A Phase 3, Open-Label, 1-Year Study of the Safety, Tolerability, and Need for Re-Treatment With SAGE-217 in Adult Subjects With Major Depressive Disorder
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- Biogen
- 入组人数
- 1,515
- 试验地点
- 2
- 主要终点
- Part A: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
研究概览
简要总结
This is a Phase 3, open-label, 1-year study of the safety, tolerability, and need for re-treatment with SAGE-217 in adult participants with MDD.
详细描述
This study was previously posted by Sage Therapeutics. In July 2024, sponsorship of the trial was transferred to Biogen.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participant has a diagnosis of MDD as diagnosed by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Clinical Trial Version (SCID-5-CT), with symptoms that have been present for at least a 4-week period.
- •Participant is in good physical health and has no clinically significant findings, as determined by the Investigator, on physical examination, 12-lead electrocardiogram (ECG), or clinical laboratory tests.
- •Participant has a Montgomery-Åsberg Depression Rating Scale (MADRS) total score of ≥28 and a HAM-D total score of ≥20 at Screening and Day 1 (prior to dosing).
排除标准
- •Participant has attempted suicide associated with the current episode of MDD.
- •Participant has a medical history of bipolar disorder, schizophrenia, and/or schizoaffective disorder.
- •Participant has had vagus nerve stimulation, electroconvulsive therapy, or has taken ketamine (including esketamine) within the current major depressive episode.
研究组 & 干预措施
SAGE-217
干预措施: SAGE-217 (Drug)
结局指标
主要结局
Part A: Number of Participants With Treatment Emergent Adverse Events (TEAEs)
时间窗: Up to 52 Weeks
An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal (investigational) product. For Part A, a TEAE was defined as an AE with onset after the first dose of SAGE-217.
Part B: Number of Participants With TEAEs
时间窗: Up to 46 Weeks
An AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom or disease temporally associated with the use of a medicinal (investigational) product whether or not related to the medicinal (investigational) product. For Part B, a TEAE was defined as an AE with onset on or after the first dose of SAGE-217 in MDD-303B for the participants who received placebo + ADT in parent study, or an AE with onset on or after the ICF signoff in MDD-303B for the participants who received SAGE-217 + ADT in parent study.
Part A: Number of Participants With Suicidal Ideation (SI) or Suicidal Behavior (SB) as Assessed by the Columbia Suicide Severity Rating Scale (C-SSRS)
时间窗: Baseline up to 52 Weeks (Study Period 1-5)
C-SSRS scale consisted of a baseline evaluation that assessed lifetime experience as well as past 24-month experience of participants for SI and SB and a postbaseline evaluation that focused on suicidality since last study visit. C-SSRS included "yes" or "no"' responses for assessment of SI and SB as well as numeric ratings for severity of ideation, if present. The C-SSRS SI items included: 1. wish to be dead, 2. non-specific active suicidal thoughts, 3. active SI with any methods, 4. active SI with some intent, and 5. active SI with a specific plan (5 being the most severe). C-SSRS SB items included 1. preparatory acts or behavior, 2. aborted attempt, 3. interrupted attempt, 4. actual attempt (non-fatal), and 5. completed suicide (5 being worst). Participants with at least one SI question answered Yes or at least one SB question answered Yes post-baseline for the specific period is counted under SI or SB respectively.
Part B: Number of Participants With Suicidal Ideation (SI) and Suicidal Behavior (SB) as Assessed by the C-SSRS
时间窗: Baseline up to 46 Weeks (Study Period 1-5)
C-SSRS scale consisted of a baseline evaluation that assessed lifetime experience as well as past 24-month experience of participants for SI and SB and a postbaseline (PB) evaluation that focused on suicidality since last study visit. C-SSRS included "yes" or "no"' responses for assessment of SI and SB as well as numeric ratings for severity of ideation, if present. The C-SSRS SI items included: 1. wish to be dead, 2. non-specific active suicidal thoughts, 3. active SI with any methods, 4. active SI with some intent, and 5. active SI with a specific plan (5 being the most severe). C-SSRS SB items included 1. preparatory acts or behavior, 2. aborted attempt, 3. interrupted attempt, 4. actual attempt (non-fatal), and 5. completed suicide (5 being worst). Participants with at least one SI question answered Yes or at least one SB question answered Yes post-baseline for the specific period is counted under SI or SB respectively.
次要结局
- Part A: Percentage of Participants Who Achieved HAM-D Response During Treatment Cycle 1(Day 15 of treatment cycle 1)
- Part A: Percentage of Participants Who Achieved HAM-D Response During Each Study Period(Day 15 of Study Period 2, 3, 4, and 5)
- Parts A and B: Number of Participants Who Achieved the Requirements for Repeat Treatment for SAGE-217(Up to 52 Weeks)
- Part A: Change From Baseline (CFB) in the HAMD-17 Total Score at Day 15 of Each Treatment Cycle(Baseline, Day 15 of treatment cycles 2, 3, 4, and 5)
- Part A: Change From Baseline in CGI-S Score During Each Treatment Cycle(Baseline, Day 15 of treatment cycles 2, 3, 4, and 5)
- Part A: Change From Baseline (CFB) in the HAMD-17 Total Score at Day 15 in Study Period 1(Baseline, Day 15 in Study Period 1)
- Part A: Percentage of Participants Who Achieved HAM-D Remission During Each Study Period(Day 15 of Study Periods 2, 3, 4, and 5)
- Part A: Percentage of Participants Who Achieved Clinical Global Impression - Improvement (CGI-I) Response During Treatment Cycle 1(Day 15 of treatment cycle 1)
- Part A: Change From Baseline in Clinical Global Impression - Severity (CGI-S) Score During Treatment Cycle 1(Baseline, Day 15 of treatment cycle 1)
- Part B: Change From Baseline in CGI-S Score(Baseline Day 15 of Study Period 1, 2, 3, 4, and 5)
- Parts A and B: Time to First Repeat Treatment With SAGE-217(Up to 52 Weeks)
- Parts A and B: Number of Repeat Treatment Cycles of SAGE-217 for Each Participant(Up to 52 Weeks)
- Part B: Change From Baseline in the HAMD-17 Total Score at Day 15 of Each Treatment (Initial and/or Repeat Treatment) Cycle(Baseline, Day 15 of Study Period 1, 2, 3, 4, and 5)
- Part B: Percentage of Participants Who Achieved HAM-D Response(Day 15 of Study Period 1, 2, 3, 4, and 5)
- Part A: Percentage of Participants Who Achieved HAM-D Remission During Treatment Cycle 1(Day 15 of treatment cycle 1)
- Part B: Percentage of Participants Who Achieved HAM-D Remission(Day 15 of Study Period 1, 2, 3, 4, and 5)
- Part A: Percentage of Participants Who Achieved CGI-I Response During Each Study Period(Day 15 of Study Periods 2, 3, 4, and 5)
- Part B: Percentage of Participants Who Achieved CGI-I Response(Day 15 of Study Period 1, 2, 3, 4, and 5)
