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Oral Multiple-dose Study in Patients With Major Depressive Disorder

Primary Purpose

Major Depressive Disorder

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
FK949E
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Major Depressive Disorder focused on measuring Antipsychotic, FK949E, Quetiapine

Eligibility Criteria

20 Years - 64 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of major depressive disorder by the M.I.N.I. according to the DSM-IV-TR
  • Female patients of childbearing potential with a negative serum pregnancy test result and who were willing and able to use a reliable method of birth control during the study.
  • Patients who could understand and comply with the requirements of the study, as judged by the investigator/sub-investigator.

Exclusion Criteria:

  • A current or past history of a DSM-IV-TR Axis I disorder other than major depressive disorder within 6 months prior to provision of written informed consent.
  • Diagnosis of a DSM-IV-TR Axis II disorder that was considered to have a major impact on the patient's current psychiatric status.
  • A history of substance or alcohol abuse or dependence excluding caffeine and nicotine.
  • Patients who were unable to abstain from drugs that induce or inhibit the drug-metabolizing enzyme CYP3A4 from 14 days prior to screening assessment and throughout the study period.
  • Patients showing evidence or signs of renal or hepatic failure, serious heart disease, cerebrovascular disease, viral hepatitis B or C, or acquired immunodeficiency syndrome (AIDS) (carrier).
  • Patients being treated for hypertension or patients with clinical finding that in the opinion of the investigator/sub-investigator could be negatively affected by the study or that would affect the study results (e.g., hypertension, unstable angina).
  • Patients with concomitant hypotension or orthostatic hypotension (hypotension is defined as systolic blood pressure of less than 100 mmHg)
  • Conditions that could affect absorption and metabolism of the study medication (e.g., malabsorption syndrome, liver disease)
  • A current diagnosis of malignant tumor unless in remission for at least 5 years (except basal or squamous cell skin carcinoma).
  • A history of transient ischemic attack (TIA).
  • A history of seizure disorder, except for febrile convulsions
  • Application of electroconvulsive therapy within 90 days prior to the start of study drug administration
  • Use of a depot antipsychotic injection and inability to be off the drug for a period of twice the dosing interval prior to screening assessment and throughout the study period
  • A score of ≥ 3 on the HAM-D17 Item (suicide) or a suicide attempt within the past 6 months. Patients judged to be at serious suicidal or homicidal risk in the opinion of the investigator/sub-investigator.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Group 1 (FK949E lower dose)

Group 2 (FK949E middle dose)

Group 3 (FK949E higher dose)

Arm Description

Oral

Oral

Oral

Outcomes

Primary Outcome Measures

Maximum plasma concentration (Cmax) of unchanged quetiapine
AUC24h (area under the curve for 24hr) of unchanged quetiapine

Secondary Outcome Measures

trough value of plasma concentration of unchanged quetiapine
t1/2 of plasma concentration of unchanged quetiapine
Maximum plasma concentration (Cmax) of quetiapine metabolites
AUC (area under the curve) of quetiapine metabolites
trough value of plasma concentration of quetiapine metabolites
tmax of plasma concentration of quetiapine metabolites
t1/2 of plasma concentration of quetiapine metabolites
Safety assessed by the incidence of adverse events, clinical tab tests, vital signs, 12-lead ECGs and physical exam

Full Information

First Posted
August 14, 2013
Last Updated
February 14, 2017
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT01924520
Brief Title
Oral Multiple-dose Study in Patients With Major Depressive Disorder
Official Title
Phase I Study of FK949E - Phase I Oral Multiple-dose Study in Patients With Major Depressive Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
November 2010 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
May 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
A study was to evaluate the safety and plasma concentration changes of quetiapine after repeated administration of FK949E (extended-release formulation of quetiapine) in patients with major depressive disorder (MDD).
Detailed Description
The objective of the study was to evaluate the safety and pharmacokinetics of multiple oral doses of FK949E (extended-release formulation of quetiapine) of three doses in patients with major depressive disorder (MDD).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder
Keywords
Antipsychotic, FK949E, Quetiapine

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1 (FK949E lower dose)
Arm Type
Experimental
Arm Description
Oral
Arm Title
Group 2 (FK949E middle dose)
Arm Type
Experimental
Arm Description
Oral
Arm Title
Group 3 (FK949E higher dose)
Arm Type
Experimental
Arm Description
Oral
Intervention Type
Drug
Intervention Name(s)
FK949E
Other Intervention Name(s)
extended-release formulation of quetiapine
Intervention Description
Oral
Primary Outcome Measure Information:
Title
Maximum plasma concentration (Cmax) of unchanged quetiapine
Time Frame
for 24 hours after dosing
Title
AUC24h (area under the curve for 24hr) of unchanged quetiapine
Time Frame
for 24 hours after dosing
Secondary Outcome Measure Information:
Title
trough value of plasma concentration of unchanged quetiapine
Time Frame
for 24 hours after dosing
Title
t1/2 of plasma concentration of unchanged quetiapine
Time Frame
for 24 hours after dosing
Title
Maximum plasma concentration (Cmax) of quetiapine metabolites
Time Frame
for 24 hours after dosing
Title
AUC (area under the curve) of quetiapine metabolites
Time Frame
for 24 hours after dosing
Title
trough value of plasma concentration of quetiapine metabolites
Time Frame
for 24 hours after dosing
Title
tmax of plasma concentration of quetiapine metabolites
Time Frame
for 24 hours after dosing
Title
t1/2 of plasma concentration of quetiapine metabolites
Time Frame
for 24 hours after dosing
Title
Safety assessed by the incidence of adverse events, clinical tab tests, vital signs, 12-lead ECGs and physical exam
Time Frame
Up to Day 14

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of major depressive disorder by the M.I.N.I. according to the DSM-IV-TR Female patients of childbearing potential with a negative serum pregnancy test result and who were willing and able to use a reliable method of birth control during the study. Patients who could understand and comply with the requirements of the study, as judged by the investigator/sub-investigator. Exclusion Criteria: A current or past history of a DSM-IV-TR Axis I disorder other than major depressive disorder within 6 months prior to provision of written informed consent. Diagnosis of a DSM-IV-TR Axis II disorder that was considered to have a major impact on the patient's current psychiatric status. A history of substance or alcohol abuse or dependence excluding caffeine and nicotine. Patients who were unable to abstain from drugs that induce or inhibit the drug-metabolizing enzyme CYP3A4 from 14 days prior to screening assessment and throughout the study period. Patients showing evidence or signs of renal or hepatic failure, serious heart disease, cerebrovascular disease, viral hepatitis B or C, or acquired immunodeficiency syndrome (AIDS) (carrier). Patients being treated for hypertension or patients with clinical finding that in the opinion of the investigator/sub-investigator could be negatively affected by the study or that would affect the study results (e.g., hypertension, unstable angina). Patients with concomitant hypotension or orthostatic hypotension (hypotension is defined as systolic blood pressure of less than 100 mmHg) Conditions that could affect absorption and metabolism of the study medication (e.g., malabsorption syndrome, liver disease) A current diagnosis of malignant tumor unless in remission for at least 5 years (except basal or squamous cell skin carcinoma). A history of transient ischemic attack (TIA). A history of seizure disorder, except for febrile convulsions Application of electroconvulsive therapy within 90 days prior to the start of study drug administration Use of a depot antipsychotic injection and inability to be off the drug for a period of twice the dosing interval prior to screening assessment and throughout the study period A score of ≥ 3 on the HAM-D17 Item (suicide) or a suicide attempt within the past 6 months. Patients judged to be at serious suicidal or homicidal risk in the opinion of the investigator/sub-investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Astellas Pharma Inc
Official's Role
Study Director
Facility Information:
City
Kansai
Country
Japan
City
Kantou
Country
Japan

12. IPD Sharing Statement

Links:
URL
https://www.astellasclinicalstudyresults.com/hcp/study.aspx?ID=179
Description
Link to results on Astellas Clinical Study Results website

Learn more about this trial

Oral Multiple-dose Study in Patients With Major Depressive Disorder

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