Last reviewed · How we verify

NCT01098240

A Study Of The Efficacy And Safety Of CP-601,927 Augmentation Of Antidepressant Therapy In Major Depression

Terminated Phase 2 Results posted Last updated 3 May 2021
What this trial tests

Phase 2 trial testing CP-601,927 in Major Depressive Disorder in 297 participants. Terminated before completion.

Timeline
14 June 2010
Primary endpoint
12 September 2011
12 September 2011

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment297
Start date14 June 2010
Primary completion12 September 2011
Estimated completion12 September 2011
Sites58 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 65, any sex, with Major 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 Double-blind Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Week 14 Primary · Week 8 (double-blind baseline ) and week 14 (week 6 of double-blind phase)

MADRS measures the overall severity of depressive symptoms. The MADRS had a 10-item checklist. Items are rated on a scale of 0-6, for a total numeric range of scores from 0 (depressive symptoms absent) to 60 (numerically highest level of depressive symptoms).

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT29.5± 6.00
Placebo + ADT29.1± 5.54
Change at week 14
GroupValue95% CI
CP-601,927 + ADT-10.3± 8.60
Placebo + ADT-8.8± 10.40
Change From Double-blind Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) - Total Score at Weeks 9 Through 13 Secondary · Week 8 (double-blind baseline) and weeks 9 through 13

MADRS measures the overall severity of depressive symptoms. The MADRS had a 10-item checklist. Items are rated on a scale of 0-6, for a total numeric range of scores from 0 (depressive symptoms absent) to 60 (numerically highest level of depressive symptoms).

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT29.5± 6.00
Placebo + ADT29.1± 5.54
Change at Week 9
GroupValue95% CI
CP-601,927 + ADT-2.4± 4.68
Placebo + ADT-3.3± 5.35
Change at Week 10
GroupValue95% CI
CP-601,927 + ADT-4.7± 6.65
Placebo + ADT-4.6± 6.85
Change at Week 11
GroupValue95% CI
CP-601,927 + ADT-7.0± 7.78
Placebo + ADT-6.0± 8.06
Change at Week 12
GroupValue95% CI
CP-601,927 + ADT-8.5± 8.08
Placebo + ADT-7.4± 8.83
Change at week 13
GroupValue95% CI
CP-601,927 + ADT-8.6± 8.16
Placebo + ADT-7.9± 9.37
Change From Double-blind Baseline in Hamilton Depression Scale 25-item (HAM-D25) - Total Score at Weeks 9 Through 14 Secondary · Weeks 8 (double-blind baseline) through 14

The HAM-D25 is the 25-item version of a scale used to assess the range of depressive symptoms including depressed mood, work and activities, sleep, suicidal thinking, psychomotor agitation/retardation, appetite, sexual interest, anxiety, somatic symptoms, and cognitive symptoms. The items on the HAM-D were rated on a scale of 0-2 or 0-4, for a total numeric range of scores from 0 (depressive symptoms absent) to 72 (numerically highest level of depressive symptoms).

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT26.4± 4.25
Placebo + ADT26.3± 4.96
Change at week 9
GroupValue95% CI
CP-601,927 + ADT-3.0± 4.49
Placebo + ADT-3.0± 5.25
Change at week 10
GroupValue95% CI
CP-601,927 + ADT-4.4± 6.57
Placebo + ADT-4.7± 5.78
Change at week 11
GroupValue95% CI
CP-601,927 + ADT-5.9± 7.40
Placebo + ADT-6.4± 7.06
Change at week 12
GroupValue95% CI
CP-601,927 + ADT-7.6± 7.63
Placebo + ADT-6.7± 7.67
Change at week 13
GroupValue95% CI
CP-601,927 + ADT-8.0± 7.22
Placebo + ADT-7.3± 7.90
Change at week 14
GroupValue95% CI
CP-601,927 + ADT-9.1± 7.76
Placebo + ADT-8.4± 8.99
Change From Double-blind Baseline in Bech Melancholia Subscale Score at Weeks 9 Through 14 Secondary · Weeks 8 (double-blind baseline) through 14

The Bech Melancholia is sum of scores on 6 items (items 1, 2, 7, 8, 10 and 13) pertaining to melancholia within HAM-D. The items are rated on a scale of 0-4, higher scores reflecting greater severity. Total possible score is 0-24.

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT11.6± 1.90
Placebo + ADT11.6± 2.05
Change at week 9
GroupValue95% CI
CP-601,927 + ADT-1.3± 2.31
Placebo + ADT-1.5± 2.48
Change at week 10
GroupValue95% CI
CP-601,927 + ADT-2.1± 3.07
Placebo + ADT-2.0± 2.87
Change at week 11
GroupValue95% CI
CP-601,927 + ADT-3.0± 3.55
Placebo + ADT-2.7± 3.38
Change at week 12
GroupValue95% CI
CP-601,927 + ADT-3.6± 3.65
Placebo + ADT-3.0± 3.40
Change at week 13
GroupValue95% CI
CP-601,927 + ADT-3.8± 3.56
Placebo + ADT-3.2± 3.69
Change at week 14
GroupValue95% CI
CP-601,927 + ADT-4.3± 3.87
Placebo + ADT-3.7± 4.15
Change From Double-blind Baseline in Clinical Global Impression - Severity (CGI-S) at Weeks 9, 10, 12, and 14 Secondary · Week 8 (double-blind baseline) and weeks 9, 10, 12, 14

CGI-S was defined as 7-point clinician rated scale to assess severity of participant's current illness state; range: 1 (normal - not ill at all) to 7 (among the most extremely ill participants). Higher score = more affected.

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT4.2± 0.59
Placebo + ADT4.2± 0.67
Change at week 9
GroupValue95% CI
CP-601,927 + ADT-0.2± 0.49
Placebo + ADT-0.2± 0.60
Change at week 10
GroupValue95% CI
CP-601,927 + ADT-0.5± 0.81
Placebo + ADT-0.5± 0.83
Change at week 12
GroupValue95% CI
CP-601,927 + ADT-0.8± 1.01
Placebo + ADT-0.7± 1.14
Change at week 14
GroupValue95% CI
CP-601,927 + ADT-1.1± 1.11
Placebo + ADT-1.0± 1.18
Change From Double-blind Baseline in Sheehan Irritability Scale (SIS) Total Score at Weeks 11 and 14 Secondary · Weeks 8 (double-blind baseline), 11 and 14

The SIS is to rate suffering with regard to irritability symptoms. The degree to which irritability interferes with work, social and family function is also queried. The total SIS score is the sum of 7 items. Each item is rated on a scale of 0-10, for a total numeric range of scores from 0 (not at all) to 70 (extremely). The SIS also records the number of days impaired by irritability.

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT36.1± 13.21
Placebo + ADT34.8± 13.68
Change at week 11
GroupValue95% CI
CP-601,927 + ADT-9.3± 14.41
Placebo + ADT-7.3± 13.70
Change at week 14
GroupValue95% CI
CP-601,927 + ADT-12.3± 15.80
Placebo + ADT-10.4± 17.11
Change From Double-blind Baseline in Sheehan Disability Scale (SDS) Total Score at Weeks 11 and 14 Secondary · Weeks 8 (double-blind baseline), 11 and 14

SDS is defined as a self-administered tool that measures functional impairment including work/school, social life, and family life/home responsibilities. Items are rated on a scale of 0-10 visual analog scale (0=not at all impaired, 10=extremely impaired), for a total numeric range of scores from 0 (not at all impaired) to 30 (extremely impaired).

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT19.0± 5.88
Placebo + ADT18.5± 5.30
Change at week 11
GroupValue95% CI
CP-601,927 + ADT-5.6± 6.98
Placebo + ADT-3.8± 6.33
Change at week 14
GroupValue95% CI
CP-601,927 + ADT-6.6± 7.98
Placebo + ADT-5.7± 8.21
Change From Double-blind Baseline in Sheehan Disability Scale (SDS) Subscale Score at Weeks 11 and 14 Secondary · Weeks 8 (double-blind baseline), 11 and 14

SDS subscale is defined as a self-administered tool that measures functional impairment in 3-item including work/school, social life, and family life/home responsibilities. Items are rated on a scale of 0-10 visual analog scale, for a total numeric range of scores from 0 (not at all impaired) to 30 (extremely impaired).

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT6.0± 2.22
Placebo + ADT5.5± 2.66
Change at week 11
GroupValue95% CI
CP-601,927 + ADT-2.1± 2.86
Placebo + ADT-0.9± 2.10
Change at week 14
GroupValue95% CI
CP-601,927 + ADT-2.1± 2.88
Placebo + ADT-1.9± 2.66
Clinical Global Impression - Improvement (CGI-I) Total Score at Weeks 9, 10, 12 and 14 Secondary · Weeks 8 (double-blind baseline) 9, 10, 12 and 14

CGI-I was defined as a 7-point clinician rated scale ranging from 1 (very much improved) to 7 (very much worse). Improvement was defined as a score of 1 (very much improved), 2 (much improved), or 3 (minimally improved) on the scale. Higher score = more affected.

Week 8 (double-blind baseline)
GroupValue95% CI
CP-601,927 + ADT3.7± 0.77
Placebo + ADT3.5± 0.66
Week 9
GroupValue95% CI
CP-601,927 + ADT3.4± 0.84
Placebo + ADT3.2± 0.78
Week 10
GroupValue95% CI
CP-601,927 + ADT3.2± 0.92
Placebo + ADT3.1± 0.88
Week 12
GroupValue95% CI
CP-601,927 + ADT2.7± 1.05
Placebo + ADT2.8± 1.07
Week 14
GroupValue95% CI
CP-601,927 + ADT2.5± 1.05
Placebo + ADT2.7± 1.03
Number of Participants With Remission at Weeks 9, 10, 12 and 14 Secondary · Weeks 9, 10, 12 and 14

Remission was defined as response plus an absolute MADRS total score of less than or equal to 10 plus a CGI-I score less than 2 ('much' or 'very much' improved).

Week 9
GroupValue95% CI
CP-601,927 + ADT1
Placebo + ADT0
Week 10
GroupValue95% CI
CP-601,927 + ADT4
Placebo + ADT1
Week 12
GroupValue95% CI
CP-601,927 + ADT5
Placebo + ADT9
Week 14
GroupValue95% CI
CP-601,927 + ADT9
Placebo + ADT11
Number of Participants With Response at Weeks 9 Through 14 Secondary · Weeks 9 through 14

Response was defined as greater than 50 percent reduction from double-blind baseline in MADRS total score.

Week 9
GroupValue95% CI
CP-601,927 + ADT3
Placebo + ADT4
Week 10
GroupValue95% CI
CP-601,927 + ADT8
Placebo + ADT8
Week 11
GroupValue95% CI
CP-601,927 + ADT15
Placebo + ADT10
Week 12
GroupValue95% CI
CP-601,927 + ADT18
Placebo + ADT16
Week 13
GroupValue95% CI
CP-601,927 + ADT23
Placebo + ADT20
Week 14
GroupValue95% CI
CP-601,927 + ADT22
Placebo + ADT20
Plasma CP-601,927 Concentration Secondary · Week 11, 12 and 14

Blood samples were collected for plasma CP-601,927 concentration analysis which was summarized by mean and standard deviation.

Week 11 at 1 Hour
GroupValue95% CI
CP-601,927 + ADT5.80± 3.42
Week 11 at 2 Hours
GroupValue95% CI
CP-601,927 + ADT5.90± 3.13
Week 12
GroupValue95% CI
CP-601,927 + ADT6.24± 3.85
Week 14 at 1 Hour
GroupValue95% CI
CP-601,927 + ADT5.36± 3.83
Week 14 at 2 Hour
GroupValue95% CI
CP-601,927 + ADT5.39± 3.89

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Open-Label ADT
Serious: 3/297 (1%)
Deaths:
CP-601,927 + ADT
Serious: 1/77 (1%)
Deaths:
Placebo + ADT
Serious: 1/85 (1%)
Deaths:

Serious adverse events (6 terms)

ReactionSystemOpen-Label ADTCP-601,927 + ADTPlacebo + ADT
Thyroid cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Suicide attemptPsychiatric disorders
Atrial fibrillationCardiac disorders
PneumoniaInfections and infestations
PregnancyPregnancy, puerperium and perinatal conditions
Suicidal ideationPsychiatric disorders
Other adverse events (217 terms — click to expand)

ReactionSystemOpen-Label ADTCP-601,927 + ADTPlacebo + ADT
HeadacheNervous system disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
InsomniaPsychiatric disorders
DizzinessNervous system disorders
FatigueGeneral disorders
SomnolenceNervous system disorders
Dry mouthGastrointestinal disorders
IrritabilityGeneral disorders
ConstipationGastrointestinal disorders
NasopharyngitisInfections and infestations
AnxietyPsychiatric disorders
FlatulenceGastrointestinal disorders
Libido decreasedPsychiatric disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Abdominal pain upperGastrointestinal disorders
DyspepsiaGastrointestinal disorders
InfluenzaInfections and infestations
Urinary tract infectionInfections and infestations
SedationNervous system disorders
Abdominal discomfortGastrointestinal disorders
SinusitisInfections and infestations
Decreased appetiteMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Abnormal dreamsPsychiatric disorders
HyperhidrosisSkin and subcutaneous tissue disorders
PalpitationsCardiac disorders
Oedema peripheralGeneral disorders
PyrexiaGeneral disorders
Increased appetiteMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
ParaesthesiaNervous system disorders
DepressionPsychiatric disorders
Hot flushVascular disorders
Abdominal painGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
Feeling jitteryGeneral disorders

Most-reported serious reactions: Thyroid cancer, Suicide attempt, Atrial fibrillation, Pneumonia, Pregnancy, Suicidal ideation.

Data from ClinicalTrials.gov NCT01098240 adverse events section.

Sponsor's own description

The primary objectives of this study are to: 1) Evaluate the efficacy of CP 601,927 compared to placebo in the augmentation of antidepressant therapy (ADT) in patients with Major Depressive Disorder (MDD) using the Montgomery Asberg Depression Rating Scale (MADRS). 2) Evaluate the safety and tolerability of CP 601,927 in patients with MDD on ADT.

Publications & conference data

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

  1. Functioning outcomes with adjunctive treatments for major depressive disorder: a systematic review of randomized placebo-controlled studies.
    Weiller E, Weiss C, Watling CP, Edge C, et al · · 2018 · cited 12× · PMID 29343962 · DOI 10.2147/ndt.s146840

Verify or expand the search:

Other trials of CP-601,927

Trials testing the same drug.

Other recruiting trials for Major Depressive Disorder

Currently open trials in the same condition.

Other Pfizer trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT01098240.

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