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Levomilnacipran

Phase 3FDA approved

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

Levomilnacipran development status

FDA approval on record Jul 25, 2013 as Fetzima
Approval holderAbbvie
ApplicationNDA204168
Highest phase Phase 3

Label indication FETZIMA ® is indicated for the treatment of major depressive disorder (MDD) in adults [see Clinical Studies ( 14 )]. Limitation of Use: FETZIMA is not approved for the management of fibromyalgia. The efficacy and safety of FETZIMA for the management of fibromyalgia have not been established. FDA label

Levomilnacipran target and mechanism

Molecular targetSLC6A4, SLC6A2
Target classInhibitor
ModalitySmall molecule

Also known as Levomilnacipran ER

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment501

FDA Designations

No designations recorded

Levomilnacipran clinical trials

Levomilnacipran · 1 trial · 1 indication

Phase 3 1
NCT03569475Efficacy, Safety, and Tolerability of Levomilnacipran ER in Pediatric Patients (7-17 Years) With Major Depressive DisorderMajor Depressive Disorder
COMPLETED501 Analytics
PHASE3COMPLETED
Efficacy, Safety, and Tolerability of Levomilnacipran ER in Pediatric Patients (7-17 Years) With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics

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
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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
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Eligibility Criteria

Age Range7 Years to 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
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Frequently asked questions about Levomilnacipran

What is Levomilnacipran used for?

Levomilnacipran is being studied for the treatment of major depressive disorder, a psychiatric condition. It is a small molecule developed by AbbVie Inc. under the ticker ABBV. The clinical program has focused on major depressive disorder, including a Phase 3 trial in pediatric patients aged 7 to 17 years.

What does Levomilnacipran target?

Levomilnacipran targets SLC6A4 and SLC6A2, which are the serotonin transporter and the norepinephrine transporter. It acts as an inhibitor of these transporters. This target profile places it in the antidepressant class of small molecule agents studied for major depressive disorder.

Who makes Levomilnacipran?

Levomilnacipran is developed by AbbVie Inc., which trades under the ticker ABBV. AbbVie is the company associated with the clinical development program for this small molecule in major depressive disorder. The program includes a completed Phase 3 trial conducted in the United States.

What phase is Levomilnacipran in?

Levomilnacipran is in Phase 3 development for major depressive disorder. It is an investigational small molecule and is not described as approved. The Phase 3 program includes one completed trial, and no trials are currently listed as active.

What clinical trials is Levomilnacipran in?

Levomilnacipran has been evaluated in the Phase 3 trial NCT03569475, titled Efficacy, Safety, and Tolerability of Levomilnacipran ER in Pediatric Patients (7-17 Years) With Major Depressive Disorder. That trial is completed, enrolled 501 participants, was randomized, double blind, and placebo controlled, and was conducted in the United States.

Is Levomilnacipran the same as Levomilnacipran ER?

Yes, Levomilnacipran ER is an alternative name for Levomilnacipran. The ER designation refers to the extended release form used in the clinical program. The Phase 3 trial NCT03569475 studied Levomilnacipran ER in pediatric patients aged 7 to 17 years with major depressive disorder.