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Trial ยท NCT01360632

Study of the Safety and Efficacy of Two Fixed Doses of OPC-34712 as Adjunctive Therapy in the Treatment of Adults With Major Depressive Disorder (the Polaris Trial)

NCT01360632, Phase 3, Completed, Otsuka Pharmaceutical Development & Commercialization, Inc.; results first posted 2016-01-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of the Safety and Efficacy of Two Fixed Doses of OPC-34712 as Adjunctive Therapy in the Treatment of Adults With Major Depressive Disorder (the Polaris Trial). Trials, record NCT01360632. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01360632

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Trial

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

Title
Study of the Safety and Efficacy of Two Fixed Doses of OPC-34712 as Adjunctive Therapy in the Treatment of Adults With Major Depressive Disorder (the Polaris Trial)
NCT number
NCT01360632
Status
Completed
Phases
Phase 3
Enrollment
1,539 participants, actual
Lead sponsor
Otsuka Pharmaceutical Development & Commercialization, Inc.
Conditions
Depressive Disorder, Depression, Depressive Disorder, Major, Mood Disorders, Mental Disorders
Interventions
OPC-34712 + ADT, Placebo + ADT, Placebo + ADT
First posted
2011-05-25
Last updated
2016-01-01
Results first posted
2016-01-01

Source ClinicalTrials.gov

Registered outcomes24

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

ListOutcomeTime frameDescription
PrimaryMean Change From the End of Phase A (Week 8 Visit) to Phase B (Week 14 Visit) in the Montgomery-Asberg Depression Rating Scale for the Efficacy Sample SetBaseline and Week 14
The MADRS was utilized as the primary efficacy assessment of a participant's level of depression. The MADRS consisted of 10 items, all rated on a 0 to 6 scale with 0 being the "best" rating and 6 being the "worst" rating. The MADRS total score were to be unevaluable if less than 8 of the 10 items were recorded. If 8 or 9 of the 10 items were recorded, the MADRS total score was the mean of the recorded items multiplied by 10 and then rounded of to the first decimal place. The MADRS Total Score is the sum of ratings for all 10 items. The possible total scores are from 0 to 60, with higher values indicating worse outcome.
PrimaryMean Change in MADRS Total Score From Baseline End of Week 8 to Week 14 for the Efficacy Sample Per Final ProtocolBaseline and Week 14
The MADRS was utilized as the primary efficacy assessment of a participant's level of depression. The MADRS consisted of 10 items, all rated on a 0 to 6 scale with 0 being the "best" rating and 6 being the "worst" rating. The MADRS total score were to be unevaluable if less than 8 of the 10 items were recorded. If 8 or 9 of the 10 items were recorded, the MADRS total score was the mean of the recorded items multiplied by 10 and then rounded of to the first decimal place. The MADRS Total Score is the sum of ratings for all 10 items. The possible total scores are from 0 to 60, with higher values indicating worse outcome.
SecondaryMean Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than Week 14 Visit for the Efficacy Sample SetWeek 8, 9, 10, 11, 12, and 13
The MADRS was utilized as the primary efficacy assessment of a participant's level of depression. The MADRS consisted of 10 items, all rated on a 0 to 6 scale with 0 being the "best" rating and 6 being the "worst" rating. The MADRS total score were to be unevaluable if less than 8 of the 10 items were recorded. If 8 or 9 of the 10 items were recorded, the MADRS total score was the mean of the recorded items multiplied by 10 and then rounded of to the first decimal place. The MADRS Total Score is the sum of ratings for all 10 items. The possible total scores are from 0 to 60, with higher values indicating worse outcome.
SecondaryMean Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than Week 14 Visit for the Efficacy Sample Per Final ProtocolWeek 8, 9, 10, 11, 12, and 13
The MADRS was utilized as the primary efficacy assessment of a participant's level of depression. The MADRS consisted of 10 items, all rated on a 0 to 6 scale with 0 being the "best" rating and 6 being the "worst" rating. The MADRS total score were to be unevaluable if less than 8 of the 10 items were recorded. If 8 or 9 of the 10 items were recorded, the MADRS total score was the mean of the recorded items multiplied by 10 and then rounded of to the first decimal place. The MADRS Total Score is the sum of ratings for all 10 items. The possible total scores are from 0 to 60, with higher values indicating worse outcome.
SecondaryMean Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Sheehan Disability Scale (SDS) Mean Scores for the Efficacy Sample SetWeek 11 and Week 14
The SDS was a self-rated instrument used to measure the effect of the participants symptoms on work/school, social life, and family/home responsibilities. For each of the three items, scores ranged from 0 through 10. The number most representative of how much each area was disrupted by symptoms was marked along the line from 0= not at all to 10= extremely. For the work/school item, no response was to be entered if the participant did not work or go to school for reasons unrelated to the disorder and a response therefore not being applicable. The Mean SDS score were calculated over the three item scores. All three item scores were needed to be available with the exception of the work/school item score when this item was not applicable.
SecondaryMean Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in SDS Mean Scores for the Efficacy Sample Per Final ProtocolWeek 11 and Week 14
The SDS was a self-rated instrument used to measure the effect of the participants symptoms on work/school, social life, and family/home responsibilities. For each of the three items, scores ranged from 0 through 10. The number most representative of how much each area was disrupted by symptoms was marked along the line from 0= not at all, to 10= extremely. For the work/school item, no response was to be entered if the participant did not work or go to school for reasons unrelated to the disorder and a response therefore not being applicable. The Mean SDS score were calculated over the three item scores. All three item scores were needed to be available with the exception of the work/school item score when this item was not applicable.
SecondaryChange From Baseline (End of Phase A [Week 8]) in SDS Item Scores for the Efficacy Sample SetWeek 11 and Week 14
The SDS is a self-rated instrument used to measure the effect of the patient's symptoms on work/school, social life, and family/home responsibilities. For each of the three items, scores range from 0 through 10. The number most representative of how much each area was disrupted by symptoms is marked along the line from 0 = not at all, to 10 = extremely. For the work/school item, no response was to be entered if the patient did not work or go to school for reasons unrelated to the disorder and a response therefore not being applicable. The Mean SDS Score will be calculated over the three item scores. All three item scores need to be available with the exception of the work/school item score when this item is not applicable.
SecondaryChange From Baseline (End of Phase A [Week 8]) in SDS Item Scores for the Efficacy Sample Set Per Final ProtocolWeek 11 and Week 14
The SDS is a self-rated instrument used to measure the effect of the patient's symptoms on work/school, social life, and family/home responsibilities. For each of the three items, scores range from 0 through 10. The number most representative of how much each area was disrupted by symptoms is marked along the line from 0 = not at all, to 10 = extremely. For the work/school item, no response was to be entered if the patient did not work or go to school for reasons unrelated to the disorder and a response therefore not being applicable. The Mean SDS Score will be calculated over the three item scores. All three item scores need to be available with the exception of the work/school item score when this item is not applicable.
SecondaryMean Change From End of Phase A (Week 8 Visit) to Phase B by Study Week in Clinical Global Impression Severity of Illness (CGI-S) for the Efficacy Sample SetWeeks 8, 9, 10, 11, 12,13 and 14
The severity of illness for each participant was rated using the CGI-S. To perform this assessment, the study physician had to answer the following question: "Considering your total clinical experience with this particular population, how mentally ill is the participant at this time?" Response choices included: 0 = not assessed; 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill participants.
SecondaryMean Change From End of Phase A (Week 8 Visit) to Phase B by Study Week in Clinical CGI-S for the Efficacy Sample Per Final ProtocolWeeks 8, 9, 10, 11, 12, 13, and 14
The severity of illness for each participant was rated using the CGI-S. To perform this assessment, the study physician had to answer the following question: "Considering your total clinical experience with this particular population, how mentally ill is the participant at this time?" Response choices included: 0 = not assessed; 1 = normal, not at all ill; 2 = borderline mentally ill; 3 = mildly ill; 4 = moderately ill; 5 = markedly ill; 6 = severely ill; and 7 = among the most extremely ill participants.

Outcomes24

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMean Change From the End of Phase A (Week 8 Visit) to Phase B (Week 14 Visit) in the Montgomery-Asberg Depression Rating Scale for the Efficacy Sample SetBaseline and Week 14
The Efficacy Sample Set included all participants who had received at least one dose of study treatment and had both an end of Phase A (Week 8) value and at least 1 post randomization efficacy evaluation for MADRS Total Score in Phase B.
Units on a scaleLEAST_SQUARES_MEAN
PRIMARYMean Change in MADRS Total Score From Baseline End of Week 8 to Week 14 for the Efficacy Sample Per Final ProtocolBaseline and Week 14Analysis was based on all participants in the Efficacy Sample who met the revised randomization criteria for incomplete response as defined in Protocol Amendment 3.Units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than Week 14 Visit for the Efficacy Sample SetWeek 8, 9, 10, 11, 12, and 13
The Efficacy Sample Set included all participants who had received at least one dose of study treatment and had both an end of Phase A (Week 8) value and at least 1 post randomization efficacy evaluation for MADRS Total Score in Phase B.
Units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than Week 14 Visit for the Efficacy Sample Per Final ProtocolWeek 8, 9, 10, 11, 12, and 13All participants in the Efficacy Sample who met the revised randomization criteria for incomplete response as defined in Protocol Amendment 3.Units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in Sheehan Disability Scale (SDS) Mean Scores for the Efficacy Sample SetWeek 11 and Week 14
The Efficacy Sample Set included all participants who had received at least one dose of study treatment and had both an end of Phase A (Week 8) value and at least 1 post randomization efficacy evaluation for MADRS Total Score in Phase B.
Units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From End of Phase A (Week 8 Visit) to End of Phase B (Week 14 Visit) in SDS Mean Scores for the Efficacy Sample Per Final ProtocolWeek 11 and Week 14All participants in the Efficacy Sample who met the revised randomization criteria for incomplete response as defined in Protocol Amendment 3.Units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline (End of Phase A [Week 8]) in SDS Item Scores for the Efficacy Sample SetWeek 11 and Week 14
The Efficacy Sample Set included all participants who had received at least one dose of study treatment and had both an end of Phase A (Week 8) value and at least 1 post randomization efficacy evaluation for MADRS Total Score in Phase B.
Units on a scaleLEAST_SQUARES_MEAN
SECONDARYChange From Baseline (End of Phase A [Week 8]) in SDS Item Scores for the Efficacy Sample Set Per Final ProtocolWeek 11 and Week 14All participants in the efficacy sample who met the revised randomization criteria for incomplete response as defined in protocol amendment 3.Units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From End of Phase A (Week 8 Visit) to Phase B by Study Week in Clinical Global Impression Severity of Illness (CGI-S) for the Efficacy Sample SetWeeks 8, 9, 10, 11, 12,13 and 14
The Efficacy Sample Set included all participants who had received at least one dose of study treatment and had both an end of Phase A (Week 8) value and at least 1 post randomization efficacy evaluation for MADRS Total Score in Phase B.
Units on a scaleLEAST_SQUARES_MEAN
SECONDARYMean Change From End of Phase A (Week 8 Visit) to Phase B by Study Week in Clinical CGI-S for the Efficacy Sample Per Final ProtocolWeeks 8, 9, 10, 11, 12, 13, and 14All participants in the Efficacy Sample who met the revised randomization criteria for incomplete response as defined in Protocol Amendment 3.Units on a scaleLEAST_SQUARES_MEAN

Results by group312

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

OutcomeGroupCategoryValueSpreadUnits
Mean Change From the End of Phase A (Week 8 Visit) to Phase B (Week 14 Visit) in the Montgomery-Asberg Depression Rating Scale for the Efficacy Sample SetBrexpiprazole (1mg) + ADT-7.65Standard Error 0.5Units on a scale
Mean Change From the End of Phase A (Week 8 Visit) to Phase B (Week 14 Visit) in the Montgomery-Asberg Depression Rating Scale for the Efficacy Sample SetBrexpiprazole (3mg) + ADT-7.98Standard Error 0.51Units on a scale
Mean Change From the End of Phase A (Week 8 Visit) to Phase B (Week 14 Visit) in the Montgomery-Asberg Depression Rating Scale for the Efficacy Sample SetPlacebo + ADT-6.45Standard Error 0.51Units on a scale
Mean Change in MADRS Total Score From Baseline End of Week 8 to Week 14 for the Efficacy Sample Per Final ProtocolBrexpiprazole (1mg) + ADT-7.64Standard Error 0.52Units on a scale
Mean Change in MADRS Total Score From Baseline End of Week 8 to Week 14 for the Efficacy Sample Per Final ProtocolBrexpiprazole (3mg) + ADT-8.29Standard Error 0.53Units on a scale
Mean Change in MADRS Total Score From Baseline End of Week 8 to Week 14 for the Efficacy Sample Per Final ProtocolPlacebo + ADT6.33Standard Error 0.53Units on a scale
Mean Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than Week 14 Visit for the Efficacy Sample SetBrexpiprazole (1mg) + ADTWeek 9-3.25Standard Error 0.3Units on a scale
Mean Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than Week 14 Visit for the Efficacy Sample SetBrexpiprazole (3mg) + ADTWeek 9-2.53Standard Error 0.3Units on a scale
Mean Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than Week 14 Visit for the Efficacy Sample SetPlacebo + ADTWeek 9-2.19Standard Error 0.31Units on a scale
Mean Change From End of Phase A (Week 8 Visit) in MADRS Total Score for Every Study Week Visit in Phase B Other Than Week 14 Visit for the Efficacy Sample SetBrexpiprazole (1mg) + ADTWeek 10-5.34Standard Error 0.38Units on a scale

Participant flow45

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

PeriodMilestoneGroupParticipantsUnits counted
Phase A (8 Weeks)STARTEDSingle-blind Placebo + ADT1,532
Phase A (8 Weeks)STARTEDBrexpiprazole (1mg) + ADT0
Phase A (8 Weeks)STARTEDBrexpiprazole (3mg) + ADT0
Phase A (8 Weeks)STARTEDDouble-blind Placebo + ADT0
Phase A (8 Weeks)STARTEDPhase A+ Placebo + ADT0
Phase A (8 Weeks)COMPLETEDSingle-blind Placebo + ADT1,277
Phase A (8 Weeks)COMPLETEDBrexpiprazole (1mg) + ADT0
Phase A (8 Weeks)COMPLETEDBrexpiprazole (3mg) + ADT0
Phase A (8 Weeks)COMPLETEDDouble-blind Placebo + ADT0
Phase A (8 Weeks)COMPLETEDPhase A+ Placebo + ADT0

Adverse events24

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNasopharyngitisInfections and infestationsBrexpiprazole (1mg + ADT)15226
otherNasopharyngitisInfections and infestationsBrexpiprazole (3mg + ADT)7229
otherNasopharyngitisInfections and infestationsPlacebo + ADT4220
otherWeight increasedInvestigationsBrexpiprazole (1mg + ADT)15226
otherWeight increasedInvestigationsBrexpiprazole (3mg + ADT)13229
otherWeight increasedInvestigationsPlacebo + ADT2220
otherAkathisiaNervous system disordersBrexpiprazole (1mg + ADT)10226
otherAkathisiaNervous system disordersBrexpiprazole (3mg + ADT)31229
otherAkathisiaNervous system disordersPlacebo + ADT5220
otherHeadacheNervous system disordersBrexpiprazole (1mg + ADT)21226

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityBrexpiprazole (1mg + ADT)
Total, all-cause mortalityBrexpiprazole (3mg + ADT)
Total, all-cause mortalityPlacebo + ADT
Total, other adverse eventsBrexpiprazole (1mg + ADT)63226
Total, other adverse eventsBrexpiprazole (3mg + ADT)72229
Total, other adverse eventsPlacebo + ADT29220
Total, serious adverse eventsBrexpiprazole (1mg + ADT)1226
Total, serious adverse eventsBrexpiprazole (3mg + ADT)1229
Total, serious adverse eventsPlacebo + ADT0220

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26301771DERIVEDPubMed
27208498DERIVEDPubMed
30508090DERIVEDPubMed
31577867DERIVEDPubMed
37099968DERIVEDPubMed
37656180DERIVEDPubMed
38421922DERIVEDPubMed
40607746DERIVEDPubMed
40852147DERIVEDPubMed
41055581DERIVEDPubMed

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 comparisons0

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

None in this release.

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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Read this trial from software.

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

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