BPL-003 Efficacy and Safety in Treatment Resistant Depression

NCT ID: NCT05870540

Last Updated: 2025-07-18

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

196 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-14

Study Completion Date

2025-07-03

Brief Summary

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This is a Phase 2 study randomized, quadruple masked, multi-center study , with a Open Label Extension, designed to investigate the efficacy and safety of BPL-003 combined with psychological support in patients with treatment resistant depression (TRD).

Detailed Description

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Approximately 200 eligible participants will receive a single dose of either low, medium, or high doses of BPL-003, given intranasally, with 8 weeks of follow up assessments. Following this participants may receive a second dose of either monophasic or biphasic dose of BPL-003, given intranasally, with another 8 weeks of follow up assessments.

Psychological support will be given before, during and after each dosing.

Conditions

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Treatment Resistant Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
CORE: Quadruple masking: participant, Investigator, therapist, outcomes assessor and Sponsor.

OLE: Open Label Extension.

Study Groups

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Low dose

Active placebo comparator

Group Type EXPERIMENTAL

BPL-003

Intervention Type DRUG

A single dose administered intranasally

Medium dose

Group Type EXPERIMENTAL

BPL-003

Intervention Type DRUG

A single dose administered intranasally

High dose

Group Type EXPERIMENTAL

BPL-003

Intervention Type DRUG

A single dose administered intranasally

Monophasic

Group Type EXPERIMENTAL

BPL-003

Intervention Type DRUG

A single dose administered intranasally

Biphasic

Group Type EXPERIMENTAL

BPL-003

Intervention Type DRUG

A single dose administered intranasally (administered as 2 nasal sprays minutes apart)

Interventions

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BPL-003

A single dose administered intranasally

Intervention Type DRUG

BPL-003

A single dose administered intranasally (administered as 2 nasal sprays minutes apart)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. At least moderate major depressive disorder.
2. Diagnosed with TRD defined as failure to respond to an adequate dose and duration of at least 2 pharmacological treatments based on the MGH ATRQ assessment.
3. Hamilton Depression Rating Scale score ≥19 at Screening and Baseline.
4. CGI-S ≥4 at Screening and Baseline.
5. If currently taking antidepressant medications, willing and able to discontinue current antidepressants.

Exclusion Criteria

1. Current or past history of schizophrenia, psychotic disorder including psychotic depression, bipolar disorder, delusional disorder, schizoaffective disorder, or any other severe psychiatric disorder.
2. Current personality disorders.
3. First-degree family history of schizophrenia, bipolar disorder, delusional disorder, or schizoaffective disorder.
4. Current alcohol or substance use disorder (other than caffeine or nicotine).
5. A participant who at any time has been unresponsive to ketamine, esketamine, an adequate course of treatment with electroconvulsive therapy, or has received vagal nerve stimulation or deep brain stimulation.
6. Suicidal ideation or behavior within the 12 months prior to the start of Screening or on Day 1 prior to dosing.
7. Suicide attempt and/or self-injurious behavior within the last 12 months prior to Screening.
8. Uncontrolled medical conditions e.g. hypo/hyperthyroidism, diabetes, renal failure.
9. History or current uncontrolled hypertension.
10. Seizure disorder or any seizure in the 2 years prior to Screening.
11. Has clinically significant results on ECG during the Screening.
12. Any nasal obstruction, blockage, or symptoms of congestion at the time of dosing that in the investigator's opinion may interfere with the administration of the study medication.
13. Female participants who are pregnant, lactating, or of childbearing potential and not willing to use adequate forms of contraception during the study.
14. Male participants who are sexually active and not willing to use adequate forms of contraception during the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beckley Psytech Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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VP & Head of Clinical Development

Role: STUDY_DIRECTOR

Beckley Psytech Ltd

Locations

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UAB School of Public Health, Department of Health Behavior

Birmingham, Alabama, United States

Site Status

Woodland Research Northwest

Rogers, Arkansas, United States

Site Status

Kadima Neuropsychiatry Institute

San Diego, California, United States

Site Status

San Francisco Insight and Integration Center

San Francisco, California, United States

Site Status

Pacific Neuroscience Institute, Treatment and Research in Psychedelics (TRIP) Program

Santa Monica, California, United States

Site Status

Wholeness Center

Fort Collins, Colorado, United States

Site Status

Segal Trials Center for Psychedelic and Cannabis Research

Lauderhill, Florida, United States

Site Status

Emory University, Brain Health Center, Department of Psychiatry and Behavioral Sciences

Atlanta, Georgia, United States

Site Status

CenExel ACMR

Atlanta, Georgia, United States

Site Status

CenExel iResearch

Decatur, Georgia, United States

Site Status

Sunstone Medical PC (Sunstone Therapies / Aquilino Cancer Center)

Rockville, Maryland, United States

Site Status

Boston Clinical Trials

Boston, Massachusetts, United States

Site Status

CenExel HRI

Berlin, New Jersey, United States

Site Status

New York State Psychiatric Institute

New York, New York, United States

Site Status

Portland Psychotherapy

Portland, Oregon, United States

Site Status

Insite clinical research

DeSoto, Texas, United States

Site Status

AIM Trials

Plano, Texas, United States

Site Status

Cedar Clinical Research

Draper, Utah, United States

Site Status

University of Wisconsin, Dept of Family Medicine & Community Health

Madison, Wisconsin, United States

Site Status

Royal Prince Alfred Hospital

Sydney, New South Wales, Australia

Site Status

Dept. of Psychiatry and School Psychological Sciences, Monash University

Clayton, Victoria, Australia

Site Status

NeuroCentrix Research

Melbourne, , Australia

Site Status

Royal Melbourne Hospital, University of Melbourne

Parkville, , Australia

Site Status

Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status

OVID Clinic, Augmented Psychotherapy

Berlin, , Germany

Site Status

Department of Psychiatry, University Hospital Frankfurt

Frankfurt am Main, , Germany

Site Status

Central Institute of Mental Health, Dept. of Molecular Neuroimaging

Mannheim, , Germany

Site Status

Universitätsklinik für Psychiatrie und Psychotherapie, Calwerstr. 14

Tübingen, , Germany

Site Status

Department of Psychiatry, UCK

Gdansk, , Poland

Site Status

Centrum Badań Klinicznych PI-House sp. z o.o.

Gdansk, , Poland

Site Status

SPZOZ Centralny Szpital Kliniczny Uniwersytetu Medycznego w Lodzi

Lodz, , Poland

Site Status

Klinika Inventiva

Tuszyn, , Poland

Site Status

Department of Pharmacology and Physiology of CNS

Warsaw, , Poland

Site Status

Hospital del Mar

Barcelona, , Spain

Site Status

Parc Sanitari Sant Joan de Deu HD Numancia

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona, Psychiatry and Psychology Dept.

Barcelona, , Spain

Site Status

Fundación de Investigación HM Hospital

Madrid, , Spain

Site Status

Centro de Salud Mental La Corredoria

Oviedo, , Spain

Site Status

Centro Salud San Juan

Salamanca, , Spain

Site Status

NIHR Exeter Clinical Research Facility

Exeter, , United Kingdom

Site Status

King's College London - Institute of Psychiatry, Psychology & Neuroscience (IoPPN) - Centre for Affective Disorders (CfAD)

London, , United Kingdom

Site Status

Clerkenwell Health

London, , United Kingdom

Site Status

Countries

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United States Australia Germany Poland Spain United Kingdom

Other Identifiers

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BPL-003-201

Identifier Type: -

Identifier Source: org_study_id

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