A Trial of AXS-05 in Patients With Major Depressive Disorder (GEMINI)
AXS-05-MDD-301: A Randomized, Double-Blind, Placebo-Controlled Trial of AXS-05 in Subjects With Major Depressive Disorder
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Arizona
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Phoenix, Arizona, United States, 85012
- Clinical Research Site
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Phoenix, Arizona, United States, 85016
- Clinical Research Site
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Arkansas
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Little Rock, Arkansas, United States, 72209
- Clinical Research Site
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California
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Bellflower, California, United States, 90706
- Clinical Research Site
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Beverly Hills, California, United States, 90210
- Clinical Research Site
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Garden Grove, California, United States, 92845
- Clinical Research Site
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Oakland, California, United States, 94607
- Clinical Research Site
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Oceanside, California, United States, 92056
- Clinical Research Site
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Panorama City, California, United States, 91402
- Clinical Research Site
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Redlands, California, United States, 92374
- Clinical Research Site
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Riverside, California, United States, 92506
- Clinical Research Site
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San Diego, California, United States, 92103
- Clinical Research Site
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Sherman Oaks, California, United States, 91403
- Clinical Research Site
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Upland, California, United States, 91786
- Clinical Research Site
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Florida
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Coral Springs, Florida, United States, 33067
- Clinical Research Site
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Hollywood, Florida, United States, 33024
- Clinical Research Site
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Jacksonville, Florida, United States, 32256
- Clinical Research Site
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Lauderhill, Florida, United States, 33319
- Clinical Research Site
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North Miami, Florida, United States, 33161
- Clinical Research Site
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Orlando, Florida, United States, 32801
- Clinical Research Site
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Georgia
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Atlanta, Georgia, United States, 30328
- Clinical Research Site
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Idaho
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Boise, Idaho, United States, 83704
- Clinical Research Site
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Illinois
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Chicago, Illinois, United States, 60634
- Clinical Research Site
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Massachusetts
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Boston, Massachusetts, United States, 02131
- Clinical Research Site
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Nevada
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Las Vegas, Nevada, United States, 89102
- Clinical Research Site
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New Jersey
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Berlin, New Jersey, United States, 08009
- Clinical Research Site
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Cherry Hill, New Jersey, United States, 08002
- Clinical Research Site
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Toms River, New Jersey, United States, 08755
- Clinical Research Site
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New York
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Jamaica, New York, United States, 11432
- Clinical Research Site
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Rochester, New York, United States, 14618
- Clinical Research Site
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Staten Island, New York, United States, 10312
- Clinical Research Site
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North Carolina
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Hickory, North Carolina, United States, 28601
- Clinical Research Site
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Ohio
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Cincinnati, Ohio, United States, 45219
- Clinical Research Site
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Middleburg Heights, Ohio, United States, 44130
- Clinical Research Site
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73112
- Clinical Research Site
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Pennsylvania
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Media, Pennsylvania, United States, 19063
- Clinical Research Site
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Philadelphia, Pennsylvania, United States, 19104
- Clinical Research Site
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Tennessee
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Memphis, Tennessee, United States, 38119
- Clinical Research Site
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Texas
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Dallas, Texas, United States, 75243
- Clinical Research Site
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Fort Worth, Texas, United States, 76104
- Clinical Research Site
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Houston, Texas, United States, 77058
- Clinical Research Site
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Wichita Falls, Texas, United States, 76309
- Clinical Research Site
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Washington
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Everett, Washington, United States, 98201
- Clinical Research Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
- Age 18 - 65
- Currently meets DSM-5 criteria for MDD
- Body Mass Index between 18 and 40 kg/m^2, inclusive
Key Exclusion Criteria:
- Suicide risk
- History of treatment resistance in current depressive episode
- History of electroconvulsive therapy, vagus nerve stimulation, transcranial magnetic stimulation or any experimental central nervous system treatment during the current episode or in the past 6 months
- Pregnant, breastfeeding, or planning to become pregnant or breastfeed during the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: AXS-05
AXS-05 (bupropion and dextromethorphan) oral tablets
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Oral AXS-05 tablets, taken daily for 6 weeks.
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Placebo Comparator: Placebo
Placebo oral tablets to match AXS-05
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Placebo to match oral AXS-05 tablets, taken daily for 6 weeks.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in MADRS Total Score From Baseline to Week 6
Time Frame: 6 weeks
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The primary objective of the study was to evaluate the efficacy of AXS-05 as measured by the Montgomery-Åsberg Depression Rating Scale (MADRS) for change in severity of depressive symptoms from baseline to Week 6.
The MADRS is a 10-item scale and items are scored between 0-6 points.
For each item, a score of 0 indicates the absence of symptoms, and a score of 6 indicates symptoms of maximum severity.
A maximum total score is 60 points.
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6 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Dean RL, Hurducas C, Hawton K, Spyridi S, Cowen PJ, Hollingsworth S, Marquardt T, Barnes A, Smith R, McShane R, Turner EH, Cipriani A. Ketamine and other glutamate receptor modulators for depression in adults with unipolar major depressive disorder. Cochrane Database Syst Rev. 2021 Sep 12;9:CD011612. doi: 10.1002/14651858.CD011612.pub3. Review.
- Iosifescu DV, Jones A, O'Gorman C, Streicher C, Feliz S, Fava M, Tabuteau H. Efficacy and Safety of AXS-05 (Dextromethorphan-Bupropion) in Patients With Major Depressive Disorder: A Phase 3 Randomized Clinical Trial (GEMINI). J Clin Psychiatry. 2022 May 30;83(4):21m14345. doi: 10.4088/JCP.21m14345.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- Depressive Disorder
- MDD
- Bupropion
- Central Nervous System
- Depressive Disorder, Major
- CNS
- AXS-05
- Dextromethorphan
- Axsome Therapeutics
- Dopamine Reuptake Inhibitor
- NMDA Receptor Antagonist
- Sigma-1 Receptor Agonist
- Nicotinic Acetylcholine Receptor Antagonist
- Norepinephrine Reuptake Inhibitor
- Glutamate Modulator
- GEMINI
- Serotonin Reuptake Inhibitor
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AXS-05-MDD-301
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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