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desvenlafaxine sustained release

Phase 3

Depressive Disorder, Major | Small molecule | Neurology |Pfizer, Inc.|Last Updated: Jan 27, 2012

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment489

FDA Designations

No designations recorded

Clinical trial landscape

desvenlafaxine sustained release · 6 trials · 5 indications

Phase 3 2Phase 2 1Phase 1 3
NCT00824291Study Evaluating Desvenlafaxine Succinate Sustained Release In Outpatients With Major Depressive DisorderDepressive Disorder, Major
COMPLETED437 Analytics
NCT00401245The Effect Of Dose Titration And Dose Tapering On The Tolerability Of DVS SR In Women With Vasomotor SymptomsVasomotor Symptoms
COMPLETED500 Analytics
PHASE3COMPLETED
Study Evaluating Desvenlafaxine Succinate Sustained Release In Outpatients With Major Depressive Disorder
Depressive Disorder, MajorUnlock trial analytics
PHASE3COMPLETED
The Effect Of Dose Titration And Dose Tapering On The Tolerability Of DVS SR In Women With Vasomotor Symptoms
Vasomotor SymptomsUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Hamilton Depression Scale (HAM-D) at Week 12
At Baseline and Week 12.

HAM-D, clinician-rated interview, measures presence of depressive symptoms in 17 areas (symptoms such as depressed mood, guilt feelings, suicide, sleep disturbances, anxiety levels and weight loss). Total score ranges from 0 to 52; higher scores indicate more depression. Change from baseline: mean at observation minus mean at baseline.

Number of Participants With Nausea During the First 2 Weeks of Treatment
Baseline up to Week 2

Nausea by spontaneous reports to the investigators was counted if it was reported during first 2 weeks of treatment, and it was not seen before the first dose of treatment, or if it was seen before the first dose and the symptoms got worse. If multiple incidences occurred on the same participant during the 2 weeks, only 1 incidence was counted.

Discontinuation Emergent Signs and Symptoms (DESS) Total Score at the End of First Week of Tapering
Week 17

DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of "new symptoms" and "old (but worse) symptoms" (1) and 0 for "old and unchanged symptom", "absent", or "old symptom but improved" for a total possible range of 0 to 43. A higher score indicates more symptoms.

DESS Total Score at End of Second Week of Tapering
Week 18

DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of "new symptoms" and "old (but worse) symptoms" (1) and 0 for "old and unchanged symptom", "absent", or "old symptom but improved" for a total possible range of 0 to 43. A higher score indicates more symptoms.

DESS Total Score at 1 Week After the End of Tapering
Week 19

DESS: a clinician-administered 43-item assessment that evaluates discontinuation-emergent symptoms resulting from the withdrawal from test article. The DESS total score is the sum of the number of "new symptoms" and "old (but worse) symptoms" (1) and 0 for "old and unchanged symptom", "absent", or "old symptom but improved" for a total possible range of 0 to 43. A higher score indicates more symptoms.

The following assessments are made to assess safety: physical examination, vital signs, standard 12-lead ECG, laboratory determinations, adverse events and serious adverse events, BDI-II.
Area Under the Plasma Concentration-time Profile From Time 0 to 48 Hours (AUC48)
Day 1 of Periods 1, 2, 3, and 4: pre-dose, 0 hour, and 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours post-dose

Area under the plasma concentration versus time curve from time zero (pre-dose) to 48 hours post dose; measured as nanograms multiplied by hours divided by milliliters (ng\*hr/mL).

Maximum Plasma Concentration (Cmax)
Day 1 of Periods 1, 2, 3, and 4: pre-dose, 0 hour, and 0.5, 1, 2, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours post-dose

Cmax measured as nanograms divided by milliliters (ng/mL).

Safety
the biotransformation of codeine to morphine and the safety and tolerability of DVS SR

Secondary Endpoints

Change From Baseline in Sheehan Disability Scale (SDS) Total Score at Week 12
At Baseline and Week 12.
Clinical Global Impression Scale - Improvement (CGI- I) Score at Week 12
At Baseline and Week 12.
Clinical Global Impressions Scale - Severity of Illness (CGI-S) at Week 12
At Baseline and Week 12.
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1PLACEBO_COMPARATOR -
2EXPERIMENTAL -
AACTIVE_COMPARATOR -
BACTIVE_COMPARATOR -
CACTIVE_COMPARATOR -
DACTIVE_COMPARATOR -
EACTIVE_COMPARATOR -
FACTIVE_COMPARATOR -
GACTIVE_COMPARATOR -
HPLACEBO_COMPARATOR -
Bioequivalence and Food effectEXPERIMENTAL -

Interventions

NameTypeDescription
desvenlafaxine succinate sustained releaseDRUG50 mg/day oral tablet for 12 weeks
GenotypingGENETICCYP2D6 genotyping at randomization
PlaceboDRUGTapering placebo
Desvenlafaxine Sustained ReleaseDRUG -
Desvenlafaxine Sustained Release (DVS SR)DRUG -
ParoxetineDRUG -
CodeineDRUG -
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Eligibility Criteria

Age Range19 Years to 74 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Outpatient men and women, between the ages of 18 to 75 years, fluent in both written and spoken English. * Employed for 20 hours or more for a minimum of 1 month prior to baseline. * Primary diagnosis of Major Depressive Disorder with symptoms for at least 30 days prior to bas...

Countries:United StatesCanadaBelgium
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Frequently asked questions about desvenlafaxine sustained release

What is Desvenlafaxine Sustained Release used for?

Desvenlafaxine Sustained Release is an investigational small molecule being studied for major depressive disorder, vasomotor symptoms, and fibromyalgia. It is developed by Pfizer, Inc. (PFE). The drug is in Phase 2 clinical development and is not approved by the FDA.

What does Desvenlafaxine Sustained Release target?

Desvenlafaxine Sustained Release is a small molecule, but its specific molecular target has not been disclosed in the available information. It is being studied for its effects on depression, vasomotor symptoms, and fibromyalgia, though the mechanism of action is not detailed.

Who makes Desvenlafaxine Sustained Release?

Desvenlafaxine Sustained Release is developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker PFE. The drug is currently in Phase 2 clinical development for major depressive disorder, vasomotor symptoms, and fibromyalgia.

What phase is Desvenlafaxine Sustained Release in?

Desvenlafaxine Sustained Release is in Phase 2 clinical development. It is an investigational drug and has not received FDA approval. The development program includes completed Phase 1, Phase 2, and Phase 3 trials across various indications, but the current stage is Phase 2.

What clinical trials is Desvenlafaxine Sustained Release in?

Desvenlafaxine Sustained Release has completed five clinical trials, including NCT00424892 in fibromyalgia, NCT00863798 in major depressive disorder, NCT01190514 a bioequivalence study, and NCT01371734 in children and adolescents with major depressive disorder. All trials are completed, with no active trials ongoing.

Is Desvenlafaxine Sustained Release the same as desvenlafaxine succinate sustained release?

Desvenlafaxine Sustained Release is also known as desvenlafaxine succinate sustained release, often abbreviated as DVS SR. Clinical trials such as NCT01190514 refer to the drug as desvenlafaxine succinate sustained release, confirming that these names describe the same investigational compound.