AV-101 as Adjunct Antidepressant Therapy in Patients With Major Depression
- Registration Number
- NCT03078322
- Lead Sponsor
- VistaGen Therapeutics, Inc.
- Brief Summary
The study will evaluate the safety and efficacy of AV-101.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 180
Inclusion Criteria
- Diagnosed with MDD, single or recurrent, and currently experiencing a MDE of at least 8 weeks in duration.
- Has a history of inadequate response to at least 1 approved antidepressant including at least 1 and no more than 3 during the current depressive episode.
- Meet the threshold on the total HAMD-17 score of > 20
- If female, a status of nonchildbearing potential or use of an acceptable form of birth control.
- Body mass index between 18 to 40 kg/m2.
- Other criteria may apply
Exclusion Criteria
- History of bipolar disorder, schizophrenia or schizoaffective disorders, or any history of psychotic symptoms in the current or previous depressive episodes.
- Any Axis I or Axis II Disorder, which at screening is clinically predominant to their MDD or has been predominant to their MDD at any time within 6 months prior to screening.
- Women who are pregnant or breastfeeding or a positive pregnancy test at screening or baseline.
- Currently taking a prohibited adjunct therapy. Such drugs must be washed out for at least 4 weeks prior to baseline.
- Current diagnosis of moderate or severe substance use (including alcohol) disorder (abuse or dependence, as defined by DSM-5), with the exception of nicotine dependence, at screening or within 6 months prior to screening.
- In the opinion of the investigator, the subject has a significant risk for suicidal behavior
- Has received electroconvulsive therapy, or had repetitive transcranial magnetic stimulation in the current episode.
- Has received vagus nerve stimulation at any time prior to screening.
- Any current or past history of any physical condition, which in the investigator's opinion might put the subject at risk or interfere with study results interpretation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description AV-101 AV-101 L-4-chlorokynurenine 1440 mg daily for 14 days Placebo Placebo Placebo
- Primary Outcome Measures
Name Time Method Montgomery Åsberg Depression Rating Scale 10-item version (MADRS-10) 2 weeks Depression questionnaire
- Secondary Outcome Measures
Name Time Method Time course of improvement including response rates 2 weeks 50% improvement on MADRS-10
Safety and tolerability will be assessed by incidence of adverse events (AEs) 2 weeks Also include EKG, labs etc.
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What are the molecular mechanisms by which AV-101 (L-4-chlorokynurenine) modulates glutamatergic and kynurenine pathways in major depressive disorder?
How does AV-101 compare to other adjunctive antidepressants like ketamine or scopolamine in terms of efficacy and safety profiles for treatment-resistant depression?
What biomarkers are associated with response to AV-101 as an adjunct therapy in patients with major depressive disorder and comorbid anxiety symptoms?
What adverse events were observed in the ELEVATE Study (NCT03078322) and how do they compare to VistaGen's previous trials with AV-101 in depression?
How does the kynurenine pathway inhibition by AV-101 relate to other compounds like JNJ-42165279 or Ro 61-8048 in the development of novel antidepressant therapies?
Trial Locations
- Locations (1)
VistaGen Investigational Site
🇺🇸Bellevue, Washington, United States
VistaGen Investigational Site🇺🇸Bellevue, Washington, United States
