Page last updated: 2024-10-30

mecamylamine and Depressive Disorder, Major

mecamylamine has been researched along with Depressive Disorder, Major in 6 studies

Mecamylamine: A nicotinic antagonist that is well absorbed from the gastrointestinal tract and crosses the blood-brain barrier. Mecamylamine has been used as a ganglionic blocker in treating hypertension, but, like most ganglionic blockers, is more often used now as a research tool.

Depressive Disorder, Major: Disorder in which five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. Symptoms include: depressed mood most of the day, nearly every daily; markedly diminished interest or pleasure in activities most of the day, nearly every day; significant weight loss when not dieting or weight gain; Insomnia or hypersomnia nearly every day; psychomotor agitation or retardation nearly every day; fatigue or loss of energy nearly every day; feelings of worthlessness or excessive or inappropriate guilt; diminished ability to think or concentrate, or indecisiveness, nearly every day; or recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt. (DSM-5)

Research Excerpts

ExcerptRelevanceReference
" Safety and tolerability were assessed by monitoring adverse events, vital signs, and physical and laboratory parameters."2.80Safety and tolerability of dexmecamylamine (TC-5214) adjunct to ongoing antidepressant therapy in patients with major depressive disorder and an inadequate response to antidepressant therapy: results of a long-term study. ( Desai, D; Dunbar, G; Eriksson, H; Hosford, D; Szamosi, J; Tummala, R; Wilson, E, 2015)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (33.33)29.6817
2010's4 (66.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Vieta, E1
Thase, ME1
Naber, D1
D'Souza, B1
Rancans, E1
Lepola, U1
Olausson, B2
Szamosi, J3
Wilson, E3
Hosford, D3
Dunbar, G3
Tummala, R3
Eriksson, H3
Desai, D1
Möller, HJ1
Demyttenaere, K1
Lindsley, CW1
Shytle, RD2
Silver, AA1
Sheehan, KH1
Sheehan, DV1
Sanberg, PR1
George, TP1
Sacco, KA1
Vessicchio, JC1
Weinberger, AH1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, Randomized, Double-Blind, Parallel Group, Placebo-Controlled, Phase III Efficacy and Safety Study of TC-5214 (S-mecamylamine) in Flexible Doses as an Adjunct to an Antidepressant in Patients With Major Depressive Disorder Who Exhibit an Ina[NCT01180400]Phase 3295 participants (Actual)Interventional2010-09-30Completed
A Multicenter, Randomized, Double-Blind, Parallel Group, Placebo-Controlled, Phase III Efficacy and Safety Study of TC-5214 (S-mecamylamine) in Flexible Doses as an Adjunct to an Antidepressant in Patients With Major Depressive Disorder With an Inadequate[NCT01157078]Phase 3319 participants (Actual)Interventional2010-06-30Completed
A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled, Phase III, Long-Term Safety and Tolerability Study of TC-5214 (S-mecamylamine) as an Adjunct to an Antidepressant in Patients With Major Depressive Disorder Who Exhibit an Inadeq[NCT01152554]Phase 3813 participants (Actual)Interventional2010-06-30Completed
A Multicenter, Randomized, Double-Blind Parallel Group Placebo-Controlled Phase III, Efficacy and Safety Study of 3 Fixed Dose Groups of TC-5214 (S-mecamylamine) as an Adjunct to an Antidepressants in Patients With Major Depressive Disorder Who Exhibit an[NCT01197508]Phase 3696 participants (Actual)Interventional2010-09-30Completed
A Multicenter, Randomized, Double-Blind Parallel Group Placebo-Controlled Phase III,Efficacy and Safety Study of 3 Fixed Dose Groups of TC-5214 (S-mecamylamine) as an Adjunct to an Antidepressant in Patients With Major Depressive Disorder Who Exhibit an I[NCT01153347]Phase 32,409 participants (Actual)Interventional2010-06-30Completed
A Double-Blind,Randomized,Placebo-Controlled Trial of Mecamylamine Hydrochloride for the Treatment of SSRI-Refractory Major Depressive Disorder.[NCT00319319]Phase 260 participants Interventional2003-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

"Response in the Clinical Global Impression-Improvement (CGI-I) Defined as CGI-I Rating of Very Much Improved or Much Improved From Randomization (Week 8) to End of Treatment (Week 16)"

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. CGI-I scores >4 indicate worsening, while scores <4 indicate improvement. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionpercentage of participants analyzed (Number)
TC-521464.8
Placebo65.5

Change From Randomization (Week 8) to End of Treatment (Week 16) in Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q LES-Q-SF) Item 15

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) measures the patient's satisfaction with medication and overall quality of life. The 15th item queries respondents' satisfaction with the medication they are taking, rated on a 1 to 4 scale, score 0 indicates that no medication was taken. Higher scores are indicative of greater satisfaction. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-52140.3
Placebo0.4

Change From Randomization (Week 8) to End of Treatment (Week 16) in Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q LES-Q-SF) Item 16

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) measures the patient's satisfaction with medication and overall quality of life. The 16th item is a global rating of overall life satisfaction and contentment, rated on a 1 to 5 scale. Higher scores are indicative of greater satisfaction. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-52140.7
Placebo0.7

Change in Depressive Symptoms From Randomization (Week 8) to End of Treatment (Week 16) as Measured by Hamilton Rating Scale for Depression-17 Items (HAMD-17) Total Score

A 17-item, clinician-rated scale that assesses depressive symptoms. The HAMD-17 consists of 17 symptoms, each of which is rated from 0 to 2 or 0 to 4, where 0 is none/absent. The HAMD-17 total score is calculated as the sum of the 17 individual symptom scores; the total score can range from 0 to 52. Higher HAMD-17 scores indicate more severe depression. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-9.4
Placebo-9.8

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Family Life/Home Responsibilities Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the SDS family life/home responsibilities domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-1.9
Placebo-2.0

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Social Life Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the SDS social life domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-2.0
Placebo-1.9

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Work/School Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the work/school domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-2.2
Placebo-1.8

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by the Sheehan Disability Scale (SDS) Total Score

Sheehan Disability Scale (SDS) is 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The SDS total score is calculated as the sum of the score for the 3 inter-correlated domains (school/work, social life, and family life/home responsibilities) and ranges from 0 (unimpaired) to 30 (highly impaired). (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-5.79
Placebo-5.75

Change in MADRS Total Score From Randomization (Week 8) to Week 10

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01180400)
Timeframe: Randomization (Week 8) to Week 10

Interventionunits on a scale (Least Squares Mean)
TC-5214-4.9
Placebo-5.4

Change in MADRS Total Score From Randomization (Week 8) to Week 12

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01180400)
Timeframe: Randomization (Week 8) to Week 12

Interventionunits on a scale (Least Squares Mean)
TC-5214-7.2
Placebo-8.2

Change in MADRS Total Score From Randomization (Week 8) to Week 14

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01180400)
Timeframe: Randomization (Week 8) to Week 14

Interventionunits on a scale (Least Squares Mean)
TC-5214-9.1
Placebo-10.3

Change in MADRS Total Score From Randomization (Week 8) to Week 9

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01180400)
Timeframe: Randomization (Week 8) to Week 9

Interventionunits on a scale (Least Squares Mean)
TC-5214-3.0
Placebo-3.1

Change in Overall Quality of Life and Satisfaction From Randomization (Week 8) to End of Treatment (Week 16) by Assessing the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) % Maximum Total Score

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form)total score is derived by summing item scores 1 to 14. Higher scores are indicative of greater enjoyment or satisfaction in each domain. The Q-LES-Q-SF % maximum total score is calculated as 100% × (Q-LES-Q-SF total score - 14) / 56, and can range from 0% to 100%. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-521411.22
Placebo11.07

Change in the Clinician-rated Global Outcome of Severity as Measured by the Clinical Global Impression-Severity (CGI-S) Score From Randomization (Week 8) to End of Treatment (Week 16)

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. Higher CGI-S scores indicate greater illness severity. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-1.6
Placebo-1.6

Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment.

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-11.7
Placebo-11.6

Early and Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 10, Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score and a MADRS total score of ≤12 at Week 10, Week 12, Week 14, and end of treatment (Week 16) was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16); Week 10, Week 12, Week 14, and Week 16

Interventionpercentage of participants analyzed (Number)
TC-52147.6
Placebo6.3

Remission in Depressive Symptoms of MDD, Defined as MADRS Total Score of ≤8 at End of Treatment (Week 16)

"The percentage of patients with a MADRS total score of ≤8 at end of treatment (Week 16) was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01180400)
Timeframe: Week 16

Interventionpercentage of participants analyzed (Number)
TC-521433.8
Placebo26.9

Response in Depressive Symptoms of Major Depressive Disorder (MDD), Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score at End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score at end of treatment (Week 16) was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionpercentage of participants analyzed (Number)
TC-521448.3
Placebo49.0

Sustained Remission, Defined as a MADRS Total Score of ≤8 at Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a MADRS total score of ≤8 at Week 12, Week 14, and end of treatment (Week 16)was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01180400)
Timeframe: Week 12, Week 14, Week 16

Interventionpercentage of participants analyzed (Number)
TC-52147.9
Placebo9.2

Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score and a MADRS total score of ≤12 at Week 12, Week 14, and end of treatment (Week 16) was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16); Week 12, Week 14, and Week 16

Interventionpercentage of patients analyzed (Number)
TC-521414.5
Placebo16.3

Change in EuroQol - 5 Dimensions (EQ-5D) From Randomization (Week 8) to End of Treatment (Week 16)

A self-assessment questionnaire that provides 2 measures of health status. The EQ-5D index score is a weighted linear combination over 5 dimensions of health status. The score for each of the 5 dimensions can range from 1 to 3, and an equation is used to calculate the EQ-5D index score. The EQ-5D index score can range from possible negative values (minimum -0.415) to a maximum of 1.0. The EQ-VAS is a visual analog scale with a range of 0 to 100. For both variables, a higher score indicates a better health state. (NCT01180400)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

,
Interventionunits on a scale (Least Squares Mean)
EQ-5D index scoreEQ-5D VAS score
Placebo0.12014.0
TC-52140.10913.6

"Response in the Clinical Global Impression-Improvement (CGI-I) Defined as CGI-I Rating of Very Much Improved or Much Improved From Randomization (Week 8) to End of Treatment (Week 16)"

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. CGI-I scores >4 indicate worsening, while scores <4 indicate improvement. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionpercentage of participants analyzed (Number)
TC-521456.3
Placebo51.0

Change From Randomization (Week 8) to End of Treatment (Week 16) in Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q LES-Q-SF) Item 15

"The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) measures the patient's satisfaction with medication and overall quality of life.~The 15th item queries respondents' satisfaction with the medication they are taking, rated on a 1 to 4 scale, score 0 indicates that no medication was taken. Higher scores are indicative of greater satisfaction." (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-52140.2
Placebo0.3

Change From Randomization (Week 8) to End of Treatment (Week 16) in Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q LES-Q-SF) Item 16

"The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) measures the patient's satisfaction with medication and overall quality of life.~The 16th item is a global rating of overall life satisfaction and contentment, rated on a 1 to 5 scale. Higher scores are indicative of greater satisfaction." (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-52140.7
Placebo0.5

Change in Depressive Symptoms From Randomization (Week 8) to End of Treatment (Week 16) as Measured by Hamilton Rating Scale for Depression-17 Items (HAMD-17) Total Score

A 17-item, clinician-rated scale that assesses depressive symptoms. The HAMD-17 consists of 17 symptoms, each of which is rated from 0 to 2 or 0 to 4, where 0 is none/absent. The HAMD-17 total score is calculated as the sum of the 17 individual symptom scores; the total score can range from 0 to 52. Higher HAMD-17 scores indicate more severe depression. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-9.7
Placebo-9.3

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Family Life/Home Responsibilities Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the SDS family life/home responsibilities domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-2.1
Placebo-2.0

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Social Life Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the SDS social life domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-1.9
Placebo-1.9

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Work/School Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the work/school domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-2.0
Placebo-1.7

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by the Sheehan Disability Scale (SDS) Total Score

Sheehan Disability Scale (SDS) is 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The SDS total score is calculated as the sum of the score for the 3 inter-correlated domains (school/work, social life, and family life/home responsibilities) and ranges from 0 (unimpaired) to 30 (highly impaired). (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-6.09
Placebo-5.47

Change in Irritability Symptoms as Measured by the Sheehan Irritability Scale (SIS) Total Score From Randomization (Week 8) to End of Treatment (Week 16)

A self-administered scale to be used by clinical subjects to rate suffering over the past week with regard to irritability symptoms. The total SIS score is the sum of 7 items, and ranges from 0 to 70. Each item is assessed on an 11-point scale where 0=not at all, 1-3=mildly, 4-6=moderately, 7-9=markedly, and 10=extremely. The SIS also records the number of days impaired by irritability. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-12.6
Placebo-11.5

Change in MADRS Total Score From Randomization (Week 8) to Week 10

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01157078)
Timeframe: Randomization (Week 8) to Week 10

Interventionunits on a scale (Least Squares Mean)
TC-5214-6.1
Placebo-6.8

Change in MADRS Total Score From Randomization (Week 8) to Week 12

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01157078)
Timeframe: Randomization (Week 8) to Week 12

Interventionunits on a scale (Least Squares Mean)
TC-5214-8.7
Placebo-8.0

Change in MADRS Total Score From Randomization (Week 8) to Week 14

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01157078)
Timeframe: Randomization (Week 8) to Week 14

Interventionunits on a scale (Least Squares Mean)
TC-5214-11.1
Placebo-10.5

Change in MADRS Total Score From Randomization (Week 8) to Week 9

"A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01157078)
Timeframe: Randomization (Week 8) to Week 9

Interventionunits on a scale (Least Squares Mean)
TC-5214-3.6
Placebo-3.8

Change in Overall Quality of Life and Satisfaction From Randomization (Week 8) to End of Treatment (Week 16) by Assessing the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) % Maximum Total Score

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form)total score is derived by summing item scores 1 to 14. Higher scores are indicative of greater enjoyment or satisfaction in each domain. The Q-LES-Q-SF % maximum total score is calculated as 100% × (Q-LES-Q-SF total score - 14) / 56, and can range from 0% to 100%. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-521412.47
Placebo11.65

Change in the Clinician-rated Global Outcome of Severity as Measured by the Clinical Global Impression-Severity (CGI-S) Score From Randomization (Week 8) to End of Treatment (Week 16)

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. Higher CGI-S scores indicate greater illness severity. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-1.4
Placebo-1.3

Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment.

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
TC-5214-12.7
Placebo-11.7

Early and Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 10, Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score and a MADRS total score of ≤12 at Week 10, Week 12, Week 14, and end of treatment (Week 16) was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16); Week 10, Week 12, Week 14, and Week 16

Interventionpercentage of participants analyzed (Number)
TC-52146.0
Placebo3.9

Remission in Depressive Symptoms of MDD, Defined as MADRS Total Score of ≤8 at End of Treatment (Week 16)

"The percentage of patients with a MADRS total score of ≤8 at end of treatment (Week 16) was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01157078)
Timeframe: Week 16

Interventionpercentage of participants analyzed (Number)
TC-521430.5
Placebo24.2

Response in Depressive Symptoms of Major Depressive Disorder (MDD), Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score at End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score at end of treatment (Week 16) was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionpercentage of participants analyzed (Number)
TC-521442.0
Placebo47.0

Sustained Remission, Defined as a MADRS Total Score of ≤8 at Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a MADRS total score of ≤8 at Week 12, Week 14, and end of treatment (Week 16)was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01157078)
Timeframe: Week 12, Week 14, Week 16

Interventionpercentage of participants analyzed (Number)
TC-52149.5
Placebo6.5

Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score and a MADRS total score of ≤12 at Week 12, Week 14, and end of treatment (Week 16) was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16); Week 12, Week 14, and Week 16

Interventionpercentage of patients analyzed (Number)
TC-521414.2
Placebo11.8

Change in EuroQol - 5 Dimensions (EQ-5D) From Randomization (Week 8) to End of Treatment (Week 16)

A self-assessment questionnaire that provides 2 measures of health status. The EQ-5D index score is a weighted linear combination over 5 dimensions of health status. The score for each of the 5 dimensions can range from 1 to 3, and an equation is used to calculate the EQ-5D index score. The EQ-5D index score can range from possible negative values (minimum -0.415) to a maximum of 1.0. The EQ-VAS is a visual analog scale with a range of 0 to 100. For both variables, a higher score indicates a better health state. (NCT01157078)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

,
Interventionunits on a scale (Least Squares Mean)
EQ-5D index scoreEQ-5D VAS score
Placebo0.08911.6
TC-52140.11313.3

Change in Functional Impairment From Randomization (Week 0) to End of Treatment (Week 52) as Measured by the Sheehan Disability Scale (SDS) Total Score

Sheehan Disability Scale (SDS) is 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The SDS total score is calculated as the sum of the score for the 3 inter-correlated domains (school/work, social life, and family life/home responsibilities) and ranges from 0 (unimpaired) to 30 (highly impaired). (NCT01152554)
Timeframe: Randomization (Week 0) to end of treatment (Week 52)

Interventionunits on a scale (Mean)
TC-5214-6.98
Placebo-7.44

Change in Overall Quality of Life and Satisfaction From Randomization (Week 0) to End of Treatment (Week 52) by Assessing the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) % Maximum Total Score

The Q-LES-Q-SF total score is derived by summing item scores 1 to 14. Higher scores are indicative of greater enjoyment or satisfaction in each domain. The Q-LES-Q-SF % maximum total score is calculated as 100% × (Q-LES-Q-SF total score - 14) / 56, and can range from 0% to 100%. (NCT01152554)
Timeframe: Randomization (Week 0) to end of treatment (Week 52)

Interventionunits on a scale (Mean)
TC-521410.83
Placebo11.62

Change in the Clinician-rated Global Outcome of Severity as Measured by the Clinical Global Impression-Severity (CGI-S) Score From Randomization (Week 0) to End of Treatment (Week 52)

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. Higher CGI-S scores indicate greater illness severity. (NCT01152554)
Timeframe: Randomization (Week 0) to end of treatment (Week 52)

Interventionunits on a scale (Mean)
TC-5214-1.8
Placebo-1.6

Frequency of Patients Experiencing AEs That Resulted in Discontinuation of Investigational Product (IP)

The frequency of patients experiencing AEs that resulted in discontinuation of IP during the randomized treatment or follow-up periods was calculated. (NCT01152554)
Timeframe: Randomization (Week 0) to end of the follow-up period (Week 54)

Interventionpercentage of participants analyzed (Number)
TC-521410.5
Placebo7.0

Frequency of Patients Experiencing at Least One Adverse Event (AE)

The frequency of patients experiencing at least one AE during the randomized treatment or follow-up periods was calculated. (NCT01152554)
Timeframe: Randomization (Week 0) to end of the follow-up period (Week 54)

Interventionpercentage of participants analyzed (Number)
TC-521482.4
Placebo84.6

Frequency of Patients Experiencing Serious Adverse Events (SAEs)

The frequency of patients experiencing serious adverse events (SAEs) during the randomized treatment or follow-up periods was calculated. (NCT01152554)
Timeframe: Randomization (Week 0) to end of the follow-up period (Week 54)

Interventionpercentage of participants analyzed (Number)
TC-52143.6
Placebo2.5

Sustained Efficacy at 3 Months, Defined as a Montgomery-Asberg Depression Rating Scale (MADRS) Total Score of ≤12 at Week 12 and All Visits up to and Including Week 24

"The percentage of patients with a a MADRS total score of ≤12 at Week 12 and all visits up to and including Week 24 was calculated. One intermediate occurrence of a MADRS total score >12 but ≤16 or missing was allowed from Week 16 to Week 20.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01152554)
Timeframe: Week 12 to Week 24

Interventionpercentage of participants analyzed (Number)
TC-521418.2
Placebo20.6

Sustained Efficacy at 9 Months, Defined as a MADRS Total Score of ≤12 at Week 12 and at All Visits up to and Including Week 52

"The percentage of patients with a MADRS total score of ≤12 at Week 12 and at all visits up to and including Week 52 was calculated. Two intermediate occurrences (not consecutive) of a MADRS >12 but ≤16 or missing were allowed from Week 16 to Week 48.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01152554)
Timeframe: Week 12 to Week 52

Interventionpercentage of patients analyzed (Number)
TC-52149.7
Placebo12.5

Change in EuroQol - 5 Dimensions (EQ-5D) From Randomization (Week 0) to End of Treatment (Week 52)

A self-assessment questionnaire that provides 2 measures of health status. The EQ-5D index score is a weighted linear combination over 5 dimensions of health status. The score for each of the 5 dimensions can range from 1 to 3, and an equation is used to calculate the EQ-5D index score. The EQ-5D index score can range from possible negative values to a maximum of 1.0. The EQ-VAS is a visual analog scale with a range of 0 to 100. For both variables, a higher score indicates a better health state. (NCT01152554)
Timeframe: Randomization (Week 0) to end of treatment (Week 52)

,
Interventionunits on a scale (Mean)
EQ-5D index scoreEQ-5D VAS score
Placebo0.07111.9
TC-52140.0818.7

"Response in the Clinical Global Impression-Improvement (CGI-I) Defined as CGI-I Rating of Very Much Improved or Much Improved From Randomization (Week 8) to End of Treatment (Week 16)"

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. CGI-I scores >4 indicate worsening, while scores <4 indicate improvement. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionpercentage of participants analyzed (Number)
0.1 mg BID TC-521459.5
1 mg BID TC-521462.1
4 mg BID TC-521458.8
Placebo67.8

Change From Randomization (Week 8) to End of Treatment (Week 16) in Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q LES-Q-SF) Item 15

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) measures the patient's satisfaction with medication and overall quality of life. The 15th item queries respondents' satisfaction with the medication they are taking. Higher scores are indicative of greater enjoyment or satisfaction in each domain. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-52140.6
1 mg BID TC-52140.7
4 mg BID TC-52140.5
Placebo0.7

Change From Randomization (Week 8) to End of Treatment (Week 16) in Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q LES-Q-SF) Item 16

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) measures the patient's satisfaction with medication and overall quality of life. The 16th item is a global rating of overall life satisfaction and contentment. Higher scores are indicative of greater enjoyment or satisfaction in each domain. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-52140.7
1 mg BID TC-52140.7
4 mg BID TC-52140.6
Placebo0.8

Change in Depressive Symptoms From Randomization (Week 8) to End of Treatment (Week 16) as Measured by Hamilton Rating Scale for Depression-17 Items (HAMD-17) Total Score

A 17-item, clinician-rated scale that assesses depressive symptoms. The HAMD-17 consists of 17 symptoms, each of which is rated from 0 to 2 or 0 to 4, where 0 is none/absent. The HAMD-17 total score is calculated as the sum of the 17 individual symptom scores; the total score can range from 0 to 52. Higher HAMD-17 scores indicate more severe depression. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-10.07
1 mg BID TC-5214-10.21
4 mg BID TC-5214-9.07
Placebo-11.16

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Family Life/Home Responsibilities Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the SDS family life/home responsibilities domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-2.0
1 mg BID TC-5214-2.1
4 mg BID TC-5214-2.0
Placebo-2.3

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Social Life Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the SDS social life domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-2.1
1 mg BID TC-5214-2.2
4 mg BID TC-5214-2.2
Placebo-2.4

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Work/School Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the work/school domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-2.0
1 mg BID TC-5214-1.8
4 mg BID TC-5214-1.9
Placebo-2.1

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by the Sheehan Disability Scale (SDS) Total Score

Sheehan Disability Scale (SDS) is 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The SDS total score is calculated as the sum of the score for the 3 inter-correlated domains (school/work, social life, and family life/home responsibilities) and ranges from 0 (unimpaired) to 30 (highly impaired). (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-6.08
1 mg BID TC-5214-6.34
4 mg BID TC-5214-6.21
Placebo-7.06

Change in Hamilton Anxiety Scale (HAM-A) Total Score From Randomization (Week 8) to End of Treatment (Week 16)

A 14-item clinician-administered scale for the evaluation of anxiety symptoms. Each HAM-A item is rated on a 0 to 4 scale. Higher HAM-A scores indicate higher levels of anxiety. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-8.5
1 mg BID TC-5214-8.6
4 mg BID TC-5214-8.1
Placebo-9.3

Change in MADRS Total Score From Randomization (Week 8) to Week 10

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01197508)
Timeframe: Randomization (Week 8) to Week 10

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-4.8
1 mg BID TC-5214-5.9
4 mg BID TC-5214-5.0
Placebo-6.0

Change in MADRS Total Score From Randomization (Week 8) to Week 12

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01197508)
Timeframe: Randomization (Week 8) to Week 12

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-8.1
1 mg BID TC-5214-8.5
4 mg BID TC-5214-7.8
Placebo-8.7

Change in MADRS Total Score From Randomization (Week 8) to Week 14

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01197508)
Timeframe: Randomization (Week 8) to Week 14

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-9.5
1 mg BID TC-5214-10.6
4 mg BID TC-5214-9.6
Placebo-11.0

Change in MADRS Total Score From Randomization (Week 8) to Week 9

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01197508)
Timeframe: Randomization (Week 8) to Week 9

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-3.0
1 mg BID TC-5214-3.0
4 mg BID TC-5214-2.6
Placebo-3.2

Change in Overall Quality of Life and Satisfaction From Randomization (Week 8) to End of Treatment (Week 16) by Assessing the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) % Maximum Total Score

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) total score is derived by summing item scores 1 to 14. Higher scores are indicative of greater enjoyment or satisfaction in each domain. The Q-LES-Q-SF % maximum total score is calculated as 100% × (Q-LES-Q-SF total score - 14) / 56, and can range from 0% to 100%. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-521413.08
1 mg BID TC-521413.24
4 mg BID TC-521411.84
Placebo14.55

Change in the Clinician-rated Global Outcome of Severity as Measured by the Clinical Global Impression-Severity (CGI-S) Score From Randomization (Week 8) to End of Treatment (Week 16)

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. Higher CGI-S scores indicate greater illness severity. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-1.5
1 mg BID TC-5214-1.6
4 mg BID TC-5214-1.7
Placebo-1.7

Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment.

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.1 mg BID TC-5214-11.6
1 mg BID TC-5214-12.2
4 mg BID TC-5214-12.2
Placebo-12.7

Early and Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 10, Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score and a MADRS total score of ≤12 at Week 10, Week 12, Week 14, and end of treatment (Week 16) was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16); Week 10, Week 12, Week 14, and Week 16

Interventionpercentage of participants analyzed (Number)
0.1 mg BID TC-52147.5
1 mg BID TC-52148.1
4 mg BID TC-52149.6
Placebo9.2

Remission in Depressive Symptoms of MDD, Defined as MADRS Total Score of ≤8 at End of Treatment (Week 16)

"The percentage of patients with a MADRS total score of ≤8 at end of treatment (Week 16) was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01197508)
Timeframe: Week 16

Interventionpercentage of participants analyzed (Number)
0.1 mg BID TC-521437.0
1 mg BID TC-521435.1
4 mg BID TC-521430.0
Placebo39.1

Response in Depressive Symptoms of Major Depressive Disorder (MDD), Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score at End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score at end of treatment (Week 16) was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionpercentage of participants analyzed (Number)
0.1 mg BID TC-521448.6
1 mg BID TC-521451.1
4 mg BID TC-521441.2
Placebo54.0

Sustained Remission, Defined as a MADRS Total Score of ≤8 at Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a MADRS total score of ≤8 at Week 12, Week 14, and end of treatment (Week 16)was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01197508)
Timeframe: Week 12, Week 14, Week 16

Interventionpercentage of participants analyzed (Number)
0.1 mg BID TC-521410.6
1 mg BID TC-521410.5
4 mg BID TC-52148.0
Placebo12.1

Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score and a MADRS total score of ≤12 at Week 12, Week 14, and end of treatment (Week 16) was calculated.~MADRS is 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16); Week 12, Week 14, and Week 16

Interventionpercentage of patients analyzed (Number)
0.1 mg BID TC-521414.7
1 mg BID TC-521419.3
4 mg BID TC-521415.3
Placebo23.7

Change in EuroQol - 5 Dimensions (EQ-5D) From Randomization (Week 8) to End of Treatment (Week 16)

A self-assessment questionnaire that provides 2 measures of health status. The EQ-5D index score is a weighted linear combination over 5 dimensions of health status. The score for each of the 5 dimensions can range from 1 to 3, and an equation is used to calculate the EQ-5D index score. The EQ-5D index score can range from possible negative values to a maximum of 1.0. The EQ-VAS is a visual analog scale with a range of 0 to 100. For both variables, a higher score indicates a better health state. (NCT01197508)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

,,,
Interventionunits on a scale (Least Squares Mean)
EQ-5D index scoreEQ-5D VAS score
0.1 mg BID TC-52140.12816.4
1 mg BID TC-52140.13917.0
4 mg BID TC-52140.13315.9
Placebo0.13918.7

"Response in the Clinical Global Impression-Improvement (CGI-I) Defined as CGI-I Rating of Very Much Improved or Much Improved From Randomization (Week 8) to End of Treatment (Week 16)"

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. CGI-I scores >4 indicate worsening, while scores <4 indicate improvement. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionpercentage of participants analyzed (Number)
0.5 mg BID TC-521448.4
2 mg BID TC-521449.4
4 mg BID TC-521437.5
Placebo47.8

Change From Randomization (Week 8) to End of Treatment (Week 16) in Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q LES-Q-SF) Item 16

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) measures the patient's satisfaction with medication and overall quality of life. The 16th item is a global rating of overall life satisfaction and contentment, rated on a 1 to 5 scale. Higher scores are indicative of greater satisfaction. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-52140.6
2 mg BID TC-52140.5
4 mg BID TC-52140.4
Placebo0.5

Change From Randomization (Week 8) to End of Treatment (Week 16) in Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form(Q LES-Q-SF)Item 15

The Q-LES-Q-SF (Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form) measures the patient's satisfaction with medication and overall quality of life. The 15th item queries respondents' satisfaction with the medication they are taking, rated on a 1 to 4 scale, score 0 indicates that no medication was taken. Higher scores are indicative of greater satisfaction. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-52140.3
2 mg BID TC-52140.4
4 mg BID TC-52140.2
Placebo0.4

Change in Depressive Symptoms From Randomization (Week 8) to End of Treatment (Week 16) as Measured by Hamilton Rating Scale for Depression-17 Items (HAMD-17) Total Score

A 17-item, clinician-rated scale that assesses depressive symptoms. The HAMD-17 consists of 17 symptoms, each of which is rated from 0 to 2 or 0 to 4, where 0 is none/absent. The HAMD-17 total score is calculated as the sum of the 17 individual symptom scores; the total score can range from 0 to 52. Higher HAMD-17 scores indicate more severe depression. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-10.1
2 mg BID TC-5214-9.7
4 mg BID TC-5214-9.5
Placebo-9.1

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Family Life/Home Responsibilities Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the SDS family life/home responsibilities domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-1.9
2 mg BID TC-5214-1.8
4 mg BID TC-5214-1.6
Placebo-1.6

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Social Life Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the SDS social life domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-1.9
2 mg BID TC-5214-1.9
4 mg BID TC-5214-1.6
Placebo-1.9

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by SDS Work/School Domain Score

A 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The 3 inter-correlated domains are school/work, social life, and family life/home responsibilities. The numerical rating for the work/school domain score is 0- 10, where 10 is considered to be 'highly impaired'. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-1.7
2 mg BID TC-5214-1.8
4 mg BID TC-5214-1.7
Placebo-1.7

Change in Functional Impairment From Randomization (Week 8) to End of Treatment (Week 16) as Measured by the Sheehan Disability Scale (SDS) Total Score

Sheehan Disability Scale (SDS) is 5-item, self-administered scale that measures the extent a patient is impaired by their disease. Higher scores indicate more severe impairment. The SDS total score is calculated as the sum of the score for the 3 inter-correlated domains (school/work, social life, and family life/home responsibilities) and ranges from 0 (unimpaired) to 30 (highly impaired). (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-5.53
2 mg BID TC-5214-5.45
4 mg BID TC-5214-4.53
Placebo-4.93

Change in Hamilton Anxiety Scale (HAM-A) Total Score From Randomization (Week 8) to End of Treatment (Week 16)

A 14-item clinician-administered scale for the evaluation of anxiety symptoms. Each HAM-A item is rated on a 0 to 4 scale, the total score can range from 0 to 56. Higher HAM-A scores indicate higher levels of anxiety. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-7.07
2 mg BID TC-5214-6.46
4 mg BID TC-5214-6.75
Placebo-6.24

Change in Irritability Symptoms as Measured by the Sheehan Irritability Scale (SIS) Total Score From Randomization (Week 8) to End of Treatment (Week 16)

A self-administered scale to be used by clinical subjects to rate suffering over the past week with regard to irritability symptoms. The total SIS score is the sum of 7 items, and ranges from 0 to 70. Each item is assessed on an 11- point scale where 0=not at all, 1-3=mildly, 4-6=moderately, 7-9=markedly, and 10=extremely. The SIS also records the number of days impaired by irritability. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-10.2
2 mg BID TC-5214-10.1
4 mg BID TC-5214-8.3
Placebo-8.8

Change in MADRS Total Score From Randomization (Week 8) to Week 10

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01153347)
Timeframe: Randomization (Week 8) to Week 10

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-6.3
2 mg BID TC-5214-6.9
4 mg BID TC-5214-7.3
Placebo-7.1

Change in MADRS Total Score From Randomization (Week 8) to Week 12

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01153347)
Timeframe: Randomization (Week 8) to Week 12

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-9.4
2 mg BID TC-5214-9.4
4 mg BID TC-5214-8.9
Placebo-8.5

Change in MADRS Total Score From Randomization (Week 8) to Week 14

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01153347)
Timeframe: Randomization (Week 8) to Week 14

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-11.0
2 mg BID TC-5214-11.3
4 mg BID TC-5214-10.6
Placebo-10.7

Change in MADRS Total Score From Randomization (Week 8) to Week 9

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01153347)
Timeframe: Randomization (Week 8) to Week 9

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-4.0
2 mg BID TC-5214-5.1
4 mg BID TC-5214-4.0
Placebo-5.0

Change in Overall Quality of Life and Satisfaction From Randomization (Week 8) to End of Treatment (Week 16) by Assessing the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) % Maximum Total Score

The Q-LES-Q-SF total score is derived by summing item scores 1 to 14. Higher scores are indicative of greater enjoyment or satisfaction in each domain. The Q-LES-Q-SF % maximum total score is calculated as 100% × (Q-LES-Q-SF total score - 14) / 56, and can range from 0% to 100%. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-521412.81
2 mg BID TC-521411.42
4 mg BID TC-52148.83
Placebo10.71

Change in the Clinician-rated Global Outcome of Severity as Measured by the Clinical Global Impression-Severity (CGI-S) Score From Randomization (Week 8) to End of Treatment (Week 16)

A 3-part, clinician-administered scale that rates the improvement or worsening of the patient's illness from randomization (baseline). Each item is scored on a 1 to 7 scale. Higher CGI-S scores indicate greater illness severity. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-1.3
2 mg BID TC-5214-1.3
4 mg BID TC-5214-1.2
Placebo-1.2

Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment.

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionunits on a scale (Least Squares Mean)
0.5 mg BID TC-5214-12.1
2 mg BID TC-5214-11.8
4 mg BID TC-5214-11.3
Placebo-11.2

Early and Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 10, Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score and a MADRS total score of ≤12 at Week 10, Week 12, Week 14, and end of treatment (Week 16) was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16); Week 10, Week 12, Week 14, and Week 16

Interventionpercentage of participants analyzed (Number)
0.5 mg BID TC-52148.8
2 mg BID TC-52147.8
4 mg BID TC-52148.3
Placebo8.5

Remission in Depressive Symptoms of MDD, Defined as MADRS Total Score of ≤8 at End of Treatment (Week 16)

"The percentage of patients with a MADRS total score of ≤8 at end of treatment (Week 16) was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01153347)
Timeframe: Week 16

Interventionpercentage of participants analyzed (Number)
0.5 mg BID TC-521429.0
2 mg BID TC-521426.9
4 mg BID TC-521423.7
Placebo29.9

Response in Depressive Symptoms of Major Depressive Disorder (MDD), Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score at End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score at end of treatment (Week 16) was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

Interventionpercentage of participants analyzed (Number)
0.5 mg BID TC-521443.9
2 mg BID TC-521439.7
4 mg BID TC-521438.8
Placebo42.7

Sustained Remission, Defined as a MADRS Total Score of ≤8 at Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a MADRS total score of ≤8 at Week 12, Week 14, and end of treatment (Week 16)was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01153347)
Timeframe: Week 12, Week 14, Week 16

Interventionpercentage of participants analyzed (Number)
0.5 mg BID TC-521410.3
2 mg BID TC-521412.7
4 mg BID TC-52147.6
Placebo9.2

Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 12, Week 14, and End of Treatment (Week 16)

"The percentage of patients with a ≥50% reduction from randomization (Week 8) in MADRS total score and a MADRS total score of ≤12 at Week 12, Week 14, and end of treatment (Week 16) was calculated.~A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms." (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16); Week 12, Week 14, and Week 16

Interventionpercentage of patients analyzed (Number)
0.5 mg BID TC-521415.9
2 mg BID TC-521418.7
4 mg BID TC-521414.0
Placebo15.9

Change in EuroQol - 5 Dimensions (EQ-5D) From Randomization (Week 8) to End of Treatment (Week 16)

A self-assessment questionnaire that provides 2 measures of health status. The EQ-5D index score is a weighted linear combination over 5 dimensions of health status. The score for each of the 5 dimensions can range from 1 to 3, and an equation is used to calculate the EQ-5D index score. The EQ-5D index score can range from possible negative values (minimum -0.415) to a maximum of 1.0. The EQ-VAS is a visual analog scale with a range of 0 to 100. For both variables, a higher score indicates a better health state. (NCT01153347)
Timeframe: Randomization (Week 8) to end of treatment (Week 16)

,,,
Interventionunits on a scale (Least Squares Mean)
EQ-5D index scoreEQ-5D VAS score
0.5 mg BID TC-52140.11413.4
2 mg BID TC-52140.10712.9
4 mg BID TC-52140.10610.3
Placebo0.12011.5

Trials

6 trials available for mecamylamine and Depressive Disorder, Major

ArticleYear
Efficacy and tolerability of flexibly-dosed adjunct TC-5214 (dexmecamylamine) in patients with major depressive disorder and inadequate response to prior antidepressant.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2014, Volume: 24, Issue:4

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Cohort Studies; Depressive Disorder, Major; Diagnost

2014
Efficacy and tolerability of flexibly-dosed adjunct TC-5214 (dexmecamylamine) in patients with major depressive disorder and inadequate response to prior antidepressant.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2014, Volume: 24, Issue:4

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Cohort Studies; Depressive Disorder, Major; Diagnost

2014
Efficacy and tolerability of flexibly-dosed adjunct TC-5214 (dexmecamylamine) in patients with major depressive disorder and inadequate response to prior antidepressant.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2014, Volume: 24, Issue:4

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Cohort Studies; Depressive Disorder, Major; Diagnost

2014
Efficacy and tolerability of flexibly-dosed adjunct TC-5214 (dexmecamylamine) in patients with major depressive disorder and inadequate response to prior antidepressant.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2014, Volume: 24, Issue:4

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Cohort Studies; Depressive Disorder, Major; Diagnost

2014
Safety and tolerability of dexmecamylamine (TC-5214) adjunct to ongoing antidepressant therapy in patients with major depressive disorder and an inadequate response to antidepressant therapy: results of a long-term study.
    Journal of clinical psychopharmacology, 2015, Volume: 35, Issue:1

    Topics: Adult; Antidepressive Agents; Constipation; Depressive Disorder, Major; Dizziness; Double-Blind Meth

2015
Two Phase III randomised double-blind studies of fixed-dose TC-5214 (dexmecamylamine) adjunct to ongoing antidepressant therapy in patients with major depressive disorder and an inadequate response to prior antidepressant therapy.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2015, Volume: 16, Issue:7

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Citalopram; Depressive Disorder, Major; Depressive D

2015
Two Phase III randomised double-blind studies of fixed-dose TC-5214 (dexmecamylamine) adjunct to ongoing antidepressant therapy in patients with major depressive disorder and an inadequate response to prior antidepressant therapy.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2015, Volume: 16, Issue:7

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Citalopram; Depressive Disorder, Major; Depressive D

2015
Two Phase III randomised double-blind studies of fixed-dose TC-5214 (dexmecamylamine) adjunct to ongoing antidepressant therapy in patients with major depressive disorder and an inadequate response to prior antidepressant therapy.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2015, Volume: 16, Issue:7

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Citalopram; Depressive Disorder, Major; Depressive D

2015
Two Phase III randomised double-blind studies of fixed-dose TC-5214 (dexmecamylamine) adjunct to ongoing antidepressant therapy in patients with major depressive disorder and an inadequate response to prior antidepressant therapy.
    The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2015, Volume: 16, Issue:7

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Citalopram; Depressive Disorder, Major; Depressive D

2015
(S)-(+)-mecamylamine (TC-5214): a neuronal nicotinic receptor modulator enters phase III trials as an adjunct treatment for Major Depressive Disorder (MDD).
    ACS chemical neuroscience, 2010, Aug-18, Volume: 1, Issue:8

    Topics: Animals; Antidepressive Agents; Citalopram; Clinical Trials, Phase III as Topic; Depressive Disorder

2010
Neuronal nicotinic receptor inhibition for treating mood disorders: preliminary controlled evidence with mecamylamine.
    Depression and anxiety, 2002, Volume: 16, Issue:3

    Topics: Adolescent; Attention Deficit Disorder with Hyperactivity; Child; Depressive Disorder, Major; Double

2002
Nicotinic antagonist augmentation of selective serotonin reuptake inhibitor-refractory major depressive disorder: a preliminary study.
    Journal of clinical psychopharmacology, 2008, Volume: 28, Issue:3

    Topics: Adult; Depressive Disorder, Major; Drug Resistance; Drug Therapy, Combination; Female; Follow-Up Stu

2008