Vortioxetine for Menopausal Depression



Status:Recruiting
Conditions:Depression, Depression, Hot Flash, Insomnia Sleep Studies, Women's Studies
Therapuetic Areas:Psychiatry / Psychology, Reproductive
Healthy:No
Age Range:40 - 62
Updated:4/21/2016
Start Date:July 2015
End Date:December 2016
Contact:Laura Cheng, BS
Email:ljcheng@partners.org
Phone:617-724-6540

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Vortioxetine for Menopausal Depression and Associated Symptoms

The broad goal of this study is to examine the efficacy and tolerability of vortioxetine
(flexible dose) for the treatment of major depressive disorder (MDD) in symptomatic women
around the menopausal transition. We hypothesize that an eight-week treatment with
vortioxetine will promote a significant improvement of depression symptoms and other
menopause-related physical symptoms.

Twenty-five peri- and postmenopausal women will be enrolled in this open-label study. This
will be an 8-week intervention using open-label vortioxetine with flexible dose between 5-20
mg, dependent on participant response and tolerability. In addition to assessment of
depressive symptoms, improvement of menopause-related physical and emotional symptoms that
occur with MDD, including vasomotor symptoms, cognition, fatigue, anxiety, sleep complaints,
and quality of life, will also be examined.

Inclusion Criteria:

1. Women aged 40-62 years who are perimenopausal or early postmenopausal (within 5 years
of the last menstrual period if not surgically postmenopausal), including:

1. Perimenopausal women who have experienced changes in menstrual cycle frequency
or duration, and/or physical symptoms indicative of menopausal transition, as
determined by clinician

2. Women who are using the Mirena Intrauterine Device (IUD), with
Follicle-stimulating hormone (FSH) level > 20 milli-International unit/ml
(mIU/mL)

2. Women meeting Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV)
criteria for major depression (assessed by the Mini International Neuropsychiatric
Interview - M.I.N.I.)

3. MADRS scores of at least 20 at baseline visit

4. Women with significant menopause-related physical symptoms, indicated by any of the
following criteria:

1. Greene Climacteric Scale total scores > 20;

2. Greene Climacteric Scale sub-score for vasomotor symptoms >3;

3. 14 or more bothersome hot flashes per week (self-reported).

5. Signed informed consent.

Exclusion Criteria:

1. Pregnancy (determined by urine pregnancy test), intending pregnancy, or breast
feeding.

2. Women whose primary diagnosis is Panic Disorder, Obsessive Compulsive Disorder (OCD),
Generalized Anxiety Disorder (GAD), Seasonal Affective Disorder (SAD), or any other
Axis I pathology active within 6 months prior to screening visit (except for specific
phobias). Anxiety disorders are allowable if secondary to MDD as the primary
diagnosis.

3. History of or current mania/hypomania, psychosis, or bipolar disorder

4. Regular treatment with an Selective Serotonin Reuptake Inhibitor (SSRI) or Selective
Norepinephrine Reuptake Inhibitors (SNRI) within 2 months prior to screening visit

5. Serious suicidal ideation or intent

6. Women who have used psychoactive or centrally acting medications within 2 weeks prior
to study screening

7. Women who have received hormonal intervention within 1 month prior to study entry

8. Known hypersensitivity to vortioxetine or any of the inactive ingredients

9. Treatment with a monoamine oxidase inhibitor (MAOI) within 14 days of randomization
or potential need to use an MAOI during the study or within 21 days of
discontinuation of study drug

10. Treatment with linezolid or intravenous methylene blue

11. Patients with severe hepatic impairment

12. Uncontrolled hypertension (>160/90 mmHg)

13. Resting heart rate >110/minute

14. Any current severe or unstable medical illness

15. Not using a medically approved method of birth control, if sexually active and not 12
or more months since last menstrual period

16. Drug or alcohol abuse in the past 1 year

17. Use of any disallowed medications (specified in the Excluded Concomitant Medication
section below)

18. Concurrent enrollment in another clinical trial

Excluded Concomitant Medications:

- Selective estrogen-receptor modulators (SERMs)

- Hormone replacement therapy

- Hormonal contraceptives, excluding Mirena IUD

- Natural menopause supplements

- Episodic sleep medications (chronic, regular, stable-dose benzodiazepines are
allowed)

- Antidepressants

- Phytoestrogens

- Soy-based medications

- Steroids

- Anorectics, appetite depressants
We found this trial at
1
site
185 Cambridge Street
Boston, Massachusetts 02114
617-724-5200
Principal Investigator: Marlene P Freeman, MD
Phone: 617-726-2912
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mi
from
Boston, MA
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