Efficacy and Safety of Bupropion Hydrobromide in Adolescents and Children With Major Depressive Disorder

NCT02129751 — Phase 4, Not yet recruiting, 246 participants, Bausch Health Americas, Inc.

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A Double-Blind, Placebo-Controlled, Multicenter Study of Efficacy and Safety of Bupropion Hydrobromide in Adolescents and Children With Major Depressive Disorder

RegistryNCT02129751
StatusNot yet recruiting
PhasePhase 4
Study typeInterventional; randomized, single group, masking: quadruple, treatment
Enrollment246 (Estimated)
SponsorBausch Health Americas, Inc. (Industry)
ConditionsMajor Depressive Disorder
Interventionsbupropion hydrobromide, Placebo (Drug)
Datesstart 2027-07-01 (estimated), primary completion 2030-07-01 (estimated), completion 2030-12-01 (estimated), first posted 2014-05-02, last updated 2026-09-29

Related Papers Related Patents Related Grants Related Experts
All trials for Major Depressive Disorder All trials of bupropion hydrobromide All trials of Placebo

-Summary

Double-Blind, Placebo-Controlled, Multicenter Study of Efficacy and Safety

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+Detailed description

* The primary efficacy endpoint is the mean change from Baseline to EOT in total CDRS-R (raw) score.
* The secondary efficacy endpoints include:

* Proportion of subjects characterized as responders at EOT (≥40% improvement from Baseline total CDRS-R raw score)
* Proportion of subjects characterized as in remission at EOT (total CDRS-R raw score <29)
* Mean change from Baseline to EOT in CGI-C.

Safety endpoints include:

* Incidence of AEs
* Change from Baseline to EOT in vital signs (blood pressure and radial pulse rate), blood and urine laboratory panel, and ECG
* Treatment discontinuation due to AEs
* Suicidality as assessed by the C-SSRS score
* Change from Baseline to EOT in sleep as assessed by the sleep subscale of the CDRS-R.

+Arms and interventions

ArmTypeInterventionsDescription
bupropion hydrobromideExperimentalDrug: bupropion hydrobromidestudy drug
placeboPlacebo comparatorDrug: Placeboplacebo
  • bupropion hydrobromide (Drug), also known as Aplenzin: study drug
  • Placebo (Drug): placebo arm

+Outcome measures

Primary outcomes

  • Mean change from Baseline to EOT in total CDRS-R (raw) score [Baseline and 2 years]: Change from Baseline to EOT in total Children's Depression Rating Scale - Revised (CDRS-R). A higher score indicates a more profound state of depression. The interviewer rates 17 symptom areas; the symptom scores are summed to generate a total score. The total score ranges from 17 to 108.

+Eligibility

Sex: All, ages: 7 Years to 17 Years

Inclusion Criteria:

* Male or female outpatients aged ≥7 to <18 years (at Screening Visit 1).
* Provide assent (subject) and written informed consent (parent/legal representative) and Health Insurance Portability and Accountability Act (HIPAA) for study participation (at Screening Visit 1).
* Meet diagnostic criteria for MDD as defined in the DSM IV-TR5 at Screening Visits 1 and 1a (K-SADS-PL; see Appendix 17.2).
* Current depressive episode of at least 4 weeks' duration as noted in the subject's history (Screening Visit 1).
* Total CDRS-R raw score ≥45 at both the Screening and Baseline Visits (Visits 1 and 2) (see Appendix 17.3).
* CGI-S score of ≥4 at the Baseline Visit (Visit 2) (see Appendix 17.4).

Exclusion Criteria:

* are unable to swallow medications without difficulty
* have known hypersensitivity to bupropion hydrobromide
* are pregnant or planning to get pregnant or are lactating
* Women of childbearing age unable to use at least one method of effective contraception for the duration of the study
* Previous history of attempted suicide
* are unable to understand and communicate effectively with parent, Investigator, and study coordinator
* are at immediate risk of requiring hospitalization, in the Investigator's opinion
* have current seizure disorder or history of seizures or head trauma
* have history or presence of clinically significant medical conditions or clinically important laboratory abnormalities
* have ECG or physical examination abnormality at screening
* have body weight less than the 3rd percentile or greater than the 97th percentile for age.

+Investigators