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CTRI Number  CTRI/2010/091/001491 [Registered on: 16/11/2010]
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, Placebo Controlled Trial 
Public Title of Study
Modification(s)  
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder (MDD)  
Scientific Title of Study
Modification(s)  
A Multicenter, Randomized, Double-Blind, Parallel Group, Placebo-Controlled, Phase III Efficacy and Safety Study of TC-5214 (S-mecamylamine) in Flexible Doses as an Adjunct to an Antidepressant in Patients With Major Depressive Disorder With an Inadequate Response to Antidepressant Therapy  
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
D4130C00002  Protocol Number 
NCT01157078  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Hiren Thakkar 
Designation  Proj Director 
Affiliation  Quintiles 
Address  B-101-106,Shappath IV, Opp: Kamavati Club
Sarkhej-Gandhinagar Road
Ahmadabad
GUJARAT
380051
India 
Phone  917966303380  
Fax  917966303366  
Email  Hiren.Thakkar@quintiles.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Sanghamitra Patnaik 
Designation  Director Regulatory Affairs  
Affiliation  Quintiles Research (India) 
Address  B-101-106,Shappath IV, Opp: Kamavati Club Sarkhej-Gandhinagar Road

Ahmadabad
GUJARAT
380051
India 
Phone  0-79-6630-3340  
Fax  0-79-6652-7272  
Email  Sanghamitra.Patnaik@quintiles.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Suneela Thatte 
Designation  Executive Director Clinical Operations 
Affiliation   
Address  301-A-1 Leela Business Park M.V. Road

Mumbai
MAHARASHTRA
400059
India 
Phone  91-22-6677-4242  
Fax  91-22-6677-4343  
Email  Suneela.Thatte@quintiles.com  
 
Source of Monetary or Material Support
Modification(s)  
AstraZeneca AB  
 
Primary Sponsor
Modification(s)  
Name  AstraZeneca AB 
Address  S-151 85 Sodertalje, Sweden 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Quintiles Research India Pvt Ltd  B-101-106, Shapath IV Opp.Karnavati Club,Sarkhej- Gandhinagar Road,Ahmedabad: 380051 India 
 
Countries of Recruitment
Modification(s)  
  India
United States of America  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
12. Dr. Shekhar Aluka Reddy  ADI Clinics  Near star hospital, Banjara Hills, Hyderabad-500003

 
+91 9848059452
+9104024050093
drshekarreddy@gmail.com 
Dr NNRaju  Government Hospital for Mental Care  Government Hospital For Mental Care, Chinawaltair, Vishakapatnam 530017, Andhra Pradesh, India
Visakhapatnam
ANDHRA PRADESH 
919849111505
918912724348
drnraju@yahoo.com 
DrT S Sathyanarayana Rao  JSS Medical College and Hospital  Ramanuja Road,570004
Mysore
KARNATAKA 
919845282399
918212442840
tssrao19@yahoo.com 
6. Dr.Ramesh Kumar Mahendru  Mahendru Psychiatric Centre  117/40,Sarvodaya Nagar, Kanpur -208005

 
+91 9336124372
+ 915122242034
mahendru.rk@gmail.com 
5. Dr. Suresh Kumar Kota  Poly Clinic And Mental Health Care Centre  1st Line, Samba-shiva Pet,Guntur -522001

 
+91 9848303169
+ 918632320559
kotasureshkumar99@yahoo.co.in 
9. Dr. C. Ramasubramaniam  Radianz Clinical Research Unit  No. 662, K.K.Nagar,Madurai -625020

 
+91 9843255444
+ 914522580992
cnucrc@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 14  
Name of Committee  Approval Status 
10. Ethics Committee, Rogi Kalyan Samiti, Government Medical College and Sir Takhat-Singhji Hospital  Submittted/Under Review 
11. Radix Central Ethics Committee, Manas Hospital,  Submittted/Under Review 
12. Ethics Committee Sravani Poly Clinic and Mental Health Care Centre  Submittted/Under Review 
3. Ethics Committee- JSS Medical College  Submittted/Under Review 
5. Ethics Committee Sravani Poly Clinic and Mental Health Care Centre  Submittted/Under Review 
6. Ethics Committee-Mahendru Psychiatric Centre  Submittted/Under Review 
7. Cosmos Independent Ethics Committee, Shanti Home  Submittted/Under Review 
8. Cosmos Independent Ethics Committee, Delhi Psychiatry Centre  Submittted/Under Review 
9. Ethics Committee, M. S. Chelamuthu Trust and Research Foundation  Submittted/Under Review 
Ethics Committee-Poona Hospital and Research Centre  Approved 
Ethics Committee-Poona Hospital and Research Centre 27  Approved 
Institutional Ethics Committee, Andhra Medical College  Approved 
Institutional Ethics Committee, Deenanath Mangeshkar Hospital & Reseach Centre  Approved 
Sanmathi Central Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Major Depressive Disorder,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  Placebo  Tablet, oral, BID for 8 weeks 
Intervention  TC-5214  Tablet, oral, 1, 2 or 4 mg BID 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Provision of signed and dated informed consent before initiation of any study-related procedures.
2.The patient must have a clinical diagnosis of major depressive disorder (MDD) with inadequate response to no more than one antidepressant.
3.Out-patient status at enrollment and randomization. 
 
ExclusionCriteria 
Details  1.Patients with a lifetime history of bipolar disorder, psychotic disorder or post-traumatic stress disorder.
2.Patients with a history of suicide attempts in the past year and/or seen by the investigator as having a significant history of risk of suicide or homicide.
3.History of renal insufficiency or impairment or conditions that could affect absorption or metabolism of the investigational product in this patient population 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
Centralized 
Blinding/Masking
Modification(s)  
Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Change in the Montgomery-Asberg Depression Rating Scale (MADRS) total score from randomization to end of treatment  Will be scored at weeks 8,9,10,12,14 and 16 
 
Secondary Outcome
Modification(s)  
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 
Safety and tolerability  Time consent signed (enrollment, 1-2 wk screening/washout period), during 8-wk prospective open-label period, during 8-wk randomized double-blind period, and during 2-wk follow up period. Unsolicited SAEs collected 30 days post last treatment. 
 
Target Sample Size
Modification(s)  
Total Sample Size="940"
Sample Size from India="46" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
20/11/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  22/06/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
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
Modification(s)  
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 anticipated number of patients proposed to be recruited from India is 46 and anticipated date of enrollment is 12NOV2010. 
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