Major Depressive Disorder (MDD) MedDRA version: 14.1 Level: LLT Classification code 10025454 Term: Major depressive disorder, recurrent episode System Organ Class: 100000004873
Conditions
Sponsors
Otsuka Pharmaceutical Development & Commercialization, Inc.
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Subjects are required to meet the following inclusion criteria: 1. Subjects who are able to provide written informed consent and/or consent obtained from a legally acceptable representative (as required by IRB/IEC) prior to the initiation of any protocol-required procedures. 2. Ability, in the opinion of the principal investigator, to understand the nature of the trial and follow protocol requirements, including the prescribed dosage regimens, tablet/capsule ingestion, and discontinuation of prohibited concomitant medication; to read and understand the written word in order to complete subject-reported outcomes measures; and to be reliably rated on assessment scales. 3. 331-10-227 and 331-10-228 Subjects Only - Subjects who, in the opinion of the investigator, could potentially benefit from administration of OPC-34712 as adjunctive therapy to their antidepressant therapy and who meet one of the following criteria: a) Subjects who completed participation in the Double-blind Randomization Phase (ie, Week 14 visit of Phase B) in Trial 331-10-227 or Trial 331-10-228 or b) Subjects who continued into Phase A+ at the end of prospective treatment (ie, Week 8 visit of Phase A) in Trial 331-10-227 or Trial 331-10-228, BUT DID NOT meet criteria for remission (defined as a MADRS Total Score of = 10) at the Week 14 visit of Phase A+ in Trial 331-10- 227 or Trial 331-10-228. 4. Eligible Subjects From Other Double-Blind Phase 3 Brexpiprazole MDD Trials: Subjects who completed the last scheduled visit of the prior double-blind phase 3 trial, and who in the opinion of the investigator, could potentially benefit from administration of brexpiprazole as adjunctive therapy to their antidepressant therapy. 5. Male and female outpatients 18 to 65 years of age, inclusive, at the time of informed consent for Trial 331-10-238. 6. Subjects willing to discontinue all prohibited psychotropic medications starting from the time of signing the ICF and during the trial period. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 2880 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 120
Exclusion criteria
Exclusion criteria: For full details on exclusion criteria please refer to Section 3.4.3 of the trial protocol. Subjects will be excluded if they meet any of the following selected exclusion criteria: 1. Sexually active females of childbearing potential and male subjects who are not practicing two different methods of birth control with their partner during the trial and for 30 days after the last dose of trial medication or who will not remain abstinent during the trial and for 30 days after the last dose. 2. Females who are breast-feeding and/or who have a positive pregnancy test result prior to receiving open-label OPC-34712 in Trial 331-10-238. 3. Subjects with a major protocol violation during the course of their participation in the prior double-blind phase 3 trial. 4. Subjects who have received ECT for the current depressive episode. 5. Subjects who have had an inadequate response to ECT at any time in the past or who have had a vagus nerve stimulation or deep brain stimulation device implanted for management of treatment resistant depression. 6. Subjects with a current need for involuntary commitment or who have been hospitalized during the prior double-blind phase 3 trial for the current major depressive episode. 7. Subjects with a current Axis I (DSM-IV-TR) diagnosis of: • Delirium, dementia, amnestic or other cognitive disorder • Schizophrenia, schizoaffective disorder, or other psychotic disorder • Bipolar I or II disorder • Eating disorder (including anorexia nervosa or bulimia) • Obsessive compulsive disorder • Panic disorder • Post-traumatic stress disorder 8. Subjects with a current Axis II (DSM-IV-TR) diagnosis of borderline, antisocial, paranoid, schizoid, schizotypal or histrionic personality disorder. 9. Subjects experiencing hallucinations, delusions or any psychotic symptomatology in the current depressive episode. 10. Subjects receiving new onset psychotherapy (individual, group, marriage, or family therapy) during the prior double-blind phase 3 trial. 11. Prisoners or subjects who are compulsorily detained (involuntarily incarcerated) for treatment of either a psychiatric or physical (eg, infectious disease) illness must not be enrolled into this trial. 12. Any subject who, in the opinion of the investigator, should not participate in the trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the long-term safety and tolerability of oral OPC-34712 as adjunctive therapy in the treatment of adults with MDD.;Secondary Objective: To assess the long-term efficacy of oral OPC-34712 as adjunctive therapy in the treatment of adults with MDD.;Primary end point(s): The primary outcome variable is the safety and tolerability of OPC-34712 which will be assessed by examining the frequency and severity of adverse events (AEs).;Timepoint(s) of evaluation of this end point: The primary endpoint will be evaluated using data collected throughout by trial week and at the last visit (week 52/early termination). The final evaluation of the data will be completed following the last visit of the last patient enrolled on the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Efficacy variables will be as follows: • Change from baseline in Clinical Global Impression - Severity of Illness scale (CGI-S) score; • Mean Clinical Global Impression - Improvement scale (CGI-I) score; • Change from baseline in Sheehan Disability Scale (SDS) score. • Change from baseline in the Inventory of Depressive Symptomatology (Self-Report) (IDS-SR) Total Score Safety variables to be examined in this trial will include physical examinations, vital signs, body weight, waist circumference, clinical laboratory tests (hematology, serum chemistry, urinalysis, and pregnancy tests), ECGs, the Simpson Angus Scale (SAS), the Abnormal Involuntary Movement Scale (AIMS), the Barnes Akathisia Rating Scale (BARS), the Columbia-Suicide Severity Rating Scale (C-SSRS), and the Massachusetts General Hospital Sexual Functioning Questionnaire (MSFQ).;Timepoint(s) of evaluation of this end point: The secondary endpoints will be evaluated using data collected throughout by trial week and at the last visit (week 52/early termination). The final evaluation of the data will be completed following the last visit of the last patient enrolled on the study. | — |
Countries
Canada, Czech Republic, France, Germany, Hungary, Poland, Romania, Russian Federation, Slovakia, Ukraine, United States
Contacts
Public ContactRegulatory Project Manager
INC Research France SAS
Outcome results
None listed