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Efficacy and Safety of Lu AA21004 for Treatment of Generalized Anxiety Disorder in Adults.
This study is ongoing, but not recruiting participants.
First Received: August 29, 2008   Last Updated: June 16, 2009   History of Changes
Sponsors and Collaborators: Takeda Global Research & Development Centre (Europe) Ltd.
H. Lundbeck A/S
Information provided by: Takeda Global Research & Development Center, Inc.
ClinicalTrials.gov Identifier: NCT00744627
  Purpose

The purpose of this study is to evaluate the efficacy and safety of Lu AA21004 in adults with Generalized Anxiety Disorders.


Condition Intervention Phase
Generalized Anxiety Disorder
Drug: Lu AA21004
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: A Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Fixed-Dose Study Comparing the Efficacy and Safety of a Single Dose of Lu AA21004 in Acute Treatment of Adults With Generalized Anxiety Disorder

Resource links provided by NLM:


Further study details as provided by Takeda Global Research & Development Center, Inc.:

Primary Outcome Measures:
  • The least squares mean change from Baseline in the 14-item Hamilton Anxiety Scale total score after 8 weeks of treatment. [ Time Frame: Week 8 or Final Visit ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • The least squares mean change from Baseline in item Hamilton Anxiety Scale total score at each week assessed. [ Time Frame: Weeks 1, 2, 4, 6 and 8 or Final Visit. ] [ Designated as safety issue: No ]
  • Response rates at Week 8, with response defined as a ≥50% decrease in the Hamilton Anxiety Scale total score from Baseline. [ Time Frame: Week 8 or Final Visit. ] [ Designated as safety issue: No ]
  • Remission rates at Week 8, with remission defined as a item Hamilton Anxiety Scale total score ≤7. [ Time Frame: Week 8 or Final Visit. ] [ Designated as safety issue: No ]
  • The least squares mean change from Baseline in Clinical Global Impression Scale-Global Improvement Scale. [ Time Frame: Weeks 1, 2, 4, 6 and 8 or Final Visit. ] [ Designated as safety issue: No ]
  • The least squares mean change from Baseline in Clinical Global Impression Scale-Severity of Illness Scale. [ Time Frame: Weeks 1, 2, 4, 6 and 8 or Final Visit. ] [ Designated as safety issue: No ]
  • The least squares mean change from Baseline in Hospital Anxiety and Depression Scale. [ Time Frame: Weeks 1, 4 and 8 or Final Visit. ] [ Designated as safety issue: No ]
  • Sheehan Disability Scale. [ Time Frame: Weeks 1, 2, 4 and 8 or Final Visit. ] [ Designated as safety issue: No ]
  • Medical Outcomes Study 36-Item Short-Form Health Survey. [ Time Frame: Weeks 2, 4 and 8 or Final Visit. ] [ Designated as safety issue: No ]
  • Health care resource utilization as assessed by the Health Economic Assessment Questionnaire. [ Time Frame: Weeks and 8 or Final Visit. ] [ Designated as safety issue: No ]

Estimated Enrollment: 300
Study Start Date: September 2008
Estimated Study Completion Date: September 2009
Estimated Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental Drug: Lu AA21004
Lu AA21004 5 mg, tablets, orally, once daily for up to 8 weeks
2: Placebo Comparator Drug: Lu AA21004
Lu AA21004 placebo-matching tablets, orally, once daily for up to 8 weeks

Detailed Description:

Generalized anxiety disorder is associated with considerable personal stress as well as substantial social and functional impairment. It is characterized by excessive anxiety and uncontrollable worry that persist for longer than 6 months. Typically these worries are related to activities that are common to daily life events.

Furthermore, patients with generalized anxiety disorder suffer from at least 3 of the following symptoms:

restlessness, fatigue, difficulty concentrating, irritability, muscle tension, and impaired sleep cycle. Patients with generalized anxiety disorder also suffer from many somatic symptoms such as palpitation, fast pulse, sweating, dyspnea, pain, nausea, dry mouth, and dizziness.

Generalized anxiety disorder affects about 6.8 million American adults, including twice as many women as men. The disorder develops gradually and can begin at any point in the life cycle, although years of highest risk are between childhood and middle age. There is evidence that genes play a modest role in the disorder. About 12% of the patients in anxiety disorder clinics have generalized anxiety disorder, making it the most common diagnosis.

In comparison with other anxiety disorders, generalized anxiety disorder is 4 times more prevalent than panic disorder and 3 times more prevalent than simple phobia. An estimated one-third of people with generalized anxiety disorder have no other comorbid diagnosis.

Antidepressants effectively treat both anxiety and comorbid anxiety depression and there is a growing body of evidence that points to a continuum of disease in which anxiety and depression are considered different phenotypic expressions with a shared underlying neurochemical imbalance.

Lu AA21004 is a novel compound under development by Takeda Pharmaceutical Company Limited and H. Lundbeck A/S with clinical development for the treatment of generalized anxiety disorder. Lu AA21004 combines serotonin enhancement with 5-HT1A partial agonism with a high affinity for the 5-HT3 receptor.

Subjects participating in this study will be randomized to receive 5 mg of Lu AA21004 or a placebo once daily for 8 weeks. Subjects will be seen weekly during the first 2 weeks of treatment, then every 2 weeks up to the end of the 8-week treatment period. Subjects will also participate in a safety follow-up call 4 weeks after completion of the 8-week treatment.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • The subject suffers from a primary diagnosis of Generalized Anxiety Disorder according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria.
  • The subject has a Hamilton Anxiety Scale total score ≥20 at Screening and Baseline.
  • The subject has a Hamilton Anxiety Scale score ≥2 on both Item 1 (anxious mood) and Item 2 (tension) at Screening and Baseline.
  • The subject has a Montgomery-Åsberg Depression Rating Scale total score ≤16 at Screening and Baseline.
  • Male and female subjects of childbearing potential who are sexually active agree to use adequate contraception from Screening throughout the duration of the study and for 1 month after the last dose of study medication.

Exclusion Criteria:

  • The subject has received any investigational compound <30 days before Screening or 5 half-lives prior to Screening.
  • The subject has received Lu AA21004 in a previous clinical study or as a therapeutic agent.
  • The subject has 1 or more of the following:

    • Any current psychiatric disorder other than Generalized Anxiety Disorder as defined in the DSM-IV-TR.
    • Current or past history of: manic or hypomanic episode, schizophrenia or any other psychotic disorder, including major depression with psychotic features, mental retardation, organic mental disorders, or mental disorders due to a general medical condition as defined in the DSM-IV-TR.
    • Any substance disorder (except nicotine and caffeine) within the previous 6 months as defined in the DSM-IV-TR.
    • Presence or history of a clinically significant neurological disorder (including epilepsy).
    • Neurodegenerative disorder (Alzheimer's disease, Parkinson's disease, multiple sclerosis, Huntington disease, etc).
    • Any Axis II disorder that might compromise the study.
  • The subject is required to take excluded medications or it is anticipated that the subject will require treatment with at least 1 of the disallowed concomitant medications during the study including:

    • Nonsteroidal anti-inflammatory drugs
    • Rifampin
    • Macrolide antibiotics
    • Hormones
    • Hypoglycemic agents and Insulin
    • Systemic steroids
    • Antineoplastics
    • Antiobesity agents
    • Antidiarrheal agents (episodic use allowed)
    • Antifungal agents (episodic topical use allowed)
    • Antihistamines (episodic use of loratadine, desloratadine, cetirizine allowed)
    • Cough/cold agents (episodic use allowed but preparations containing pseudoephedrine and narcotics are NOT allowed)
    • Diuretics (episodic use allowed)
  • The subject has a significant risk of suicide according to the investigator's opinion or has a score ≥5 on item 10 (suicidal thoughts) of the Montgomery-Åsberg Depression Rating Scale or has made a suicide attempt in the previous 6 months.
  • The subject has previously failed to respond to adequate treatment with selective serotonin reuptake inhibitors and/or serotonin-norepinephrine reuptake inhibitors.
  • The subject has received electroconvulsive therapy within 6 months prior to Screening.
  • The subject is currently receiving formal cognitive or behavioral therapy, systematic psychotherapy, or plans to initiate such therapy during the study.
  • The subject has a clinically significant unstable illness, for example, hepatic impairment or renal insufficiency, or a cardiovascular, pulmonary, gastrointestinal, endocrine, neurological, rheumatologic, immunologic, infectious, skin and subcutaneous tissue disorders, or metabolic disturbance.
  • The subject has an alanine aminotransferase, aspartate aminotransferase or bilirubin level >1.5 times the upper limits of normal.
  • The subject has a serum creatinine of >1.5 times the upper limits of normal.
  • The subject has a previous history of cancer that had been in remission for less than 5 years prior to the first dose of study medication. This criterion does not include those subjects with basal cell or stage I squamous cell carcinoma of the skin.
  • The subject has clinically significant abnormal vital signs as determined by the investigator.
  • The subject has 1 or more laboratory values outside the normal range, based on the blood or urine samples taken at Screening, that are considered by the investigator to be clinically significant.
  • The subject has thyroid stimulating hormone value outside the normal range at Screening and is deemed clinically significant by the investigator.
  • The subject has an abnormal electrocardiogram as determined by the central reader and confirmed as clinically significant by the investigator.
  • The subject has a disease or takes medication that, in the opinion of the investigator, could interfere with the assessments of safety, tolerability, or efficacy.
  • The subject has previously participated in this study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00744627

  Show 38 Study Locations
Sponsors and Collaborators
Takeda Global Research & Development Centre (Europe) Ltd.
H. Lundbeck A/S
Investigators
Study Director: Sr. Medical Director Clinical Science Takeda Global Research & Development Center, Inc.
  More Information

No publications provided

Responsible Party: Takeda Global Research & Development Centre (Europe) Ltd. ( VP, Clinical Science )
Study ID Numbers: Lu AA21004_311, 2008-001766-90
Study First Received: August 29, 2008
Last Updated: June 16, 2009
ClinicalTrials.gov Identifier: NCT00744627     History of Changes
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency;   Estonia: The State Agency of Medicine;   Germany: Federal Institute for Drugs and Medical Devices;   Latvia: State Agency of Medicines;   Lithuania: State Medicine Control Agency - Ministry of Health;   Poland: Office for Registration of Medicinal Products, Medical Devices and Biocidal Products;   Romania: National Medicines Agency;   Croatia: Ministry of Health and Social Care;   Russia: Ministry of Health and Social Development of the Russian Federation;   Serbia: Medicines and Medical Devices Agency;   South Africa: Medicines Control Council;   Ukraine: State Pharmacological Center - Ministry of Health

Keywords provided by Takeda Global Research & Development Center, Inc.:
Generalized Anxiety Disorder
Anxiety Disorders
Drug Therapy

Study placed in the following topic categories:
Anxiety Disorders
Mental Disorders

Additional relevant MeSH terms:
Pathologic Processes
Disease
Anxiety Disorders
Mental Disorders

ClinicalTrials.gov processed this record on September 10, 2009