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CTRI Number  CTRI/2011/10/002065 [Registered on: 14/10/2011] Trial Registered Retrospectively
Last Modified On: 11/04/2012
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A Study to Assess the Safety and Effect of TC-5214 in Patients With Major Depressive Disorder.  
Scientific Title of Study   A Phase IIb, Randomized, Double-Blind, Placebo-Controlled, Active Controlled, Parallel Group, Multicenter Study to Assess the Safety and Efficacy of 2 Fixed Dose Groups of TC-5214 (S-mecamylamine) as Monotherapy Treatment in patients with Major Depressive Disorder with an Inadequate Response to Antidepressant Therapy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
D4131C00001  Protocol Number 
NCT01288079  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  KS Veeresh BPharm 
Designation  Associate Clinical Team Lead  
Affiliation  Quintiles Research (India) Private Limited 
Address  4th Floor, Nitesh Time Square 8, M. G. Road Bangalore 560001, INDIA

Bangalore
KARNATAKA
560001
India 
Phone  918066552069  
Fax  918095502193  
Email  veeresh.swamy@quintiles.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shoibal Mukherjee 
Designation  VP Medical 
Affiliation  Quintiles Research (India) Pvt Ltd 
Address  8th Floor DLF Square, Jacaranda Marg, M Block, DLF Phase II Gurgaon Haryana-122002

Kurukshetra
HARYANA
122002
India 
Phone  911246755861  
Fax  911246755959  
Email  shoibal.mukherjee@quintiles.com  
 
Details of Contact Person
Public Query
 
Name  Suneela Thatte 
Designation  Executive Director Clinical Operations 
Affiliation  Quintiles Research (India) Pvt. Ltd. 
Address  301-A-1 Leela Business Park; M.V.Road, Andheri (E), Mumbai-400059 India

Mumbai
MAHARASHTRA
400059
India 
Phone  912266774242  
Fax  912266774343  
Email  Suneela.thatte@quintiles.com  
 
Source of Monetary or Material Support  
AstraZeneca AB S-151 85 Sodertalje, Sweden  
 
Primary Sponsor  
Name  AstraZeneca AB 
Address  S-151 85 Sodertalje, Sweden 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     Estonia
Finland
India
Japan
United States of America  
Sites of Study  
No of Sites = 13  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Mahesh Chudgar  Mental Illness Treatment Rehabilitation Foundation (MITR)   opp. Sat. laurn hotel, Ashram road - Ahmadabad 380013
Ahmadabad
GUJARAT 
9825412109

mahesh_mitr@yahoo.co.in 
Anjappa Jagadish  Abhaya Hospital  Psychiatry department, No. 17, Dr. M. H. Marigowda Road, Wilson Garden, Bangalore- 560027, Karnataka, India
Bangalore
KARNATAKA 
9844059066

a_jagadish@yahoo.com 
Sanjay Phadke  Deenanath Mangeshkar Hospital & Research centre  Erandawane, Pune - 411 004, Maharashtra, India
Pune
MAHARASHTRA 
9823262786

sanjay_phadke@hotmail.com 
Venu Gopal Jhanwar  Deva Institute of Health care & Research Pvt. Ltd  Deva Institute of Health care & Research Pvt. Ltd, B - 27/70 mn , durgakund, Varanasi, UP - 221005
Varanasi
UTTAR PRADESH 
9936611111

vgjhanwar@devainstitute.com 
Dr Hitendra Gandhi  Dr. Hitendra Gandhi  Room No. 14, Arogya Bhuvan, opp. Psychiatry ward, Sheth V.S. Hospital, Ellisbridge, Ahmedabad - 380006
Ahmadabad
GUJARAT 
9825066769

hitengandhi@yahoo.co.in 
Nadukuru Nooka Raju  Government Hospital For Mental Care  Dr. N N Raju, Department of Psychiatry, Government Hospital For Mental Care, chainna waltair, Visakhapatnam - 5300017
East Kameng
ARUNACHAL PRADESH 
9849111505

drnnraju@yahoo.com 
R Sathianadhan  Madras Medical College and Government General Hospital  Ward 120, Dept of Psychiatry, Madras Medical College and Government General Hospital, Chennai - 6000003, Tamil Nadu, India
Chennai
TAMIL NADU 
9841019910

sathianathen6@yahoo.com 
RK Mahendru  Mahendru Psychiatric Centre  Mahendru Psychiatric Centre, 117/40, Sarvodaya Nagar, Kanpur-208 005
Kanpur Nagar
UTTAR PRADESH 
9336124372

rkmahendru@indiatimes.com 
Ravish Tunga  Manaswini, Thunga Institute of Psychiatry and Counselling  Near Jyoti Circle, Balmatta, Mangalore - 575 001, Karnataka, India
Bangalore
KARNATAKA 
9845263090

ravishthunga@yahoo.com 
Dr Anil Tambi  Mental Health care & Research  Neuropsychiatry clinic, A-500,Govind Marg, Malviya Nagar, Jaipur ,Rajasthan - 302017, India
Jaipur
RAJASTHAN 
9828899902

dr.tambianil@yahoo.co.in 
Rakesh Yadav  R. K. Memorial Mental Health and deaddiction Hospital  B -6, Hanuman Nagar, Sirsi Road, Jaipur - 302021
Jaipur
RAJASTHAN 
9829066418

drrakeshyadav@hotmail.com 
Mahesh Gowda  Spandana Nursing Home  549/46, 6th Main, 4th Block, Rajajinagar, Bangalore – 560 010, Karnataka, India
Bangalore
KARNATAKA 
9845134915

maheshrgowda@yahoo.com 
Umesh Nagapurkar  Sujatha Birla Hospital & Medical research centre  opp. BYTCO college, Nashik road, Nashik, 422101.
Nashik
MAHARASHTRA 
9823146088

umeshanjali@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 13  
Name of Committee  Approval Status 
Abhaya Ethics Committee, Bangalore, Dr. Anjappa Jagdish  Submittted/Under Review 
DMHC Ethics Committee, Varanasi, Dr. Venu Gopal Jhanwar  Approved 
Ethics Committee Memorial Mental Health and deaddiction Hospital, Jaipur, Dr. Rakesh Yadav  Submittted/Under Review 
Indepent Ethics Committee, Jaipur, Dr. Anil Tambi   Approved 
Institional Ethics Committee, Pune, Dr. Sanjay Phadke  Submittted/Under Review 
Institutional ethics committee, Vishakhapatnam, Dr. Nadukuru Nooka Raju  Submittted/Under Review 
Kanpur Medical ethics committee, Kanpur, Dr. R.K. Mahendru  Approved 
Malikatta Independent Ethical committee, Mangalore, Dr. Ravish Tunga-Manaswini  Approved 
Mitra foundation Ethics Committee, Ahmedabad, Dr. Mahesh Chudgar  Approved 
North Maharastra Ethics Committee, Nashik, Dr. Umesh Negapurkar  Approved 
Sheth V.S. Hospital Ethics Committee, Ahmedabad, Dr. Hitendra Gandhi  Submittted/Under Review 
Spandana Ethics Committee, Bangalore, Dr. Mahesh Gowda  Submittted/Under Review 
The ethics committee, Chennai, Dr. R. Sathianathan  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Major Depressive Disorder ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Duloxetine, 60 mg Q Day  Capsule, oral, once daily for 8 weeks 
Comparator Agent  Placebo  Tablet,oral, twice daily for 8 weeks 
Intervention  TC-5214, 1mg BID  Tablet, oral, twice daily for 8 weeks  
Intervention  TC-5214, 4mg BID  Tablet, oral, twice daily for 8 weeks 
 
Inclusion Criteria  
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.
Women of child-bearing potential must have a negative urine pregnancy test and confirmed use of a highly effective form of birth control before enrollment and until 3 months after their last dose of study drug.
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 significant history of risk of suicide or homicide.
Patients with any significant unstable hepatic, renal, pulmonary, cardiovascular, ophthalmologic, neurologic, or any other medical conditions that might confound the study or put the patient at greater risk during study participation.
History of stroke or transient ischemic attack, seizures or seizure disorder, head trauma including closed head injury.
Pregnancy or lactation.
 
 
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 
Changes in clinician rated symptoms as assessed by Clinical Global Impression-Improvement (CGI-I)  Range of weeks 8 (baseline) to 16. 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in clinician rated symptoms as assessed by MADRS  Range of weeks 8 (baseline) to 16 
Changes in patient-reported outcomes as assessed by Sheehan Disability Scale (SDS)  Range of weeks 8 (baseline) to 16. 
Adverse Events (AEs)(any incidence) and Serious Adverse Events (SAEs), will be assessed as a measure of safety and tolerability.  Range of weeks 8 (baseline) to 16. 
Change in physical exam results, vital signs, lab tests (incl. ECG (electrocardiogram) will be assessed.  Range of weeks 1-18 
Changes in clinician rated symptoms as assessed by Hamilton Rating Scale for Depression (HAMD).  Range of weeks 8 (baseline) to 16 
Changes in clinician rated symptoms as assessed by Clinical Global Impression-Severity (CGI-S)  Range of weeks 8 (baseline) to 16. 
 
Target Sample Size
Modification(s)  
Total Sample Size="1152"
Sample Size from India="64" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/10/2011 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  04/02/2011 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Other (Terminated) 
Recruitment Status of Trial (India)  Other (Terminated) 
Publication Details    
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 assess the safety and effect of TC-5214 as a single therapy in patients with major depressive disorder who exhibit inadequate response to antidepressants.

 
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