12-Week Study of Pristiq (Desvenlafaxine) Social Anxiety Disorder
Primary Purpose
Social Anxiety Disorder
Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Pristiq
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Social Anxiety Disorder focused on measuring Social Anxiety Disorder, Social Phobia, SAD
Eligibility Criteria
Inclusion Criteria:
- Subjects must give written informed consent prior to any study procedures.
- Diagnosis of Social Anxiety Disorder (SAD) (300.23 Social Phobia/Social Anxiety Disorder, Generalized Subtype) according to DSM-IV-TR criteria, as determined by psychiatric evaluation with the Principal Investigator.
- A minimum score of 60 on the LSAS total score at both Screening and Baseline visits.
- A total HAM-D score of less than 15 at the Screening visit.
- CGI Severity score of 4 or greater at both Screening and Baseline visits.
- Female subjects of childbearing potential must commit to an effective form of contraception for the duration of the trial. Effective forms of contraception include: condoms with spermicide, diaphragm with spermicide, hormonal contraceptive agents (oral, transdermal, or injectable), and implantable contraceptive devices.
Exclusion Criteria:
- An Axis I disorder other than SAD (e.g., post-traumatic stress disorder, obsessive compulsive disorder, panic disorder) within 24 weeks of the Baseline visit. Subjects with co-morbid MDD, GAD, dysthymia, or specific phobias will be allowed if GSAD is the primary disorder in terms of clinical severity, as determined by the investigator.
- Any history or complication of schizophrenia or bipolar disorder.
- Any complication of body dysmorphic disorder.
- Substance dependence, as defined by DSM-IV-TR criteria, within 24 weeks of the Baseline visit.
- Subjects who are currently pregnant, lactating, or of childbearing potential and not practicing an effective method of contraception.
- Subjects scoring >2 on item #3 of the HAM-D, or who, in the opinion of the PI, are at a clinically significant risk for suicide.
- Systolic blood pressure ≥165 and/or diastolic blood pressure ≥95.
- Positive Urine Drug Screen at the Screening visit.
- Any current unstable and/or clinically significant medical condition, based on history or as evidenced in Screening laboratory and ECG assessments.
- Any history or complication of cancer or malignant tumor.
- Fluoxetine within 28 days of Baseline
- MAO inhibitors within 14 days of Baseline - Any other psychotropics (including SSRIs, SNRIs, and benzodiazepines) within 14 days of Baseline. Zolpidem (Ambien®) PRN is allowed for insomnia if not taken more than 3 times per week.
- Subjects who started psychotherapy or cognitive-behavioral therapy within 24 weeks of the Baseline visit, except for supportive psychotherapy.
- Electro-convulsive therapy (ECT) within 12 weeks of the Baseline visit.
- Treatment refractory GSAD
Sites / Locations
- The Medical Research Network, LLC
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Pristiq
Placebo
Arm Description
Flexible dose, 50-100mg QD
Matching placebo
Outcomes
Primary Outcome Measures
Change in the Liebowitz Social Anxiety Scale (LSAS) Total Score
Liebowitz Social Anxiety Scale, measuring social anxiety symptoms; possible total scores ranging from 0-144, with higher scores indicating greater severity of symptoms.
Secondary Outcome Measures
Clinical Global Impression of Improvement Scale (CGI-I)
CGI-I: one item, measuring overall improvement of illness; possible scores range from 1-7, with lower scores representing greater improvement. CGI-I responders: defined as having a CGI-I scores of 1 or 2 at Week 12/study endpoint.
Patient Global Impression of Change
Subject-rated global outcome scale. Subjects who rated themselves as 1 (Very Much Improved) or 2 (Much Improved) on the PGIC were considered self-rated responders.
Full Information
NCT ID
NCT01316302
First Posted
March 14, 2011
Last Updated
August 23, 2016
Sponsor
The Medical Research Network
Collaborators
Pfizer
1. Study Identification
Unique Protocol Identification Number
NCT01316302
Brief Title
12-Week Study of Pristiq (Desvenlafaxine) Social Anxiety Disorder
Official Title
A 12-Week Double-Blind, Placebo-Controlled, Flexible-Dose Trial of Pristiq® (Desvenlafaxine) Extended-Release Tablets in Generalized Social Anxiety Disorder
Study Type
Interventional
2. Study Status
Record Verification Date
August 2016
Overall Recruitment Status
Completed
Study Start Date
April 2011 (undefined)
Primary Completion Date
November 2012 (Actual)
Study Completion Date
December 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Medical Research Network
Collaborators
Pfizer
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is designed to evaluate the efficacy and safety of Pristiq® in treatment of the symptoms of Generalized Social Anxiety Disorder (SAD).
Detailed Description
Social Anxiety Disorder (SAD) is recognized as a prevalent, chronic and disabling condition. Lifetime prevalence has been estimated at 13% in the National Comorbidity Survey. There is good reason to think that Pristiq® would be effective in Social Anxiety Disorder. Effexor XR, which is mechanistically similar to Pristiq®, was found effective for subjects with Generalized Social Anxiety Disorder in all five of the placebo controlled trials in which it was studied.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Social Anxiety Disorder
Keywords
Social Anxiety Disorder, Social Phobia, SAD
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
63 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Pristiq
Arm Type
Experimental
Arm Description
Flexible dose, 50-100mg QD
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo
Intervention Type
Drug
Intervention Name(s)
Pristiq
Other Intervention Name(s)
desvenlafaxine
Intervention Description
Flexible dose, 50-100mg QD, for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo, taken QD for 12 weeks.
Primary Outcome Measure Information:
Title
Change in the Liebowitz Social Anxiety Scale (LSAS) Total Score
Description
Liebowitz Social Anxiety Scale, measuring social anxiety symptoms; possible total scores ranging from 0-144, with higher scores indicating greater severity of symptoms.
Time Frame
Baseline to study endpoint (Week 12)
Secondary Outcome Measure Information:
Title
Clinical Global Impression of Improvement Scale (CGI-I)
Description
CGI-I: one item, measuring overall improvement of illness; possible scores range from 1-7, with lower scores representing greater improvement. CGI-I responders: defined as having a CGI-I scores of 1 or 2 at Week 12/study endpoint.
Time Frame
Baseline to Week 12
Title
Patient Global Impression of Change
Description
Subject-rated global outcome scale. Subjects who rated themselves as 1 (Very Much Improved) or 2 (Much Improved) on the PGIC were considered self-rated responders.
Time Frame
Baseline to study endpoint (Week 12)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Subjects must give written informed consent prior to any study procedures.
Diagnosis of Social Anxiety Disorder (SAD) (300.23 Social Phobia/Social Anxiety Disorder, Generalized Subtype) according to DSM-IV-TR criteria, as determined by psychiatric evaluation with the Principal Investigator.
A minimum score of 60 on the LSAS total score at both Screening and Baseline visits.
A total HAM-D score of less than 15 at the Screening visit.
CGI Severity score of 4 or greater at both Screening and Baseline visits.
Female subjects of childbearing potential must commit to an effective form of contraception for the duration of the trial. Effective forms of contraception include: condoms with spermicide, diaphragm with spermicide, hormonal contraceptive agents (oral, transdermal, or injectable), and implantable contraceptive devices.
Exclusion Criteria:
An Axis I disorder other than SAD (e.g., post-traumatic stress disorder, obsessive compulsive disorder, panic disorder) within 24 weeks of the Baseline visit. Subjects with co-morbid MDD, GAD, dysthymia, or specific phobias will be allowed if GSAD is the primary disorder in terms of clinical severity, as determined by the investigator.
Any history or complication of schizophrenia or bipolar disorder.
Any complication of body dysmorphic disorder.
Substance dependence, as defined by DSM-IV-TR criteria, within 24 weeks of the Baseline visit.
Subjects who are currently pregnant, lactating, or of childbearing potential and not practicing an effective method of contraception.
Subjects scoring >2 on item #3 of the HAM-D, or who, in the opinion of the PI, are at a clinically significant risk for suicide.
Systolic blood pressure ≥165 and/or diastolic blood pressure ≥95.
Positive Urine Drug Screen at the Screening visit.
Any current unstable and/or clinically significant medical condition, based on history or as evidenced in Screening laboratory and ECG assessments.
Any history or complication of cancer or malignant tumor.
Fluoxetine within 28 days of Baseline
MAO inhibitors within 14 days of Baseline - Any other psychotropics (including SSRIs, SNRIs, and benzodiazepines) within 14 days of Baseline. Zolpidem (Ambien®) PRN is allowed for insomnia if not taken more than 3 times per week.
Subjects who started psychotherapy or cognitive-behavioral therapy within 24 weeks of the Baseline visit, except for supportive psychotherapy.
Electro-convulsive therapy (ECT) within 12 weeks of the Baseline visit.
Treatment refractory GSAD
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael R. Liebowitz, MD
Organizational Affiliation
The Medical Research Network
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Medical Research Network, LLC
City
New York
State/Province
New York
ZIP/Postal Code
10128
Country
United States
12. IPD Sharing Statement
Links:
URL
http://www.MedicalResearchNetwork.com
Description
Click here for more information about The Medical Research Network.
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12-Week Study of Pristiq (Desvenlafaxine) Social Anxiety Disorder
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