Study of Lumateperone as Adjunctive Therapy in the Treatment of Patients With Major Depressive Disorder

NCT ID: NCT05850689

Last Updated: 2025-07-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

470 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-02

Study Completion Date

2026-10-31

Brief Summary

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This is a multicenter, randomized, double-blind, placebo-controlled parallel-group, fixed-dose study in patients with a primary diagnosis of MDD according to criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) who have an inadequate response to ongoing ADT.

Detailed Description

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The study will be conducted in three periods:

* Screening Period (up to 2 weeks) during which patient eligibility will be assessed.
* Double-blind Treatment Period (6 weeks) in which all patients will be randomized to receive placebo or lumateperone 42 mg/day in 1:1 ratio.
* Safety Follow-up Period (1 week) in which all patients will return to the clinic for a safety follow-up visit approximately one week after the last dose of study treatment.

Conditions

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Major Depressive Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Lumateperone 42 mg

Group Type EXPERIMENTAL

Lumateperone

Intervention Type DRUG

Lumateperone 42 mg capsules administered orally, once daily

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching capsules administered orally, once daily

Interventions

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Lumateperone

Lumateperone 42 mg capsules administered orally, once daily

Intervention Type DRUG

Placebo

Matching capsules administered orally, once daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female patients between the ages of 18 and 65 years, inclusive;
2. Meets DSM-5 criteria for MDD (MDD with psychotic features will be acceptable) as confirmed by the Investigator or Sponsor-approved rater using the modified Structured Clinical Interview for DSM-5, Clinical Trials Version (SCID-5-CT) and meets all of the following criteria:

1. The start of the current major depressive episode (MDE) is at least 12 weeks but not more than 18 months prior to Screening;
2. Has at least moderate severity of illness based on rater-administered MADRS total score ≥ 24 at Screening and at Baseline;
3. Has at least moderate severity of illness based on CGI-S score ≥ 4 at Screening and at Baseline;
4. Has a Quick Inventory of Depressive Symptomatology-Self Report-16 item (QIDS-SR-16) score ≥ 14 at Screening and at Baseline;
5. Has sufficient history and medical record confirmation verifying the ADT and the current MDE is causing clinically significant distress or impairment in social, occupational, or other important areas of functioning.
3. Currently having an inadequate response (less than 50% improvement) to 2 or more ADTs in the current MDE as confirmed by the Investigator using the Antidepressant Treatment Response Questionnaire (ATRQ) and taking at least the minimum effective dose (per package insert) of one of the following antidepressants as monotherapy treatment for at least 6 weeks duration:

1. citalopram/escitalopram
2. fluoxetine
3. paroxetine
4. sertraline
5. duloxetine
6. levomilnacipran/milnacipran (if locally approved for MDD)
7. venlafaxine/desvenlafaxine
8. bupropion
9. vilazodone
10. vortioxetine

Exclusion Criteria

1. Within the patient's lifetime, has a confirmed DSM-5 psychiatric diagnosis other than MDD, including:

1. Schizophrenia, Schizoaffective Disorder, Schizophreniform Disorder or other psychotic disorder;
2. Bipolar Disorder;
2. Within 6 months of Screening, has a confirmed DSM-5 psychiatric diagnosis other than MDD including:

1. Anxiety disorders such as Panic Disorder or Generalized Anxiety Disorder; Obsessive-compulsive Disorder; Posttraumatic Stress Disorder as primary diagnoses. Note: Anxiety symptoms may be allowed if secondary to MDD, provided these symptoms do not require concurrent treatment;
2. Eating disorder;
3. Substance use disorders (excluding nicotine);
4. Personality disorder of sufficient severity to have a major impact on the patient's psychiatric status;
5. Within 12 months of Screening, has had any other psychiatric condition (other than MDD) that has been the main focus of treatment;
3. The patient experiences a ≥ 25% decrease in the MADRS total score between Screening and Baseline;
4. The patient experiences a ≥ 25% decrease in the QIDS-SR-16 total score between Screening and Baseline;
5. In the opinion of the Investigator, the patient has a significant risk for suicidal behavior during participation in the study or:

1. At Screening, the patient scores "yes" on Suicidal Ideation Items 4 or 5 of the Columbia-Suicide Severity Rating Scale (C-SSRS) within 6 months prior to Screening, or at Baseline, the patient scores "yes" on Suicidal Ideation Items 4 or 5 since the Screening Visit;
2. At Screening, the patient has had 1 or more suicide attempts within 2 years prior to Screening;
3. At Screening or Baseline, the patient scores ≥ 5 on MADRS Item 10 (Suicidal Thoughts), or
4. The patient is considered to be in imminent danger to him/herself or others.
6. The patient has a first MDE at age 60 years or older.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Intra-Cellular Therapies, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Clinical Site

Huntsville, Alabama, United States

Site Status RECRUITING

Clinical Site

Pico Rivera, California, United States

Site Status RECRUITING

Clinical Site

Farmington, Connecticut, United States

Site Status RECRUITING

Clinical Site

Clermont, Florida, United States

Site Status RECRUITING

Clinical Site

Hialeah, Florida, United States

Site Status RECRUITING

Clinical Site

Miami, Florida, United States

Site Status RECRUITING

Clinical Site

Miami, Florida, United States

Site Status RECRUITING

Clinical Site

Miami, Florida, United States

Site Status NOT_YET_RECRUITING

Clinical Site

Tampa, Florida, United States

Site Status RECRUITING

Clinical Site

Atlanta, Georgia, United States

Site Status RECRUITING

Clinical Site

Decatur, Georgia, United States

Site Status RECRUITING

Clinical Site

Kansas City, Kansas, United States

Site Status RECRUITING

Clinical Site

Kansas City, Kansas, United States

Site Status RECRUITING

Clinical Site

Overland Park, Kansas, United States

Site Status RECRUITING

Clinical Site

Methuen, Massachusetts, United States

Site Status RECRUITING

Clinical Site

O'Fallon, Missouri, United States

Site Status RECRUITING

Clinical Site

New York, New York, United States

Site Status RECRUITING

Clinical Site

Avon Lake, Ohio, United States

Site Status RECRUITING

Clinical Site

Cincinnati, Ohio, United States

Site Status RECRUITING

Clinical Site

Columbus, Ohio, United States

Site Status RECRUITING

Clinical Site

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Clinical Site

Houston, Texas, United States

Site Status RECRUITING

Clinical Site

Richardson, Texas, United States

Site Status RECRUITING

Clinical Site

Bellevue, Washington, United States

Site Status RECRUITING

Clinical Site

Cherven Bryag, , Bulgaria

Site Status RECRUITING

Clinical Site

Kardzhali, , Bulgaria

Site Status RECRUITING

Clinical Site

Pleven, , Bulgaria

Site Status RECRUITING

Clinical Site

Sofia, , Bulgaria

Site Status RECRUITING

Clinical Site

Sofia, , Bulgaria

Site Status RECRUITING

Clinical Site

Sofia, , Bulgaria

Site Status RECRUITING

Clincal Site

Stara Zagora, , Bulgaria

Site Status RECRUITING

Clinical Site

Varna, , Bulgaria

Site Status RECRUITING

Clinical Site

Douai, , France

Site Status RECRUITING

Clinical Site

Nantes, , France

Site Status RECRUITING

Clinical Site

Nîmes, , France

Site Status RECRUITING

Clinical Site

Paris, , France

Site Status RECRUITING

Clinical Site

Poitiers, , France

Site Status RECRUITING

Clinical Site

Ahmedabad, Gujarat, India

Site Status RECRUITING

Clinical Site

Ahmedabad, Gujarat, India

Site Status RECRUITING

Clinical Site

Rajkot, Gujarat, India

Site Status RECRUITING

Clinical Site

Surat, Gujarat, India

Site Status RECRUITING

Clinical Site

Kolhāpur, Maharahstra, India

Site Status RECRUITING

Clinical Site

Bārāmati, Maharashtra, India

Site Status RECRUITING

Clinical Site

Nagpur, Maharashtra, India

Site Status RECRUITING

Clinical Site

Pune, Maharashtra, India

Site Status RECRUITING

Clinical Site

Wardha, Maharashtra, India

Site Status RECRUITING

Clinical Site

Ajmer, Rajasthan, India

Site Status RECRUITING

Clinical Site

Kaunas, , Lithuania

Site Status RECRUITING

Clinical Site

Ziegzdriai, , Lithuania

Site Status RECRUITING

Clinical Site

Belgrade, , Serbia

Site Status RECRUITING

Clinical Site

Gornja Toponica, , Serbia

Site Status RECRUITING

Clinical Site

Kovin, , Serbia

Site Status RECRUITING

Clinical Site

Kragujevac, , Serbia

Site Status RECRUITING

Clinical Site

Niš, , Serbia

Site Status RECRUITING

Clinical Site

Novi Kneževac, , Serbia

Site Status RECRUITING

Clinical Site

Barcelona, , Spain

Site Status RECRUITING

Clinical Site

Barcelona, , Spain

Site Status RECRUITING

Clinical Site

Madrid, , Spain

Site Status RECRUITING

Clinical Site

Sabadell, , Spain

Site Status RECRUITING

Clinical Site

Zamora, , Spain

Site Status RECRUITING

Countries

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United States Bulgaria France India Lithuania Serbia Spain

Central Contacts

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ITI Clinical Trials

Role: CONTACT

646 440-9333

Other Identifiers

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ITI-007-505

Identifier Type: -

Identifier Source: org_study_id

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