Evidence map›Paper›PMID 29035574›Full record

Trial reportJournal of child and adolescent psychopharmacology2018

A 6-Month Open-Label Extension Study of Vortioxetine in Pediatric Patients with Depressive or Anxiety Disorders.

Robert L Findling, Adelaide S Robb, Melissa P DelBello, Michael Huss, Nora K McNamara, Elias H Sarkis, Russell E Scheffer, Lis H Poulsen, Grace Chen, Ole M Lemming and 1 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of child and adolescent psychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01491035 (An Open-label Study Evaluating the Pharmacokinetics and Tolerability of [Vortioxetine] Lu AA21004 in Connection With Multiple Oral Dosing of [Vortioxetine] Lu AA21004 in Child and Adolescent Patients With a DSM-IV Diagnosis of Depressive or Anxiety Disorder), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

NCT01491035 phase2completednot on this map

An Open-label Study Evaluating the Pharmacokinetics and Tolerability of [Vortioxetine] Lu AA21004 in Connection With Multiple Oral Dosing of [Vortioxetine] Lu AA21004 in Child and Adolescent Patients With a DSM-IV Diagnosis of Depressive or Anxiety Disorder

TypeinterventionalSponsorH. Lundbeck A/SRan2012 to 2015Enrolled48ConditionsDepressive Disorder, Anxiety DisorderArmsVortioxetine
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Pharmacokinetics and Safety of Vortioxetine in Pediatric Patients.Journal of child and adolescent psychopharmacology · 2017
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. New Somatic Treatments for Child and Adolescent Depression.Current treatment options in psychiatry · 2019
    Article
  9. Review
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

11 authors.

Robert L Findling1 The Johns Hopkins University and the Kennedy Krieger Institute, Baltimore, Maryland.
Adelaide S Robb2 Children's National Health System , Washington, District of Columbia.
Melissa P DelBello3 Cincinnati Children's Hospital Medical Center , Cincinnati, Ohio.
Michael Huss4 Universitätsmedizin, Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie , Mainz, Germany .
Nora K McNamara5 Department of Psychiatry-Child/Adolescent, UH Case Medical Center , Cleveland, Ohio.
Elias H Sarkis6 Sarkis Family Psychiatry , Gainesville, Florida.
Russell E Scheffer7 KU School of Medicine , Wichita, Kansas.
Lis H Poulsen8 Paediatric Neuro-Psychiatry and Quantitative Pharmacology, H. Lundbeck A/S , Valby, Denmark .
Grace Chen9 Quantitative Clinical Pharmacology, Takeda Pharmaceuticals U.S.A., Inc. , Deerfield, Illinois.
Ole M Lemming10 Biostatistics, H. Lundbeck A/S , Valby, Denmark .
Philippe Auby8 Paediatric Neuro-Psychiatry and Quantitative Pharmacology, H. Lundbeck A/S , Valby, Denmark .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn this 6-month open-label extension (OLE) of NCT01491035 (a 14-day, open-label, pharmacokinetic/safety lead-in study), the long-term safety and tolerability of vortioxetine (5-20 mg/day) were investigated in children and adolescents with a DSM-IV-TR™ diagnosis of depressive or anxiety disorder in the United States or Germany. The study also was designed to provide data to inform dose selection and titration in future pediatric studies with vortioxetine.

methodsSafety evaluations included spontaneously reported adverse events (AEs), the Columbia Suicide Severity Rating Scale (C-SSRS), and the Pediatric Adverse Events Rating Scale (PAERS; clinician administered). Clinical effectiveness was determined by Clinical Global Impressions. Comorbid attention-deficit/hyperactivity disorder was permitted, including concomitant use of stimulant medication (US sites only).

resultsOf the 47 patients who completed the lead-in period, 41 continued into the OLE. Most patients (n = 39 [95%]) continued their previous dose regimen. Twenty-one patients (51%) withdrew during the OLE; the most common primary reasons were administrative [n = 8], AEs [n = 4], and lack of efficacy [n = 3]. Thirty-five patients (85%) had ≥1 AE, 86% of which were mild or moderate in severity. Five patients (12%) reported a severe AE, none of which was considered related to study medication. The most common AEs (≥10%) were headache (27%), nausea (20%), dysmenorrhea (females; 19%), and vomiting (15%), with no relationship between AE intensity and age or dose. Five patients reported instances of suicidal ideation during the OLE, one of whom also reported this during the lead-in period. Two patients had nonsuicidal self-injurious behavior; one had a nonfatal suicide attempt. Throughout the study, there was a decrease over time in the incidence and intensity of AEs collected using the PAERS. Effectiveness assessment indicated a trend toward improvement based on numeric results.

conclusionThis OLE confirms the findings from the lead-in study, which concluded that a dosing strategy of 5-20 mg/day is safe, well tolerated, and suitable for future clinical studies of vortioxetine in pediatric patients.

Indexed as

AdolescentAnti-Anxiety AgentsAntidepressive AgentsAnxiety DisordersChildDose-Response Relationship, DrugFemaleGermanyHumansMajor Depressive DisorderMaleProspective StudiesPsychiatric Status Rating ScalesTreatment OutcomeUnited StatesVortioxetineAnti-Anxiety AgentsAntidepressive AgentsVortioxetineadolescentsantidepressantanxietychildrendepressiondosinglong-term safetypediatric patientsvortioxetine

Identifiers

PMID29035574
PMCPMC5771527

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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.