A Study of Aticaprant 10 mg as Adjunctive Therapy in Adult Participants With Major Depressive Disorder (MDD) With Moderate-to-severe Anhedonia and Inadequate Response to Current Antidepressant Therapy and Long-term Extension Treatment With Aticaprant

NCT ID: NCT06514742

Last Updated: 2025-10-23

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-26

Study Completion Date

2025-04-24

Brief Summary

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The purpose of this study is to evaluate how well aticaprant works as compared with placebo when given along with an antidepressant therapy in improving the depressive symptoms in adult participants with major depressive disorder (MDD) with moderate to severe anhedonia (ANH+) who have not responded well to current antidepressant therapy with a selective serotonin reuptake inhibitor/serotonin-norepinephrine reuptake inhibitor (SSRI or SNRI).

Detailed Description

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Conditions

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Depressive Disorder, Major Anhedonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Aticaprant

Group Type EXPERIMENTAL

Aticaprant

Intervention Type DRUG

Aticaprant tablet will be administered orally.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo tablet will be administered orally.

Interventions

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Aticaprant

Aticaprant tablet will be administered orally.

Intervention Type DRUG

Placebo

Placebo tablet will be administered orally.

Intervention Type OTHER

Other Intervention Names

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JNJ-67953964

Eligibility Criteria

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Inclusion Criteria

* Be medically stable based on physical examination (including a brief neurologic examination), medical history, vital signs (including blood pressure), and 12-lead electrocardiogram (ECG) performed at screening and double blind (DB) baseline
* Meet diagnostic and statistical manual of mental disorders-5th edition (DSM-5) diagnostic criteria for recurrent or single episode major depressive disorder (MDD), without psychotic features (DSM-5 296.22, 296.23, 296.32, or 296.33), based upon clinical assessment and confirmed by the structured clinical interview for DSM-5 axis I disorders-clinical trials version (SCID-CT)
* Have symptoms of anhedonia based on clinical assessment and confirmed by presence of anhedonia (positive response to MDE module symptom Item 2) on the SCID-CT at screening
* Have had an inadequate response to at least 1 and up to 5 (inclusive) oral antidepressant treatments, administered at an adequate dose
* Is currently receiving and tolerating well any one of the following selective serotonin reuptake inhibitor or serotonin-norepinephrine reuptake inhibitor (SSRI or SNRI) antidepressants at screening, in any approved formulation and available in the participating country/territory: citalopram, duloxetine, escitalopram, fluvoxamine, fluoxetine, milnacipran, levomilnacipran, paroxetine, sertraline, venlafaxine, or desvenlafaxine at a stable dose (at or above the minimum therapeutic dose per Massachusetts general hospital antidepressant treatment response questionnaire (MGH ATRQ) for at least 6 weeks. The current antidepressant cannot be the first antidepressant treatment for the first lifetime episode of depression

Exclusion Criteria

* Has had no response (treatment failure) to 2 or more consecutive antidepressant treatments administered at an adequate dose (at or above the minimum therapeutic dose) and duration (at least 6 weeks) in the current episode of depression including the current SSRI/SNRI (that is the one to be continued in the treatment phases) assessed using the MGH ATRQ
* Has one or more of the following diagnoses: (1) a current or prior (lifetime) DSM-5 diagnosis of: (a) a psychotic disorder or MDD with psychotic features, (b) bipolar or related disorders, (c) intellectual disability, (d) autism spectrum disorder, (e) borderline personality disorder, (f) antisocial personality disorder, (g) histrionic personality disorder, (h) narcissistic personality disorders, (i) somatoform disorders; (2) A primary DSM-5 diagnosis (which has been the primary focus of psychiatric treatment within the past 2 years) of: (a) panic disorder, (b) generalized anxiety disorder, (c) social anxiety disorder, (d) specific phobia; (3) A current (in the past year) DSM-5 diagnosis of: (a) obsessive-compulsive disorder, (b) post-traumatic stress disorder, (c) anorexia nervosa, (d) bulimia nervosa
* Has a history or evidence of clinically meaningful noncompliance with current antidepressant therapy
* Has a history of moderate-to-severe substance use disorder including alcohol use disorder according to DSM-5 criteria within 6 months before screening
* Has in the current depressive episode had vagal nerve stimulation or deep brain stimulation device in the current episode or has had an inadequate response to an adequate course of intravenous or intranasal ketamine or esketamine (greater than \[\>\] 2 treatments), or electroconvulsive therapy (that is at least 7 treatments)
* Has homicidal ideation/intent, per the investigator's clinical judgment, or has suicidal ideation with some intent to act within 3 months prior to the start of the screening phase, per the investigator's clinical judgment or based on the columbia suicidality severity rating scale (C-SSRS), corresponding to a response of "Yes" on Item 4 (active suicidal ideation with some intent to act, without specific plan) or Item 5 (active suicidal ideation with specific plan and intent) for suicidal ideation on the C-SSRS, or a history of suicidal behavior within the past 6 months prior to the start of the screening phase. Participants reporting suicidal ideation with intent to act or suicidal behavior at DB baseline should be excluded
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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UAB Huntsville Regional Medical Campus

Huntsville, Alabama, United States

Site Status

IMA Clinical Research PC

Phoenix, Arizona, United States

Site Status

Noble Clinical Research

Tucson, Arizona, United States

Site Status

Advanced Research Center Inc

Anaheim, California, United States

Site Status

CI Trials

Bellflower, California, United States

Site Status

Behavioral Research Specialists LLC

Glendale, California, United States

Site Status

Sun Valley Research Center

Imperial, California, United States

Site Status

ATP Clinical Research

Orange, California, United States

Site Status

Lumos Clinical Research Center LLC

San Jose, California, United States

Site Status

Viking Clinical Research Ltd

Temecula, California, United States

Site Status

Sunwise Clinical Research

Walnut Creek, California, United States

Site Status

MCB Clinical Research Centers LLC

Colorado Springs, Colorado, United States

Site Status

Humanity Clinical Research Corp

Aventura, Florida, United States

Site Status

Elligo Independent Research Sites Mindful Behavioral Health

Boca Raton, Florida, United States

Site Status

Gulfcoast Medical Research Center

Fort Myers, Florida, United States

Site Status

New Life Medical Research Center, Inc.

Hialeah, Florida, United States

Site Status

LCC Medical Research Institute Inc

Miami, Florida, United States

Site Status

Floridian Clinical Research LLC

Miami, Florida, United States

Site Status

Medquest Translational Sciences

Miami Lakes, Florida, United States

Site Status

Best Choice Medical and Research Service

Pembroke Pines, Florida, United States

Site Status

K2 Medical Research

Tampa, Florida, United States

Site Status

Neuroscience Research Institute

West Palm Beach, Florida, United States

Site Status

Accelerated Clinical Trials LLC

Peachtree Corners, Georgia, United States

Site Status

Southern Illinois University School of Medicine

Springfield, Illinois, United States

Site Status

DelRicht Research

New Orleans, Louisiana, United States

Site Status

CBH Health

Gaithersburg, Maryland, United States

Site Status

Integrative Clinical Trials LLC

Brooklyn, New York, United States

Site Status

Fieve Clinical Research Inc

New York, New York, United States

Site Status

New Hope Clinical Research

Charlotte, North Carolina, United States

Site Status

Patient Priority Clinical Sites LLC

Cincinnati, Ohio, United States

Site Status

OSU Department of Psychiatry and Behavioral Health

Columbus, Ohio, United States

Site Status

Conrad Clinical Research

Edmond, Oklahoma, United States

Site Status

Suburban Research Associates

Media, Pennsylvania, United States

Site Status

UTHealth Houston Center for Interventional Psychiatry

Houston, Texas, United States

Site Status

Brain Health Consultants

Houston, Texas, United States

Site Status

Red Oak Psychiatry Associates

Houston, Texas, United States

Site Status

Perceptive Pharma Research

Richmond, Texas, United States

Site Status

Revival Research Institute LLC

Sherman, Texas, United States

Site Status

Northwest Clinical Research Center

Bellevue, Washington, United States

Site Status

Anima

Alken, , Belgium

Site Status

Chu Tivoli

La Louvière, , Belgium

Site Status

Centre Hospitalier Specialise Notre Dame Des Anges Asbl

Liège, , Belgium

Site Status

Meclinas

Mechelen, , Belgium

Site Status

Universidade Federal do Ceara Hospital Universitario Walter Cantidio

Fortaleza, , Brazil

Site Status

NPCRS Nucleo de Pesquisa Clinica do Rio Grande do Sul

Porto Alegre, , Brazil

Site Status

Centro Integrado Facili

São Bernardo do Campo, , Brazil

Site Status

BR Trials

São Paulo, , Brazil

Site Status

Mental Health Center Prof. Dr. Ivan Temkov

Burgas, , Bulgaria

Site Status

Medical Center Mentalcare OOD

Plovdiv, , Bulgaria

Site Status

MHC - Sofia, EOOD

Sofia, , Bulgaria

Site Status

Centre for Mental Health Prof.N.Shipkovenski EOOD

Sofia, , Bulgaria

Site Status

Terveystalo Ruoholahti

Helsinki, , Finland

Site Status

Savon Psykiatripalvelu

Kuopio, , Finland

Site Status

Northern Clinical Trial Coordinators

Oulu, , Finland

Site Status

Oulu Mentalcare Oy

Oulu, , Finland

Site Status

Mehilainen Finlayson

Tampere, , Finland

Site Status

Clinical Research Services Turku - CRST

Turku, , Finland

Site Status

Semmelweis Egyetem

Budapest, , Hungary

Site Status

Eszak Budai Szent Janos Centrumkorhaz

Budapest, , Hungary

Site Status

Processus Kft

Budapest, , Hungary

Site Status

Bugat Pal Korhaz

Gyöngyös, , Hungary

Site Status

Gyor Moson Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz

Győr, , Hungary

Site Status

Dr Mathe es Tarsa Bt

Kalocsa, , Hungary

Site Status

Pte Aok Pszichiatriai Klinika

Pécs, , Hungary

Site Status

PsychoTech Kft

Pécs, , Hungary

Site Status

Tolna Varmegyei Balassa Janos Korhaz

Szekszárd, , Hungary

Site Status

Osrodek Badan Klinicznych CLINSANTE S C Ewa Galczak Nowak Malgorzata Trzaska

Bydgoszcz, , Poland

Site Status

Centrum Zdrowia Alcea

Gdansk, , Poland

Site Status

Centrum Badan Klinicznych PI House sp z o o

Gdansk, , Poland

Site Status

Osrodek Badan Klinicznych CLINSANTE S C

Torun, , Poland

Site Status

Ginemedica Sp. z o.o.

Wroclaw, , Poland

Site Status

Hosp. de La Santa Creu I Sant Pau

Barcelona, , Spain

Site Status

Institucion Hosp Hestia Palau

Barcelona, , Spain

Site Status

Hospital Ramon y Cajal

Madrid, , Spain

Site Status

Centro Salud Mental La Corredoria

Oviedo, , Spain

Site Status

Corporacio Sanitari Parc Tauli

Sabadell, , Spain

Site Status

Hosp. Virgen Del Rocio

Seville, , Spain

Site Status

Hosp. Alvaro Cunqueiro

Vigo, , Spain

Site Status

Hosp. Prov. de Zamora

Zamora, , Spain

Site Status

Affecta Pskyiatrimottagning

Halmstad, , Sweden

Site Status

Linkoping University Hospital

Linköping, , Sweden

Site Status

ProbarE i Lund AB

Lund, , Sweden

Site Status

ProbarE i Stockholm AB

Stockholm, , Sweden

Site Status

Studieenheten Akademiskt Specialistcentrum Stockholm

Stockholm, , Sweden

Site Status

Countries

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United States Belgium Brazil Bulgaria Finland Hungary Poland Spain Sweden

Other Identifiers

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67953964MDD3007

Identifier Type: OTHER

Identifier Source: secondary_id

2024-511557-21-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

67953964MDD3007

Identifier Type: -

Identifier Source: org_study_id

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