Recent Updates
Recently added Catalysts

Levomilnacipran

Phase 3

Major Depressive Disorder | Small molecule | Psychiatry |AbbVie Inc.|Last Updated: Mar 25, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment501
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03569475Efficacy, Safety, and Tolerability of Levomilnacipran ER in Pediatric Patients (7-17 Years) With Major Depressive DisorderPHASE3 COMPLETED 501Jul 6, 2018Mar 1, 2021Mar 25, 202251 United States
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Change From Baseline in Children's Depression Rating Scale- Revised (CDRS-R)
Baseline (Week 0) to Week 8

The CDRS-R is a semi-structured, clinician-rated instrument designed for use with children and adolescents between the ages of 6-17 years. It contains 17 ordinally-scaled items that evaluate the presence and severity of symptoms commonly associated with childhood depression and is scored on a 1-to-5- or 1-to-7-point scale. Rating of 1 indicates normal function. The CDRS-R total score ranges from 17 to 113; higher score indicates more severe depression. A negative change from Baseline indicates improvement. Mixed Model for Repeated Measures (MMRM) was used for analysis.

Secondary Endpoints
Change From Baseline in Clinical Global Impression-Severity (CGI-S) Scale
Baseline (Week 0) to Week 8
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Levomilnacipran ER 40-80 mg/dayEXPERIMENTALLevomilnacipran extended release (ER) capsules, orally, 10 milligram per day (mg/day) on Days 1 to 3, 20 mg/day on Days 4 to 7, and 40 mg/day from Week 2 through Week 8 of the Double-blind Treatment Period followed by levomilnacipran ER 40 mg/day on Days 1 and 2, and then 20 mg/day from Day 3 through Day 7 in the Down-taper Period. Based on therapeutic response and tolerability, an additional dose increase to 80 mg/day was permitted at Week 3 of the Double-blind Treatment Period.
Fluoxetine 20 mg/dayACTIVE_COMPARATORFluoxetine capsule, orally, 10 mg/day at Week 1, and 20 mg/day from Week 2 through Week 8 of the Double-blind Treatment Period followed by fluoxetine 10 mg/day from Day 1 through Day 7 of the Down-taper Period.
PlaceboPLACEBO_COMPARATORMatching placebo capsules once daily through 8 weeks in the Double-blind Treatment Period and Days 1 through 7 in the Down-taper Period.
Interventions
NameTypeDescription
Levomilnacipran ERDRUGLevomilnacipran extended-release oral capsules
FluoxetineDRUGFluoxetine oral capsules
PlaceboDRUGMatching placebo oral capsules
Unlock Study Design Details
Eligibility Criteria
Age Range7 Years — 17 Years
SexALL
Healthy VolunteersNo
Study Sites51

Inclusion Criteria: * Patients must meet Diagnostic and statistical manual of mental disorders fifth edition (DSM-5) criteria for MDD, confirmed by Kiddie Schedule for Affective Disorders - Present and Lifetime (K-SADS-PL) * Patients must have a score ≥ 40 on the Children's Depression Rating Scale-...

Countries:United States
Unlock Eligibility Criteria