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NCT00896363

Safety and Efficacy Study in Patients With Major Depressive Disorder

Completed Phase 2 Results posted Last updated 19 March 2018
What this trial tests

Phase 2 trial testing GSK163090 1 mg in Depressive Disorder in 99 participants. Completed in 9 February 2010.

Timeline
23 April 2009
Primary endpoint
9 February 2010
9 February 2010

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment99
Start date23 April 2009
Primary completion9 February 2010
Estimated completion9 February 2010
Sites15 locations across Russia

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.

Change From Baseline in the Hamilton Depression Rating Scale (HAMD17), on Day 14 and 42 Primary · Baseline (Day 1, pre-dose), Day 14 and Day 42

HAMD-17 is a 17-item scale that evaluates depressed mood, vegetative and cognitive symptoms of depression, and co-morbid anxiety symptoms. The 17 items were rated on either a 5-point (0-4) or a 3-point (0-2) scale. In general, the 5 point scale items use a rating of 0=absent; 1=doubtful to mild; 2=mild to moderate; 3=moderate to severe; 4=very severe. The 3-point scale items use a rating of 0=absent; 1=probable or mild; 2=definite. The total HAMD-17score ranges from 0 (not ill) to 52 (severely ill). The highest possible score was 52, which represented the most severe measure of depression; the

DAY 14
GroupValue95% CI
Placebo-10.9± 6.02
GSK163090 1 mg-10.8± 5.68
GSK163090 3 mg-10.3± 5.95
DAY 42
GroupValue95% CI
Placebo-18.6± 8.21
GSK163090 1 mg-18.4± 6.54
GSK163090 3 mg-16.7± 8.11
Change From Baseline in Bech Melancholia Subscale (BECH 6) Scale, on Day 14 and 42 Primary · Baseline (Day 1, pre-dose), Day 14 and Day 42

The bech melancholia is sum of scores on 6 items- depressed mood, feelings of guilt, work and activities, retardation, anxiety psychic, somatic symptoms general (items 1, 2, 7, 8, 10 and 13 respectively). Each item having 5 responses. The items are rated on a scale of 0-4, where 0=absent; 1=doubtful to mild; 2=mild to moderate; 3=moderate to severe; 4=very severe. Total possible score is 0-24. where the lowest possible score was 0, which represented an absence of depression and higher scores reflecting greater severity of diseases. Baseline was defined as the assessment done on Day 1. Change f

DAY 14
GroupValue95% CI
Placebo-4.9± 3.14
GSK163090 1 mg-4.6± 2.85
GSK163090 3 mg-4.2± 3.33
DAY 42
GroupValue95% CI
Placebo-8.7± 4.19
GSK163090 1 mg-8.4± 3.30
GSK163090 3 mg-7.8± 4.36
Change From Baseline in Quick Inventory of Depressive Symtomatology - Self Rated (QIDS-SR) Scale, on Day 14 and 42 Primary · Baseline (Day 1, pre-dose), Day 14 and Day 42

The QIDS-SR is a 16-item, participant-rated short form of the Inventory of Depressive Symptomatology that assesses 9 domains: sad mood, concentration, self-criticism, suicidal ideation, interest, energy/fatigue, sleep disturbance (initial, middle, and late insomnia or hypersomnia), appetite/weight increase/decrease and psychomotor agitation/retardation. A total score was obtained by summing scores on each domain. the scores ranges from 0 (none) to 27 (very severe), where the highest possible score was 27, which represented the most severe measure of depression; the lowest possible score was 0,

Day 14
GroupValue95% CI
Placebo-6.2± 3.40
GSK163090 1 mg-6.1± 4.19
GSK163090 3 mg-6.5± 3.96
DAY 42
GroupValue95% CI
Placebo-11.0± 4.75
GSK163090 1 mg-11.4± 4.32
GSK163090 3 mg-10.8± 4.57
Number of Participants With Suicidal Behavior and Suicidal Ideation Subscales of the Columbia Suicide Severity Rating Scale (C-SSRS) Primary · Up to Day 52

The C-SSRS was a clinician-rated scale that evaluated severity and change of suicidality by integrating both behaviour and ideation. The 2 of 3 sections of the scale were suicidal behavior and suicidal ideation. For suicidal behaviour participants were scored as non-suicidal-0, preparatory acts or behavior communicating ideation-01, aborted attempt-2, interrupted attempt-3 or actual attempt-4. The score ranges from 0-4, where 0 was absence of suicidal behavior and 4 being the most severe form of suicidal behavior. On the Suicidal Ideation scale, participants were scored as non-suicidal-0, wish

suicidal behavior
GroupValue95% CI
Placebo0
GSK163090 1 mg0
GSK163090 3 mg0
suicidal ideation,Day1,Wish to be dead
GroupValue95% CI
Placebo7
GSK163090 1 mg5
GSK163090 3 mg4
suicidal ideation,Day14,Wish to be dead
GroupValue95% CI
Placebo1
GSK163090 1 mg1
GSK163090 3 mg1
Number of Participants With Abnormal Hematology Values of Clinical Concern Range (CCR). Primary · Up to Day 42

Only those parameters for which at least one value of CC was reported were summarized. Pre-defined limits of CC (CC Low \[relative to the lower limit of normal\], CC High \[relative to the upper limit of normal\]) were: hemoglobin (Hb): \> 25, 180; hematocrit (Hct): \> 0.075, 0.54; absolute neutrophil count (ANC): \< 1.5, NA; platelet: \< 100, \> 550; white blood cells (WBC): \< 3,\> 20

Hb,screening, Low
GroupValue95% CI
Placebo2
GSK163090 1 mg0
GSK163090 3 mg0
Hb,Day 14, Low
GroupValue95% CI
Placebo2
GSK163090 1 mg0
GSK163090 3 mg0
Hct,screening, Low
GroupValue95% CI
Placebo2
GSK163090 1 mg0
GSK163090 3 mg0
ANC,screening, Low
GroupValue95% CI
Placebo1
GSK163090 1 mg0
GSK163090 3 mg0
ANC,Day14, Low
GroupValue95% CI
Placebo1
GSK163090 1 mg1
GSK163090 3 mg1
ANC,Day42, Low
GroupValue95% CI
Placebo1
GSK163090 1 mg0
GSK163090 3 mg1
Platelet,screening, High
GroupValue95% CI
Placebo1
GSK163090 1 mg0
GSK163090 3 mg0
Platelet,Day 14, High
GroupValue95% CI
Placebo1
GSK163090 1 mg0
GSK163090 3 mg0
Number of Participants With Abnormal Chemistry Values of CCR Primary · Up to Day 42

Only those parameters for which at least one value of CC was reported were summarized. Pre-defined limits of CC (CC Low \[relative to the lower limit of normal\], CC High \[relative to the upper limit of normal\]) were: albumin (unit: gram per liter): \< 30, NA; alanine aminotransferase (ALT): NA, \>= 3 times upper limit of normal; aspartate aminotransferase (AST): NA, \>= 3 times upper limit of normal; total bilirubin: NA, \>=1.5 times upper limit of normal; calcium: \< 2.0, \> 2.75; gamma glutamyl transferase (GGT): \< 3.0, \> 9; potassium: \< 3.0, \> 5.5; magnesium: \< 0.5, \> 1.23.

Albumin,screening, High
GroupValue95% CI
Placebo0
GSK163090 1 mg1
GSK163090 3 mg1
Albumin,Day 14, High
GroupValue95% CI
Placebo1
GSK163090 1 mg1
GSK163090 3 mg0
ALT,Day 14, High
GroupValue95% CI
Placebo1
GSK163090 1 mg0
GSK163090 3 mg0
ALT,Day 42, High
GroupValue95% CI
Placebo0
GSK163090 1 mg1
GSK163090 3 mg0
AST,Day 42, High
GroupValue95% CI
Placebo0
GSK163090 1 mg1
GSK163090 3 mg0
Total bilirubin,screening, High
GroupValue95% CI
Placebo0
GSK163090 1 mg1
GSK163090 3 mg0
Total bilirubin,Day 7, High
GroupValue95% CI
Placebo0
GSK163090 1 mg1
GSK163090 3 mg0
Calcium,Day14, Low
GroupValue95% CI
Placebo1
GSK163090 1 mg0
GSK163090 3 mg1
Change From Baseline in Liver Chemistry -Alkaline Phosphatase (ALP), ALT, AST and GGT Primary · Baseline (screening) up to Day 42

Clinical liver chemistry parameters of Alkaline Phosphatase , ALT, AST, GGT were assessed on screening, Day 7, Day 14, Day 28 and Day 42. Screening was defined as Baseline. Change from Baseline in liver chemistry was the difference between the value at time point analyzed and screening.

ALP,Day7
GroupValue95% CI
Placebo2.8± 21.57
GSK163090 1 mg-6.6± 25.51
GSK163090 3 mg-1.7± 21.77
ALP,Day14
GroupValue95% CI
Placebo4.6± 32.99
GSK163090 1 mg2.5± 9.79
GSK163090 3 mg-5.4± 26.57
ALP,Day28
GroupValue95% CI
Placebo-2.1± 14.92
GSK163090 1 mg-0.8± 20.47
GSK163090 3 mg0.8± 13.12
ALP,Day42
GroupValue95% CI
Placebo-1.1± 12.57
GSK163090 1 mg8.7± 45.92
GSK163090 3 mg0.2± 14.37
ALT,Day7
GroupValue95% CI
Placebo-1.0± 14.85
GSK163090 1 mg0.0± 14.20
GSK163090 3 mg-1.4± 3.86
ALT,Day14
GroupValue95% CI
Placebo7.3± 35.81
GSK163090 1 mg-1.9± 15.96
GSK163090 3 mg-2.8± 5.93
ALT,Day28
GroupValue95% CI
Placebo-2.8± 5.97
GSK163090 1 mg-2.9± 13.49
GSK163090 3 mg0.1± 11.43
ALT,Day42
GroupValue95% CI
Placebo-2.7± 10.88
GSK163090 1 mg34.0± 189.18
GSK163090 3 mg-1.9± 6.68
Change From Baseline in Liver Chemistry- Direct Bilirubin and Total Bilirubin Primary · Baseline (screening) up to Day 42

Liver chemistry parameters: Direct Bilirubin and Total Bilirubin were assessed on screening, Day 7, Day 14, Day 28 and Day 42. Screening was defined as Baseline. Change from Baseline in liver chemistry was the difference between the value at time point analyzed and screening.

Direct bilirubin,Day 7
GroupValue95% CI
Placebo0.59± 1.745
GSK163090 1 mg0.13± 1.511
GSK163090 3 mg0.38± 1.142
Direct bilirubin,Day 14
GroupValue95% CI
Placebo0.61± 1.490
GSK163090 1 mg-0.14± 1.369
GSK163090 3 mg0.25± 0.845
Direct bilirubin,Day 28
GroupValue95% CI
Placebo0.66± 1.270
GSK163090 1 mg-0.44± 1.541
GSK163090 3 mg0.06± 1.227
Direct bilirubin,Day 42
GroupValue95% CI
Placebo0.31± 1.508
GSK163090 1 mg-0.08± 1.517
GSK163090 3 mg0.43± 0.716
Total bilirubin,Day 7
GroupValue95% CI
Placebo1.36± 4.465
GSK163090 1 mg0.66± 3.536
GSK163090 3 mg1.05± 3.771
Total bilirubin,Day 14
GroupValue95% CI
Placebo1.24± 4.040
GSK163090 1 mg-0.33± 3.696
GSK163090 3 mg0.59± 2.211
Total bilirubin,Day 28
GroupValue95% CI
Placebo1.81± 3.421
GSK163090 1 mg-1.05± 4.218
GSK163090 3 mg0.33± 3.251
Total bilirubin,Day 42
GroupValue95% CI
Placebo0.88± 4.056
GSK163090 1 mg-0.30± 3.610
GSK163090 3 mg1.28± 2.704
Number of Participant of Urinanalysis Assessment Over Period Primary · Screening (Day -10 to -2), Day 14 and Day 42

Urinalysis parameters included: Urine Occult Blood, Urine Ketones, Urine Ketones. data for number of participants with abnormal urinanalysis parameters was reported by dipstick method. dipstick was a strip used to detect the presence or absence of these parameters in the urine sample. dipstick test gives results in a semi-quantitative manner, and results can be read as negative, Trace, 1+, 2+, and 3+, indicating proportional concentrations in the urine sample. Urine occult blood dipstick and urine general dipstick were semi quantitative results. Urine glucose and urine ketones dipstick results

screening ,urine Occult Blood,+
GroupValue95% CI
Placebo2
GSK163090 1 mg2
GSK163090 3 mg1
screening ,urine Occult Blood,++
GroupValue95% CI
Placebo4
GSK163090 1 mg0
GSK163090 3 mg2
screening ,urine Occult Blood,+++
GroupValue95% CI
Placebo1
GSK163090 1 mg3
GSK163090 3 mg0
screening,urine General,positive
GroupValue95% CI
Placebo10
GSK163090 1 mg17
GSK163090 3 mg9
screening,urine ketones,(1)
GroupValue95% CI
Placebo1
GSK163090 1 mg0
GSK163090 3 mg0
screening,urine ketones,(4)
GroupValue95% CI
Placebo0
GSK163090 1 mg1
GSK163090 3 mg0
screening,urine protein,(0.1)
GroupValue95% CI
Placebo1
GSK163090 1 mg2
GSK163090 3 mg5
screening,urine protein,(0.2)
GroupValue95% CI
Placebo2
GSK163090 1 mg6
GSK163090 3 mg3
Change From Baseline in Electrocardiogram (ECG) Values -PR Interval, QRS Duration, QT Interval, QTcB, QTcF, RR Interval Primary · Baseline (Day 1) and up to Day 42

Data for change from Baseline was reported for PR Interval, QRS Duration, QT Interval, QTcB, QTcF, and RR Interval. 12-lead ECGs was obtained at each time point during the study using an ECG machine that automatically calculated the heart rate and measures PR, QRS, QT, and QTcB ,QTcF, and RR intervals. Day -1 evening (PM) was the Baseline for participants with only Day -1 records. Day 1 PM Dose was the Baseline for participants with Day 1 records. Baseline was the mean of replicate assessments. Change from Baseline was the difference between the value at the time point analyzed and baseline va

PR Interval, Day -1,PM
GroupValue95% CI
Placebo149.9± 20.06
GSK163090 1 mg148.2± 11.91
GSK163090 3 mg158.7± 16.05
PR Interval, Day 1PM dose,pre dose
GroupValue95% CI
Placebo156.4± 22.70
GSK163090 1 mg159.2± 18.43
GSK163090 3 mg163.6± 30.35
PR Interval, Day 2AM dose,pre dose
GroupValue95% CI
Placebo-2.4± 9.59
GSK163090 1 mg-1.2± 10.36
GSK163090 3 mg-1.2± 10.01
PR Interval, Day 2AM dose,3 h
GroupValue95% CI
Placebo-4.1± 9.47
GSK163090 1 mg-0.8± 11.12
GSK163090 3 mg-3.4± 7.02
PR Interval, Day 2AM dose,6 h
GroupValue95% CI
Placebo-3.3± 9.14
GSK163090 1 mg-2.3± 11.71
GSK163090 3 mg-2.5± 7.75
PR Interval, Day 7AM dose,pre dose
GroupValue95% CI
Placebo-1.5± 12.93
GSK163090 1 mg-2.6± 10.99
GSK163090 3 mg-1.6± 9.68
PR Interval, Day 7AM dose,3 h
GroupValue95% CI
Placebo-4.8± 11.71
GSK163090 1 mg-1.0± 11.44
GSK163090 3 mg-0.5± 8.58
PR Interval, Day 7AM dose,6 h
GroupValue95% CI
Placebo-1.8± 13.56
GSK163090 1 mg-3.6± 11.56
GSK163090 3 mg-1.8± 9.94
Mean of Change From Baseline in Systolic and Diastolic Blood Pressure (BP) Primary · Baseline (Day 1) , Day 2, 3, 4, 5, 6, 7, 8, 14, 21, 28 and 42

Semi-supine systolic and diastolic blood pressure was assessed at the specified time points. Measurements were taken after the participant has been semi-supine for at least 5 minutes. BP was measured at least every hour until the values were within the normal range. Day 1 was Baseline and change from Baseline was difference between the value at the time point analyzed and baseline value.

Systolic BP, Day 1PM dose,pre dose
GroupValue95% CI
Placebo120.6± 10.65
GSK163090 1 mg120.3± 9.31
GSK163090 3 mg120.9± 13.84
Systolic BP, Day 1PM dose,2 h
GroupValue95% CI
Placebo-0.8± 3.55
GSK163090 1 mg0.1± 4.53
GSK163090 3 mg1.5± 8.16
Systolic BP ,Day 2AM dose,pre dose
GroupValue95% CI
Placebo-0.8± 5.19
GSK163090 1 mg1.2± 5.98
GSK163090 3 mg1.0± 5.55
Systolic BP ,Day 2AM dose,3 h
GroupValue95% CI
Placebo-0.1± 4.33
GSK163090 1 mg1.0± 5.51
GSK163090 3 mg1.1± 6.53
Systolic BP ,Day 2AM dose,6 h
GroupValue95% CI
Placebo-1.2± 3.80
GSK163090 1 mg0.2± 4.34
GSK163090 3 mg2.1± 8.53
Systolic BP ,Day 2PM dose,1 h
GroupValue95% CI
Placebo-0.5± 4.42
GSK163090 1 mg0.3± 4.80
GSK163090 3 mg0.4± 8.35
Systolic BP ,Day 3AM dose,pre dose
GroupValue95% CI
Placebo-1.6± 9.23
GSK163090 1 mg0.4± 5.84
GSK163090 3 mg-1.1± 6.01
Systolic BP ,Day 3AM dose,3 h
GroupValue95% CI
Placebo-1.2± 6.98
GSK163090 1 mg0.5± 7.10
GSK163090 3 mg-0.8± 5.32
Mean of Change From Baseline in Heart Rate Primary · Baseline (Day 1), Day 2, 3, 4, 5, 6, 7, 8, 14, 21, 28 and 42

Heart rate is the speed of the heartbeat measured by the number of contractions of the heart per minute, (beats per minute). Heart rate was assessed at the specified time points. Measurements were taken after the participant has been semi-supine for at least 5 minutes. Day 1 was Baseline and change from Baseline was difference between the value at the time point analyzed and baseline value.

Heart rate, Day 1PM dose,pre dose
GroupValue95% CI
Placebo73.0± 7.54
GSK163090 1 mg73.3± 10.67
GSK163090 3 mg71.8± 7.43
Heart rate, Day 1PM dose,2 h
GroupValue95% CI
Placebo1.4± 6.83
GSK163090 1 mg1.0± 4.63
GSK163090 3 mg1.1± 5.12
Heart rate,Day 2AM dose,pre dose
GroupValue95% CI
Placebo-0.8± 5.73
GSK163090 1 mg0.4± 8.27
GSK163090 3 mg1.3± 6.63
Heart rate,Day 2AM dose,3 h
GroupValue95% CI
Placebo0.8± 5.19
GSK163090 1 mg0.8± 7.99
GSK163090 3 mg2.5± 6.47
Heart rate,Day 2AM dose,6 h
GroupValue95% CI
Placebo0.2± 6.08
GSK163090 1 mg1.9± 7.27
GSK163090 3 mg2.8± 6.56
Heart rate,Day 2PM dose,1 h
GroupValue95% CI
Placebo0.6± 7.02
GSK163090 1 mg1.0± 6.72
GSK163090 3 mg2.4± 7.28
Heart rate,Day 3AM dose,pre dose
GroupValue95% CI
Placebo-0.7± 8.49
GSK163090 1 mg1.2± 6.49
GSK163090 3 mg1.3± 6.85
Heart rate,Day 3AM dose,3 h
GroupValue95% CI
Placebo0.1± 8.26
GSK163090 1 mg2.6± 6.70
GSK163090 3 mg2.0± 5.38

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to Day 52. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/31 (0%)
Deaths: 0/31
GSK163090 1 mg
Serious: 0/36 (0%)
Deaths: 0/36
GSK163090 3 mg
Serious: 0/32 (0%)
Deaths: 0/32
Other adverse events (60 terms — click to expand)

ReactionSystemPlaceboGSK163090 1 mgGSK163090 3 mg
NauseaGastrointestinal disorders
HeadacheNervous system disorders
DizzinessNervous system disorders
AnxietyPsychiatric disorders
TinnitusEar and labyrinth disorders
SomnolenceNervous system disorders
Alanine aminotransferase increasedInvestigations
InsomniaPsychiatric disorders
AkathisiaNervous system disorders
Dry mouthGastrointestinal disorders
Gamma-glutamyltransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood pressure increasedInvestigations
VertigoEar and labyrinth disorders
TachycardiaCardiac disorders
ParaesthesiaNervous system disorders
Psychomotor hyperactivityNervous system disorders
Mental retardationNervous system disorders
TremorNervous system disorders
VomitingGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
GastritisGastrointestinal disorders
GastroduodenitisGastrointestinal disorders
ToothacheGastrointestinal disorders
Thyroxine decreasedInvestigations
Blood alkaline phosphatase increasedInvestigations
Blood thyroid stimulating hormone increasedInvestigations
Blood urea increasedInvestigations
CSF test abnormalInvestigations
Carbohydrate tolerance decreasedInvestigations
Electrocardiogram PR shortenedInvestigations
Hepatic enzyme increasedInvestigations
Platelet count decreasedInvestigations
Protein urineInvestigations
Urine ketone body presentInvestigations
Urine leukocyte esteraseInvestigations
DepressionPsychiatric disorders
AgitationPsychiatric disorders
Libido decreasedPsychiatric disorders

Data from ClinicalTrials.gov NCT00896363 adverse events section.

Sponsor's own description

The purpose of this study is to test if GSK163090 can reduce the symptoms of depression. The safety and how well the body can handle the drug will also be investigated. The study will be conducted in Russia in hospitalised patients with severe depression. GSK163090 will be compared with placebo, which looks like the study drug but does not contain any active substance. Subjects will be given either the study drug or the matching placebo.

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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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00896363.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing