortioxetine 10 mg1.63
Vortioxetine 20 mg1.56

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Change From Baseline to Week 8 in the CRT (Attention)

(NCT01422213)
Timeframe: Baseline and Week 8

Interventionlog10 (ms) (Mean)
Placebo-0.015
Vortioxetine 10 mg-0.046
Vortioxetine 20 mg-0.023

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Change From Baseline to Week 8 in the SRT (Speed of Processing)

"Simple Reaction Time (SRT) is designed to assess psychomotor speed, and Choice Reaction Time (CRT) is designed to assess visual attention. Two computerised tests, part of the CogState battery were used to measure SRT and CRT in milliseconds:~The detection task measures SRT: the patient presses a yes button, whenever an onscreen playing card is turned over.~The identification task measures CRT: the patient presses a yes button whenever an onscreen playing card is turned over and is red, or a no button if the card is not red." (NCT01422213)
Timeframe: Baseline and Week 8

Interventionlog10 (ms) (Mean)
Placebo-0.007
Vortioxetine 10 mg-0.053
Vortioxetine 20 mg-0.037

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Change From Baseline to Week 8 in the TMT A (Speed of Processing)

Trail Making Test (TMT) is a cognitive test designed to assess scanning, visuomotor tracking, executive function, and cognitive flexibility. It consists of two parts, A and B: the patient must draw lines to connect consecutively numbered circles (part A) and then connect consecutively numbered and lettered circles alternating between the two sequences (part B). The time taken to complete the two parts is recorded. Part A assesses cognitive processing speed. The lower the score the faster the processing speed. (NCT01422213)
Timeframe: Baseline and Week 8

Interventionseconds (Mean)
Placebo-7.07
Vortioxetine 10 mg-10.84
Vortioxetine 20 mg-10.87

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Change From Baseline to Week 8 in the TMT B (Executive Function)

TMT is a cognitive test designed to assess scanning, visuomotor tracking, executive function, and cognitive flexibility. It consists of two parts, A and B: the patient must draw lines to connect consecutively numbered circles (part A) and then connect consecutively numbered and lettered circles alternating between the two sequences (part B). The time taken to complete the two parts is recorded. Part B examines executive functioning and ability to shift cognitive set. The lower the score the faster the ability to shift cognitive set. (NCT01422213)
Timeframe: Baseline and Week 8

Interventionseconds (Mean)
Placebo-13.84
Vortioxetine 10 mg-21.41
Vortioxetine 20 mg-22.85

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Change From Baseline in MADRS Total Score at Week 8

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, thus, a negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms. (NCT01488071)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg-16.53
Agomelatine 25 mg or 50 mg-14.38

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Change From Baseline in MADRS Total Score at Week 12

(NCT01488071)
Timeframe: Baseline and Week 12

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg-18.95
Agomelatine 25 mg or 50 mg-16.92

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

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; higher score indicates greater anxiety, thus, a negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms. (NCT01488071)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg-11.68
Agomelatine 25 mg or 50 mg-9.79

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Change From Baseline in HAM-A Total Score at Week 12

(NCT01488071)
Timeframe: Baseline and Week 12

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg-13.52
Agomelatine 25 mg or 50 mg-11.59

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Change From Baseline in CGI-S Score at Week 8

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. Higher score indicates that the subject is more ill, thus, a negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms. (NCT01488071)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg-1.84
Agomelatine 25 mg or 50 mg-1.55

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Change From Baseline in CGI-S Score at Week 12

(NCT01488071)
Timeframe: Baseline and Week 12

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg-2.20
Agomelatine 25 mg or 50 mg-1.93

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Change From Baseline in SDS Total Score at Week 8

The Sheehan Disability Scale (SDS) comprises self-rated items designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and (3) home life or family responsibilities are impaired on a 10-point visual analogue scales, on which 0 = normal functioning and 10 = severe functional impairment. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). The higher the score, the more severe, thus, a negative change (or decrease) from baseline indicates a reduction (or improvement) in symptoms. (NCT01488071)
Timeframe: Baseline and Week 8

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg-9.28
Agomelatine 25 mg or 50 mg-7.06

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Change in Clinical Status Using CGI-I Score at Week 12

(NCT01488071)
Timeframe: Week 12

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg1.74
Agomelatine 25 mg or 50 mg1.99

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Proportion of Patients Who Are in Remission at Week 12 (Remission is Defined as a MADRS Total Score <=10)

(NCT01488071)
Timeframe: Week 12

Interventionpercentage of participants (Number)
Vortioxetine 10 mg or 20 mg55.2
Agomelatine 25 mg or 50 mg39.4

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Proportion of Patients Who Are in Remission at Week 8 (Remission is Defined as a MADRS Total Score <=10)

(NCT01488071)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Vortioxetine 10 mg or 20 mg40.5
Agomelatine 25 mg or 50 mg29.5

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Proportion of Patients Who Respond at Week 12 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)

(NCT01488071)
Timeframe: Baseline and Week 12

Interventionpercentage of participants (Number)
Vortioxetine 10 mg or 20 mg69.8
Agomelatine 25 mg or 50 mg56.0

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Proportion of Patients Who Respond at Week 8 (Response Defined as a >=50% Decrease in the MADRS Total Score From Baseline)

(NCT01488071)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Vortioxetine 10 mg or 20 mg61.5
Agomelatine 25 mg or 50 mg47.3

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Change in Clinical Status Using CGI-I Score at Week 8

The Clinical Global Impression - Global Improvement (CGI-I) is a 7-point scale rated from 1 (very much improved) to 7 (very much worse). The investigator rated the patient's overall improvement relative to baseline, whether or not, in the opinion of the investigator, this was entirely due to the drug treatment. Higher score = more affected. (NCT01488071)
Timeframe: Week 8

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg1.97
Agomelatine 25 mg or 50 mg2.22

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Change From Baseline in SDS Total Score at Week 12

(NCT01488071)
Timeframe: Baseline and Week 12

Interventionunits on a scale (Mean)
Vortioxetine 10 mg or 20 mg-10.99
Agomelatine 25 mg or 50 mg-9.24

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t½ of Vortioxetine

Half-life of vortioxetine in plasma (NCT01491035)
Timeframe: Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level

Interventionh (Median)
Adolescents, 5 mg46
Adolescents, 10 mg56
Adolescents, 15 mg50
Adolescents, 20 mg40
Children, 5 mg45
Children, 10 mg52
Children, 15 mg71
Children, 20 mg62

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Cmax of Vortioxetine

Maximum plasma concentration of vortioxetine (NCT01491035)
Timeframe: Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18, or 20, depending on assigned dose level

Interventionng/mL (Median)
Adolescents, 5 mg4.3
Adolescents, 10 mg7.8
Adolescents, 15 mg15
Adolescents, 20 mg16
Children, 5 mg5.0
Children, 10 mg14
Children, 15 mg26
Children, 20 mg31

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Oral Clearance (CL/F) of Vortioxetine

Oral clearance expressed as a function of bioavailability (NCT01491035)
Timeframe: Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level

InterventionL/h (Median)
Adolescents, 5 mg60
Adolescents, 10 mg50
Adolescents, 15 mg50
Adolescents, 20 mg61
Children, 5 mg50
Children, 10 mg42
Children, 15 mg29
Children, 20 mg34

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t½ of Lu AA34443

Half-life of the major, inactive metabolite Lu AA34443 in plasma (NCT01491035)
Timeframe: Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level

Interventionh (Median)
Adolescents, 5 mg26
Adolescents, 10 mg33
Adolescents, 15 mg24
Adolescents, 20 mg24
Children, 5 mg20
Children, 10 mg19
Children, 15 mg29
Children, 20 mg27

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Cmax of Lu AA34443

Maximum plasma concentration of the major, inactive metabolite Lu AA34443 (NCT01491035)
Timeframe: Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18, or 20, depending on assigned dose level

Interventionng/mL (Median)
Adolescents, 5 mg3.5
Adolescents, 10 mg14
Adolescents, 15 mg16
Adolescents, 20 mg38
Children, 5 mg7.8
Children, 10 mg15
Children, 15 mg20
Children, 20 mg47

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AUC(0-24h) of Lu AA34443

Area under the plasma concentration-time curve from 0 to 24 hours for the major, inactive metabolite Lu AA34443 (NCT01491035)
Timeframe: Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level

Interventionng*h/mL (Median)
Adolescents, 5 mg56
Adolescents, 10 mg223
Adolescents, 15 mg266
Adolescents, 20 mg544
Children, 5 mg115
Children, 10 mg241
Children, 15 mg429
Children, 20 mg646

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AUC(0-24h) of Vortioxetine

Area under the vortioxetine plasma concentration-time curve from 0 to 24 hours (NCT01491035)
Timeframe: Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level

Interventionng*h/mL (Median)
Adolescents, 5 mg82
Adolescents, 10 mg144
Adolescents, 15 mg283
Adolescents, 20 mg304
Children, 5 mg89
Children, 10 mg261
Children, 15 mg492
Children, 20 mg562

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Change From Baseline to Week 8 in the Trail Making Test B (TMT-B)

The TMT is a two-part cognitive test. TMT-B assesses executive functioning and consists of 25 circles distributed over a sheet of paper. Participants have 4 minutes to connect the circles as quickly as possible, without lifting the pen or pencil from the paper. Tester informs participant immediately whenever they make an error and allows for corrections by participants. Lower score for TMT-B represents better executive function. A decrease in score over the study represents an improvement in executive function. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

Interventionseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-18.73
Duloxetine-14.60
Placebo-9.06

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Change in Time From Baseline to Week 8 in the Stroop Test

The STROOP test assesses the ability to inhibit a prepotent response to reading words while performing a task that requires attention control. It comprises of 2 sheets with 50 words each, up to 50 correct responses for each of the congruent and incongruent Stroop tests. Participants have 4 minutes to name the ink color of each word. Lower time to complete the test indicates better performance. Higher number of correct responses indicates better responses. A decrease in the time to complete the tests and an increase in the number of correct responses both indicate improvement over the course of the study. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

,,
Interventionseconds (Mean)
Congruent (n=174,187,167)Incongruent (n=172,186,166)
Duloxetine-4.54-9.83
Placebo-4.37-8.11
Vortioxetine (Lu AA21004)-3.30-8.17

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Clinical Global Impressions-Improvement (CGI-I) Score at Week 8

"The CGI-I assesses the clinician's impression of the subject's state of mental illness improvement and consists of one question for the investigator: Compared to his condition at the start of the study, how much has this patient changed? which is rated on a seven-point scale (1=very much improved; 2=much improved; 3=minimally improved; 4=no change relative to baseline; 5=minimally worse; 6= much worse; 7=very much worse). Higher scores indicate greater worsening of illness. Values closest to 1 for this outcome measure indicate the greatest improvement of symptoms. A MMRM model was used with baseline*week, center, week, treatment and week*treatment as factors in the analysis." (NCT01564862)
Timeframe: Baseline, Week 8

Interventionscore on a scale (Least Squares Mean)
Vortioxetine (Lu AA21004)2.349
Duloxetine2.235
Placebo2.639

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Change From Baseline to Week 8 in the Detection Task (DT)

"The DT is a computerized test that measures simple reaction time and psychomotor speed. The task requires participants to respond by pressing a yes button as soon as an onscreen playing card is turned over and is red, and by pressing a no button if the card is not red. It takes 2 minutes to be administered. There is no minimum or maximum scores since it is a time-based assessment. Lower score equals better performance. A decrease in score over the course of the study indicates improved speed of processing and psychomotor function. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate." (NCT01564862)
Timeframe: Baseline and Week 8

InterventionLog10 milliseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-0.050
Duloxetine-0.039
Placebo-0.033

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Change From Baseline to Week 8 in the Digit Symbol Substitution Test (DSST)

The DSST assesses relative contributions of speed, memory, executive function and visual scanning. Participants are required to copy symbols that are paired with simple geometric shapes or numbers within a specific time for a total possible score of 0 to 133. Higher scores-correct number of symbols reflects greater objective cognitive functioning. An increase in score represents an improvement in an integrated measure of cognitive function. An Analysis of Covariance (ANCOVA) model was used with treatment and center as fixed factors and the Baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

InterventionCorrect symbols (Least Squares Mean)
Vortioxetine (Lu AA21004)4.60
Duloxetine4.06
Placebo2.85

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Change From Baseline to Week 8 in the Groton Maze Learning Test (GMLT)

"The GMLT measures executive functioning and spatial problem solving. Participants learn a hidden pathway through a maze of 10 x 10 grid of tiles on a computer touch screen using step-by-step guess, with trial and error feedback after each step. Once the pathway is learned, participants repeat the same pathway four more times. It usually takes 5-6 minutes to administer this test. Lower score equals better performance. A decrease in score over the course of the study indicates improved executive function.~An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate." (NCT01564862)
Timeframe: Baseline and Week 8

InterventionErrors (Least Squares Mean)
Vortioxetine (Lu AA21004)-5.43
Duloxetine-5.16
Placebo-3.49

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Change From Baseline to Week 8 in the Identification Task (IT)

"The IT measured choice reaction time: the participant pressed a yes button whenever an onscreen playing card turned face up and was red, or a no button if the card was not red. The IT took on average 2 minutes to complete. Lower scores equal better performance. A decrease in score over the course of the study indicates improved visual attention/vigilance. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate." (NCT01564862)
Timeframe: Baseline and Week 8

InterventionLog10 milliseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-0.037
Duloxetine-0.030
Placebo-0.024

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Change From Baseline to Week 8 in the One-Back Task

The One-Back test measures the cognitive domain of attention and working memory through yes or no responses to 30 trials. The task requires participants to report when a stimulus item presented serially is the same as an item one step back from the item at hand for a total correct responses 0 to 100. It usually takes 2-3 minutes to be administered. Higher scores equal better performance. An increase in score over the course of the study indicates improved attention/working memory. An ANCOVA model was used with treatment and center as fixed factors and the Baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

InterventionLog 10 milliseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-0.028
Duloxetine-0.024
Placebo-0.022

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Change From Baseline to Week 8 in the Perceived Deficits Questionnaire (PDQ) Attention/Concentration and Planning/Organization Subscore

PDQ is a patient-rated scale designed to subjectively assess cognitive dysfunction, comprising four 5-item subscales: Attention/Concentration, Retrospective Memory, Prospective Memory, and Planning/Organization for a total possible score of 0 to 40. The subscale Attention/Concentration is the sum of items 1, 5, 9, 13, and 17 with a range of 0-20; while the subscale Planning/Organization is the sum of items 4, 8, 12, 16, and 20 with the score range of 0 to 20. The scores of the subscales Attention/Concentration and Planning/Organization were summed. Higher scores reflect greater participant-perceived cognitive dysfunction in the domains identified. A decrease in score represents an improvement in subjective cognitive function in the domains identified. A Mixed Model Repeated Measures (MMRM) model was used with baseline*week, center, week, treatment and week*treatment as factors in the analysis. (NCT01564862)
Timeframe: Baseline and Week 8

Interventionscore on a scale (Least Squares Mean)
Vortioxetine (Lu AA21004)-8.9
Duloxetine-9.3
Placebo-6.3

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

"The CGI-S assesses the clinician's impression of the subject's current state of mental illness and consists of one question for the investigator: Considering your total clinical experience with this particular population, how mentally ill is the patient at this time? which is rated on a seven-point scale (1=normal, not ill at all; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill). A MMRM model with baseline*week, center, week, treatment and week*treatment as factors was used for analyses." (NCT01564862)
Timeframe: Baseline, Week 1, Week 4 and Week 8

,,
Interventionscore on a scale (Least Squares Mean)
Change from Baseline at Week 1 (n=174, 187,167)Change from Baseline at Week 4 (n=173,184,165)Change from Baseline at Week 8 (n=169,179,161)
Duloxetine-0.353-1.170-1.698
Placebo-0.243-0.617-1.225
Vortioxetine (Lu AA21004)-0.289-0.951-1.546

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Proportion of Cognitive Dysfunction Improvement Due to Improvement of Depression

Improvement of Cognitive Dysfunction is determined using the change from Baseline to Week 8 in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score and the Digital Symbol Substitution Test (DSST) total number of correct symbols. The MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression). The DSST assesses relative contributions of speed, memory, executive function and visual scanning. The proportion of direct effect from treatment = DSST difference / (DSST difference + coefficient*MADRS difference). (NCT01564862)
Timeframe: Baseline and Week 8

Interventionproportion of direct effect (Number)
Vortioxetine (Lu AA21004)75.66
Duloxetine48.69

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Percentage of Participants in MADRS Remission at Week 8

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. MADRS Remission was defined as a MADRS total score ≤10. (NCT01564862)
Timeframe: Week 8

Interventionpercentage of participants (Number)
Vortioxetine (Lu AA21004)30.3
Duloxetine33.7
Placebo21.6

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Percentage of Participants With MADRS Response at Week 8

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. MADRS Response was defined as a ≥50% decrease in MADRS Total Score from Baseline. (NCT01564862)
Timeframe: Baseline and Week 8

Interventionpercentage of participants (Number)
Vortioxetine (Lu AA21004)50.9
Duloxetine54.5
Placebo41.3

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Change From Baseline to Week 8 in the MADRS Total Score

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension) rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. A negative change from Baseline indicates improvement. (NCT01564862)
Timeframe: Baseline, Week 1, Week 4 and Week 8

,,
Interventionscore on a scale (Mean)
Change at Week 1Change at Week 4Change at Week 8
Duloxetine-4.6-11.6-15.5
Placebo-3.4-8.0-12.3
Vortioxetine (Lu AA21004)-3.7-9.8-14.3

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Change From Baseline to Week 8 in the Trail Making Test (TMT-A)

The TMT is a two-part cognitive test. TMT-A assesses cognitive processing speed and consists of 25 circles distributed over a sheet of paper. Participants have 4 minutes to connect the circles as quickly as possible, without lifting the pen or pencil from the paper. Tester informs participant immediately whenever they make an error and allows for corrections by participants. Lower scores represent better speed of processing. A decrease in score over the study represents an improvement in speed in processing. An ANCOVA model was used with treatment and center as fixed factors and the baseline value as a covariate. (NCT01564862)
Timeframe: Baseline and Week 8

Interventionseconds (Least Squares Mean)
Vortioxetine (Lu AA21004)-7.70
Duloxetine-8.06
Placebo-6.65

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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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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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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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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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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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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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AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Vortioxetine Metabolite Lu AA34443

AUC(0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity. (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng*hr/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort122.899
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort124.708

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AUC(0-inf)u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to Infinity for Vortioxetine

AUC(0-inf)u is a measure of total unbound plasma exposure to the drug from time zero extrapolated to infinity. (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng*hr/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort1.806
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort2.558

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AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Vortioxetine

(AUC(0-tlqc) is a measure of total plasma exposure to the drug from time 0 to time of the last quantifiable concentration (AUC[0-tlqc]). (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng*hr/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort166.955
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort188.663

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AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Vortioxetine Metabolite Lu AA34443

(AUC(0-tlqc) is a measure of total plasma exposure to the drug from time 0 to time of the last quantifiable concentration (AUC[0-tlqc]). (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng*hr/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort88.614
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort71.942

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AUC(0-tlqc)u: Area Under the Unbound Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Vortioxetine

AUC(0-tlqc)u is a measure of total unbound plasma exposure to the drug from time 0 to time of the last quantifiable concentration (AUC[0-tlqc]u). (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng*hr/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort1.611
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort1.653

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Cmax: Maximum Observed Plasma Concentration for Vortioxetine

Maximum Observed Plasma Concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort2.078
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort1.670

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Cmax: Maximum Observed Plasma Concentration for Vortioxetine Metabolite Lu AA34443

Maximum Observed Plasma Concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort2.654
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort1.374

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Cmax: Maximum Observed Plasma Concentration for Vortioxetine Metabolite Lu AA39835

Maximum Observed Plasma Concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort0.029
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort0.008

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Cmaxu: Maximum Observed Unbound Plasma Concentration for Vortioxetine

Maximum Observed Unbound Plasma Concentration (Cmaxu) is the peak unbound plasma concentration of a drug after administration, obtained directly from the unbound plasma concentration-time curve. (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort0.020
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort0.014

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AUC(0-tlqc): Area Under the Plasma Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Vortioxetine Metabolite Lu AA39835

(AUC(0-tlqc) is a measure of total plasma exposure to the drug from time 0 to time of the last quantifiable concentration (AUC[0-tlqc]). (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng*hr/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort1.143
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort0.078

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AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Vortioxetine

AUC(0-inf) is a measure of total plasma exposure to the drug from time zero extrapolated to infinity. (NCT02170220)
Timeframe: Predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48, 72, 96, 120, 144, 168, and 240 hours postdose

Interventionng*hr/mL (Mean)
Vortioxetine 5 mg: Normal Hepatic Function Cohort187.202
Vortioxetine 5 mg: Severe Hepatic Impairment Cohort288.053

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Change From Baseline in Vasomotor Symptoms (VMS) Severity During Nighttime at Week 8 (Visit 5)

"Vasomotor symptoms (VMS) were tracked and quantified prospectively using a daily hot flash diary. The hot flash diary was adapted from a 7-day self-report tool for vasomotor symptoms originally developed by the North Central Cancer Treatment Group (NCCTG). The diary asks for the subject to log number of hot flashes during the day and night, severity of hot flashes during day and night, and how bothersome the hot flashes were during day and night.~Severity of VMS:~The range of scores for severity of VMS is 0-2, with higher scores indicating greater severity. 0=mild, 1=moderate, 2=severe" (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Mean)
Open-label Vortioxetine-0.27

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Change From Baseline in Beck Anxiety Inventory (BAI) Score at Week 8 (Visit 5)

Anxiety was measured by self-report responses to Beck Anxiety Inventory (BAI). It is a 21-question multiple-choice self-report inventory that is used for measuring the severity of anxiety in children and adults. Several studies have found the Beck Anxiety Inventory to be an accurate measure of anxiety symptoms in children and adults. Higher scores on the BAI indicate more anxiety symptoms. The range of BAI scores is from 0 to 63, with 0-9=Minimal anxiety, 10-16=Mild anxiety, 17-29=Moderate anxiety, and 30-63=Severe anxiety. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine-7

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Change From Baseline in Clinical Global Impression-Fatigue (CGI-F) Scale Score at Week 8 (Visit 5)

Fatigue symptoms were assessed by the Clinical Global Impression-Fatigue (CGI-F) scale.The CGI-F is a single item global assessment scales to specifically evaluate symptoms of fatigue. Higher scores indicate more fatigue symptoms. The range of scores is from 0-7. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine-1

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Change From Baseline in Clinical Global Impression-Severity (CGI-S) Scale Score at Week 8 (Visit 5)

Severity of illness was assessed by the Clinical Global Impression-Severity (CGI-S) Scale. The CGI-S is a 7-point scale that requires the clinician to rate the severity of the patient's illness at the time of assessment, relative to the clinician's past experience with patients who have the same diagnosis. Considering total clinical experience, a patient is assessed on severity of mental illness at the time of rating 1, normal, not at all ill; 2, borderline mentally ill; 3, mildly ill; 4, moderately ill; 5, markedly ill; 6, severely ill; or 7, extremely ill. The range of scores is 0-7. Higher scores indicate greater severity of illness. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine-1

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Change From Baseline in Cognitive and Physical Functioning Questionnaire (CPFQ) Score at Week 8 (Visit 5)

Cognition and physical functioning was measured by self-report responses to Cognitive and Physical Functioning Questionnaire (CPFQ).The range of scores is from 7-42. Higher scores indicate lower cognitive and executive functioning. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine-13

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Change From Baseline in Digit Symbol Substitution Test (DSST) Score at Week 8 (Visit 5)

"Processing speed, working memory, visuospatial processing and attention was assessed by the Digit Symbol Substitution Test (DSST).~The DSST test requires the examinee to transcribe a unique geometric symbol with its corresponding Arabic number. The examinee is initially shown a key containing the numbers from 1 to 9. Under each number there is a corresponding geometric symbol. The examinee is then shown a series of boxes containing numbers in the top boxes, and blank boxes below them. After a short practice trial, they are then asked to copy the corresponding geometric symbol under each number. The raw score is the number of correct items completed within the prescribed time limit. Higher scores indicate faster processing speed, working memory, and visuospatial processing and attention. The range of scores is 0-63." (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine8.5

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Change From Baseline in Greene Climacteric Scale (GCS) Score at Week 8 (Visit 5)

"Menopause related symptoms were assessed using the Greene Climacteric Scale (GCS). The Greene Scale provides a brief measure of menopause symptoms. It can be used to assess changes in different symptoms, before and after menopause treatment. Three main areas are measured:~1. Psychological (items 1-11). 2. Physical (items 12-18). 3. Vasomotor (items 19, 20).~A higher score indicates that menopause symptoms are more bothersome. The range of scores is from 0 to 63." (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine-18.5

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Change From Baseline in Menopause Specific Quality of Life (MENQOL) Score at Week 8 (Visit 5)

"Quality of life, menopause-specific, is assessed by the Menopause Specific Quality of Life (MENQOL).~The MENQOL is self-administered and consists of a total of 29 items in a Likert-scale format. Each item assesses the impact of one of four domains of menopausal symptoms, as experienced over the last month: vasomotor (items 1-3), psychosocial (items 4-10), physical (items 11-26), and sexual (items 27-29). Items pertaining to a specific symptom are rated as present or not present, and if present, how bothersome on a zero (not bothersome) to six (extremely bothersome) scale. Means are computed for each subscale by dividing the sum of the domain's items by the number of items within that domain. Non-endorsement of an item is scored a 1 and endorsement a 2, plus the number of the particular rating, so that the possible score on any item ranges from 1-8. Total score also ranges from 1-8. Higher scores indicate that menopause symptoms are more bothersome." (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine-1.74

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Change From Baseline in Montgomery-Asberg Depression Rating Scale Score (MADRS) at Week 8 (Visit 5)

The efficacy of vortioxetine for trea-ting depressive symptoms was measured by mean change in Montgomery-Asberg Depression Rating Scale (MADRS) depression score from Baseline (Visit 1) to Week 8 (Visit 5). The MADRS score was assessed at every study visit (Visits 1-5). Participants were considered to have responded to vortioxetine if their MADRS score was reduced by 50% or more from baseline to the end of treatment, and to be in remission if their final MADRS score was less than 10. Higher MADRS score indicates more severe depression. The overall MADRS score ranges from 0 to 60. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Mean)
Open-label Vortioxetine-22.8

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Change From Baseline in Pain Assessment (PEG) Score at Week 8 (Visit 5)

Pain symptoms were assessed by the Pain Assessment (PEG). The PEG is a three-item scale assessing pain intensity and interference. A higher score indicates more pain symptoms. The range of scores is from 0 to 30. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine-4

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Change From Baseline in Pittsburgh Sleep Quality Index (PSQI) Score at Week 8 (Visit 5)

Sleep quality and disturbances during the past month were assessed with the Pittsburgh Sleep Quality Index (PSQI). The PSQI also incorporates daytime functioning into the total score. In scoring the PSQI, seven component scores are derived, each scored 0 (no difficulty) to 3 (severe difficulty). The component scores are summed to produce a global score (range 0 to 21). Higher scores indicate worse sleep quality. The range of scores is 0-21. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Median)
Open-label Vortioxetine-5

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Change From Baseline in Vasomotor Symptoms (VMS) Frequency During Daytime at Week 8 (Visit 5)

Vasomotor symptoms (VMS) were tracked and quantified prospectively using a daily hot flash diary. The hot flash diary was adapted from a 7-day self-report tool for vasomotor symptoms originally developed by the North Central Cancer Treatment Group (NCCTG). The diary asks for the subject to log number of hot flashes during the day and night, severity of hot flashes during day and night, and how bothersome the hot flashes were during day and night. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionhot flashes per day (Mean)
Open-label Vortioxetine-1.33

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Change From Baseline in Vasomotor Symptoms (VMS) Frequency During Nighttime at Week 8 (Visit 5)

Vasomotor symptoms (VMS) were tracked and quantified prospectively using a daily hot flash diary. The hot flash diary was adapted from a 7-day self-report tool for vasomotor symptoms originally developed by the North Central Cancer Treatment Group (NCCTG). The diary asks for the subject to log number of hot flashes during the day and night, severity of hot flashes during day and night, and how bothersome the hot flashes were during day and night. (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionhot flashes per night (Mean)
Open-label Vortioxetine-1.15

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Change From Baseline in Vasomotor Symptoms (VMS) Severity During Daytime at Week 8 (Visit 5)

"Vasomotor symptoms (VMS) were tracked and quantified prospectively using a daily hot flash diary. The hot flash diary was adapted from a 7-day self-report tool for vasomotor symptoms originally developed by the North Central Cancer Treatment Group (NCCTG). The diary asks for the subject to log number of hot flashes during the day and night, severity of hot flashes during day and night, and how bothersome the hot flashes were during day and night.~Severity of VMS:~The range of scores for severity of VMS is 0-2, with higher scores indicating greater severity. 0=mild, 1=moderate, 2=severe" (NCT02234362)
Timeframe: Baseline and Week 8 (Visit 5)

Interventionunits on a scale (Mean)
Open-label Vortioxetine-0.28

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Change in BRIEF-A Subscales - Emotional Control

The BRIEF-A subscale Emotional Control is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-3.4
Vortioxetine 10mg, Combined-4.8
Vortioxetine 20mg, Combined-3.5

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Change in AISRS Inattention Sub-score

The AISRS inattentive subscale score consists of 9 items from the AISRS which address inattention. Each item is rated from 0 to 3. The AISRS inattentive subscale score can range from 0 to 27. A higher score corresponds to a worse severity of ADHD inattentiveness. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Stage 1-6.5
Vortioxetine 10mg, Stage 1-6.0
Vortioxetine 20mg, Stage 1-5.9
Placebo, Stage 2-1.9
Vortioxetine 10mg, Stage 2-2.0
Vortioxetine 20mg, Stage 2-1.6
Placebo, Combined-4.2
Vortioxetine 10mg, Combined-4.0
Vortioxetine 20mg, Combined-3.8

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Change in Adult ADHD Self-Report Scale (ASRS) Total Score

"The Adult ADHD Self-Report Scale (ASRS) is a patient-rated scale designed to assess the ADHD symptoms in adults based on the diagnostic criteria of DSM-IVTM. The ASRS consist of 18 items, each rated on a 5-point scale from Never to Very Often. The categories Never and Rarely were combined when calculating the total score to mirror the scoring of the AISRS, with 0 representing Never/Rarely and 3 representing Very Often. The Total Score ranges from 0 to 54. A reduction in score indicates less severity of ADHD." (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-4.9
Vortioxetine 10mg, Combined-6.5
Vortioxetine 20mg, Combined-3.4

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Change in Adult ADHD Quality of Life Measure (AAQoL) Total Score

The AAQoL is a patient-rated scale designed to assess health-related quality of life in adults with ADHD. The AAQoL consists of 29 items, each item is rated on a 5-point scale from 1 (not at all/never) to 5 (extremely/very often). The AAQoL Total score is based on all 29 items and ranges from 29 to 145. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined7.7
Vortioxetine 10mg, Combined9.1
Vortioxetine 20mg, Combined5.4

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Change in ADHD Investigator Symptom Rating Scale (AISRS) Total Score

AISRS: an 18-item scale administered by the investigator. It included 9 items that evaluated symptoms of inattention and 9 items that evaluated symptoms of impulsivity and hyperactivity. Each item was rated from 0 (none) to 3 (severe). AISRS total score was calculated as sum of all the items on the scale and ranged from 0 to 54. A higher score corresponded to a worse severity of ADHD. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Stage 1-12.4
Vortioxetine 10mg, Stage 1-12.8
Vortioxetine 20mg, Stage 1-11.6
Placebo, Stage 2-4.1
Vortioxetine 10mg, Stage 2-3.9
Vortioxetine 20mg, Stage 2-2.9
Placebo, Combined-8.3
Vortioxetine 10mg, Combined-8.3
Vortioxetine 20mg, Combined-7.3

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Change in AAQoL Subscales - Relationships Sub-score

The AAQoL is a patient-rated scale designed to assess health-related quality of life in adults with ADHD. The AAQoL consists of 29 items, each item is rated on a 5-point scale from 1 (not at all/never) to 5 (extremely/very often). The AAQoL Relationship subscale is based on 5 items and ranges from 5 to 25. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined7.4
Vortioxetine 10mg, Combined8.1
Vortioxetine 20mg, Combined6.0

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Change in AAQoL Subscales - Psychological Health Sub-score

The AAQoL is a patient-rated scale designed to assess health-related quality of life in adults with ADHD. The AAQoL consists of 29 items, each item is rated on a 5-point scale from 1 (not at all/never) to 5 (extremely/very often). The AAQoL Psychological Health subscale is based on 6 items and ranges from 6 to 30. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined6.7
Vortioxetine 10mg, Combined10.3
Vortioxetine 20mg, Combined5.7

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Change in AAQoL Subscales - Life Productivity Sub-score

The AAQoL is a patient-rated scale designed to assess health-related quality of life in adults with ADHD. The AAQoL consists of 29 items, each item is rated on a 5-point scale from 1 (not at all/never) to 5 (extremely/very often). The AAQoL Life productivity subscale is based on 11 items and ranges from 11 to 55. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined10.9
Vortioxetine 10mg, Combined11.6
Vortioxetine 20mg, Combined6.4

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Change in AAQoL Subscales - Life Outlook Sub-score

The AAQoL is a patient-rated scale designed to assess health-related quality of life in adults with ADHD. The AAQoL consists of 29 items, each item is rated on a 5-point scale from 1 (not at all/never) to 5 (extremely/very often). The AAQoL Life Outlook subscale is based on 7 items and ranges from 7 to 35. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined3.7
Vortioxetine 10mg, Combined5.0
Vortioxetine 20mg, Combined3.0

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Change BRIEF-A Subscales - Initiate

The BRIEF-A subscale Initiate is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-6.2
Vortioxetine 10mg, Combined-5.8
Vortioxetine 20mg, Combined-4.2

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Change in Perceived Deficits Questionnaire - Depression (PDQ-D) Total Score

The PDQ-D is a patient-rated scale designed to assess cognitive impairment/dysfunction adapted for MDD. Each item is rated on a scale from 0 (never) to 4 (almost always). The total score of the 20 items ranges from 0 to 80 with higher scores reflect greater subjective cognitive impairment. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-7.6
Vortioxetine 10mg, Combined-9.3
Vortioxetine 20mg, Combined-6.3

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Change AISRS Hyperactivity/Impulsivity Sub-score

The AISRS hyperactive/impulsive subscale score consists of 9 items from the AISRS which address hyperactivity and impulsivity. Each item is rated from 0 to 3. The AISRS hyperactive/impulsive subscale score can range from 0 to 27. A higher score corresponds to a worse severity of ADHD hyperactivity/impulsivity. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Stage 1-5.9
Vortioxetine 10mg, Stage 1-7.0
Vortioxetine 20mg, Stage 1-5.7
Placebo, Stage 2-2.1
Vortioxetine 10mg, Stage 2-2.0
Vortioxetine 20mg, Stage 2-1.2
Placebo, Combined-4.0
Vortioxetine 10mg, Combined-4.5
Vortioxetine 20mg, Combined-3.4

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Response (Defined as a CGI-I Score of 1 or 2), Stage 1

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). Higher scores indicate worsening. (NCT02327013)
Timeframe: Week 6

Interventionpercentages of participants (Number)
Placebo, Combined43
Vortioxetine 10mg, Combined13
Vortioxetine 20mg, Combined11

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Productivity: Change in Work Limitations Questionnaire (WLQ) Productivity Loss Score

"The WLQ is a patient self-rated scale designed to assess on-the-job impact of chronic health problems and/or treatment. The WLQ consists of 25 items in 4 dimensions: limitations handling time (5 items), physical work demands (6 items), mental-interpersonal work demands (9 items), and output demands (5 items). Each item is rated on a 5-point scale from All of the Time (score 5) to None of the Time (score 0), or Does Not Apply to My Job. The WLQ Productivity Loss Score is derived from the Global Productivity Index, which is calculated as a weighed sum of the 4 dimensions. Reduction in WLQ Productivity Loss score indicates less work limitation and represents the estimated percentage of productivity loss in the past two weeks due to presenteeism relative to a healthy benchmark sample. WLQ Productivity Loss Score ranges from 0% to 24,9%." (NCT02327013)
Timeframe: Baseline to Week 6

Interventionpercentage of days lost (Least Squares Mean)
Placebo, Stage 1-2.4
Vortioxetine 10mg, Stage 1-2.5
Vortioxetine 20mg, Stage 1-2.4
Placebo, Stage 2-0.8
Vortioxetine 10mg, Stage 2-0.9
Vortioxetine 20mg, Stage 2-0.7
Placebo, Combined-1.6
Vortioxetine 10mg, Combined-1.7
Vortioxetine 20mg, Combined-1.5

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Percentage of Patients Responding (Response Defined as 30% or Greater Reduction From Baseline in AISRS Total Score)

AISRS: an 18-item scale administered by the investigator. It included 9 items that evaluated symptoms of inattention and 9 items that evaluated symptoms of impulsivity and hyperactivity. Each item was rated from 0 (none) to 3 (severe). AISRS total score was calculated as sum of all the items on the scale and ranged from 0 to 54. A higher score corresponded to a worse severity of ADHD. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionpercentage of participants (Number)
Placebo, Combined30.9
Vortioxetine 10mg, Combined27.5
Vortioxetine 20mg, Combined23.1

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Overall Functioning: Change in Sheehan Disability Scale (SDS) Total Score

The SDS comprises a series of patient rated scales designed to measure impairment. The patient rates the extent to which his or her (1) work, (2) social life or leisure activities and 3) home life or family responsibilities are impaired on a 10-point visual analogue scale, on which 0 = normal functioning and 10 = severe functional impairment. The number of days lost and the number of underproductive days last from work/school due to symptoms are also captured. The total score is calculated as a sum of the 3 visual analogue scales, ranges from 0 to 30. A higher score represents more severe functional impairment. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Stage 1-5.3
Vortioxetine 10mg, Stage 1-7.9
Vortioxetine 20mg, Stage 1-7.4
Placebo, Stage 20.6
Vortioxetine 10mg, Stage 2-0.9
Vortioxetine 20mg, Stage 2-1.4
Placebo, Combined-2.4
Vortioxetine 10mg, Combined-4.4
Vortioxetine 20mg, Combined-4.4

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Inattention/Meta-cognition: Change in Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A) Using Metacognition Index

The Metacognition Index (MI) is an index score of the BRIEF-A consisting of 5 scales: initiate, working memory, plan/organise, task monitor, and organization of materials. Each item is rated on a 3-point scale with the numeric score of 1 to 3. Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Stage 1-10.0
Vortioxetine 10mg, Stage 1-11.2
Vortioxetine 20mg, Stage 1-10.2
Placebo, Stage 2-3.1
Vortioxetine 10mg, Stage 2-2.6
Vortioxetine 20mg, Stage 20.9
Placebo, Combined-6.5
Vortioxetine 10mg, Combined-6.9
Vortioxetine 20mg, Combined-4.6

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Cognitive Function/Global Executive Function: Change in BRIEF-A Using the Global Executive Composite Score

BRIEF-A is a validated questionnaire composed of 75-item within nine non-overlapping scales: 4 scales in the Behavioral Regulation Index (BRI) (inhibit, shift, emotional control, and self-monitor), and 5 scales in the Metacognition Index (MI) (initiate, working memory, plan/organise, task monitor, and organization of materials). Each item is rated on a 3-point scale with the numeric score of 1 to 3. The BRIEF-A yields an overall score (Global Executive Composite) composed of two index scores, the MI and the BRI. Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Stage 1-9.9
Vortioxetine 10mg, Stage 1-12.5
Vortioxetine 20mg, Stage 1-11.4
Placebo, Stage 2-3.0
Vortioxetine 10mg, Stage 2-3.5
Vortioxetine 20mg, Stage 22.1
Placebo, Combined-6.5
Vortioxetine 10mg, Combined-8.0
Vortioxetine 20mg, Combined-4.6

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Clinical Global Impression - Global Improvement (CGI-I) Score

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). Higher scores indicate worsening. (NCT02327013)
Timeframe: Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Stage 13.01
Vortioxetine 10mg, Stage 12.93
Vortioxetine 20mg, Stage 13.15

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Change in WLQ Using the Global Productivity Index

"The WLQ is a patient self-rated scale designed to assess on-the-job impact of chronic health problems and/or treatment. The WLQ consists of 25 items in 4 dimensions: limitations handling time (5 items), physical work demands (6 items), mental-interpersonal work demands (9 items), and output demands (5 items). Each item is rated on a 5-point scale from All of the Time (score 5) to None of the Time (score 0), or Does Not Apply to My Job. The Global Productivity Index is calculated as a weighed sum of the 4 dimensions, and ranges from 0.000 to 0.286. Reduction in score indicates less work limitation." (NCT02327013)
Timeframe: Baseline to Week 6

InterventionIndex (Least Squares Mean)
Placebo, Combined-0.0
Vortioxetine 10mg, Combined-0.0
Vortioxetine 20mg, Combined-0.0

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Change in WLQ Domain Scores - Physical Demands

Physical Demands is scored on a scale of 0 (limited at work none of the time) to 100 (limited at work all of the time) based on a converted mean score. A reduction in score indicates less work limitation. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-5.5
Vortioxetine 10mg, Combined-5.0
Vortioxetine 20mg, Combined-4.6

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Change in WLQ Domain Scores - Output Demands

Output Demands is scored on a scale of 0 (limited at work none of the time) to 100 (limited at work all of the time) based on a converted mean score. A reduction in score indicates less work limitation. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-8.9
Vortioxetine 10mg, Combined-7.1
Vortioxetine 20mg, Combined-7.2

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Change in WLQ Domain Scores - Mental-Interpersonal Work Demands

Mental-Interpersonal Work Demands is scored on a scale of 0 (limited at work none of the time) to 100 (limited at work all of the time) based on a converted mean score. A reduction in score indicates less work limitation. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-8.4
Vortioxetine 10mg, Combined-8.2
Vortioxetine 20mg, Combined-6.2

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Change in WLQ Domain Scores - Limitations Handling Time

Limitations Handling Time is scored on a scale of 0 (limited at work none of the time) to 100 (limited at work all of the time) based on a converted mean score. A reduction in score indicates less work limitation. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-5.6
Vortioxetine 10mg, Combined-7.7
Vortioxetine 20mg, Combined-2.2

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Change in SDS Item Scores - Work

The SDS item work is rated from 0 = normal functioning to 10 = severe functional impairment (see outcome 4). A higher score represents more severe functional impairment. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-1.2
Vortioxetine 10mg, Combined-2.0
Vortioxetine 20mg, Combined-2.1

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Change in SDS Item Scores - Social Life

The SDS item social life is rated from 0 = normal functioning to 10 = severe functional impairment (see outcome 4). A higher score represents more severe functional impairment. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-1.1
Vortioxetine 10mg, Combined-1.7
Vortioxetine 20mg, Combined-1.5

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Change in SDS Item Scores - Number of Underproductive Days

This SDS item captures the number of underproductive days (see outcome 4) (NCT02327013)
Timeframe: Baseline to Week 6

Interventiondays (Least Squares Mean)
Placebo, Combined-1.2
Vortioxetine 10mg, Combined-1.0
Vortioxetine 20mg, Combined-1.2

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Change in SDS Item Scores - Number of Days Lost

This SDS item captures days lost from school or work (see outcome 4). (NCT02327013)
Timeframe: Baseline to Week 6

Interventiondays (Least Squares Mean)
Placebo, Combined-0.3
Vortioxetine 10mg, Combined-0.2
Vortioxetine 20mg, Combined-0.1

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Change in SDS Item Scores - Family

The SDS item family is rated from 0 = normal functioning to 10 = severe functional impairment (see outcome 4). A higher score represents more severe functional impairment. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-1.5
Vortioxetine 10mg, Combined-1.8
Vortioxetine 20mg, Combined-1.5

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Change in PDQ-D Subscales - Attention and Concentration Sub-score

The PDQ-D attention/concentration sub-score consists of items 1, 5, 9, 13, and 17 of the PDQ with a score ranging from 0 to 20. A higher score reflects greater subjective cognitive impairment. A reduction in score indicates less cognitive impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-1.7
Vortioxetine 10mg, Combined-2.3
Vortioxetine 20mg, Combined-1.8

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Change in PDQ-D Sub-scales - Retrospective Memory Sub-score

The PDQ-D retrospective memory sub-score consists of items 2, 6, 10, 14, and 18 of the PDQ (see Outcome 23) with a score ranging from 0 to 20. A higher score reflects greater subjective cognitive impairment. A reduction in score indicates less cognitive impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-1.8
Vortioxetine 10mg, Combined-2.4
Vortioxetine 20mg, Combined-1.5

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Change in PDQ-D Sub-scales - Prospective Memory Sub-score

The PDQ-D prospective memory sub-score consists of items 3, 7, 11, 15, and 19 of the PDQ (see Outcome 23) with a score ranging from 0 to 20. A higher score reflects greater subjective cognitive impairment. A reduction in score indicates less cognitive impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-1.5
Vortioxetine 10mg, Combined-2.3
Vortioxetine 20mg, Combined-0.9

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Change in PDQ-D Sub-scales - Planning and Organisation Sub-score

The PDQ-D planning and organisation sub-score consists of items 4, 8, 12, 16, and 20 of the PDQ (see Outcome 23) with a score ranging from 0 to 20. A higher score reflects greater subjective cognitive impairment. A reduction in score indicates less cognitive impairment. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-2.4
Vortioxetine 10mg, Combined-2.5
Vortioxetine 20mg, Combined-1.9

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Change in Clinical Global Impression - Severity of Illness (CGI-S) Score

The Clinical Global Impression - 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 scores indicate worsening. (NCT02327013)
Timeframe: Baseline to Week 6

Interventionunits on a scale (Least Squares Mean)
Placebo, Combined-0.5
Vortioxetine 10mg, Combined-0.7
Vortioxetine 20mg, Combined-0.6

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Change in BRIEF-A Using the Behavioural Regulation Index

The Behavioral Regulation Index (BRI) is an index score of the BRIEF-A and consists of 4 scales: inhibit, shift, emotional control, and self-monitor). Each item is rated on a 3-point scale with the numeric score of 1 to 3. Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-5.3
Vortioxetine 10mg, Combined-7.9
Vortioxetine 20mg, Combined-3.9

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Change in BRIEF-A Subscales - Working Memory

The BRIEF-A subscale Working Memory is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-7.6
Vortioxetine 10mg, Combined-9.9
Vortioxetine 20mg, Combined-3.8

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Change in BRIEF-A Subscales - Task Monitor

The BRIEF-A subscale Task Monitor is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-6.4
Vortioxetine 10mg, Combined-7.8
Vortioxetine 20mg, Combined-4.9

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Change in BRIEF-A Subscales - Shift

The BRIEF-A subscale Shift is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-5.6
Vortioxetine 10mg, Combined-9.1
Vortioxetine 20mg, Combined-3.5

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Change in BRIEF-A Subscales - Self Monitor

The BRIEF-A subscale Self Monitor is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-6.5
Vortioxetine 10mg, Combined-11.0
Vortioxetine 20mg, Combined-4.8

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Change in BRIEF-A Subscales - Planning/Organize

The BRIEF-A subscale Planning/Organize is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-8.2
Vortioxetine 10mg, Combined-8.7
Vortioxetine 20mg, Combined-6.8

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Change in BRIEF-A Subscales - Organization of Materials

The BRIEF-A subscale Organization of Materials is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-4.4
Vortioxetine 10mg, Combined-6.3
Vortioxetine 20mg, Combined-3.2

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Change in BRIEF-A Subscales - Inhibit

The BRIEF-A subscale Inhibit is a subscale within the Behavioural Regulation Index (BRI). Each item is rated on a 3-point scale ranging from 1 (never) to 3 (often). Raw scale scores are used to generate T-scores. A reduction in score indicates less impairment. (NCT02327013)
Timeframe: Baseline to Week 6

InterventionT-score (Least Squares Mean)
Placebo, Combined-5.5
Vortioxetine 10mg, Combined-8.6
Vortioxetine 20mg, Combined-3.2

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Clinical Global Impression Scale-Global Improvement Scale (CGI-I) Score

The CGI-I scale assesses the participant's improvement (or worsening) as assessed by the clinician relative to Baseline on a 7-point scale where 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse. (NCT02371980)
Timeframe: Week 32

Interventionscores on scale (Mean)
Double-blind: Placebo4.4
Double-blind: Vortioxetine 5 mg3.9
Double-blind: Vortioxetine 10 mg3.5
Double-blind: Vortioxetine 20 mg3.7

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Time From Randomization to Relapse of Major Depressive Disorder During the Entire 32-Week Double-Blind Treatment Period

Relapse was defined as either 1) MADRS Score ≥22, 2) lack of efficacy as determined by the investigator or 3) other unsatisfactory treatment response judged by the investigator. Time to relapse was defined as date of relapse - date of randomization + 1 (where date of relapse is the date of last dose, or date of last contact if date of last dose is missing, for participant with a relapse). Participants without relapse were censored. MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (i.e., apparent sadness, reported sadness, inner tension, etc.) rated on a 7-point Likert scale from 0 (normal) to 6 (most abnormal) with a total score ranges from 0 to 60. Higher scores indicate greater severity of symptoms. The IQR was 25th percentile to 75th percentile. (NCT02371980)
Timeframe: From date of double-blind randomization (Week 16) up to relapse or 32 weeks of Double-blind Period which occurs first (Up to Week 44)

Interventionweeks (Median)
Double-blind: PlaceboNA
Double-blind: Vortioxetine 5 mgNA
Double-blind: Vortioxetine 10 mgNA
Double-blind: Vortioxetine 20 mgNA

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Time From Randomization to Relapse of Major Depressive Disorder During the First 28 Weeks of the 32-Week Double-Blind Treatment Period

Relapse was defined as either 1) MADRS Score ≥22, 2) lack of efficacy as determined by the investigator or 3) other unsatisfactory treatment response judged by the investigator. Time to relapse was defined as date of relapse - date of randomization + 1 (where date of relapse is the date of last dose, or date of last contact if date of last dose is missing, for participant with a relapse). Participants without relapse were censored at date of withdrawal or date of Week 28 visit, whichever was earliest. MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (i.e., apparent sadness, reported sadness, inner tension, etc.) rated on a 7-point Likert scale from 0 (normal) to 6 (most abnormal) with a total score ranges from 0 to 60. Higher scores indicate greater severity of symptoms. The inter-quartile range (IQR) was 25th percentile to 75th percentile. (NCT02371980)
Timeframe: From date of double-blind randomization (Week 16) up to relapse or first 28 weeks of Double-blind Period which occurs first (Up to Week 44)

Interventionweeks (Median)
Double-blind: PlaceboNA
Double-blind: Vortioxetine 5 mgNA
Double-blind: Vortioxetine 10 mgNA
Double-blind: Vortioxetine 20 mgNA

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Change From Baseline in Clinical Global Impression Scale-Severity (CGI-S) Score at Each Week Assessed

The CGI-S is a 7-point scale that requires the clinician to rate the severity of the participant's illness at the time of assessment, relative to the clinician's past experience with participant who have the same diagnosis. Considering total clinical experience, a participant was assessed on severity of mental illness on the following scale: 1=normal, not at all ill; 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=extremely ill. Baseline II is defined as the last non-missing observation prior to the first dose of double-blind study drug. MMRM was used for analyses. (NCT02371980)
Timeframe: Double-blind Baseline (BL) II and Double-blind Period: Weeks 2, 4, 8, 12, 16, 20, 24, 28, and 32

,,,
Interventionscores on scale (Least Squares Mean)
Change From BL II at Week 2Change From BL II at Week 4Change From BL II at Week 8Change From BL II at Week 12Change From BL II at Week 16Change From BL II at Week 20Change From BL II at Week 24Change From BL II at Week 28Change From BL II at Week 32
Double-blind: Placebo0.350.610.680.740.620.610.600.450.59
Double-blind: Vortioxetine 10 mg0.260.300.290.240.250.170.240.300.26
Double-blind: Vortioxetine 20 mg0.270.250.300.350.340.280.370.340.22
Double-blind: Vortioxetine 5 mg0.320.320.380.460.500.400.450.330.41

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Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (i.e., apparent sadness, reported sadness, inner tension, etc.) rated on a 7-point Likert scale from 0 (normal) to 6 (most abnormal) with a total score range from 0 to 60. Higher score indicates greater severity of symptoms. Baseline II is defined as the last non-missing observation prior to the first dose of double-blind study drug. Mixed model for repeated measures (MMRM) was used for analyses. (NCT02371980)
Timeframe: Double-blind Baseline (BL) II and Double-blind Period: Weeks 2, 4, 8, 12, 16, 20, 24, 28, and 32

,,,
Interventionscores on scale (Least Squares Mean)
Change From BL II at Week 2Change From BL II at Week 4Change From BL II at Week 8Change From BL II at Week 12Change From BL II at Week 16Change From BL II at Week 20Change From BL II at Week 24Change From BL II at Week 28Change From BL II at Week 32
Double-blind: Placebo2.704.995.986.435.775.955.695.076.55
Double-blind: Vortioxetine 10 mg1.471.982.141.922.081.862.192.722.58
Double-blind: Vortioxetine 20 mg2.292.482.972.793.143.183.163.202.97
Double-blind: Vortioxetine 5 mg2.232.563.033.513.733.343.783.183.46

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Clinical Global Impressions-Improvement (CGI-I) Score at Week 8 (LOCF)

The CGI-I assesses the participant's state of mental illness improvement. The participant's condition compared to baseline is rated on a seven-point scale (1=very much improved ~ 7=very much worse). Higher scores indicate greater worsening of illness. Values closest to 1 for this outcome measure indicate the greatest improvement of symptoms. (NCT02389816)
Timeframe: Week 8

InterventionScores on a scale (Least Squares Mean)
Placebo2.77
Vortioxetine 10 mg2.42
Vortioxetine 20 mg2.38

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

MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension). MADRS corresponds to core symptoms of depression, and rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. A negative change from Baseline indicates improvement. (NCT02389816)
Timeframe: Baseline (At the start of double-blind treatment period), up to 8 weeks

InterventionScores on a scale (Least Squares Mean)
Placebo-12.37
Vortioxetine 10 mg-15.03
Vortioxetine 20 mg-15.45

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Change From Baseline in Sheehan Disability Scale (SDS) Total Score to Week 8 (LOCF)

The SDS assesses functional impairment in 3 domains: work/school, social life or leisure activities, and home life or family responsibilities. The participant rates the extent to which each aspect is impaired on a 10-point visual analog scale, from 0 (not at all) to 10 (extremely). The 3 scores are added together to calculate the total score, which ranges from 0 to 30, with higher scores indicating more impairment. (NCT02389816)
Timeframe: Baseline (At the start of double-blind treatment period), up to 8 weeks

InterventionScores on a scale (Least Squares Mean)
Placebo-2.85
Vortioxetine 10 mg-4.20
Vortioxetine 20 mg-4.43

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MADRS Remission at Week 8 (LOCF)

Reported data was percentage of participants who met MADRS remission criteria (defined as a MADRS total score ≤10) at Week 8 for each group. MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension). MADRS corresponds to core symptoms of depression, and rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. A negative change from Baseline indicates improvement. (NCT02389816)
Timeframe: Week 8

InterventionPercentage of Participants (Number)
Placebo21.1
Vortioxetine 10 mg32.1
Vortioxetine 20 mg30.9

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MADRS Response at Week 8 (Last Observation Carried Forward (LOCF))

Reported data was percentage of participants who met MADRS response criteria (defined as a ≥50% decrease in the MADRS total score from Baseline) at Week 8 for each group. MADRS is a 10-item clinician rated scale to measure overall severity of depressive symptoms (such as apparent sadness, reported sadness, inner tension). MADRS corresponds to core symptoms of depression, and rated on a 7-point Likert scale from 0 (symptoms absent) to 6 (severe depression) with a total possible score range from 0 to 60. Higher scores indicate greater severity of symptoms. A negative change from Baseline indicates improvement. (NCT02389816)
Timeframe: Week 8

InterventionPercentage of Participants (Number)
Placebo36.6
Vortioxetine 10 mg47.9
Vortioxetine 20 mg50.6

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Change From Baseline in Perceived Deficits Questionnaire (PDQ-5) Total Score to Week 8 (LOCF)

PDQ-5 is a self-administered 5-item questionnaire to assess cognition function, including subscales of attention/concentration, retrospective memory, prospective memory, and planning/organization. PDQ-5 total score ranges from 0 to 20 with smaller scores indicate greater cognitive function. (NCT02389816)
Timeframe: Baseline (At the start of double-blind treatment period), up to 8 weeks

InterventionScores on a scale (Least Squares Mean)
Placebo-1.41
Vortioxetine 10 mg-2.28
Vortioxetine 20 mg-2.69

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Change From Baseline in Clinical Global Impressions-Severity (CGI-S) Score to Week 8 (LOCF)

The CGI-S assesses the impression of the participant's current state of mental illness. The current severity of mental illness is rated on a seven-point scale (1=normal, not ill at all ~ 7=most extremely ill) based on a total clinical experience. Higher scores indicate greater severity of mental illness. (NCT02389816)
Timeframe: Baseline (At the start of double-blind treatment period), up to 8 weeks

InterventionScores on a scale (Least Squares Mean)
Placebo-1.19
Vortioxetine 10 mg-1.42
Vortioxetine 20 mg-1.48

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Change From Baseline in Digit Symbol Substitution Test (DSST) Total Score to Week 8 (LOCF)

The DSST is a neuropsychological test to assess cognitive function. Participants are required to copy symbols that are paired with simple geometric shapes or numbers within a specific time for a total possible score of 0 to 133. Higher scores-correct number of symbols reflects greater objective cognitive functioning. An increase in score represents an improvement in an integrated measure of cognitive function. (NCT02389816)
Timeframe: Baseline (At the start of double-blind treatment period), up to 8 weeks

InterventionScores on a scale (Least Squares Mean)
Placebo4.92
Vortioxetine 10 mg4.13
Vortioxetine 20 mg4.80

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Change From Baseline in Hamilton Depression Scale (HAM-D17) Total Score to Week 8 (LOCF)

The HAM-D17 is a clinician-rated scale for assessing the severity of depression symptoms. The scores for each item range from 0 to 4 or 0 to 2, where 0 represents no symptoms. The rating is based on the past 7 days prior to the time of assessment. The total score ranges from 0 to 52 where a higher score indicates a greater depressive state. (NCT02389816)
Timeframe: Baseline (At the start of double-blind treatment period), up to 8 weeks

InterventionScores on a scale (Least Squares Mean)
Placebo-8.38
Vortioxetine 10 mg-10.19
Vortioxetine 20 mg-10.17

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Yale-Brown Obsessive Compulsive Scale Modified for Binge Eating

A clinician-administered scale assessing binge eating severity that will be assessed at all 9 study visits. Scores range from 0-40 with higher scores indicating more severe OCD symptoms. (NCT02528409)
Timeframe: 12 weeks

,
Interventionunits on a scale (Mean)
Pre-TreatmentPost-Treatment
Placebo20.1010.44
Vortioxetine20.559.94

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Change in Number of Binge Eating Episodes

Subjects will report the number of binge eating episodes in the week preceding the final visit (Week 12 of treatment), both to the investigator and via daily eating journals at all 9 visits. The outcome measure was the change in number of episodes from Week 0 (baseline) to the final visit (Week 12). (NCT02528409)
Timeframe: 12 weeks

Interventionbinge eating episodes (Mean)
Placebo.93
Vortioxetine.76

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BMI

Assessment of change in patient body mass index over the course of the study (from baseline to the final visit at Week 12). (NCT02528409)
Timeframe: 12 weeks

,
Interventionkg/m^2 (Mean)
Pre-TreatmentPost-Treatment
Placebo36.1936.29
Vortioxetine38.3938.73

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Clinical Global Impression Improvement Scale (CGI)

Patient global improvement relative to baseline, with scores ranging from 1-7. Higher scores indicate the patient is doing severely worse than they were at the beginning of treatment. (NCT02528409)
Timeframe: Week 12 (final) visit

,
Interventionunits on a scale (Mean)
Pre-TreatmentPost-Treatment
Placebo4.182.79
Vortioxetine4.252.70

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Hamilton Anxiety Rating Scale

A clinician-administered assessment of anxiety that will be assessed at all 9 study visits. The scale provides a discrete score that ranges from 0-56, with higher scores indicating more severe anxiety symptoms. (NCT02528409)
Timeframe: 12 weeks

,
Interventionunits on a scale (Mean)
Pre-TreatmentPost-Treatment
Placebo4.131.79
Vortioxetine3.682.72

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Hamilton Depression Rating Scale

A clinician-administered assessment of depression that will be assessed at all 8 study visits after the baseline visit. The scale provides a discrete score that ranges from 0-52, with higher scores indicating more severe depressive symptoms. (NCT02528409)
Timeframe: 12 weeks

,
Interventionunits on a scale (Mean)
Pre-TreatmentPost-Treatment
Placebo4.552.06
Vortioxetine4.323.66

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Number of Participants With 4-week Cessation From Binge Eating

Subjects will be assessed at 4 weeks to determine cessation of binge eating status. (NCT02528409)
Timeframe: 4 weeks

,
InterventionParticipants (Count of Participants)
No 4-Week Cessation4-Week Cessation
Placebo2710
Vortioxetine2613

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Quality of Life Inventory

A self-report assessment of patient perceived quality of life that will be assessed at baseline and final visit. The scale provides a discrete score ranging from -192 to 192, with higher numbers indicating higher subjective quality of life. (NCT02528409)
Timeframe: 12 weeks

,
Interventionunits on a scale (Mean)
Pre-TreatmentPost-Treatment
Placebo39.1346.22
Vortioxetine35.0044.00

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Three-Factor Eating Questionnaire

A self-reported measure of binge eating behavior that will be collected at all 9 study visits with scores ranging from 0-51, with higher scores indicating more compulsive eating habits. (NCT02528409)
Timeframe: 12 weeks

,
Interventionunits on a scale (Mean)
Pre-TreatmentPost-Treatment
Placebo7.719.85
Vortioxetine6.929.48

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Change Clinician Administered PTSD Scale Score

Clinician-Administered PTSD Scale (CAPS-5) has a total score ranging from 0-80 with the higher score indicating greater degree of PTSD symptom severity. (NCT02637895)
Timeframe: Baseline, Up to Week 12

Interventionscore on a scale (Mean)
Placebo16
Vortioxetine17

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Change in Depressive Symptoms in PTSD

Montgomery-Asberg Depression Rating Scale (MADRS) has a total score ranging from 0-60, with 0 meaning no depressive symptoms and 60 meaning severe depressive symptoms.(MADRS). From the total score 0-60, with 0 meaning no depressive symptoms and 60 meaning severe depressive symptoms. (NCT02637895)
Timeframe: Baseline, Up to Week 12

Interventionscore on a scale (Mean)
Placebo9.73
Vortioxetine12.06

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Number of Participants That Achieve Treatment Response Via CGI-I

Clinical Global Impression of Improvement (CGI-I) is a 7 point Likert-scale questionnaire assessing PTSD symptoms improvement. A score of 1 indicates very much improved, 4 indicates no change and 7 indicates much worse. Treatment response will be reported as the number of participants with an improvement of 1-2 points on their CGI-I score from baseline. Analysis includes observed cases only. (NCT02637895)
Timeframe: Week 12

InterventionParticipants (Count of Participants)
Placebo10
Vortioxetine11

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Number of Participants That Achieve Treatment Response Via Clinician Administered PTSD Scale (CAPS)-5

Number of participants that achieve treatment response will be reported as those that has achieved a 30% improvement in their CAPS-5 total score from baseline. CAPS-5 has a total score ranging from 0-80 with the higher score indicating greater degree of PTSD symptom severity. Observed cases only. (NCT02637895)
Timeframe: Week 12

InterventionParticipants (Count of Participants)
Placebo9
Vortioxetine11

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Change From Baseline in PQ-LES-Q Overall Evaluation Score (Item 15) at Weeks 4 and 8 of Phase B

The PQ-LES-Q is a patient-rated scale designed to assess satisfaction with life. It is an adaptation of the Quality of Life Enjoyment and Satisfaction Questionnaire, which is used to measure quality of life in adults. The PQ-LES-Q consist of 15 items, item 1 to 14 assess the degree of satisfaction experienced by participants in various areas of daily functioning, and item 15 allows subjects to summarize their experience in a global rating. Item 15 is rated on a 5-point scale from 1 (very poor) to 5 (very good). (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg0.240.45
Double-Blind: Placebo0.280.41
Double-Blind: Vortioxetine 10 mg0.370.49
Double-Blind: Vortioxetine 20 mg0.430.52

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Clinical Global Impression - Global Improvement (CGI-I) Score

The CGI-I provides the clinician's impression of the participant's improvement (or worsening). The clinician assesses the participant's condition relative to a baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). (NCT02709655)
Timeframe: Weeks 1, 2, 3, 4, 6, and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Week 1Week 2Week 3Week 4Week 6Week 8
Double-Blind: Fluoxetine 20 mg3.723.263.232.972.782.57
Double-Blind: Placebo3.663.323.202.932.702.69
Double-Blind: Vortioxetine 10 mg3.633.303.202.932.642.58
Double-Blind: Vortioxetine 20 mg3.603.193.142.822.652.60

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Parent Global Assessment (PGA) Score

The PGA is a parent-rated variation of the CGI-I to evaluate the severity of the child's symptoms. The PGA reflects assessments of symptoms using a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). (NCT02709655)
Timeframe: Weeks 2, 4, 6, and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Week 2Week 4Week 6Week 8
Double-Blind: Fluoxetine 20 mg3.132.902.802.59
Double-Blind: Placebo3.312.972.732.68
Double-Blind: Vortioxetine 10 mg3.252.902.732.62
Double-Blind: Vortioxetine 20 mg3.182.842.682.61

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Percentage of Participants With CDRS-R Remission

CDRS-R remission was defined as a CDRS-R total score ≤28. The CDRS-R is a clinician-rated scale to measure the severity of depression in children and adolescents. The CDRS-R was rated by a clinician following interviews with the child and parent and consisted of 17 items out of which 3 items rated nonverbal observations (listless speech, hypoactivity, and depressed affect). Fourteen items were rated on a 7-point scale from 1 to 7, and 3 items (sleep disturbance, appetite disturbance, and listless speech) were scored on a 5-point scale from 1 to 5. A rating of 1 indicated normal functioning and a higher number indicated a greater degree of depression. The total score ranged from 17 (normal) to 113 (severe depression). (NCT02709655)
Timeframe: Weeks 2, 4, 6, and 8 of Phase B

,,,
Interventionpercentage of participants (Number)
Week 2Week 4Week 6Week 8
Double-Blind: Fluoxetine 20 mg3.89.014.126.9
Double-Blind: Placebo2.09.014.714.7
Double-Blind: Vortioxetine 10 mg5.49.515.416.7
Double-Blind: Vortioxetine 20 mg2.710.115.320.1

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Percentage of Participants With CGI-S Remission

CGI-S remission was defined as a CGI-S score of 1 or 2. The CGI-S provides the clinician's impression of the participant's current state of mental illness. The clinician uses his or her clinical experience of this participant population to rate the severity of the participant's current mental illness on a 7-point scale ranging from 1 (normal - not at all ill) to 7 (among the most extremely ill participants). (NCT02709655)
Timeframe: Weeks 1, 2, 3, 4, 6, and 8 of Phase B

,,,
Interventionpercentage of participants (Number)
Week 1Week 2Week 3Week 4Week 6Week 8
Double-Blind: Fluoxetine 20 mg03.77.412.314.829.6
Double-Blind: Placebo00.73.38.514.422.9
Double-Blind: Vortioxetine 10 mg0.73.44.18.116.222.3
Double-Blind: Vortioxetine 20 mg01.44.712.816.220.9

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Percentage of Participants With CDRS-R Response

CDRS-R response was defined as a ≥50% decrease in CDRS-R total score, calculated as: (change from baseline [Randomization])/(baseline value - 17). The CDRS-R is a clinician-rated scale to measure the severity of depression in children and adolescents. The CDRS-R was rated by a clinician following interviews with the child and parent and consisted of 17 items out of which 3 items rated nonverbal observations (listless speech, hypoactivity, and depressed affect). Fourteen items were rated on a 7-point scale from 1 to 7, and 3 items (sleep disturbance, appetite disturbance, and listless speech) were scored on a 5-point scale from 1 to 5. A rating of 1 indicated normal functioning and a higher number indicated a greater degree of depression. The total score ranged from 17 (normal) to 113 (severe depression). (NCT02709655)
Timeframe: Weeks 2, 4, 6, and 8 of Phase B

,,,
Interventionpercentage of participants (Number)
Week 2Week 4Week 6Week 8
Double-Blind: Fluoxetine 20 mg16.326.933.347.4
Double-Blind: Placebo7.820.730.829.4
Double-Blind: Vortioxetine 10 mg10.223.431.636.4
Double-Blind: Vortioxetine 20 mg11.626.637.241.0

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Change From Baseline in Children Depression Rating Scale - Revised (CDRS-R) Total Score at Week 8 of Phase B

The CDRS-R is a clinician-rated scale to measure the severity of depression in children and adolescents. The CDRS-R was rated by a clinician following interviews with the child and parent and consisted of 17 items out of which 3 items rated nonverbal observations (listless speech, hypoactivity, and depressed affect). Fourteen items were rated on a 7-point scale from 1 to 7, and 3 items (sleep disturbance, appetite disturbance, and listless speech) were scored on a 5-point scale from 1 to 5. A rating of 1 indicated normal functioning and a higher number indicated a greater degree of depression. The total score ranged from 17 (normal) to 113 (severe depression). Least square (LS) mean was estimated using a restricted maximum likelihood (REML)-based Mixed Model Repeated Measurements (MMRM) approach. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Week 8 of Phase B

Interventionunits on a scale (Least Squares Mean)
Double-Blind: Placebo-17.48
Double-Blind: Vortioxetine 10 mg-19.20
Double-Blind: Vortioxetine 20 mg-19.94
Double-Blind: Fluoxetine 20 mg-20.78
Vortioxetine Average (Avg. VOR)-19.57

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Change From Baseline in CDRS-R Subscores (Mood, Somatic, Subjective, and Behaviour) at Weeks 2, 4, 6, and 8 of Phase B

The CDRS-R was rated by a clinician following interviews with the child and parent and consisted of 17 items out of which 3 items rated nonverbal observations (listless speech, hypoactivity, and depressed affect). Fourteen items were rated on a 7-point scale from 1 to 7, and 3 items (sleep disturbance, appetite disturbance, and listless speech) were scored on a 5-point scale from 1 to 5. A rating of 1 indicated normal functioning and a higher number indicated a greater degree of depression. The total score ranged from 17 (normal) to 113 (severe depression). Four subscores were defined based on the CDRS-R: Mood: sum of items 8, 11, 14, 15; score range 4 to 28, Somatic: sum of items 4, 5, 6, 7, 16, 17; score range 6 to 36, Subjective: sum of items 9, 10, 12, 13; score range 4 to 28, and Behaviour: sum of items 1, 2, 3; score range 3 to 21. Higher scores indicated the most severe measure of depression. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 2, 4, 6, and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Mood Score: Change at Week 2Mood Score: Change at Week 4Mood Score: Change at Week 6Mood Score: Change at Week 8Somatic Score: Change at Week 2Somatic Score: Change at Week 4Somatic Score: Change at Week 6Somatic Score: Change at Week 8Subjective Score: Change at Week 2Subjective Score: Change at Week 4Subjective Score: Change at Week 6Subjective Score: Change at Week 8Behaviour Score: Change at Week 2Behaviour Score: Change at Week 4Behaviour Score: Change at Week 6Behaviour Score: Change at Week 8
Double-Blind: Fluoxetine 20 mg-3.02-3.73-4.97-5.84-3.02-4.26-5.57-6.44-1.56-2.17-2.38-2.65-2.61-3.80-4.80-5.83
Double-Blind: Placebo-2.82-3.69-4.67-5.08-2.81-4.08-4.86-5.38-1.44-2.04-2.43-2.56-2.16-3.39-4.09-4.47
Double-Blind: Vortioxetine 10 mg-3.10-4.39-5.39-5.64-2.61-4.30-5.53-6.15-1.46-2.12-2.42-2.59-2.40-3.77-4.31-4.80
Double-Blind: Vortioxetine 20 mg-3.47-4.77-5.52-5.95-2.88-4.70-5.33-6.08-1.43-2.20-2.65-2.84-2.56-4.00-4.83-5.09

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Change From Baseline in CDRS-R Total Score at Weeks 2, 4, and 6 of Phase B

The CDRS-R is a clinician-rated scale to measure the severity of depression in children and adolescents. The CDRS-R was rated by a clinician following interviews with the child and parent and consisted of 17 items out of which 3 items rated nonverbal observations (listless speech, hypoactivity, and depressed affect). Fourteen items were rated on a 7-point scale from 1 to 7, and 3 items (sleep disturbance, appetite disturbance, and listless speech) were scored on a 5-point scale from 1 to 5. A rating of 1 indicated normal functioning and a higher number indicated a greater degree of depression. The total score ranged from 17 (normal) to 113 (severe depression). (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 2, 4, and 6 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 2Change at Week 4Change at Week 6
Double-Blind: Fluoxetine 20 mg-10.17-13.97-17.75
Double-Blind: Placebo-9.20-13.15-16.00
Double-Blind: Vortioxetine 10 mg-9.54-14.56-17.64
Double-Blind: Vortioxetine 20 mg-10.30-15.62-18.28

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Change From Baseline in Children's Global Assessment Scale (CGAS) Score at Weeks 4 and 8 of Phase B

The CGAS is a clinician-rated global scale to measure the lowest level of functioning for a child (4 to 16 years) during a specified time period. The CGAS contains behaviourally-oriented descriptors at each anchor point that depict behaviours and life situations applicable to a child. The score ranges from 1 (most functionally impaired child) to 100 (the healthiest). A score greater than 70 indicates normal function. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg10.5416.35
Double-Blind: Placebo8.9312.71
Double-Blind: Vortioxetine 10 mg9.8412.98
Double-Blind: Vortioxetine 20 mg8.7313.22

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Change From Baseline in Clinical Global Impression - Severity of Illness (CGI-S) Score at Weeks 1, 2, 3, 4, 6, and 8 of Phase B

The CGI-S provides the clinician's impression of the participant's current state of mental illness. The clinician uses his or her clinical experience of this participant population to rate the severity of the participant's current mental illness on a 7-point scale ranging from 1 (normal - not at all ill) to 7 (among the most extremely ill participants). (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 1, 2, 3, 4, 6, and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 1Change at Week 2Change at Week 3Change at Week 4Change at Week 6Change at Week 8
Double-Blind: Fluoxetine 20 mg-0.22-0.63-0.77-1.01-1.23-1.57
Double-Blind: Placebo-0.25-0.50-0.67-0.95-1.13-1.31
Double-Blind: Vortioxetine 10 mg-0.27-0.60-0.62-1.00-1.22-1.40
Double-Blind: Vortioxetine 20 mg-0.28-0.65-0.79-1.06-1.27-1.44

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Change From Baseline in General Behaviour Inventory (GBI) Depression Subscale Score, Using the 10-Item Depression Subscale Assessed by Parent (PGBI-10D) and Child (CGBI-10D) at Weeks 2, 4, 6, and 8 of Phase B

The GBI 10-item depression scale was developed to screen for depressive symptoms in children and adolescents. Two versions of the GBI 10-item depression scale were used, the child rated version (CGBI) and the parent rated version (PGBI). The 10 depression items were rated on a 4-point scale from 0 (never or hardly ever) to 3 (very often or almost constantly). The total score ranged from 0 to 30, with higher scores indicating greater pathology. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 2, 4, 6, and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
PGBI: Change at Week 2PGBI: Change at Week 4PGBI: Change at Week 6PGBI: Change at Week 8CGBI: Change at Week 2CGBI: Change at Week 4CGBI: Change at Week 6CGBI: Change at Week 8
Double-Blind: Fluoxetine 20 mg-3.78-4.45-6.05-6.56-2.94-3.16-5.14-5.46
Double-Blind: Placebo-3.33-4.11-5.32-5.81-2.66-3.65-4.62-5.26
Double-Blind: Vortioxetine 10 mg-3.38-4.72-5.58-6.51-3.32-4.15-5.43-6.12
Double-Blind: Vortioxetine 20 mg-3.78-5.33-5.82-6.46-3.27-4.16-5.17-5.48

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Change From Baseline in Paediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Total Score (Items 1 to 14) at Weeks 4 and 8 of Phase B

The PQ-LES-Q is a patient-rated scale designed to assess satisfaction with life. It is an adaptation of the Quality of Life Enjoyment and Satisfaction Questionnaire, which is used to measure quality of life in adults. The PQ-LES-Q consist of 15 items, item 1 to 14 assess the degree of satisfaction experienced by participants in various areas of daily functioning, and item 15 allows subjects to summarise their experience in a global rating. Each item is rated on a 5-point scale from 1 (very poor) to 5 (very good). The total score range of item 1 to 14 is 14 to 70, with higher scores indicating greater satisfaction. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg4.366.79
Double-Blind: Placebo3.946.22
Double-Blind: Vortioxetine 10 mg4.907.08
Double-Blind: Vortioxetine 20 mg4.907.14

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Change From Baseline in Pediatric Quality of Life Inventory (PedsQL) Visual Analogue Scales (VAS): Afraid or Scared (Anxiety) Score at Weeks 4 and 8 of Phase B

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg-0.41-1.08
Double-Blind: Placebo-0.48-0.73
Double-Blind: Vortioxetine 10 mg-0.51-1.07
Double-Blind: Vortioxetine 20 mg-0.48-1.01

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Change From Baseline in PedsQL Emotional Distress Summary Average Score at Weeks 4 and 8 of Phase B

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. The average emotional distress summary score is the mean of the anxiety, sadness, anger, and worry items. A lower value represents a better outcome. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg-1.13-1.66
Double-Blind: Placebo-0.84-1.22
Double-Blind: Vortioxetine 10 mg-1.28-1.80
Double-Blind: Vortioxetine 20 mg-1.22-1.51

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Change From Baseline in PedsQL VAS Total Average Score at Weeks 4 and 8 of Phase B

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL™ VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue, and pain using visual analogue scales. The functionality for each domain is measured on a 10cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. The total score is the average of all 6 items. A lower value represents a better outcome. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg-1.01-1.54
Double-Blind: Placebo-0.81-1.17
Double-Blind: Vortioxetine 10 mg-1.19-1.55
Double-Blind: Vortioxetine 20 mg-1.17-1.47

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Change From Baseline in PedsQL VAS: Angry Score at Weeks 4 and 8 of Phase B

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg-1.22-1.67
Double-Blind: Placebo-0.98-1.24
Double-Blind: Vortioxetine 10 mg-1.36-1.98
Double-Blind: Vortioxetine 20 mg-1.33-1.36

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Change From Baseline in PedsQL VAS: Pain or Hurt Score at Weeks 4 and 8 of Phase B

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg-0.50-0.69
Double-Blind: Placebo-0.22-0.70
Double-Blind: Vortioxetine 10 mg-0.81-0.79
Double-Blind: Vortioxetine 20 mg-0.45-1.02

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Change From Baseline in PedsQL VAS: Sad or Blue (Sadness) Score at Weeks 4 and 8 of Phase B

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg-1.42-2.31
Double-Blind: Placebo-1.20-1.72
Double-Blind: Vortioxetine 10 mg-1.65-2.23
Double-Blind: Vortioxetine 20 mg-1.78-2.05

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Change From Baseline in PedsQL VAS: Tired (Fatigue) Score at Weeks 4 and 8 of Phase B

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg-0.94-1.73
Double-Blind: Placebo-1.22-1.39
Double-Blind: Vortioxetine 10 mg-1.19-1.32
Double-Blind: Vortioxetine 20 mg-1.63-1.74

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Change From Baseline in PedsQL VAS: Worry Score at Weeks 4 and 8 of Phase B

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709655)
Timeframe: Baseline (Week 4 of Phase A), Weeks 4 and 8 of Phase B

,,,
Interventionunits on a scale (Least Squares Mean)
Change at Week 4Change at Week 8
Double-Blind: Fluoxetine 20 mg-1.27-1.41
Double-Blind: Placebo-0.63-1.08
Double-Blind: Vortioxetine 10 mg-1.48-1.82
Double-Blind: Vortioxetine 20 mg-1.21-1.45

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Change in Paediatric Quality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q) Total Scores

PQ-LES-Q total score (items 1 to 14). The PQ-LES-Q is a patient-rated scale designed to assess satisfaction with life. It is an adaptation of the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), which is used to measure quality of life in adults. The PQ LES Q consist of 15 items, item 1-14 assess the degree of satisfaction experienced by subjects in various areas of daily functioning (and item 15 allows subjects to summarize their experience in a global rating). Each item is rated on a 5-point scale from 1 (very poor) to 5 (very good). The total score range of item 1-14 (this outcome measurement) is 14 to 70, with higher scores indicating greater satisfaction. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day7.62
Vortioxetine 20 mg/Day7.56
Fluoxetine 20 mg/Day,9.26
Placebo7.06

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Change in PedsQL VAS: Tired (Fatigue) Score

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The patients are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709746)
Timeframe: From Randomization to week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-1.18
Vortioxetine 20 mg/Day-1.40
Fluoxetine 20 mg/Day,-1.55
Placebo-1.27

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Change in PedsQL VAS: Worry Score

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The patients are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-0.96
Vortioxetine 20 mg/Day-1.17
Fluoxetine 20 mg/Day,-0.91
Placebo-1.33

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Change General Behaviour Inventory (GBI) Depression Subscale Score Assessed by the Child

The GBI 10-item mania scale is a parent- and subject-rated scale designed to screen for manic symptoms in children and adolescents. The 10 items are rated on a scale from 0 (never or hardly ever) to 3 (very often or almost constantly). The total score ranges from 0 to 30 points, with high scores indicating greater pathology. (NCT02709746)
Timeframe: From randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-5.48
Vortioxetine 20 mg/Day-5.55
Fluoxetine 20 mg/Day,-6.30
Placebo-6.03

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Change in CDRS-R Behaviour Score

Change in Children Depression Rating Scale - Revised (CDRS-R): Behaviour. The CDRS-R has been widely used for the evaluation of children and adolescents with major depressive disorder (MDD). The CDRS-R total score is the sum of the responses to 17 items. Each item is graded on a 5- or 7-point scale. behaviour is one of four subscores defined in the CDRS-R:sum of items 1, 2, 3; score ranges from 3 to 21. The highest possible score indicates the most severe measure of depression. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-4.32
Vortioxetine 20 mg/Day-4.90
Fluoxetine 20 mg/Day,-5.52
Placebo-4.73

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Change in CDRS-R Somatic Score

Change in Children Depression Rating Scale - Revised (CDRS-R): Somatic. The CDRS-R has been widely used for the evaluation of children and adolescents with major depressive disorder (MDD). The CDRS-R total score is the sum of the responses to 17 items. Each item is graded on a 5- or 7-point scale. Somatic is one of four subscores defined in the CDRS-R: sum of items 4, 5, 6, 7, 16, 17; score ranges from 6 to 36. The highest possible score indicates the most severe measure of depression. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-5.63
Vortioxetine 20 mg/Day-6.03
Fluoxetine 20 mg/Day,-6.79
Placebo-5.78

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Change in PQ-LES-Q Overall Score

PQ-LES-Q overall evaluation score (item 15). The PQ-LES-Q is a patient-rated scale designed to assess satisfaction with life. It is an adaptation of the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q), which is used to measure quality of life in adults. The PQ-LES-Q consist of 15 items, item 1-14 assess the degree of satisfaction experienced by subjects in various areas of daily functioning and item 15 allows subjects to summarize their experience in a global rating (this outcome measurement). Item 15 is rated on a 5-point scale from 1 (very poor) to 5 (very good). (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day0.54
Vortioxetine 20 mg/Day0.43
Fluoxetine 20 mg/Day,0.67
Placebo0.51

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Change in Symbol Digit Modalities Test (SDMT)

The Symbol Digit Modalities Test (SDMT) is a cognitive test designed to assess speed of performance requiring visual perception, spatial decision-making and psychomotor skills. The SDMT consists of 110 geometric symbols that the patient has to substitute with a corresponding digit in a 90-second period. Each correct digit is counted, and the total score ranges from 0 (less than normal functioning) to 110 (greater than normal functioning). (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day3.75
Vortioxetine 20 mg/Day2.64
Fluoxetine 20 mg/Day,2.69
Placebo2.41

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Clinical Global Impression - Global Improvement (CGI-I) Score

The 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. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day2.81
Vortioxetine 20 mg/Day2.69
Fluoxetine 20 mg/Day,2.50
Placebo2.73

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Parent Global Assessment-Global Improvement (PGA) Score

The PGA is a parent-rated variation of the CGI-I to evaluate the severity of the child's symptoms. The PGA reflects assessments of change from Baseline symptoms using a 7 point scale ranging from 1 (very much improved) to 7 (very much worse). (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day2.80
Vortioxetine 20 mg/Day2.74
Fluoxetine 20 mg/Day,2.49
Placebo2.72

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Change in CDRS-R Subjective Score

Change in Children Depression Rating Scale - Revised (CDRS-R): Subjective. The CDRS-R has been widely used for the evaluation of children and adolescents with major depressive disorder (MDD). The CDRS-R total score is the sum of the responses to 17 items. Each item is graded on a 5- or 7-point scale. Subjective is one of four subscores defined in the CDRS-R: sum of items 9, 10, 12, 13; score ranges from 4 to 28. The highest possible score indicates the most severe measure of depression. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-2.41
Vortioxetine 20 mg/Day-2.63
Fluoxetine 20 mg/Day,-3.23
Placebo-2.66

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Change in CDRS-R Total Score During Treatment (at Week 4)

The CDRS-R is a clinician-rated scale to measure the severity of depression of children and adolescents. The CDRS-R consists of 17 items: 14 items rate verbal observations, and three items rate nonverbal observations (tempo of language, hypoactivity, and nonverbal expression of depressed affect). Depression symptoms are rated on a 5-point scale from 1 to 5 for the verbal observations, and a 7-point scale from 1 to 7 for the nonverbal observations. The total score ranges from 17 (normal) to 113 (severe depression). (NCT02709746)
Timeframe: At week 4

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-14.32
Vortioxetine 20 mg/Day-15.03
Fluoxetine 20 mg/Day,-16.25
Placebo-13.71

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Change in CDRS-R Total Score During Treatment (at Week 2)

The CDRS-R is a clinician-rated scale to measure the severity of depression of children and adolescents. The CDRS-R consists of 17 items: 14 items rate verbal observations, and three items rate nonverbal observations (tempo of language, hypoactivity, and nonverbal expression of depressed affect). Depression symptoms are rated on a 5-point scale from 1 to 5 for the verbal observations, and a 7-point scale from 1 to 7 for the nonverbal observations. The total score ranges from 17 (normal) to 113 (severe depression).Children and parents answer separately. Rater judges and selects 'Best'. (NCT02709746)
Timeframe: At week 2

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-9.58
Vortioxetine 20 mg/Day-10.15
Fluoxetine 20 mg/Day,-10.34
Placebo-8.83

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Change in CDRS-R Total Score During Treatment (at Week 6)

The CDRS-R is a clinician-rated scale to measure the severity of depression of children and adolescents. The CDRS-R consists of 17 items: 14 items rate verbal observations, and three items rate nonverbal observations (tempo of language, hypoactivity, and nonverbal expression of depressed affect). Depression symptoms are rated on a 5-point scale from 1 to 5 for the verbal observations, and a 7-point scale from 1 to 7 for the nonverbal observations. The total score ranges from 17 (normal) to 113 (severe depression). (NCT02709746)
Timeframe: At week 6

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-15.43
Vortioxetine 20 mg/Day-17.78
Fluoxetine 20 mg/Day,-19.20
Placebo-16.71

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CDRS-R Remission

Remission is defined as a CDRS-R total score <= 28. (NCT02709746)
Timeframe: From Randomization to Week 8

InterventionParticipants (Count of Participants)
Vortioxetine 10 mg/Day21
Vortioxetine 20 mg/Day24
Fluoxetine 20 mg/Day,32
Placebo20

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CDRS-R Response

Children Depression Rating Scale - Response: defined as a >= 50% decrease in CDRS-R total score, calculated as (change from baseline [Randomization])/(baseline value - 17). (NCT02709746)
Timeframe: From Randomization to Week 8

InterventionParticipants (Count of Participants)
Vortioxetine 10 mg/Day53
Vortioxetine 20 mg/Day60
Fluoxetine 20 mg/Day,68
Placebo49

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Change in Children Depression Rating Scale - Revised (CDRS-R) Total Score After Treatment

The CDRS-R is a clinician-rated scale to measure the severity of depression of children and adolescents. The CDRS-R consists of 17 items: 14 items rate verbal observations, and three items rate nonverbal observations (tempo of language, hypoactivity, and nonverbal expression of depressed affect). Depression symptoms are rated on a 5-point scale from 1 to 5 for the verbal observations, and a 7-point scale from 1 to 7 for the nonverbal observations. The total score ranges from 17 (normal) to 113 (severe depression). (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-17.09
Vortioxetine 20 mg/Day-18.94
Fluoxetine 20 mg/Day,-21.95
Placebo-18.22
Vortioxetine Average (Avg. VOR)-18.01

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Change in Children's Global Assessment Scale (CGAS) Score

The Children's Global Assessment Score (CGAS) is a rating scale which measures psychological, social and school functioning for children. The CGAS is a clinician-rated global scale to measure the lowest level of functioning for a child (4 to 16 years) during a specified time period. The CGAS contains behaviourally oriented descriptors at each anchor point that depict behaviours and life situations applicable to a child. The items range in value from 1 (most functionally impaired child) to 100 (the healthiest). A total score above 70 indicates normal function. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day12.24
Vortioxetine 20 mg/Day13.89
Fluoxetine 20 mg/Day,16.43
Placebo14.52

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Change in Clinical Global Impression Severity of Illness (CGI-S) Score

The 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). (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-1.23
Vortioxetine 20 mg/Day-1.38
Fluoxetine 20 mg/Day,-1.59
Placebo-1.21

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Change in CDRS-R Mood Score

Change in Children Depression Rating Scale - Revised (CDRS-R) Mood. The CDRS-R has been widely used for the evaluation of children and adolescents with major depressive disorder (MDD). The CDRS-R total score is the sum of the responses to 17 items. Each item is graded on a 5- or 7-point scale. Mood is one of four subscores defined in the CDRS-R: sum of items 8, 11, 14, 15; score range 4 to 28. The highest possible score indicates the most severe measure of depression. (NCT02709746)
Timeframe: From randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-5.05
Vortioxetine 20 mg/Day-5.47
Fluoxetine 20 mg/Day,-6.53
Placebo-5.32

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Change in General Behaviour Inventory (GBI) Depression Sub Scale Score Assessed by the Parents

Using the 10-item depression subscale, assessed by parent (PGBI-10D). Change from randomization to Week 8 in GBI Total Parent/Guardian Version Depression score. GBI is a self-report inventory with 73 items focused on mood-related behaviors including depressive, hypomanic, and biphasic symptoms. One 20-item subscale completed by parent/guardian. Symptoms rated on 4-point Likert scale from 0 (never/hardly ever) to 3 (often/almost constantly). Minimum score 0=better outcome, maximum score 60=worse outcome. (NCT02709746)
Timeframe: From randomization to week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-6.23
Vortioxetine 20 mg/Day-6.48
Fluoxetine 20 mg/Day,-8.00
Placebo-6.62

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Change in PedsQL Emotional Distress Summary Average Score

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The patients are asked to mark on the line how they feel. The average emotional distress summary score is the mean of the anxiety, sadness, anger, and worry items. A lower value represents a better outcome. (NCT02709746)
Timeframe: From Randomization to week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-0.93
Vortioxetine 20 mg/Day-1.09
Fluoxetine 20 mg/Day,-1.33
Placebo-1.18

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CGI-S Remission

Remission defined as CGI-S score of 1 or 2. (NCT02709746)
Timeframe: From Randomization to Week 8

InterventionParticipants (Count of Participants)
Vortioxetine 10 mg/Day26
Vortioxetine 20 mg/Day33
Fluoxetine 20 mg/Day,36
Placebo24

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Change in Pediatric Quality of Life Inventory (PedsQL) Visual Analogue Scales (VAS): Afraid or Scared (Anxiety) Score

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The patients are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-0.47
Vortioxetine 20 mg/Day-0.76
Fluoxetine 20 mg/Day,-0.78
Placebo-0.71

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Change in PedsQL VAS Total Average Score

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL™ VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue, and pain using visual analogue scales. The functionality for each domain is measured on a 10cm line with a happy face at one end and a sad face at the other (0-10 points). The patients are asked to mark on the line how they feel. The total score is the average of all 6 items. A lower value represents a better outcome. (NCT02709746)
Timeframe: From Randomization to week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-1.00
Vortioxetine 20 mg/Day-1.13
Fluoxetine 20 mg/Day,-1.33
Placebo-1.14

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Change in PedsQL VAS: Angry Score

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The patients are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-0.51
Vortioxetine 20 mg/Day-0.70
Fluoxetine 20 mg/Day,-1.01
Placebo-0.59

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Change in PedsQL VAS: Pain or Hurt Score

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The patients are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-1.12
Vortioxetine 20 mg/Day-0.97
Fluoxetine 20 mg/Day,-0.83
Placebo-0.76

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Change in PedsQL VAS: Sad or Blue (Sadness) Score

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue and pain using visual analogue scales. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The patients are asked to mark on the line how they feel. A lower value represents a better outcome. (NCT02709746)
Timeframe: From Randomization to Week 8

Interventionunits on a scale (Least Squares Mean)
Vortioxetine 10 mg/Day-1.90
Vortioxetine 20 mg/Day-1.71
Fluoxetine 20 mg/Day,-2.45
Placebo-2.12

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Correlations Between BNA Latency Scores and Clinical, Cognitive, and Functionality Assessments Using Baseline Scores

Pearson correlation was used to examine the associations between baseline BNA latency scores and outcomes including measures of MDD symptoms, cognitive function and functionality. (NCT02749721)
Timeframe: Baseline to Endpoint (8 weeks)

Interventionmilliseconds (Mean)
AOB P200 latency BaselineAOB P200 latency Endpoint (8 weeks)AOB P3a latency BaselineAOB P3a latency Endpoint (8 weeks)AOB P3b latency BaselineAOB P3b latency Endpoint (8 weeks)VGNG P200 latency BaselineVGNG P200 latency Endpoint (8 weeks)VGNG P3a latency BaselineVGNG P3a latency Endpoint (8 weeks)
Vortioxetine177.37177.90308.47281.38370.07367.27170.35172.11433.75431.44

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Changes in Quick Inventory of Depressive Symptomatology - Self-Report (QIDS-16-SR) From Baseline to 8 Week Endpoint

The QIDS-16-SR is a 16-item self-rated assessment of the severity of depressive symptoms. The assessments can be used to screen for depression, although they have been used predominantly as measures of symptom severity. The nine domains comprise 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 or increase in appetite or weight; and 9) psychomotor agitation or retardation. The total score ranges from 0 to 27 with higher scores equating to more severe symptomatology. The seven day period prior to assessment is the usual time frame for assessing symptom severity. (NCT02749721)
Timeframe: Baseline to endpoint (week 8)

Interventionscore on a scale (Mean)
BaselineEndpoint (week 8)
Vortioxetine16.247.91

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Changes in Hamilton Depression Rating Scale (HDRS) 28 From Baseline to 8 Week Endpoint

The HDRS is a clinician-rated used to rate the patient's depressive state. The 17 question version of the scale rates depressive state based on feelings of depression, guilt, suicidality, anxiety, agitation, somatic symptoms, level of insight, patterns of insomnia, loss of interest in work and other activities, weight loss, and hypochondriasis. Additionally, the 28 question version rates depersonalization, paranoia, obsessions/compulsions, hypersomnia, appetite increase, and psychomotor slowing. The total score is obtained by summing the score of each item, 0-4 (symptom is absent, mild, moderate, or severe) or 0-2 (absent, slight or trivial, clearly present). Scores can range from 0 to 54 for the 17 question version and 0 to 83 for the 28 question version. Scores between 0 and 6 do not indicate the presence of depression, scores between 7 and 17 indicate mild depression, scores between 18 and 24 indicate moderate depression, and scores over 24 indicate severe depression. (NCT02749721)
Timeframe: Baseline to endpoint (week 8)

Interventionscore on a scale (Mean)
BaselineEndpoint (week 8)
Vortioxetine28.4414.77

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Changes in Hamilton Depression Rating Scale (HDRS) 17 From Baseline to 8 Week Endpoint

The HDRS is a clinician-rated used to rate the patient's depressive state. The 17 question version of the scale rates depressive state based on feelings of depression, guilt, suicidality, anxiety, agitation, somatic symptoms, level of insight, patterns of insomnia, loss of interest in work and other activities, weight loss, and hypochondriasis. Additionally, the 28 question version rates depersonalization, paranoia, obsessions/compulsions, hypersomnia, appetite increase, and psychomotor slowing. The total score is obtained by summing the score of each item, 0-4 (symptom is absent, mild, moderate, or severe) or 0-2 (absent, slight or trivial, clearly present). Scores can range from 0 to 54 for the 17 question version and 0 to 83 for the 28 question version. Scores between 0 and 6 do not indicate the presence of depression, scores between 7 and 17 indicate mild depression, scores between 18 and 24 indicate moderate depression, and scores over 24 indicate severe depression. (NCT02749721)
Timeframe: Baseline to endpoint (week 8)

Interventionscore on a scale (Mean)
BaselineEndpoint (week 8)
Vortioxetine23.7611.59

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Changes in Clinical Global Impression Scale (CGI-S) From Baseline to 8 Week Endpoint

The CGI-S assesses the clinician's impression of the subject's current mental illness state (considering their total clinical experience with this particular population) via 7 point scale (ranging from 1-7) with higher scores equating to more symptoms. For example, a score of 1 = normal, not at all ill and a score of 7 = severely ill. (NCT02749721)
Timeframe: Baseline to endpoint (week 8)

Interventionscore on a scale (Mean)
BaselineEndpoint (week 8)
Vortioxetine4.882.64

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Change in Montgomery and Asberg Depression Rating Scale (MADRS)

The MADRS is a 10-item rating scale designed to assess the severity of symptoms of depression. Range is 0-60. Higher score means more severe. (NCT02749721)
Timeframe: from baseline to endpoint (up to 8 weeks)

Interventionscore on a scale (Mean)
BaselineWeek 8
Vortioxetine33.2816.23

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Change From Baseline to Endpoint in Digital Symbol Substitution Test.

Change in cognitive function defined as change from baseline to endpoint. The Digital Symbol Substitution Test (DSST) is a cognitive test designed to assess psychomotor speed of performance requiring visual perception, spatial decision-making and motor skills. The DSST consists of 133 digits and requires the subject to substitute each digit with a simple symbol in a 90-second period. The number of correct symbols within the allowed time (eg, 90 sec) is measured. It takes approximately 5 minutes to complete and score the DSST. (NCT02749721)
Timeframe: Baseline to endpoint (week 8)

Interventionnumber of correct symbols within 90 sec (Mean)
BaselineEndpoint (week 8)
Vortioxetine48.2455.55

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BNA Scores Latencies

Brain Network Analytics (BNA) is a tool intended for the post-hoc statistical analysis of the human EEG, utilizing both resting-state EEG and event-related potentials (ERP) waveforms. The BNA algorithm compares a patient's ERP amplitudes and latencies to those of a large group of healthy, age-matched subjects in order to visualize and quantify changes in specific brain functions. The BNA algorithm was used to detect subjects' P200 and P300 ERP components from EEG data recorded during the AOB and VGNG tasks. BNA scores represent these ERP components in terms of amplitude (in microvolts) and latency (in milliseconds). (NCT02749721)
Timeframe: Baseline to Endpoint (8 weeks)

Interventionmilliseconds (Mean)
AOB P200 latency BaselineAOB P200 latency Endpoint (8 weeks)AOB P3a latency BaselineAOB P3a latency Endpoint (8 weeks)AOB P3b latency BaselineAOB P3b latency Endpoint (8 weeks)VGNG P200 latency BaselineVGNG P200 latency Endpoint (8 weeks)VGNG P3a latency BaselineVGNG P3a latency Endpoint (8 weeks)
Vortioxetine177.37177.90308.47281.38370.07367.27170.35172.11433.75431.44

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Correlations Between BNA Amplitude Scores and Clinical, Cognitive, and Functionality Assessments Using Baseline Scores

Pearson correlation was used to examine the associations between baseline BNA amplitude scores and outcomes including measures of MDD symptoms, cognitive function and functionality. (NCT02749721)
Timeframe: Baseline to Endpoint (8 weeks)

Interventionmicrovolts (Mean)
AOB P200 amplitude BaselineAOB P200 amplitude Endpoint (8 weeks)AOB P3a amplitude BaselineAOB P3a amplitude Endpoint (8 weeks)AOB P3b amplitude BaselineAOB P3b amplitude Endpoint (8 weeks)VGNG P200 amplitude BaselineVGNG P200 amplitude Endpoint (8 weeks)VGNG P3a amplitude BaselineVGNG P3a amplitude Endpoint (8 weeks)
Vortioxetine4.043.969.437.136.486.753.403.663.333.55

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BNA Scores Amplitudes

Brain Network Analytics (BNA) is a tool intended for the post-hoc statistical analysis of the human EEG, utilizing both resting-state EEG and event-related potentials (ERP) waveforms. The BNA algorithm compares a patient's ERP amplitudes and latencies to those of a large group of healthy, age-matched subjects in order to visualize and quantify changes in specific brain functions. The BNA algorithm was used to detect subjects' P200 and P300 ERP components from EEG data recorded during the AOB and VGNG tasks. BNA scores represent these ERP components in terms of amplitude (in microvolts) and latency (in milliseconds). (NCT02749721)
Timeframe: Baseline to Endpoint (8 weeks)

Interventionmicrovolts (Mean)
AOB P200 amplitude BaselineAOB P200 amplitude Endpoint (8 weeks)AOB P3a amplitude BaselineAOB P3a amplitude Endpoint (8 weeks)AOB P3b amplitude BaselineAOB P3b amplitude Endpoint (8 weeks)VGNG P200 amplitude BaselineVGNG P200 amplitude Endpoint (8 weeks)VGNG P3a amplitude BaselineVGNG P3a amplitude Endpoint (8 weeks)
Vortioxetine4.043.969.437.136.486.753.403.663.333.55

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Clinical Global Impression - Global Improvement (CGI-I) Score

The CGI-I provides the clinician's impression of the participant's improvement (or worsening). The clinician assesses the participant's condition relative to a baseline on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). LS mean was calculated using a restricted maximum likelihood-based MMRM approach. (NCT02871297)
Timeframe: Week 26

Interventionunits on a scale (Least Squares Mean)
Vortioxetine1.72

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Adolescents (12-18 Years): Change From Baseline in Behaviour Rating Inventory of Executive Function - Self-report (BRIEF-SR) Using the GEC Score at Week 26

"BRIEF form is an 86-item measure that assesses impairment in executive function with symptoms rated on a 3-point likert scale of 1 never, 2 sometimes or 3 often. These items cover 8 non-overlapping clinical scales. For BRIEF-SR form, only 80 items (Inhibit [13], Shift [10], Emotional Control [10], Initiate [5], Working Memory [12], Plan/Organize [13], Organization of Materials [7], Monitor [10]) were included in clinical scales. Clinical scales combined to form 2 indexes, the BRI and the MI, and 1 composite summary score, the GEC, that incorporates all 8 clinical scales. GEC score was calculated as the sum of index scores and ranges from 80-240 with higher scores indicating greater impairment in functions. Raw scores converted to T-scores as detailed in T-score conversion tables for BRIEF-SR. The conversion was based on gender and the age group. T-scores ranged between 29 to 104, with a lower score indicating better functioning." (NCT02871297)
Timeframe: Baseline, Week 26

InterventionT score (Mean)
Vortioxetine-7.50

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Number of Participants With Response to the Palatability Questionnaire

The palatability of vortioxetine oral drops was assessed after intake of a single dose (5 to 20 mg) corresponding to the participant's current vortioxetine dose (replacing the vortioxetine tablet on that day). The palatability assessment included 4 questions on the overall appreciation of a medicinal product in relation to its taste (What do you think of the taste), mouthfeel (How does medicine feel in your mouth), aftertaste (What do you think of the after taste), and smell (What do you think of the smell). The items were rated on a 5-point hedonic scale; really bad, bad, neither good or bad, good, or very good. The oral drops were considered acceptable if the mean hedonic scores were ≤3 for each aspect of palatability (taste, aftertaste, smell, and mouthfeel). (NCT02871297)
Timeframe: assessed at Baseline up to Week 26, Week 26 reported

InterventionParticipants (Count of Participants)
Mouthfeel72526170Aftertaste72526170Smell72526170Taste72526170
BadNeither good or badGoodReally badVery good
Vortioxetine11
Vortioxetine17
Vortioxetine38
Vortioxetine55
Vortioxetine26
Vortioxetine54
Vortioxetine28
Vortioxetine4
Vortioxetine37
Vortioxetine59
Vortioxetine49
Vortioxetine13
Vortioxetine15
Vortioxetine33
Vortioxetine60
Vortioxetine32

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Number of Participants With Response to the Acceptability Questionnaire

"The acceptability of vortioxetine oral drops was assessed after intake of a single dose (5 to 20 mg) corresponding to the participant's current vortioxetine dose (replacing the vortioxetine tablet on that day). The acceptability assessment was based on 3 items; acceptability of the taste, whether the drops were perceived as easy to take, willingness to take the drops every day (provided it was the only available formulation). For each item the response options were no, not sure, and yes. The oral drops were considered acceptable if <60% of participants responded no to each of the 3 questions regarding acceptability." (NCT02871297)
Timeframe: assessed at Baseline up to Week 26, Week 26 reported

Interventionparticipants (Number)
Willingness to take the drops every day: NoWillingness to take the drops every day: Not sureWillingness to take the drops every day: YesEasy to take medicine: NoEasy to take medicine: Neither easy or difficultEasy to take medicine: YesAcceptability of the taste: NoAcceptability of the taste: Not sureAcceptability of the taste: Yes
Vortioxetine2717109810135312498

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Children (7-11 Years): Change From Baseline in BRIEF-P Using the MI Score at Week 26

"BRIEF form is an 86-item measure that assesses impairment in executive function with symptoms rated on a 3-point likert scale of 1 never, 2 sometimes or 3 often. These items cover 8 non-overlapping clinical scales. Clinical scales combined to form 2 indexes, the BRI and the MI. For BRIEF-P, MI is comprised of Initiate (8), Working Memory (10), Plan/Organize (12), Organization of Materials (6), and Monitor (8) scales. The MI scores are calculated as the sum of the total 44 items ranging from 44 to 132 with lower scores reflecting better functioning. Raw scores converted to T-scores as detailed in T-score conversion tables for BRIEF-P. The conversion was based on gender and the age group. T-scores ranged between 30 to 98, with a lower score indicating better functioning." (NCT02871297)
Timeframe: Baseline, Week 26

InterventionT score (Mean)
Vortioxetine-7.36

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Children (7-11 Years): Change From Baseline in Behaviour Rating Inventory of Executive Function - Preschool (BRIEF-P) Using the Global Executive Composite (GEC) Score at Week 26

"BRIEF form is an 86-item measure with symptoms rated on a 3-point likert scale of 1 never, 2 sometimes or 3 often. These items cover 8 non-overlapping clinical scales. For BRIEF-P form, only the first 72 items (Inhibit [10], Shift [8], Emotional Control [10], Initiate [8], Working Memory [10], Plan/Organize [12], Organization of Materials [6], Monitor [8]) were included in clinical scales. Clinical scales combined to form 2 indexes, Behavioural Regulation Index (BRI) and Metacognition Index (MI), and 1 composite summary score, the GEC, that incorporates all 8 clinical scales. GEC score was calculated as the sum of index scores ranging from 72-216; higher scores indicating greater impairment in executive functions. Raw scores converted to T-scores as detailed in T-score conversion tables for BRIEF-P. Conversion was based on gender and age group. T-scores ranged between 30 to 101, with a lower score indicating better functioning." (NCT02871297)
Timeframe: Baseline, Week 26

InterventionT score (Mean)
Vortioxetine-7.41

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Change From Baseline in Pediatric Quality of Life Inventory Present Functioning Visual Analogue Scale (PedsQL VAS) Total Score at Week 26

The PedsQL™ VAS is designed to measure at-that-moment functioning in children and adolescents. The PedsQL™ VAS consists of 6 domains: anxiety, sadness, anger, worry, fatigue, and pain using VAS. The functionality for each domain is measured on a 10 cm line with a happy face at one end and a sad face at the other (0-10 points). The participants are asked to mark on the line how they feel. The total score is the average of all 6 items ranging from 0 to 10, where a lower value represents a better outcome. (NCT02871297)
Timeframe: Baseline, Week 26

Interventionunits on a scale (Mean)
Vortioxetine-1.50

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Change From Baseline in Clinical Global Impression - Severity of Illness (CGI-S) Score at Week 26

The CGI-S provides the clinician's impression of the participant's current state of mental illness. The clinician uses his or her clinical experience of this participant population to rate the severity of the participant's current mental illness on a 7-point scale ranging from 1 (normal - not at all ill) to 7 (among the most extremely ill participants). LS mean was calculated using a restricted maximum likelihood-based MMRM approach. (NCT02871297)
Timeframe: Baseline, Week 26

Interventionunits on a scale (Least Squares Mean)
Vortioxetine-1.48

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Change From Baseline in Children's Global Assessment Scale (CGAS) Score at Week 26

The CGAS is a clinician-rated global scale to measure the lowest level of functioning for a child (4 to 16 years) during a specified time period. The CGAS contains behaviourally-oriented descriptors at each anchor point that depict behaviours and life situations applicable to a child. The score ranges from 1 (most functionally impaired child) to 100 (the healthiest). A score greater than 70 indicates normal function. (NCT02871297)
Timeframe: Baseline, Week 26

Interventionunits on a scale (Mean)
Vortioxetine14.78

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Change From Baseline in Children Depression Rating Scale - Revised (CDRS-R) Total Score at Week 26

CDRS-R consisted of 17 items out of which 3 items rated nonverbal observations (listless speech, hypoactivity, and depressed affect). Fourteen items were rated on a 7-point scale from 1 to 7, and 3 items (sleep disturbance, appetite disturbance, and listless speech) were scored on a 5-point scale from 1 to 5. A rating of 1 indicated normal functioning and a higher number indicated a greater degree of depression. Total score ranged from 17 (normal) to 113 (severe depression). Least square (LS) mean was calculated using a restricted maximum likelihood-based mixed model for repeated measurements (MMRM) approach. (NCT02871297)
Timeframe: Baseline, Week 26

Interventionunits on a scale (Least Squares Mean)
Vortioxetine-16.05

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Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

An adverse event (AE) was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. SAEs included death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. TEAE was defined as an AE that started or increased in intensity on or after the date of first dose of study drug in this study 12712A. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'. (NCT02871297)
Timeframe: Baseline up to Week 30

InterventionParticipants (Count of Participants)
Vortioxetine404

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Adolescents (12-18 Years): Change From Baseline in BRIEF-SR Using the MI Score at Week 26

"BRIEF form is an 86-item measure that assesses impairment in executive function with symptoms rated on a 3-point likert scale of 1 never, 2 sometimes or 3 often. These items cover 8 non-overlapping clinical scales. Clinical scales combined to form 2 indexes, the BRI and the MI. For BRIEF-SR, MI is comprised of Working Memory (12), Plan/Organize (13), Organization of Materials (7), and Task Completion (10) scales. The MI scores are calculated as the sum of the total 42 items ranging from 42 to 126 with lower scores reflecting better functioning. Raw scores converted to T-scores as detailed in T-score conversion tables for BRIEF-SR. The conversion was based on gender and the age group. T-scores ranged between 31 to 100, with a lower score indicating better functioning." (NCT02871297)
Timeframe: Baseline, Week 26

InterventionT score (Mean)
Vortioxetine-7.18

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Change From Baseline in the Changes in Sexual Functioning Questionnaire (CSFQ-14) Total Score Difference for Vortioxetine Versus Paroxetine at Week 5 in Full Analysis Set (FAS)

The CSFQ-14 is a structured, self-reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), orgasm (3 items) and 2 additional items are included in the total score, but do not map to a specific phase of the sexual response cycle, rated on a 5-point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. A negative change from baseline indicates that symptoms have worsened. (NCT02932904)
Timeframe: Baseline and Week 5

,,
Interventionscore on a scale (Least Squares Mean)
BaselineChange from Baseline at Week 5
Paroxetine 20 mg59.27-3.56
Vortioxetine 10 mg58.56-0.82
Vortioxetine 20 mg59.43-2.51

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Change From Baseline in the CSFQ-14 Total Score Difference for Vortioxetine Versus Paroxetine at Week 5 in Modified Full Analysis Set 1 (mFAS1)

The CSFQ-14 is a structured, self-reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), orgasm (3 items) and 2 additional items are included in the total score, but do not map to a specific phase of the sexual response cycle, rated on a 5-point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. A negative change from baseline indicates that symptoms have worsened. (NCT02932904)
Timeframe: Baseline and Week 5

,,
Interventionscore on a scale (Least Squares Mean)
BaselineChange from Baseline at Week 5
Paroxetine 20 mg59.13-4.01
Vortioxetine 10 mg58.55-0.63
Vortioxetine 20 mg59.36-2.38

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Change From Baseline in the CSFQ-14 Total Score Difference for Vortioxetine Versus Paroxetine at Week 5 in Modified Full Analysis Set 2 (mFAS2)

The CSFQ-14 is a structured, self-reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), orgasm (3 items) and 2 additional items are included in the total score, but do not map to a specific phase of the sexual response cycle, rated on a 5-point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. A negative change from baseline indicates that symptoms have worsened. (NCT02932904)
Timeframe: Baseline and Week 5

,,
Interventionscore on a scale (Least Squares Mean)
BaselineChange from Baseline at Week 5
Paroxetine 20 mg58.73-4.78
Vortioxetine 10 mg58.53-0.47
Vortioxetine 20 mg59.23-1.72

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Change From Baseline in the CSFQ-14 Total Score Difference for Vortioxetine Versus Paroxetine at Weeks 1, 2, 3 and 4

The CSFQ-14 is a structured, self-reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), orgasm (3 items) and 2 additional items are included in the total score, but do not map to a specific phase of the sexual response cycle, rated on a 5-point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. A negative change from baseline indicates that symptoms have worsened. (NCT02932904)
Timeframe: Baseline and Weeks 1, 2, 3 and 4

,,
Interventionscore on a scale (Least Squares Mean)
Week 1Week 2Week 3Week 4
Paroxetine 20 mg-1.67-2.40-2.77-3.11
Vortioxetine 10 mg-0.54-1.18-0.77-1.20
Vortioxetine 20 mg-0.38-1.55-2.36-2.43

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Change From Baseline in CSFQ-14 Total Score Difference for Vortioxetine Versus Placebo at Weeks 1, 2, 3, 4 and 5

The CSFQ-14 is a structured, self-reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), orgasm (3 items) and 2 additional items are included in the total score, but do not map to a specific phase of the sexual response cycle, rated on a 5-point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. A negative change from baseline indicates that symptoms have worsened. (NCT02932904)
Timeframe: Baseline and Weeks 1, 2, 3, 4 and 5

,,
Interventionscore on a scale (Least Squares Mean)
Week 1Week 2Week 3Week 4Week 5
Placebo-0.05-1.11-0.91-0.62-0.79
Vortioxetine 10 mg-0.54-1.18-0.77-1.20-0.82
Vortioxetine 20 mg-0.38-1.55-2.36-2.43-2.51

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Percentage of Participants Meeting Criteria for Sexual Dysfunction at Weeks 1, 2, 3, 4 and 5

Sexual dysfunction is defined as CSFQ-14 score ≤47 for men and ≤41 for women. (NCT02932904)
Timeframe: Weeks 1, 2, 3, 4 and 5

,,,
Interventionpercentage of participants (Number)
Week 1Week 2Week 3Week 4Week 5
Paroxetine 20 mg2.48.48.49.69.6
Placebo2.27.94.54.53.4
Vortioxetine 10 mg1.23.53.54.75.9
Vortioxetine 20 mg1.12.26.67.79.9

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Change From Baseline in CSFQ-14 3 Phases of the Sexual Response Cycle (Desire, Arousal, and Orgasm/Completion) at Weeks 1, 2, 3, 4 and 5

The CSFQ-14 is a structured, self-reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning on the 3 phases of the sexual response cycle , desire (5 items, score range 5-25), arousal (3 items, score range 3-15), and orgasm (3 items, score range 3-15), rated on a 5-point scale from 1 to 5. Higher scores reflect higher sexual functioning. A negative change from baseline indicates that symptoms have worsened. (NCT02932904)
Timeframe: Baseline and Weeks 1, 2, 3, 4 and 5

,,,
Interventionscore on a scale (Least Squares Mean)
Desire Score: Week 1Desire Score: Week 2Desire Score: Week 3Desire Score: Week 4Desire Score: Week 5Arousal Score: Week 1Arousal Score: Week 2Arousal Score: Week 3Arousal Score: Week 4Arousal Score: Week 5Orgasm/Completion/Ejaculation Score: Week 1Orgasm/Completion/Ejaculation Score: Week 2Orgasm/Completion/Ejaculation Score: Week 3Orgasm/Completion/Ejaculation Score: Week 4Orgasm/Completion/Ejaculation Score: Week 5
Paroxetine 20 mg-0.50-0.83-1.09-1.07-1.38-0.30-0.47-0.43-0.54-0.67-0.48-0.61-0.75-1.04-1.09
Placebo0.09-0.40-0.50-0.36-0.42-0.01-0.34-0.22-0.11-0.19-0.12-0.21-0.20-0.14-0.12
Vortioxetine 10 mg-0.23-0.34-0.22-0.37-0.19-0.05-0.35-0.08-0.10-0.03-0.22-0.26-0.33-0.45-0.42
Vortioxetine 20 mg-0.14-0.68-0.77-0.77-0.82-0.03-0.30-0.51-0.54-0.54-0.15-0.37-0.67-0.72-0.79

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Change From Baseline in CSFQ-14 Subscales 5 Dimensions at Weeks 1, 2, 3, 4 and 5

The CSFQ-14 is a structured, self-reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning on the subscales of pleasure (1 item, score range 1-5), desire/frequency (2 items, score range 2-10), desire/interest (3 items, score range 3-15), arousal (3 items, score range 3-15), and orgasm (3 items, score range 3-15), rated on a 5-point scale from 1 to 5. Higher scores reflect higher sexual functioning. A negative change from baseline indicates that symptoms have worsened. (NCT02932904)
Timeframe: Baseline and Weeks 1, 2, 3, 4 and 5

,,,
Interventionscore on a scale (Least Squares Mean)
Pleasure Score: Week 1Pleasure Score: Week 2Pleasure Score: Week 3Pleasure Score: Week 4Pleasure Score: Week 5Desire/Frequency Score: Week 1Desire/Frequency Score: Week 2Desire/Frequency Score: Week 3Desire/Frequency Score: Week 4Desire/Frequency Score: Week 5Desire/Interest Score: Week 1Desire/Interest Score: Week 2Desire/Interest Score: Week 3Desire/Interest Score: Week 4Desire/Interest Score: Week 5Arousal/Excitement/Erection Score: Week 1Arousal/Excitement/Erection Score: Week 2Arousal/Excitement/Erection Score: Week 3Arousal/Excitement/Erection Score: Week 4Arousal/Excitement/Erection Score: Week 5Orgasm/Completion/Ejaculation Score: Week 1Orgasm/Completion/Ejaculation Score: Week 2Orgasm/Completion/Ejaculation Score: Week 3Orgasm/Completion/Ejaculation Score: Week 4Orgasm/Completion/Ejaculation Score: Week 5
Paroxetine 20 mg-0.36-0.38-0.44-0.38-0.47-0.35-0.46-0.62-0.55-0.66-0.15-0.38-0.47-0.52-0.73-0.30-0.47-0.43-0.54-0.67-0.48-0.61-0.75-1.04-1.09
Placebo-0.07-0.26-0.23-0.18-0.21-0.03-0.30-0.33-0.25-0.280.12-0.09-0.16-0.11-0.14-0.01-0.34-0.22-0.11-0.19-0.12-0.21-0.20-0.14-0.12
Vortioxetine 10 mg-0.13-0.25-0.18-0.31-0.16-0.07-0.25-0.23-0.20-0.15-0.16-0.11-0.01-0.18-0.05-0.05-0.35-0.08-0.10-0.03-0.22-0.26-0.33-0.45-0.42
Vortioxetine 20 mg-0.15-0.26-0.42-0.37-0.33-0.23-0.46-0.50-0.43-0.490.09-0.22-0.28-0.35-0.33-0.03-0.30-0.51-0.54-0.54-0.15-0.37-0.67-0.72-0.79

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Change From Baseline in CSFQ-14 Total Score Difference for Paroxetine Versus Placebo at Weeks 1, 2, 3, 4 and 5

The CSFQ-14 is a structured, self-reported questionnaire designed to measure illness- and medication-related changes in sexual functioning consisting of 14 items that measure sexual functioning as a total score (14 items) and on the subscales of pleasure (1 item), desire/frequency (2 items), desire/interest (3 items), arousal (3 items), orgasm (3 items) and 2 additional items are included in the total score, but do not map to a specific phase of the sexual response cycle, rated on a 5-point scale from 1 to 5 with a total score range from 14 to 70. Higher scores reflect higher sexual functioning. A negative change from baseline indicates that symptoms have worsened. (NCT02932904)
Timeframe: Baseline and Weeks 1, 2, 3, 4 and 5

,
Interventionscore on a scale (Least Squares Mean)
Week 1Week 2Week 3Week 4Week 5
Paroxetine 20 mg-1.67-2.40-2.77-3.11-3.56
Placebo-0.05-1.11-0.91-0.62-0.79

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Quick Inventory of Depressive Symptomatology - Clinician Version (QIDS-C)

This scale is designed to assess the severity of depressive symptoms. The minimum score is a 0 (zero) and the maximum score is a 27, and a higher score means a worse outcome. (NCT02969876)
Timeframe: 6 weeks

Interventionscore on a scale (Mean)
Study Phase12.5

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Rey Auditory Verbal Learning Test

A cognitive measure sensitive to learning and memory. Minimum score is a zero. Maximum score is a 75. A higher score means a better outcome (NCT02969876)
Timeframe: 6 weeks

Interventionnumber of words recalled (Mean)
Open Trial Vortioxetine54

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Digital Symbol Substitution Test

A cognitive measure sensitive to learning and memory. Participants are given 90 seconds to match as many symbols to numbers according to a key located on the top of the page. A higher score means a better outcome. (NCT02969876)
Timeframe: 6 weeks

Interventionnumber of substitutions (Mean)
Open Trial Vortioxetine41.5

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Change From Baseline in Total Goal Attainment Scale Score at Weeks 6 and 12

GAS is a tool to measure progress each participant has towards achieving their individualized goals. The standardized scoring was applied for statistical analysis. A semi-structured interview was conducted with each participant to conduct goal-setting at outset of study. Another evaluation took place at EOS visit to determine level of progress at that time. The score for each goal ranged from -2 (much worse) to +2 (much better). GAS yielded a norm-based score standardized to a mean of 50 with SD of 10. The total score ranges between 22.6 and 77.4. A positive change from baseline in the composite of 3 goals (50 or above) indicates response. (NCT02972632)
Timeframe: Baseline and Weeks 6 and 12

Interventionscore on a scale (Mean)
BaselineChange at Week 6Change at Week 12
Vortioxetine23.5718.2126.94

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Change From Baseline in Quality of Life Enjoyment and Satisfaction Scale (Q-LES-Q) Total Score at Week 12

"Q-LES-Q is a scale designed to allow researchers to assess the degree of a participant's quality of life in various areas of daily living. There is not a Total Score per se for the Q-LES-Q. The scale is divided into domains. Ninety-one of the 93 items are assembled into 8 categories: physical health/activities, feelings, work, household duties, school/course work, leisure time activities, social relations, and general activities. Items are scored on a 5 point scale, from 1 (not at all or never) to 5 (frequently or all the time), to indicate the degree of enjoyment or satisfaction experienced by domain. Raw summary scores are expressed as a percentage of the maximum possible score within a given domain to facilitate comparisons across areas of functioning. The total score is based on the Overall Life Satisfaction question in General Activities and ranges from 1 to 5. A positive change from baseline indicates greater enjoyment/satisfaction." (NCT02972632)
Timeframe: Baseline and Week 12

Interventionscore on a scale (Mean)
BaselineChange at Week 12
Vortioxetine2.4871.128

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Change From Baseline in Perceived Deficits Questionnaire-Depression (PDQ-D) at Weeks 6 and 12

"The PDQ-D is a 20-item, patient-reported questionnaire with a 7-day recall period. Scores for four subscales. All 20 items use the same 5-point ordinal categorical response scale to reflect the frequency of experiencing a specific cognitive problem in the past 7 days. Scores for each of the four measured subscales are calculated by assigning a value of 0 (never in the past 7 days), 1 (rarely - once or twice), 2 (sometimes - 3-5 times), 3 (often - about once a day), or 4 (very often - more than once a day) to each item, then summing the five items of that subscale, to produce a score ranging from 0 to 20. A total global score for overall cognitive dysfunction (range 0-80) is calculated by summing the four subscale scores. Higher scores for each subscale and for the total score indicate greater perceived cognitive dysfunction. A negative change from Baseline indicates improvement." (NCT02972632)
Timeframe: Baseline and Weeks 6 and 12

Interventionscore on a scale (Mean)
BaselineChange at Week 6Change at Week 12
Vortioxetine40.5-14.8-18.0

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Change From Baseline in Patient Health Questionnaire (PHQ-9) Score at Weeks 6 and 12

PHQ-9 is a well-established participant reported outcome tool for assessment of change in depressive symptoms and is a sensitive measure of depression severity. The PHQ-9 consists of a 9-item scale originally developed for primary care settings, with 1 item corresponding to each of the 9 made symptom criteria for depression in diagnostic and statistical manual of mental disorders (DSM), asking if they have bothered the participant over the last 2 weeks. Each question is rated on a scale from 0 (not at all) to 3 (nearly every day). If any problems are answered 1 or higher, a final question on how difficult those problems made it to do work, take care of things at home, or get along with other people is completed, rated from not difficult at all to extremely difficult. The 9 questions are summed to a total score ranging from 0 to 27 with higher scores reflecting greater severity. A positive change from baseline indicates severe condition. (NCT02972632)
Timeframe: Baseline and Weeks 6 and 12

Interventionscore on a scale (Mean)
BaselineChange at Week 6Change at Week 12
Vortioxetine15.7-6.5-8.4

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Change From Baseline in Clinical Global Impression Scale Severity (CGI-S) at Week 12

CGI-S is a clinician rated scale designed to assess global severity of illness and change in the clinical condition over time. The CGI-S provides the clinician's impression of the participant's state of mental illness. The clinician uses his or her clinical experience of this participant population to rate the severity of the participant's mental illness on a 7-point scale ranging from 1 (normal-not at all ill) to 7 (among the most extremely ill participants). Higher scores indicate greater severity of illness. A negative change from baseline indicates improvement. (NCT02972632)
Timeframe: Baseline and Week 12

Interventionscore on a scale (Mean)
BaselineChange at Week 12
Vortioxetine4.4-1.6

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Change From Baseline in 5-Item World Health Organization Well-being Index (WHO-5) Score at Week 12

WHO-5 is a short, self-administered questionnaire covering 5 positively worded items, related to positive mood (good spirits, relaxation), vitality (being active and waking up fresh and rested), and general interests (being interested in things). Each of the five items is rated from 0 (= not present) to 5 (= constantly present). Scores are summated, with raw score ranging from 0 to 25, with higher score meaning better well-being. A positive change from baseline indicates improvement. (NCT02972632)
Timeframe: Baseline and Week 12

Interventionscore on a scale (Mean)
BaselineChange at Week 12
Vortioxetine5.67.2

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Percentage of Participants Who Achieved Goal Attainment Scale (GAS) Score of ≥50 at Week 12

GAS is a tool to measure progress each participant has towards achieving their individualized goals. The standardized scoring was applied for statistical analysis. A semi-structured interview was conducted with each participant to conduct goal-setting at the outset of study. Another evaluation took place at end of study (EOS) visit to determine the level of progress at that time. The score for each goal ranged from -2 (much worse) to +2 (much better). GAS yielded a norm-based score standardized to a mean of 50 with a standard deviation (SD) of 10. Higher score indicates composite of 3 goals (50 or above) as response. (NCT02972632)
Timeframe: Week 12

Interventionpercentage of participants (Number)
Vortioxetine57.8

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

CGI-I assesses the participant's improvement (or worsening). The clinician assessed participant's condition on a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Higher scores indicated greater severity of illness. (NCT02972632)
Timeframe: Week 12

Interventionscore on a scale (Mean)
Vortioxetine2.2

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Cognition Measured Using the THINC-it Tool

"Change in cognition as measured by the objective assessments of cognition within the THINC-it tool. THINC-it is the name of the cognition tool and is not an acronym. The objective measurements that comprise the THINC-it tool include the Spotter task (Choice Reaction Time), Symbol Check task(1-back test),Trails task(Trails Making Test B), and Codebreaker task (Digit Symbol Substitution Test). The composite score from all four tests were converted to standard z-score. Higher z-scores indicate better cognition. A z-score of zero indicates population mean." (NCT03053362)
Timeframe: Baseline and 8 weeks

,
Interventionz-score (Mean)
Week 0Week 8
Healthy Control Population-0.120
Major Depressive Disorder Population-0.050.12

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Changes in the World Health Organization Wellbeing Index (5-Item)

The WHO-5 is a short questionnaire consisting of 5 simple and non-invasive questions, which tap into the subjective well-being of the respondents. The WHO-5 only contains positively phrased items. The respondent is asked to rate how well each of the 5 statements applies to him or her when considering the last 14 days. Each of the 5 items is scored from 5 (all of the time) to 0 (none of the time). The raw score therefore theoretically ranges from 0 (absence of well-being) to 25 (maximal well-being). A percent score out of 25 is reported. (NCT03053362)
Timeframe: Baseline and 8 weeks

,
Interventionpercent of maximum score (Mean)
Week 0Week 8
Healthy Control Participants72.4273.60
Major Depressive Disorder Population15.2429.16

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Changes in Mood as Measured by the Montgomery Åsberg Depression Rating Scale (MADRS)

Changes in mood assessed by the Montgomery Åsberg Depression Rating Scale [MADRS]. The overall score ranges from 0 to 60, where greater scores indicate worse depression. (NCT03053362)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Week 0Week 8
Healthy Control Participants1.641.02
Major Depressive Disorder Population31.8320.39

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Changes in Global Functional Impairment Using the Sheehan Disability Scale Total Score

Sheehan Disability Scale rates the extent to which his or her 1) work, 2) social life or leisure activities, and 3) home life or family responsibilities are impaired by his or her symptoms on a 10-point visual analog scale. The numerical ratings of 0-10 can be translated into a percentage if desired. The three items may be summed into a single dimensional measure of global functional impairment that ranges from 0 (unimpaired) to 30 (highly impaired). (NCT03053362)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Week 0Week 8
Healthy Control Participants0.981.3
Major Depressive Disorder Population20.6314.64

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Changes in Cognitive Function Assessed by the Trail Making Test - Part B (TMT-B)

Changes in cognition assessed by the TMT-B. The outcome measure is time in seconds, where greater time indicates worse performance. (NCT03053362)
Timeframe: Baseline and 8 weeks

,
Interventionseconds (Mean)
Week 0Week 8
Healthy Control Participants70.6058.71
Major Depressive Disorder Population72.9562.72

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Changes in Cognitive Function Assessed by the Digit Symbol Substitution Task (DSST)

Changes in cognition assessed by the Digit Symbol Substitution Task (DSST). The outcome measure is the number of correct symbols copied by the participants. Higher scores indicate better performance (minimum score is 0 and maximum is 133). (NCT03053362)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Week 0Week 8
Healthy Control Participants61.2167.53
Major Depressive Disorder Population56.0564.14

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Changes in Changes in Anhedonia From Baseline to Week 8

To establish sensitivity to change in anhedonia using the Snaith-Hamilton Pleasure Scale (SHAPS) total score in adults (18-65) with MDD treated with vortioxetine (10-20 mg flexibly dosed for 8 weeks). Higher score indicates more pleasure, with maximum of 56 points on the scale. (NCT03053362)
Timeframe: Baseline and 8 weeks

,
Interventionunits on a scale (Mean)
Week 0Week 8
Healthy Control Participants51.1250.38
Major Depressive Disorder Population35.1240.33

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Change in Total Fluid Cognitive Score

"Total fluid cognitive score from the NIH Toolbox as well as the speed of cognitive improvement The study utilized five cognitive tests from the NIH Toolbox Cognitive Battery that measured fluid cognition-the capacity for new learning and information processing. A higher score indicates indicates better performance on these tests. A total fluid cognitive score at or near 100 indicates ability that is average compared with others nationally. Scores around 115 suggest above-average fluid cognitive ability, while scores around 130 suggest superior ability. Conversely, a score around 85 suggests below-average fluid cognitive ability, and a score in the range of 70 or below suggests significant impairment." (NCT03272711)
Timeframe: Randomization (0 weeks), 4 week, 12 week, 26 week

,
Interventionscore on a scale (Mean)
Change at Week 4Change at Week 12Change at Week 26Total Fluid Cognitive Score at Week 4Total Fluid Cognitive Score at Week 12Total Fluid Cognitive Score at Week 26
Placebo Plus Cognitive Training3.713.936.05105.85105.57107.51
Vortioxetine Plus Cognitive Training6.148.247.55106.06108.12106.98

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Change in Total Fluid Cognitive Score

"Total fluid cognitive score from the NIH Toolbox as well as the speed of cognitive improvement The study utilized five cognitive tests from the NIH Toolbox Cognitive Battery that measured fluid cognition-the capacity for new learning and information processing. A higher score indicates indicates better performance on these tests. A total fluid cognitive score at or near 100 indicates ability that is average compared with others nationally. Scores around 115 suggest above-average fluid cognitive ability, while scores around 130 suggest superior ability. Conversely, a score around 85 suggests below-average fluid cognitive ability, and a score in the range of 70 or below suggests significant impairment." (NCT03272711)
Timeframe: Randomization (0 weeks), 4 weeks

,
Interventionscore on a scale (Mean)
Change in Total Fluid Cognitive ScoreWeek 4 Total Fluid Cogntive Score
Placebo Plus Cognitive Training3.71105.85
Vortioxetine Plus Cognitive Training6.14106.06

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Participant Function

"Participant function assessed using the UCSD Performance-Based Skills Assessment (UPSA).~A validated test that required participants to demonstrate their competence to perform everyday functioning tasks in domains such as comprehension, planning, finances, transportation and communication. A higher scores indicates a better outcome. Scores can range from a minimum of 0 to a maximum of 100." (NCT03272711)
Timeframe: Randomization (0 weeks), 26 weeks

,
Interventionscore on a scale (Mean)
Change in UPSA ScoreTotal UPSA Score at Week 26
Placebo Plus Cognitive Training1.6682.44
Vortioxetine Plus Cognitive Training2.9184.50

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AUC∞: Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity of Unchanged Lu AA21004

(NCT03437564)
Timeframe: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Interventionh*ng/mL (Mean)
Vortioxetine One 20 mg Tablet463.9
Vortioxetine Two 10 mg Tablets477.6

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AUClast: Area Under the Plasma Concentration-Time Curve From Time 0 to the Last Quantifiable Time Point of Unchanged Lu AA21004

(NCT03437564)
Timeframe: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Interventionhour*nanogram per milliliter (h*ng/mL) (Mean)
Vortioxetine One 20 mg Tablet299.3
Vortioxetine Two 10 mg Tablets301.1

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Cmax: Maximum Plasma Concentration (Observed Value) of Unchanged Lu AA21004

(NCT03437564)
Timeframe: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Interventionng/mL (Mean)
Vortioxetine One 20 mg Tablet8.744
Vortioxetine Two 10 mg Tablets8.976

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MRTlast, ev: Mean Residence Time From Time 0 to the Time of the Last Quantifiable Concentration of Unchanged Lu AA21004

(NCT03437564)
Timeframe: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

InterventionHours (Mean)
Vortioxetine One 20 mg Tablet30.12
Vortioxetine Two 10 mg Tablets30.12

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λz: Apparent Elimination Rate Constant of Unchanged Lu AA21004

(NCT03437564)
Timeframe: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

Intervention1/Hours (Mean)
Vortioxetine One 20 mg Tablet0.01608
Vortioxetine Two 10 mg Tablets0.01599

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Tmax: Time to Reach Cmax (Observed Value) of Unchanged Lu AA21004

(NCT03437564)
Timeframe: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

InterventionHours (Median)
Vortioxetine One 20 mg Tablet6.000
Vortioxetine Two 10 mg Tablets6.000

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MRT∞, ev: Mean Residence Time 0 to Infinity of Unchanged Lu AA21004

(NCT03437564)
Timeframe: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

InterventionHours (Mean)
Vortioxetine One 20 mg Tablet67.27
Vortioxetine Two 10 mg Tablets68.84

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Number of Participants Who Experienced at Least One Treatment-Emergent Adverse Event (TEAE)

(NCT03437564)
Timeframe: Up to Day 25

InterventionParticipants (Count of Participants)
Vortioxetine One 20 mg Tablet1
Vortioxetine Two 10 mg Tablets0

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T1/2z: Apparent Elimination Half-Life of Unchanged Lu AA21004

(NCT03437564)
Timeframe: Day 1 pre-dose and at multiple time points (up to 72 hours) post-dose

InterventionHours (Mean)
Vortioxetine One 20 mg Tablet45.36
Vortioxetine Two 10 mg Tablets46.44

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