Week

Daily

Dose

(mg)

17-HAMD

28-HAMD

HAMD-#1

CGI-S

CGI-I

LOCF

OC

LOCF

OC

LOCF

OC

LOCF

OC

LOCF

OC

 

 

7

100

?

??

?

??

 

 

?

??

?

?

200

 

 

 

??

 

 

 

 

?

?

300

 

?

 

?

 

 

 

?

 

?

400

 

?

 

?

 

 

 

 

 

?

 

 

8

100

?

 

?

??

 

 

?

 

?

??

200

 

 

 

 

 

 

 

 

??

 

300

 

??

 

?

 

 

 

 

 

 

400

 

?

 

?

 

??

 

 

 

 

 

7.2.2.3.6.1        17-Item HAMD

 

The LOCF analyses showed p values of less than 0.05 favoring drug over placebo at seven and eight weeks for 100 mg/d, at no time 200 mg/d or 300 mg/d, and at one week for 400 mg/d.  The OC analysis showed p values of less than 0.05 favoring drug over placebo at no time for 100 mg/d or 300 mg/d, at three and seven weeks for 300 mg/d, and at one, seven, and eight weeks for 400 mg/d.  Had the sponsor corrected their analysis for multiple-comparisons, no significant differences would have been demonstrated at any time point.  Fifty-seven of 112 (51%) 100 mg/d patients, 45 of 114 (39%0 200 mg/d patients, 43 of 111 (39%) 300 mg/d patients, 47 of 111 (42%) 400 mg/d patients, and 36 of 116 (33%) placebo patients were considered treatment responders at time of discontinuation.  Pearson chi-square analysis comparing the proportion of responders across the treatment groups showed a trend towards (X2=8.22, df=4, p=0.084), but no significant differences in response rates between the individual groups.

 

7.2.2.3.6.2        28-Item HAMD

 

The LOCF analyses showed p values of less than 0.05 favoring drug over placebo at five through eight weeks for 100 mg/d, and at no times for 200, 300, or  400 mg/d.  The OC analysis showed p values of less than 0.05 favoring drug over placebo at no times for 100 or 300 mg/d, at three and six through eight weeks for 300 mg/d and at seven and eight weeks for 400 mg/d.  Had the sponsor corrected their analysis for multiple-comparisons, no significant differences would have been demonstrated at any time point.  Fifty-sex of 112 (50%) 100 mg/d patients, 47 of 114 (41%) 200 mg/d patients, 44 of 111 (404%) 300 mg/d patients, 47 of 11 (42%) 400 mg/d patients, and 39 of 116 (34%) placebo patients were considered treatment responders at time of discontinuation.   Pearson chi-square analysis comparing the proportion of responders across the treatment groups showed no significant differences in response rates between groups (X2=6.49, df=4, p=0.165).

 

7.2.2.3.6.3        HAMD-Item #1

 

The LOCF analyses showed a p values of less than 0.05 favoring drug over placebo at six weeks for 100 mg/d and at no other times or dosages.  The OC analysis showed a p values [value] of less than 0.05 favoring drug over placebo at no times or dosages.  Had the sponsor corrected their analysis for multiple-comparisons, no significant differences would have been demonstrated at any time point.

 

 

 

Bupropion Sustained-Release Clinical Review               22

 

 

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