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A Study of Different Titration Schedules of ALKS 5461 in Adults With Major Depressive Disorder (MDD)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02085135
Recruitment Status : Completed
First Posted : March 12, 2014
Results First Posted : March 27, 2019
Last Update Posted : August 14, 2019
Sponsor:
Information provided by (Responsible Party):
Alkermes, Inc.

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Condition Major Depressive Disorder
Intervention Drug: ALKS 5461
Enrollment 66
Recruitment Details Subjects were diagnosed with major depressive disorder (MDD) and had an inadequate response to 1 or 2 adequate courses of treatment with a commercially available antidepressant therapy (ADT) during the current major depressive episode (MDE). All subjects continued ADT for the duration of the study.
Pre-assignment Details  
Arm/Group Title 1-Week Titration 2-Week Titration
Hide Arm/Group Description ALKS 5461: Sublingual tablet taken once daily in ascending doses over a 1-week titration period ALKS 5461: Sublingual tablet taken once daily in ascending doses over a 2-week titration period
Period Title: Overall Study
Started 34 32
Completed 23 23
Not Completed 11 9
Reason Not Completed
Adverse Event             4             7
Lost to Follow-up             2             2
Withdrawal by Subject             3             0
Lack of Efficacy             2             0
Arm/Group Title 1-Week Titration 2-Week Titration Total
Hide Arm/Group Description ALKS 5461: Sublingual tablet taken once daily in ascending doses over a 1-week titration period ALKS 5461: Sublingual tablet taken once daily in ascending doses over a 2-week titration period Total of all reporting groups
Overall Number of Baseline Participants 34 32 66
Hide Baseline Analysis Population Description
All subjects who received at least 1 dose of study drug
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 34 participants 32 participants 66 participants
48.7  (12.6) 50.8  (11.3) 49.7  (53)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 34 participants 32 participants 66 participants
Female
20
  58.8%
21
  65.6%
41
  62.1%
Male
14
  41.2%
11
  34.4%
25
  37.9%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 34 participants 32 participants 66 participants
Hispanic or Latino
2
   5.9%
5
  15.6%
7
  10.6%
Not Hispanic or Latino
32
  94.1%
27
  84.4%
59
  89.4%
Unknown or Not Reported
0
   0.0%
0
   0.0%
0
   0.0%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 34 participants 32 participants 66 participants
American Indian or Alaska Native
1
   2.9%
1
   3.1%
2
   3.0%
Asian
0
   0.0%
1
   3.1%
1
   1.5%
Native Hawaiian or Other Pacific Islander
0
   0.0%
1
   3.1%
1
   1.5%
Black or African American
8
  23.5%
6
  18.8%
14
  21.2%
White
24
  70.6%
23
  71.9%
47
  71.2%
More than one race
0
   0.0%
0
   0.0%
0
   0.0%
Unknown or Not Reported
1
   2.9%
0
   0.0%
1
   1.5%
Region of Enrollment  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 34 participants 32 participants 66 participants
Canada
1
   2.9%
0
   0.0%
1
   1.5%
United States
33
  97.1%
32
 100.0%
65
  98.5%
1.Primary Outcome
Title Number of Subjects With Adverse Events (AEs)
Hide Description [Not Specified]
Time Frame 8 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
Number of subjects who received at least 1 dose of study drug.
Arm/Group Title 1-Week Titration 2-Week Titration
Hide Arm/Group Description:
ALKS 5461: Sublingual tablet taken once daily in ascending doses over a 1-week titration period
ALKS 5461: Sublingual tablet taken once daily in ascending doses over a 2-week titration period
Overall Number of Participants Analyzed 34 32
Measure Type: Count of Participants
Unit of Measure: Participants
27
  79.4%
28
  87.5%
Time Frame Up to 8 weeks
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title 1-Week Titration 2-Week Titration
Hide Arm/Group Description ALKS 5461: Sublingual tablet taken once daily in ascending doses over a 1-week titration period ALKS 5461: Sublingual tablet taken once daily in ascending doses over a 2-week titration period
All-Cause Mortality
1-Week Titration 2-Week Titration
Affected / at Risk (%) Affected / at Risk (%)
Total   0/34 (0.00%)      0/32 (0.00%)    
Hide Serious Adverse Events
1-Week Titration 2-Week Titration
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   0/34 (0.00%)      0/32 (0.00%)    
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
1-Week Titration 2-Week Titration
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   23/34 (67.65%)      28/32 (87.50%)    
Gastrointestinal disorders     
Constipation * 1  6/34 (17.65%)  6 11/32 (34.38%)  12
Nausea * 1  9/34 (26.47%)  14 7/32 (21.88%)  7
Dry Mouth * 1  3/34 (8.82%)  3 8/32 (25.00%)  8
Vomiting * 1  7/34 (20.59%)  7 1/32 (3.13%)  1
Abdominal Pain * 1  2/34 (5.88%)  2 0/32 (0.00%)  0
Diarrhoea * 1  2/34 (5.88%)  2 0/32 (0.00%)  0
General disorders     
Fatigue * 1  6/34 (17.65%)  6 1/32 (3.13%)  1
Irritability * 1  0/34 (0.00%)  0 2/32 (6.25%)  2
Infections and infestations     
Influenza * 1  0/34 (0.00%)  0 2/32 (6.25%)  2
Metabolism and nutrition disorders     
Decreased appetite * 1  2/34 (5.88%)  2 2/32 (6.25%)  3
Nervous system disorders     
Headache * 1  5/34 (14.71%)  12 4/32 (12.50%)  4
Somnolence * 1  3/34 (8.82%)  3 5/32 (15.63%)  7
Dizziness * 1  3/34 (8.82%)  3 2/32 (6.25%)  2
Dysgeusia * 1  4/34 (11.76%)  4 1/32 (3.13%)  1
Sedation * 1  0/34 (0.00%)  0 4/32 (12.50%)  4
Psychiatric disorders     
Insomnia * 1  4/34 (11.76%)  4 4/32 (12.50%)  4
1
Term from vocabulary, MedDRA (16.1)
*
Indicates events were collected by non-systematic assessment
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Should an Investigator desire to disclose study results, Sponsor will review the results disclosure prior to public release and can embargo the disclosure for a period of at least 60 days. Revisions to the disclosure will be negotiated in good faith. For a multicenter study the Investigators agree to publish/publicly present the results together with the other sites for the 12 month period after study results are available unless Sponsor grants written permission in advance.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Eva Stroynowski
Organization: Alkermes
Phone: 781-609-7000
EMail: eva.stroynowski@alkermes.com
Layout table for additonal information
Responsible Party: Alkermes, Inc.
ClinicalTrials.gov Identifier: NCT02085135    
Other Study ID Numbers: ALK5461-210
First Submitted: March 7, 2014
First Posted: March 12, 2014
Results First Submitted: March 1, 2019
Results First Posted: March 27, 2019
Last Update Posted: August 14, 2019