Major Depressive Disorder
Conditions
Keywords
Agomelatine, Major Depressive Disorder, MDD, depression
Brief summary
The study will assess efficacy, safety and tolerability of 0.5 mg/day and 1 mg/day of sublingual (under the tongue) formulation of agomelatine in patients with Major Depressive Disorder. This study includes an 8-week double-blind phase.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with diagnosis of MDD, single or recurrent episode, according to DSM-IV criteria. * Current episode ≥4 weeks. * CGI-Severity score ≥4 at Screening and Baseline.
Exclusion criteria
* History of bipolar disorder (I or II), schizophrenia, schizoaffective disorder, eating disorder (current or during previous one year), obsessive-compulsive disorder. * Any other current Axis I disorder other than MDD which is the focus of treatment. * Substance or alcohol abuse in the last 30 days, dependence in the last 6 months. * Concomitant psychotropic medication, including herbal preparations and melatonin. * Psychotherapy of any type. * Prior exposure to agomelatine. * Female patients of childbearing potential who are not using effective contraception. Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from Baseline to endpoint at Week 8 using the total score of the Hamilton Depression Rating Scale | Baseline and 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Effect on subjective sleep, as measured by the score of the Leeds Sleep Evaluation Questionnaire (LSEQ) domain quality of sleep at Week 8 | 8 weeks |
| Proportion of patients who demonstrate clinical response, where response is defined by a reduction of at least 50% in the Baseline clinician-rated HAM-D total score at Week 8 endpoint | 8 weeks |
| Proportion of patients who demonstrate clinical improvement at Week 8, where improvement is defined by a score of 1 or 2 on the CGI-I scale | 8 weeks |
| Proportion of patients who achieve remission | 8 weeks |
| Safety and tolerability by adverse events and serious adverse events, and assessment of suicidal ideation and behavior by Columbia Suicide Severity Rating Scale. | 8 weeks |
Countries
Puerto Rico, United States