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A Study to Evaluate Efficacy, Safety, and Tolerability of Darigabat in Participants With Panic Disorder

Phase 2
Completed
Conditions
Panic Disorder
Interventions
Drug: Placebo
Registration Number
NCT05941442
Lead Sponsor
AbbVie
Brief Summary

The purpose of this trial is to measure the efficacy, safety, and tolerability of darigabat (25 milligrams \[mg\] twice daily \[BID\]) compared with placebo in participants with panic disorder.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Primary diagnosis of panic disorder based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Text Revision (DSM-5-TR), as confirmed by the Standard Mini International Neuropsychiatric Interview (MINI)
  • Participant has had a minimum of 8 panic attacks, with no week free of panic attacks, in the month prior to the Screening Visit. In the 2 weeks prior to the Baseline Visit, the participant must have had at least 4 panic attacks and no week free of panic attacks
  • Participants with a PDSS total score ≥12 at the Screening and Baseline Visits
  • Body mass index of 17.5 to 40.0 kilograms per meter square (kg/m2) and a total body weight >48 kg at Screening
Exclusion Criteria
  • Participants who have a current significant psychiatric comorbidity

  • Any newly initiated evidence-based psychotherapy, including cognitive behavioral therapy (CBT)

  • Any exposure-based therapy is prohibited throughout the duration of the trial

  • Participants with a current history of significant cardiovascular, pulmonary, gastrointestinal, renal, hepatic, metabolic, hematological, immunological, or neurological disease

  • Participants who answer "Yes" on the following C-SSRS Suicidal Ideation Items (within the last 6 months)

    • Suicidal Ideation Item 4 (Active Suicidal Ideation with Some Intent to Act, Without Specific Plan) OR
    • Suicidal Ideation Item 5 (Active Suicidal Ideation with Specific Plan and Intent) OR Participants who answer "Yes" on any of the 5 C-SSRS Suicidal Behavior Items (within the last 2 years)
    • Any of the Suicidal Behavior items (actual attempt, interrupted attempt, aborted attempt, preparatory acts, or behavior) OR
    • Participants who, in the opinion of the investigator, present a serious risk of suicide

NOTE: Other protocol-defined inclusion/exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboParticipants will receive darigabat matching placebo, orally, BID for 2 weeks during the Titration period and thereafter for 12 weeks during the Maintenance Treatment Period.
DarigabatDarigabatParticipants will receive darigabat, up to a maximum dose of 12.5 mg, orally, BID, for two weeks in the Titration Period and thereafter, 25 mg, orally, BID for 12 weeks in the Maintenance Treatment Period.
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Free of Panic Attacks as Assessed by Participant Daily Diary During Maintenance Treatment PeriodWeek 14
Secondary Outcome Measures
NameTimeMethod
Number of Participants with Clinically Significant Changes in Physical and Neurological Examination ResultsUp to Week 14
Change from Baseline in the Panic Disorder Severity Scale (PDSS) Total Score at Week 14Baseline and Week 14
Change from Baseline in Panic Attack Frequency During the Last Two Weeks of the Maintenance Treatment PeriodBaseline, Week 13, and Week 14
Change from Baseline at all Time Points up to Week 15 in the Proportion of Participants Free of Panic Attacks as Assessed by Participant Daily DiaryBaseline through Week 15
Change from Baseline at all Time Points up to Week 15 in Panic Attack FrequencyBaseline through Week 15
Number of Participants with Treatment-emergent Adverse Events (TEAEs)From Day 1 through Week 18
Changes in Suicidality Assessed Using the Columbia Suicide Severity Rating Scale (C-SSRS)Up to Week 14
Number of Participants with Withdrawal Symptoms Assessed Using the Penn Physician's Withdrawal Checklist (PWC)Up to Week 15
Change from Baseline at all Time Points up to Week 14 in the PDSS Total Score and SubscoresBaseline through Week 14
Change from Baseline at all Time Points up to Week 14 in the Clinical Global Impression-Severity of Symptoms Scale (CGI-S) ScoreBaseline through Week 14
Change from Baseline at all Time Points up to Week 14 in the Hamilton Anxiety Scale (HAM-A) Total ScoreBaseline through Week 14
Number of Participants with Clinically Significant Changes in Clinical Laboratory Assessment ValuesUp to Week 18
Number of Participants with Clinically Significant Changes in Electrocardiogram (ECG) ResultsUp to Week 14
Number of Participants with Clinically Significant Changes in Vital Sign MeasurementsUp to Week 14

Trial Locations

Locations (30)

Elgin, Illinois

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Elgin, Illinois, United States

Overland Park, Kansas

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Overland Park, Kansas, United States

Boston, Massachusetts

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Boston, Massachusetts, United States

Las Vegas, Nevada

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Las Vegas, Nevada, United States

Berlin, New Jersey

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Berlin, New Jersey, United States

Brooklyn, New York

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Brooklyn, New York, United States

New York, New York

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New York, New York, United States

Rochester, New York

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Rochester, New York, United States

Savannah, Georgia

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Savannah, Georgia, United States

Decatur, Georgia

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Decatur, Georgia, United States

Phoenix, Arizona

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Phoenix, Arizona, United States

Lafayette, California

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Lafayette, California, United States

Los Angeles, California

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Los Angeles, California, United States

Oceanside, California

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Oceanside, California, United States

Orange, California

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Orange, California, United States

Riverside, California

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Riverside, California, United States

San Jose, California

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San Jose, California, United States

Torrance, California

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Torrance, California, United States

Miami, Florida

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Miami, Florida, United States

North Miami Beach, Florida

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North Miami Beach, Florida, United States

Orlando, Florida

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Orlando, Florida, United States

Atlanta, Georgia

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Atlanta, Georgia, United States

Staten Island, New York

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Staten Island, New York, United States

Monroe, North Carolina

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Monroe, North Carolina, United States

Oklahoma City, Oklahoma

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Oklahoma City, Oklahoma, United States

West Chester, Pennsylvania

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West Chester, Pennsylvania, United States

Austin, Texas

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Austin, Texas, United States

Desoto, Texas

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DeSoto, Texas, United States

Draper, Utah

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Draper, Utah, United States

Everett, Washington

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Everett, Washington, United States

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