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desvenlafaxine

Phase 3

Depression | Small molecule | Psychiatry |Pfizer, Inc.|Last Updated: Feb 8, 2013

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials2
Total Enrollment40

FDA Designations

No designations recorded

Clinical trial landscape

desvenlafaxine · 8 trials · 6 indications

Phase 3 6Phase 1 2
NCT00683800Study Evaluating The Safety And Efficacy Of Desvenlafaxine Succinate For Vasomotor Symptoms In Menopausal WomenVasomotor Symptoms
COMPLETED2,186 Analytics
NCT00366652Study Evaluating the Effects of DVS SR and Duloxetine on the Pharmacokinetics of Desipramine in Healthy SubjectsDepression
COMPLETED20 Analytics
NCT00329147Study Evaluating the Effects of DVS SR and Paroxetine on the Pharmacokinetics of Desipramine in Healthy SubjectsDepression
COMPLETED20 Analytics
NCT00329186Study Evaluating the Pharmacokinetics of Venlafaxine ER and Desvenlafaxine SR in Healthy SubjectsHealthy
COMPLETED14 Analytics
NCT00300378Study Evaluating the Efficacy and Safety of Desvenlafaxine Tablets in Adult Outpatients With Major Depressive DisorderDepressive Disorder, Major
COMPLETED480 Analytics
NCT01309542Long-Term Safety Of DVS-233 SR In Patients With Major Depressive DisorderMajor Depressive Disorder
COMPLETED1,403 Analytics
PHASE3COMPLETED
Study Evaluating The Safety And Efficacy Of Desvenlafaxine Succinate For Vasomotor Symptoms In Menopausal Women
Vasomotor SymptomsUnlock trial analytics
PHASE3COMPLETED
Study Evaluating the Effects of DVS SR and Duloxetine on the Pharmacokinetics of Desipramine in Healthy Subjects
DepressionUnlock trial analytics
PHASE3COMPLETED
Study Evaluating the Effects of DVS SR and Paroxetine on the Pharmacokinetics of Desipramine in Healthy Subjects
DepressionUnlock trial analytics
PHASE3COMPLETED
Study Evaluating the Pharmacokinetics of Venlafaxine ER and Desvenlafaxine SR in Healthy Subjects
HealthyUnlock trial analytics
PHASE3COMPLETED
Study Evaluating the Efficacy and Safety of Desvenlafaxine Tablets in Adult Outpatients With Major Depressive Disorder
Depressive Disorder, MajorUnlock trial analytics
PHASE3COMPLETED
Long-Term Safety Of DVS-233 SR In Patients With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in the Average Daily Number of Moderate to Severe Hot Flushes at Week 4
Baseline and Week 4

The average daily number of moderate and severe hot flushes was calculated as the sum of the number of moderate and severe hot flushes on each day divided by the number of days with data. Moderate hot flushes: sensation of heat with sweating; able to continue activity; and severe hot flushes: sensation of heat with sweating; causing cessation of activity.

Change From Baseline in the Average Daily Number of Moderate to Severe Hot Flushes at Week 12
Baseline and Week 12

The average daily number of moderate and severe hot flushes was calculated as the sum of the number of moderate and severe hot flushes on each day divided by the number of days with data. Moderate hot flushes: sensation of heat with sweating; able to continue activity; and severe hot flushes: sensation of heat with sweating; causing cessation of activity.

Change From Baseline in the Average Daily Severity of Hot Flushes at Week 4
Baseline and Week 4

Severity ranged from mild (sensation of heat without sweating); moderate (sensation of heat with sweating; able to continue activity) to severe (sensation of heat with sweating; causing cessation of activity). The average daily severity of hot flushes for each time period was calculated as (1\*Number of mild+2\*Number of moderate+3\*Number of severe)/(Total number of hot flushes). For the days with no hot flushes, the severity score was set as 0. As this was derived from the count data, there was no maximum; the minimum score was 0; the higher values showed worse outcomes.

Change From Baseline in the Average Daily Severity of Hot Flushes at Week 12
Baseline and Week 12

Severity ranged from mild (sensation of heat without sweating); moderate (sensation of heat with sweating; able to continue activity) to severe (sensation of heat with sweating; causing cessation of activity). The average daily severity of hot flushes for each time period was calculated as (1\*Number of mild+2\*Number of moderate+3\*Number of severe)/(Total number of hot flushes). For the days with no hot flushes, the severity score was set as 0. As this was derived from the count data, there was no maximum; the minimum score was 0; the higher values showed worse outcomes.

Number of Participants With All Adjudicated Ischemic Cardiovascular (CV) Events
Baseline up to Month 12

Adjudicated ischemic cardiovascular events were a composite of: a) Coronary Heart Disease (CHD)-related death; b) New Myocardial Infarction (MI) (non-procedure-related MI); c) Documented new onset of unstable angina requiring hospitalization; d) Unscheduled coronary revascularization procedures (percutaneous coronary intervention) or bypass grafting.

The primary outcome of the study is to evaluate the effects of multiple doses of DVS SR and duloxetine on the pharmacokinetics of a single dose of desipramine in healthy subjects.
The primary outcome of the study is to evaluate the effects of multiple doses of DVS SR and paroxetine on the pharmacokinetics of a single dose of desipramine in healthy subjects.
The primary objective is to determine if the relative difference in PK between EMs and PMs is the same with desvenlafaxine SR and venlafaxine ER when a single dose is administered.
The primary efficacy variable will be the change from baseline on the 17-item of the Hamilton Depression rating scale (HAM-D17 score) at the final on therapy evaluation
Number (%) of Subjects Reporting Adverse Events during Treatment
10 months
Number (%) of Subjects With Changes in Vital Signs (Blood Pressure, Pulse Rate, Weight) of Potential Clinical Importance
10 months
Number (%) of Subjects With Laboratory Test Results (Hematology, Blood Chemistry, Lipid Profile, Urinalysis) of Potential Clinical Importance
10 months
Number (%) of Subjects With Electrocardiogram Results (Heart Rate, QTc interval) of Potential Clinical Importance
10 months
For single dose: maximum concentration (Cmax)
day 1
For single dose: time to first occurence of Cmax (Tmax)
day 1
For single dose: area under curve (0-time for last quantifiable concentration) (AUClast)
day 1
For multiple dose: maximum concentration (Cmax)
day 8
For multiple dose: time to first occurence of Cmax (Tmax)
day 8
For multiple dose: trough concentration (Ctrough)
day 8
For multiple dose: area under curve (0-24hours) (AUC0-24)
day 8
Safety and tolerability as evaluated from reported adverse events, scheduled physical examinations, vital sign measurements, cardiac rhythm monitoring, 12 lead ECG and clinical laboratory results.
2 months

Secondary Endpoints

Number of Participants With a Minimal Clinically Meaningful Decrease in the Average Daily Number of Hot Flushes
Baseline and Week 12
Percentage of Participants With at Least 50% Reduction From Baseline in the Number of Moderate and Severe Hot Flushes
Baseline, Week 4 and Week 12
Percentage of Participants With at Least 75% Reduction From Baseline in the Number of Moderate and Severe Hot Flushes
Baseline, Week 4 and Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALdesvenlafaxine succinate (DVS) SR
2PLACEBO_COMPARATORPlacebo
DVSEXPERIMENTAL -
50 mgEXPERIMENTAL -
100 mgEXPERIMENTAL -
200 mgEXPERIMENTAL -
desvenlafaxine succinate SREXPERIMENTALdesvenlafaxine succinate SR
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
desvenlafaxine succinate (DVS) SRDRUGTitration with 50 mg tablets once daily for 7 days, then 100mg tablets once daily from day 8 to day 365, then taper with 50 mg tablets once daily for 7 days, followed by 25 mg tablets once daily for 7 days.
PlaceboDRUGTitration with 50 mg placebo tablets once daily for 7 days, then 100mg placebo tablets once daily from day 8 to day 365, then taper with 50 mg placebo tablets once daily for 7 days, followed by 25 mg placebo tablets once daily for 7 days.
desvenlafaxine SRDRUG -
desipramineDRUG -
duloxetineDRUG -
paroxetineDRUG -
venlafaxine ERDRUG -
desvenlafaxine 50 mgDRUG -
desvenlafaxine 100 mgDRUG -
Desvenlafaxine SuccinateDRUGTablet were taken at a daily dose of 200 to 400 mg/day for a duration up to 10 months
desvenlafaxineDRUGone 50 mg desvenlafaxine succinate sustained-release tablet or matching placebo, single dose and once daily dose for 5 days
desvenlafaxine succinate SRDRUGdesvenlafaxine succinate SR
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Eligibility Criteria

Age Range45 Years to N/A
SexFEMALE
Healthy VolunteersYes
Study Sites121

Inclusion Criteria: * Generally healthy, postmenopausal women who seek treatment for hot flushes * Body Mass Index (BMI) less than or equal to 34 kg/m\^2 Exclusion Criteria: * Hypersensitivity to Venlafaxine * Myocardial infarction an/or unstable angina within 6 months of screening * History of s...

Countries:United StatesCanadaCroatiaEstoniaFinlandFranceLatviaLithuaniaPolandRomaniaSlovakiaSouth AfricaGermanySerbia and MontenegroSouth Korea
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Frequently asked questions about desvenlafaxine

What is desvenlafaxine used for?

Desvenlafaxine is an investigational small molecule being developed for psychiatric conditions including major depressive disorder, depression, and vasomotor symptoms. It is currently in Phase 3 clinical development and is not yet approved by the FDA.

Who makes desvenlafaxine?

Desvenlafaxine is being developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker symbol PFE. The company is conducting clinical trials to evaluate the drug's safety and efficacy.

What phase is desvenlafaxine in?

Desvenlafaxine is in Phase 3 clinical development. It is an investigational drug and has not received FDA approval. The Phase 3 trials are completed, and the drug is being studied for major depressive disorder and related conditions.

What clinical trials is desvenlafaxine in?

Desvenlafaxine has completed several clinical trials, including NCT00329147, NCT00329186, NCT00366652, and NCT00818155. These trials evaluated the drug's pharmacokinetics and safety in healthy subjects and patients with depression, with a total enrollment of 2186 participants.

Is desvenlafaxine the same as venlafaxine?

Desvenlafaxine is a distinct drug from venlafaxine. One completed trial, NCT00329186, directly compared the pharmacokinetics of venlafaxine ER and desvenlafaxine SR in healthy subjects, indicating they are separate compounds with different properties.