A Study to Evaluate the Efficacy and Safety of MIN-117 in Adult Patients With Major Depressive Disorder
- Conditions
- Major Depressive DisorderMedDRA version: 20.0Level: LLTClassification code 10025454Term: Major depressive disorder, recurrent episodeSystem Organ Class: 100000004873Therapeutic area: Psychiatry and Psychology [F] - Mental Disorders [F03]
- Registration Number
- EUCTR2017-005149-64-FI
- Lead Sponsor
- Minerva Neurosciences, Inc
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Authorised-recruitment may be ongoing or finished
- Sex
- All
- Target Recruitment
- 324
1. Patients must be able to read and understand the consent forms, complete study-related procedures, and communicate with the study staff.
2. Patients must have provided written consent to participate in the study and understand that they are free to withdraw from the study at any time.
3. Patients must be aged 18 to 65 years, inclusive, at Screening (Visit 1).
4. Meet DSM-5 criteria for diagnosis of moderate or severe major depression with anxious distress and without psychotic features at Screening based on clinical assessment and on the SCID-5 (DSM-5 codes: 296.32, 296.33; ICD-10 codes: F33.1, F33.2). Their major depressive episode must be deemed valid using the Massachusetts General Hospital (MGH) SAFER criteria interview administered by remote, independent raters.
5. Patients must be within a body mass index (BMI) of = 18 to < 35 kg/m2 [BMI = weight (kg)/height (m)2] at Screening (Visit 1).
6. Patients have a history of at least one previous episode of depression prior to the current episode.
7. Patient must have been treated with an antidepressant administered at an adequate dose and duration in the past for the treatment of Major Depression. An adequate treatment is defined as an antidepressant treatment for at least 4 weeks at at least the minimum therapeutic dose, for any particular antidepressant.
8. Current major depressive episode of at least 4 weeks in duration.
9. At Screening (Visit 1) and Baseline (Visit 2), patients must have a score = 40 on the patient rated IDS SR30.
10. At Screening (Visit 1) and Baseline (Visit 2), patients must have a score = 18 on HAM-A.
11. At Screening (Visit 1) and Baseline (Visit 2), patients must have a score = 4 on the investigator-rated CGI-S.
12. Patients must be in good general health prior to study participation with no clinically relevant abnormalities as assessed by the investigator and determined by: medical history, physical examination, vital signs, blood chemistry, hematology, urinalysis, and electrocardiogram (ECG).
13. If female, the patient must:
• be post-menopausal, or
• have had a hysterectomy or tubal ligation or be otherwise incapable of pregnancy, or
• must agree to consistent use of contraception for the duration of the study (oral or parenteral hormonal contraceptive or intrauterine device or barrier plus spermicide).
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 292
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 32
1. A DSM-5 diagnosis of current (active): panic disorder, obsessive compulsive disorder (OCD), post traumatic stress disorder (PTSD), anorexia nervosa, or bulimia nervosa.
2. History or current diagnosis of a psychotic disorder, bipolar disorder, mental retardation, or borderline personality disorders, mood disorder with postpartum onset, somatoform disorders, fibromyalgia, or idiopathic medical conditions.
3. At significant clinical risk for suicidal or violent behavior.
4. Potential patient who demonstrate a greater than 25% decrease in depressive symptoms as reflected by the IDS-SR30 total score from Screening visit to Baseline visit.
5. Active cardiovascular disease (including but not limited to: atrial fibrillation or flutter, second and third-degree atrioventricular heart block, resting supraventricular tachycardia >100 beats per minute, unstable ischemic heart disease, valvular abnormality, sick sinus syndrome or other condition requiring pacemaker) or diastolic blood pressure > 105 mmHg.
6. Any serious, untreated, or unstable illnesses, such as: liver or renal insufficiency.
7. Any significant pulmonary, endocrine, or metabolic disturbances.
8. Documented disease of the central nervous system that could interfere with the study assessments (including but not limited to: stroke, tumor, multiple sclerosis, Parkinson’s disease, Alzheimer’s disease, Huntington’s disease, seizure disorder requiring current anti-convulsants, traumatic brain injury or trauma, and neurosyphilis.
9. Hypothyroidism or hyperthyroidism, unless stabilized by appropriate medication for at least 3 months prior to Screening (a normal thyroid-stimulating hormone [TSH] is required prior to randomization at Baseline).
10. Any medical condition that can potentially alter oral enteral absorption (e.g., gastrectomy), metabolism (e.g., liver failure), or excretion (e.g., renal failure) of the study drug.
11. History of alcohol or substance use disorders (except nicotine and caffeine) meeting DSM-5 criteria within 1-year prior to Screening visit.
12. Positive alcohol and urine drug screen for opiates, cocaine, barbiturates, tetrahydrocannabinol, methadone, and amphetamine/methamphetamine at Screening and randomization.
13. QTcF interval at Screening or Baseline greater than 450 msec for males and 470 msec for females.
14. Positive hepatitis B surface antigen, or hepatitis C antibody or Human Immunodeficiency Virus (HIV) 1 and 2 antibodies at Screening.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method