A Study of the Safety and Efficacy of SP-624 in the Treatment of Adults With Major Depressive Disorder
- Registration Number
- NCT04479852
- Lead Sponsor
- Sirtsei Pharmaceuticals, Inc.
- Brief Summary
This is a Phase 2 clinical study evaluating the safety and effectiveness of SP-624 as compared to placebo in the treatment of adults with Major Depressive Disorder.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 319
- Willing and able to provide written informed consent to participate in the study
- Males and females, aged 18 to 65 years
- In generally good physical health
- Body mass index (BMI) must be between 18 and 40 kg/m2
- Females of reproductive potential and males with partners of reproductive potential must agree to remain abstinent or use adequate and reliable contraception throughout the study and for at least 30 days after the last dose of study drug
- Subjects must meet criteria for moderate to severe Major Depressive Disorder, as confirmed by the Mini International Neuropsychiatric Interview (MINI)
- Willing and able to comply with the study design schedule and other requirements
- Female who is pregnant, breastfeeding, or less than six months postpartum at Screening
- History or presence of any clinically significant medical condition, disease, or surgical history that could jeopardize the safety of the subject or validity of the study data, or interfere with the absorption, distribution, metabolism, or excretion of the study drug
- Failure to discontinue all psychoactive medications or psychoactive supplements including antidepressants and mood stabilizers, within a time period prior to Baseline corresponding to at least five half-lives of the medication in question
- Presence of a clinically significant abnormality on physical examination or electrocardiogram (ECG), including a corrected QT interval using Fridericia's formula (QTcF) >450 msec for males and >470 msec for females
- Presence of uncontrolled hypertension, defined as consistent systolic blood pressure (SBP) >160 mmHg or consistent diastolic blood pressure (DBP) >95 mmHg despite present therapy
- Screening laboratory value(s) outside the laboratory reference range that are considered to be clinically significant by the Investigator (clinical chemistry, hematology, coagulation, and urinalysis)
- Screening liver function tests (ALT, AST, Alkaline phosphatase) > 2x the upper limit of normal
- Subjects who, in the opinion of the Investigator, are not suitable candidates for the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Placebo Placebo Daily oral capsule SP-624 SP-624 Daily oral capsule, 20 mg/day
- Primary Outcome Measures
Name Time Method Change from Baseline to Week 4 in Montgomery Asberg Depression Rating Scale (MADRS) total score Up to 4 weeks The Montgomery Asberg Depression rating scale is a 10-item scale used to assess the severity of depression. Individual items are scored on a 7-point scale (0 to 6). The total score is the sum of individual items, ranging from 0 to 60; where a higher score indicates more depression.
- Secondary Outcome Measures
Name Time Method Change from Baseline to Weeks 1, 2, 3, and 4 in Clinical Global Impression - Severity (CGI-S) total score Up to 4 weeks The CGI-S is a 7-point scale to rate the severity of the participant's illness at the time of assessment, relative to the clinician's past experience with participants who have the same diagnosis. A score of 1 represents "normal" and 7 represents "most extremely ill".
Change from Baseline to Week 5 and change from Week 4 to Week 5 in CGI-S total score Up to 5 weeks The CGI-S is a 7-point scale to rate the severity of the participant's illness at the time of assessment, relative to the clinician's past experience with participants who have the same diagnosis. A score of 1 represents "normal" and 7 represents "most extremely ill".
Change from Baseline to Week 2 and Week 4 in the 17-item Hamilton Depression Rating Scale (HAM D-17) total score Up to 4 weeks The 17-item Hamilton Depression rating scale is used to assess the severity of depression. Individual items are scored on either a 3-point (0 to 2) or a 5-point scale (0 to 4), with 0=No difficulty/absent and 4=most severe. The total score is the sum of individual items, ranging from 0 to 52; where a higher score indicates more depression.
Change from Baseline to Weeks 1, 2, and 3 in Montgomery Asberg Depression Rating Scale total score Up to 3 weeks The Montgomery Asberg Depression rating scale is a 10-item scale used to assess the severity of depression. Individual items are scored on a 7-point scale (0 to 6). The total score is the sum of individual items, ranging from 0 to 60; where a higher score indicates more depression.
Change from Baseline to Week 5 and change from Week 4 to Week 5 in MADRS total score Up to 5 weeks The Montgomery Asberg Depression rating scale is a 10-item scale used to assess the severity of depression. Individual items are scored on a 7-point scale (0 to 6). The total score is the sum of individual items, ranging from 0 to 60; where a higher score indicates more depression.
Change from Baseline to Week 2 and Week 4 in the Quick Inventory of Depressive Symptomology - Self Report (QIDS-SR) Up to 4 weeks The Quick Inventory of Depressive Symptomology - Self Report (QIDS-SR), is a 16 item self-reported scale where each item has a 4-point scale where 0 represents least impact scores while 3 represents greatest impact scores. Some questions are linked. The total score ranges from 0 to 27 where a higher score indicates more depression.
Change from Baseline to Week 2 and Week 4 in the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) Up to 4 weeks The Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) is a 16 item satisfaction scale where each item has a 5-point scale. A score of 1 represents "very poor satisfaction", while a score of 5 represents "very good satisfaction". Only the first 14 items are summed for a total score that ranges from 14 to 70.
Change from Baseline to Week 2 and Week 4 in the Sheehan Disability Scale (SDS) Up to 4 weeks The Sheehan Disability Scale is a 3-part scale that measures the degree of disruption on work, social and family life using an 11-point scale where 0 represents "no disruption" and 10 represents "extreme disruption". In addition to the 11-point scale, participants are asked to indicate the number of days in the past week that were "lost" and numbers of days that were "unproductive". The results of these questions have a range from 0 to 7. A total global functioning impairment score can be utilized by summing the scores from work, social and family life scales for a value range from 0 to 30.
Trial Locations
- Locations (34)
Future Search Trials of Dallas
🇺🇸Dallas, Texas, United States
Red Oak Psychiatry Associates
🇺🇸Houston, Texas, United States
Core Clinical Research
🇺🇸Everett, Washington, United States
Grayline Research Center
🇺🇸Wichita Falls, Texas, United States
Cutting Edge Research Group
🇺🇸Oklahoma City, Oklahoma, United States
Artemis Institute for Clinical Research
🇺🇸San Diego, California, United States
Institute for Advanced Medical Research
🇺🇸Alpharetta, Georgia, United States
Pacific Research Partners
🇺🇸Oakland, California, United States
Atlanta Center for Medical Research
🇺🇸Atlanta, Georgia, United States
Donald J. Garcia, Jr., MD, PA
🇺🇸Austin, Texas, United States
American Medical Research
🇺🇸Chicago, Illinois, United States
Clinical Trials of America
🇺🇸Hickory, North Carolina, United States
MCB Clinical Research Centers
🇺🇸Colorado Springs, Colorado, United States
Collaborative Neuroscience Research
🇺🇸Torrance, California, United States
Capstone Clinical Research
🇺🇸Libertyville, Illinois, United States
Manhattan Behavioral Medicine
🇺🇸New York, New York, United States
iResearch Atlanta
🇺🇸Decatur, Georgia, United States
Midwest Clinical Research Center
🇺🇸Dayton, Ohio, United States
Hassman Research Institute
🇺🇸Marlton, New Jersey, United States
SPRI Clinical Trials
🇺🇸Brooklyn, New York, United States
New Hope Clinical Research
🇺🇸Charlotte, North Carolina, United States
Midwest Research Group
🇺🇸Saint Charles, Missouri, United States
Richmond Behavioral Associates
🇺🇸Staten Island, New York, United States
Lehigh Center for Clinical Research
🇺🇸Allentown, Pennsylvania, United States
Alea Research
🇺🇸Phoenix, Arizona, United States
Woodland International Research Group
🇺🇸Little Rock, Arkansas, United States
Woodland Research Northwest
🇺🇸Rogers, Arkansas, United States
Altea Research Institute
🇺🇸Las Vegas, Nevada, United States
Innovative Clinical Research
🇺🇸Lauderhill, Florida, United States
CBH Health
🇺🇸Gaithersburg, Maryland, United States
Sarkis Clinical Trials
🇺🇸Gainesville, Florida, United States
Clinical Neuroscience Solutions, Inc.
🇺🇸Memphis, Tennessee, United States
Center for Emotional Fitness
🇺🇸Cherry Hill, New Jersey, United States
Oregon Center for Clinical Investigations
🇺🇸Salem, Oregon, United States