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Efficacy, Safety and Tolerability of CX157 in Treatment Resistant Depression

Phase 2
Completed
Conditions
Treatment Resistant Depression
Interventions
Registration Number
NCT01246908
Lead Sponsor
CeNeRx BioPharma Inc.
Brief Summary

The purpose of this study is to determine if CX157 is effective and safe in patients with treatment of treatment resistant depression over six weeks of treatment.

Detailed Description

The primary objective of this study is to examine the efficacy of CX157 Modified Release Tablet, 125 mg administered twice per day (BID) as compared to placebo in subjects with Treatment Resistant Depression (TRD). Secondary objectives are to evaluate the safety and tolerability of CX157 Modified Release Tablet, 125 mg BID in TRD subjects and characterize steady-state pharmacokinetic profile and explore pharmacodynamic relationships.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
360
Inclusion Criteria
  1. Male or female, 20 to 65 years of age
  2. Able to read, understand and converse in English and provide written, dated informed consent
  3. Diagnosed with Major Depressive Disorder (MDD)and Treatment Resistant Depression(TRD)
  4. Females on acceptable method of contraception
Exclusion Criteria
  1. Major depressive episode greater than five years
  2. A history of a Substance Use Disorder with the exception of nicotine dependence in the past 12 months
  3. Obsessive-Compulsive Disorder (OCD), Panic Disorder, Post-traumatic Stress Disorder (PTSD
  4. A history of schizophrenia or schizoaffective disorders
  5. A history of anorexia nervosa, bulimia nervosa, or eating disorder not otherwise specified, within the past five years
  6. A history of Antisocial Personality Disorder or Borderline Personality Disorder
  7. Recent suicidal behavior and is at risk of such behavior during the course of the study
  8. Electroconvulsive therapy (ECT) within the past five years
  9. Transcranial Magnetic Stimulation (TMS) for the treatment of the current episode of depression
  10. Vagus Nerve Stimulation (VNS) at any time
  11. Any psychoactive drugs within one to four weeks prior to the randomization visit depending on the type of drug
  12. Significant abnormality on the screening physical examination
  13. Significant cardiac abnormalities such as uncontrolled hypertension, recent myocardial infarction, Congestive heart failure (CHF), Angina pectoris
  14. A history within the past two years of significant head trauma, surgical procedure involving the brain,degenerative central nervous system disorder (e.g., Alzheimer's or Parkinson's Disease), epilepsy, mental retardation
  15. A history of hypothyroidism and has been on a stable dosage of thyroid replacement medication for less than six months
  16. A history of hyperthyroidism which was treated (medically or surgically) less than six months prior to screening
  17. Participation in an investigational study in the past one month
  18. A positive screening urine test for drugs of abuse
  19. Female subject who is pregnant or lactating

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CX157 (TriRima)CX157 (TriRima)CX157 (TriRima) in a reversible monoamine oxidase inhibitor (MAOI)
PlaceboPlacebo-
Primary Outcome Measures
NameTimeMethod
Montgomery Asberg Depression Rating Scale (MADRS)Over six weeks of study treatment

The MADRS will be administered by a trained rater at the study site and assess symptoms of depression.

Secondary Outcome Measures
NameTimeMethod
Severity of illness (CGI-S);Over six weeks of treatment with study drug.

To measure severity of depression

Global Improvement (CGI-I)Over six weeks of treatment

To measure overall improvment.

Hospital Anxiety Depression Rating Scale (HADS)over six weeks of treatment

To measure symptoms of depression

Trial Locations

Locations (29)

Gulfcoast Clinical Research Center

🇺🇸

Fort Myers, Florida, United States

Richard H. Weisler, M.D. and Associates

🇺🇸

Raleigh, North Carolina, United States

University of South Florida College of Medicine Psychiatry Center

🇺🇸

Tampa, Florida, United States

Synergy Escondido

🇺🇸

Escondido, California, United States

Excell Research

🇺🇸

Oceanside, California, United States

Synergy Clinical Research Center

🇺🇸

National City, California, United States

Pacific Clinical Research

🇺🇸

Orange, California, United States

Clinical Neuroscience Solutions, Inc.

🇺🇸

Orlando, Florida, United States

Stedman Clinical Trials

🇺🇸

Tampa, Florida, United States

The Segal Institute of Clinical Research

🇺🇸

North Miami, Florida, United States

Atlanta Institute of Medicine and Research

🇺🇸

Atlanta, Georgia, United States

Kolin Research Group

🇺🇸

Winter Park, Florida, United States

AccelRx Research

🇺🇸

Fall River, Massachusetts, United States

Nathan Shapira, MD, Ph.D

🇺🇸

Smyrna, Georgia, United States

McLean Hospital

🇺🇸

Belmont, Massachusetts, United States

Eastside Comprehensive Medical Center

🇺🇸

NYC, New York, United States

NorthCoast Clinical Trials, Inc.

🇺🇸

Beachwood, Ohio, United States

Patient Priority Clinical Sites, LLC

🇺🇸

Cincinnati, Ohio, United States

Summitt Research Network (Oregon)

🇺🇸

Portland, Oregon, United States

North Star Medical Research, LLC

🇺🇸

Middleburg Heights, Ohio, United States

Introspect of Buxmont, Ltd

🇺🇸

Colmar, Pennsylvania, United States

Oregon Center for Clinical Investigations, Inc

🇺🇸

Portland, Oregon, United States

Community Clinical Research, Inc.

🇺🇸

Austin, Texas, United States

Northwest Clinical Research Center

🇺🇸

Bellevue, Washington, United States

FutureSearch Trials of Dallas

🇺🇸

Dallas, Texas, United States

Clinical Neurosciences Solutions, Inc.

🇺🇸

Memphis, Tennessee, United States

Summit Research Network (Seattle) LLC

🇺🇸

Seattle, Washington, United States

Northbrooke Research Center

🇺🇸

Deer Brown, Wisconsin, United States

Radiant Research

🇺🇸

Murray, Utah, United States

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