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TC-5214

Phase 3

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials5
Total Enrollment4,532
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01180400A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderPHASE3 COMPLETED 295Sep 1, 2010Sep 1, 2011Apr 11, 201466 Czechia, Estonia +8
NCT01197508A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder.PHASE3 COMPLETED 696Sep 1, 2010Jan 1, 2012Apr 11, 201487 Argentina, Brazil +15
NCT01152554A Study to Assess the Long- Term Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderPHASE3 COMPLETED 813Jun 1, 2010Feb 1, 2012Apr 11, 201494 United States, Puerto Rico
NCT01153347A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderPHASE3 COMPLETED 2,409Jun 1, 2010Jan 1, 2012Apr 11, 201499 United States, India +1
NCT01157078A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder (MDD)PHASE3 COMPLETED 319Jun 1, 2010Nov 1, 2011Apr 11, 201451 United States, India
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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.

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
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 — 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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