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Clinical Trials/NCT07196501
NCT07196501RecruitingPhase 3

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Maintenance of Effect of NBI-1065845 as an Adjunctive Treatment in Subjects With Major Depressive Disorder (MDD)

Neurocrine Biosciences60 sites in 11 countries550 target enrollmentStarted: August 18, 2025Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Recruiting
Enrollment
550
Locations
60
Primary Endpoint
Time from Randomization to Relapse

Study Overview

Brief Summary

The primary objective of this study is to evaluate the efficacy of NBI-1065845 compared with placebo as an adjunctive treatment in delaying relapse of depressive symptoms (maintenance of effect) in participants with MDD.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Masking Description

The study consists of a non-randomized open-label treatment period and a randomized double-blind maintenance period.

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • •Participant has a primary diagnosis of recurrent MDD (moderate or severe) or persistent depressive disorder.
  • •Participant has had an inadequate response to oral antidepressant treatments in the current episode of depression.
  • •Participant must have been taking oral antidepressants for at least 8 weeks and is willing to continue the same oral antidepressants at the same dose and frequency of administration throughout participation in the study.
  • •Total Hamilton Depression Rating Scale-17 Item (HAM-D17) score ≥22 at screening and at study baseline (Day 1).
  • •Willing and able to comply with all study procedures and restrictions in the opinion of the investigator.

Exclusion Criteria

  • •A current or prior psychiatric disorder diagnosis in the last 1 year that was the primary focus of treatment other than MDD.
  • •Are considered by the investigator to be at imminent risk of suicide or injury to self or others.
  • •Participants depressive symptoms have previously demonstrated nonresponse to electroconvulsive therapy (ECT) in the current major depressive episode.
  • •Note: Other protocol-defined Inclusion and Exclusion criteria may apply.

Arms & Interventions

Randomized Double-blind Maintenance Period: Placebo

Experimental

Participants will be randomized to receive matching placebo during the randomized double-blind maintenance period.

Intervention: Placebo (Drug)

Open-label Treatment Period: NBI-1065845

Experimental

Participants will be treated with NBI-1065845 during the open-label treatment period.

Intervention: NBI-1065845 (Drug)

Randomized Double-blind Maintenance Period: NBI-1065845

Experimental

Participants will be randomized to receive NBI-1065845 during the randomized double-blind maintenance period.

Intervention: NBI-1065845 (Drug)

Outcomes

Primary Outcomes

Time from Randomization to Relapse

Time Frame: From randomization to the earliest of relapse or end-of study (up to approximately 32 months)

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (60)

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