Table 2.
References/registrationa | Setting | Age range (years) |
Randomized trial design | Depression severity threshold for inclusion | Duration | Participants (n) |
Treatment groups
|
||
---|---|---|---|---|---|---|---|---|---|
Group | Drug dose | n | |||||||
Alvarez et al49 #NCT00839423 |
Outpatient | 18–65 | Double-blind, fixed-dose, placebo-controlled, active treatment-referenced | MADRS ≥30 at baselineb–d | 6 weeks | 429 | Vortioxetine | 5 mg/day | 109 |
Vortioxetine | 10 mg/day | 101 | |||||||
Venlafaxine | 225 mg/day | 114 | |||||||
Placebo | – | 105 | |||||||
Henigsberg et al50 #NCT00735709 |
Unspecified | 18–75 | Double-blind, fixed-dose, placebo-controlled | MADRS ≥26 at baselineb–d | 8 weeks | 560 | Vortioxetine | 1 mg/day | 140 |
Vortioxetine | 5 mg/day | 140 | |||||||
Vortioxetine | 10 mg/day | 140 | |||||||
Placebo | – | 140 | |||||||
Katona et al51 #NCT00811252 |
Unspecified | ≥65 | Double-blind, fixed-dose, placebo-controlled, active treatment-referenced | MADRS ≥26 at screening and at baselineb–d | 8 weeks | 453 | Vortioxetine | 5 mg/day | 157 |
MMSE ≥24 at screening | Duloxetine | 60 mg/day | 151 | ||||||
Placebo | – | 145 | |||||||
Jain et al52 #NCT00672958 |
Unspecified | 18–75 | Double-blind, fixed-dose, placebo-controlled | MADRS ≥30 at baselinec,d | 6 weeks | 600 | Vortioxetine | 5 mg/day | 300 |
Placebo | – | 300 | |||||||
Mahableshwarkar et al53 #NCT00672620 |
Unspecified | 18–75 | Double-blind, fixed-dose, placebo-controlled, active treatment-referenced | MADRS ≥22 at screening and at baselineb–d | 8 weeks | 611 | Vortioxetine | 2.5 mg/day | 153 |
Vortioxetine | 5 mg/day | 153 | |||||||
Duloxetine | 60 mg/day | 152 | |||||||
Placebo | – | 153 | |||||||
Boulenger et al54 #NCT01140906 |
Inpatient and outpatient | 18–75 | Double-blind, fixed-dose, placebo-controlled, active treatment-referenced | MADRS ≥26 at baselineb–d | 8 weeks | 608 | Vortioxetine | 15 mg/day | 152 |
CGI-S ≥4 at baseline | Vortioxetine | 20 mg/day | 151 | ||||||
Duloxetine | 60 mg/day | 147 | |||||||
Placebo | – | 158 | |||||||
Mclntyre et al55 #NCT01422213 |
Inpatient and outpatient | 18–75 | Double-blind, fixed-dose, placebo-controlled | MADRS ≥22 (item 1 ≥3) at screening and at baselineb–d |
8 weeks | 598 | Vortioxetine | 10 mg/day | 195 |
Vortioxetine | 20 mg/day | 207 | |||||||
Placebo | – | 196 | |||||||
Montgomery et al56 #NCT01488071 |
Inpatient and outpatient | 18–75 | Double-blind, flexible- dose, active comparator only | MADRS ≥22 (item 1 ≥3) at screening and at baselined–f |
12 weeks | 501 | Vortioxetine | 10–20 mg/day | 255 |
Agomelatine | 25–50 mg/day | 246 | |||||||
Baldwin et al57 #NCT00635219 |
Inpatient and outpatient | 18–75 | Double-blind, fixed-dose, placebo-controlled, active treatment-referenced | MADRS ≥26 at screening and at baselineb–d | 8 weeks | Vortioxetine | 2.5 mg/day | 155 | |
Vortioxetine | 5 mg/day | 159 | |||||||
Vortioxetine | 10 mg/day | 153 | |||||||
Duloxetine | 60 mg/day | 157 | |||||||
Placebo | – | 150 | |||||||
Jacobsen et al58 #NCT01163266 |
Unspecified | 18–75 | Double-blind, fixed-dose, placebo-controlled | MADRS ≥26 at screening and at baselineb,d | 8 weeks | 462 | Vortioxetine | 10 mg/day | 155 |
CGI-S ≥4 at screening and at baseline | Vortioxetine | 20 mg/day | 150 | ||||||
Placebo | – | 157 | |||||||
Mahableshwarkar et al59 #NCT01179516 |
Unspecified | 20–75 | Double-blind, fixed-dose, placebo-controlled | MADRS ≥26 at screening and at baselineb–d | 8 weeks | 469 | Vortioxetine | 10 mg/day | 157 |
CGI-S ≥4 at screening and at baseline | Vortioxetine | 15 mg/day | 152 | ||||||
Placebo | – | 160 | |||||||
Unpublished study #NCT01255787 |
Unspecified | 20–64 | Double-blind, fixed-dose, placebo-controlled | MADRS ≥26 at screening and at baselineb–d | 8 weeks | 600 | Vortioxetine | 5 mg/day | 144 |
CGI-S ≥4 at screening and at baseline | Vortioxetine | 10 mg/day | 150 | ||||||
Vortioxetine | 20 mg/day | 154 | |||||||
Placebo | – | 152 | |||||||
Unpublished study #NCT01255787 |
Unspecified | 20–75 | Double-blind, fixed-dose, placebo-controlled | MADRS ≥26 at screening and at baselineb–d | 8 weeks | 366 | Vortioxetine | 5 mg/day | 119 |
CGI-S ≥4 at screening and at baseline | Vortioxetine | 10 mg/day | 123 | ||||||
Placebo | – | 124 |
Notes:
Registration refers to the ClinicalTrials.gov identifier.
Subjects were excluded if they had any current psychiatric disorder other than major depressive disorder, including mental disorders due to general medical conditions and substance use disorders, as defined in the DSM-IV-TR or assessed by the MINI.
Subjects were excluded if current depressive symptoms were judged by the investigator has being refractory to two or more previous therapeutic antidepressant trials of at least 6 weeks’ duration.
Subjects were excluded if they were deemed by the investigator as being at high risk for suicide, or if they had a score of 5 or higher on MADRS item 10 (suicidal thoughts).
Subjects were non-responsive or partially responsive to a prior antidepressant trial (>6 weeks’ duration), but not considered to be treatment-resistant, defined as having either failed to respond to two or more trials of antidepressants of differing pharmacological classes.
Subjects were excluded if they were diagnosed with any comorbid psychiatric disorders other than generalized anxiety disorder or social anxiety disorder.
Abbreviations: MADRS, Montgomery-Åsberg Depression Rating Scale; DSM-IV-TR, Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision; MINI, Mini-International Neuropsychiatric Inventory; CGI-S, Clinical Global Impression-Severity; MMSE, Mini-Mental State Examination.