Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Label indication Effexor XR is indicated in adults for the treatment of: • Major Depressive Disorder (MDD) [see Clinical Studies (14.1) ] • Generalized Anxiety Disorder (GAD) [see Clinical Studies (14.2) ] • Social Anxiety Disorder (SAD) [see Clinical Studies (14.3) ] • Panic Disorder (PD) [see Clinical Studies (14.4) ] Effexor XR is a serotonin and norepinephrine reuptake inhibitor (SNRI) indicated for the treatment of adults with:… FDA label
Also known as Venlafaxine ER, Venlafaxine XR
Venlafaxine · 7 trials · 5 indications
Any untoward medical occurrence in a participant who received study drug was considered an adverse event (AE), without regard to possibility of causal relationship. Treatment-emergent adverse events: those which occurred or worsened after baseline. An AE resulting in any of the following outcomes, was considered to be a serious adverse event: death; lifethreatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect.
Clinical significant changes were pre-defined for systolic blood pressure (SBP), diastolic blood pressure (DBP) , and pulse rate (PR). An average value of 3 measurements in each visit meeting the following criteria for 3 consecutive visits was determined as clinical siginificant changes: DBP \>= 90 mmHg with change from the baseline \>= 10 mmHg; SBP \>= 140 mmHg with change from the baseline \>= 20 mmHg; PR \>= 100 bpm with change from the baseline \>= 15 bpm.
Clinical significant changes were pre-defined for each laboratory test based on the criteria: Red Blood Cell Count \<0.8 x lower limit normal (LLN); Lymphocytes (%) \<0.8 x LLN; Eosinophils (%) \>1.2 x upper limit normal (ULN); Total Bilirubin \>1.5 x ULN; Alanine Aminotransferase (ALT) \>3.0 x ULN; Gamma glutamyl transferase (GGT) \>3.0 x ULN; Uric Acid \>1.2 x ULN; Cholesterol \>1.3 x ULN; Low density lipoprotein (LDL) cholesterol \>1.2 x ULN; Triglycerides \>1.3 x ULN; Glucose \>1.5 x ULN; Urine Glucose \[qualitative (Qual)\] \>=1; Urine Protein (Qual) \>=1; Urine Blood/Hemoglobin (Hgb) (Qual) \>=1.
Clinically significant ECG findings included: corrected QT (QTc), QT interval corrected using the Bazett's formula (QTcB), and QT interval corrected using the Fridericia formula (QTcF)\> 450 millisecond (ms), \>480 ms, and \>500 ms respsctively, change from baseline in QTc, QTcB, and QTcF \>= 30 ms, and \>= 60 ms, respectively.
C-SSRS is a participant rated questionnaire to assess suicidal ideation, suicidal behavior, actual attempts (yes or no responses), and intensity of ideation (rated 1=low severity to 5=high severity). Yes/No responses are mapped to Columbia Classification Algorithm of Suicide Assessment (C-CASA) categories: Completed suicide, suicide attempt, preparatory acts toward imminent suicidal behavior, suicidal ideation, and self-injurious behavior, or no suicidal intent. A participant could have a yes or no response in more than one category.
HAM-D17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression (symptoms such as depressed mood, work and activities, sleep, suicide, psychomotor agitation/retardation, appetite, sexual interest, anxiety, and somatic symptoms). The items of the HAM-D17 are rated on a scale of 0 to 2 or 0 to 4, and the total score ranges from 0 to 52. Higher scores indicate more severe symptoms. Change from baseline: mean score at Week 8 or early termination minus mean score at baseline.
| Arm | Type | Description |
|---|---|---|
| Venlafaxine ER | EXPERIMENTAL | - |
| venlafaxine ER 75 mg/day (fixed dose) | EXPERIMENTAL | - |
| venlafaxine ER 75 mg/day to 225 mg/day (flexible dose) | EXPERIMENTAL | - |
| Placebo | PLACEBO_COMPARATOR | - |
| Name | Type | Description |
|---|---|---|
| Venlafaxine ER | DRUG | Treatment phase: 10 months (75-225 mg/day), oral administration Tapering phase: 1-3 weeks (stepwise dose reduction: 150-37.5 mg/day), oral administration |
| venlafaxine ER 75 mg/day (fixed dose) | DRUG | Treatment phase: 8 weeks (37.5 mg/day for 1st week and 75 mg/day for 7 weeks), oral administration Tapering phase: 2 weeks (37.5 mg/day for the 1st week and placebo for the 2nd week), oral administration |
| venlafaxine ER 75 mg/day to 225 mg/day (flexible dose) | DRUG | Treatment phase: 8 weeks (37.5 mg/day for the 1st week, 75 mg/day for the 2nd weeks, 75-150 mg for the 3rd week, 75-225 mg/day for the rest of 5 weeks), oral administration Tapering phase: 2 weeks (75/37.5 mg/day for the 1st week and 37.5 mg/day/placebo for the 2nd week), oral administration |
| Placebo | DRUG | Treatment phase: 8 weeks (placebo), oral administration Tapering phase: 2 weeks (placebo), oral administration |
| Pregabalin | DRUG | - |
| Venlafaxine XR | DRUG | - |
| VENLAFAXINE | DRUG | - |
| Paroxetine | DRUG | - |
Inclusion Criteria: * Outpatients who have completed 8 weeks double-blind study (B2411263), without major protocol violations or tolerability concerns in the opinion of the investigator. Exclusion Criteria: * Clinically important abnormalities on baseline (Week 8 of the double-blind study) physic...
Top 5 of 9 competitors
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| Definium Therapeutics, Inc. | DFTX | 2 | PHASE3 | DT120 |
| Vistagen Therapeutics, Inc. | VTGN | 3 | PHASE3 | Fasedienol |
| Vanda Pharmaceuticals Inc. | VNDA | 1 | PHASE3 | VQW-765 |
| AbbVie, Inc. | ABBV | 1 | PHASE2 | ABBV-932 |
| Psyence Biomedical Ltd. | PBM | 1 | PHASE2 | Psilocybin therapy |
Venlafaxine is used to treat psychiatric conditions including major depressive disorder, anxiety, panic disorder, and social anxiety disorder. It is a small molecule developed by Pfizer, Inc. (ticker PFE) and studied in Phase 3 clinical trials across these indications.
Venlafaxine targets SLC6A2 and SLC6A4. It acts as an inhibitor of these targets, which are involved in neurotransmitter transport. This mechanism underlies its activity in major depressive disorder, anxiety, panic disorder, and social anxiety disorder.
Venlafaxine is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer sponsored the Phase 3 clinical program evaluating the drug in major depressive disorder, social anxiety disorder, and panic disorder.
Venlafaxine is in Phase 3 development. Its clinical program includes completed Phase 3 trials in major depressive disorder, social anxiety disorder, and panic disorder, with a total enrollment of 1,066 participants across the studies.
Venlafaxine has been studied in completed Phase 3 trials including NCT01485887 and NCT01441440 in major depressive disorder, NCT00238719 in children and adolescents with social anxiety disorder, and NCT00195598 comparing Venlafaxine versus paroxetine in panic disorder.
Yes, Venlafaxine ER and Venlafaxine XR are alternative names for the same drug, referring to extended-release formulations. Other listed names include venlafaxine ER 75 mg/day (fixed dose) and venlafaxine/day, all identifying the same active agent developed by Pfizer.