A Phase 2, Two-Part (Open-Label Followed by Double-Blind) Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of SAGE-217 in the Treatment of Adult Subjects With Moderate to Severe Major Depressive Disorder
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- Biogen
- 入组人数
- 102
- 试验地点
- 1
- 主要终点
- Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) - Part A
研究概览
简要总结
This is a two-part (open-label followed by double-blind) study evaluating the safety, tolerability, pharmacokinetics, and efficacy of SAGE-217 in 102 participants diagnosed with moderate to severe Major Depressive Disorder.
详细描述
Part A of the study is an open-label design with dosing of SAGE-217 for 14 days.
Part B of the study is a randomized, double-blind, parallel-group, placebo-controlled design. Eligible participants were randomized to SAGE-217 or placebo for 14 days.
This study was previously posted by Sage Therapeutics. In November 2023, sponsorship of the trial was transferred to Biogen.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participant has a diagnosis of Major Depressive Disorder that has been present for at least a 4-week period as diagnosed by Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I)
排除标准
- •Participant has a history of suicide attempt
- •Participant has a history of treatment-resistant depression, defined as persistent depressive symptoms despite treatment with adequate doses of antidepressants from two different classes for an adequate amount of time
- •Participant has active psychosis
- •Participant has a medical history of seizures
- •Participant has a medical history of bipolar disorder, schizophrenia, and/or schizoaffective disorder
研究组 & 干预措施
Part A: SAGE-217
Participants received SAGE-217, 30 milligrams (mg), oral solution, once daily for 14 days, as tolerated.
干预措施: SAGE-217 (Drug)
Part B: Placebo
Eligible participants received matching placebo capsules once daily for 14 days.
干预措施: Placebo (Drug)
Part B: SAGE-217
Eligible participants received SAGE-217, 30 mg, oral capsules, once daily for 14 days.
干预措施: SAGE-217 (Drug)
结局指标
主要结局
Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) - Part A
时间窗: Day 1 up to Day 21
An AE was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. A TEAE was defined as an adverse event with onset after the start of study drug, or any worsening of a pre-existing medical condition/adverse event with onset after the start of study drug and until 7 days after the last dose. The analysis was performed in participants included in Part A of the study.
Change From Baseline in Basophils to Leukocytes Ratio [Percentage (%)] - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination. The blood cell differential (ratio) data are presented as International System (SI) unit, percentage (%).
Change From Baseline in Eosinophils - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Neutrophils - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Neutrophils to Leukocytes Ratio (%) - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination. The blood cell differential (ratio) data are presented as SI unit, percentage (%).
Change From Baseline in Platelets - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Erythrocytes - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Eosinophils to Leukocytes Ratio (%) - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination. The blood cell differential (ratio) data are presented as SI unit, percentage (%).
Change From Baseline in Monocytes - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Percentage of Participants With TEAEs, Graded by Severity - Part A
时间窗: Day 1 up to Day 21
Severity was assessed according to the following scale: mild (awareness of sign or symptom, but easily tolerated); moderate (discomfort sufficient to cause interference with normal activities); severe (incapacitating, with inability to perform normal activities). The analysis was performed in participants included in Part A of the study.
Change From Baseline in Basophils - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Hematocrit - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Monocytes to Leukocytes Ratio (%) - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination. The blood cell differential (ratio) data are presented as SI unit, percentage (%).
Change From Baseline in Hemoglobin - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Lymphocytes - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Lymphocytes to Leukocytes Ratio (%) - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination. The blood cell differential (ratio) data are presented as SI unit, percentage (%).
Change From Baseline in Reticulocytes - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Leukocytes - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Hematology measures included basophils, basophils to leukocytes ratio, eosinophils, eosinophils to leukocytes ratio, hematocrit, hemoglobin, lymphocytes, lymphocytes to leukocytes ratio, monocytes, monocytes to leukocytes ratio, neutrophils, neutrophils to leukocytes ratio, platelets, erythrocytes, reticulocytes and leukocytes. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Albumin - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Alkaline Phosphatase - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Alanine Aminotransferase - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Carbon Dioxide - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Creatinine - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Potassium - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Aspartate Aminotransferase - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Bilirubin - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Chloride - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Protein - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Sodium - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Urea Nitrogen - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Clinical chemistry measures included albumin, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, bilirubin, chloride, carbon dioxide, creatinine, potassium, protein, sodium, and urea nitrogen. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Activated Partial Thromboplastin Time - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Coagulation measures included activated partial thromboplastin time, prothrombin international normalized ratio, and prothrombin time. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Prothrombin International Normalized Ratio (%) - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Coagulation measures included activated partial thromboplastin time, prothrombin international normalized ratio, and prothrombin time. The analysis was performed in participants included in Part A of the study. ET = Early Termination. The data for prothrombin international normalized ratio are presented as SI unit, percentage (%).
Change From Baseline in Prothrombin Time - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Coagulation measures included activated partial thromboplastin time, prothrombin international normalized ratio, and prothrombin time. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in pH - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Urinalysis measures included pH and specific gravity. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline in Specific Gravity - Part A
时间窗: Baseline, Day 8, Day 15/ET, follow-up Day 21, follow-up Day 28
Urinalysis measures included pH and specific gravity. The analysis was performed in participants included in Part A of the study. ET = Early Termination.
Change From Baseline (CFB) in Supine Systolic Blood Pressure - Part A
时间窗: Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Day 21, follow-up Day 28
Vital signs measures included supine systolic blood pressure, supine diastolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, heart rate, respiratory rate, oral temperature, and oxygen saturation. The analysis was performed in participants included in Part A of the study. H = Hour(s). ET = Early Termination.
Change From Baseline (CFB) in Supine Diastolic Blood Pressure - Part A
时间窗: Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Day 21, follow-up Day 28
Vital signs measures included supine systolic blood pressure, supine diastolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, heart rate, respiratory rate, oral temperature, and oxygen saturation. The analysis was performed in participants included in Part A of the study. H = Hour(s). ET = Early Termination.
Change From Baseline (CFB) in Standing Systolic Blood Pressure - Part A
时间窗: Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Day 21, follow-up Day 28
Vital signs measures included supine systolic blood pressure, supine diastolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, heart rate, respiratory rate, oral temperature, and oxygen saturation. The analysis was performed in participants included in Part A of the study. H = Hour(s). ET = Early Termination.
Change From Baseline (CFB) in Standing Diastolic Blood Pressure - Part A
时间窗: Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Day 21, follow-up Day 28
Vital signs measures included supine systolic blood pressure, supine diastolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, heart rate, respiratory rate, oral temperature, and oxygen saturation. The analysis was performed in participants included in Part A of the study. H = Hour(s). ET = Early Termination.
Change From Baseline (CFB) in Heart Rate - Part A
时间窗: Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Day 21, follow-up Day 28
Vital signs measures included supine systolic blood pressure, supine diastolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, heart rate, respiratory rate, oral temperature, and oxygen saturation. The analysis was performed in participants included in Part A of the study. H = Hour(s). ET = Early Termination.
Change From Baseline (CFB) in Oral Temperature - Part A
时间窗: Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Day 21, follow-up Day 28
Vital signs measures included supine systolic blood pressure, supine diastolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, heart rate, respiratory rate, oral temperature, and oxygen saturation. The analysis was performed in participants included in Part A of the study. H = Hour(s). ET = Early Termination.
Change From Baseline in QTcF Interval - Part A
时间窗: Baseline, Days 1, 2, 7, 14 and follow-up Day 21
ECG measures included QT interval, QTcF interval, ECG mean heart rate, RR interval, PR interval, and QRS duration. The analysis was performed in participants included in Part A of the study.
Change From Baseline in PR Interval - Part A
时间窗: Baseline, Days 1, 2, 7, 14 and follow-up Day 21
ECG measures included QT interval, QTcF interval, ECG mean heart rate, RR interval, PR interval, and QRS duration. The analysis was performed in participants included in Part A of the study.
Change From Baseline (CFB) in Respiratory Rate - Part A
时间窗: Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Day 21, follow-up Day 28
Vital signs measures included supine systolic blood pressure, supine diastolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, heart rate, respiratory rate, oral temperature, and oxygen saturation. The analysis was performed in participants included in Part A of the study. H = Hour(s). ET = Early Termination.
Change From Baseline (CFB) in Oxygen Saturation - Part A
时间窗: Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Day 8 (predose, 1 hour postdose)
Vital signs measures included supine systolic blood pressure, supine diastolic blood pressure, standing systolic blood pressure, standing diastolic blood pressure, heart rate, respiratory rate, oral temperature, and oxygen saturation. The analysis was performed in participants included in Part A of the study. H = Hour(s).
Change From Baseline in QT Interval - Part A
时间窗: Baseline, Days 1, 2, 7, 14 and follow-up Day 21
Electrocardiogram (ECG) measures included QT interval, QTc based on Fridericia formula (QTcF interval), ECG mean heart rate, RR interval, PR interval, and QRS duration. The analysis was performed in participants included in Part A of the study.
Change From Baseline in ECG Mean Heart Rate - Part A
时间窗: Baseline, Days 1, 2, 7, 14 and follow-up Day 21
ECG measures included QT interval, QTcF interval, ECG mean heart rate, RR interval, PR interval, and QRS duration. The analysis was performed in participants included in Part A of the study.
Change From Baseline in RR Interval - Part A
时间窗: Baseline, Days 1, 2, 7, 14 and follow-up Day 21
ECG measures included QT interval, QTcF interval, ECG mean heart rate, RR interval, PR interval, and QRS duration. The analysis was performed in participants included in Part A of the study.
Change From Baseline in QRS Interval - Part A
时间窗: Baseline, Days 1, 2, 7, 14 and follow-up Day 21
ECG measures included QT interval, QTcF interval, ECG mean heart rate, RR interval, PR interval, and QRS duration. The analysis was performed in participants included in Part A of the study.
Percentage of Participants With a Response of 'Yes' to Any Columbia Suicide Severity Rating Scale (C-SSRS) Suicidal Ideation Item - Part A
时间窗: Day 1 up to Day 28
The C-SSRS scale consisted of a baseline evaluation (at screening) that assessed the lifetime experience of participants with suicidal ideation (SI) and behavior and a postbaseline evaluation that focused on suicidality since the last study visit. The C-SSRS included "yes" or "no"' responses for assessment of suicidal ideation and behavior as well as numeric ratings for severity of ideation, if present (from 1 to 5, with 5 being the most severe). The C-SSRS SI items involved wish to be dead, non-specific active suicidal thoughts, active SI with any methods, active SI with some intent and active SI with specific plan. The analysis was performed in participants included in Part A of the study.
Change From Baseline in Stanford Sleepiness Scale (SSS) Score at Day 15 - Part A
时间窗: Baseline, Day 15
The SSS was participant-rated scale designed to quickly assess how alert a participant was feeling. Degrees of sleepiness and alertness were rated on a scale of one to seven, where the lowest score of 'one' indicated the participant was 'feeling active, vital, alert, or wide awake' and the highest score of 'seven' indicated the participant was 'no longer fighting sleep, sleep onset soon; having dream-like thoughts'. A negative change from baseline indicated less sleepiness. A positive change from baseline indicated more sleepiness. The analysis was performed in participants included in Part A of the study.
Change From Baseline in the 17-item Hamilton Rating Scale for Depression (HAM-D) Total Score at Day 15 - Part B
时间窗: Baseline, Day 15
The HAM-D total score comprised a sum of 17 individual item scores. Items scored in a range of 0 to 2 included: insomnia (early, middle, late), somatic symptoms (gastrointestinal and general), genital symptoms, loss of weight, and insight. The following items were scored in a range of 0 to 4: agitation, depressed mood, feelings of guilt, suicide, work and activities, retardation, anxiety (psychic and somatic), and hypochondriasis. The total score could range from 0 to 52. Higher scores indicated a greater degree of depression. A negative change from baseline indicated less depression. A positive change from baseline indicated more depression. The analysis was performed in participants included in Part B of the study.
次要结局
- Change From Baseline in Lymphocytes - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Lymphocytes to Leukocytes Ratio (%) - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Percentage of Participants With AEs During Post-TEAE Period(Day 21 up to Day 42)
- Change From Baseline in Basophils - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Basophils to Leukocytes Ratio (%) - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Calcium - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Chloride - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Glucose - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Monocytes - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Monocytes to Leukocytes Ratio (%) - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Neutrophils - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Neutrophils to Leukocytes Ratio (%) - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Reticulocytes to Erythrocytes Ratio (%) - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in the HAM-D Total Score at Day 15 and All Other Time Points - Part A(Baseline, Days 2, 3, 4, 5, 6, 7, 8, 15, 21 and 28)
- Percentage of Participants With TEAEs - Part B(Day 1 up to Day 21)
- Percentage of Participants With TEAEs, Graded by Severity - Part B(Day 1 up to Day 21)
- Change From Baseline in Eosinophils - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Eosinophils to Leukocytes Ratio (%) - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Hematocrit - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Hemoglobin - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Prothrombin Time - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in pH - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Specific Gravity - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline (CFB) in Supine Systolic Blood Pressure - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline (CFB) in Supine Diastolic Blood Pressure - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline (CFB) in Standing Systolic Blood Pressure - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline (CFB) in Standing Diastolic Blood Pressure - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Platelets - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Leukocytes - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Albumin - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Alkaline Phosphatase - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Erythrocytes - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Reticulocytes - Part B(Baseline, Day 8, Day 15/ET)
- Change From Baseline in Aspartate Aminotransferase - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Alanine Aminotransferase - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Bilirubin - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Carbon Dioxide - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Creatinine - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Potassium - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Phosphate - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Magnesium - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Protein - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Sodium - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Urea Nitrogen - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Activated Partial Thromboplastin Time - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Prothrombin International Normalized Ratio (%) - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline in Thyrotropin - Part B(Baseline, Day 8, Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline (CFB) in Heart Rate - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline (CFB) in Respiratory Rate - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline (CFB) in Oral Temperature - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15/ET, follow-up Days 21, 28, 35 and 42)
- Change From Baseline (CFB) in Oxygen Saturation - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2, 12 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2, 12 hours postdose), Day 8 (predose, 1 hour postdose))
- Change From Baseline in QT Interval - Part B(Baseline, Days 1, 2, 7, 14 and follow-up Day 21)
- Change From Baseline in QTcF Interval - Part B(Baseline, Days 1, 2, 7, 14 and follow-up Day 21)
- Change From Baseline in ECG Mean Heart Rate - Part B(Baseline, Days 1, 2, 7, 14 and follow-up Day 21)
- Change From Baseline in RR Interval - Part B(Baseline, Days 1, 2, 7, 14 and follow-up Day 21)
- Change From Baseline in PR Interval - Part B(Baseline, Days 1, 2, 7, 14 and follow-up Day 21)
- Change From Baseline in QRS Duration - Part B(Baseline, Days 1, 2, 7, 14 and follow-up Day 21)
- Percentage of Participants With a Response of "Yes" to Any C-SSRS Suicidal Ideation (SI) Item - Part B(Screening, Days 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 15, 21, 28, 35 and 42)
- Percentage of Participants With HAM-D Response - Part A(Days 2, 3, 4, 5, 6, 7, 8, 15, 21 and 28)
- Percentage of Participants With HAM-D Remission - Part A(Days 2, 3, 4, 5, 6, 7, 8, 15, 21 and 28)
- Change From Baseline in the Montgomery and Åsberg Depression Rating Scale (MADRS) Total Score at Day 15 and All Other Time Points - Part A(Baseline, Days 2, 3, 4, 5, 6, 7, 8, 15, 21 and 28)
- Change From Baseline in HAM-D Subscale Scores at Day 15 and All Other Time Points - Part A(Baseline, Days 2, 3, 4, 5, 6, 7, 8, 15, 21 and 28)
- Change From Baseline (CFB) in HAM-D Individual Item Scores at Day 15 and All Other Time Points - Part A(Baseline, Days 2, 3, 4, 5, 6, 7, 8, 15, 21 and 28)
- Change From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at All Time Points - Part A(Baseline, Days 2, 3, 8, 15, 21 and 28)
- Percentage of Participants With Clinical Global Impression - Improvement (CGI-I) Response - Part A(Days 2, 3, 8, 15, 21 and 28)
- Change From Baseline (CFB) in the SSS Score - Part B(Baseline, Day 1 (0.25, 0.5, 1, 2 hours postdose), Days 2, 3, 4, 5, 6 and 7 (predose, 0.25, 0.5, 1, 2 hours postdose), Days 8, 9, 10, 11, 12, 13 and 14 (predose, 1 hour postdose), Day 15)
- Change From Baseline in the 17-item HAM-D Total Score at All Time Points - Part B(Baseline, Days 2, 3, 4, 5, 6, 7, 8, 15, 21, 28, 35 and 42)
- Percentage of Participants With HAM-D Response - Part B(Days 2, 8, 15, 21, 28, 35 and 42)
- Percentage of Participants With HAM-D Remission - Part B(Days 2, 8, 15, 21, 28, 35 and 42)
- Change From Baseline in the MADRS Total Score at Day 15 and All Other Time Points - Part B(Baseline, Days 2, 8, 15, 21, 28, 35 and 42)
- Change From Baseline in HAM-D Subscale Scores at All Time Points - Part B(Baseline, Days 2, 3, 4, 5, 6, 7, 8, 15, 21, 28, 35 and 42)
- Change From Baseline (CFB) in HAM-D Individual Item Scores at All Time Points - Part B(Baseline, Days 2, 3, 4, 5, 6, 7, 8, 15, 21, 28, 35 and 42)
- Change From Baseline in HAM-A Total Score at Day 15 and All Other Time Points - Part B(Baseline, Days 2, 8, 15, 21, 28, 35 and 42)
- Percentage of Participants With CGI-I Response - Part B(Days 2, 8, 15, 21, 28, 35 and 42)
