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Pharmacokinetics and Tolerability of Vortioxetine (Lu AA21004) in Child and Adolescent Patients With Depressive or Anxiety Disorder

Primary Purpose

Depressive Disorder, Anxiety Disorder

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Vortioxetine
Vortioxetine
Vortioxetine
Vortioxetine
Sponsored by
H. Lundbeck A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Depressive Disorder focused on measuring Children, Adolescents, Pharmacokinetic, Pharmacodynamic

Eligibility Criteria

7 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with a DSM-IV-TR diagnosis of Depressive or Anxiety Disorder.
  • The patient and parent(s)/legal representative(s) are able to comprehend and satisfactorily comply with the protocol requirements.
  • Treatment with antidepressant therapy is warranted, as judged by the investigator.

Exclusion Criteria:

  • The patient is pregnant or breast-feeding.
  • The patient presents or has a history of an Axis I (DSM-IV-TR) diagnosis of Bipolar Disorder, Post Traumatic Stress Disorder (PTSD), Autism, Pervasive Developmental Disorder (PDD), Obsessive Compulsive Disorder (OCD) or Schizophrenia or Schizoaffective Disorder.
  • The patient has not maintained a stable dose of a methylphenidate or amphetamine for their treatment of attention-deficit/hyperactivity disorder (ADHD) for a minimum of 4 weeks prior to the study treatment.
  • The patient has a known mental retardation, or clinical evidence or known social or school history indicative of mental retardation.
  • The patient is at significant risk of committing suicide based on history (for example previous suicide attempt) or according to the investigator's experience, or based on active suicidal ideation, intent or plan, item 4 or 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS).
  • The subject has any concurrent illness that may affect the particular target or absorption, distribution, and elimination of the investigational medicinal product (IMP).
  • The patient meets DSM-IV-TR criteria for any psychoactive substance or alcohol use disorder.

Other inclusion and exclusion criteria may apply.

Sites / Locations

  • US003
  • US004
  • US002
  • US001
  • DE002
  • DE001
  • DE003

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort CC1, 6 children

Cohort CC2, 6 children

Cohort CC3, 6 children

Cohort CC4, 6 children

Cohort AC1, 6 adolescents

Cohort AC2, 6 adolescents

Cohort AC3, 6 adolescents

Cohort AC4, 6 adolescents

Arm Description

Outcomes

Primary Outcome Measures

Cmax of Vortioxetine
Maximum plasma concentration of vortioxetine
AUC(0-24h) of Vortioxetine
Area under the vortioxetine plasma concentration-time curve from 0 to 24 hours
t½ of Vortioxetine
Half-life of vortioxetine in plasma
Cmax of Lu AA34443
Maximum plasma concentration of the major, inactive metabolite Lu AA34443
AUC(0-24h) of Lu AA34443
Area under the plasma concentration-time curve from 0 to 24 hours for the major, inactive metabolite Lu AA34443
t½ of Lu AA34443
Half-life of the major, inactive metabolite Lu AA34443 in plasma
Oral Clearance (CL/F) of Vortioxetine
Oral clearance expressed as a function of bioavailability

Secondary Outcome Measures

Full Information

First Posted
November 23, 2011
Last Updated
February 8, 2017
Sponsor
H. Lundbeck A/S
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1. Study Identification

Unique Protocol Identification Number
NCT01491035
Brief Title
Pharmacokinetics and Tolerability of Vortioxetine (Lu AA21004) in Child and Adolescent Patients With Depressive or Anxiety Disorder
Official Title
An Open-label Study Evaluating the Pharmacokinetics and Tolerability of [Vortioxetine] Lu AA21004 in Connection With Multiple Oral Dosing of [Vortioxetine] Lu AA21004 in Child and Adolescent Patients With a DSM-IV Diagnosis of Depressive or Anxiety Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
February 2017
Overall Recruitment Status
Completed
Study Start Date
April 2012 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
June 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
H. Lundbeck A/S

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objective of the study is to evaluate the pharmacokinetics of vortioxetine and its metabolites in connection with multiple oral dosing in child and adolescent patients with a DSM-IV-TR diagnosis of Depressive or Anxiety Disorder
Detailed Description
The study will be conducted in the US and in Europe and will include paediatric patients diagnosed with depressive or anxiety disorders of two age populations; children aged 7-11 years and adolescents of the age 12-17 years. It is an open study to allow pharmacokinetic (PK) sampling of all patients and four dose levels will be tested. Following lower initial doses for 2 to 6 days, the patients will be treated once daily at the assigned dose levels for 14 days, and it is expected that patients may benefit from treatment during this period. As the treatment duration is not sufficient according to treatment guidelines, if judged or indicated by the investigator, the patients are offered to continue in an extension treatment of up to six months to allow possibility for therapeutic satisfaction. Preferably, the cohorts will be dosed in the following order: AC1, AC2, CC1, AC3, CC2, AC4, CC3, and CC4. An external data safety monitoring board (DSMB) will be established to evaluate safety, tolerability and preliminary PK data from the dosed cohort(s) prior to any dosing of subsequent cohort (s). The dose regimen may be adjusted based on the recommendation of the DSMB. Adolescents will be exposed to a certain dose of vortioxetine before children receive the same dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Depressive Disorder, Anxiety Disorder
Keywords
Children, Adolescents, Pharmacokinetic, Pharmacodynamic

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort CC1, 6 children
Arm Type
Experimental
Arm Title
Cohort CC2, 6 children
Arm Type
Experimental
Arm Title
Cohort CC3, 6 children
Arm Type
Experimental
Arm Title
Cohort CC4, 6 children
Arm Type
Experimental
Arm Title
Cohort AC1, 6 adolescents
Arm Type
Experimental
Arm Title
Cohort AC2, 6 adolescents
Arm Type
Experimental
Arm Title
Cohort AC3, 6 adolescents
Arm Type
Experimental
Arm Title
Cohort AC4, 6 adolescents
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Vortioxetine
Other Intervention Name(s)
Brintellix
Intervention Description
5 mg tablets for 14 days; orally; once daily
Intervention Type
Drug
Intervention Name(s)
Vortioxetine
Other Intervention Name(s)
Brintellix
Intervention Description
10 mg tablets for 14 days (initial up-titration with 5 mg/day for 2 days); orally; once daily
Intervention Type
Drug
Intervention Name(s)
Vortioxetine
Other Intervention Name(s)
Brintellix
Intervention Description
15 mg tablets for 14 days (initial up-titration with 5 and 10 mg/day for a total of 4 days); orally; once daily
Intervention Type
Drug
Intervention Name(s)
Vortioxetine
Other Intervention Name(s)
Brintellix
Intervention Description
20 mg tablets for 14 days (initial up-titration with 5, 10, and 15 mg/day for a total of 6 days); orally; once daily
Primary Outcome Measure Information:
Title
Cmax of Vortioxetine
Description
Maximum plasma concentration of vortioxetine
Time Frame
Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18, or 20, depending on assigned dose level
Title
AUC(0-24h) of Vortioxetine
Description
Area under the vortioxetine plasma concentration-time curve from 0 to 24 hours
Time Frame
Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level
Title
t½ of Vortioxetine
Description
Half-life of vortioxetine in plasma
Time Frame
Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level
Title
Cmax of Lu AA34443
Description
Maximum plasma concentration of the major, inactive metabolite Lu AA34443
Time Frame
Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18, or 20, depending on assigned dose level
Title
AUC(0-24h) of Lu AA34443
Description
Area under the plasma concentration-time curve from 0 to 24 hours for the major, inactive metabolite Lu AA34443
Time Frame
Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level
Title
t½ of Lu AA34443
Description
Half-life of the major, inactive metabolite Lu AA34443 in plasma
Time Frame
Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level
Title
Oral Clearance (CL/F) of Vortioxetine
Description
Oral clearance expressed as a function of bioavailability
Time Frame
Pre-dose and 1, 3, 5, 8, 12 and 24 hours post-dose on Day 14, 16, 18 or 20, depending on assigned dose level

10. Eligibility

Sex
All
Minimum Age & Unit of Time
7 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with a DSM-IV-TR diagnosis of Depressive or Anxiety Disorder. The patient and parent(s)/legal representative(s) are able to comprehend and satisfactorily comply with the protocol requirements. Treatment with antidepressant therapy is warranted, as judged by the investigator. Exclusion Criteria: The patient is pregnant or breast-feeding. The patient presents or has a history of an Axis I (DSM-IV-TR) diagnosis of Bipolar Disorder, Post Traumatic Stress Disorder (PTSD), Autism, Pervasive Developmental Disorder (PDD), Obsessive Compulsive Disorder (OCD) or Schizophrenia or Schizoaffective Disorder. The patient has not maintained a stable dose of a methylphenidate or amphetamine for their treatment of attention-deficit/hyperactivity disorder (ADHD) for a minimum of 4 weeks prior to the study treatment. The patient has a known mental retardation, or clinical evidence or known social or school history indicative of mental retardation. The patient is at significant risk of committing suicide based on history (for example previous suicide attempt) or according to the investigator's experience, or based on active suicidal ideation, intent or plan, item 4 or 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS). The subject has any concurrent illness that may affect the particular target or absorption, distribution, and elimination of the investigational medicinal product (IMP). The patient meets DSM-IV-TR criteria for any psychoactive substance or alcohol use disorder. Other inclusion and exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Email contact via H. Lundbeck A/S
Organizational Affiliation
LundbeckClinicalTrials@lundbeck.com
Official's Role
Study Director
Facility Information:
Facility Name
US003
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
Facility Name
US004
City
Wichita
State/Province
Kansas
ZIP/Postal Code
67214
Country
United States
Facility Name
US002
City
Cincinnatti
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Facility Name
US001
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
DE002
City
Berlin
ZIP/Postal Code
10249
Country
Germany
Facility Name
DE001
City
Mainz
ZIP/Postal Code
55122
Country
Germany
Facility Name
DE003
City
Ulm
ZIP/Postal Code
89075
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
29035574
Citation
Findling RL, Robb AS, DelBello MP, Huss M, McNamara NK, Sarkis EH, Scheffer RE, Poulsen LH, Chen G, Lemming OM, Auby P. A 6-Month Open-Label Extension Study of Vortioxetine in Pediatric Patients with Depressive or Anxiety Disorders. J Child Adolesc Psychopharmacol. 2018 Feb;28(1):47-54. doi: 10.1089/cap.2017.0047. Epub 2017 Oct 16.
Results Reference
derived
Links:
URL
https://www.clinicaltrialsregister.eu/ctr-search/trial/2010-020170-42/results
Description
EMA EudraCT Results: 2010-020170-42

Learn more about this trial

Pharmacokinetics and Tolerability of Vortioxetine (Lu AA21004) in Child and Adolescent Patients With Depressive or Anxiety Disorder

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