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Duloxetine Versus Placebo in the Prevention of Recurrence of Major Depressive Disorder

Duloxetine Versus Placebo in the Prevention of Recurrence of Major Depressive Disorder

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00105989
Enrollment
514
Registered
2005-03-21
Start date
2005-03-31
Completion date
2008-01-31
Last updated
2009-07-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Depressive Disorder, Major

Brief summary

The purpose of this study is to assess the efficacy and safety of duloxetine compared with placebo in the prevention of depressive recurrences among patients with recurrent major depressive disorder.

Interventions

DRUGDuloxetine
DRUGplacebo

Sponsors

Boehringer Ingelheim
CollaboratorINDUSTRY
Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patient must be at least 18 years old. * Patient must be diagnosed with depression and have had previous episodes of depression. * Patient must sign informed consent.

Exclusion criteria

* Female and pregnant or breastfeeding. * History of bipolar disorder, schizophrenia, or other psychotic disorders. * Suffer from a serious medical illness (other than depression) or abnormal laboratory result that would require a change in medication, intervention, or hospitalization. * Have been treated with a medication called monoamine oxidase inhibitor (MAOI) within 14 days of the start of the study, or potential need to use a MAOI within 5 days of finishing the study. * Have taken an antidepressant called fluoxetine within 30 days of the start of the study.

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With Depressive Recurrence After Time (t) in DaysEvery Visit from Week 34 up to Week 86 (Maintenance Phase)Recurrence: Clinical Global Impression-Severity (CGI-S) score \>=4 and met Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depressive disorder (MDD); had 3 consecutive visits where re-emergence criteria met; had total of 10 visits where re-emergence criteria was satisfied; discontinued due to lack of efficacy.

Secondary

MeasureTime frameDescription
Percentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in DaysEvery Visit from Week 34 up to Week 86 (Maintenance Phase)Worsening occurs if patient had a \>=50% increase from baseline on the 17-Item Hamilton Depression Rating Scale (HAMD-17) total score and a Clinical Global Impression-Severity (CGI-S) score \>=3 at any time during the double-blind maintenance therapy phase.
Loss of Response at Any TimeEvery Visit from Week 35 up to Week 86 (Maintenance Phase)Loss of response was defined as a HAMD-17 total score \>9 and a CGI-Severity score \>2 at any one time during the double-blind maintenance phase of the study regardless of whether or not they subsequently regained response or not.
Change From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe).
Change From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (absent, mild, moderate, severe, very severe) or a 3-point scale (absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe).
Change From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).
Change From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients.
Mean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Acute and Continuation PhasesWeek 10 (Acute) and Week 34 (Continuation)A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse).
Mean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Maintenance PhaseWeek 86 (Maintenance Phase)A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse).
Change From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)Core and Maier subscales assess symptoms of depression (scores:0-20=Core; 0-24=Maier). Higher numbers indicate more severe symptoms. Anxiety/Somatization subscale assesses severity of anxiety (0-18). Retardation subscale assesses dysfunction in mood and work (0-14). Sleep subscale assesses insomnia (0-6). Depressed Mood Item (0-4).
Change From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)Core and Maier subscales assess symptoms of depression (scores:0-20=Core; 0-24=Maier). Higher numbers indicate more severe symptoms. Anxiety/Somatization subscale assesses severity of anxiety (0-18). Retardation subscale assesses dysfunction in mood and work (0-14). Sleep subscale assesses insomnia (0-6). Depressed Mood item (0-4).
Change From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseWeek 0 and Week 10 (Acute) and Week 34 (Continuation)VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 100 millimeter (mm) line between two anchors (0 = no pain and 100 = very severe pain).
Change From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 100 millimeter (mm) line between two anchors (0 = no pain and 100 = very severe pain).
Change From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)The Somatic subscale consists of 23 items to be completed by the patient that focus on somatic symptoms. Question answers are either yes/no or true/false. Negative response is scored at 1; positive response is scored as 0. Total Somatic subscale scores range from 0-23, where higher scores indicate greater symptom severity.
Change From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)The Somatic subscale consists of 23 items to be completed by the patient that focus on somatic symptoms. Question answers are either yes/no or true/false. Negative response is scored at 1; positive response is scored as 0. Total Somatic subscale scores range from 0-23, where higher scores indicate greater symptom severity.
Change From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total (Global) scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. Individual Item scores range from 0 to 10.
Change From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total (Global) scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. Individual Item scores range from 0 to 10.
Change From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseWeek 0 and Week 10 (Acute) and Week 34 (Continuation)Assesses general quality of life. 36 questions covering 8 health domains. Each subscale is scored by summing the individual items and transforming scores into a 0-100 scale, with higher scores indicating better health status or functioning.
Change From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)Assesses general quality of life. 36 questions covering 8 health domains. Each subscale is scored by summing the individual items and transforming scores into a 0-100 scale, with higher scores indicating better health status or functioning.
Resource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesWeek 0 through Week10 (Acute) through Week 34 (Continuation)Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.
Resource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhaseWeek 34 through Week 86 (Maintenance Phase)Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.
Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.
Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.
Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Acute and Continuation PhaseWeek 0 and Week 10 (Acute) and Week 34 (Continuation)Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.
Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.
Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Week 0 and Week 10 (Acute) and Week 34 (Continuation)A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30.
Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Week 0 and Week 10 (Acute) and Week 34 (Continuation)A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30.
Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30.
Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30.
Vital Signs - Change From Baseline to Endpoint in Weight - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)
Vital Signs - Change From Baseline to Endpoint in Weight - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)
Vital Signs - Change From Baseline to Endpoint in Pulse - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)
Vital Signs - Change From Baseline to Endpoint in Pulse - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)
Vital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesWeek 0 and Week 10 (Acute) and Week 34 (Continuation)
Vital Signs - Change From Baseline to Endpoint in Blood Pressure - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Chloride - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Eosinophils - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Platelet Count - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Sodium - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Erythrocyte Count - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Uric Acid - Acute PhaseWeek 0 and Week 10
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bicarbonate, HCO3 - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Direct - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Total - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Leukocyte Count - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Low Density Lipoprotein (LDL) Cholesterol (Direct) - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Hemoglobin - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Recurrence CountEvery Visit from Week 35 up to Week 86 (Maintenance Phase)Number of participants who experienced a depressive recurrence at any time during the double-blind maintenance therapy phase.
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Monocytes - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Alanine Aminotransferase (ALT) - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseWeek 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)
Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseEvery Visit from Week 0 up to Week 10 (Acute)
Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseEvery Visit from Week 10 up to Week 34 (Continuation)
Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Volume (MCV) - Continuation PhaseWeek 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Countries

France, Germany, Italy, Russia, Sweden, United States

Participant flow

Pre-assignment details

The Acute - Open Label (Week 0-10) participants were reported in the Baseline Characteristics section of this results record.

Participants by arm

ArmCount
Duloxetine
duloxetine 60-120 mg QD
514
Total514

Withdrawals & dropouts

PeriodReasonFG000FG001
Acute - Open Label: Week 0-10Adverse Event330
Acute - Open Label: Week 0-10Death10
Acute - Open Label: Week 0-10Lack of Efficacy170
Acute - Open Label: Week 0-10Lost to Follow-up40
Acute - Open Label: Week 0-10Physician Decision00
Acute - Open Label: Week 0-10Protocol Response Criteria Not Met140
Acute - Open Label: Week 0-10Protocol Violation80
Acute - Open Label: Week 0-10Recurrence Criteria Met00
Acute - Open Label: Week 0-10Unspecified - no reason reported00
Acute - Open Label: Week 0-10Withdrawal by Subject240
Continuation - Open Label:Week 10-34Adverse Event250
Continuation - Open Label:Week 10-34Death00
Continuation - Open Label:Week 10-34Lack of Efficacy150
Continuation - Open Label:Week 10-34Lost to Follow-up90
Continuation - Open Label:Week 10-34Physician Decision30
Continuation - Open Label:Week 10-34Protocol Response Criteria Not Met160
Continuation - Open Label:Week 10-34Protocol Violation50
Continuation - Open Label:Week 10-34Recurrence Criteria Met20
Continuation - Open Label:Week 10-34Unspecified - no reason reported00
Continuation - Open Label:Week 10-34Withdrawal by Subject500
Maintenance - Double-Blind:Week 34-86Adverse Event63
Maintenance - Double-Blind:Week 34-86Death00
Maintenance - Double-Blind:Week 34-86Lack of Efficacy00
Maintenance - Double-Blind:Week 34-86Lost to Follow-up40
Maintenance - Double-Blind:Week 34-86Physician Decision41
Maintenance - Double-Blind:Week 34-86Protocol Response Criteria Not Met00
Maintenance - Double-Blind:Week 34-86Protocol Violation54
Maintenance - Double-Blind:Week 34-86Recurrence Criteria Met1443
Maintenance - Double-Blind:Week 34-86Unspecified - no reason reported00
Maintenance - Double-Blind:Week 34-86Withdrawal by Subject1718

Baseline characteristics

CharacteristicDuloxetine
17-item Hamilton Depression Rating Scale (HAMD-17) Total Score23.07 units on a scale
STANDARD_DEVIATION 3.57
Age at First Episode33.16 years
STANDARD_DEVIATION 13.38
Age Continuous47.6 years
STANDARD_DEVIATION 13.3
Clinical Global Impressions - Severity (CGI-S) Total Score4.49 units on a scale
STANDARD_DEVIATION 0.6
Duration of Current Episode4.02 months
STANDARD_DEVIATION 4.65
Duration of Last Episode6.14 months
STANDARD_DEVIATION 5.29
Height167.6 centimeters
STANDARD_DEVIATION 9.23
Number of Previous Episodes4.22 previous episodes
STANDARD_DEVIATION 3.48
Race/Ethnicity
African
3 participants
Race/Ethnicity
Caucasian
504 participants
Race/Ethnicity
East Asian
1 participants
Race/Ethnicity
Hispanic
5 participants
Race/Ethnicity
South Asian
1 participants
Region of Enrollment
France
65 participants
Region of Enrollment
Germany
161 participants
Region of Enrollment
Italy
73 participants
Region of Enrollment
Russian Federation
99 participants
Region of Enrollment
Sweden
55 participants
Region of Enrollment
United States
61 participants
Sex: Female, Male
Female
359 Participants
Sex: Female, Male
Male
155 Participants
Time Interval Between Episodes8.38 months
STANDARD_DEVIATION 6.78
Weight74.7 kilograms
STANDARD_DEVIATION 16.1

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
105 / —51 / —36 / —26 / —
serious
Total, serious adverse events
5 / —5 / —3 / —4 / —

Outcome results

Primary

Percentage of Participants With Depressive Recurrence After Time (t) in Days

Recurrence: Clinical Global Impression-Severity (CGI-S) score \>=4 and met Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depressive disorder (MDD); had 3 consecutive visits where re-emergence criteria met; had total of 10 visits where re-emergence criteria was satisfied; discontinued due to lack of efficacy.

Time frame: Every Visit from Week 34 up to Week 86 (Maintenance Phase)

Population: All randomized patients. Intent to Treat analysis.

ArmMeasureGroupValue (NUMBER)
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=7 days (N=145, N=139)0.68 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=14 days (N=143, N=138)1.37 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=21 days (N=141, N=137)1.37 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=28 days (N=140, N=135)2.07 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=56 days (N=136, N=120)4.19 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=84 days (N=131, N=106)6.33 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=112 days (N=122, N=96)8.58 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=140 days (N=119, N=89)9.34 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=168 days (N=115, N=86)10.89 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=196 days (N=111, N=86)11.69 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=224 days (N=108, N=85)12.50 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=252 days (N=105, N=82)13.32 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=280 days (N=99, N=77)13.32 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=308 days (N=96, N=75)13.32 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=336 days (N=95, N=74)14.23 percentage of participants
DuloxetinePercentage of Participants With Depressive Recurrence After Time (t) in Dayst=364 days (N=93, N=73)16.03 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=364 days (N=93, N=73)35.74 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=7 days (N=145, N=139)2.11 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=168 days (N=115, N=86)28.98 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=14 days (N=143, N=138)2.11 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=280 days (N=99, N=77)34.00 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=21 days (N=141, N=137)2.82 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=196 days (N=111, N=86)28.98 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=28 days (N=140, N=135)3.54 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=336 days (N=95, N=74)34.86 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=56 days (N=136, N=120)12.97 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=224 days (N=108, N=85)29.80 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=84 days (N=131, N=106)21.15 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=308 days (N=96, N=75)34.86 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=112 days (N=122, N=96)25.79 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=252 days (N=105, N=82)32.28 percentage of participants
PlaceboPercentage of Participants With Depressive Recurrence After Time (t) in Dayst=140 days (N=119, N=89)28.98 percentage of participants
Comparison: A total of 257 randomized patients (randomly assigned with equal probability to the two treatment groups) were needed to have 90% power to detect 40% versus 20% recurrence rates over 52 weeks, using a log rank test at a two-sided significance level of .05.p-value: <0.001Log Rank
Secondary

Change From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Acute and Continuation Phases

The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (e.g. absent, mild, moderate, severe, very severe) or a 3-point scale (e.g. absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe).

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Acute and Continuation PhasesBaseline23.07 units on a scaleStandard Deviation 3.55
DuloxetineChange From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Acute and Continuation PhasesChange from Baseline to Endpoint-14.37 units on a scaleStandard Deviation 6.03
PlaceboChange From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Acute and Continuation PhasesBaseline6.64 units on a scaleStandard Deviation 2.06
PlaceboChange From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Acute and Continuation PhasesChange from Baseline to Endpoint-0.61 units on a scaleStandard Deviation 5.09
p-value: <0.001t-test, 2 sided
p-value: 0.016t-test, 2 sided
Secondary

Change From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Maintenance Phase

The 17-item HAMD measures depression severity. Each item was evaluated and scored using either a 5-point scale (absent, mild, moderate, severe, very severe) or a 3-point scale (absent, mild, marked). The total score of HAMD-17 may range from 0 (normal) to 52 (severe).

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with a baseline and at least one non-missing post-baseline measurement. Intent to Treat analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Maintenance Phase1.40 units on a scaleStandard Error 0.53
PlaceboChange From Baseline to Endpoint in 17-Item Hamilton Depression Rating Scale (HAMD-17) Total Score - Maintenance Phase4.36 units on a scaleStandard Error 0.57
p-value: <0.001t-test, 2 sided
Secondary

Change From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation Phase

Assesses general quality of life. 36 questions covering 8 health domains. Each subscale is scored by summing the individual items and transforming scores into a 0-100 scale, with higher scores indicating better health status or functioning.

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseBodily Pain Baseline (N=460,N=377)6.83 units on a scaleStandard Deviation 2.45
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhasePhysical Component Summary Change to Endpoint3.86 units on a scaleStandard Deviation 8.66
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseMental Component Summary Baseline (N=455,N=377)23.93 units on a scaleStandard Deviation 8.76
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseMental Component Summary Change to Endpoint14.67 units on a scaleStandard Deviation 11.77
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhasePhysical Functioning Baseline (N=457,N=377)23.59 units on a scaleStandard Deviation 4.75
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhasePhysical Functioning Change to Endpoint2.39 units on a scaleStandard Deviation 4.4
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhasePhysical Component Summary Baseline (N=455,N=377)43.55 units on a scaleStandard Deviation 9.46
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseBodily Pain Change from Baseline to Endpoint1.61 units on a scaleStandard Deviation 2.5
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRole Limitations:Physical Baseline (N=457,N=377)5.24 units on a scaleStandard Deviation 1.47
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRole Limitations:Physical Change to Endpoint1.06 units on a scaleStandard Deviation 1.78
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRole Limitations:Emotional Baseline (N=456,N=377)3.42 units on a scaleStandard Deviation 0.8
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRole Limitations:Emotional Change to Endpoint1.11 units on a scaleStandard Deviation 1.31
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseGeneral Health Perceptions Baseline(N=456,N=377)13.66 units on a scaleStandard Deviation 3.62
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseGeneral Health Perceptions Change to Endpoint2.93 units on a scaleStandard Deviation 3.74
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseMental Health Baseline (N=456,N=377)12.62 units on a scaleStandard Deviation 4.13
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseMental Health Change from Baseline to Endpoint6.45 units on a scaleStandard Deviation 5.31
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseSocial Function Baseline (N=460,N=377)4.77 units on a scaleStandard Deviation 1.74
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseSocial Function Change from Baseline to Endpoint2.12 units on a scaleStandard Deviation 2.04
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseVitality Baseline (N=457,N=377)8.85 units on a scaleStandard Deviation 3.26
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseVitality Change from Baseline to Endpoint4.51 units on a scaleStandard Deviation 4.22
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRate Current Health Baseline (N=460,N=377)3.88 units on a scaleStandard Deviation 0.85
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRate Current Health Change to Endpoint-0.72 units on a scaleStandard Deviation 0.95
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseHealth Compared to Year Ago Baseline (N=460,N=377)3.67 units on a scaleStandard Deviation 0.99
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseHealth Compared to Year Ago Change to Endpoint-1.18 units on a scaleStandard Deviation 1.28
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseHealth Compared to Year Ago Baseline (N=460,N=377)2.37 units on a scaleStandard Deviation 1.05
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhasePhysical Component Summary Baseline (N=455,N=377)48.05 units on a scaleStandard Deviation 8.65
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseGeneral Health Perceptions Baseline(N=456,N=377)17.03 units on a scaleStandard Deviation 3.8
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhasePhysical Component Summary Change to Endpoint0.03 units on a scaleStandard Deviation 7.63
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseVitality Baseline (N=457,N=377)13.84 units on a scaleStandard Deviation 3.79
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseMental Component Summary Baseline (N=455,N=377)39.83 units on a scaleStandard Deviation 10.68
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseGeneral Health Perceptions Change to Endpoint0.58 units on a scaleStandard Deviation 3.52
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseMental Component Summary Change to Endpoint3.98 units on a scaleStandard Deviation 12.63
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRate Current Health Change to Endpoint-0.01 units on a scaleStandard Deviation 0.88
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhasePhysical Functioning Baseline (N=457,N=377)26.28 units on a scaleStandard Deviation 4.05
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseMental Health Baseline (N=456,N=377)19.60 units on a scaleStandard Deviation 4.39
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhasePhysical Functioning Change to Endpoint0.28 units on a scaleStandard Deviation 3.42
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseVitality Change from Baseline to Endpoint0.84 units on a scaleStandard Deviation 4.4
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseBodily Pain Baseline (N=460,N=377)8.61 units on a scaleStandard Deviation 2.35
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseMental Health Change from Baseline to Endpoint1.30 units on a scaleStandard Deviation 5.34
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseBodily Pain Change from Baseline to Endpoint0.07 units on a scaleStandard Deviation 2.39
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseHealth Compared to Year Ago Change to Endpoint-0.34 units on a scaleStandard Deviation 1.13
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRole Limitations:Physical Baseline (N=457,N=377)6.48 units on a scaleStandard Deviation 1.54
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseSocial Function Baseline (N=460,N=377)7.05 units on a scaleStandard Deviation 1.8
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRole Limitations:Physical Change to Endpoint0.20 units on a scaleStandard Deviation 1.74
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRate Current Health Baseline (N=460,N=377)3.03 units on a scaleStandard Deviation 0.83
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRole Limitations:Emotional Baseline (N=456,N=377)4.65 units on a scaleStandard Deviation 1.25
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseSocial Function Change from Baseline to Endpoint0.65 units on a scaleStandard Deviation 2.19
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Acute and Continuation PhaseRole Limitations:Emotional Change to Endpoint0.34 units on a scaleStandard Deviation 1.49
p-value: <0.001t-test, 2 sided
p-value: 0.947t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.118t-test, 2 sided
p-value: 0.55t-test, 2 sided
p-value: 0.029t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.002t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.815t-test, 2 sided
p-value: <0.001t-test, 2 sided
Secondary

Change From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance Phase

Assesses general quality of life. 36 questions covering 8 health domains. Each subscale is scored by summing the individual items and transforming scores into a 0-100 scale, with higher scores indicating better health status or functioning.

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with non-missing baseline and at least one non-missing post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Physical Component Summary-0.45 units on a scaleStandard Error 0.7
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Mental Component Summary-1.11 units on a scaleStandard Error 1.11
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Physical Functioning0.06 units on a scaleStandard Error 0.28
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Bodily Pain-0.42 units on a scaleStandard Error 0.22
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Role Limitations: Physical0.01 units on a scaleStandard Error 0.14
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Role Limitations: Emotional-0.03 units on a scaleStandard Error 0.11
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-General Health Perceptions-0.23 units on a scaleStandard Error 0.33
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Mental Health-0.44 units on a scaleStandard Error 0.49
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Social Function-0.14 units on a scaleStandard Error 0.18
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Vitality-0.77 units on a scaleStandard Error 0.38
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Rate Current Health0.03 units on a scaleStandard Error 0.08
DuloxetineChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Health Compared to Year Ago0.19 units on a scaleStandard Error 0.09
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Rate Current Health0.08 units on a scaleStandard Error 0.08
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Physical Component Summary0.33 units on a scaleStandard Error 0.76
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-General Health Perceptions-0.61 units on a scaleStandard Error 0.36
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Mental Component Summary-5.74 units on a scaleStandard Error 1.2
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Vitality-1.38 units on a scaleStandard Error 0.41
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Physical Functioning-0.07 units on a scaleStandard Error 0.31
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Mental Health-2.60 units on a scaleStandard Error 0.53
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Bodily Pain-0.19 units on a scaleStandard Error 0.24
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Health Compared to Year Ago0.34 units on a scaleStandard Error 0.1
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Role Limitations: Physical-0.41 units on a scaleStandard Error 0.15
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Social Function-0.50 units on a scaleStandard Error 0.2
PlaceboChange From Baseline to Endpoint in 36-item Short-Form Health Survey (SF-36) - Maintenance PhaseChange from Baseline-Role Limitations: Emotional-0.46 units on a scaleStandard Error 0.11
p-value: 0.24t-test, 2 sided
p-value: 0.142t-test, 2 sided
p-value: 0.415t-test, 2 sided
p-value: 0.002t-test, 2 sided
p-value: 0.731t-test, 2 sided
p-value: 0.438t-test, 2 sided
p-value: 0.029t-test, 2 sided
p-value: 0.003t-test, 2 sided
p-value: 0.391t-test, 2 sided
p-value: 0.001t-test, 2 sided
p-value: 0.615t-test, 2 sided
p-value: 0.218t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)

A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30.

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of female enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of female patients who entered Continuation Phase with a baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Sum Items 1 to 5 Baseline (N=220,N=197)21.41 units on a scaleStandard Deviation 5.17
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Sum Items 1 to 5 Change to Endpoint-1.31 units on a scaleStandard Deviation 3.91
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Sum Items 1&2 Baseline (N=285,N=239)9.31 units on a scaleStandard Deviation 2.08
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Sum Items 1&2 Change to Endpoint-0.69 units on a scaleStandard Deviation 1.91
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 1-Sex Drive Baseline (N=286,N=239)4.92 units on a scaleStandard Deviation 1.12
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 1-Sex Drive Change to Endpoint-0.46 units on a scaleStandard Deviation 1.05
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 2-Arousal Baseline (N=286,N=239)4.40 units on a scaleStandard Deviation 1.13
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 2-Arousal Change to Endpoint-0.22 units on a scaleStandard Deviation 1.07
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 3-Lubrication/Erection Baseline (N=224,N=198)3.97 units on a scaleStandard Deviation 1.26
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 3-Lubrication/Erection Change to Endpoint-0.19 units on a scaleStandard Deviation 0.98
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 4-Orgasm Baseline (N=224,N=198)4.33 units on a scaleStandard Deviation 1.19
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item4-Orgasm Change to Endpoint-0.13 units on a scaleStandard Deviation 1.02
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 5-Satisfaction Baseline (N=226,N=198)3.93 units on a scaleStandard Deviation 1.39
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 5-Satisfaction Change to Endpoint-0.18 units on a scaleStandard Deviation 1.18
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 4-Orgasm Baseline (N=224,N=198)4.06 units on a scaleStandard Deviation 1.08
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Sum Items 1 to 5 Baseline (N=220,N=197)19.31 units on a scaleStandard Deviation 4.94
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 2-Arousal Change to Endpoint-0.25 units on a scaleStandard Deviation 1.02
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Sum Items 1 to 5 Change to Endpoint-0.99 units on a scaleStandard Deviation 4.38
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 5-Satisfaction Baseline (N=226,N=198)3.58 units on a scaleStandard Deviation 1.31
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Sum Items 1&2 Baseline (N=285,N=239)8.42 units on a scaleStandard Deviation 2.28
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 3-Lubrication/Erection Baseline (N=224,N=198)3.57 units on a scaleStandard Deviation 1.2
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Sum Items 1&2 Change to Endpoint-0.56 units on a scaleStandard Deviation 1.92
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item4-Orgasm Change to Endpoint-0.28 units on a scaleStandard Deviation 1.05
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 1-Sex Drive Baseline (N=286,N=239)4.34 units on a scaleStandard Deviation 1.2
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 3-Lubrication/Erection Change to Endpoint-0.10 units on a scaleStandard Deviation 1.07
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 1-Sex Drive Change to Endpoint-0.31 units on a scaleStandard Deviation 1.09
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 5-Satisfaction Change to Endpoint-0.10 units on a scaleStandard Deviation 1.32
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Females)Item 2-Arousal Baseline (N=286,N=239)4.08 units on a scaleStandard Deviation 1.19
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.005t-test, 2 sided
p-value: 0.05t-test, 2 sided
p-value: 0.022t-test, 2 sided
p-value: 0.002t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.186t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.308t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)

A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30.

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of male enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of male patients who entered Continuation Phase with a baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Sum Items 1 to 5 Baseline (N=117,N=97)17.57 units on a scaleStandard Deviation 4.88
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Sum Items 1 to 5 Change to Endpoint0.13 units on a scaleStandard Deviation 5.08
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Sum Items 1&2 Baseline (N=135, N=109)7.47 units on a scaleStandard Deviation 2.19
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Sum Items 1&2 Change to Endpoint-0.19 units on a scaleStandard Deviation 2.32
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 1-Sex Drive Baseline (N=136,N=109)3.91 units on a scaleStandard Deviation 1.2
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 1-Sex Drive Change to Endpoint-0.15 units on a scaleStandard Deviation 1.3
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 2-Arousal Baseline (N=135, N=109)3.56 units on a scaleStandard Deviation 1.11
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 2-Arousal Change to Endpoint-0.02 units on a scaleStandard Deviation 1.17
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 3-Lubrication/Erection Baseline (N=124,N=99)3.43 units on a scaleStandard Deviation 1.13
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 3-Lubrication Change to Endpoint-0.02 units on a scaleStandard Deviation 1.15
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 4-Orgasm Baseline (N=120,N=98)3.38 units on a scaleStandard Deviation 1.1
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 4-Orgasm Change to Endpoint0.32 units on a scaleStandard Deviation 1.3
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 5-Satisfaction Baseline (N=118,N=97)3.36 units on a scaleStandard Deviation 1.17
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 5-Satisfaction Change to Endpoint0.05 units on a scaleStandard Deviation 1.29
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 4-Orgasm Baseline (N=120,N=98)3.60 units on a scaleStandard Deviation 1.03
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Sum Items 1 to 5 Baseline (N=117,N=97)17.26 units on a scaleStandard Deviation 4.51
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 2-Arousal Change to Endpoint-0.18 units on a scaleStandard Deviation 0.83
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Sum Items 1 to 5 Change to Endpoint-0.67 units on a scaleStandard Deviation 3.97
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 5-Satisfaction Baseline (N=118,N=97)3.32 units on a scaleStandard Deviation 1.2
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Sum Items 1&2 Baseline (N=135, N=109)7.16 units on a scaleStandard Deviation 1.96
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 3-Lubrication/Erection Baseline (N=124,N=99)3.27 units on a scaleStandard Deviation 1.02
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Sum Items 1&2 Change to Endpoint-0.39 units on a scaleStandard Deviation 1.76
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 4-Orgasm Change to Endpoint-0.15 units on a scaleStandard Deviation 1.01
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 1-Sex Drive Baseline (N=136,N=109)3.68 units on a scaleStandard Deviation 1.14
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 3-Lubrication Change to Endpoint-0.04 units on a scaleStandard Deviation 0.94
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 1-Sex Drive Change to Endpoint-0.21 units on a scaleStandard Deviation 1.1
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 5-Satisfaction Change to Endpoint-0.15 units on a scaleStandard Deviation 1.05
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Acute and Continuation Phases (Males)Item 2-Arousal Baseline (N=135, N=109)3.48 units on a scaleStandard Deviation 0.95
p-value: 0.785t-test, 2 sided
p-value: 0.354t-test, 2 sided
p-value: 0.17t-test, 2 sided
p-value: 0.825t-test, 2 sided
p-value: 0.877t-test, 2 sided
p-value: 0.009t-test, 2 sided
p-value: 0.67t-test, 2 sided
p-value: 0.1t-test, 2 sided
p-value: 0.021t-test, 2 sided
p-value: 0.047t-test, 2 sided
p-value: 0.023t-test, 2 sided
p-value: 0.668t-test, 2 sided
p-value: 0.136t-test, 2 sided
p-value: 0.152t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)

A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30.

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: N=Number of female randomized patients with non-missing baseline and at least one non-missing post-baseline measurement. Female patients who have been sexually active in the previous month respond to Items 3-5. Intent to Treat analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 1 - Sex Drive (N=77,N=79)-0.08 units on a scaleStandard Error 1.11
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 3 - Lubrication/Erection (N=63,N=67)-0.21 units on a scaleStandard Error 0.92
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Change from Baseline:Sum Items 1&2 (N=77,N=79)-0.19 units on a scaleStandard Error 1.9
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 4 - Orgasm (N=63,N=67)-0.10 units on a scaleStandard Error 0.96
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 2 - Arousal (N=77,N=79)-0.12 units on a scaleStandard Error 0.95
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 5 - Satisfaction (N=63,N=67)-0.05 units on a scaleStandard Error 1.25
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Change from Baseline:Sum Items 1 to 5 (N=63,N=66)-0.65 units on a scaleStandard Error 4.14
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 5 - Satisfaction (N=63,N=67)-0.40 units on a scaleStandard Error 1.21
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Change from Baseline:Sum Items 1 to 5 (N=63,N=66)-0.47 units on a scaleStandard Error 4.34
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Change from Baseline:Sum Items 1&2 (N=77,N=79)0.34 units on a scaleStandard Error 1.91
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 1 - Sex Drive (N=77,N=79)0.18 units on a scaleStandard Error 1.07
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 2 - Arousal (N=77,N=79)0.16 units on a scaleStandard Error 1.06
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 3 - Lubrication/Erection (N=63,N=67)-0.15 units on a scaleStandard Error 1.21
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Females)Item 4 - Orgasm (N=63,N=67)-0.15 units on a scaleStandard Error 1.06
p-value: 0.979t-test, 2 sided
p-value: 0.132t-test, 2 sided
p-value: 0.18t-test, 2 sided
p-value: 0.163t-test, 2 sided
p-value: 0.844t-test, 2 sided
p-value: 0.609t-test, 2 sided
p-value: 0.071t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)

A 5-item patient-rated scale measuring 5 domains: sexual drive, arousal (subjective excitement), lubrication/erection (physiological excitement), ability to reach orgasm, orgasm satisfaction. Higher score means worse dysfunction. Total score range is 5-30.

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: N=Number of male randomized patients with non-missing baseline and at least one non-missing post-baseline measurement. Male patients who have been sexually active in the previous month respond to Items 3-5. Intent to Treat analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 1-Sex Drive (N=39,N=29)-0.17 units on a scaleStandard Error 0.13
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 3-Lubrication/Erection (N=38,N=29)-0.32 units on a scaleStandard Error 0.14
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Change from Baseline: Sum Items 1&2 (N=39,N=29)-0.25 units on a scaleStandard Error 0.22
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 4-Orgasm (N=36,N=29)-0.08 units on a scaleStandard Error 0.14
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 2-Arousal (N=39,N=29)-0.09 units on a scaleStandard Error 0.12
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 5-Satisfaction (N=35,N=29)-0.13 units on a scaleStandard Error 0.11
DuloxetineChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Change from Baseline: Sum Items 1 to 5 (N=35,N=29)-0.97 units on a scaleStandard Error 0.47
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 5-Satisfaction (N=35,N=29)-0.04 units on a scaleStandard Error 0.13
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Change from Baseline: Sum Items 1 to 5 (N=35,N=29)-0.77 units on a scaleStandard Error 0.58
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Change from Baseline: Sum Items 1&2 (N=39,N=29)0.03 units on a scaleStandard Error 0.28
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 1-Sex Drive (N=39,N=29)-0.02 units on a scaleStandard Error 0.17
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 2-Arousal (N=39,N=29)0.07 units on a scaleStandard Error 0.15
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 3-Lubrication/Erection (N=38,N=29)-0.10 units on a scaleStandard Error 0.17
PlaceboChange From Baseline to Endpoint in Arizona Sexual Experience Scale (ASEX) - Maintenance Phase (Males)Item 4-Orgasm (N=36,N=29)-0.43 units on a scaleStandard Error 0.17
p-value: 0.384t-test, 2 sided
p-value: 0.268t-test, 2 sided
p-value: 0.773t-test, 2 sided
p-value: 0.405t-test, 2 sided
p-value: 0.443t-test, 2 sided
p-value: 0.093t-test, 2 sided
p-value: 0.566t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Acute and Continuation Phases

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients).

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Acute and Continuation PhasesBaseline4.49 units on a scaleStandard Deviation 0.6
DuloxetineChange From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Acute and Continuation PhasesChange from Baseline to Endpoint-2.30 units on a scaleStandard Deviation 1.08
PlaceboChange From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Acute and Continuation PhasesBaseline1.83 units on a scaleStandard Deviation 0.39
PlaceboChange From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Acute and Continuation PhasesChange from Baseline to Endpoint-0.07 units on a scaleStandard Deviation 0.93
p-value: <0.001t-test, 2 sided
p-value: 0.153t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Maintenance Phase

Measures severity of illness at the time of assessment. Scores range from 1 (normal, not at all ill) to 7 (among the most extremely ill patients.

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with a baseline and at least one non-missing post-baseline assessment. Intent to Treat analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Maintenance Phase0.24 units on a scaleStandard Error 0.1
PlaceboChange From Baseline to Endpoint in Clinical Global Impressions (CGI) Severity Scale - Maintenance Phase0.84 units on a scaleStandard Error 0.1
p-value: <0.001t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation Phases

Core and Maier subscales assess symptoms of depression (scores:0-20=Core; 0-24=Maier). Higher numbers indicate more severe symptoms. Anxiety/Somatization subscale assesses severity of anxiety (0-18). Retardation subscale assesses dysfunction in mood and work (0-14). Sleep subscale assesses insomnia (0-6). Depressed Mood Item (0-4).

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesAnxiety Baseline7.71 units on a scaleStandard Deviation 1.99
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesAnxiety Change from Baseline to Endpoint-4.52 units on a scaleStandard Deviation 2.63
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesCore Baseline8.81 units on a scaleStandard Deviation 1.78
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesCore Change from Baseline to Endpoint-5.97 units on a scaleStandard Deviation 2.69
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesMaier Baseline11.44 units on a scaleStandard Deviation 1.95
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesMaier Change from Baseline to Endpoint-7.46 units on a scaleStandard Deviation 3.29
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesRetardation Baseline7.76 units on a scaleStandard Deviation 1.53
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesRetardation Change from Baseline to Endpoint-4.61 units on a scaleStandard Deviation 2.37
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesSleep Baseline3.80 units on a scaleStandard Deviation 1.59
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesSleep Change from Baseline to Endpoint-2.37 units on a scaleStandard Deviation 1.92
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesDepressed Mood Baseline2.78 units on a scaleStandard Deviation 0.58
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesDepressed Mood Change from Baseline to Endpoint-1.86 units on a scaleStandard Deviation 0.98
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesDepressed Mood Baseline0.64 units on a scaleStandard Deviation 0.57
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesAnxiety Baseline2.51 units on a scaleStandard Deviation 1.4
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesRetardation Baseline2.43 units on a scaleStandard Deviation 1.37
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesAnxiety Change from Baseline to Endpoint-0.11 units on a scaleStandard Deviation 2.24
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesSleep Change from Baseline to Endpoint-0.07 units on a scaleStandard Deviation 1.38
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesCore Baseline2.00 units on a scaleStandard Deviation 1.35
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesRetardation Change from Baseline to Endpoint-0.48 units on a scaleStandard Deviation 2.22
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesCore Change from Baseline to Endpoint-0.29 units on a scaleStandard Deviation 2.47
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesDepressed Mood Change from Baseline to Endpoint-0.05 units on a scaleStandard Deviation 0.95
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesMaier Baseline2.91 units on a scaleStandard Deviation 1.6
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesSleep Baseline1.11 units on a scaleStandard Deviation 1.11
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Acute and Continuation PhasesMaier Change from Baseline to Endpoint-0.29 units on a scaleStandard Deviation 2.97
p-value: <0.001t-test, 2 sided
p-value: 0.334t-test, 2 sided
p-value: 0.019t-test, 2 sided
p-value: 0.046t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.319t-test, 2 sided
p-value: 0.275t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance Phase

Core and Maier subscales assess symptoms of depression (scores:0-20=Core; 0-24=Maier). Higher numbers indicate more severe symptoms. Anxiety/Somatization subscale assesses severity of anxiety (0-18). Retardation subscale assesses dysfunction in mood and work (0-14). Sleep subscale assesses insomnia (0-6). Depressed Mood item (0-4).

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with a baseline and at least one non-missing post-baseline assessment. Intent to Treat analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Anxiety0.46 units on a scaleStandard Error 0.2
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Core0.75 units on a scaleStandard Error 0.22
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Maier0.91 units on a scaleStandard Error 0.29
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Retardation0.59 units on a scaleStandard Error 0.2
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Sleep0.13 units on a scaleStandard Error 0.12
DuloxetineChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Depressed Mood0.27 units on a scaleStandard Error 0.09
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Sleep0.71 units on a scaleStandard Error 0.13
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Anxiety1.54 units on a scaleStandard Error 0.22
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Retardation1.49 units on a scaleStandard Error 0.22
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Core1.74 units on a scaleStandard Error 0.24
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Depressed Mood0.67 units on a scaleStandard Error 0.1
PlaceboChange From Baseline to Endpoint in Hamilton Depression Rating Scale Subscales, Including the Core, Maier, Anxiety/Somatization, Retardation/Somatization, and Sleep Subscales, and the Depressed Mood Item - Maintenance PhaseChange from Baseline to Endpoint in Maier2.25 units on a scaleStandard Error 0.31
p-value: <0.001t-test, 2 sided
p-value: 0.002t-test, 2 sided
p-value: 0.002t-test, 2 sided
p-value: 0.003t-test, 2 sided
p-value: 0.001t-test, 2 sided
p-value: 0.003t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation Phases

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total (Global) scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. Individual Item scores range from 0 to 10.

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesGlobal Score Baseline (N=449,N=378)19.30 units on a scaleStandard Deviation 6.58
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesGlobal Score Change from Baseline to Endpoint-7.88 units on a scaleStandard Deviation 8.06
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesWork/School Item Baseline (N=452,N=378)6.52 units on a scaleStandard Deviation 2.52
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesWork/School Item Change from Baseline to Endpoint-2.61 units on a scaleStandard Deviation 2.87
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesSocial Life Item Baseline (N=452,N=378)6.45 units on a scaleStandard Deviation 2.42
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesSocial Life Item Change from Baseline to Endpoint-2.69 units on a scaleStandard Deviation 2.9
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesFamily Life Item Baseline (N=452,N=378)6.35 units on a scaleStandard Deviation 2.44
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesFamily Life Item Change from Baseline to Endpoint-2.59 units on a scaleStandard Deviation 3.07
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesFamily Life Item Change from Baseline to Endpoint-0.63 units on a scaleStandard Deviation 2.72
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesGlobal Score Baseline (N=449,N=378)10.72 units on a scaleStandard Deviation 7.21
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesSocial Life Item Baseline (N=452,N=378)3.50 units on a scaleStandard Deviation 2.53
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesGlobal Score Change from Baseline to Endpoint-2.01 units on a scaleStandard Deviation 7.67
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesFamily Life Item Baseline (N=452,N=378)3.54 units on a scaleStandard Deviation 2.57
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesWork/School Item Baseline (N=452,N=378)3.64 units on a scaleStandard Deviation 2.64
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesSocial Life Item Change from Baseline to Endpoint-0.64 units on a scaleStandard Deviation 2.79
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Acute and Continuation PhasesWork/School Item Change from Baseline to Endpoint-0.71 units on a scaleStandard Deviation 2.86
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance Phase

The SDS is completed by the patient and is used to assess the effect of the patient's symptoms on their work/social/family life. Total (Global) scores range from 0 to 30 with higher values indicating greater disruption in the patient's work/social/family life. Individual Item scores range from 0 to 10.

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with non-missing baseline and at least one non-missing post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseChange from Baseline to Endpoint in Global Score-0.05 units on a scaleStandard Error 0.71
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseChange from Baseline to Endpoint in Work/School0.03 units on a scaleStandard Error 0.26
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseChange from Baseline to Endpoint in Social Life0.02 units on a scaleStandard Error 0.25
DuloxetineChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseChange from Baseline to Endpoint in Family Life-0.10 units on a scaleStandard Error 0.25
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseChange from Baseline to Endpoint in Family Life0.67 units on a scaleStandard Error 0.27
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseChange from Baseline to Endpoint in Global Score2.06 units on a scaleStandard Error 0.77
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseChange from Baseline to Endpoint in Social Life0.56 units on a scaleStandard Error 0.27
PlaceboChange From Baseline to Endpoint in Sheehan Disability Scale (SDS) - Maintenance PhaseChange from Baseline to Endpoint in Work/School0.83 units on a scaleStandard Error 0.28
p-value: 0.029t-test, 2 sided
p-value: 0.022t-test, 2 sided
p-value: 0.11t-test, 2 sided
p-value: 0.021t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Acute and Continuation Phases

The Somatic subscale consists of 23 items to be completed by the patient that focus on somatic symptoms. Question answers are either yes/no or true/false. Negative response is scored at 1; positive response is scored as 0. Total Somatic subscale scores range from 0-23, where higher scores indicate greater symptom severity.

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Acute and Continuation PhasesBaseline12.64 units on a scaleStandard Deviation 5.09
DuloxetineChange From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Acute and Continuation PhasesChange from Baseline to Endpoint-5.37 units on a scaleStandard Deviation 5.42
PlaceboChange From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Acute and Continuation PhasesBaseline6.88 units on a scaleStandard Deviation 5.13
PlaceboChange From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Acute and Continuation PhasesChange from Baseline to Endpoint-0.35 units on a scaleStandard Deviation 4.8
p-value: <0.001t-test, 2 sided
p-value: 0.157t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Maintenance Phase

The Somatic subscale consists of 23 items to be completed by the patient that focus on somatic symptoms. Question answers are either yes/no or true/false. Negative response is scored at 1; positive response is scored as 0. Total Somatic subscale scores range from 0-23, where higher scores indicate greater symptom severity.

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with non-missing baseline and at least one non-missing post-baseline measurement. Intent to Treat analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Maintenance Phase0.79 units on a scaleStandard Error 0.39
PlaceboChange From Baseline to Endpoint in Symptom Questionnaire-Somatic Subscale (SQ-SS) - Maintenance Phase0.81 units on a scaleStandard Error 0.4
p-value: 0.979t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation Phase

VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 100 millimeter (mm) line between two anchors (0 = no pain and 100 = very severe pain).

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseOverall Pain Baseline (N=450, N=410)34.36 units on a scaleStandard Deviation 26.16
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseOverall Pain Change from Baseline to Endpoint-16.34 units on a scaleStandard Deviation 26.95
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseHeadache Baseline (N=450, N=410)29.74 units on a scaleStandard Deviation 28.08
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseHeadache Change from Baseline to Endpoint-14.83 units on a scaleStandard Deviation 28.04
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseBack Pain Baseline (N=450, N=410)28.79 units on a scaleStandard Deviation 27.8
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseBack Pain Change from Baseline to Endpoint-13.64 units on a scaleStandard Deviation 25.66
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseShoulder Pain Baseline (N=446, N=410)24.06 units on a scaleStandard Deviation 27.23
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseShoulder Pain Change from Baseline to Endpoint-10.47 units on a scaleStandard Deviation 24.25
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseInterference-DailyActivities Baseline(N=445,N=410)33.28 units on a scaleStandard Deviation 28.31
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseIntereference Change from Baseline to Endpoint-16.79 units on a scaleStandard Deviation 29.77
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhasePain While Awake Baseline (N=446, N=410)38.18 units on a scaleStandard Deviation 29.29
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhasePain While Awake Change from Baseline to Endpoint-17.66 units on a scaleStandard Deviation 31.22
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhasePain While Awake Baseline (N=446, N=410)19.22 units on a scaleStandard Deviation 25.63
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseOverall Pain Baseline (N=450, N=410)17.29 units on a scaleStandard Deviation 20.2
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseShoulder Pain Baseline (N=446, N=410)13.49 units on a scaleStandard Deviation 21.95
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseOverall Pain Change from Baseline to Endpoint1.16 units on a scaleStandard Deviation 21.33
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseIntereference Change from Baseline to Endpoint1.00 units on a scaleStandard Deviation 21.43
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseHeadache Baseline (N=450, N=410)14.80 units on a scaleStandard Deviation 20.53
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseShoulder Pain Change from Baseline to Endpoint-0.39 units on a scaleStandard Deviation 20.84
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseHeadache Change from Baseline to Endpoint0.04 units on a scaleStandard Deviation 21.88
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhasePain While Awake Change from Baseline to Endpoint0.06 units on a scaleStandard Deviation 25.61
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseBack Pain Baseline (N=450, N=410)15.61 units on a scaleStandard Deviation 22.63
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseInterference-DailyActivities Baseline(N=445,N=410)15.59 units on a scaleStandard Deviation 21.62
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Acute and Continuation PhaseBack Pain Change from Baseline to Endpoint-0.00 units on a scaleStandard Deviation 20.95
p-value: <0.001t-test, 2 sided
p-value: 0.273t-test, 2 sided
p-value: 0.968t-test, 2 sided
p-value: 0.998t-test, 2 sided
p-value: 0.703t-test, 2 sided
p-value: 0.346t-test, 2 sided
p-value: 0.963t-test, 2 sided
Secondary

Change From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance Phase

VAS for pain consists of 6 questions that assess overall pain, headache, back pain, shoulder pain, pain interference with daily activities, and pain while awake. Participant rates pain on a 100 millimeter (mm) line between two anchors (0 = no pain and 100 = very severe pain).

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline to Endpoint in Overall Pain3.92 units on a scaleStandard Error 1.78
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline to Endpoint in Headache4.77 units on a scaleStandard Error 1.72
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline to Endpoint in Back Pain1.77 units on a scaleStandard Error 1.65
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline to Endpoint in Shoulder Pain0.51 units on a scaleStandard Error 1.55
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange: Interference with Daily Activities3.16 units on a scaleStandard Error 1.74
DuloxetineChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline in Pain While Awake3.64 units on a scaleStandard Error 2.1
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange: Interference with Daily Activities2.81 units on a scaleStandard Error 1.82
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline to Endpoint in Overall Pain4.57 units on a scaleStandard Error 1.86
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline to Endpoint in Shoulder Pain3.02 units on a scaleStandard Error 1.62
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline to Endpoint in Headache2.80 units on a scaleStandard Error 1.8
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline in Pain While Awake4.69 units on a scaleStandard Error 2.19
PlaceboChange From Baseline to Endpoint in Visual Analog Scales (VAS) for Pain - Maintenance PhaseChange from Baseline to Endpoint in Back Pain3.40 units on a scaleStandard Error 1.72
p-value: 0.792t-test, 2 sided
p-value: 0.407t-test, 2 sided
p-value: 0.475t-test, 2 sided
p-value: 0.241t-test, 2 sided
p-value: 0.885t-test, 2 sided
p-value: 0.717t-test, 2 sided
Secondary

Loss of Response at Any Time

Loss of response was defined as a HAMD-17 total score \>9 and a CGI-Severity score \>2 at any one time during the double-blind maintenance phase of the study regardless of whether or not they subsequently regained response or not.

Time frame: Every Visit from Week 35 up to Week 86 (Maintenance Phase)

Population: Number of randomized patients with at least one non-missing post-baseline assessment during the double-blind maintenance therapy phase. Intent to Treat analysis.

ArmMeasureValue (NUMBER)
DuloxetineLoss of Response at Any Time44 participants
PlaceboLoss of Response at Any Time66 participants
p-value: 0.003Cochran-Mantel-Haenszel
Secondary

Mean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Acute and Continuation Phases

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse).

Time frame: Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureValue (MEAN)Dispersion
DuloxetineMean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Acute and Continuation Phases2.12 units on a scaleStandard Deviation 0.86
PlaceboMean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Acute and Continuation Phases1.76 units on a scaleStandard Deviation 0.91
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
Secondary

Mean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Maintenance Phase

A scale that measures the patient's perception of improvement at the time of assessment compared with the start of treatment. The score ranges from 1 (very much better) to 7 (very much worse).

Time frame: Week 86 (Maintenance Phase)

Population: Number of randomized patients with a baseline and at least one non-missing post-baseline assessment. Intent to Treat analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineMean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Maintenance Phase1.72 units on a scaleStandard Error 0.11
PlaceboMean Values at Endpoint in Patient's Global Impressions of Improvement (PGI-I) - Maintenance Phase2.34 units on a scaleStandard Error 0.11
p-value: <0.001t-test, 2 sided
Secondary

Percentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Days

Worsening occurs if patient had a \>=50% increase from baseline on the 17-Item Hamilton Depression Rating Scale (HAMD-17) total score and a Clinical Global Impression-Severity (CGI-S) score \>=3 at any time during the double-blind maintenance therapy phase.

Time frame: Every Visit from Week 34 up to Week 86 (Maintenance Phase)

Population: Number of randomized patients with at least one non-missing post-baseline assessment during the double blind maintenance therapy phase. Intent to Treat analysis.

ArmMeasureGroupValue (NUMBER)
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=7 days (N=142, N=140)2.07 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=14 days (N=140, N=138)3.45 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=21 days (N=136, N=130)5.53 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=28 days (N=132, N=125)7.63 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=56 days (N=124, N=105)11.89 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=84 days (N=114, N=88)16.99 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=112 days (N=105, N=81)21.48 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=140 days (N=100, N=72)23.02 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=168 days (N=95, N=70)24.61 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=196 days (N=93, N=67)26.19 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=224 days (N=90, N=65)28.57 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=252 days (N=84, N=60)31.04 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=280 days (N=81, N=60)31.88 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=308 days (N=78, N=59)31.88 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=336 days (N=77, N=56)31.88 percentage of participants
DuloxetinePercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=364 days (N=75, N=51)33.65 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=364 days (N=75, N=51)51.33 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=7 days (N=142, N=140)1.41 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=168 days (N=95, N=70)42.47 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=14 days (N=140, N=138)1.41 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=280 days (N=81, N=60)45.80 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=21 days (N=136, N=130)7.12 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=196 days (N=93, N=67)44.14 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=28 days (N=132, N=125)9.30 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=336 days (N=77, N=56)49.42 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=56 days (N=124, N=105)22.57 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=224 days (N=90, N=65)45.80 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=84 days (N=114, N=88)31.86 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=308 days (N=78, N=59)46.71 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=112 days (N=105, N=81)35.07 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=252 days (N=84, N=60)45.80 percentage of participants
PlaceboPercentage of Participants With Greater Than or Equal to 50% Worsening After Time (t) in Dayst=140 days (N=100, N=72)40.82 percentage of participants
p-value: 0.003Log Rank
Secondary

Recurrence Count

Number of participants who experienced a depressive recurrence at any time during the double-blind maintenance therapy phase.

Time frame: Every Visit from Week 35 up to Week 86 (Maintenance Phase)

Population: Number of randomized patients with at least one non-missing postbaseline assessment during the double-blind maintenance therapy phase. Intent to Treat analysis.

ArmMeasureValue (NUMBER)
DuloxetineRecurrence Count21 participants
PlaceboRecurrence Count47 participants
p-value: <0.001Cochran-Mantel-Haenszel
Secondary

Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Acute and Continuation Phases

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase who work for pay. Number of patients who entered the Continuation Phase who work for pay. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Acute and Continuation PhasesAverage Number of Hours Worked In a Week Baseline0.36 hoursStandard Deviation 0.1
DuloxetineResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Acute and Continuation PhasesChange in Average Number of Hours Worked In a Week0.00 hoursStandard Deviation 0.06
PlaceboResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Acute and Continuation PhasesAverage Number of Hours Worked In a Week Baseline0.36 hoursStandard Deviation 0.1
PlaceboResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Acute and Continuation PhasesChange in Average Number of Hours Worked In a Week0.01 hoursStandard Deviation 0.08
p-value: 0.506t-test, 2 sided
p-value: 0.057t-test, 2 sided
Secondary

Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Maintenance Phase

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients who work for pay. Intent to Treat analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Maintenance Phase-0.00 hoursStandard Error 0.01
PlaceboResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Average Number of Hours Worked in a Week - Maintenance Phase-0.00 hoursStandard Error 0.01
p-value: 0.826t-test, 2 sided
Secondary

Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Acute and Continuation Phase

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase who work for pay and missed work due to illness. Number of patients who entered the Continuation Phase who work for pay and missed work due to illness. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Acute and Continuation PhaseNumber of Missed Paid Work Hours Baseline1.77 hoursStandard Deviation 2.07
DuloxetineResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Acute and Continuation PhaseChange in Number of Missed Paid Work Hours0.46 hoursStandard Deviation 2.25
PlaceboResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Acute and Continuation PhaseNumber of Missed Paid Work Hours Baseline2.67 hoursStandard Deviation 2.27
PlaceboResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Acute and Continuation PhaseChange in Number of Missed Paid Work Hours-0.52 hoursStandard Deviation 2.01
p-value: 0.105t-test, 2 sided
p-value: 0.174t-test, 2 sided
Secondary

Resource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Maintenance Phase

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients who work for pay and missed work due to illness. Intent to Treat analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Maintenance Phase0.27 hoursStandard Error 0.28
PlaceboResource Utilization and Hospitalization Module - Change From Baseline to Endpoint in Number of Missed Paid Work Hours - Maintenance Phase-0.75 hoursStandard Error 0.35
p-value: 0.037t-test, 2 sided
Secondary

Resource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation Phases

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.

Time frame: Week 0 through Week10 (Acute) through Week 34 (Continuation)

Population: Number of enrolled patients in Acute Phase and number who entered Continuation Phase who indicated they had visits to specified health care provider. Intent to Treat analysis. Note: Other Mental Health Care Worker wasn't included in table (1 patient in Acute). Other Health Care Worker wasn't included in table (2 patients in Continuation).

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesPsychiatrist Visits (N=91,N=65)0.03 visitsStandard Deviation 0.03
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesOther Specialist Physician Visits (N=42,N=38)-0.00 visitsStandard Deviation 0.02
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesPsychologist/Therapist Visits (N=19,N=11)0.01 visitsStandard Deviation 0.04
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesOther (Specified by Patient) Visits (N=3,N=3)0.04 visitsStandard Deviation 0.07
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesPrimary Health Care Provider Visits (N=94,N=99)-0.00 visitsStandard Deviation 0.03
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesOther (Specified by Patient) Visits (N=3,N=3)-0.07 visitsStandard Deviation 0.1
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesPrimary Health Care Provider Visits (N=94,N=99)-0.00 visitsStandard Deviation 0.03
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesPsychiatrist Visits (N=91,N=65)-0.03 visitsStandard Deviation 0.04
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesPsychologist/Therapist Visits (N=19,N=11)-0.00 visitsStandard Deviation 0.06
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Acute and Continuation PhasesOther Specialist Physician Visits (N=42,N=38)0.01 visitsStandard Deviation 0.03
p-value: 0.838t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.236t-test, 2 sided
p-value: 0.145t-test, 2 sided
p-value: 0.423t-test, 2 sided
p-value: 0.325t-test, 2 sided
p-value: <0.001t-test, 2 sided
p-value: 0.915t-test, 2 sided
p-value: 0.223t-test, 2 sided
p-value: 0.362t-test, 2 sided
Secondary

Resource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance Phase

Measures direct and indirect costs. Direct costs include inpatient and outpatient costs, while indirect costs include lost days of work and caregiver time spent with patients. Patients self-report on number of days over the past month that they have been either late to work, missed work, or missed usual activities due to symptoms.

Time frame: Week 34 through Week 86 (Maintenance Phase)

Population: Number of randomized patients who indicated they had visits to specified health care provider. Intent to Treat analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhasePsychiatrist Visits (N=33,N=23)-0.01 visitsStandard Error 0
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhaseOther Specialist Physician Visits (N=25,N=25)0.00 visitsStandard Error 0.01
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhasePsychologist/Therapist Visits (N=8,N=7)-0.02 visitsStandard Error 0.01
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhaseOther (Specified by Patient) Visits (N=5,N=3)0.04 visitsStandard Error 0.02
DuloxetineResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhasePrimary Health Care Provider Visits (N=47,N=47)-0.00 visitsStandard Error 0
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhaseOther (Specified by Patient) Visits (N=5,N=3)0.00 visitsStandard Error 0
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhasePrimary Health Care Provider Visits (N=47,N=47)-0.00 visitsStandard Error 0
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhasePsychiatrist Visits (N=33,N=23)-0.01 visitsStandard Error 0.01
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhasePsychologist/Therapist Visits (N=8,N=7)-0.01 visitsStandard Error 0.01
PlaceboResource Utilization and Hospitalization Module - Visits to Health Care Providers - Maintenance PhaseOther Specialist Physician Visits (N=25,N=25)-0.00 visitsStandard Error 0
p-value: 0.462t-test, 2 sided
p-value: 0.668t-test, 2 sided
p-value: 0.746t-test, 2 sided
p-value: 0.511t-test, 2 sided
p-value: 0.271t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Alanine Aminotransferase (ALT) - Maintenance Phase

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Alanine Aminotransferase (ALT) - Maintenance PhaseBaseline21.81 Units per LiterStandard Deviation 11.56
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Alanine Aminotransferase (ALT) - Maintenance PhaseChange to Endpoint2.52 Units per LiterStandard Deviation 15.4
PlaceboStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Alanine Aminotransferase (ALT) - Maintenance PhaseBaseline22.12 Units per LiterStandard Deviation 11.11
PlaceboStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Alanine Aminotransferase (ALT) - Maintenance PhaseChange to Endpoint-0.38 Units per LiterStandard Deviation 12.53
p-value: 0.035ANOVA
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Acute PhaseBaseline43.05 grams per LiterStandard Deviation 3.31
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Acute PhaseChange to Endpoint-0.61 grams per LiterStandard Deviation 2.9
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Continuation PhaseBaseline42.43 grams per LiterStandard Deviation 3.04
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Albumin - Continuation PhaseChange to Endpoint-0.57 grams per LiterStandard Deviation 2.81
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bicarbonate, HCO3 - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bicarbonate, HCO3 - Continuation PhaseBaseline24.41 millimoles per LiterStandard Deviation 2.64
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bicarbonate, HCO3 - Continuation PhaseChange to Endpoint1.04 millimoles per LiterStandard Deviation 2.93
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Direct - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Direct - Continuation PhaseBaseline2.03 micromoles per LiterStandard Deviation 1.04
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Direct - Continuation PhaseChange to Endpoint-0.12 micromoles per LiterStandard Deviation 0.85
p-value: 0.004t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Total - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Total - Continuation PhaseBaseline8.68 micromoles per LiterStandard Deviation 5.1
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Bilirubin, Total - Continuation PhaseChange to Endpoint-0.50 micromoles per LiterStandard Deviation 3.84
p-value: 0.01t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Acute PhaseBaseline2.46 millimoles per LiterStandard Deviation 0.1
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Acute PhaseChange to Endpoint-0.01 millimoles per LiterStandard Deviation 0.1
p-value: 0.007t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Continuation PhaseBaseline2.45 millimoles per LiterStandard Deviation 0.1
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Continuation PhaseChange to Endpoint-0.01 millimoles per LiterStandard Deviation 0.1
p-value: 0.003t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Maintenance Phase

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Maintenance PhaseBaseline2.43 millimoles per LiterStandard Deviation 0.1
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Maintenance PhaseChange to Endpoint-0.04 millimoles per LiterStandard Deviation 0.1
PlaceboStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Maintenance PhaseBaseline2.43 millimoles per LiterStandard Deviation 0.08
PlaceboStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Calcium - Maintenance PhaseChange to Endpoint-0.01 millimoles per LiterStandard Deviation 0.09
p-value: 0.011ANOVA
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Chloride - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Chloride - Acute PhaseBaseline103.73 millimoles per LiterStandard Deviation 2.66
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Chloride - Acute PhaseChange to Endpoint-0.29 millimoles per LiterStandard Deviation 2.81
p-value: 0.035t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Eosinophils - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Eosinophils - Acute PhaseBaseline0.13 Giga per LiterStandard Deviation 0.09
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Eosinophils - Acute PhaseChange to Endpoint0.01 Giga per LiterStandard Deviation 0.09
p-value: 0.021t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Erythrocyte Count - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Erythrocyte Count - Continuation PhaseBaseline4.74 Tera per LiterStandard Deviation 0.45
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Erythrocyte Count - Continuation PhaseChange to Endpoint-0.06 Tera per LiterStandard Deviation 0.25
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Acute PhaseBaseline29.25 Units per LiterStandard Deviation 36.3
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Acute PhaseChange to Endpoint-5.12 Units per LiterStandard Deviation 20.53
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Continuation PhaseBaseline24.13 Units per LiterStandard Deviation 24.96
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Gamma-Glutamyl Transferase - Continuation PhaseChange to Endpoint2.11 Units per LiterStandard Deviation 17.11
p-value: 0.015t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance Phase

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseFasting Glucose Baseline (N=120,N=112)5.40 millimoles per LiterStandard Deviation 0.72
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseFasting Glucose Change to Endpoint0.07 millimoles per LiterStandard Deviation 0.71
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseNon-Fasting Glucose Baseline (N=41,N=39)5.68 millimoles per LiterStandard Deviation 0.91
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseNon-Fasting Glucose Change to Endpoint-0.20 millimoles per LiterStandard Deviation 1.18
PlaceboStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseNon-Fasting Glucose Change to Endpoint0.62 millimoles per LiterStandard Deviation 1.67
PlaceboStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseFasting Glucose Baseline (N=120,N=112)5.47 millimoles per LiterStandard Deviation 1.09
PlaceboStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseNon-Fasting Glucose Baseline (N=41,N=39)5.74 millimoles per LiterStandard Deviation 2.34
PlaceboStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Glucose - Maintenance PhaseFasting Glucose Change to Endpoint0.03 millimoles per LiterStandard Deviation 1.01
p-value: 0.744ANOVA
p-value: 0.03ANOVA
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Acute PhaseBaseline0.43 actual countStandard Deviation 0.04
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Acute PhaseChange to Endpoint-0.00 actual countStandard Deviation 0.03
p-value: 0.019t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Continuation PhaseBaseline0.42 Actual countStandard Deviation 0.04
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hematocrit - Continuation PhaseChange to Endpoint-0.00 Actual countStandard Deviation 0.03
p-value: 0.021t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Acute PhaseBaseline8.81 millimoles per LiterStandard Deviation 0.8
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Acute PhaseChange to Endpoint-0.07 millimoles per LiterStandard Deviation 0.48
p-value: 0.005t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Continuation PhaseBaseline8.73 millimoles per LiterStandard Deviation 0.8
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Hemoglobin - Continuation PhaseChange to Endpoint-0.14 millimoles per LiterStandard Deviation 0.47
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Leukocyte Count - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Leukocyte Count - Continuation PhaseBaseline6.40 Giga per LiterStandard Deviation 1.69
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Leukocyte Count - Continuation PhaseChange to Endpoint0.17 Giga per LiterStandard Deviation 1.57
p-value: 0.032t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Low Density Lipoprotein (LDL) Cholesterol (Direct) - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Low Density Lipoprotein (LDL) Cholesterol (Direct) - Continuation PhaseBaseline3.61 millimoles per LiterStandard Deviation 1.07
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Low Density Lipoprotein (LDL) Cholesterol (Direct) - Continuation PhaseChange to Endpoint-0.14 millimoles per LiterStandard Deviation 0.73
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Hemoglobin - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Hemoglobin - Continuation PhaseBaseline20.73 millimoles per LiterStandard Deviation 0.87
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Hemoglobin - Continuation PhaseChange to Endpoint-0.18 millimoles per LiterStandard Deviation 0.99
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Volume (MCV) - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Volume (MCV) - Continuation PhaseBaseline89.33 femtolitersStandard Deviation 5.1
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Mean Cell Volume (MCV) - Continuation PhaseChange to Endpoint0.45 femtolitersStandard Deviation 4
p-value: 0.028t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Monocytes - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Monocytes - Continuation PhaseBaseline0.35 Giga per LiterStandard Deviation 0.12
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Monocytes - Continuation PhaseChange to Endpoint0.02 Giga per LiterStandard Deviation 0.12
p-value: 0.008t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Platelet Count - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Platelet Count - Acute PhaseBaseline261.08 Giga per LiterStandard Deviation 60.89
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Platelet Count - Acute PhaseChange to Endpoint4.23 Giga per LiterStandard Deviation 40.22
p-value: 0.031t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Sodium - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Sodium - Acute PhaseBaseline141.21 millimoles per LiterStandard Deviation 2.65
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Sodium - Acute PhaseChange to Endpoint-0.64 millimoles per LiterStandard Deviation 2.96
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Acute PhaseBaseline73.59 grams per LiterStandard Deviation 4.4
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Acute PhaseChange to Endpoint-1.18 grams per LiterStandard Deviation 4.11
p-value: <0.001t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Continuation Phase

Time frame: Week 10 (baseline) and Week 34 (endpoint) (Continuation Phase)

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Continuation PhaseBaseline72.47 grams per LiterStandard Deviation 3.93
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Total Protein - Continuation PhaseChange to Endpoint-0.38 grams per LiterStandard Deviation 3.77
p-value: 0.046t-test, 2 sided
Secondary

Statistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Uric Acid - Acute Phase

Time frame: Week 0 and Week 10

Population: Number of patients with a baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Uric Acid - Acute PhaseBaseline297.05 micromoles per LiterStandard Deviation 81.68
DuloxetineStatistically Significant Laboratory Measurements - Change From Baseline to Endpoint in Uric Acid - Acute PhaseChange to Endpoint-10.64 micromoles per LiterStandard Deviation 49.42
p-value: <0.001t-test, 2 sided
Secondary

Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy Phase

Time frame: Every Visit from Week 0 up to Week 10 (Acute)

Population: Treatment-Emergent Adverse Events (TEAE) occurring in at least 5% of patients. Intent to Treat analysis.

ArmMeasureGroupValue (NUMBER)
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhasePatients with >= 1 Adverse Event349 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseNausea150 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseHeadache79 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseDry mouth76 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseHyperhidrosis76 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseFatigue60 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseConstipation48 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseDizziness41 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseDiarrhoea38 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseVomiting28 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseInsomnia27 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of Participants -- Open-Label Acute Therapy PhaseDecreased appetite26 participants
Secondary

Treatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation Phase

Time frame: Every Visit from Week 10 up to Week 34 (Continuation)

Population: Treatment-Emergent Adverse Events (TEAE) occurring in at least 5% of patients. Intent to Treat analysis.

ArmMeasureGroupValue (NUMBER)
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseBack pain7 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseNasopharyngitis7 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseDiarrhoea10 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhasePatients with >= 1 Adverse Event102 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseHyperhidrosis8 participants
DuloxetineTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseHeadache21 participants
PlaceboTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseHyperhidrosis12 participants
PlaceboTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseBack pain4 participants
PlaceboTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseDiarrhoea6 participants
PlaceboTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseHeadache12 participants
PlaceboTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhasePatients with >= 1 Adverse Event83 participants
PlaceboTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseNasopharyngitis10 participants
Duloxetine 120 mgTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseDiarrhoea2 participants
Duloxetine 120 mgTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhasePatients with >= 1 Adverse Event59 participants
Duloxetine 120 mgTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseHeadache6 participants
Duloxetine 120 mgTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseNasopharyngitis9 participants
Duloxetine 120 mgTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseHyperhidrosis5 participants
Duloxetine 120 mgTreatment-Emergent Adverse Events Occurring in at Least 5 Percent of the Participants -- Open-Label Continuation PhaseBack pain8 participants
Secondary

Vital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation Phases

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineVital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesSystolic Blood Pressure Baseline125.03 mm HgStandard Deviation 14.65
DuloxetineVital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesSystolic Blood Pressure Change to Endpoint0.25 mm HgStandard Deviation 12.62
DuloxetineVital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesDiastolic Blood Pressure Baseline77.52 mm HgStandard Deviation 9.54
DuloxetineVital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesDiastolic Blood Pressure Change to Endpoint0.72 mm HgStandard Deviation 8.68
PlaceboVital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesDiastolic Blood Pressure Change to Endpoint-0.57 mm HgStandard Deviation 9.18
PlaceboVital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesSystolic Blood Pressure Baseline124.72 mm HgStandard Deviation 13.84
PlaceboVital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesDiastolic Blood Pressure Baseline78.28 mm HgStandard Deviation 9.19
PlaceboVital Signs - Change From Baseline to Endpoint in Blood Pressure - Acute and Continuation PhasesSystolic Blood Pressure Change to Endpoint0.77 mm HgStandard Deviation 12.83
p-value: 0.659t-test, 2 sided
p-value: 0.064t-test, 2 sided
p-value: 0.224t-test, 2 sided
p-value: 0.21t-test, 2 sided
Secondary

Vital Signs - Change From Baseline to Endpoint in Blood Pressure - Maintenance Phase

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineVital Signs - Change From Baseline to Endpoint in Blood Pressure - Maintenance PhaseChange from Baseline: Systolic Blood Pressure1.70 mm HgStandard Error 13.44
DuloxetineVital Signs - Change From Baseline to Endpoint in Blood Pressure - Maintenance PhaseChange from Baseline: Diastolic Blood Pressure-0.23 mm HgStandard Error 9.72
PlaceboVital Signs - Change From Baseline to Endpoint in Blood Pressure - Maintenance PhaseChange from Baseline: Systolic Blood Pressure-1.11 mm HgStandard Error 11.59
PlaceboVital Signs - Change From Baseline to Endpoint in Blood Pressure - Maintenance PhaseChange from Baseline: Diastolic Blood Pressure-0.11 mm HgStandard Error 8.69
p-value: 0.134t-test, 2 sided
p-value: 0.816t-test, 2 sided
Secondary

Vital Signs - Change From Baseline to Endpoint in Pulse - Acute and Continuation Phases

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineVital Signs - Change From Baseline to Endpoint in Pulse - Acute and Continuation PhasesPulse Baseline71.76 beats per minuteStandard Deviation 9.26
DuloxetineVital Signs - Change From Baseline to Endpoint in Pulse - Acute and Continuation PhasesPulse Change from Baseline to Endpoint1.42 beats per minuteStandard Deviation 9.18
PlaceboVital Signs - Change From Baseline to Endpoint in Pulse - Acute and Continuation PhasesPulse Baseline72.79 beats per minuteStandard Deviation 9.5
PlaceboVital Signs - Change From Baseline to Endpoint in Pulse - Acute and Continuation PhasesPulse Change from Baseline to Endpoint1.75 beats per minuteStandard Deviation 10.39
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
Secondary

Vital Signs - Change From Baseline to Endpoint in Pulse - Maintenance Phase

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineVital Signs - Change From Baseline to Endpoint in Pulse - Maintenance Phase-1.86 beats per minuteStandard Error 0.76
PlaceboVital Signs - Change From Baseline to Endpoint in Pulse - Maintenance Phase-1.72 beats per minuteStandard Error 0.78
p-value: 0.891t-test, 2 sided
Secondary

Vital Signs - Change From Baseline to Endpoint in Weight - Acute and Continuation Phases

Time frame: Week 0 and Week 10 (Acute) and Week 34 (Continuation)

Population: Number of enrolled patients in the Acute Phase with a baseline and at least one non-missing post-baseline measurement. Number of patients who entered Continuation phase with baseline and have at least 1 post-baseline measurement. Intent to Treat analysis.

ArmMeasureGroupValue (MEAN)Dispersion
DuloxetineVital Signs - Change From Baseline to Endpoint in Weight - Acute and Continuation PhasesWeight Baseline74.74 kilogramsStandard Deviation 16.25
DuloxetineVital Signs - Change From Baseline to Endpoint in Weight - Acute and Continuation PhasesWeight Change from Baseline to Endpoint-0.69 kilogramsStandard Deviation 2.12
PlaceboVital Signs - Change From Baseline to Endpoint in Weight - Acute and Continuation PhasesWeight Baseline74.22 kilogramsStandard Deviation 15.89
PlaceboVital Signs - Change From Baseline to Endpoint in Weight - Acute and Continuation PhasesWeight Change from Baseline to Endpoint0.88 kilogramsStandard Deviation 3.29
p-value: <0.001t-test, 2 sided
p-value: <0.001t-test, 2 sided
Secondary

Vital Signs - Change From Baseline to Endpoint in Weight - Maintenance Phase

Time frame: Week 34 (baseline) and Week 86 (endpoint) (Maintenance Phase)

Population: Number of randomized patients with baseline and at least one non-missing post-baseline value. Intent to Treat analysis.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
DuloxetineVital Signs - Change From Baseline to Endpoint in Weight - Maintenance Phase0.88 kilogramsStandard Error 0.36
PlaceboVital Signs - Change From Baseline to Endpoint in Weight - Maintenance Phase0.39 kilogramsStandard Error 0.37
p-value: 0.314t-test, 2 sided

Source: ClinicalTrials.gov · Data processed: Apr 3, 2026