ACP-211 Monoterapi for Major Depressiv Forstyrrelse med Utilstrækkeligt Antidepressivt Respons (NORLIGHT)
Et dobbeltblindt, placebokontrolleret, parallelgruppestudie af ACP-211-monoterapiens effekt og sikkerhed hos voksne med svær depression og utilstrækkelig respons på antidepressiv behandling
The goal of this clinical trial is to learn if ACP-211 can help treat adults with major depressive disorder (MDD) who have not improved with antidepressant therapy (ADT), including those with treatment resistant depression (TRD).
The main questions the study aims to answer are:
- Does ACP-211 work better than a placebo (a look-alike capsule with no medicine) to reduce symptoms of depression?
- What adverse events do participants have when taking ACP-211?
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Sandy Filosi
- Telefonnummer: +1(609) 250-6920
- E-mail: sfilosi@ACADIA-Pharm.com
Undersøgelse Kontakt Backup
- Navn: Lori Lykens
- Telefonnummer: +1(609) 250-6917
- E-mail: lori.lykens@acadia-pharm.com
Studiesteder
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Alabama
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Birmingham, Alabama, Forenede Stater, 35294
- Trukket tilbage
- University of Alabama at Birmingham
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California
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Chino, California, Forenede Stater, 91710
- Rekruttering
- Inland Psychiatric Medical Group
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Glendale, California, Forenede Stater, 91107
- Rekruttering
- Behavioral Research Specialists, LLC
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La Jolla, California, Forenede Stater, 92037
- Rekruttering
- Kadima Neuropsychiatry Institute
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Orange, California, Forenede Stater, 92866
- Rekruttering
- PNS Clinical Research LLC dba ATP Clinical Research
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West Hills, California, Forenede Stater, 91307
- Rekruttering
- Focus Clinical Research, LLC d/b/a Alliance Clinical West Hills
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Colorado
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Denver, Colorado, Forenede Stater, 80209
- Rekruttering
- Mountain View Clinical Research
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Florida
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Fort Myers, Florida, Forenede Stater, 33901
- Rekruttering
- New Access Research and Medical Services, Inc.
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Hollywood, Florida, Forenede Stater, 33021
- Rekruttering
- The Medici Medical Research
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Largo, Florida, Forenede Stater, 33777
- Trukket tilbage
- Sandhill Research, LLC/DBA Accel Research Sites
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Orlando, Florida, Forenede Stater, 32801
- Rekruttering
- Clinical Neuroscience Solutions, Inc.
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Tampa, Florida, Forenede Stater, 33629
- Rekruttering
- IPTB Clinical Research
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West Palm Beach, Florida, Forenede Stater, 33407
- Rekruttering
- Neuroscience Research Institute, Inc.
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Massachusetts
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Watertown, Massachusetts, Forenede Stater, 02472
- Rekruttering
- Adams Clinical, Inc.
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Worcester, Massachusetts, Forenede Stater, 01608
- Rekruttering
- Vitalix Clinical, Inc.
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Mississippi
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Flowood, Mississippi, Forenede Stater, 39232
- Rekruttering
- Precise Research Centers
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Missouri
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Saint Charles, Missouri, Forenede Stater, 63304
- Rekruttering
- St. Charles Psychiatric Associates, Inc. dba Midwest Research Group
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Nebraska
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Lincoln, Nebraska, Forenede Stater, 68526
- Rekruttering
- Alivation Research, LLC
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Nevada
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Las Vegas, Nevada, Forenede Stater, 89134
- Rekruttering
- Redbird Research LLC
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New Jersey
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Marlton, New Jersey, Forenede Stater, 08053
- Trukket tilbage
- CenExel Hassman Research Institute, LLC
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New York
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Brooklyn, New York, Forenede Stater, 11229
- Rekruttering
- Integrative Clinical Trials LLC
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North Carolina
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Cary, North Carolina, Forenede Stater, 27511
- Rekruttering
- Magnolia Clinical Research, LLC
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Ohio
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North Canton, Ohio, Forenede Stater, 44720
- Rekruttering
- Neuro-Behavioral Clinical Research
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Texas
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- Baylor College of Medicine
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Houston, Texas, Forenede Stater, 77081
- Trukket tilbage
- Dynamed Clinical Research LP d/b/a DM Clinical Research
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Katy, Texas, Forenede Stater, 77450
- Rekruttering
- Olympus Clinical Research, LLC
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The Woodlands, Texas, Forenede Stater, 77381
- Rekruttering
- Family Psychiatry of The Woodlands
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Utah
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Salt Lake City, Utah, Forenede Stater, 84105
- Rekruttering
- Aura Wellness
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Adults ≥18 and ≤65 years of age
- Provides written informed consent
- Clinical diagnosis of MDD
- History of inadequate response to at least two antidepressants, with at least one inadequate response documented during the current episode
- Currently treated with an approved antidepressant at a stable dose prior to Screening
- MADRS total score ≥28, CGI-S score ≥4, and QIDS-SR16 score ≥14 at Screening and Baseline
- Females of childbearing potential must have a negative pregnancy test and agree to use acceptable contraception; males must agree to use barrier protection and refrain from sperm donation
Exclusion Criteria:
- Current diagnosis of certain personality disorders or persistent depressive disorder
- Recent substance use disorders, excluding caffeine or nicotine
- Active suicidal risk or recent suicidal attempt
- History of schizophrenia, psychotic disorders, bipolar disorder, or MDD with psychotic features
- Current treatment requirement for PTSD, acute stress disorder, panic disorder, or OCD
- History of neuroleptic malignant syndrome, serotonin syndrome, or epilepsy (except single febrile seizure in infancy)
- Allergy or sensitivity to ketamine or esketamine
- Significant cardiovascular disease
- Positive history of hepatitis B, hepatitis C, or HIV infection
- Unstable diabetes or uncontrolled medical conditions
- Positive urine drug test for an illicit drug or cannabis
- Received neuromodulation therapies (ECT, TMS, VNS, DBS) in the current depressive episode
- Recent initiation or change in psychotherapy
Additional inclusion/exclusion criteria apply. Participants will be evaluated at Screening to ensure that all criteria for study participation are met.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: ACP-211 600 mg
ACP-211 600 mg, administered orally twice weekly |
ACP-211 monotherapy |
|
Eksperimentel: ACP-211 300 mg
ACP-211 300 mg, administered orally twice weekly |
ACP-211 monotherapy |
|
Placebo komparator: Placebo
Matching placebo, administered orally twice weekly |
Placebo control |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score at Day 28
Tidsramme: Baseline and Day 28
|
The MADRS is a clinician-rated scale that assesses the severity of depressive symptoms. It consists of 10 items, each scored from 0 (no symptoms) to 6 (severe symptoms), resulting in a total score range of 0 to 60. Higher scores indicate greater depression severity. |
Baseline and Day 28
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Change From Baseline in MADRS Total Score at Scheduled Postbaseline Visits
Tidsramme: Baseline through Day 28
|
Baseline through Day 28
|
|
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Proportion of Subjects in Remission at Scheduled Postbaseline Visits (MADRS ≤10)
Tidsramme: Up to Day 28
|
Up to Day 28
|
|
|
Proportion of Subjects With Response at Scheduled Postbaseline Visits (≥50% Reduction From Baseline in MADRS Total Score)
Tidsramme: Up to Day 28
|
Up to Day 28
|
|
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Change From Baseline in MADRS Total Score at Day 2
Tidsramme: Baseline and Day 2 (24 hours postdose)
|
The MADRS is a clinician-rated scale that assesses the severity of depressive symptoms. It consists of 10 items, each scored from 0 (no symptoms) to 6 (severe symptoms), resulting in a total score range of 0 to 60. Higher scores indicate greater depression severity. |
Baseline and Day 2 (24 hours postdose)
|
|
Change From Baseline in Clinical Global Impression-Severity (CGI-S) Score at Scheduled Postbaseline Visits
Tidsramme: Baseline through Day 28
|
The CGI-S is a clinician-rated assessment of illness severity scored on a 7-point scale ranging from 1 (normal, not at all ill) to 7 (among the most extremely ill). Higher scores indicate greater illness severity. |
Baseline through Day 28
|
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Proportion of Subjects With Sustained Response From Day 2 Through Day 28
Tidsramme: Day 2 through Day 28
|
Subjects achieving sustained response, defined as a ≥50% reduction from Baseline in MADRS total score, with onset by Day 2 and maintained through the end of the double-blind treatment period. |
Day 2 through Day 28
|
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Proportion of Subjects With Clinical Global Impression of Improvement (CGI-I) Score of 1 or 2 at Scheduled Postbaseline Visits
Tidsramme: Up to Day 28
|
The CGI-I is a clinician-rated assessment of change in illness relative to Baseline. Scores range from 1 (very much improved) to 7 (very much worse). This outcome evaluates subjects with a score of 1 (very much improved) or 2 (much improved). |
Up to Day 28
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- ACP-211-002
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
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