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- Klinische proef NCT07284667
ACP-211 Monotherapie voor Major Depressieve Stoornis met Onvoldoende Antidepressieve Respons (NORLIGHT)
Een dubbelblinde, placebo-gecontroleerde, parallelle groep, werkzaamheids- en veiligheidsstudie van ACP-211 monotherapie bij volwassenen met een ernstige depressieve stoornis en onvoldoende respons op antidepressieve behandeling
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?
Studie Overzicht
Toestand
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
Contacten en locaties
Studiecontact
- Naam: Sandy Filosi
- Telefoonnummer: +1(609) 250-6920
- E-mail: sfilosi@ACADIA-Pharm.com
Studie Contact Back-up
- Naam: Lori Lykens
- Telefoonnummer: +1(609) 250-6917
- E-mail: lori.lykens@acadia-pharm.com
Studie Locaties
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Alabama
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Birmingham, Alabama, Verenigde Staten, 35294
- Ingetrokken
- University of Alabama at Birmingham
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California
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Chino, California, Verenigde Staten, 91710
- Werving
- Inland Psychiatric Medical Group
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Glendale, California, Verenigde Staten, 91107
- Werving
- Behavioral Research Specialists, LLC
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La Jolla, California, Verenigde Staten, 92037
- Werving
- Kadima Neuropsychiatry Institute
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Orange, California, Verenigde Staten, 92866
- Werving
- PNS Clinical Research LLC dba ATP Clinical Research
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West Hills, California, Verenigde Staten, 91307
- Werving
- Focus Clinical Research, LLC d/b/a Alliance Clinical West Hills
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Colorado
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Denver, Colorado, Verenigde Staten, 80209
- Werving
- Mountain View Clinical Research
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Florida
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Fort Myers, Florida, Verenigde Staten, 33901
- Werving
- New Access Research and Medical Services, Inc.
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Hollywood, Florida, Verenigde Staten, 33021
- Werving
- The Medici Medical Research
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Largo, Florida, Verenigde Staten, 33777
- Ingetrokken
- Sandhill Research, LLC/DBA Accel Research Sites
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Orlando, Florida, Verenigde Staten, 32801
- Werving
- Clinical Neuroscience Solutions, Inc.
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Tampa, Florida, Verenigde Staten, 33629
- Werving
- IPTB Clinical Research
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West Palm Beach, Florida, Verenigde Staten, 33407
- Werving
- Neuroscience Research Institute, Inc.
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Massachusetts
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Watertown, Massachusetts, Verenigde Staten, 02472
- Werving
- Adams Clinical, Inc.
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Worcester, Massachusetts, Verenigde Staten, 01608
- Werving
- Vitalix Clinical, Inc.
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Mississippi
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Flowood, Mississippi, Verenigde Staten, 39232
- Werving
- Precise Research Centers
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Missouri
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Saint Charles, Missouri, Verenigde Staten, 63304
- Werving
- St. Charles Psychiatric Associates, Inc. dba Midwest Research Group
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Nebraska
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Lincoln, Nebraska, Verenigde Staten, 68526
- Werving
- Alivation Research, LLC
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Nevada
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Las Vegas, Nevada, Verenigde Staten, 89134
- Werving
- Redbird Research LLC
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New Jersey
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Marlton, New Jersey, Verenigde Staten, 08053
- Ingetrokken
- CenExel Hassman Research Institute, LLC
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New York
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Brooklyn, New York, Verenigde Staten, 11229
- Werving
- Integrative Clinical Trials LLC
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North Carolina
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Cary, North Carolina, Verenigde Staten, 27511
- Werving
- Magnolia Clinical Research, LLC
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Ohio
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North Canton, Ohio, Verenigde Staten, 44720
- Werving
- Neuro-Behavioral Clinical Research
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Texas
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Houston, Texas, Verenigde Staten, 77030
- Werving
- Baylor College of Medicine
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Houston, Texas, Verenigde Staten, 77081
- Ingetrokken
- Dynamed Clinical Research LP d/b/a DM Clinical Research
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Katy, Texas, Verenigde Staten, 77450
- Werving
- Olympus Clinical Research, LLC
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The Woodlands, Texas, Verenigde Staten, 77381
- Werving
- Family Psychiatry of The Woodlands
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Utah
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Salt Lake City, Utah, Verenigde Staten, 84105
- Werving
- Aura Wellness
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verviervoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: ACP-211 600 mg
ACP-211 600 mg, administered orally twice weekly |
ACP-211 monotherapy |
|
Experimenteel: ACP-211 300 mg
ACP-211 300 mg, administered orally twice weekly |
ACP-211 monotherapy |
|
Placebo-vergelijker: Placebo
Matching placebo, administered orally twice weekly |
Placebo control |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score at Day 28
Tijdsspanne: 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
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Change From Baseline in MADRS Total Score at Scheduled Postbaseline Visits
Tijdsspanne: Baseline through Day 28
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Baseline through Day 28
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Proportion of Subjects in Remission at Scheduled Postbaseline Visits (MADRS ≤10)
Tijdsspanne: Up to Day 28
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Up to Day 28
|
|
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Proportion of Subjects With Response at Scheduled Postbaseline Visits (≥50% Reduction From Baseline in MADRS Total Score)
Tijdsspanne: Up to Day 28
|
Up to Day 28
|
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Change From Baseline in MADRS Total Score at Day 2
Tijdsspanne: 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
Tijdsspanne: 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
|
|
Proportion of Subjects With Sustained Response From Day 2 Through Day 28
Tijdsspanne: 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
Tijdsspanne: 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
|
Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- ACP-211-002
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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