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A 10-Week, Open-Label, Flexible Dose Adaptive Study Evaluating the Efficacy of Vortioxetine in Subjects With Panic Disorder

Primary Purpose

Panic Disorder

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Vortioxetine
Sponsored by
Siyan Clinical Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Panic Disorder

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. The subject voluntarily agrees to participate in the study under their own free will.
  2. The subject meets the DSM-V criteria for PD with or without Agoraphobia or has a PDSS score > 8 at the Baseline visit.
  3. The subject is between the ages of 18-60 years old inclusive at the time of consent.
  4. The subject is capable of understanding and complying with protocol requirements.
  5. The subject has signed the Informed Consent Form. No study-related procedures may be performed before the subject has signed the form.

Exclusion Criteria:

  1. Female subjects who are pregnant or nursing, or may become pregnant during the course of the study. In addition, all subjects of childbearing potential who are sexually active most use adequate contraception from signing of informed consent and throughout the duration of the study. Male subjects who have been surgically sterilized, are at least one year post-vasectomy, are not required to use contraceptives. Females not of childbearing potential are defined as those who have been surgically sterilized (hysterectomy, bilateral oophorectomy or tubal ligation) or who are postmenopausal (defined as one year since last regular menses).
  2. Subjects who have a past or present primary diagnosis with a psychotic disorder other than PD with or without Agoraphobia.
  3. Subjects who have a current uncontrolled co-morbid psychiatric disorder other than PD with or without agoraphobia.
  4. Subject who have a history of alcohol abuse or dependence within the 12 months prior to screening, as defined by the DSM-V criteria.
  5. Subjects who have a comorbid severe medical diagnosis such as Cancer, adults with chronic heart failure, uncontrolled, long-term type 2 Diabetes, etc.
  6. Subjects with a history of liver disease such as cirrhosis of liver, neoplasm of the liver, or active Hepatitis C.
  7. Subjects weighing less than 100lbs at the Baseline visit.
  8. Subjects with a history of cardiac abnormalities including but not limited to, acute cardiovascular events, serious cardiovascular risk, myocardial infarction (MI), unstable angina (UA), percutaneous coronary intervention, coronary artery bypass graft, stroke, or deep vein thrombosis/pulmonary embolism within 1 year of screening, or have planned cardiovascular surgery or percutaneous coronary angioplasty.
  9. Subjects who are reasonably judged by the Investigator based on interview or information collected in the Columbia-Suicide Severity Rating Scale (C-SSRS) at the Baseline visit to present a significant suicide risk, or who are likely to require psychiatric hospitalization during the course of the study.
  10. Subjects who are unable to fully understand the potential risks and benefits of the study and unable to give informed consent.

Sites / Locations

  • Siyan Clinical Corporation

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Flexible, open label dosing

Arm Description

Flexible dosing 5-20mg

Outcomes

Primary Outcome Measures

Mean Change from Baseline in the Panic Disorder Severity Scale (PDSS) score

Secondary Outcome Measures

Improvement on the Quality of Life Scale (QLOS) from Baseline
Information from the Monitoring of Side Effects Scale (MOSES)

Full Information

First Posted
March 16, 2015
Last Updated
July 22, 2016
Sponsor
Siyan Clinical Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02395510
Brief Title
A 10-Week, Open-Label, Flexible Dose Adaptive Study Evaluating the Efficacy of Vortioxetine in Subjects With Panic Disorder
Official Title
A 10-Week, Open-Label, Flexible Dose Adaptive Study Evaluating the Efficacy of Vortioxetine in Subjects With Panic Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
July 2016
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
June 2016 (Actual)
Study Completion Date
June 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Siyan Clinical Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary aim of this study is to evaluate the efficacy of Vortioxetine in an adult population with a diagnosis of PD. PD is generally treated with benzodiazepines which are very effective but have a high risk for addiction, fall, and cognitive impairment. There is still a need for better treatment for PD for longer term use. There are other drugs within the SSRI/SNRI class which have proven to be effective in treating patients with this diagnosis.
Detailed Description
The primary objective of the study is to evaluate the efficacy of Vortioxetine (5, 10, or 20mg) over a period of 10 weeks in subjects with PD, with or without Agoraphobia. The efficacy of Vortioxetine will be evaluated using the Mean Change from Baseline in the Panic Disorder Severity Scale (PDSS) score and the reduction in occurrence of panic attacks as measured by item 1 in the PDSS Scale after 10 weeks of treatment with Vortioxetine. This study is an open-label, adaptive study with flexible dose strategies lasting 10 weeks. Approximately 20 male and female subjects over the age of 18aged 18-60 years who currently meet DSM-IV criteria for PD with or without Agoraphobia or who have a PDSS score > 8 at Baseline will be enrolled in this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Panic Disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Flexible, open label dosing
Arm Type
Other
Arm Description
Flexible dosing 5-20mg
Intervention Type
Drug
Intervention Name(s)
Vortioxetine
Intervention Description
Vortioxetine 5-20mg
Primary Outcome Measure Information:
Title
Mean Change from Baseline in the Panic Disorder Severity Scale (PDSS) score
Time Frame
10 weeks
Secondary Outcome Measure Information:
Title
Improvement on the Quality of Life Scale (QLOS) from Baseline
Time Frame
10 weeks
Title
Information from the Monitoring of Side Effects Scale (MOSES)
Time Frame
10 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject voluntarily agrees to participate in the study under their own free will. The subject meets the DSM-V criteria for PD with or without Agoraphobia or has a PDSS score > 8 at the Baseline visit. The subject is between the ages of 18-60 years old inclusive at the time of consent. The subject is capable of understanding and complying with protocol requirements. The subject has signed the Informed Consent Form. No study-related procedures may be performed before the subject has signed the form. Exclusion Criteria: Female subjects who are pregnant or nursing, or may become pregnant during the course of the study. In addition, all subjects of childbearing potential who are sexually active most use adequate contraception from signing of informed consent and throughout the duration of the study. Male subjects who have been surgically sterilized, are at least one year post-vasectomy, are not required to use contraceptives. Females not of childbearing potential are defined as those who have been surgically sterilized (hysterectomy, bilateral oophorectomy or tubal ligation) or who are postmenopausal (defined as one year since last regular menses). Subjects who have a past or present primary diagnosis with a psychotic disorder other than PD with or without Agoraphobia. Subjects who have a current uncontrolled co-morbid psychiatric disorder other than PD with or without agoraphobia. Subject who have a history of alcohol abuse or dependence within the 12 months prior to screening, as defined by the DSM-V criteria. Subjects who have a comorbid severe medical diagnosis such as Cancer, adults with chronic heart failure, uncontrolled, long-term type 2 Diabetes, etc. Subjects with a history of liver disease such as cirrhosis of liver, neoplasm of the liver, or active Hepatitis C. Subjects weighing less than 100lbs at the Baseline visit. Subjects with a history of cardiac abnormalities including but not limited to, acute cardiovascular events, serious cardiovascular risk, myocardial infarction (MI), unstable angina (UA), percutaneous coronary intervention, coronary artery bypass graft, stroke, or deep vein thrombosis/pulmonary embolism within 1 year of screening, or have planned cardiovascular surgery or percutaneous coronary angioplasty. Subjects who are reasonably judged by the Investigator based on interview or information collected in the Columbia-Suicide Severity Rating Scale (C-SSRS) at the Baseline visit to present a significant suicide risk, or who are likely to require psychiatric hospitalization during the course of the study. Subjects who are unable to fully understand the potential risks and benefits of the study and unable to give informed consent.
Facility Information:
Facility Name
Siyan Clinical Corporation
City
Santa Rosa
State/Province
California
ZIP/Postal Code
95401
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
29760763
Citation
Shah A, Northcutt J. An open-label, flexible dose adaptive study evaluating the efficacy of vortioxetine in subjects with panic disorder. Ann Gen Psychiatry. 2018 May 11;17:19. doi: 10.1186/s12991-018-0190-6. eCollection 2018.
Results Reference
derived

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A 10-Week, Open-Label, Flexible Dose Adaptive Study Evaluating the Efficacy of Vortioxetine in Subjects With Panic Disorder

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