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Trial · NCT00905424

Exploratory Study of SPD489 in Adults With Major Depressive Disorder (MDD) as Augmentation Therapy to an Antidepressant

NCT00905424, Phase 2, Completed, Shire; results first posted 2011-07-14

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Exploratory Study of SPD489 in Adults With Major Depressive Disorder (MDD) as Augmentation Therapy to an Antidepressant. Trials, record NCT00905424. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00905424

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Exploratory Study of SPD489 in Adults With Major Depressive Disorder (MDD) as Augmentation Therapy to an Antidepressant
NCT number
NCT00905424
Status
Completed
Phases
Phase 2
Enrollment
246 participants, actual
Lead sponsor
Shire
Conditions
Major Depressive Disorder
Interventions
Antidepressant + SPD489 (lisdexamfetamine dimesylate), Antidepressant + placebo
First posted
2009-05-20
Last updated
2021-06-14
Results first posted
2011-07-14

Source ClinicalTrials.gov

Registered outcomes18

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Augmentation Baseline for Non-Remitters in Montgomery-Ǻsberg Depression Rating Scale (MADRS) Total Score at Week 6 - Last Observation Carried Forward (LOCF)Augmentation Baseline, 6 weeksMADRS is a validated, 10-item rating scale with each item being scored on a scale from 0-6 with a total score ranging from 0-60. Lower scores indicate a decreased severity of depression.
SecondaryChange From Augmentation Baseline for Non-Remitters in the Hamilton Depression Scale (HAM-D) Total Score at Week 6 - LOCFAugmentation Baseline, 6 weeks
The HAM-D is a validated rating scale which consists of 17 items. Nine of the items are scored on a scale of 0-4 and 8 items are scored on a scale of 0-2 for a total scoring range of 0-52. A score of 0-7 is generally accepted to be within the normal range (or in clinical remission), while a score of 20 or higher indicates increased severity of depression. In general, the lower the total score the less severe the depression.
SecondaryChange From Augmentation Baseline for Non-Remitters in the Sheehan Disability Scale (SDS) Total Score at Week 6Augmentation Baseline, 6 weeks
Designed to evaluate the extent to which illness symptoms impact a subject's life in 3 areas: work/school, social, and family/home. Each area is scored on a scale from 0 (no impairment) to 10 (highly impaired) with a total score ranging from 0 (unimpaired) to 30 (highly impaired). Lower scores translate into less impairment.
SecondaryPercentage of Non-Remitters With Improvement on Clinical Global Impression-Improvement (CGI-I) at Week 6 - LOCF6 weeks
Clinical Global Impression-Improvement (CGI-I) consists of a 7-point scale ranging from 1 (very much improved) to 7 (very much worse). Improvement is defined as a score of 1 (very much improved) or 2 (much improved) on the scale.
SecondaryAssessment in Non-Remitters of Clinical Global Impression-Severity of Illness (CGI-S) at Augmentation BaselineAugmentation baselineCGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill)
SecondaryAssessment in Non-Remitters of Clinical Global Impression-Severity of Illness (CGI-S) at Week 66 weeksCGI-S assesses the severity of the subject's condition on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill)
SecondaryChange From Augmentation Baseline for Non-Remitters in the Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A) Scale Total Score at Week 6Augmentation Baseline and 6 weeks
BRIEF-A is a validated 75-item questionnaire composed of three scales (Global Executive Composite, Behavioral Recognition Index, and Metacognition Index). Items are rated 1 (never), 2 (sometimes), and 3 (often). There is no range for a total score. Raw scale scores are used to develop interpretive reports. Lower scores reflect better functioning.
SecondaryChange From Augmentation Baseline for Non-Remitters in the Multidimensional Assessment of Fatigue (MAF) Scale Total Score at Week 6Augmentation Baseline and 6 weeks
MAF contains 16 items scored on a scale from 1 (not at all) to 10 (a great deal). Answers are converted to a Global Fatigue Index with total scores ranging from 1 (no fatigue) to 50 (severe fatigue). Lower scores indicate less fatigue.
SecondaryChange From Augmentation Baseline for Non-Remitters in the Quick Inventory of Depressive Symptomatology - Self-Report (QIDS-SR) Scale Total Score at Week 6Augmentation Baseline and 6 weeks
QIDS-SR is a validated, self-reported rating scale that contains 16 items scored on a scale from 0-3 with total scores ranging from 0 (no depression) to 27 (very severe depression). Lower scores indicate less depression.
SecondaryChange From Augmentation Baseline for Remitters in MADRS Total Score at Week 6 - LOCFAugmentation Baseline and 6 weeksMADRS is a validated, 10-item rating scale with each item being scored on a scale from 0-6 with a total score ranging from 0-60. Lower scores indicate a decreased severity of depression.

Outcomes18

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Augmentation Baseline for Non-Remitters in Montgomery-Ǻsberg Depression Rating Scale (MADRS) Total Score at Week 6 - Last Observation Carried Forward (LOCF)Augmentation Baseline, 6 weeks
Primary Efficacy Analysis Set defined as all non-remitters (MADRS total score greater than 10 at augmentation baseline) who take at least 1 dose of randomized augmentation treatment and have at least 1 primary efficacy measurement after randomization.
Units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Augmentation Baseline for Non-Remitters in the Hamilton Depression Scale (HAM-D) Total Score at Week 6 - LOCFAugmentation Baseline, 6 weeksPrimary Efficacy Analysis SetUnits on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Augmentation Baseline for Non-Remitters in the Sheehan Disability Scale (SDS) Total Score at Week 6Augmentation Baseline, 6 weeksPrimary Efficacy Analysis SetUnits on a scaleLEAST_SQUARES_MEAN
SECONDARYPercentage of Non-Remitters With Improvement on Clinical Global Impression-Improvement (CGI-I) at Week 6 - LOCF6 weeksPrimary Efficacy Analysis SetPercent of ParticipantsNUMBER
SECONDARYAssessment in Non-Remitters of Clinical Global Impression-Severity of Illness (CGI-S) at Augmentation BaselineAugmentation baselinePrimary Efficacy Analysis SetPercent of participantsNUMBER
SECONDARYAssessment in Non-Remitters of Clinical Global Impression-Severity of Illness (CGI-S) at Week 66 weeksPrimary Efficacy Analysis SetPercent of participantsNUMBER
SECONDARYChange From Augmentation Baseline for Non-Remitters in the Behavior Rating Inventory of Executive Function - Adult Version (BRIEF-A) Scale Total Score at Week 6Augmentation Baseline and 6 weeksPrimary Efficacy Analysis SetUnits on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Augmentation Baseline for Non-Remitters in the Multidimensional Assessment of Fatigue (MAF) Scale Total Score at Week 6Augmentation Baseline and 6 weeksPrimary Efficacy Analysis SetUnits on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Augmentation Baseline for Non-Remitters in the Quick Inventory of Depressive Symptomatology - Self-Report (QIDS-SR) Scale Total Score at Week 6Augmentation Baseline and 6 weeksPrimary Efficacy Analysis SetUnits on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Augmentation Baseline for Remitters in MADRS Total Score at Week 6 - LOCFAugmentation Baseline and 6 weeksFull Analysis Set (FAS) defined as all subjects who take at least 1 dose of randomized augmentation treatment and have at least 1 primary efficacy measurement after randomization.Units on a scaleLEAST_SQUARES_MEAN

Results by group92

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Augmentation Baseline for Non-Remitters in Montgomery-Ǻsberg Depression Rating Scale (MADRS) Total Score at Week 6 - Last Observation Carried Forward (LOCF)Antidepressant + SPD489 (Non-remitters)-7.1Standard Error 0.93Units on a scale
Change From Augmentation Baseline for Non-Remitters in Montgomery-Ǻsberg Depression Rating Scale (MADRS) Total Score at Week 6 - Last Observation Carried Forward (LOCF)Antidepressant + Placebo (Non-remitters)-4.9Standard Error 0.94Units on a scale
Change From Augmentation Baseline for Non-Remitters in the Hamilton Depression Scale (HAM-D) Total Score at Week 6 - LOCFAntidepressant + SPD489 (Non-remitters)-4.9Standard Error 0.64Units on a scale
Change From Augmentation Baseline for Non-Remitters in the Hamilton Depression Scale (HAM-D) Total Score at Week 6 - LOCFAntidepressant + Placebo (Non-remitters)-4.0Standard Error 0.65Units on a scale
Change From Augmentation Baseline for Non-Remitters in the Sheehan Disability Scale (SDS) Total Score at Week 6Antidepressant + SPD489 (Non-remitters)-3.7Standard Error 0.73Units on a scale
Change From Augmentation Baseline for Non-Remitters in the Sheehan Disability Scale (SDS) Total Score at Week 6Antidepressant + Placebo (Non-remitters)-1.7Standard Error 0.74Units on a scale
Percentage of Non-Remitters With Improvement on Clinical Global Impression-Improvement (CGI-I) at Week 6 - LOCFAntidepressant + SPD489 (Non-remitters)60.0Percent of Participants
Percentage of Non-Remitters With Improvement on Clinical Global Impression-Improvement (CGI-I) at Week 6 - LOCFAntidepressant + Placebo (Non-remitters)45.3Percent of Participants
Assessment in Non-Remitters of Clinical Global Impression-Severity of Illness (CGI-S) at Augmentation BaselineAntidepressant + SPD489 (Non-remitters)Normal, not at all ill1.5Percent of participants
Assessment in Non-Remitters of Clinical Global Impression-Severity of Illness (CGI-S) at Augmentation BaselineAntidepressant + Placebo (Non-remitters)Normal, not at all ill1.6Percent of participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAntidepressant + SPD48989
Overall StudySTARTEDAntidepressant + Placebo .88
Overall StudyCOMPLETEDAntidepressant + SPD48978
Overall StudyCOMPLETEDAntidepressant + Placebo .79
Overall StudyNOT COMPLETEDAntidepressant + SPD48911
Overall StudyNOT COMPLETEDAntidepressant + Placebo .9

Adverse events12

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDry mouthGastrointestinal disordersAntidepressant + SPD4891088
otherDry mouthGastrointestinal disordersAntidepressant + Placebo .085
otherHeadacheNervous system disordersAntidepressant + SPD4891088
otherHeadacheNervous system disordersAntidepressant + Placebo .485
otherDecreased appetiteMetabolism and nutrition disordersAntidepressant + SPD489688
otherDecreased appetiteMetabolism and nutrition disordersAntidepressant + Placebo .285
otherNasopharyngitisInfections and infestationsAntidepressant + SPD489588
otherNasopharyngitisInfections and infestationsAntidepressant + Placebo .385
otherInsomniaPsychiatric disordersAntidepressant + SPD489488
otherInsomniaPsychiatric disordersAntidepressant + Placebo .685

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAntidepressant + SPD489
Total, all-cause mortalityAntidepressant + Placebo .
Total, other adverse eventsAntidepressant + SPD4893588
Total, other adverse eventsAntidepressant + Placebo .1585
Total, serious adverse eventsAntidepressant + SPD489088
Total, serious adverse eventsAntidepressant + Placebo .185

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
24021497RESULT

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Antidepressant + SPD489 vs Antidepressant + Placebo .: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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The record and each of its lists are JSON, twenty rows a page. No key.

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