Trial Outcomes & Findings for A Study of Seltorexant as Adjunctive Therapy to Antidepressants in Adult and Elderly Participants With Major Depressive Disorder With Insomnia Symptoms Who Have Responded Inadequately to Antidepressant Therapy (NCT NCT04532749)

NCT ID: NCT04532749

Last Updated: 2025-06-04

Results Overview

The MADRS was a clinician-rated scale designed to measure depression severity and detected changes due to antidepressant treatment. The scale consisted of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score was the sum of scores from individual question items, which ranged from 0 to 60, higher scores represented a more severe condition. Negative change in MADRS total score indicated improvement.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

212 participants

Primary outcome timeframe

Baseline (Day 1), Day 43

Results posted on

2025-06-04

Participant Flow

Participants with major depressive disorder with insomnia symptoms (MDDIS) who had an inadequate response to an ongoing antidepressant therapy with a selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI) were randomized in the study. Study consisted of screening phase, double-blind (DB) treatment phase and a post-treatment follow-up (FU) phase.

Participant milestones

Participant milestones
Measure
Seltorexant
During DB treatment phase, participants received seltorexant 20 milligrams (mg) tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
DB Treatment Phase (Day 1 to Day 43)
STARTED
107
105
DB Treatment Phase (Day 1 to Day 43)
COMPLETED
101
89
DB Treatment Phase (Day 1 to Day 43)
NOT COMPLETED
6
16
Follow-up Phase (Day 44 to Day 57)
STARTED
103
98
Follow-up Phase (Day 44 to Day 57)
COMPLETED
102
92
Follow-up Phase (Day 44 to Day 57)
NOT COMPLETED
1
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Seltorexant
During DB treatment phase, participants received seltorexant 20 milligrams (mg) tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
DB Treatment Phase (Day 1 to Day 43)
Adverse Event
1
6
DB Treatment Phase (Day 1 to Day 43)
Lack of Efficacy
2
5
DB Treatment Phase (Day 1 to Day 43)
Withdrawal by Subject
2
0
DB Treatment Phase (Day 1 to Day 43)
Lost to Follow-up
0
1
DB Treatment Phase (Day 1 to Day 43)
Protocol Violation
0
1
DB Treatment Phase (Day 1 to Day 43)
Study Terminated by Sponsor
0
1
DB Treatment Phase (Day 1 to Day 43)
Other
1
2
Follow-up Phase (Day 44 to Day 57)
Withdrawal by Subject
0
3
Follow-up Phase (Day 44 to Day 57)
Adverse Event
0
1
Follow-up Phase (Day 44 to Day 57)
Other
1
2

Baseline Characteristics

A Study of Seltorexant as Adjunctive Therapy to Antidepressants in Adult and Elderly Participants With Major Depressive Disorder With Insomnia Symptoms Who Have Responded Inadequately to Antidepressant Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Seltorexant
n=107 Participants
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
n=105 Participants
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Total
n=212 Participants
Total of all reporting groups
Age, Continuous
50.2 Years
STANDARD_DEVIATION 13.87 • n=5 Participants
48.8 Years
STANDARD_DEVIATION 14.40 • n=7 Participants
49.5 Years
STANDARD_DEVIATION 14.12 • n=5 Participants
Sex: Female, Male
Female
78 Participants
n=5 Participants
83 Participants
n=7 Participants
161 Participants
n=5 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
22 Participants
n=7 Participants
51 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
38 Participants
n=5 Participants
33 Participants
n=7 Participants
71 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
68 Participants
n=5 Participants
72 Participants
n=7 Participants
140 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=5 Participants
14 Participants
n=7 Participants
23 Participants
n=5 Participants
Race (NIH/OMB)
White
90 Participants
n=5 Participants
87 Participants
n=7 Participants
177 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
Argentina
13 Participants
n=5 Participants
14 Participants
n=7 Participants
27 Participants
n=5 Participants
Region of Enrollment
Chile
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Region of Enrollment
Denmark
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
Finland
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Region of Enrollment
Malaysia
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
Poland
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Region of Enrollment
Slovakia
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Region of Enrollment
Korea, South
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Region of Enrollment
Ukraine
23 Participants
n=5 Participants
25 Participants
n=7 Participants
48 Participants
n=5 Participants
Region of Enrollment
United States
38 Participants
n=5 Participants
36 Participants
n=7 Participants
74 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline (Day 1), Day 43

Population: The full analysis set 1 (FAS1) included all randomized participants who received at least 1 dose of study intervention in the DB phase and had baseline MADRS total score greater than or equal to (\>=) 24 (per interactive web response system \[IWRS\]). Here 'N' (overall number of participants analyzed) refers to the number of participants evaluable for this outcome measure.

The MADRS was a clinician-rated scale designed to measure depression severity and detected changes due to antidepressant treatment. The scale consisted of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score was the sum of scores from individual question items, which ranged from 0 to 60, higher scores represented a more severe condition. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
Seltorexant
n=101 Participants
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
n=89 Participants
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Change From Baseline to Day 43 in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
-14.0 Units on a scale
Standard Deviation 10.46
-13.1 Units on a scale
Standard Deviation 9.51

SECONDARY outcome

Timeframe: Baseline (Day 1), Day 43

Population: FAS1 included all randomized participants who received at least 1 dose of study intervention in the DB phase and had baseline MADRS total score \>=24 (per IWRS). Here 'N' (overall number of participants analyzed) refers to the number of participants evaluable for this outcome measure.

The MADRS was a clinician-rated scale designed to measure depression severity and detected changes due to antidepressant treatment. MADRS-WOSI was defined as the full MADRS without the sleep item. The MADRS-WOSI scale consisted of 9 items (apparent sadness, reported sadness, inner tension, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). Higher scores represented a more severe condition. MADRS-WOSI total score was the sum of scores from individual question items, which ranged from 0 to 54, higher scores represented a more severe condition. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
Seltorexant
n=101 Participants
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
n=89 Participants
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Change From Baseline to Day 43 in the MADRS Without Sleep Item (MADRS-WOSI) Total Score
-12.0 Units on a scale
Standard Deviation 9.27
-11.3 Units on a scale
Standard Deviation 8.44

SECONDARY outcome

Timeframe: Baseline (Day 1), Day 43

Population: FAS1 included all randomized participants who received at least 1 dose of study intervention in the DB phase and had baseline MADRS total score \>=24 (per IWRS). Here 'N' (overall number of participants analyzed) refers to the number of participants evaluable for this outcome measure.

PROMIS-SD Short Form 8a: static 8-item questionnaire, assessed self-perceptions of sleep initiation (2 items), quality of sleep (3 items), early morning feelings (2 items), worrying about sleep (1 item). Each question has 5 options ranged 1 to 5. The "direction" of responses was not same, sometimes "not at all" =more sleep disturbance; sometimes "not at all" =less sleep disturbance. Total raw score for short form with all questions answered was sum of values of response to each question, total score ranged 8 to 40. Lower scores=less sleep disturbance. Total raw score converted into T-score. T-score rescaled the raw score into standardized score with mean-50; SD-10. Negative changes in scores=improvement. Higher PROMIS T-score represents more concept measured. Negatively worded (like sleep disturbance), T-score of 60 was one SD worse than average. By comparison, T-score of 40 was one SD better than average. T-score of 50 or above was clinically significant level of sleep disturbance.

Outcome measures

Outcome measures
Measure
Seltorexant
n=101 Participants
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
n=89 Participants
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Change From Baseline to Day 43 in Sleep Disturbance Using the Patient Reported Outcome Measurement Information System-Sleep Disturbance (PROMIS-SD; Short Form 8a) T-score
-13.7 T-score
Standard Deviation 11.06
-11.9 T-score
Standard Deviation 11.83

SECONDARY outcome

Timeframe: Baseline (Day 1), Day 43

Population: FAS1 included all randomized participants who received at least 1 dose of study intervention in the DB phase and had baseline MADRS total score \>=24 (per IWRS). Here 'N' (overall number of participants analyzed) refers to the number of participants evaluable for this outcome measure.

The 6-item MADRS was a clinician-administered scale designed to measure the core symptoms of depression severity and detected changes due to antidepressant intervention. It is a subset of MADRS (10-item). The MADRS-6 subscale score was the sum of scores for the following MADRS items: apparent sadness, reported sadness, inner tension, lassitude, inability to feel, and pessimistic thoughts. Each item was scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms), the overall score ranges from 0 to 36, higher scores represented a more severe condition. Negative changes in MADRS-6 total score indicate improvement.

Outcome measures

Outcome measures
Measure
Seltorexant
n=101 Participants
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
n=89 Participants
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Change From Baseline to Day 43 in the 6-item MADRS (MADRS-6) Total Score
-9.1 Units on a scale
Standard Deviation 6.86
-8.1 Units on a scale
Standard Deviation 6.37

SECONDARY outcome

Timeframe: At Day 43

Population: FAS1 included all randomized participants who received at least 1 dose of study intervention in the DB phase and had baseline MADRS total score \>=24 (per IWRS).

Percentage of participants who achieved response on depressive symptoms scale based on MADRS total score at Day 43 were reported. Responders were defined as participants with a \>=50 percent (%) improvement in the MADRS total score from baseline to a given timepoint. The MADRS was a clinician-rated scale designed to measure depression severity and detected changes due to antidepressant treatment. The scale consisted of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score was the sum of scores from individual question items, which ranged from 0 to 60, higher scores represented a more severe condition. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
Seltorexant
n=105 Participants
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
n=102 Participants
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Percentage of Participants Who Achieved Response on Depressive Symptoms Scale Based on MADRS Total Score at Day 43
42.9 Percentage of participants
36.3 Percentage of participants

SECONDARY outcome

Timeframe: Baseline (Day 1), Day 43

Population: FAS1 included all randomized participants who received at least 1 dose of study intervention in the DB phase and had baseline MADRS total score \>=24 (per IWRS). Here 'N' (overall number of participants analyzed) refers to the number of participants evaluable for this outcome measure.

The PHQ-9 was a 9-item, participant reported outcome measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) major depressive disorder (MDD) criteria. Each item was rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participant's item responses were summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 was categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27). Negative changes in PHQ-9 total score indicated improvement.

Outcome measures

Outcome measures
Measure
Seltorexant
n=101 Participants
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Placebo
n=89 Participants
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42. Participants were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57) during the follow-up phase. Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Change From Baseline to Day 43 in Patient Health Questionnaire, 9-item (PHQ-9) Total Score
-8.8 Units on a scale
Standard Deviation 6.44
-8.1 Units on a scale
Standard Deviation 6.27

Adverse Events

DB Phase: Seltorexant

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

DB Phase: Placebo

Serious events: 2 serious events
Other events: 11 other events
Deaths: 0 deaths

Follow-up Phase: Seltorexant

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Follow-up Phase: Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
DB Phase: Seltorexant
n=107 participants at risk
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42.
DB Phase: Placebo
n=105 participants at risk
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42.
Follow-up Phase: Seltorexant
n=103 participants at risk
Participants who received seltorexant 20 mg and completed DB treatment phase entered follow-up phase and were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57). Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Follow-up Phase: Placebo
n=98 participants at risk
Participants who received placebo and completed DB treatment phase entered follow-up phase and were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57). Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Psychiatric disorders
Depression
0.00%
0/107 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
0.95%
1/105 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
0.00%
0/103 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
0.00%
0/98 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/107 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
0.95%
1/105 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
0.00%
0/103 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
0.00%
0/98 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.

Other adverse events

Other adverse events
Measure
DB Phase: Seltorexant
n=107 participants at risk
During DB treatment phase, participants received seltorexant 20 mg tablet orally once daily from Day 1 to Day 42.
DB Phase: Placebo
n=105 participants at risk
During DB treatment phase, participants received placebo matching to seltorexant tablet orally once daily from Day 1 to Day 42.
Follow-up Phase: Seltorexant
n=103 participants at risk
Participants who received seltorexant 20 mg and completed DB treatment phase entered follow-up phase and were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57). Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Follow-up Phase: Placebo
n=98 participants at risk
Participants who received placebo and completed DB treatment phase entered follow-up phase and were then followed up for safety up to 7 to 14 days after end of DB treatment at Day 43 (up to Day 57). Participants who discontinued study drug prior to Day 35 were encouraged to have additional follow-up visits every 2 weeks until Day 50 to 57.
Nervous system disorders
Headache
13.1%
14/107 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
10.5%
11/105 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
0.00%
0/103 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.
0.00%
0/98 • Double-blind (DB) Phase: From Day 1 up to Day 43; Follow up Phase: From Day 44 to Day 57
DB Phase: The safety analysis set included all randomized participants who received at least 1 dose of study intervention in the DB phase. Follow-up Phase: The follow-up analysis set included all randomized participants who entered the follow up phase.

Additional Information

Executive Director CDTL Neuro

Janssen Research & Development, LLC

Phone: 844-434-4210

Results disclosure agreements

  • Principal investigator is a sponsor employee If an investigator wishes to publish information from the study, a copy of the manuscript must be provided to the sponsor for review at least 60 days before submission for publication or presentation. If requested by the sponsor in writing, the investigator will delay to allow for filing of a patent application.
  • Publication restrictions are in place

Restriction type: OTHER