Trial Outcomes & Findings for A Study of JNJ-55308942 in the Treatment of Bipolar Depression (NCT NCT05328297)

NCT ID: NCT05328297

Last Updated: 2025-07-11

Results Overview

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

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

116 participants

Primary outcome timeframe

From Baseline (Day 1) up to Week 6

Results posted on

2025-07-11

Participant Flow

Participant milestones

Participant milestones
Measure
JNJ-55308942
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Overall Study
STARTED
55
61
Overall Study
Treated (Safety Analysis Set)
54
60
Overall Study
COMPLETED
42
50
Overall Study
NOT COMPLETED
13
11

Reasons for withdrawal

Reasons for withdrawal
Measure
JNJ-55308942
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Overall Study
Adverse Event
5
7
Overall Study
Withdrawal by Subject
4
3
Overall Study
Lack of Efficacy
1
0
Overall Study
Lost to Follow-up
1
0
Overall Study
Protocol Violation
1
0
Overall Study
Randomized but not treated
1
1

Baseline Characteristics

A Study of JNJ-55308942 in the Treatment of Bipolar Depression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
JNJ-55308942
n=54 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=60 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Total
n=114 Participants
Total of all reporting groups
Age, Continuous
39.28 years
STANDARD_DEVIATION 13.603 • n=5 Participants
40.18 years
STANDARD_DEVIATION 12.664 • n=7 Participants
39.75 years
STANDARD_DEVIATION 13.067 • n=5 Participants
Sex: Female, Male
Female
38 Participants
n=5 Participants
33 Participants
n=7 Participants
71 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
27 Participants
n=7 Participants
43 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
50 Participants
n=5 Participants
53 Participants
n=7 Participants
103 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
White
44 Participants
n=5 Participants
50 Participants
n=7 Participants
94 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
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
Canada
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
Poland
30 Participants
n=5 Participants
30 Participants
n=7 Participants
60 Participants
n=5 Participants
Region of Enrollment
Spain
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Region of Enrollment
United States
21 Participants
n=5 Participants
25 Participants
n=7 Participants
46 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: Full analysis set (FAS) included all randomized participants who received at least 1 dose of study intervention and had both the baseline and at least 1 postbaseline MADRS measurement.

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

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=48 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=59 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Week 6
-16.0 Units on a scale
Standard Deviation 10.43
-15.4 Units on a scale
Standard Deviation 9.81

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and had both the baseline and at least 1 postbaseline MADRS measurement. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure.

Change from baseline in SHAPS total score up to Week 6 were reported. The SHAPS was a reliable, valid, and unidimensional instrument used to assess hedonic capacity in adults with Major Depressive Disorder. It is a 14-item, self-report tool with a completion time below 5 minutes. Each of the items had a set of 4 response categories: 1 = definitely agree/strongly agree, 2 = agree, 3 = disagree, and 4 = strongly disagree. The SHAPS total score was the sum of the 14 item scores, which ranged from 14 to 56. A higher SHAPS total score indicated higher levels of current anhedonia. Negative changes in the SHAPS total score indicated improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=42 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=50 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Snaith-Hamilton Pleasure Scale (SHAPS) Total Score up to Week 6
-8.2 Units on a scale
Standard Deviation 6.87
-8.3 Units on a scale
Standard Deviation 8.69

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and had both the baseline and at least 1 postbaseline MADRS measurement. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Genetic subgroup analysis included participants with bipolar depression and who were with P2RX7 Gain of Function single nucleotide polymorphism (P2RX7 GoF SNP) mutation genotype: heterozygous or homozygous. MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to AD treatment. The MADRS evaluated reported sadness, apparent sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. The scale consisted of 10 items, each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms),with higher score indicating a more severe condition. The MADRS total score was the sum of scores from individual question items and it ranged from 0 to 60, with higher scores indicated more severe conditions. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=42 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=50 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in MADRS Total Score up to Week 6 (Genetic Subgroup Analysis)
P2RX7 GoF SNP mutation genotype: Homozygous
-18.2 Units on a scale
Standard Deviation 13.06
-13.1 Units on a scale
Standard Deviation 8.75
Change From Baseline in MADRS Total Score up to Week 6 (Genetic Subgroup Analysis)
P2RX7 GoF SNP mutation genotype: Heterozygous
-15.2 Units on a scale
Standard Deviation 9.45
-16.5 Units on a scale
Standard Deviation 10.22

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and had both the baseline and at least 1 postbaseline MADRS measurement. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Change from baseline in MADRS total score up to Week 6 (Diagnosis Subgroup Analysis) were reported. Diagnosis subgroup analysis included participants with bipolar type 1 or II. MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to AD treatment. The MADRS evaluated reported sadness, apparent sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. The scale consisted of 10 items, each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms),with higher score indicating a more severe condition. The MADRS total score was the sum of scores from individual question items and it ranged from 0 to 60, with higher scores indicated more severe conditions. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=42 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=50 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in MADRS Total Score up to Week 6 (Diagnosis Subgroup Analysis)
Bipolar type II
-17.7 Units on a scale
Standard Deviation 8.20
-15.7 Units on a scale
Standard Deviation 9.47
Change From Baseline in MADRS Total Score up to Week 6 (Diagnosis Subgroup Analysis)
Bipolar type I
-15.5 Units on a scale
Standard Deviation 11.02
-15.3 Units on a scale
Standard Deviation 10.06

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and had both the baseline and at least 1 postbaseline MADRS measurement. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Biomarker subgroup analysis included specific (3-Marker Model \[3MM\]) biomarker profile: Yes or No. 3MM biomarker profile was defined as serum C-reactive protein \>3 mg/Liter(L) and soluble interleukin-6 receptor \>25 micrograms(mcg)/L or tumor necrosis factor \>4 nanograms(ng)/L at baseline. MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to AD treatment. MADRS evaluated reported sadness, apparent sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. Scale consist of 10 items each of which was scored from 0(item not present or normal) to 6(severe or continuous presence of the symptoms),with higher score indicating a more severe condition. MADRS total score was sum of scores from individual question items, ranged from 0 to 60,with higher scores indicated more severe conditions. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=42 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=49 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in MADRS Total Score up to Week 6 (Biomarker Subgroup Analysis)
3MM biomarker profile: Yes
-12.5 Units on a scale
Standard Deviation 9.04
-13.9 Units on a scale
Standard Deviation 10.77
Change From Baseline in MADRS Total Score up to Week 6 (Biomarker Subgroup Analysis)
3MM biomarker profile: No
-17.2 Units on a scale
Standard Deviation 10.75
-16.6 Units on a scale
Standard Deviation 9.17

SECONDARY outcome

Timeframe: Weeks 1, 2, 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Vital signs parameters included pulse rate (abnormally low \[AL\]: \<50 beats per minute \[bpm\] and with \>15 bpm decrease from baseline and abnormally high \[AH\]: \>100 bpm and with \>15 bpm increase from baseline), Systolic blood pressure (SBP) (AL: \<90 millimeters of mercury \[mmHg\] and with \>20 mmHg decrease from baseline and AH: \>180 mmHg and with \>20 mmHg increase from baseline), Diastolic blood pressure (DBP) (AL: \<50 mmHg and with \>15 mmHg decrease from baseline and AH: \>105 mmHg and with \>15 mmHg increase from baseline) , temperature (AL:\<35.5 and AH:\>37.5 degree Celsius \[C\]), respiratory rate (AH :\>20 breaths per minute), and weight (AL: decrease from baseline \>7% and AH: increase from baseline \>7%). Weight was planned to analyzed at Weeks 6 and 8 only. Treatment-emergent concluded if postbaseline value was above/below upper/lower limit and baseline value was below/above the upper/lower limit.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=49 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=56 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP (mmHg): >105 mmHg and with >15 mmHg increase from baseline: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP: <50 mmHg and with >15 mmHg decrease from baseline: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse (beats per minutes [bpm]): <50 bpm and with >15 bpm decrease from baseline: Week 1
0 Participants
Interval 9.04 to
0 Participants
Interval 10.77 to
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse (bpm): >100 bpm and with >15 bpm increase from baseline: Week 1
0 Participants
Interval 10.75 to
0 Participants
Interval 9.17 to
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP (millimeters of mercury [mmHg]): <90 mmHg and with >20 mmHg decrease from baseline: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP (mmHg): >180 mmHg and with >20 mmHg increase from baseline: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP (mmHg): <50 mmHg and with >15 mmHg decrease from baseline : Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (degree Celsius [C]): <35.5 degree C: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (degree C): >37.5 degree C: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Respiratory Rate: >20 breaths per minute: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse: <50 bpm and with >15 bpm decrease from baseline: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse: >100 bpm and with >15 bpm increase from baseline: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP:<90 mmHg and with >20 mmHg decrease from baseline: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP: >180 mmHg and with >20 mmHg increase from baseline: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP: >105 mmHg and with >15 mmHg increase from baseline: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (degree C): <35.5 degree C: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (degree C): >37.5 degree C: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Respiratory Rate: >20 breaths per minute: Week 2
0 Participants
1 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse (bpm): <50 bpm and with >15 bpm decrease from baseline: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse (bpm): >100 bpm and with >15 bpm increase from baseline: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP (mmHg): <90 mmHg and with >20 mmHg decrease from baseline: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP (mmHg): >180 mmHg and with >20 mmHg increase from baseline: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP (mmHg): <50 mmHg and with >15 mmHg decrease from baseline: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP (mmHg): <105 mmHg and with >15 mmHg increase from baseline: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (degree C): <35.5 degree C: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (degree C): >37.5 degree C: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Respiratory Rate: >20 breaths per minute: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse: <50 bpm and with >15 bpm decrease from baseline: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse: <100 bpm and with >15 bpm increase from baseline: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP (mmHg): <90 mmHg and with >20 mmHg decrease from baseline: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP (mmHg): >180 mmHg and with >20 mmHg increase from baseline: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP (mmHg): <50 mmHg and with >15 mmHg decrease from baseline: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP (mmHg): >105 mmHg and with >15 mmHg increase from baseline: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (C): <35.5 degree C: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (degree C): <37.5 degree C: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Respiratory Rate (breaths/min): >20 breaths per minute: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Weight (kg): Decrease from baseline >7%: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Weight (kg): Increase from baseline >7%: Week 6
0 Participants
1 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse: <50 bpm and with >15 bpm decrease from baseline: Follow-up (Week 8)
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Pulse: >100 bpm and with >15 bpm increase from baseline: Follow-up (Week 8)
1 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP (mmHg): <90mmHg and with >20 mmHg decrease from baseline: Follow-up (Week 8)
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
SBP (mmHg):>180mmHg and with >20 mmHg increase from baseline: Follow-up (Week 8)
0 Participants
1 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP (mmHg): <50mmHg and with >15mmHg decrease from baseline: Follow-up (Week 8)
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
DBP (mmHg):>105mmHg and with >15mmHg increase from baseline: Follow-up (Week 8)
0 Participants
1 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (C): <35.5 degree C: Follow-up (Week 8)
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Temperature (C): >37.5 degree C: Follow-up (Week 8)
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Respiratory Rate (breaths/min): >20 breaths per minute: Follow-up (Week 8)
0 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Weight (kg): Decrease from baseline >7%: Follow-up (Week 8)
1 Participants
0 Participants
Number of Participants With Treatment-emergent Clinically Important Abnormalities in Vital Signs
Weight (kg): Increase from baseline >7%: Follow-up (Week 8)
0 Participants
2 Participants

SECONDARY outcome

Timeframe: Baseline (Day 1), Week 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified timepoints.

Change from baseline in clinical laboratory values in male hormone (Inhibin B) were reported.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=16 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=25 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Clinical Laboratory Values in Male Hormone: Inhibin B
Week 4
-5.9 nanograms per liter (ng/L)
Standard Deviation 30.45
3.1 nanograms per liter (ng/L)
Standard Deviation 22.15
Change From Baseline in Clinical Laboratory Values in Male Hormone: Inhibin B
Week 6
-2.1 nanograms per liter (ng/L)
Standard Deviation 30.02
-1.8 nanograms per liter (ng/L)
Standard Deviation 31.09
Change From Baseline in Clinical Laboratory Values in Male Hormone: Inhibin B
Week 8
-1.2 nanograms per liter (ng/L)
Standard Deviation 28.25
7.3 nanograms per liter (ng/L)
Standard Deviation 19.60

SECONDARY outcome

Timeframe: Baseline (Day 1), Week 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified timepoints.

Change from baseline in clinical laboratory values in male hormone (luteinizing hormone) were reported.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=16 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=27 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Clinical Laboratory Values in Male Hormone: Luteinizing Hormone
Week 4
0.15 International units per liter (IU/L)
Standard Deviation 1.814
0.29 International units per liter (IU/L)
Standard Deviation 1.513
Change From Baseline in Clinical Laboratory Values in Male Hormone: Luteinizing Hormone
Week 6
-0.11 International units per liter (IU/L)
Standard Deviation 1.677
0.63 International units per liter (IU/L)
Standard Deviation 2.719
Change From Baseline in Clinical Laboratory Values in Male Hormone: Luteinizing Hormone
Week 8
-0.35 International units per liter (IU/L)
Standard Deviation 1.638
0.84 International units per liter (IU/L)
Standard Deviation 2.103

SECONDARY outcome

Timeframe: Baseline (Day 1), Week 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified timepoints.

Change from baseline in clinical laboratory values in male hormone (prolactin) were reported.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=16 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=27 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Clinical Laboratory Values in Male Hormone: Prolactin
Week 4
0.347 micrograms per liter (mcg/L)
Standard Deviation 2.4360
1.803 micrograms per liter (mcg/L)
Standard Deviation 3.6211
Change From Baseline in Clinical Laboratory Values in Male Hormone: Prolactin
Week 6
0.551 micrograms per liter (mcg/L)
Standard Deviation 3.1575
1.465 micrograms per liter (mcg/L)
Standard Deviation 5.3742
Change From Baseline in Clinical Laboratory Values in Male Hormone: Prolactin
Week 8
-0.160 micrograms per liter (mcg/L)
Standard Deviation 3.8622
1.748 micrograms per liter (mcg/L)
Standard Deviation 3.9231

SECONDARY outcome

Timeframe: Baseline (Day 1), Week 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Change from baseline in clinical laboratory values in male hormones (sex hormone binding globulin, testosterone \[free\], testosterone \[high sensitivity\], and testosterone \[low sensitivity\]) were reported.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=16 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=27 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Sex Hormone Binding Globulin: Week 4
-1.976 nanomoles per liter (nmol/L)
Standard Deviation 7.1297
-0.574 nanomoles per liter (nmol/L)
Standard Deviation 8.5796
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Sex Hormone Binding Globulin: Week 6
-4.020 nanomoles per liter (nmol/L)
Standard Deviation 7.4992
-0.274 nanomoles per liter (nmol/L)
Standard Deviation 9.2454
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Sex Hormone Binding Globulin: Week 8
-2.520 nanomoles per liter (nmol/L)
Standard Deviation 7.8489
1.058 nanomoles per liter (nmol/L)
Standard Deviation 6.6109
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, Free: Week 4
0.005 nanomoles per liter (nmol/L)
Standard Deviation 0.0677
0.030 nanomoles per liter (nmol/L)
Standard Deviation 0.0995
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, Free: Week 6
-0.010 nanomoles per liter (nmol/L)
Standard Deviation 0.0731
0.037 nanomoles per liter (nmol/L)
Standard Deviation 0.1084
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, Free: Week 8
0.031 nanomoles per liter (nmol/L)
Standard Deviation 0.0763
0.046 nanomoles per liter (nmol/L)
Standard Deviation 0.0877
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, High Sensitivity: Week 4
-0.797 nanomoles per liter (nmol/L)
Standard Deviation 3.3271
0.357 nanomoles per liter (nmol/L)
Standard Deviation 5.5917
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, High Sensitivity: Week 6
-1.262 nanomoles per liter (nmol/L)
Standard Deviation 3.6807
0.842 nanomoles per liter (nmol/L)
Standard Deviation 5.6815
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, High Sensitivity: Week 8
0.604 nanomoles per liter (nmol/L)
Standard Deviation 3.7718
1.416 nanomoles per liter (nmol/L)
Standard Deviation 4.3083
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, Low Sensitivity: Week 4
-0.791 nanomoles per liter (nmol/L)
Standard Deviation 3.8886
0.854 nanomoles per liter (nmol/L)
Standard Deviation 5.9616
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, Low Sensitivity: Week 6
-1.532 nanomoles per liter (nmol/L)
Standard Deviation 4.5203
1.380 nanomoles per liter (nmol/L)
Standard Deviation 5.9515
Change From Baseline in Clinical Laboratory Values in Male Hormones: Sex Hormone Binding Globulin, Testosterone (Free), Testosterone (High Sensitivity), and Testosterone (Low Sensitivity)
Testosterone, Low Sensitivity: Week 8
1.116 nanomoles per liter (nmol/L)
Standard Deviation 4.8452
1.728 nanomoles per liter (nmol/L)
Standard Deviation 4.6578

SECONDARY outcome

Timeframe: Weeks 2, 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Number of participants with abnormal laboratory values: serum chemistry were reported. It included: aspartate aminotransferase (high), alanine aminotransferase (high), bilirubin (high/low), and alkaline phosphatase (high/low). Only categories with data were reported.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=54 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=60 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Aspartate Aminotransferase (High): Week 2
2 Participants
2 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Aspartate Aminotransferase (High): Week 4
0 Participants
2 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Aspartate Aminotransferase (High): Week 6
1 Participants
0 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Aspartate Aminotransferase (High): Week 8
0 Participants
2 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alanine Aminotransferase (High): Week 2
1 Participants
3 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alanine Aminotransferase (High): Week 4
2 Participants
3 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alanine Aminotransferase (High): Week 6
2 Participants
1 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alanine Aminotransferase (High): Week 8
1 Participants
2 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Bilirubin (Low): Week 2
4 Participants
9 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Bilirubin (High): Week 2
1 Participants
0 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Bilirubin (Low): Week 4
8 Participants
7 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Bilirubin (Low): Week 6
5 Participants
4 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Bilirubin (High): Week 6
2 Participants
0 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Bilirubin (Low): Week 8
3 Participants
5 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Bilirubin (High): Week 8
1 Participants
0 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alkaline Phosphatase (Low): Week 2
1 Participants
0 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alkaline Phosphatase (High): Week 2
3 Participants
5 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alkaline Phosphatase (Low): Week 4
1 Participants
0 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alkaline Phosphatase (High): Week 4
0 Participants
3 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alkaline Phosphatase (Low): Week 6
1 Participants
0 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alkaline Phosphatase (High): Week 6
1 Participants
6 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alkaline Phosphatase (Low): Week 8
1 Participants
0 Participants
Number of Participants With Abnormal Laboratory Values: Serum Chemistry
Alkaline Phosphatase (High): Week 8
4 Participants
5 Participants

SECONDARY outcome

Timeframe: Weeks 2, 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention.

Number of participants with clinically significant abnormal laboratory values: hematology were reported.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=54 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=60 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants With Clinically Significant Abnormal Laboratory Values: Hematology
Week 2
0 Participants
0 Participants
Number of Participants With Clinically Significant Abnormal Laboratory Values: Hematology
Week 4
0 Participants
0 Participants
Number of Participants With Clinically Significant Abnormal Laboratory Values: Hematology
Week 6
0 Participants
0 Participants
Number of Participants With Clinically Significant Abnormal Laboratory Values: Hematology
Week 8
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Weeks 2, 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention.

Number of participants with clinically significant abnormal laboratory values: urinalysis were reported.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=54 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=60 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants With Clinically Significant Abnormal Laboratory Values: Urinalysis
Week 2
0 Participants
0 Participants
Number of Participants With Clinically Significant Abnormal Laboratory Values: Urinalysis
Week 4
0 Participants
0 Participants
Number of Participants With Clinically Significant Abnormal Laboratory Values: Urinalysis
Week 6
0 Participants
0 Participants
Number of Participants With Clinically Significant Abnormal Laboratory Values: Urinalysis
Week 8
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention.

Number of participants with TEAEs were reported. An adverse event (AE) is any untoward medical occurrence in a clinical study participants who administered a medicinal (investigational or non-investigational) product and does not necessarily have a causal relationship with the treatment. A TEAE defined as an AE that occurred at or after the first dose administration up to day of the last dose plus 30 days.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=54 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=60 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
22 Participants
28 Participants

SECONDARY outcome

Timeframe: Weeks 1, 2, 4, 6, and 8 (Follow-up/Early Withdrawal)

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Number of participants with treatment-emergent abnormalities in ECGs were reported. It included ECG mean heart rate (abnormally low \[AL\]: \<50 and abnormally high \[AH\]: \>100 beats per minute \[bpm\]), PR Interval (AL: \<120 and AH: \>200 milliseconds \[msec\]), QRS Duration (AL: \<60 and AH: \>120 msec), and QT Interval (AL: \<200 and AH: \>500 msec). A treatment-emergent abnormalities in ECGs are defined as those abnormalities that occurred at or after the first dose administration.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=54 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=60 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: <50 bpm: Week 1
1 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: >100 bpm: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: <120 msec: Week 1
0 Participants
1 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: >200 msec: Week 1
1 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: <60 msec: Week 1
0 Participants
1 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: >120 msec: Week 1
1 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: <200 msec: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: >500 msec: Week 1
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: <50 bpm: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: >100 bpm: Week 2
1 Participants
1 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: <120 msec: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: >200 msec: Week 2
1 Participants
2 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: <60 msec: Week 2
0 Participants
1 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: >120 msec: Week 2
0 Participants
1 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: <200 msec: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: >500 msec: Week 2
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: <50 bpm: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: >100 bpm: Week 4
1 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: <120 msec: Week 4
0 Participants
1 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: >200 msec: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: <60 msec: Week 4
0 Participants
1 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: >120 msec: Week 4
1 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: <200 msec: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: >500 msec: Week 4
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: <50 bpm: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: >100 bpm: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: <120 msec: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: >200 msec: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: <60 msec: Week 6
0 Participants
4 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: >120 msec: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: <200 msec: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: >500 msec: Week 6
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: <50 bpm: Week 8
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
ECG Mean Heart Rate: >100 bpm: Week 8
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: <120 msec: Week 8
1 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
PR Interval: >200 msec: Week 8
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: <60 msec: Week 8
1 Participants
2 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QRS Duration: >120 msec: Week 8
0 Participants
1 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: <200 msec: Week 8
0 Participants
0 Participants
Number of Participants With Treatment-emergent Abnormalities in Electrocardiograms (ECGs)
QT Interval: >500 msec: Week 8
0 Participants
0 Participants

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure.

Change from baseline in YMRS total score were reported. The YMRS was designed to measure the severity of manic symptoms, to gauge the effect of treatment on mania severity, and to detect a return of manic symptoms (for example relapse or recurrence). YMRS had 11 items : 4 items (irritability, speech, thought content, and disruptive/aggressive behavior) were graded on a scale of 0 to 8 and the remaining 7 items (elevated mood, increased motor activity, sexual interest, sleep, language-thought disorder, appearance, and insight) were graded on a scale of 0 to 4. Higher scores indicated greater symptom severity. Responses were summed to yield YMRS total score ranged from 0 to 60 , with higher scores reflecting greater severity of mania.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=42 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=50 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Young Mania Rating Scale (YMRS) Total Score
-1.2 Units on a scale
Standard Deviation 2.23
-1.1 Units on a scale
Standard Deviation 1.81

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 8

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure.

C-SSRS is a clinician-rated instrument that reports severity of both suicidal ideation (SI) and suicidal behavior (SB). SI categories: 1 (wish to be dead), 2 (nonspecific active suicidal thoughts), 3 (active suicidal ideation with any methods \[not plan\] without intent to act), 4 (active SI with some intent to act, without specific plan), and 5 (active SI with specific plan and intent). SB categories: 6 (preparatory acts or behavior), 7 (aborted attempt), 8 (interrupted attempt), 9 (actual attempt), and 10 (suicide). An additional category for non-suicide: non-suicidal self-injurious behavior. SI/SB was indicated by a "yes" answer to any of the listed categories. Score of 0 (no SI or SB) was assigned. Maximum score of 1 to 10 was assigned if suicidal ideation or behavior was present. Scoring was grouped into 3 categories: No SI/SB (0), SI (score 1 to 5), and SB (score 6 to 10), with higher scores indicating more severe ideation/behavior.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=53 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=59 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants Who Reported Suicidal Ideation (SI) or Suicidal Behavior (SB) Using With Columbia Suicide Severity Rating Scale (C-SSRS) Score
Suicidal ideation
3 Participants
6 Participants
Number of Participants Who Reported Suicidal Ideation (SI) or Suicidal Behavior (SB) Using With Columbia Suicide Severity Rating Scale (C-SSRS) Score
Suicidal behavior
1 Participants
0 Participants
Number of Participants Who Reported Suicidal Ideation (SI) or Suicidal Behavior (SB) Using With Columbia Suicide Severity Rating Scale (C-SSRS) Score
No SI/SB
49 Participants
Interval 2.23 to
53 Participants
Interval 1.81 to

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: Safety analysis set included all randomized participants who took at least 1 dose of study intervention. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure.

Change from baseline in CGI-S score were reported. The CGI-S provides an overall clinician-determined summary measure of the severity of the participant's illness that takes into account all available information, including knowledge of the participant's history, psychosocial circumstances, symptoms, behavior, and the impact of the symptoms on the participant's ability to function. The CGI-S is a 7-point global assessment scale that measures the clinician's impression of the severity of mental illness exhibited by a participant, and rated on a scale of 1 to 7: 1=normal (not at all ill); 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; and 7=among the most extremely ill participants. Higher scores indicate worsening. Negative change in CGI-S score indicate improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=42 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=50 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Clinical Global Impression-Severity Scale (CGI-S) Score
-1.9 Units on a scale
Standard Deviation 1.49
-1.7 Units on a scale
Standard Deviation 1.32

SECONDARY outcome

Timeframe: Predose, 1.5 hours and 4 hours post-dose on Week 0 (Day 1), Weeks 1 (Day 8), 2 (Day 15), 4 (Day 29), and 6 (Day 43)

Population: Pharmacokinetics (PK) analysis set included all participants who received at least 1 dose of JNJ-55308942 and had at least 1 valid blood sample drawn for PK analysis. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories. Data for this outcome measure was not planned to be collected and analyzed for placebo arm.

Plasma concentrations of JNJ-55308942 were reported.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=53 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Plasma Concentrations of JNJ-55308942
Week 6 (Day 43): 4 hours postdose
883.51 Nanograms per milliliter (ng/mL)
Standard Deviation 209.413
Plasma Concentrations of JNJ-55308942
Week 0 (Day 1): Predose
0.00 Nanograms per milliliter (ng/mL)
Standard Deviation 0.000
Plasma Concentrations of JNJ-55308942
Week 0 (Day 1): 1.5 hours postdose
406.13 Nanograms per milliliter (ng/mL)
Standard Deviation 162.407
Plasma Concentrations of JNJ-55308942
Week 0 (Day 1): 4 hours postdose
407.72 Nanograms per milliliter (ng/mL)
Standard Deviation 133.461
Plasma Concentrations of JNJ-55308942
Week 1 (Day 8): Predose
531.20 Nanograms per milliliter (ng/mL)
Standard Deviation 200.351
Plasma Concentrations of JNJ-55308942
Week 1 (Day 8): 1.5 hours postdose
868.01 Nanograms per milliliter (ng/mL)
Standard Deviation 296.255
Plasma Concentrations of JNJ-55308942
Week 1 (Day 8): 4 hours postdose
892.54 Nanograms per milliliter (ng/mL)
Standard Deviation 219.210
Plasma Concentrations of JNJ-55308942
Week 2 (Day 15): Predose
561.32 Nanograms per milliliter (ng/mL)
Standard Deviation 194.184
Plasma Concentrations of JNJ-55308942
Week 2 (Day 15): 1.5 hours postdose
930.59 Nanograms per milliliter (ng/mL)
Standard Deviation 265.581
Plasma Concentrations of JNJ-55308942
Week 2 (Day 15): 4 hours postdose
919.86 Nanograms per milliliter (ng/mL)
Standard Deviation 213.028
Plasma Concentrations of JNJ-55308942
Week 4 (Day 29): Predose
528.90 Nanograms per milliliter (ng/mL)
Standard Deviation 144.580
Plasma Concentrations of JNJ-55308942
Week 4 (Day 29): 1.5 hours postdose
885.50 Nanograms per milliliter (ng/mL)
Standard Deviation 249.562
Plasma Concentrations of JNJ-55308942
Week 4 (Day 29): 4 hours postdose
872.80 Nanograms per milliliter (ng/mL)
Standard Deviation 208.734
Plasma Concentrations of JNJ-55308942
Week 6 (Day 43): Predose
535.80 Nanograms per milliliter (ng/mL)
Standard Deviation 160.568
Plasma Concentrations of JNJ-55308942
Week 6 (Day 43): 1.5 hours postdose
862.31 Nanograms per milliliter (ng/mL)
Standard Deviation 240.540

SECONDARY outcome

Timeframe: Baseline (Day 1), Weeks 1, 2, 3, 4, 5, and 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and had both the baseline and at least 1 postbaseline MADRS measurement. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Change from baseline in PROMIS score - ability to participate in social roles and activities T-Scores were reported. The PROMIS - APS item bank assessed the perceived ability to perform one's usual social roles and activities. The item bank did not use a time frame (for example, over the past seven days) when assessing the APS. The Short Form 4a included 4 items that represent this concept. Each question had 5 response options ranging in value from 1 to 5 with higher scores indicating better social function. The total raw score for the short form was calculated by summing the values of the response to each question, so for the 4-item form, the lowest possible raw score was 4; the highest possible raw score was 20. The total raw score was converted to a T score with a mean of 50 and a standard deviation of 10. Higher T-scores indicate better social function.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=48 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=59 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) Score - Ability to Participate in Social Roles and Activities (APS) T-Scores
PROMIS-APS T-score: Week 1
2.51 T-score
Standard Deviation 5.682
1.69 T-score
Standard Deviation 6.859
Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) Score - Ability to Participate in Social Roles and Activities (APS) T-Scores
PROMIS-APS T-score: Week 2
5.33 T-score
Standard Deviation 6.901
4.49 T-score
Standard Deviation 9.174
Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) Score - Ability to Participate in Social Roles and Activities (APS) T-Scores
PROMIS-APS T-score: Week 3
6.52 T-score
Standard Deviation 8.226
5.00 T-score
Standard Deviation 8.884
Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) Score - Ability to Participate in Social Roles and Activities (APS) T-Scores
PROMIS-APS T-score: Week 4
9.12 T-score
Standard Deviation 9.018
6.07 T-score
Standard Deviation 8.369
Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) Score - Ability to Participate in Social Roles and Activities (APS) T-Scores
PROMIS-APS T-score: Week 5
9.47 T-score
Standard Deviation 8.248
4.90 T-score
Standard Deviation 9.296
Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) Score - Ability to Participate in Social Roles and Activities (APS) T-Scores
PROMIS-APS T-score: Week 6
10.50 T-score
Standard Deviation 8.211
6.12 T-score
Standard Deviation 8.412

SECONDARY outcome

Timeframe: Baseline (Day 1), Weeks 1, 2, 3, 4, 5, and 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and had both the baseline and at least 1 postbaseline MADRS measurement. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Change from baseline in PHQ-9 total score were reported. PHQ-9 is 9-item, self-report scale assessed depressive symptoms. Each item was rated on 4-point scale (0=Not at all, 1=several days, 2=more than half days, 3=nearly every day. The participant's item responses were summed to provide PHQ-9 total score (range of 0 to 27) with higher scores indicating greater severity of depressive symptoms.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=48 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=59 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score
Week 1
-2.8 Units on a scale
Standard Deviation 4.24
-3.1 Units on a scale
Standard Deviation 5.45
Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score
Week 2
-5.2 Units on a scale
Standard Deviation 5.64
-4.7 Units on a scale
Standard Deviation 6.63
Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score
Week 3
-6.4 Units on a scale
Standard Deviation 6.25
-5.1 Units on a scale
Standard Deviation 6.90
Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score
Week 4
-7.0 Units on a scale
Standard Deviation 6.38
-6.1 Units on a scale
Standard Deviation 6.81
Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score
Week 5
-8.2 Units on a scale
Standard Deviation 6.59
-5.2 Units on a scale
Standard Deviation 7.21
Change From Baseline in Patient Health Questionnaire-9 (PHQ-9) Total Score
Week 6
-9.0 Units on a scale
Standard Deviation 6.79
-7.0 Units on a scale
Standard Deviation 7.41

SECONDARY outcome

Timeframe: Baseline (Day 1), Weeks 2, 4, and 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and had both the baseline and at least 1 postbaseline MADRS measurement. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories.

Change from baseline in GAD-7 total score were reported. GAD-7 is a brief and validated 7-item self-reported questionnaire for assessment of overall GAD. Participants responded to each item using a 4-point scale with response categories of 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day, with a higher score representing a more severe condition. Item responses were summed to yield GAD-7 total score which ranged of 0 to 21, where higher scores indicated more anxiety.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=48 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=59 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in Generalized Anxiety Disorder 7 (GAD-7) Total Score
Week 2
-3.8 Units on a scale
Standard Deviation 5.08
-4.2 Units on a scale
Standard Deviation 5.76
Change From Baseline in Generalized Anxiety Disorder 7 (GAD-7) Total Score
Week 4
-5.0 Units on a scale
Standard Deviation 6.59
-4.5 Units on a scale
Standard Deviation 5.14
Change From Baseline in Generalized Anxiety Disorder 7 (GAD-7) Total Score
Week 6
-5.7 Units on a scale
Standard Deviation 6.21
-5.7 Units on a scale
Standard Deviation 5.77

SECONDARY outcome

Timeframe: Week 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and have both the baseline and at least 1 postbaseline MADRS measurement.

Number of participants who achieved response at Week 6 were reported. Response was defined as greater than or equal to (\>=)50% improvement in MADRS total score from baseline. MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to AD treatment. The MADRS evaluated reported sadness, apparent sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. The scale consisted of 10 items, each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms),with higher score indicating a more severe condition. The MADRS total score was the sum of scores from individual question items and it ranged from 0 to 60, with higher scores indicated more severe conditions. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=48 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=59 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants Who Achieved Response at Week 6
27 Participants
Interval 6.21 to
31 Participants
Interval 5.77 to

SECONDARY outcome

Timeframe: Week 6

Population: FAS included all randomized participants who received at least 1 dose of study intervention and have both the baseline and at least 1 postbaseline MADRS measurement.

Number of participants who achieved remission at Week 6 were reported. Remission was defined as MADRS total score \<=12. MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to AD treatment. The MADRS evaluated reported sadness, apparent sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. The scale consisted of 10 items, each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms),with higher score indicating a more severe condition. The MADRS total score was the sum of scores from individual question items and it ranged from 0 to 60, with higher scores indicated more severe conditions. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=48 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=59 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Number of Participants Who Achieved Remission at Week 6
25 Participants
Interval 6.21 to
30 Participants
Interval 5.77 to

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: FAS included all randomized participants who had received at least 1 dose of study intervention and have both the baseline and at least 1 postbaseline MADRS measurement.

Change from baseline in MADRS total score up to Week 6 (subgroup of participants with mRNA transcript levels) was planned to be reported. Subgroup included participants with mRNA transcript levels at baseline that exceeded the medium level for both P2RX7 and IL-1-beta. MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to AD treatment. MADRS evaluated reported sadness, apparent sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts. The scale consisted of 10 items, each of which was scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms),with higher score indicating a more severe condition. MADRS total score was the sum of scores from individual question items and it ranged from 0 to 60, with higher scores indicated more severe conditions. Negative change in MADRS total score indicated improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=48 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=59 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in MADRS Total Score up to Week 6 (Subgroup of Participants With Messenger Ribonucleic Acid [mRNA] Transcript Levels)
NA Units on a scale
Standard Deviation NA
NA refers that mean and standard deviation were not calculable under acceptable margins for categorization of participants because of poor reproducibility of the PCR method using small RNA volumes, participants could not be categorized by mRNA transcript levels.
NA Units on a scale
Standard Deviation NA
NA refers that mean and standard deviation were not calculable under acceptable margins for categorization of participants because of poor reproducibility of the PCR method using small RNA volumes, participants could not be categorized by mRNA transcript levels.

SECONDARY outcome

Timeframe: From Baseline (Day 1) up to Week 6

Population: FAS included all randomized participants who had received at least 1 dose of study intervention and have both the baseline and at least 1 postbaseline MADRS measurement. Here, 'N' (overall number of participants analyzed) signifies number of participants evaluable for this outcome measure. Here, 'n' (number analyzed) is defined as participants analyzed at specified categories. n=0 signifies no participant was available for the analysis.

Change from baseline in MADRS total score up to Week 6 (concomitant medication subgroup analysis) was reported. Concomitant medication subgroup analysis included subjects with BD not taking any mood stabilizer or antipsychotic, taking a mood stabilizer alone, taking antipsychotic alone, and taking a combination of mood stabilizer and an antipsychotic. MADRS measures depression severity, detects changes due to AD treatment. It consists of 10 items (evaluate apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, suicidal thoughts), scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), summed to total possible score of 0 to 60. Higher scores indicate more severe conditions. Negative change in score indicates improvement.

Outcome measures

Outcome measures
Measure
JNJ-55308942
n=42 Participants
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=50 Participants
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Change From Baseline in MADRS Total Score up to Week 6 (Concomitant Medication Subgroup Analysis)
Concomitant medication status: Not taking any mood stabilizer or antipsychotic
-15.5 Units on a scale
Standard Deviation 13.18
-16.2 Units on a scale
Standard Deviation 9.69
Change From Baseline in MADRS Total Score up to Week 6 (Concomitant Medication Subgroup Analysis)
Concomitant medication status: Taking a mood stabilizer alone
-16.3 Units on a scale
Standard Deviation 9.82
-15.6 Units on a scale
Standard Deviation 9.47
Change From Baseline in MADRS Total Score up to Week 6 (Concomitant Medication Subgroup Analysis)
Concomitant medication status: Taking an antipsychotic alone
-13.0 Units on a scale
Standard Deviation NA
NA refers to standard deviation was not estimable as only 1 participant was analyzed.
5.0 Units on a scale
Standard Deviation NA
NA refers to standard deviation was not estimable as only 1 participant was analyzed.
Change From Baseline in MADRS Total Score up to Week 6 (Concomitant Medication Subgroup Analysis)
Concomitant medication status: Taking a combination of a mood stabilizer and an antipsychotic
-13.0 Units on a scale
Standard Deviation NA
NA refers to standard deviation was not estimable as only 1 participant was analyzed.

Adverse Events

JNJ-55308942

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Placebo

Serious events: 3 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
JNJ-55308942
n=54 participants at risk
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=60 participants at risk
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Hepatobiliary disorders
Cholelithiasis
0.00%
0/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
1.7%
1/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
Injury, poisoning and procedural complications
Intentional Overdose
0.00%
0/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
1.7%
1/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
Psychiatric disorders
Behaviour Disorder
0.00%
0/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
1.7%
1/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
Psychiatric disorders
Depression
1.9%
1/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
0.00%
0/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
Psychiatric disorders
Mania
0.00%
0/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
1.7%
1/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
Psychiatric disorders
Suicide Attempt
1.9%
1/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
0.00%
0/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.

Other adverse events

Other adverse events
Measure
JNJ-55308942
n=54 participants at risk
During double-blind (DB) treatment phase, participants received JNJ-55308942 capsule, orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Placebo
n=60 participants at risk
During DB treatment phase, participants received placebo capsule (matching to JNJ-55308942), orally once daily from Day 1 (Week 0) up to 6 weeks. Participants were then followed up for up to 2 weeks after their last dose (up to Day 56).
Gastrointestinal disorders
Diarrhoea
3.7%
2/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
5.0%
3/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
Gastrointestinal disorders
Nausea
7.4%
4/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
8.3%
5/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
Gastrointestinal disorders
Vomiting
1.9%
1/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
5.0%
3/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
Nervous system disorders
Headache
5.6%
3/54 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.
6.7%
4/60 • All-cause mortality: From screening (-28 days) up to end of study (up to 12 weeks); SAEs and Other AEs: From Day 1 (Week 0) up to 30 days after the last dose (up to 11 weeks)
All-cause mortality was analyzed on all randomized participants in the study. SAEs and Other AEs were analyzed on safety analysis set that included all randomized participants who took at least 1 dose of study intervention.

Additional Information

Senior Director Clinical Sciences Neuroscience

Janssen Research & Development

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 withhold such publication for up to an additional 60 days to allow for filing of a patent application.
  • Publication restrictions are in place

Restriction type: OTHER