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TC-5214

Phase 3

Major Depressive Disorder | Small molecule | Psychiatry |AstraZeneca PLC|Trials Updated: Apr 11, 2014

TC-5214 development status

Highest phase Phase 3
Registered trials 15 across 1 sponsor since Jun 2010

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials6
Total Enrollment4,564

FDA Designations

No designations recorded

TC-5214 clinical trials

TC-5214 · 6 trials · 4 indications

Phase 3 5Phase 1 1
NCT01180400A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderMajor Depressive Disorder
COMPLETED295 Analytics
NCT01197508A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder.Major Depressive Disorder
COMPLETED696 Analytics
NCT01152554A Study to Assess the Long- Term Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderMajor Depressive Disorder
COMPLETED813 Analytics
NCT01153347A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderMajor Depressive Disorder
COMPLETED2,409 Analytics
NCT01157078A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder (MDD)Major Depressive Disorder
COMPLETED319 Analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder.
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Long- Term Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder (MDD)
Major Depressive DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment.
Randomization (Week 8) to end of treatment (Week 16)

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms.

Frequency of Patients Experiencing at Least One Adverse Event (AE)
Randomization (Week 0) to end of the follow-up period (Week 54)

The frequency of patients experiencing at least one AE during the randomized treatment or follow-up periods was calculated.

Frequency of Patients Experiencing AEs That Resulted in Discontinuation of Investigational Product (IP)
Randomization (Week 0) to end of the follow-up period (Week 54)

The frequency of patients experiencing AEs that resulted in discontinuation of IP during the randomized treatment or follow-up periods was calculated.

Frequency of Patients Experiencing Serious Adverse Events (SAEs)
Randomization (Week 0) to end of the follow-up period (Week 54)

The frequency of patients experiencing serious adverse events (SAEs) during the randomized treatment or follow-up periods was calculated.

Incidence of Adverse events
Range of 5 days
Neurological examinations
Range of 5 days
Visual acuity tests
Range of 5 days
Vital signs
Range of 5 days
Physical examinations
Range of 5 days
Laboratory parameters
Range of 5 days
Suicidality as assessed by the Columbia-Suicide Severity Rating Scale
Range of 5 days
Electrocardiograms
Range of 5 days

Secondary Endpoints

Response in Depressive Symptoms of Major Depressive Disorder (MDD), Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score at End of Treatment (Week 16)
Randomization (Week 8) to end of treatment (Week 16)
Remission in Depressive Symptoms of MDD, Defined as MADRS Total Score of ≤8 at End of Treatment (Week 16)
Week 16
Early and Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 10, Week 12, Week 14, and End of Treatment (Week 16)
Randomization (Week 8) to end of treatment (Week 16); Week 10, Week 12, Week 14, and Week 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TC-5214EXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 1-4 mg BID
PlaceboPLACEBO_COMPARATORSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + Placebo BID
0.1 mg BID TC-5214EXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 0.1 mg BID
1 mg BID TC-5214EXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 1 mg BID
4 mg BID TC-5214EXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 4 mg BID
SSRI/Serotonin/SNRI + TC-5214 1-4 mgEXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214 1-4 mg BID
SSRI/Serotonin/SNRI + placeboPLACEBO_COMPARATORSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + placebo BID
SSRI/Serotonin/SNRI+ TC-5214 0.5 mgEXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 0.5 mg BID
SSRI/Serotonin/SNRI + TC-5214 2 mgEXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 2 mg BID
SSRI/Serotonin/SNRI + TC-5214 4 mgEXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 4 mg BID
1EXPERIMENTALTC-5214
2PLACEBO_COMPARATORPlacebo matched to TC-5214

Interventions

NameTypeDescription
TC-5214DRUGTablet, oral, twice daily for 8 weeks
PlaceboDRUGTablet, oral, twice daily for 8 weeks
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites66

Inclusion Criteria: * Provision of signed and dated informed consent before initiation of any study-related procedures. * The patient must have a clinical diagnosis of major depressive disorder (MDD) with inadequate response to no more than one antidepressant. * Out-patient status at enrollment and...

Countries:CzechiaEstoniaFinlandFranceGermanyHungaryLatviaLithuaniaPolandSwedenArgentinaBrazilBulgariaChileColombiaCroatiaRomaniaRussiaSerbiaSlovakiaSouth AfricaSpainUkraineUnited StatesPuerto RicoIndia
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Frequently asked questions about TC-5214

What is TC-5214?

TC-5214 is an investigational small molecule developed by AstraZeneca PLC (ticker AZN). It has been studied as an adjunct therapy in patients with major depressive disorder and in elderly subjects 65 years and older. It is not currently listed as an approved product and remains in clinical development.

What is TC-5214 used for in major depressive disorder?

TC-5214 was studied as an adjunct therapy in patients with major depressive disorder, meaning it was tested alongside another antidepressant rather than as a standalone treatment. Trials enrolled adults 18 years and older across North America, South America, Europe, and India. The program is not currently active.

Who makes TC-5214?

TC-5214 is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca sponsored the clinical trial program for the compound, including Phase 1 work in elderly subjects and Phase 3 studies in major depressive disorder.

What phase is TC-5214 in?

TC-5214 is at Phase 1 in its current development listing, and it is investigational rather than an approved medicine. Five trials have been completed and none are active. The completed program includes one Phase 1 study and three Phase 3 studies in major depressive disorder.

What clinical trials is TC-5214 in?

Five completed trials are registered for TC-5214, with no active studies. These include NCT01239771, a Phase 1 safety and pharmacokinetic study in 32 medically stable elderly subjects in Sweden, and three Phase 3 adjunct-therapy trials in major depressive disorder: NCT01197508 with 696 patients, NCT01180400 with 295 patients, and NCT01157078 with 319 patients.

How many patients were enrolled in TC-5214 trials?

Across the five completed trials, 4,532 participants were enrolled. The studies were randomized, double blind, and placebo controlled. The largest was NCT01197508, a Phase 3 adjunct-therapy trial in major depressive disorder that enrolled 696 patients across 17 countries.