Study to Evaluate the Efficacy of Duloxetine in Outpatients With Major Depressive Disorder and Pain

Boehringer Ingelheim

Status and phase

Completed

Phase 3

Conditions

Depressive Disorder, Major

Treatments

Drug: Placebo

Drug: Duloxetine

Study type

Interventional

Funder types

Industry

Identifiers

NCT02232555

1208.10

Details and patient eligibility

About

The purpose of this study was to investigate the efficacy of duloxetine versus placebo on pain in outpatients with major depressive disorder (MDD): change in Brief Pain Inventory Short Form (BPI-SF) 24-hour average pain score from baseline over the 8 weeks of treatment

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Male or female outpatients who meet the criteria for MDD according to the Diagnostic and Statistic Manual of mental disorders, 4th edition (DSM-IV) criteria and confirmed by Mini International Neuropsychiatric Interview (MINI)
Montgomery-Asberg Depression Rating Scale (MADRS) score ≥20 at screening and baseline (Visits 1 and 2)
Patients must have had at least one previous episode of depression in their medical history
Painful physical symptoms (PPS) with a score ≥ 3 on the BPI-SF scale for average pain at screening and baseline
Patient aged 18 years or older at the screening visit
CGI-Severity score ≥ 4 at Visits 1 and 2
Patients willing and able to comply with the scheduled visits, tests and procedures required by the protocol
Written informed consent obtained at the screening visit, in accordance with Good clinical practice (GCP) and local regulatory requirements, prior to any study procedure

Exclusion criteria

Neuro-psychiatric exclusions

Lack of response of the current episode to 2 or more adequate courses of antidepressant therapy given at a clinically appropriate dose and for a sufficient length of time in the judgement of the investigator
Any anxiety disorder as a primary diagnosis within the past 6 months (including panic disorder, obsessive-compulsive disorder, posttraumatic stress disorder, generalized anxiety disorder, and social phobia). Note: Specific phobias (i.e. agoraphobia, arachnophobia, etc.) will be allowed
Any diagnosis of bipolar disorder, schizophrenia, or other psychotic disorders
Presence of an Axis II disorder which, in the judgement of the investigator, would interfere with compliance with the study protocol
History of serious suicide attempt or patient judged to be at serious suicidal risk in the opinion of the investigator and / or score > 2 for question 10 (suicide) of the MADRS
History of drug dependence, including alcohol or benzodiazepines, according to DSM-IV, in the previous year
Positive urine screen for drug abuse (cannabis, benzodiazepines, barbiturates, opiates, cocaine, amphetamines)

Other medical exclusions

Patients requiring continuous treatment with analgesics (> step 2 WHO definition) because of chronic pain (> 6 months)
Patients with organic pain syndromes
Epilepsy or history of seizure disorder or of a treatment with anticonvulsant medication for epilepsy or seizures
Patients with a known diagnosis of raised intraocular pressure or at risk of acute narrow-angle glaucoma
Known diagnosis of congenital galactosaemia, glucose or galactose malabsorption syndrome, or lactose deficiency
Patients with severely impaired renal function, defined by a creatinine clearance < 30 mL/min (creatinine clearance was calculated by the central laboratory from the screening safety laboratory test
Acute liver injury (such as hepatitis) or severe (Child-Pugh Class C) cirrhosis
Abnormal initial ECG findings according to investigator's judgement
Serious medical illness or clinically significant laboratory abnormalities which, in the judgement of the investigator, are likely to require medication/ intervention or hospitalization during the course of the study
Women of childbearing potential not using a medically accepted means of contraception when engaging in sexual intercourse (e.g. intrauterine device, oral contraceptive, contraceptive patch, implant, or barrier devices)
Women who are pregnant or breast-feeding

Pharmacological and other exclusions

Participation in another clinical trial within 30 days prior to screening (Visit 1)
Patients who have previously completed or withdrawn from this or any other study investigating duloxetine or have previously been treated with duloxetine
Treatment with a monoamine oxidase inhibitor (MAOI) within 14 days prior to Visit 2 or potential need to use a MAOI within 5 days after discontinuation of study drug
Treatment with fluoxetine within 28 days prior to Visit 2
Treatment with any of excluded medications (listed in Protocol) within 7 days prior to Visit 2
- (excepted MAOI within 14 days and fluoxetine within 28 days)
Frequent and/or severe allergic reactions with multiple medications. Known hypersensitivity to duloxetine or any of the inactive ingredients
Electro-convulsive Therapy (ECT) or Transcranial Magnetic Stimulation (TMS) within one year prior to screening
Initiation or discontinuation of depression-oriented psychotherapeutic treatment (e.g. behavioural therapy, psychoanalytic therapy, cognitive therapy etc.) within 6 weeks prior to screening visit or planned use of such treatment at any time during the study