Major Depressive Disorder
Conditions
Keywords
agomelatine, Major Depressive Disorder, MDD, depression
Brief summary
The study will assess safety and tolerability of 0.5 mg/day and 1 mg/day of sublingual (under the tongue) formulation of agomelatine (AGO178) in patients with Major Depressive Disorder over a 52-week open-label phase. Cohort I is restricted to include patients who have completed a previous Novartis agomelatine (178C) Double-blind study. Cohort II will include de-novo patients (those who did not participate in a previous agomelatine 178C study) and will only be open for a limited time span ranging from approximately June to Sept 2010, at which point this cohort II will be closed to enrollment.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria Cohort I: * Documentation of completion of a Novartis AGO178C Double-blind Study in MDD patients. * Male and female adults, 18 through 71 years of age, inclusive (i.e., same age range as for Double-blind Study, but with upper age limit increased by 1-year to accommodate patients whose age increased during the Double-blind Study). * Female patients should continue to use effective contraception as defined in double-blind study protocol. Inclusion Criteria: Key Inclusion criteria Cohort II: * Male and female adults, 18 through 70 years of age, inclusive. * 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
Key
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reports of adverse events, serious adverse events, changes in laboratory values, ECGs, vital signs, physical examination, and Columbia Suicidality Severity Rating Scale | 52 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change from Baseline to Week 6, 8, 12, 28, 36 and 52 on total score of the Hamilton Depression Rating Scale | Week 6, 8, 12, 28, 36 and 52 |
| Proportion of patients who demonstrate clinical improvement at Week 6,8,12, 28,36 and 52, where improvement is defined by a score of 1 or 2 on the CGI-I scale | Week 6, 8, 12, 28, 36 and 52 |
| Overall illness severity as measured by change from Baseline on CGI-S (Clinical Global Impression of severity scale) at week 52 | Week 52 |
| Patients' ability to function in daily life as measured by change from Baseline on total score of Sheehan Disability Scale at week 52 | Week 52 |
Countries
Puerto Rico, United States