Page last updated: 2024-10-30

mecamylamine and Fatigue

mecamylamine has been researched along with Fatigue in 1 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.

Fatigue: The state of weariness following a period of exertion, mental or physical, characterized by a decreased capacity for work and reduced efficiency to respond to stimuli.

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 (1)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Tummala, R1
Desai, D1
Szamosi, J1
Wilson, E1
Hosford, D1
Dunbar, G1
Eriksson, H1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

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

Trials

1 trial available for mecamylamine and Fatigue

ArticleYear
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