MedPath

A Study of Rapastinel as Adjunctive Therapy in the Prevention of Relapse in Patients With Major Depressive Disorder

Phase 3
Completed
Conditions
Depressive Disorder, Major
Interventions
Registration Number
NCT02951988
Lead Sponsor
Naurex, Inc, an affiliate of Allergan plc
Brief Summary

This study will evaluate the efficacy, safety and tolerability of rapastinel 450 milligrams (mg) intravenous (IV) once weekly or once every 2 weeks versus placebo as an adjunctive treatment to ongoing anti-depressive therapy (ADT) in the prevention of relapse in participants with Major Depressive Disorder (MDD).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1304
Inclusion Criteria
  • Meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for MDD
  • Current major depressive episode of at least 8 weeks and not exceeding 18 months in duration at Screening
  • Have no more than partial response (< 50% improvement) to ongoing treatment with a protocol-allowed antidepressant
  • If female of childbearing potential, have a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test.
Exclusion Criteria
  • DSM-5-based diagnosis of any disorder other than MDD that was the primary focus of treatment within 6 months before Screening
  • Lifetime history of meeting DSM-5 criteria for:
  • Schizophrenia spectrum or other psychotic disorder
  • Bipolar or related disorder
  • Major neurocognitive disorder
  • Neurodevelopmental disorder of greater than mild severity or of a severity that impacts the participant's ability to consent, follow study directions, or otherwise safely participate in the study
  • Dissociative disorder
  • Posttraumatic stress disorder
  • MDD with psychotic features
  • Significant suicide risk, as judged by the Investigator.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-matching RapastinelRapastinel 450 mg IV once a week during OLTP followed by placebo-matching rapastinel 450 mg IV once a week during DBTP.
Rapastinel 450 mg WeeklyRapastinelRapastinel 450 milligrams (mg) intravenous (IV) once a week during OLTP followed by rapastinel 450 mg IV once a week during DBTP.
Rapastinel 450 mg Every 2 WeeksRapastinelRapastinel 450 mg IV once a week during OLTP followed by rapastinel 450 mg IV once every 2 weeks during DBTP.
Primary Outcome Measures
NameTimeMethod
Time to First Relapse During the First 52 Weeks of the Double-Blind Treatment Period52 Weeks

The time in days to first relapse is defined as the number of days from the date of randomization to the first relapse.

Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point Scales104 Weeks

On the C-SSRS, the 5 types of suicidal ideation are:

Type 1: "Wish to be dead" Type 2: Non-specific active suicidal thoughts Type 3: "Active suicidal ideation with any methods (not plan) without intent to act" Type 4: "Active suicidal ideation with some intent to act, without specific plan" Type 5: "Active suicidal ideation with specific plan and intent"

Secondary Outcome Measures
NameTimeMethod
Time to First Relapse During the Entire Double-Blind Treatment Period104 Weeks

The time in days to first relapse is defined as the number of days from the date of randomization to the first relapse.

Trial Locations

Locations (131)

Atlanta Center for Medical Research

🇺🇸

Atlanta, Georgia, United States

Northwest Behavioral Research Center

🇺🇸

Marietta, Georgia, United States

Global Medical Institute, LLC

🇺🇸

Princeton, New Jersey, United States

Neuro-Behavioral Clinical Research, Inc

🇺🇸

Canton, Ohio, United States

Hassman Research Institute, LLC

🇺🇸

Berlin, New Jersey, United States

CITrials

🇺🇸

Riverside, California, United States

Richmond Behavioral Associates

🇺🇸

Staten Island, New York, United States

Lehigh Center for Clinical Research

🇺🇸

Allentown, Pennsylvania, United States

Gulfcoast Clinical Research Center

🇺🇸

Fort Myers, Florida, United States

Relaro Medical Trials

🇺🇸

Dallas, Texas, United States

Great Lakes Clinical Trials

🇺🇸

Chicago, Illinois, United States

Earle Research

🇺🇸

Houston, Texas, United States

Red Oak Psychiatry Associates, PA

🇺🇸

Houston, Texas, United States

Phoenix Medical Research

🇺🇸

Prairie Village, Kansas, United States

Heartland Research Associates

🇺🇸

Wichita, Kansas, United States

Alivation Research

🇺🇸

Lincoln, Nebraska, United States

Pharmaceutical Research Associates Inc

🇺🇸

Marlton, New Jersey, United States

Bio Behavioral Health

🇺🇸

Toms River, New Jersey, United States

J Gary Booker, MD APMC

🇺🇸

Shreveport, Louisiana, United States

University of Arizona Department of Psychiatry

🇺🇸

Tucson, Arizona, United States

Lake Charles Clinical Trials

🇺🇸

Lake Charles, Louisiana, United States

Synergy Clinical Research Center of Escondido

🇺🇸

Lemon Grove, California, United States

Behavioral Research Specialists, LLC

🇺🇸

Glendale, California, United States

Woodland Research Northwest

🇺🇸

Rogers, Arkansas, United States

Southern California Research LLC.

🇺🇸

Beverly Hills, California, United States

Sun Valley Research Center

🇺🇸

Imperial, California, United States

Irvine Center for Clinical Research, Inc

🇺🇸

Irvine, California, United States

ProScience Research Group

🇺🇸

Culver City, California, United States

Harmonex Neuroscience Research

🇺🇸

Dothan, Alabama, United States

California Pharmaceutical Research Institute, Inc

🇺🇸

Anaheim, California, United States

Woodland International Research Group

🇺🇸

Little Rock, Arkansas, United States

ATP Clinical Research Inc.

🇺🇸

Costa Mesa, California, United States

Comprehensive Psychiatric Care

🇺🇸

Norwich, Connecticut, United States

Viking Clinical Research

🇺🇸

Temecula, California, United States

Asclepes Research Centers

🇺🇸

Panorama City, California, United States

Excell Research

🇺🇸

Oceanside, California, United States

NRC Research Institute

🇺🇸

Orange, California, United States

Artemis Institute for Clinical Research

🇺🇸

San Marcos, California, United States

Clinical Neuroscience Solutions, Inc

🇺🇸

Memphis, Tennessee, United States

Sarkis Clinical Trials

🇺🇸

Ocala, Florida, United States

Reliable Clinical Research

🇺🇸

Hialeah, Florida, United States

Pacific Clinical Research Medical

🇺🇸

Upland, California, United States

Innovative Clinical Research, Inc

🇺🇸

Lauderhill, Florida, United States

Capstone Clinical Research

🇺🇸

Libertyville, Illinois, United States

AMR - Baber Research, Inc.

🇺🇸

Naperville, Illinois, United States

Louisiana Clinical Research

🇺🇸

Shreveport, Louisiana, United States

Sheppard Pratt Health System

🇺🇸

Baltimore, Maryland, United States

University of Massachusetts Medical School

🇺🇸

Worcester, Massachusetts, United States

The Medical Research Network, LLC

🇺🇸

New York, New York, United States

Healthy Perspectives - Innovative Mental Health Services. PLLC

🇺🇸

Nashua, New Hampshire, United States

The Ohio State University Department of Psychiatry

🇺🇸

Columbus, Ohio, United States

Charak Clinical Research Center

🇺🇸

Garfield Heights, Ohio, United States

Coastal Carolina Research Center, Inc.

🇺🇸

Mount Pleasant, South Carolina, United States

Research Strategies of Memphis, LLC

🇺🇸

Memphis, Tennessee, United States

North Texas Clinical Trials

🇺🇸

Fort Worth, Texas, United States

Grayline Clinical Drug Trials

🇺🇸

Wichita Falls, Texas, United States

Family Psychiatry of The Wood

🇺🇸

The Woodlands, Texas, United States

International Research Associates, LLC

🇺🇸

Miami, Florida, United States

University of Alabama at Birmingham

🇺🇸

Birmingham, Alabama, United States

Altea Research

🇺🇸

Las Vegas, Nevada, United States

NoesisPharma

🇺🇸

Phoenix, Arizona, United States

Innova Clinical Trials Inc.

🇺🇸

Miami, Florida, United States

PCSD Feighner Research

🇺🇸

San Diego, California, United States

University of Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Red River Medical Research Center, LLC

🇺🇸

Oklahoma City, Oklahoma, United States

Sooner Clinical Research, Inc

🇺🇸

Oklahoma City, Oklahoma, United States

Paradigm Research Professionals

🇺🇸

Oklahoma City, Oklahoma, United States

Summit Research Network

🇺🇸

Portland, Oregon, United States

Clinical Trials of Texas

🇺🇸

San Antonio, Texas, United States

Psychiatric and Behavioral Solutions

🇺🇸

Salt Lake City, Utah, United States

PRA Health Sciences

🇺🇸

Salt Lake City, Utah, United States

Anderson Clinical Research

🇺🇸

Redlands, California, United States

Institute for Advanced Medical Research

🇺🇸

Alpharetta, Georgia, United States

iResearch Atlanta, LLC

🇺🇸

Decatur, Georgia, United States

Dr. Cherian Verghese

🇺🇸

Norristown, Pennsylvania, United States

The University of South Florida Board of Trustees, A public Body Corporate, for University of South Florida

🇺🇸

Tampa, Florida, United States

Combined Research Orlando Phase I-IV

🇺🇸

Orlando, Florida, United States

Millenia Psychiatry & Research, Inc

🇺🇸

Orlando, Florida, United States

Olympian Clinical Research

🇺🇸

Tampa, Florida, United States

Pacific Research Partners; LLC.

🇺🇸

Oakland, California, United States

Collaborative Neuroscience Network, LLC

🇺🇸

Garden Grove, California, United States

Thomas M. Shiovitz, M.D., Inc., DBA California Neuroscience Research Medical Group, Inc.,

🇺🇸

Sherman Oaks, California, United States

MCB Clinical Research Center

🇺🇸

Colorado Springs, Colorado, United States

Meridien Research

🇺🇸

Lakeland, Florida, United States

Research Centers of America

🇺🇸

Oakland Park, Florida, United States

Advanced Research Institute of Miami

🇺🇸

Homestead, Florida, United States

Medical Research Group of Central Florida

🇺🇸

Orange City, Florida, United States

MD Clinical

🇺🇸

Hallandale Beach, Florida, United States

Psychiatric Associates

🇺🇸

Overland Park, Kansas, United States

IRIS Research

🇺🇸

Smyrna, Georgia, United States

Alexian Brothers Center for Psychiatric Research

🇺🇸

Hoffman Estates, Illinois, United States

CBH Health

🇺🇸

Rockville, Maryland, United States

BTC of New Bedford

🇺🇸

New Bedford, Massachusetts, United States

Pharmasite Research, Inc

🇺🇸

Baltimore, Maryland, United States

Boston Clinical Trials

🇺🇸

Boston, Massachusetts, United States

Coastal Research Associates

🇺🇸

Weymouth, Massachusetts, United States

Precise Research Centers

🇺🇸

Flowood, Mississippi, United States

ActivMed Practices & Research, Inc.

🇺🇸

Methuen, Massachusetts, United States

Adams Clinical Trials

🇺🇸

Watertown, Massachusetts, United States

St. Charles Psychiatric Associates - Midwest Research Group

🇺🇸

Saint Charles, Missouri, United States

Psychiatric Care and Research Center

🇺🇸

O'Fallon, Missouri, United States

Millennium Psychiatric Associates

🇺🇸

Creve Coeur, Missouri, United States

Center for Emotional Fitness

🇺🇸

Cherry Hill, New Jersey, United States

SPRI Clinical Trials, Inc

🇺🇸

Brooklyn, New York, United States

Bioscience Research

🇺🇸

Mount Kisco, New York, United States

Manhattan Behavioral Medicine

🇺🇸

New York, New York, United States

Eastside Comprehensive Medical Center, LLC

🇺🇸

New York, New York, United States

Fieve Clinical Research

🇺🇸

New York, New York, United States

Richard H. Weisler, MD, PA

🇺🇸

Raleigh, North Carolina, United States

Finger Lakes Clinical Research

🇺🇸

Rochester, New York, United States

New Hope Clinical Research Inc.

🇺🇸

Charlotte, North Carolina, United States

Patient Priority Clinical Site, LLC

🇺🇸

Cincinnati, Ohio, United States

Midwest Clinical Research Center LLC

🇺🇸

Dayton, Ohio, United States

Lindner Center of Hope

🇺🇸

Mason, Ohio, United States

Professional Psychiatric Services

🇺🇸

Mason, Ohio, United States

IPS Research

🇺🇸

Oklahoma City, Oklahoma, United States

Suburban Research Associates

🇺🇸

Media, Pennsylvania, United States

Houston Clinical Trials, LLC

🇺🇸

Bellaire, Texas, United States

El Campo Clinical Trials

🇺🇸

El Campo, Texas, United States

Department of Psychiatry and Neurobehavioral Sciences, University of Virginia

🇺🇸

Charlottesville, Virginia, United States

Psychiatric Alliance of the Blue Ridge, Inc

🇺🇸

Charlottesville, Virginia, United States

NorthWest Clinical Research Center

🇺🇸

Bellevue, Washington, United States

Pacific Institute of Medical Sciences

🇺🇸

Bothell, Washington, United States

Eastside Therapeutic Resource

🇺🇸

Everett, Washington, United States

Carolina Clinical Trials, Inc.

🇺🇸

Charleston, South Carolina, United States

Community Clinical Research, Inc.

🇺🇸

Austin, Texas, United States

Donald J. Garcia, Jr., MD, PA

🇺🇸

Austin, Texas, United States

BioBehavioral Research of Austin

🇺🇸

Austin, Texas, United States

Albuquerque Neuroscience, Inc

🇺🇸

Albuquerque, New Mexico, United States

Pharmacology Research Institute

🇺🇸

Los Alamitos, California, United States

Synergy San Diego

🇺🇸

Lemon Grove, California, United States

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