Evidence map›Paper›PMID 25891440›Full record

Trial reportDepression and anxiety2015

A double-blind, randomized, placebo-controlled, fixed-dose phase III study of vilazodone in patients with generalized anxiety disorder.

Carl Gommoll, Suresh Durgam, Maju Mathews, Giovanna Forero, Rene Nunez, Xiongwen Tang, Michael E Thase

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Depression and anxiety, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01629966 (A Double-blind, Placebo-Controlled Fixed-Dose Study of Vilazodone in Patients With Generalized Anxiety Disorder.), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
8.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01629966 phase3completednot on this map

A Double-blind, Placebo-Controlled Fixed-Dose Study of Vilazodone in Patients With Generalized Anxiety Disorder.

TypeinterventionalSponsorForest LaboratoriesRan2012 to 2014Enrolled680ConditionsGeneralized Anxiety DisorderArmsPlacebo, Vilazodone
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  12. Anxiety disorders.Nature reviews. Disease primers · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Carl GommollForest Research Institute (an affiliate of Actavis Inc.), Jersey City, New Jersey.
Suresh DurgamForest Research Institute (an affiliate of Actavis Inc.), Jersey City, New Jersey.
Maju MathewsForest Research Institute (an affiliate of Actavis Inc.), Jersey City, New Jersey; at time of studies.
Giovanna ForeroForest Research Institute (an affiliate of Actavis Inc.), Jersey City, New Jersey; at time of studies.
Rene NunezForest Research Institute (an affiliate of Actavis Inc.), Jersey City, New Jersey; at time of studies.
Xiongwen TangForest Research Institute (an affiliate of Actavis Inc.), Jersey City, New Jersey.
Michael E ThaseDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Allergan (United States) · USUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVilazodone, a selective serotonin reuptake inhibitor and 5-HT1A receptor partial agonist, is approved for treating major depressive disorder in adults. This study (NCT01629966 ClinicalTrials.gov) evaluated the efficacy and safety of vilazodone in adults with generalized anxiety disorder (GAD).

methodsA multicenter, double-blind, parallel-group, placebo-controlled, fixed-dose study in patients with GAD randomized (1:1:1) to placebo (n = 223), or vilazodone 20 mg/day (n = 230) or 40 mg/day (n = 227). Primary and secondary efficacy parameters were total score change from baseline to week 8 on the Hamilton Rating Scale for Anxiety (HAMA) and Sheehan Disability Scale (SDS), respectively, analyzed using a predefined mixed-effect model for repeated measures (MMRM). Safety outcomes were presented by descriptive statistics.

resultsThe least squares mean difference (95% confidence interval) in HAMA total score change from baseline (MMRM) was statistically significant for vilazodone 40 mg/day versus placebo (-1.80 [-3.26, -0.34]; P = .0312 [adjusted for multiple comparisons]), but not for vilazodone 20 mg/day versus placebo. Mean change from baseline in SDS total score was not significantly different for either dose of vilazodone versus placebo when adjusted for multiplicity; significant improvement versus placebo was noted for vilazodone 40 mg/day without adjustment for multiplicity (P = .0349). The incidence of adverse events was similar for vilazodone 20 and 40 mg/day (∼71%) and slightly lower for placebo (62%). Nausea, diarrhea, dizziness, vomiting, and fatigue were reported in ≥5% of patients in either vilazodone group and at least twice the rate of placebo.

conclusionsVilazodone was effective in treating anxiety symptoms of GAD. No new safety concerns were identified.

Indexed as

AdultAnxiety DisordersDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMiddle AgedSelective Serotonin Reuptake InhibitorsSurveys and QuestionnairesTreatment OutcomeVilazodone HydrochlorideSelective Serotonin Reuptake InhibitorsVilazodone Hydrochlorideantidepressantanxiety/anxiety disordersclinical trialsgeneralized anxiety disorderpharmacotherapy

Identifiers

PMID25891440
PMCPMC4676920
OpenAlexW1514731262

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.