A Study to Evaluate the Safety and Efficacy of TS-121 as an Adjunctive Treatment for Major Depressive Disorder

NCT ID: NCT03093025

Last Updated: 2020-07-14

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-03

Study Completion Date

2018-12-04

Brief Summary

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The purpose of this study is to evaluate the safety, tolerability, and efficacy of TS-121 as an adjunctive treatment for patients with major depressive disorder with an inadequate response to current antidepressant Treatment (SSRI, SNRI or bupropion).

Detailed Description

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Conditions

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Major Depressive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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TS-121 10mg

Group Type EXPERIMENTAL

TS-121 10 mg

Intervention Type DRUG

Orally taken once daily

TS-121 50mg

Group Type EXPERIMENTAL

TS-121 50 mg

Intervention Type DRUG

Orally taken once daily

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Orally taken once daily

Interventions

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TS-121 10 mg

Orally taken once daily

Intervention Type DRUG

TS-121 50 mg

Orally taken once daily

Intervention Type DRUG

Placebo

Orally taken once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Adult males and females between 18 and 65 years of age inclusive (at time of initial informed consent)
2. Patients with a current diagnosis of MDD by DSM-5, confirmed through a structured interview using MINI
3. Patients who receive the same antidepressant (SSRI, SNRI or bupropion monotherapy) for at least 6 weeks of continuous treatment with at least 4 weeks on a fixed dose
4. Patients who willing to remain on the same primary SSRI, SNRI or bupropion and fixed dose throughout the course of the study
5. Patients who meet the total score on the HAM-D as listed below

1. HAM-D ≥ 18 at Screening
2. HAM-D ≥ 18 at Baseline
6. Body Mass Index (BMI) ≥ 18 and ≤ 38 kg/m2

Exclusion Criteria

1. Patients with inadequate response to ≥2 prior antidepressant treatments (not including current antidepressant) of at least 4 weeks duration each for the current episode
2. Patients whose current depressive episode is diagnosed with psychotic features, catatonic features, post-partum (primary onset), or is secondary to a general medical disorder
3. Patients with a diagnosis of any of the following DSM-5 class disorders

1. Schizophrenia spectrum and other psychotic disorders
2. Bipolar and related disorders
3. Anxiety disorders \[Co-morbid GAD and SAD will be allowed in the study if the primary diagnosis is MDD, and if in the opinion of the investigator, the comorbid anxiety is not likely to interfere with the subject's ability to participate in the trial or affect study outcome\]
4. Obsessive-compulsive and related disorders
5. Trauma- and Stressor-related disorders
4. Patients who received electroconvulsive therapy (ECT) within 12 months of Screening, received more than one course of ECT in their lifetime or plan to receive ECT during the study
5. Patients who received repetitive transcranial magnetic stimulation (rTMS) within 12 months of Screening or plan to receive rTMS during the study
6. Patients who plan to initiate or terminate cognitive or behavioral psychotherapy or alter the frequency of ongoing therapy during this study
7. Patients who have attempted suicide within the past 6 months
8. Patients with history or presence of intellectual disability, pervasive developmental disorder, cognitive disorder, neurodegenerative disorder, or brain injury
9. Patients with any history or complication of convulsive disorder
10. Patients who are undergoing treatment with psychotropic medications, benzodiazepines, metyrapone, lithium and/or corticosteroids
11. Patients who are taking moderate to strong CYP3A4 inhibitors/inducers
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Taisho Pharmaceutical R&D Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shoji Yasuda

Role: STUDY_CHAIR

Taisho Pharmaceutical R&D Inc.

Locations

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Woodland International Research Group

Little Rock, Arkansas, United States

Site Status

Woodland Research Northwest

Rogers, Arkansas, United States

Site Status

Collaborative Neuroscience Network

Garden Grove, California, United States

Site Status

PAREXEL Early Phase Clinical Unit

Glendale, California, United States

Site Status

Synergy East

Lemon Grove, California, United States

Site Status

NRC Research Institute

Orange, California, United States

Site Status

MCB Clinical Research Centers

Colorado Springs, Colorado, United States

Site Status

Comprehensive Psychiatric Care

Norwich, Connecticut, United States

Site Status

Compass Research

Orlando, Florida, United States

Site Status

Atlanta Center for Medical Research

Atlanta, Georgia, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Chicago Research Center

Chicago, Illinois, United States

Site Status

Alexian Brothers Behavioral Health Hospital

Hoffman Estates, Illinois, United States

Site Status

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status

Midwest Research Group - St. Charles Psychiatric Associates

Saint Charles, Missouri, United States

Site Status

St. Louis Clinical Trials

St Louis, Missouri, United States

Site Status

Hassman Research Institute

Berlin, New Jersey, United States

Site Status

Global Medical Institutes

Princeton, New Jersey, United States

Site Status

SPRI Clinical Trials

Brooklyn, New York, United States

Site Status

Midwest Clinical Research Center

Dayton, Ohio, United States

Site Status

IPS Research Company

Oklahoma City, Oklahoma, United States

Site Status

Grayline Clinical Drug Trials

Wichita Falls, Texas, United States

Site Status

Countries

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United States

References

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Kamiya M, Sabia HD, Marella J, Fava M, Nemeroff CB, Umeuchi H, Iijima M, Chaki S, Nishino I. Efficacy and safety of TS-121, a novel vasopressin V1B receptor antagonist, as adjunctive treatment for patients with major depressive disorder: A randomized, double-blind, placebo-controlled study. J Psychiatr Res. 2020 Sep;128:43-51. doi: 10.1016/j.jpsychires.2020.05.017. Epub 2020 May 31.

Reference Type BACKGROUND
PMID: 32521250 (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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TS121-US201

Identifier Type: -

Identifier Source: org_study_id

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