- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT06236880
En fase 2a-studie for å evaluere sikkerheten og toleransen til GM-2505 hos pasienter med MDD
En fase 2a-studie for å evaluere sikkerheten og toleransen til to gjentatte doser av GM-2505 med et 2-ukers intervall hos pasienter med alvorlig depressiv lidelse.
This is a three-part Phase 2a study. The aim of Part A is to assess the safety and tolerability and preliminary antidepressant efficacy in patients with MDD who are not currently on an antidepressant therapy. The aim of Part B is to assess the antidepressant efficacy, safety and tolerability in patients with MDD who are partial responders while on a current and adequate single SSRI or SNRI treatment. Part C aims to replicate the monotherapy findings of Part A, but with a lower control group dose.
Studieoversikt
Studietype
Registrering (Faktiske)
Fase
- Fase 2
Kontakter og plasseringer
Studiesteder
-
-
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Manchester, Storbritannia
- MAC Clinical Research
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Key Inclusion Criteria:
-
Patients are male or female, of any ethnic origin.
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Patients are aged between 18 to 65 years, inclusive.
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Patients meet the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria for recurrent MDD without psychotic features, as assessed with the Mini-International Neuropsychiatric Interview (MINI) at Screening.
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Current moderate to severe MDD diagnosis confirmed with a MADRS-SIGMA
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Concomitant depression therapy:
- (Part A) Patients need to be stable and must not have taken any SSRI or SNRI for at least 6 weeks prior to Screening and must be willing to avoid starting a new pharmacological treatment for MDD until the end of the study procedures and assessments. Discontinuing current treatment is not allowed if done for the purposes of achieving eligibility for this study.
- (Part B) Patients need to be on stable treatment with any SSRI or SNRI for at least 6 weeks prior to screening and must be willing to remain on the SSRI or SNRI for the duration of the trial
- Patients receiving any form of psychotherapy or counselling must have been receiving therapy at Screening and must be willing to remain in therapy until the end of the study procedures and assessments.
Key Exclusion Criteria:
- Patient has current or past primary DSM-5 diagnosis of a psychotic disorder or MDD with psychotic features, bipolar, or related disorders. A current diagnosis of PTSD, complex PTSD and borderline personality disorder are exclusionary. Other psychiatric disorders besides MDD should not be the primary disorder.
- In first degree relatives, a history of schizophrenia, psychosis, bipolar disorder, delusional disorder, paranoid personality disorder or schizoaffective disorder.
- Current or prior (six weeks before Screening) use of any SSRI/SNRI medication (Part A only).
- Current or prior (five weeks before Screening) use of any monoamine oxidase inhibitor ([MAO-I]; including phenelzine, tranylcypromine, isocarboxazid, iproniazid, selegiline, rasagiline, the reversible MAO-I moclobemide and the antibiotic linezolid).or any tricyclic antidepressant
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Firemannsrom
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Lav dose til høy dose av GM-2505
|
IV |
|
Eksperimentell: Moderat dose til høy dose av GM-2505
|
IV |
|
Aktiv komparator: Eksperimentelt svært lav dose til svært lav dose av GM-2505
|
IV |
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Safety and Tolerability (Part A, B, and C)
Tidsramme: 99 Days
|
The primary objective of this study is to evaluate the safety and tolerability of two doses of GM-2505 administered to MDD patients at a 2-week interval between doses. |
99 Days
|
|
MADRS Score (Part B and C)
Tidsramme: 29 Days
|
The estimated difference between Arm 1 and Arm 2 in the changes from baseline in MADRS-SIGMA total score |
29 Days
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
MADRS-SIGMA total score (Part A)
Tidsramme: Days 14 and 29
|
Change in MADRS-SIGMA total score between Baseline and Day 29 and comparison of Day 1 low dose vs moderate dose at Day 14 |
Days 14 and 29
|
|
MADRS-SIGMA total score (Part B and C)
Tidsramme: All additional timepoints
|
MADRS-SIGMA scores (change from baseline) |
All additional timepoints
|
|
MADRS-SIGMA total score (Part B and C)
Tidsramme: Days 14, 29, 43, 71, and 99
|
Response and Remission |
Days 14, 29, 43, 71, and 99
|
|
PK of GM-2505 (Part C)
Tidsramme: Day 16
|
Assess the pharmacokinetics of GM-2505 at very low, moderate, and high doses |
Day 16
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Studiestol: Gerard Marek, MD, Gilgamesh Pharmaceuticals
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- GM-2505-201
- 2023-000846-40 (EudraCT-nummer)
- M26-286 (Annen identifikator: Gilgamesh Pharmaceuticals)
- 2023 (U.S. NIH-stipend/kontrakt)
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
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