- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04019704
A Trial of AXS-05 in Patients With Major Depressive Disorder (GEMINI)
September 16, 2022 updated by: Axsome Therapeutics, Inc.
AXS-05-MDD-301: A Randomized, Double-Blind, Placebo-Controlled Trial of AXS-05 in Subjects With Major Depressive Disorder
A Phase 3, randomized, double-blind, placebo-controlled, multicenter trial of AXS-05 in patients with major depressive disorder (MDD).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This study will evaluate AXS-05 in a randomized, double-blind, placebo-controlled study in patients with MDD.
Eligible patients will be randomized in a 1:1 ratio to treatment with AXS-05 or placebo for 6 weeks.
Study Type
Interventional
Enrollment (Actual)
327
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Arizona
-
Phoenix, Arizona, United States, 85012
- Clinical Research Site
-
Phoenix, Arizona, United States, 85016
- Clinical Research Site
-
-
Arkansas
-
Little Rock, Arkansas, United States, 72209
- Clinical Research Site
-
-
California
-
Bellflower, California, United States, 90706
- Clinical Research Site
-
Beverly Hills, California, United States, 90210
- Clinical Research Site
-
Garden Grove, California, United States, 92845
- Clinical Research Site
-
Oakland, California, United States, 94607
- Clinical Research Site
-
Oceanside, California, United States, 92056
- Clinical Research Site
-
Panorama City, California, United States, 91402
- Clinical Research Site
-
Redlands, California, United States, 92374
- Clinical Research Site
-
Riverside, California, United States, 92506
- Clinical Research Site
-
San Diego, California, United States, 92103
- Clinical Research Site
-
Sherman Oaks, California, United States, 91403
- Clinical Research Site
-
Upland, California, United States, 91786
- Clinical Research Site
-
-
Florida
-
Coral Springs, Florida, United States, 33067
- Clinical Research Site
-
Hollywood, Florida, United States, 33024
- Clinical Research Site
-
Jacksonville, Florida, United States, 32256
- Clinical Research Site
-
Lauderhill, Florida, United States, 33319
- Clinical Research Site
-
North Miami, Florida, United States, 33161
- Clinical Research Site
-
Orlando, Florida, United States, 32801
- Clinical Research Site
-
-
Georgia
-
Atlanta, Georgia, United States, 30328
- Clinical Research Site
-
-
Idaho
-
Boise, Idaho, United States, 83704
- Clinical Research Site
-
-
Illinois
-
Chicago, Illinois, United States, 60634
- Clinical Research Site
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02131
- Clinical Research Site
-
-
Nevada
-
Las Vegas, Nevada, United States, 89102
- Clinical Research Site
-
-
New Jersey
-
Berlin, New Jersey, United States, 08009
- Clinical Research Site
-
Cherry Hill, New Jersey, United States, 08002
- Clinical Research Site
-
Toms River, New Jersey, United States, 08755
- Clinical Research Site
-
-
New York
-
Jamaica, New York, United States, 11432
- Clinical Research Site
-
Rochester, New York, United States, 14618
- Clinical Research Site
-
Staten Island, New York, United States, 10312
- Clinical Research Site
-
-
North Carolina
-
Hickory, North Carolina, United States, 28601
- Clinical Research Site
-
-
Ohio
-
Cincinnati, Ohio, United States, 45219
- Clinical Research Site
-
Middleburg Heights, Ohio, United States, 44130
- Clinical Research Site
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73112
- Clinical Research Site
-
-
Pennsylvania
-
Media, Pennsylvania, United States, 19063
- Clinical Research Site
-
Philadelphia, Pennsylvania, United States, 19104
- Clinical Research Site
-
-
Tennessee
-
Memphis, Tennessee, United States, 38119
- Clinical Research Site
-
-
Texas
-
Dallas, Texas, United States, 75243
- Clinical Research Site
-
Fort Worth, Texas, United States, 76104
- Clinical Research Site
-
Houston, Texas, United States, 77058
- Clinical Research Site
-
Wichita Falls, Texas, United States, 76309
- Clinical Research Site
-
-
Washington
-
Everett, Washington, United States, 98201
- Clinical Research Site
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
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
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: AXS-05
AXS-05 (bupropion and dextromethorphan) oral tablets
|
Oral AXS-05 tablets, taken daily for 6 weeks.
|
Placebo Comparator: Placebo
Placebo oral tablets to match AXS-05
|
Placebo to match oral AXS-05 tablets, taken daily for 6 weeks.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in MADRS Total Score From Baseline to Week 6
Time Frame: 6 weeks
|
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.
|
6 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 20, 2019
Primary Completion (Actual)
November 26, 2019
Study Completion (Actual)
December 5, 2019
Study Registration Dates
First Submitted
July 11, 2019
First Submitted That Met QC Criteria
July 11, 2019
First Posted (Actual)
July 15, 2019
Study Record Updates
Last Update Posted (Actual)
October 12, 2022
Last Update Submitted That Met QC Criteria
September 16, 2022
Last Verified
September 1, 2022
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
- AXS-05-MDD-301
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Depression
-
ProgenaBiomeRecruitingDepression | Depression, Postpartum | Depression, Anxiety | Depression Moderate | Depression Severe | Clinical Depression | Depression in Remission | Depression, Endogenous | Depression ChronicUnited States
-
Washington University School of MedicineCompletedTreatment Resistant Depression | Late Life Depression | Geriatric Depression | Refractory Depression | Therapy-Resistant DepressionUnited States, Canada
-
Kintsugi Mindful Wellness, Inc.Sonar Strategies; Vituity PsychiatryRecruitingDepression | Depression Moderate | Depression Severe | Depression MildUnited States
-
University of California, San FranciscoRecruitingDepression Moderate | Depression Mild | Depression, TeenUnited States
-
University GhentUniversiteit Antwerpen; Janssen-Cilag Ltd.RecruitingDepression Moderate | Depression Severe | Depression MildBelgium
-
Baylor College of MedicineUniversity of TexasRecruitingDepression | Depression Moderate | Depression Severe | Suicide and Self-harm | Depression in Adolescence | Depression MildUnited States
-
University of Cape TownNational Institute of Mental Health (NIMH)CompletedPostpartum Depression | Clinical Depression | Moderate DepressionSouth Africa
-
Northern Illinois UniversityUniversity Autonoma de Santo DomingoTerminatedDepression Moderate | Depression MildUnited States, Dominican Republic
-
Washington University School of MedicinePatient-Centered Outcomes Research Institute; National Institute of Mental...CompletedMajor Depressive Disorder | Treatment Resistant Depression | Treatment-Refractory Depression | Late Life Depression | Geriatric DepressionUnited States, Canada
-
Lawson Health Research InstituteTerminated
Clinical Trials on AXS-05
-
Axsome Therapeutics, Inc.CompletedMajor Depressive Disorder | Treatment Resistant DepressionUnited States
-
Axsome Therapeutics, Inc.RecruitingAlzheimer Disease | Agitation | Agitation in Patients With Dementia of the Alzheimer's TypeUnited States, Puerto Rico
-
Axsome Therapeutics, Inc.CompletedAlzheimer Disease | Agitation in Patients With Dementia of the Alzheimer's Type | Agitation,PsychomotorUnited States, Canada
-
Tarsus Pharmaceuticals, Inc.Completed
-
Tarsus Pharmaceuticals, Inc.Active, not recruitingHealthy VolunteerUnited States
-
National Institute of Allergy and Infectious Diseases...Completed
-
Cadila PharnmaceuticalsTerminatedStage III or Stage IV MelanomaUnited States
-
CuraGen CorporationCompleted
-
Meridigen Biotech Co., Ltd.Recruiting
-
Centrexion TherapeuticsCompletedOsteoarthritis, KneeUnited States