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CTRI Number  CTRI/2010/091/001410 [Registered on: 18/11/2010]
Last Modified On: 12/05/2015
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A study to asses the efficacy and safety of TC-5214 as an adjunct therapy in patients with major depressive disorder. 
Scientific Title of Study
Modification(s)  
A Multicenter, Randomized, Double-Blind Parallel Group Placebo-Controlled Phase III, Efficacy and Safety Study of 3 Fixed Dose Groups of TC-5214 (S-mecamylamine) as an Adjunct to an Antidepressant in Patients with Major Depressive Disorder Who Exhibit an Inadequate Response to Antidepressant Therapy  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
D4130C00004  Protocol Number 
NCT01153347  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Kapil Dev Jhawar  
Designation  Senior Clinical Project Manager 
Affiliation  Quintiles Research (India) Pvt Ltd 
Address  Quintiles Research (India) Pvt Ltd.
B-101-106,Shapath IV, Opp: Karnavati Club
Ahmadabad
GUJARAT
380051
India 
Phone  917966303319  
Fax  917966303366  
Email  Kapil.jhawar@quintiles.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Sangamitra Patnaik 
Designation  MD 
Affiliation  Quintiles Research (India) Pvt Ltd 
Address  B-101-106, Opp.Karnavati Club
Shapath IV, Gandhinagar Road
Not Applicable
N/A
380051
India 
Phone  07966303340  
Fax  07966527272  
Email  Sanghamitra.patnaik@quintiles.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Suneela Thatte 
Designation   
Affiliation  Quintiles Research (India) Pvt Ltd 
Address  B-101-106, Opp.Karnavati Club
Shapath IV, Gandhinagar Road
Not Applicable
N/A
38051
India 
Phone  912266774242  
Fax  912266774343  
Email  Suneela.thatte@quintiles.com  
 
Source of Monetary or Material Support  
AstraZeneca AB S-151 85 Södertälje, Sweden  
 
Primary Sponsor
Modification(s)  
Name  AstraZeneca 
Address  Södertälje, Sweden 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Quintiles Research (India) Pvt Ltd. B-101-106, Shapath IV Opp. Karnavati Club, Sarkhej-Gandhinagar, Ahmedabad:380051 India   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 24  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. A. Jagadish  Abhaya Hospital  No. 17, Dr. M. H. Marigowda Road,Wilson Garden-560 027
Bangalore
KARNATAKA 
080-26564586 / 09844059066
080-26563865
a_jagadish@yahoo.com 
Dr. Rohan Kusumgar  Ashray Clinic  114, Span Trade Centre,Opposite Koshrab Ashram, Near Paldi Cross -

 
079-26577914
079-26577914
dr_rohan291@rediffmail.com 
Dr. Ramand SathyPathy  Brain Mind Behaviour Neurosciences Research Institute  201, MVV Chambers, OPP KG Hospital,Maharanipeta-530 002
Visakhapatnam
ANDHRA PRADESH 


 
Dr. Sandeep Shah  Brij Psychiatry Hospital & Muskaan Research Centre  Opp. Nimbalkar Chambers,Dandia Bazar-390 001
Vadodara
GUJARAT 
+91-9824060683
0 265-2411621
brijclinic@hotmail.com 
Dr. Bandna Gupra  CSM University UP  Dept of Psychiatry,-
Lucknow
UTTAR PRADESH 


 
Dr. Venu Gopal Jhanwar  Deva Mental Health Care  B,27/70,MN,Badhal, Kothi-221005

 
+91 9936611111
0542- 2310510
venugj@gmail.com 
1) Dr. Nadukuru N. Raju  Government Hospital For Mental Care  Chinawaltair,Vishakapatnam-530017

 
+91 9849111505
+91-891-2724348
drnnraju@yahoo.com 
Dr. Keshava Pai Kota  KMC Hospital  Department of Psychiatry,Attavar-575001
Bangalore
KARNATAKA 
0824-2445858 / 09448105227
0824-2425092
dockp06@hotmail.com 
Dr. Ramnathan Sathianathan  Madras Medical College & Government General Hospital  Chennai ,-600 003

 
+91 9841019910
+91 91-44-25388989
sathianathen6@yahoo.com 
Dr. RKMahendru  Mahendru Psychiatric Centre  117/40,Sarvodaya Nagar,-208005

 


 
Dr. Anil Kumar Tambi  Mental Health Care & Research  A-500 Govind Marg,Malviya Nagar-302017
Jaipur
RAJASTHAN 


 
Dr. Mahesh Chudgar  Mental Illness Treatment Rehabilitation Foundation (MITR)  1, Shantinagar Society, Way of Azad Sweet,Ashram Road-380 013
Ahmadabad
GUJARAT 
+91 9825412109
079 27552623
mahesh_mitr@yahoo.co.in 
Dr. Darmavaram Ramacharlu Vijayakumar  MS Ramaiah Memorial Hospital Dept of Psychiatry  MSRIT Post,New BEL Road-560054
Bangalore
KARNATAKA 


 
Dr.Vijayakumar A Nagecha  Nagecha Hospital  Creative Chamber,Kanak Rd,Behind bus stand-36002

 


 
Dr. Kiran Kumar PK  Opp Highland Hospital,   Adhit Kiran Neuropsychiatry Centre,-575 002
Bangalore
KARNATAKA 


 
Dr. Dattatreya Dhavale  Poona Hospital & Research Centre  27,Sadashiv Peth-411030
Pune
MAHARASHTRA 
+91 9822028286
020-24337777
dattatreyad@yahoo.com 
Dr. Kaustubh Joag  Ruby Hall Clinic  Consultant Psychiatrist,-411001
Pune
MAHARASHTRA 


 
Dr. Vinay Barhale  Shanti Nursing Home / SPUR  Kanchanwadi,Paithan Road-431005

 
91-9860798041/ 91-240-2376271
91-240-2377631
vinay.barhale@rediffmail.com 
Dr. Vaishal N Vora  SNEH Clinic  301-2-3 Nakshtra Complex,Above HDFC Bank-380008

 


 
Dr. Mahesh Gowda  Spandana Nursing Home  549/46, 6th Main,4th Block, Rajajinagar-560 010
Bangalore
KARNATAKA 
+91 9845134915
080 23141028
maheshrgowda@yahoo.com 
Dr. Bakul Buch  Sri Hatkesh Health Foundation  Opp. Buthnath temple,M G Road-362 001
Junagadh
GUJARAT 
+91 9825220330
0285-2627311
bakulbuch@gmail.com 
Dr. Umesh Nagapurkar  Sujata Birla Hospital and Medical Research Center  Nashik Rd,-
Nashik
MAHARASHTRA 


 
Dr. Ravish Thunga  Thunga Institute of Psychiatry & Counseling  Jyothi Circle,Balmatta-575001
Bangalore
KARNATAKA 


 
Dr. Vishal Indla  Vijayawada Institute of Mental Health and Neurosciences (VIMHANS) Hospital  V.V. Rao Street,Surya Rao Pet-520002

 
91- 9704755669/ 91- 0866 2432040/
91- 0866 2444999
vishalindla@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 27  
Name of Committee  Approval Status 
ABHAYA Ethics Committee, ABHAYA Hospital  Approved 
DMHC Ethics Committee  Approved 
Ethics Committee MITR Foundation  Approved 
Ethics Committee-Shanti Nursing Home  Approved 
Independent Ethics Committee 57, Ahmedabad  Approved 
Independent Ethics Committee G-10   Approved 
Institutional Ethics Committee  Approved 
Institutional Ethics Committee, Andhra Medical College  Approved 
Institutional Ethics Committee, King George Hospital  Approved 
Kasturba Hospital Ethics Committee  Approved 
Kasturba Medical College-Mangalore  Approved 
Lucknow Ethics Committee  Approved 
MAANAV Health Foundation Independent Ethics Committee  Approved 
Madras Medical College and Government General Hospital  Approved 
Mahendru Psychiatric Centre Ethics Committee  Approved 
Mallikata Ethical Committee  Approved 
MS Ramala Medical College Ethical Review Board  Approved 
Norms Ethical Committee  Approved 
North Maharashtra  Approved 
Poona Hospital and Research Centre  Approved 
Poona Medical Research Foundation  Approved 
Safe Search Independent Ethics Committee  Approved 
Shashvat- Gaurav Accident Fracture Hospital  Approved 
Sheth Vadilal Sarabhai General Hospital Ethical Committee  Approved 
Spandana Ethics Committee  Approved 
The Ethics Committee R.K. Yadav Memorial Hospital  Approved 
Vijayawada Institute of Mental Health & Neuro Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Major Depressive Disorder, MDD, Depression,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo  Tablet, oral, twice daily for 8 weeks 
Intervention  TC-5214  Tablet, oral, twice daily for 8 weeks 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  - Provision of signed and dated informed consent before initiation of any study-related procedures.
- The patient must have a clinical diagnosis of major depressive disorder (MDD) with inadequate response to no more than one antidepressant.
- Outpatient status at enrollment and randomization. 
 
ExclusionCriteria 
Details  - Patients with a lifetime history of bipolar disorder, psychotic disorder or post-traumatic stress disorder. - Patients with a history of suicide attempts in the past year and/or seen by the investigator as having a signficant history of risk of suicide or homicide. - History of renal insufficiency or impairment or conditions that could affect absorption or metabolism of investigational product. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Change in the Montgomery-Asberg Depression Rating Scale (MADRS) total score from randomization (Week 8) to end of treatment (Week 16)  Will be scored at Weeks 8 (baseline), 9, 10, 12, 14, and 16 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in clinician-rated symptoms as assessed by MADRS, HAM-D, CGI-S, CGI-I and HAM-A  MADRS and CGI will be scored at Weeks 8 (baseline), 9, 10, 12, 14, and 16; HAM-D and HAM-A will be scored at Weeks 8 (baseline) and 16 
Changes in patient-reported outcomes as assessed by SDS, Q-LES-Q-SF, QIDS-SR-16 and SIS  Will be analysed at Weeks 8, 12 and 16. QIDS-SR-16 will also be measured at Week 10 
AEs, SAEs, change in physical exam results and vital signs, laboratory tests and ECG, C-SSRS, BARS and AIMS, CSFQ, and DESS will be assessed as a measure of safety and tolerability  Will be collected during the whole study period. Unsolicited SAEs will be collected for 30 days post last study treatment 
 
Target Sample Size
Modification(s)  
Total Sample Size="2236"
Sample Size from India="530" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)
Modification(s)  
15/06/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
none yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The purpose of this study is to determine if TC-5214 or placebo (a tablet that looks like medicine tablet or capsule, but contains no active medicine) is safe and effective when taken together with another antidepressant. The planned date of enrollment for India is 14MAY11 and they are expected to enroll 530 subjects.  
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