PMID- 22048884 OWN - NLM STAT- MEDLINE DCOM- 20130121 LR - 20151119 IS - 1461-7285 (Electronic) IS - 0269-8811 (Linking) VI - 26 IP - 5 DP - 2012 May TI - Efficacy, safety, and tolerability of a triple reuptake inhibitor GSK372475 in the treatment of patients with major depressive disorder: two randomized, placebo- and active-controlled clinical trials. PG - 653-62 LID - 10.1177/0269881111424931 [doi] AB - GSK372475 is a triple reuptake inhibitor with approximately equipotent inhibition of serotonin, norepinephrine, and dopamine transporters. Two randomized, placebo- and active-controlled, double-blind studies examined the efficacy and safety of GSK372475 in outpatients (aged 18-64 years) with a diagnosis of major depressive episode associated with major depressive disorder (MDD). Patients were randomized 1:1:1 to placebo, GSK372475 (1-2 mg/d), or active control (Study 1: venlafaxine XR 150-225 mg/d; Study 2: paroxetine 20-30 mg/d). GSK372475 did not significantly differ from placebo on any of the key efficacy endpoints (six-item Bech scale, IDS-Clinician Rated, MADRS) in either study. Both active controls demonstrated significant antidepressant activity compared with placebo on both primary and secondary endpoints. The most common adverse effects (AEs) with GSK372475 were dry mouth, headache, insomnia, and nausea. AEs were more frequent for GSK372475 versus placebo for sleep, anxiety-related, gastrointestinal, and tachycardia events. Increases in mean change from baseline in heart rate and sitting blood pressure were greater for GSK372475 than observed for either placebo or active control groups. Completion rates were lower for GSK372475 (49%, 58%) compared with placebo (67%, 74%), venlafaxine XR (63%), or paroxetine (77%). GSK372475 was neither efficacious nor well tolerated in patients with MDD in two 10-week studies. FAU - Learned, Susan AU - Learned S AD - Neurosciences Discovery Medicine, Research Triangle Park, NC, USA. FAU - Graff, Ole AU - Graff O FAU - Roychowdhury, Suraja AU - Roychowdhury S FAU - Moate, Rachel AU - Moate R FAU - Krishnan, K Ranga AU - Krishnan KR FAU - Archer, Graeme AU - Archer G FAU - Modell, Jack G AU - Modell JG FAU - Alexander, Robert AU - Alexander R FAU - Zamuner, Stefano AU - Zamuner S FAU - Lavergne, Agnes AU - Lavergne A FAU - Evoniuk, Gary AU - Evoniuk G FAU - Ratti, Emiliangelo AU - Ratti E LA - eng SI - ClinicalTrials.gov/NCT00420641 SI - ClinicalTrials.gov/NCT00448058 PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20111102 PL - United States TA - J Psychopharmacol JT - Journal of psychopharmacology (Oxford, England) JID - 8907828 RN - 0 (Antidepressive Agents) RN - 0 (Cyclohexanols) RN - 0 (GSK372475) RN - 0 (Neurotransmitter Uptake Inhibitors) RN - 0 (Placebos) RN - 0 (Tropanes) RN - 41VRH5220H (Paroxetine) RN - 7D7RX5A8MO (Venlafaxine Hydrochloride) SB - IM MH - Adult MH - Antidepressive Agents/adverse effects/pharmacokinetics/*therapeutic use MH - Cyclohexanols/therapeutic use MH - Depressive Disorder, Major/*drug therapy/metabolism MH - Double-Blind Method MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Neurotransmitter Uptake Inhibitors/adverse effects/pharmacokinetics/*therapeutic use MH - Paroxetine/therapeutic use MH - Placebos MH - Tropanes/adverse effects/pharmacokinetics/therapeutic use MH - Venlafaxine Hydrochloride EDAT- 2011/11/04 06:00 MHDA- 2013/01/23 06:00 CRDT- 2011/11/04 06:00 PHST- 2011/11/04 06:00 [entrez] PHST- 2011/11/04 06:00 [pubmed] PHST- 2013/01/23 06:00 [medline] AID - 0269881111424931 [pii] AID - 10.1177/0269881111424931 [doi] PST - ppublish SO - J Psychopharmacol. 2012 May;26(5):653-62. doi: 10.1177/0269881111424931. Epub 2011 Nov 2.