A Study of CLE-100 (Oral Esketamine) in Addition to Standard Antidepressant Drug for Major Depressive Disorder - CLEO Study

NCT ID: NCT04103892

Last Updated: 2025-10-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

146 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-05

Study Completion Date

2022-10-05

Brief Summary

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The clinical trial is a Phase 2, double-blind, randomized, placebo controlled study in Major Depressive Disorder (MDD) participants currently treated with antidepressant therapy. The objective of the study is to assess CLE-100 for the treatment of MDD in participants currently treated with standard antidepressant therapy.

Detailed Description

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CLEO study is performed in two parts (part A and Part B). Part A will be an inpatient study to assess the safety, tolerability, and pharmacokinetics of CLE-100 (oral esketamine) in MDD participants currently treated with an antidepressant drug. It will include a screening phase (up to 35 days), a 1 week inpatient double-blind treatment phase and an outpatient post treatment safety follow-up phase of 1 week after last study drug administration.

Part B will be a study to assess the safety and efficacy of CLE-100 (oral esketamine) in MDD participants currently treated with an antidepressant drug with inadequate response to standard antidepressant therapy.

The participants will remain on their current antidepressant therapy with no dose change during the study.

Conditions

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Adjunctive Treatment of Major Depressive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Part A - 16 patients, 2 arms, parallel; Part B - 130 patients, 2 arms, parallel
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Part A - CLE-100 (oral esketamine)

Part A: 1 oral tablet of CLE-100 once daily for 1 week.

Group Type EXPERIMENTAL

CLE-100

Intervention Type DRUG

1 tablet of CLE-100 administered once daily

Part A - Placebo

Part A: 1 oral tablet of Placebo once daily for 1 week.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

1 tablet of placebo administered once daily

Part B - CLE-100 (oral esketamine)

Part B: 1 oral tablet of CLE-100 once daily for 4 weeks.

Group Type EXPERIMENTAL

CLE-100

Intervention Type DRUG

1 tablet of CLE-100 administered once daily

Part B - Placebo

Part B: 1 oral tablet of Placebo once daily for 4 weeks.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

1 tablet of placebo administered once daily

Interventions

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CLE-100

1 tablet of CLE-100 administered once daily

Intervention Type DRUG

placebo

1 tablet of placebo administered once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female between 18 to 60 years of age
2. Primary diagnosis of MDD, without psychotic features according to DSM-5 and supported by the Mini International Neuropsychiatric Interview (MINI)
3. MADRS score of at least 18 at Screening
4. Treatment with stable dose of the current antidepressant therapy for at least 4 weeks for the current major depressive episode (MDE)
5. Body mass index (BMI) between 18 and 40 kg/m2, inclusive
6. Is able and competent to read and sign the informed consent form (ICF).


1. Male or female between 18 to 65 years of age
2. Primary diagnosis of MDD without psychotic features according to DSM-5 and supported by the Mini International Neuropsychiatric Interview (MINI)
3. MADRS score of at least 24 at Screening.
4. At least 2 inadequate responses to antidepressant therapy (ADT) in the current Major Depressive Episode (MDE)
5. Current MDE for at least 12 weeks
6. BMI between 18 and 40 kg/m2, inclusive.
7. Is able and competent to read and sign the ICF.

Exclusion Criteria

1. History of substance use disorder per DSM-5 criteria, except for tobacco use disorder
2. History or current diagnosis of bipolar disorder, schizophrenia, schizoaffective disorders, binge eating disorder dementia, delirium, amnesia, or any other significant cognitive disorder
3. Posttraumatic stress disorder, obsessive compulsive disorder, or any other mental disorder (including personality disorders)
4. Has any medical condition for which an increase in blood pressure or intracranial pressure poses a serious risk
5. Female of childbearing potential without appropriate contraceptive means, pregnant or breastfeeding


1. Inadequate response to more than 5 treatment courses of antidepressant medication therapy during the current MDE
2. Current MDE for longer than 5 years.
3. 3\. Has a current substance use disorder or history of any substance use disorder per DSM-5 criteria within 12 months prior to Screening, except for tobacco use disorder.
4. Has a history or current diagnosis of bipolar disorder, schizophrenia, or schizoaffective disorders.
5. Has dementia, delirium, amnesia, or any other significant cognitive disorder.
6. Has posttraumatic stress disorder, obsessive compulsive disorder, or any other mental disorder (including personality disorders, eating disorders, etc.).
7. Has any medical condition for which an increase in blood pressure or intracranial pressure poses a serious risk.
8. Has been randomized in Part A of this study.
9. Is a female of childbearing potential pregnant or breastfeeding.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Clexio Biosciences Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Site 126

Bentonville, Arkansas, United States

Site Status

Clinical Site 120

Little Rock, Arkansas, United States

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Clinical Site 129

Little Rock, Arkansas, United States

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Clinical Site 141

Anaheim, California, United States

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Clinical Site 115

Bellflower, California, United States

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Clinical Site 132

Lafayette, California, United States

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Clinical Site 117

Oakland, California, United States

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Clinical Site 113

Oceanside, California, United States

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Clinical Site 123

Riverside, California, United States

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Clinical Site 124

Santa Ana, California, United States

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Clinical Site 142

Santa Rosa, California, United States

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Clinical Site 112

Torrance, California, United States

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Clinical Site 145

Denver, Colorado, United States

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Clinical Site 107

Hialeah, Florida, United States

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Clinical Site 116

Miami, Florida, United States

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Clinical Site 108

Miami Gardens, Florida, United States

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Clinical Site 105

Orlando, Florida, United States

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Clinical Site 137

Orlando, Florida, United States

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Clinical Site 140

Atlanta, Georgia, United States

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Clinical Site 104

Decatur, Georgia, United States

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Clinical Site 122

Marietta, Georgia, United States

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Clinical Site 131

Baltimore, Maryland, United States

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Clinical Site 136

Rockville, Maryland, United States

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Clinical Site 103

Boston, Massachusetts, United States

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Clinical Site 121

Boston, Massachusetts, United States

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Clinical Site 151

Dearborn Heights, Michigan, United States

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Clinical Site 139

St Louis, Missouri, United States

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Clinical Site 125

Lincoln, Nebraska, United States

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Clinical Site 110

Las Vegas, Nevada, United States

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Clinical Site 101

Marlton, New Jersey, United States

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Clinical Site 148

Toms River, New Jersey, United States

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Clinical Site 128

New York, New York, United States

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Clinical Site 102

Staten Island, New York, United States

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Clinical Site 111

Hickory, North Carolina, United States

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Clinical Site 143

Raleigh, North Carolina, United States

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Clinical Site 138

Middleburg Heights, Ohio, United States

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Clinical Site 127

North Canton, Ohio, United States

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Clinical Site 106

Media, Pennsylvania, United States

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Clinical Site 118

Philadelphia, Pennsylvania, United States

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Clinical Site 114

Fort Worth, Texas, United States

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Clinical Site 109

Houston, Texas, United States

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Clinical Site 149

Missouri City, Texas, United States

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Clinical Site 144

Plano, Texas, United States

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Clinical Site 147

Draper, Utah, United States

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Clinical Site 135

Bellevue, Washington, United States

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Clinical Site 150

San Juan, , Puerto Rico

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Countries

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United States Puerto Rico

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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CLE100-MDD-201

Identifier Type: -

Identifier Source: org_study_id

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