Efficacy of MI078 Capsules in Treating Postpartum Depression
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase II Clinical Trial to Evaluate the Efficacy and Safety of MI078 Capsule in Patients With Postpartum Depression
This study is a multicenter, randomized, double-blind, placebo-controlled trial. It includes three groups. Each group will enroll 24 participants. The trial aims todetermine: To evaluate the efficacy of MI078 capsules in treating postpartum depression and to explore the optimal dosing regimen for MI078 capsules.
To assess the safety of MI078 capsules in postpartum depression patients.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: cuixia zhang
- Phone Number: 833 025-86667819
- Email: zhangcuixia@mnvpharma.com
Study Locations
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-
Anhui
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Wuhu, Anhui, China, 241000
- The Affiliated Beijing Anding Hospital of Capital Medical University, Wuhu Hospital
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Beijing Municipality
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Beijing, Beijing Municipality, China, 100096
- Beijing HuiLongGuan Hospital
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-
Fujian
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Xiamen, Fujian, China
- Xiamen Xian Yue Hospital
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Guangdong
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Foshan, Guangdong, China, 528308
- Shunde Hospital of Southern Medical University
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Guangzhou, Guangdong, China, 510630
- The First Affiliated Hospital of Jinan University
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Guangxi
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Nanning, Guangxi, China, 530021
- Guangxi Zhuang Autonomous Region People's Hospital
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Guizhou
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Guiyang, Guizhou, China, 550002
- The People's Hospital of Guizhou Province
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Hebei
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Shijiazhuang, Hebei, China, 050023
- The First Hospital of Hebei Medical University
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Xingtai, Hebei, China, 054001
- Xingtai People's Hospital
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Jiangxi
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Nanchang, Jiangxi, China, 330006
- The First Affiliated Hospital of Nanchang University
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Shanghai Municipality
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Shanghai, Shanghai Municipality, China, 200122
- Shanghai Mental Health Center
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Shanghai, Shanghai Municipality, China, 200124
- Shanghai Pudong New Area Mental Health Center
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Shanxi
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Linfen, Shanxi, China, 041000
- Linfen Central Hospital
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Taiyuan, Shanxi, China, 030001
- The First Hospital of Shanxi Medical University
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Sichuan
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Chengdu, Sichuan, China, 610072
- Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital
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Yunnan
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Kunming, Yunnan, China, 650032
- First Affiliated Hospital of Kunming Medical University
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Zhejiang
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Hangzhou, Zhejiang, China, 310009
- The Second Affiliated Hospital of Zhejiang University School of Medicine
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Hangzhou, Zhejiang, China, 310006
- The First People's Hospital of Hangzhou
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Ningbo, Zhejiang, China
- The First Affiliated Hospital of Ningbo University
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Ningbo, Zhejiang, China, 315201
- The Affiliated Kangning Hospital of Ningbo University
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Wenzhou, Zhejiang, China, 325000
- The First Affiliated Hospital of Wenzhou Medical University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Female patients aged 18 to 45 years (inclusive) with a Body Mass Index (BMI) ranging from 18.5 to 37.0 kg/m² (inclusive).
- The patient meets the diagnostic criteria for Major Depressive Disorder (MDD) as defined in the Diagnostic and Statistical Manual of Mental Disorders(DSM-5), based on the investigator's clinical evaluation. The onset of illness must occur between 28 weeks of pregnancy and 4 weeks postpartum (inclusive).
- The patient is within 9 months postpartum during the screening period.
- The total score on the HAMD17 is ≥26 during both the screening and baseline periods.
- The patient understands and voluntarily agrees to participate in the study, consents to comply with all study requirements, and is able to provide written informed consent prior to the initiation of any study-specific procedures.
- The patient is able to communicate effectively with the investigator, is willing and able to adhere to the lifestyle restrictions or requirements specified in the study protocol, and can cooperate fully in completing the trial.
Exclusion Criteria:
- Current diagnosis of another mental disorder according to DSM-5 criteria, as assessed by the investigator
- History of bipolar disorder, schizophrenia, and/or schizoaffective disorder
- History of sleep apnea
- Presence of suicidal ideation/intent, or a score >3 on Item 3 (suicide) of the HAMD17, or a response of "yes" to Item 4 or 5 on the Columbia-Suicide Severity Rating Scale (C-SSRS) within the past 6 months, or a history of suicidal behavior within the past year
- Meeting the diagnostic criteria for treatment-resistant depression
- Continuous use of therapeutic doses of antidepressants for more than 14 days during the current episode
- Failure to discontinue psychotropic medications for at least 5 half-lives prior to the use of the study drug.
- Need for concurrent use of other psychotropic medications, such as antidepressants, antipsychotics, mood stabilizers, and sedative-hypnotics (excluding benzodiazepines), during the trial dosing period.
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 |
|---|---|
|
Experimental: MI078 capsule dose 1
|
MI078 capsule dose 1 for 3 days
|
|
Experimental: MI078 capsule dose 2
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MI078 capsule dose 2 for 3 days
|
|
Placebo Comparator: placebo
Placebo of MI078 capsules
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placebo for 3 days
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in HAM-D17 total score
Time Frame: up to day 31
|
The Seventeen-Item Hamilton Rating Scale for Depression (HAM-D17) contains 17 individual ratings related to the following symptoms: depressed mood, feelings of guilt, suicide, insomnia (initial, middle, and late), work and interests, psychomotor retardation, psychomotor agitation, anxiety (psychic and somatic), gastrointestinal symptoms, general somatic symptoms, sexual interest, hypochondriasis, insight, and weight loss.
The total score ranges from 0 to 52, with higher scores indicating more severe depression.
|
up to day 31
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
HAM-D17 response
Time Frame: up to day 31
|
Defined as having a 50% or greater reduction from baseline in HAM-D17 total score.
The total score ranges from 0 to 52, with higher scores indicating more severe depression.
|
up to day 31
|
|
HAM-D17 remission
Time Frame: up to day 31
|
Defined as having a HAM-D17 total score ≤7.
The total score ranges from 0 to 52, with higher scores indicating more severe depression
|
up to day 31
|
|
Change from baseline in the CGI-S score
Time Frame: up to day 31
|
The CGI-S scale is a 7-point scale that requires the Investigator to assess how mentally ill is the patient at this time. 1 - normal, not at all ill; 2 - borderline mentally ill; 3 - mildly ill; 4 - moderately ill; 5 - markedly ill; 6 - severely ill; or 7 - among the most extremely ill patients
|
up to day 31
|
|
Clinical Global Impression - Improvement (CGI-I) scale positive response
Time Frame: up to day 31
|
The CGI-I scale is a 7-point scale that requires the Investigator to assess how much the patient's illness has improved or worsened relative to a baseline state at the beginning of study drug treatment.
1 - very much improved; 2 - much improved; 3 - minimally improved; 4 - no change; 5 - minimally worse; 6 - much worse; or 7 - very much worse
|
up to day 31
|
|
Change from baseline in MADRS total score
Time Frame: up to day 31
|
The MADRS contains 10 individual items related to the following symptoms: apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts.
The total score ranges from 0 to 60, with higher scores indicating more severe depression
|
up to day 31
|
|
Change from baseline in Edinburgh Postnatal Depression Scale (EPDS) total score
Time Frame: up to day 31
|
The Edinburgh Postnatal Depression Scale (EPDS) is a set of 10 screening questions.
The total score ranges from 0 to 30, with higher scores indicating more severe depression.
|
up to day 31
|
|
Change from baseline in Hamilton Anxiety Rating Scale (HAM-A) total score
Time Frame: up to day 31
|
The HAM-A contains 14 individual ratings related to the following symptoms: anxious mood, tension, fears, insomnia, intellectual, depressed mood, somatic (muscular), somatic (sensory), cardiovascular symptoms, respiratory symptoms, gastrointestinal symptoms, genitourinary symptoms, autonomic symptoms, and behavior at interview.
The total score ranges from 0 to 56, with higher scores indicating more severe anxiety.
|
up to day 31
|
|
Safety Evaluation Indicators
Time Frame: up to day 31
|
Adverse events (AEs), Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs), clinical laboratory test, 12-lead electrocardiogram (ECG),C-SSRS,PWC-20
|
up to day 31
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: huafang Li, Shanghai Mental Health Center
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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 (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2024-43
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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