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Trial · NCT04446039

Non-interventional, Retrospective Cohort Study to Explore Antidepressant Treatment in Korea

NCT04446039, Completed, Pfizer; results first posted 2024-12-09

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Non-interventional, Retrospective Cohort Study to Explore Antidepressant Treatment in Korea. Trials, record NCT04446039. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04446039

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Trial

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

Title
Non-interventional, Retrospective Cohort Study to Explore Antidepressant Treatment in Korea
NCT number
NCT04446039
Status
Completed
Enrollment
370,212 participants, actual
Lead sponsor
Pfizer
Conditions
Major Depression
Interventions
Escitalopram, Paroxetine, Fluoxetine, Mirtazapine, Duloxetine, Sertraline, Venlafaxine, Tianeptine, Vortioxetine, Desvenlafaxine, Bupropion
First posted
2020-06-24
Last updated
2024-12-09
Results first posted
2024-12-09

Source ClinicalTrials.gov

Registered outcomes12

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

ListOutcomeTime frameDescription
PrimaryMedication Possession Ratio (MPR) During First 180 Days of TreatmentFrom index date (anytime between 01-Jan-2018 to 31-Dec-2019) up to 180 days of treatment (data collected and observed retrospectively)
MPR= Days of medication possession from the prescriptions filled in the 180 days divided by (180 days plus + extra days of drug supply from the last prescription fill during the 180 days). MPR by each index drug including escitalopram, paroxetine, fluoxetine, mirtazapine, duloxetine, sertraline, venlafaxine, tianeptine, vortioxetine, desvenlafaxine and bupropion is reported in this outcome measure. Index date was first prescription date of study drugs during intake period.
PrimaryPersistence During First 180 Days of TreatmentFrom index date (anytime between 01-Jan-2018 to 31-Dec-2019) up to 180 days of treatment (data collected and observed retrospectively)
Persistence was defined as the average length of treatment on the index drugs (escitalopram, paroxetine, fluoxetine, mirtazapine, duloxetine, sertraline, venlafaxine, tianeptine, vortioxetine, desvenlafaxine and bupropion), allowing 14-day permissible gap. Index date was first prescription date of study drugs during intake period.
PrimaryPercentage of Participants Who Discontinued Treatment in the First 90 Days From the Index DateFrom the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 90 days of treatment (data collected and observed retrospectively)
Percentage of participants who discontinued the treatment in first 90 days from the index date is reported in this outcome measure. Index date was the first prescription date of study treatment during the intake period.
PrimaryPercentage of Participants Who Adhered to Treatment Measured by MPR (More Than or Equal to [>=] 75 Percent [%])From the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 180 days of treatment (data collected and observed retrospectively)
Adherence was defined when MPR \>= 75%. MPR = (Days of medication possession from the prescriptions filled in the 180 days) / (180 days + extra days of drug supply from the last prescription fill during the 180 days. Index date was the first prescription date of study drugs during the intake period.
PrimaryPercentage of Participants Experiencing Recurrence During the Acute Treatment PhaseFrom the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 90 days of treatment (data collected and observed retrospectively)
Recurrence during the acute treatment phase was defined as either one of the following: 1) Inpatient episode with a diagnosis code. 2) Inpatient episodes via the department of psychiatry or emergency medicine. 3) Inpatient episode via nursing hospital. 4) Emergency room visit with a diagnosis code. 5) Suicide attempt. Acute phase considered as the first 90-day period starting from the index date. Index date was the first prescription date of study treatment during the intake period. Diagnosis codes used for inclusion were: F06.3-Organic mood(affective) disorders, F32\*- Depressive episode, F33\*- Recurrent depressive disorder, F34.1- Neurotic depression, F38.1- Other recurrent mood(affective) disorders, F41.2- Mixed anxiety and depressive disorder.
PrimaryPercentage of Participants Experiencing Recurrence After the Acute Treatment PhaseFrom day 91 to day 180 from the index date (anytime between 01-Jan-2018 to 30-Jun-2019) (data collected and observed retrospectively)
Recurrence was defined as either one of the following: 1) Inpatient episode with a diagnosis code. 2) Inpatient episodes via the department of psychiatry or emergency medicine. 3) Inpatient episode via nursing hospital. 4) Emergency room visit with a diagnosis code. 5) Suicide attempt; antidepressant prescription after 30 days of drug holiday. Acute phase considered as the first 90-day period starting from the index date. Index date was the first prescription date of study treatment during the intake period.
PrimaryPercentage of Participants With Adverse Events (AE) Within Maintenance Phase of TreatmentFrom 91 up to 180 days of treatment from index date (anytime between 01-Jan-2018 to 30-Jun-2019) (data collected and observed retrospectively)
An AE was any untoward medical occurrence that did not necessarily have a causal relationship with study treatment. Maintenance phase was during the second 90-day period (91 to 180 days) starting from the index date. Index date was the first prescription date of study treatment during the intake period. Index date was the first prescription date of study treatment during the intake period.
PrimaryPercentage of Prescriptions for Commonly Used Antidepressants in Acute Treatment PhaseFrom the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 90 days of treatment (data collected and observed retrospectively)
Percentage of prescriptions for commonly used antidepressants in acute treatment phase were assessed. Acute treatment phase was during the first 90-day period starting from the index date. Index date was the first prescription date of study treatment during the intake period.
PrimaryAverage Daily Dosage at Index DateAt index date (anytime between 01-Jan-2018 to 30-Jun-2019) (data collected and observed retrospectively)Index date was the first prescription date of study treatment during the intake period.
PrimaryAverage Daily Dosage During the Acute Treatment PhaseFrom the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 90 days of treatment (data collected and observed retrospectively)Acute treatment phase was during the first 90-day period starting from the index date.

Outcomes12

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMedication Possession Ratio (MPR) During First 180 Days of TreatmentFrom index date (anytime between 01-Jan-2018 to 31-Dec-2019) up to 180 days of treatment (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
RatioMEAN
PRIMARYPersistence During First 180 Days of TreatmentFrom index date (anytime between 01-Jan-2018 to 31-Dec-2019) up to 180 days of treatment (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
DaysMEAN
PRIMARYPercentage of Participants Who Discontinued Treatment in the First 90 Days From the Index DateFrom the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 90 days of treatment (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
Percentage of participantsNUMBER
PRIMARYPercentage of Participants Who Adhered to Treatment Measured by MPR (More Than or Equal to [>=] 75 Percent [%])From the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 180 days of treatment (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
Percentage of participantsNUMBER
PRIMARYPercentage of Participants Experiencing Recurrence During the Acute Treatment PhaseFrom the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 90 days of treatment (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
Percentage of participantsNUMBER
PRIMARYPercentage of Participants Experiencing Recurrence After the Acute Treatment PhaseFrom day 91 to day 180 from the index date (anytime between 01-Jan-2018 to 30-Jun-2019) (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
Percentage of participantsNUMBER
PRIMARYPercentage of Participants With Adverse Events (AE) Within Maintenance Phase of TreatmentFrom 91 up to 180 days of treatment from index date (anytime between 01-Jan-2018 to 30-Jun-2019) (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
Percentage of ParticipantsNUMBER
PRIMARYPercentage of Prescriptions for Commonly Used Antidepressants in Acute Treatment PhaseFrom the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 90 days of treatment (data collected and observed retrospectively)FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database.Percentage of prescriptionsNUMBER
PRIMARYAverage Daily Dosage at Index DateAt index date (anytime between 01-Jan-2018 to 30-Jun-2019) (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018, to 30-Jun-2019, in the HIRA database. Here, 'Number Analyzed' signifies participants evaluable for the specified rows.
Milligrams per dayMEAN
PRIMARYAverage Daily Dosage During the Acute Treatment PhaseFrom the index date (anytime between 01-Jan-2018 to 30-Jun-2019) up to 90 days of treatment (data collected and observed retrospectively)
FAS included participants who had newly initiated antidepressant therapies between 01-Jan-2018 to 30-Jun-2019, in the HIRA database. Here, 'Overall Number of Participants Analyzed' signifies number of participants who were treated with monotherapy and 'Number Analyzed' signifies participants evaluable for the specified rows.
Milligrams per dayMEAN

Results by group154

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

OutcomeGroupCategoryValueSpreadUnits
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyEscitalopram0.47Standard Deviation 0.35Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyParoxetine0.49Standard Deviation 0.36Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyFluoxetine0.46Standard Deviation 0.34Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapySertraline0.48Standard Deviation 0.36Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyDuloxetine0.47Standard Deviation 0.36Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyVenlafaxine0.50Standard Deviation 0.36Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyDesvenlafaxine0.53Standard Deviation 0.36Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyMirtazapine0.47Standard Deviation 0.36Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyTianeptine0.39Standard Deviation 0.33Ratio
Medication Possession Ratio (MPR) During First 180 Days of TreatmentParticipants With Antidepressant TherapyVortioxetine0.50Standard Deviation 0.35Ratio

Participant flow3

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDParticipants With Antidepressant Therapy370,212
Overall StudyCOMPLETEDParticipants With Antidepressant Therapy370,212
Overall StudyNOT COMPLETEDParticipants With Antidepressant Therapy0

Adverse events0

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

None in this release.

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityParticipants With Antidepressant Therapy00
Total, other adverse eventsParticipants With Antidepressant Therapy00
Total, serious adverse eventsParticipants With Antidepressant Therapy00

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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.

For software

Read this trial from software.

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

GET https://conductscience.org/api/trials/v1/NCT04446039

GET https://conductscience.org/api/trials/v1/NCT04446039/results?page=2