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NCT00420641

MDD POC Study GSK372475 Subjects Depressive Disease

Completed Phase 2 Results posted Last updated 5 February 2018
What this trial tests

Phase 2 trial testing GSK372475 in Depressive Disorder in 492 participants. Completed in 15 October 2008.

Timeline
19 December 2006
Primary endpoint
1 June 2008
15 October 2008

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment492
Start date19 December 2006
Primary completion1 June 2008
Estimated completion15 October 2008
Sites33 locations across France, Italy, Costa Rica, Chile, Germany, Poland, Canada, Bulgaria

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 18 to 64, any sex, with Depressive Disorder. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Mean Change From Randomization at the End of the Treatment Phase in the MADRS Total Score Primary · Week 0 (Randomization) and Week 10

The MADRS scale measures the depression level of a participant. The total score was derived by adding the scores of the following 10 items: 1, apparent sadness; 2, reported sadness; 3, inner tension; 4, reduced sleep; 5, reduced appetite; 6, concentration difficulties; 7, lassitude; 8, inability to feel; 9, pessimistic thoughts; 10, suicidal thoughts. Each item was scored using a scale of 0 to 6 (a higher score indicates increased severity). The maximum total score is 60; 0, no depression; 60, severely depressed. Randomization value was defined as the assessment value done on Week 0. Change fr

GroupValue95% CI
Placebo-16.9± 9.97
GSK372475-19.0± 9.50
Paroxetine-20.5± 8.65
Change From Randomization at the End of the Treatment Phase (Week 10) in Bech Scale (6-item of 17-item Hamilton Depression Rating [HAMD-17] Scale) Score Primary · Week 0 (Randomization) and Week 10

The HAMD is a rating instrument for evaluating severity of symptoms of depression, was completed by the participant. The rating instrument used in this study was the 17-item version (HAM-D17). The Bech scale of the HAMD-17 is composed of 6 identified items out of the 17 items rated in HAMD-17 scale. Each item is rated on either a 3-point scale (0 to 2) or a 5-point scale (0 to 4). The following symptoms were rated on a 5-point scale (0-4): depressed mood, feeling of guilt, work and interests, psychomotor retardation, and anxiety (psychic). The following symptom was rated on a 3-point scale (0-

GroupValue95% CI
Placebo-6.2± 4.32
GSK372475-7.2± 3.98
Paroxetine-7.9± 3.82
Mean Change From Randomization at the End of the Treatment Phase (Week 10) in Inventory of Depressive Symptomatology-Clinician Rated (IDS-CR) Total Score Primary · Week 0 (Randomization) and Week 10

The IDS-CR is a standardized 30-item, clinician rated scale to assess the severity of a participant's depressive symptoms. The items were rated on a 4-point scale of 0-3, where 0 indicated absence of symptom and higher score indicated greater severity of symptom. In order to calculate the total score of IDS-CR, the following procedures were used: either item 11 or 12 were scored; either item 13 or 14 were scored; if both items 11 and 12 (or 13 and 14) were scored, the highest of the items was scored. The total score was obtained by adding the scores of 28 items of the 30 items. Total scores ra

GroupValue95% CI
Placebo-22.3± 14.21
GSK372475-25.1± 13.30
Paroxetine-26.8± 12.10
Mean Change From Randomization in IDS- Self-Rated Version (SR) Total Score Over Week 10 Secondary · Week 0 (Randomization) up to Week 10

The IDS-SR is a standardized 30-item, participant rated scale to assess the severity of a participant's depressive symptoms. The items were rated on a 4-point scale of 0-3, where 0 indicated absence of symptom and higher score indicated greater severity of symptom. In order to calculate the total score of IDS-SR, the following procedures were used: either item 11 or 12 were scored; either item 13 or 14 were scored; if both items 11 and 12 (or 13 and 14) were scored, the highest of the items was scored. The total score was obtained by adding the scores of 28 items of the 30 items. Total scores

Week 1
GroupValue95% CI
Placebo-7.6± 9.05
GSK372475-7.6± 9.15
Paroxetine-8.6± 9.96
Week 4
GroupValue95% CI
Placebo-16.8± 12.12
GSK372475-15.5± 13.00
Paroxetine-19.1± 12.55
Week 10
GroupValue95% CI
Placebo-25.6± 16.27
GSK372475-26.9± 14.73
Paroxetine-30.5± 13.66
Mean Change From Randomization in the 16-item Quick Inventory of Depressive Symptomatology-Clinician-rated Version (QIDS-CR16) Total Score Over Week 10 Secondary · Week 0 (Randomization) up to Week 10

QIDS-CR16 is a 16-item rating scale of depressive symptoms rated by the clinician. The items were rated on a 4-point scale of 0-3, where 0 indicated absence of symptom and higher score indicated greater severity of symptom. Total score was obtained by adding scores of items of sad mood, interest, energy/fatigue, sleep disturbance, decrease/increase in appetite or weight, concentration/decision making, suicidal ideation and psychomotor agitation/retardation, the highest score on any 1 of the 4 sleep items, highest score on any 1 appetite/weight item and highest score on either of the 2 psychomo

Week 1
GroupValue95% CI
Placebo-1.5± 2.78
GSK372475-1.8± 2.76
Paroxetine-1.8± 3.65
Week 2
GroupValue95% CI
Placebo-3.3± 3.67
GSK372475-3.6± 4.01
Paroxetine-3.4± 4.70
Week 3
GroupValue95% CI
Placebo-5.0± 4.27
GSK372475-4.3± 4.24
Paroxetine-5.3± 4.64
Week 4
GroupValue95% CI
Placebo-5.9± 4.75
GSK372475-5.0± 4.20
Paroxetine-5.9± 4.61
Week 5
GroupValue95% CI
Placebo-6.5± 4.64
GSK372475-6.6± 5.09
Paroxetine-7.4± 4.82
Week 6
GroupValue95% CI
Placebo-7.3± 4.88
GSK372475-7.3± 5.55
Paroxetine-8.6± 4.92
Week 8
GroupValue95% CI
Placebo-7.8± 5.58
GSK372475-8.8± 5.07
Paroxetine-9.4± 5.03
Week 10
GroupValue95% CI
Placebo-8.5± 5.31
GSK372475-9.6± 4.95
Paroxetine-10.0± 4.85
Mean Change From Randomization in the 16-item Quick Inventory of Depressive Symptomatology-Self-rated Version (QIDS-SR16) Total Score Over Week 10 Secondary · Week 0 (Randomization) up to Week 10

QIDS-SR16 is a 16-item rating scale of depressive symptoms completed by participant. The items were rated on a 4-point scale of 0-3, where 0 indicated absence of symptom and higher score indicated greater severity of symptom. Total score was obtained by adding scores of the items of sad mood, interest, energy/fatigue, sleep disturbance, decrease/increase in appetite or weight, concentration/decision making, suicidal ideation and psychomotor agitation/retardation, the highest score on any 1 of the 4 sleep items, highest score on any 1 appetite/weight item and highest score on either of the 2 ps

Week 1
GroupValue95% CI
Placebo-2.7± 3.82
GSK372475-3.1± 4.00
Paroxetine-2.9± 4.16
Week 4
GroupValue95% CI
Placebo-6.4± 5.23
GSK372475-5.7± 5.31
Paroxetine-6.9± 5.10
Week 10
GroupValue95% CI
Placebo-10.0± 6.73
GSK372475-10.6± 5.64
Paroxetine-11.6± 5.39
Mean Change From Randomization in the MADRS Item 2 Score (Reported Sadness) Over Week 10 Secondary · Week 0 (Randomization) up to Week 10

The MADRS scale measures the depression level of a participant. The items of the scale include: 1, apparent sadness; 2, reported sadness; 3, inner tension; 4, reduced sleep; 5, reduced appetite; 6, concentration difficulties; 7, lassitude; 8, inability to feel; 9, pessimistic thoughts; 10, suicidal thoughts. The item 2 (Reported Sadness) of MADRS was scored using a scale 7-point scale of 0-6, where 0 indicates absence of symptom and higher score indicates increased severity of symptom. Randomization value was defined as the assessment value done on Week 0. Change from Randomization in total sc

Week 1
GroupValue95% CI
Placebo-0.4± 0.84
GSK372475-0.5± 0.95
Paroxetine-0.4± 0.97
Week 2
GroupValue95% CI
Placebo-0.8± 1.00
GSK372475-0.9± 1.15
Paroxetine-0.9± 1.27
Week 3
GroupValue95% CI
Placebo-1.3± 1.26
GSK372475-1.2± 1.28
Paroxetine-1.5± 1.28
Week 4
GroupValue95% CI
Placebo-1.5± 1.42
GSK372475-1.4± 1.23
Paroxetine-1.6± 1.34
Week 5
GroupValue95% CI
Placebo-1.6± 1.43
GSK372475-1.7± 1.42
Paroxetine-2.1± 1.28
Week 6
GroupValue95% CI
Placebo-1.9± 1.56
GSK372475-2.0± 1.53
Paroxetine-2.4± 1.29
Week 8
GroupValue95% CI
Placebo-2.0± 1.43
GSK372475-2.4± 1.33
Paroxetine-2.6± 1.34
Week 10
GroupValue95% CI
Placebo-2.4± 1.52
GSK372475-2.7± 1.36
Paroxetine-2.9± 1.28
Mean Change From Randomization in the IDS-CR Scale Item 5 (Feeling Sad) Over Week 10 Secondary · Week 0 (Randomization) up to Week 10

The IDS-CR is a standardized 30-item, clinician rated scale to assess the severity of a participant's depressive symptoms. The item 5 (Feeling Sad) of IDS-CR was rated on a 4-point scale of 0-3, where 0 indicated absence of symptom and higher score indicated greater severity of symptom. Randomization value was defined as the assessment value done on Week 0. Change from Randomization in score was the difference between IDS-CR Item 5 score at the time points being analyzed (Week 1, 2, 3, 4, 5, 6, 8 and 10) to Randomization.

Week 1
GroupValue95% CI
Placebo-0.2± 0.61
GSK372475-0.3± 0.70
Paroxetine-0.3± 0.75
Week 2
GroupValue95% CI
Placebo-0.5± 0.72
GSK372475-0.5± 0.85
Paroxetine-0.6± 0.87
Week 3
GroupValue95% CI
Placebo-0.8± 0.74
GSK372475-0.8± 0.91
Paroxetine-0.9± 0.82
Week 4
GroupValue95% CI
Placebo-0.9± 0.84
GSK372475-0.8± 0.93
Paroxetine-1.0± 0.83
Week 5
GroupValue95% CI
Placebo-1.0± 0.84
GSK372475-1.0± 1.06
Paroxetine-1.3± 0.86
Week 6
GroupValue95% CI
Placebo-1.1± 0.90
GSK372475-1.2± 1.12
Paroxetine-1.5± 0.87
Week 8
GroupValue95% CI
Placebo-1.2± 0.92
GSK372475-1.4± 0.98
Paroxetine-1.6± 0.90
Week 10
GroupValue95% CI
Placebo-1.3± 0.95
GSK372475-1.5± 0.99
Paroxetine-1.7± 0.88
Mean Change From Randomization at the End of the Treatment Phase (Week 10) in the HAMD-17 Total Score Secondary · Week 0 (Randomization) and Week 10

HAMD-17 is a standardized, clinician-administered rating scale that assesses 17 items characteristically associated with major depression. Items of HAMD-17 are rated on a scale 3-point scale of 0-2 or a 5-point scale of 0-4 where 0 is absence of symptom and higher score indicate more severe symptom. Items rated on the 3-point scale include: insomnia early, middle, late; somatic symptoms gastrointestinal and general; genital symptoms; loss of weight; insight. Items rated on 5-point scale include: depressed mood; feelings of guilt; suicide; work and activities; retardation; agitation; anxiety ps

Week 1
GroupValue95% CI
Placebo-1.9± 4.11
GSK372475-1.9± 4.16
Paroxetine-2.3± 4.36
Week 2
GroupValue95% CI
Placebo-4.3± 4.87
GSK372475-4.2± 5.82
Paroxetine-4.8± 5.99
Week 3
GroupValue95% CI
Placebo-6.6± 5.66
GSK372475-4.9± 6.73
Paroxetine-6.9± 6.39
Week 4
GroupValue95% CI
Placebo-7.7± 6.51
GSK372475-6.3± 6.30
Paroxetine-7.9± 6.43
Week 5
GroupValue95% CI
Placebo-8.5± 6.36
GSK372475-7.8± 7.68
Paroxetine-9.9± 6.34
Week 6
GroupValue95% CI
Placebo-9.9± 7.08
GSK372475-9.5± 8.38
Paroxetine-11.6± 6.62
Week 8
GroupValue95% CI
Placebo-10.4± 7.88
GSK372475-11.5± 7.78
Paroxetine-12.7± 7.02
Week 10
GroupValue95% CI
Placebo-11.5± 7.73
GSK372475-12.9± 7.46
Paroxetine-13.9± 6.89
Mean Change From Randomization in the HAMD-17 Scale Item 1 (Depressed Mood) Over Week 10 Secondary · Week 0 (Randomization) up to Week 10

HAMD-17 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 HAMD-17 are rated on a 3-point scale of 0-2 or a 5-point scale of 0-4. The item 1 (Depressed Mood) of HAMD-17 was rated the 5-point scale of 0-4, where 0 indicates absence of symptom and higher score indicates more severe symptom. Randomization value was defined as the assessment

Week 1
GroupValue95% CI
Placebo-0.3± 0.69
GSK372475-0.4± 0.83
Paroxetine-0.3± 0.79
Week 2
GroupValue95% CI
Placebo-0.6± 0.84
GSK372475-0.7± 1.03
Paroxetine-0.7± 0.97
Week 3
GroupValue95% CI
Placebo-1.0± 1.06
GSK372475-0.9± 1.12
Paroxetine-1.0± 1.01
Week 4
GroupValue95% CI
Placebo-1.0± 1.10
GSK372475-1.0± 1.10
Paroxetine-1.2± 1.04
Week 5
GroupValue95% CI
Placebo-1.2± 1.11
GSK372475-1.2± 1.21
Paroxetine-1.5± 1.06
Week 6
GroupValue95% CI
Placebo-1.3± 1.16
GSK372475-1.5± 1.31
Paroxetine-1.7± 1.03
Week 8
GroupValue95% CI
Placebo-1.4± 1.18
GSK372475-1.8± 1.13
Paroxetine-1.8± 1.06
Week 10
GroupValue95% CI
Placebo-1.7± 1.24
GSK372475-2.0± 1.18
Paroxetine-2.0± 1.06
Mean Change From Randomization in IDS-CR and IDS-SR 5 Item Subscale Over Week 10 Secondary · Week 0 (Randomization) up to Week 10

The IDS-CR and IDS-SR is a standardized 30-item scale rated by the clinician and the participant respectively to assess the severity of a participant's depressive symptoms. The 5 items of the IDS subscale include: item 19 (general interest/involvement), item 20 (energy/fatigability), item 21 (pleasure/enjoyment), item 22 (sexual interest), item 30 (Leaden paralysis/physical energy) which assessed participant's pleasure, interest and energy. The items were rated on a 4-point scale of 0-3, where 0 indicated absence of symptom and higher score indicated greater severity of symptom. Total score ra

IDS-CR 5 Item subscale, Week 1
GroupValue95% CI
Placebo-0.8± 2.08
GSK372475-1.2± 2.32
Paroxetine-0.8± 2.21
IDS-CR 5 Item subscale, Week 2
GroupValue95% CI
Placebo-1.6± 2.49
GSK372475-2.5± 2.85
Paroxetine-2.0± 2.85
IDS-CR 5 Item subscale, Week 3
GroupValue95% CI
Placebo-2.6± 3.05
GSK372475-2.9± 3.13
Paroxetine-2.9± 3.12
IDS-CR 5 Item subscale, Week 4
GroupValue95% CI
Placebo-3.1± 3.41
GSK372475-3.5± 3.13
Paroxetine-3.4± 3.06
IDS-CR 5 Item subscale, Week 5
GroupValue95% CI
Placebo-3.8± 3.24
GSK372475-4.3± 3.60
Paroxetine-4.4± 3.41
IDS-CR 5 Item subscale, Week 6
GroupValue95% CI
Placebo-4.4± 3.76
GSK372475-4.8± 3.81
Paroxetine-5.2± 3.59
IDS-CR 5 Item subscale, Week 8
GroupValue95% CI
Placebo-4.8± 3.85
GSK372475-5.6± 3.56
Paroxetine-5.9± 3.41
IDS-CR 5 Item subscale, Week 10
GroupValue95% CI
Placebo-5.3± 3.73
GSK372475-6.2± 3.42
Paroxetine-6.3± 3.21
Mean Change From Randomization in the Clinical Global Impression-Severity of Illness (CGI-S) Scale Over Week 10 Secondary · Week 0 (Randomization) up to Week 10

The CGI-S scale measures the severity of psychiatric symptoms on a 7-point scale from 1-7. The scores indicated the following: 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; 7 = among the most extremely ill participants. The score ranged from 1-7, where 1 indicated absence of symptoms and higher score indicated greater severity of symptoms. Randomization value was defined as the assessment value done on Week 0. Change from Randomization in the score was the difference between CGI-S score at the individual time po

Week 1
GroupValue95% CI
Placebo-0.2± 0.54
GSK372475-0.3± 0.55
Paroxetine-0.2± 0.56
Week 2
GroupValue95% CI
Placebo-0.5± 0.70
GSK372475-0.5± 0.93
Paroxetine-0.6± 0.88
Week 3
GroupValue95% CI
Placebo-0.8± 0.91
GSK372475-0.7± 1.09
Paroxetine-1.1± 1.19
Week 4
GroupValue95% CI
Placebo-1.1± 1.11
GSK372475-1.0± 1.20
Paroxetine-1.3± 1.28
Week 5
GroupValue95% CI
Placebo-1.2± 1.23
GSK372475-1.4± 1.41
Paroxetine-1.6± 1.28
Week 6
GroupValue95% CI
Placebo-1.5± 1.30
GSK372475-1.6± 1.54
Paroxetine-2.0± 1.36
Week 8
GroupValue95% CI
Placebo-1.7± 1.40
GSK372475-1.9± 1.51
Paroxetine-2.2± 1.31
Week 10
GroupValue95% CI
Placebo-1.9± 1.41
GSK372475-2.2± 1.54
Paroxetine-2.5± 1.27

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected up to Follow-up (18 weeks).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 2/156 (1%)
Deaths: 0/156
GSK372475
Serious: 8/171 (5%)
Deaths: 1/171
Paroxetine
Serious: 3/166 (2%)
Deaths: 0/166

Serious adverse events (13 terms)

ReactionSystemPlaceboGSK372475Paroxetine
Adjustment disorder with mixed disturbance of emotion and conductPsychiatric disorders
Completed suicidePsychiatric disorders
DepressionPsychiatric disorders
Major depressionPsychiatric disorders
ManiaPsychiatric disorders
Suicidal ideationPsychiatric disorders
InfluenzaInfections and infestations
SalpingitisInfections and infestations
Haemorrhoidal haemorrhageGastrointestinal disorders
Chest painGeneral disorders
CholelithiasisHepatobiliary disorders
Intentional overdoseInjury, poisoning and procedural complications
Synovial cystMusculoskeletal and connective tissue disorders
Other adverse events (15 terms — click to expand)

ReactionSystemPlaceboGSK372475Paroxetine
Dry mouthGastrointestinal disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
SomnolenceNervous system disorders
DizzinessNervous system disorders
InsomniaPsychiatric disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
TachycardiaCardiac disorders
NasopharyngitisInfections and infestations
Sleep disorderPsychiatric disorders
InfluenzaInfections and infestations
PalpitationsCardiac disorders
HyperhidrosisSkin and subcutaneous tissue disorders
FatigueGeneral disorders

Most-reported serious reactions: Adjustment disorder with mixed disturbance of emotion and conduct, Completed suicide, Depression, Major depression, Mania, Suicidal ideation, Influenza, Salpingitis.

Data from ClinicalTrials.gov NCT00420641 adverse events section.

Sponsor's own description

To evaluate the efficacy, safety and tolerability of GSK372475 compared with placebo in the treatment of outpatients subjects with major depressive disorder to exhibit decreased pleasure, interest and energy.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Novel Antidepressants in the Pipeline (Phase II and III): A Systematic Review of the US Clinical Trials Registry.
    Sakurai H, Yonezawa K, Tani H, Mimura M, et al · · 2022 · cited 21× · PMID 35045580 · DOI 10.1055/a-1714-9097

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