A Study to Evaluate Efficacy and Safety of SAGE-547 in Participants With Severe Postpartum Depression (547-PPD-202B)

NCT ID: NCT02942004

Last Updated: 2025-10-14

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

138 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-01

Study Completion Date

2017-10-19

Brief Summary

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The purpose of this study was to determine if SAGE-547 Injection infused intravenously at up to 90 micrograms per kilogram per hour (μg/kg/h) for 60 hours reduces depressive symptoms in participants with severe postpartum depression (PPD) compared to placebo injection as assessed by the change from baseline in Hamilton Rating Scale for Depression (HAM-D) total score.

Detailed Description

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Conditions

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Postpartum Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Participants received infusion rates equivalent to either the 60 micrograms per kilogram per hour (μg/kg/h) or 90 μg/kg/h group.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Intravenous infusion of matching placebo for either SAGE-547 60 μg/kg/h or 90 μg/kg/h.

SAGE-547 60 μg/kg/h

Participants received a 4-hour titration period of 30 μg/kg/h (0 to 4 hours), then 60 μg/kg/h (4 to 56 hours), followed by a taper to 30 μg/kg/h (56 to 60 hours).

Group Type EXPERIMENTAL

SAGE-547 60 μg/kg/h

Intervention Type DRUG

Intravenous infusion of SAGE-547.

SAGE-547 90 μg/kg/h

Participants received a 4-hour dose titration period of 30 μg/kg/h (0 to 4 hours), then 60 μg/kg/h (4 to 24 hours), then 90 μg/kg/h (24 to 52 hours), followed by a taper to 60 μg/kg/h (52 to 56 hours), and 30 μg/kg/h (56 to 60 hours).

Group Type EXPERIMENTAL

SAGE-547 90 μg/kg/h

Intervention Type DRUG

Intravenous infusion of SAGE-547.

Interventions

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Placebo

Intravenous infusion of matching placebo for either SAGE-547 60 μg/kg/h or 90 μg/kg/h.

Intervention Type DRUG

SAGE-547 60 μg/kg/h

Intravenous infusion of SAGE-547.

Intervention Type DRUG

SAGE-547 90 μg/kg/h

Intravenous infusion of SAGE-547.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Participants must have ceased lactating at screening; or if still lactating or actively breastfeeding at screening, agreed to temporarily cease giving breastmilk to their infant(s) from just prior to receiving study drug through nine days (Day 12) after the end of the infusion
* Participants had a major depressive episode that began no earlier than the third trimester and no later than the first 4 weeks following delivery, as diagnosed by Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I)
* Participant had a HAM-D total score of ≥26 at screening and Day 1 (prior to dosing)
* Participant was ≤6 months postpartum at screening
* Participant was amenable to IV therapy

Exclusion Criteria

* Active psychosis
* Attempted suicide associated with index case of postpartum depression
* Medical history of bipolar disorders, schizophrenia, and/or schizoaffective disorder.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Supernus Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Helen Colquhoun, MD

Role: STUDY_DIRECTOR

Sage Therapeutics

Locations

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Sage Investigational Site

Chandler, Arizona, United States

Site Status

Sage Investigational Site

Rogers, Arkansas, United States

Site Status

Sage Investigational Site

Lemon Grove, California, United States

Site Status

Sage Investigational Site

Orange, California, United States

Site Status

Sage Investigational Site

Ventura, California, United States

Site Status

Sage Investigational Site

Gainesville, Florida, United States

Site Status

Sage Investigational Site

Miami, Florida, United States

Site Status

Sage Investigational Site

Miramar, Florida, United States

Site Status

Sage Investigational Site

Orlando, Florida, United States

Site Status

Sage Investigational Site

Pensacola, Florida, United States

Site Status

Sage Investigational Site

Pinellas Park, Florida, United States

Site Status

Sage Investigational Site

Atlanta, Georgia, United States

Site Status

Sage Investigational Site

Hoffman Estates, Illinois, United States

Site Status

Sage Investigational Site

Wichita, Kansas, United States

Site Status

Sage Investigational Site

Edgewood, Kentucky, United States

Site Status

Sage Investigational Site

Owensboro, Kentucky, United States

Site Status

Sage Investigational Site

Boston, Massachusetts, United States

Site Status

Sage Investigational Site

Boston, Massachusetts, United States

Site Status

Sage Investigational Site

Flowood, Mississippi, United States

Site Status

Sage Investigational Site

Marlton, New Jersey, United States

Site Status

Sage Investigational Site

Glen Oaks, New York, United States

Site Status

Sage Investigational Site

Chapel Hill, North Carolina, United States

Site Status

Sage Investigational Site

Charlotte, North Carolina, United States

Site Status

Sage Investigational Site

Raleigh, North Carolina, United States

Site Status

Sage Investigational Site

Columbus, Ohio, United States

Site Status

Sage Investigational Site

Dayton, Ohio, United States

Site Status

Sage Investigational Site

Philadelphia, Pennsylvania, United States

Site Status

Sage Investigational Site

Houston, Texas, United States

Site Status

Sage Investigational Site

Houston, Texas, United States

Site Status

Sage Investigational Site

Richardson, Texas, United States

Site Status

Sage Investigational Site

San Antonio, Texas, United States

Site Status

Sage Investigational Site

Orem, Utah, United States

Site Status

Countries

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United States

References

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Gerbasi ME, Meltzer-Brody S, Acaster S, Fridman M, Bonthapally V, Hodgkins P, Kanes SJ, Eldar-Lissai A. Brexanolone in Postpartum Depression: Post Hoc Analyses to Help Inform Clinical Decision-Making. J Womens Health (Larchmt). 2021 Mar;30(3):385-392. doi: 10.1089/jwh.2020.8483. Epub 2020 Nov 12.

Reference Type DERIVED
PMID: 33181049 (View on PubMed)

Meltzer-Brody S, Colquhoun H, Riesenberg R, Epperson CN, Deligiannidis KM, Rubinow DR, Li H, Sankoh AJ, Clemson C, Schacterle A, Jonas J, Kanes S. Brexanolone injection in post-partum depression: two multicentre, double-blind, randomised, placebo-controlled, phase 3 trials. Lancet. 2018 Sep 22;392(10152):1058-1070. doi: 10.1016/S0140-6736(18)31551-4. Epub 2018 Aug 31.

Reference Type DERIVED
PMID: 30177236 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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547-PPD-202 B

Identifier Type: -

Identifier Source: org_study_id

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