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HAM-D (Hamilton Depression Rating Scale)

Psychiatryยท appears in 207+ cited findings in this library

What it is and how the reviews use it

The Hamilton Depression Rating Scale (HAM-D) is an endpoint used in regulatory reviews to assess depression. The HAMD-17 version has a highest possible total score of 53, as noted in the Axsome Therapeutics, Inc. โ€” Auvelity FDA Review. A HAMD-17 score of 0 to 7 indicates an absence of depression or clinical remission, while a score of 20 or higher signifies at least moderate depression, according to the same review. Minimum HAMD-17 scores for inclusion in studies have been reported as 22 (AbbVie Inc. โ€” Vraylar FDA Review) and 20 (AbbVie Inc. โ€” Vraylar FDA Review).

Regulatory reviews frequently utilize HAM-D to evaluate treatment efficacy. For instance, the Biogen Inc. โ€” Zurzuvae EMA EPAR public assessment report shows a HAMD-17 remission rate of 26.9%. Takeda Pharmaceutical Company Limited's Trintellix FDA Review reported a HAMD-24 change from baseline of -3.3. In the Otsuka Holdings Co., Ltd. โ€” Rexulti FDA Review, the remission rate in the STAR*D trial (HAM-D17 score โ‰ค 7) was 28%.

Real examples โ€” cited to the source page

Biogen Inc. โ€” ZurzuvaeHAMD-17 remission rate26.9Zurzuvae EMA EPAR, p.97
Takeda Pharmaceutical Company Limited โ€” TrintellixHAMD-24 change from baseline-3.3Trintellix FDA Review, p.30
Otsuka Holdings Co., Ltd. โ€” RexultiRemission rate in STAR*D trial (HAM-D17 score โ‰ค 7)28%Rexulti FDA Review, p.19
Johnson & Johnson โ€” SpravatoHAM-D responder data (VNS)30% response in 1 year versus 13% treatment as usualSpravato FDA Review, p.26
Lipocine Inc.Placebo-Adjusted HAM-D17 Score Difference (History of Psychiatric Conditions Subset)-6.1SEC 8-K, p.2
AbbVie Inc. โ€” VraylarMinimum HAMD-17 score for inclusion22Vraylar FDA Review, p.110
Axsome Therapeutics, Inc. โ€” AuvelityHAMD-17 highest possible total score53Auvelity FDA Review, p.79
FABRE KRAMER โ€” ExxuaHAMD-17 total score for remission in Study 28709โ‰ค8Exxua FDA Review, p.71

Different drugs were studied in different trials โ€” these values are not head-to-head comparisons.

Explore the full evidence

Every HAM-D finding in the library โ€” searchable and answerable in plain language โ€” is in the Psychiatry research library โ†’

Figures are as stated in the cited source documents. Educational reference only โ€” not medical or investment advice.

HAM-D (Hamilton Depression Rating Scale) โ€” Explained with Cited FDA & EMA Examples | BioPharmaPT Psychiatry