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Antidepressant+ SPD489

Phase 3

Major Depressive Disorder | Small molecule | Psychiatry |Takeda Pharmaceutical Company Limited|Trials Updated: Jun 14, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment2,548

FDA Designations

No designations recorded

Antidepressant+ SPD489 clinical trials

Antidepressant+ SPD489 · 3 trials · 1 indication

Phase 3 1Phase 2 2
NCT01436162Efficacy and Safety Study of SPD489 in Combination With an Antidepressant in the Treatment of Adults With Major Depressive DisorderMajor Depressive Disorder
COMPLETED1,105 Analytics
PHASE3COMPLETED
Efficacy and Safety Study of SPD489 in Combination With an Antidepressant in the Treatment of Adults With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at 8 Weeks
8 weeks

MADRS is a validated, 10-item rating scale with each item being scored on a scale from 0-6 with a total score ranging from 0-60. Lower scores indicate a decreased severity of depression.

Change in Montgomery-Ǻsberg Depression Rating Scale (MADRS) Total Score From Augmentation Baseline (Week 8) to Week 16 (Double-blind Phase, Dose Response Evaluable Set)
Augmentation Baseline (Week 8) to Week 16

MADRS is a validated, 10-item rating scale with each item being scored on a scale from 0-6 with a total score ranging from 0-60. Lower scores indicate a decreased severity of depression. CHange in MADRS total score in Augmentsion Baseline to Week 16.

Change From Augmentation Baseline for Non-Remitters in Montgomery-Ǻsberg Depression Rating Scale (MADRS) Total Score at Week 6 - Last Observation Carried Forward (LOCF)
Augmentation Baseline, 6 weeks

MADRS is a validated, 10-item rating scale with each item being scored on a scale from 0-6 with a total score ranging from 0-60. Lower scores indicate a decreased severity of depression.

Secondary Endpoints

Mean Change From Baseline in Sheehan Disability Scale (SDS) Total Score at 8 Weeks
8 weeks
Percentage of Participants Achieving a 25% Response on the MADRS
Up to 8 weeks
Percentage of Participants Achieving a 50% Response on the MADRS
Up to 8 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Antidepressant + SPD489EXPERIMENTAL -
Antidepressant + PlaceboPLACEBO_COMPARATOR -
Antidepressant + SPD489 10 mgEXPERIMENTAL -
Antidepressant + SPD489 30 mgEXPERIMENTAL -
Antidepressant + SPD489 50 mgEXPERIMENTAL -
Antidepressant + SPD489 70 mgEXPERIMENTAL -
ActiveEXPERIMENTALAntidepressant + SPD489
PlaceboPLACEBO_COMPARATORAntidepressant + placebo

Interventions

NameTypeDescription
Antidepressant + SPD489 (Lisdexamfetamine dimesylate )DRUGAntidepressant (either escitalopram oxalate, sertraline hydrochloride, venlafaxine hydrochloride extended release or duloxetine hydrochloride) oral, once daily + SPD489 (oral, 20, 30, 50 or 70 mg, once daily) for 8 weeks
Antidepressant + PlaceboDRUGAntidepressant (either escitalopram oxalate, sertraline hydrochloride, venlafaxine hydrochloride extended release or duloxetine hydrochloride) oral, once daily + Placebo (oral, once daily) for 8 weeks
Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 10 mgDRUGAntidepressant + SPD489 oral, 10 mg, once daily for 8 weeks
Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 30 mgDRUGAntidepressant + SPD489 oral, 30 mg, once daily for 8 weeks
Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 50 mgDRUGAntidepressant + SPD489 oral, 50 mg, once daily for 8 weeks
Antidepressant + SPD489 (Lisdexamfetamine dimesylate) 70 mgDRUGAntidepressant + SPD489 oral, 70 mg, once daily for 8 weeks
Antidepressant + SPD489 (lisdexamfetamine dimesylate)DRUGEscitalopram oxalate (antidepressant) 20 mg/day oral + 20, 30, or 50 mg SPD489 oral once daily for 6 weeks
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites101

Inclusion Criteria 1. Subject is able to provide written, personally signed, and dated informed consent to participate in the study before completing any study-related procedures. 2. Subject is between 18 and 65 years of age. 3. Subject has a primary diagnosis of non-psychotic MDD. 4. Subject has a...

Countries:United StatesBelgiumCzechiaEstoniaFinlandGermanyHungaryPolandRomaniaSouth AfricaSwedenArgentinaAustraliaChileUnited Kingdom
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Frequently asked questions about Antidepressant+ SPD489

What is Antidepressant + SPD489?

Antidepressant + SPD489 is an investigational combination treatment being studied for major depressive disorder, in which SPD489 (lisdexamfetamine dimesylate) is added to an existing antidepressant as augmentation therapy. It is a small molecule developed by Takeda Pharmaceutical Company Limited (ticker TAK) and has been evaluated in Phase 3 clinical development.

What is Antidepressant + SPD489 used for in major depressive disorder?

Antidepressant + SPD489 is being studied as augmentation therapy for adults with major depressive disorder, meaning SPD489 is added to an antidepressant rather than used alone. The trials enrolled adults 18 years and older with MDD. It is investigational and is not an approved treatment for major depressive disorder.

Who makes Antidepressant + SPD489?

Antidepressant + SPD489 is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. Takeda sponsored the clinical trials evaluating SPD489 as augmentation therapy added to an antidepressant in adults with major depressive disorder.

What phase is Antidepressant + SPD489 in?

Antidepressant + SPD489 has been studied in Phase 3 clinical development for major depressive disorder. Three trials have been completed, including one Phase 3 study and two Phase 2 studies, and no trials are currently active. The program is investigational and has not been approved for marketing.

What clinical trials is Antidepressant + SPD489 in?

Three completed trials have evaluated Antidepressant + SPD489 in major depressive disorder: NCT01436162, a Phase 3 study of SPD489 combined with an antidepressant; NCT01435759, a Phase 2 study of the same combination; and NCT00905424, an exploratory Phase 2 study of SPD489 as augmentation therapy. Together they enrolled 2,548 participants.

Is Antidepressant + SPD489 the same as lisdexamfetamine dimesylate?

Yes. SPD489 is the development code for lisdexamfetamine dimesylate, so Antidepressant + SPD489 refers to lisdexamfetamine dimesylate given together with an antidepressant. The combination is studied as augmentation therapy in major depressive disorder, while lisdexamfetamine dimesylate itself is a small molecule developed by Takeda.