Phase III Long-term Extension Trial to Assess Safety and Efficacy of CYB003 in MDD (EXTEND)

NCT ID: NCT06605105

Last Updated: 2025-11-24

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

468 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-18

Study Completion Date

2028-03-15

Brief Summary

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This is a long- term extension of the double-blind trials APPROACH (CYB003-002) and EMBRACE (CYB003-003). Its aim is to examine the safety and long-term efficacy of CYB003 in participants with MDD.

Detailed Description

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Conditions

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Major Depressive Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CYB003

Initial non-responders in CYB003-002 APPROACH and CYB003-003 EMBRACE, or initial responders who later relapse will be eligible to receive 16 mg of CYB003 in 2 of 2 medicine sessions, approximately three weeks apart. If a participant relapses again, the participant may receive an additional single 16mg of CYB003 (maximum of 3 16mg doses in CYB003-004 EXTEND). Participants will continue on their current antidepressants and receive psychological support throughout the study.

Group Type EXPERIMENTAL

CYB003

Intervention Type DRUG

CYB003 is a deuterated psilocin analog

Interventions

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CYB003

CYB003 is a deuterated psilocin analog

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Has successfully completed either CYB003-002 APPROACH or CYB003-003 EMBRACE and received both dose administrations of trial medication
* Has continued the same antidepressant medication at the stable dose/day throughout CYB003-002 APPROACH or CYB003-003 EMBRACE
* Has provided written informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form
* Participants capable of producing sperm must use a condom plus spermicide (where publicly available) during the trial and for 12 weeks after their final dose of IP, if their partner is a person of childbearing potential. In addition, their partner of childbearing potential must continue to use a highly effective method of contraception (i.e., failure rate less than 1% when used consistently and correctly) throughout the trial until 12 weeks after the participant's final dose of IP
* Participants of childbearing potential (POCBP) who have a partner capable of producing sperm must agree to continue to use a highly effective method of contraception (i.e., failure rate of less than 1% when used consistently and correctly) in combination with the use of a condom plus spermicide (where publicly available) during the trial and for 12 weeks after their final dose of IP
* Female participants must have a negative pregnancy test at Baseline (the end of trial \[EOT\] Visit in the APPROACH or EMBRACE trial), and prior to dose administration on the dosing day

Exclusion Criteria

* newly developed symptoms of schizophrenia spectrum or other psychotic disorders that manifested in the APPROACH or EMBRACE trial
* Significant suicide risk as defined by suicidal ideation as endorsed on items 4 or 5 on the C-SSRS at Baseline OR has experienced an adverse event (AE) of suicide ideation/attempt or self-harm in CYB003-002 APPROACH OR has had a \>1 point change in item 1 or 2 of the C-SSRS from Screening in CYB003-002 APPROACH
* Clinically relevant arrhythmia or vital sign changes noted during any of the dosing sessions in the APPROACH or EMBRACE trial
* Presence of clinically significant ECG abnormalities noted during the APPROACH or EMBRACE trials or at the Baseline of EXTEND
* Sensitivity or suspected sensitivity to CYB003 noted in the APPROACH or EMBRACE trial
* Positive urine test for drugs of abuse, or alcohol breath test prior to dosing.
* Unwilling to consent to audio and video recording of psychological support and dosing sessions
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Worldwide Clinical Trials

OTHER

Sponsor Role collaborator

Cybin IRL Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Development

Role: STUDY_CHAIR

Cybin IRL Limited

Locations

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Open Mind Collective / UCSF Medical Center - Mount Zion

San Francisco, California, United States

Site Status RECRUITING

Research Centers of America

Hollywood, Florida, United States

Site Status RECRUITING

Segal Trials Center for Psychedelic Research

Lauderhill, Florida, United States

Site Status RECRUITING

Cenexel iResearcvh Atlanta, LLC

Atlanta, Georgia, United States

Site Status RECRUITING

Atlanta Center For Medical Research

Atlanta, Georgia, United States

Site Status RECRUITING

Uptown Research Institute

Chicago, Illinois, United States

Site Status RECRUITING

Sunstone Medical, PC

Rockville, Maryland, United States

Site Status RECRUITING

Adams Clinical

Watertown, Massachusetts, United States

Site Status RECRUITING

InSite Clinical Research, LLC

DeSoto, Texas, United States

Site Status RECRUITING

Cedar Clinical Research

Draper, Utah, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Clinical Development

Role: CONTACT

1-866-292-4601 ext. 799

Facility Contacts

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Phillip Perl

Role: primary

612-802-3615

Study Coordinator

Role: primary

954-990-7649

Kadian Watson

Role: primary

786-570-1971

Study Coordinator

Role: primary

404-537-1281

Denniel Brown

Role: primary

404-881-5800

Jennifer Rhode

Role: primary

773-989-8313 ext. 114

Nicole Nagelvoort

Role: primary

301-323-8249

Study Coordinator

Role: primary

617-744-8542

Study Coordinator

Role: primary

972-283-6286

Mandi Rigby

Role: primary

801-369-4219

Other Identifiers

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CYB003-004

Identifier Type: -

Identifier Source: org_study_id

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