Study of ABX-002 for the Adjunctive Treatment of Major Depressive Disorder (AMPLIFY)

NCT ID: NCT06633016

Last Updated: 2026-01-20

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

PHASE2

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-20

Study Completion Date

2026-06-30

Brief Summary

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The goal of this clinical trial is to learn if ABX-002 added to an existing antidepressant treatment will benefit depression symptoms in adults with moderate to severe major depressive disorder who have had an inadequate response to their antidepressant.

This is a double-blind, placebo-controlled, 2-arm, parallel-group, Phase 2 study, randomized 1:1 (ABX-002: placebo).

The study will include the following stages:

1. Screening, approximately 35 days
2. 42-day Treatment Period
3. 2-week post dose Safety Follow-up Period
4. 6-month postdose targeted safety follow-up period

Detailed Description

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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

DOUBLE

Participants Investigators
The study participants, Investigator, and study site staff, Sponsor will be blinded to treatment assignments (ABX-002 or placebo solution).

Study Groups

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ABX-002 + SSRI/SNRI

Patients continue to receive their selective serotonin reuptake inhibitor/serotonin norepinephrine reuptake inhibitor (SSRI/SNRI) antidepressants at a stable dose for the duration of the study in addition to ABX-002.

Group Type EXPERIMENTAL

ABX-002

Intervention Type DRUG

ABX-002 oral solution in 1-mL cyclic olefin polymer prefilled syringes, taken on an empty stomach first thing in the morning followed by 240 mL (8 oz) of water.

Placebo + SSRI/SNRI

Patients continue to receive their selective serotonin reuptake inhibitor/serotonin norepinephrine reuptake inhibitor (SSRI/SNRI) antidepressants at a stable dose for the duration of the study in addition to the Placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Comparator Placebo oral solution in 1-mL cyclic olefin polymer prefilled syringes, taken on an empty stomach first thing in the morning followed by 240 mL (8 oz) of water.

Interventions

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ABX-002

ABX-002 oral solution in 1-mL cyclic olefin polymer prefilled syringes, taken on an empty stomach first thing in the morning followed by 240 mL (8 oz) of water.

Intervention Type DRUG

Placebo

Comparator Placebo oral solution in 1-mL cyclic olefin polymer prefilled syringes, taken on an empty stomach first thing in the morning followed by 240 mL (8 oz) of water.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Meets the DSM-5 criteria for Major Depressive Disorder, with a current major depressive episode duration of \> 6 weeks and ≤ 18 months.
* A score of ≤ 22 (midrange mild/moderate) on the Hamilton Anxiety Rating Scale.
* Montgomery-Asberg Depression Rating Scale total score of \> 24 \[indicating moderate to severe depression\] at Screening and at Baseline.
* Subject is compliantly using a single selective serotonin reuptake inhibitors / serotonin norepinephrine reuptake inhibitor antidepressant for at least 6 weeks for their current episode of depression, with an adequate dose, and with an inadequate response as defined by the Antidepressant Treatment Response Questionnaire. The dosage of the current antidepressant must have been stable for the past 4 weeks, and the dosage and specific antidepressant used should remain the same from Screening through the end of the Follow-up Period.

Exclusion Criteria

Note: History implies lifetime history, unless otherwise specified

* History of schizophrenia or other psychotic disorder, major depressive disorder with psychotic features or concomitant DSM-5 depressive disorders, bipolar I or II disorder, cyclothymic disorder, delirium, dementia, amnestic disorder, or cognitive disorder.
* Current diagnosis or active symptoms within the last 2 years of obsessive-compulsive disorder, posttraumatic stress disorder, panic disorder, or eating disorder, according to DSM-5 criteria.
* Primary diagnosis of borderline, antisocial, paranoid, schizoid, schizotypal, or histrionic personality disorder, according to DSM-5 criteria. Current or history within the last 2 years of self-injurious behavior is exclusionary.
* Has failed more than 2 single selective serotonin reuptake inhibitors / serotonin norepinephrine reuptake inhibitor antidepressant treatments, including the current serotonin reuptake inhibitors / serotonin norepinephrine reuptake inhibitor, during the current depressive episode, despite an adequate dose (per Antidepressant Treatment Response Questionnaire) and duration (at least 6 weeks).
* Failure to respond to triiodothyronine or thyroxine augmentation for the treatment of depression.
* Started new psychotherapy or had a change in the intensity of psychotherapy within 8 weeks before Screening.
* Is suicidal at Screening or Baseline
* History or current evidence within previous 3 months before Screening of uncontrolled, clinically significant neurological, gastrointestinal, respiratory, renal, hepatic, immunological, hematological, or other medical disorder, including cancer, that would jeopardize the safe participation of the subject in the study (in the opinion of the Investigator).
* History of thyroid disease
* History of multiple endocrine neoplasia syndrome
* Diagnosis of epilepsy or history of convulsions, including childhood febrile seizure. Use of co-administered drugs that may lower seizure threshold is excluded.
* Females who are pregnant, intend to become pregnant or are breastfeeding.
* Antidepressants: Prior use of psychedelics, ketamine, or esketamine, for the treatment of Major Depressive Disorder.
* Antidepressants: Current use, or use within 4 weeks prior to Screening, of any other augmentation agents for Major Depressive Disorder (e.g. second-generation antipsychotics \[SGA\], monoamine oxidase inhibitors \[MAOI\], tricyclic antidepressants \[TCA\], lithium, or bupropion)
* Current or prior use of treatment for hypothyroidism including but not limited to synthetic or natural thyroid hormone, triiodothyronine and/or thyroxine.
* Concomitant use of biotin of any dose and in any preparation 14 days prior to Day 1 until after the last study visit at Week 8 (Day 56).
* Medications that are strong cytochrome P450 3A4 inhibitors or strong cytochrome P450 3A4 inducers are not allowed.
* Prescription drug/controlled substance abuse, or illicit substance use within 1 year of Screening or positive urine drug results at Screening or Baseline for an illicit substance.
* History or presence of cataract on ophthalmic examination (including slit-lamp), glaucoma, inflammatory eye disease or prior ophthalmic surgical procedures or laser surgery in either eye
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Autobahn Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Autobahn Site #131

Birmingham, Alabama, United States

Site Status RECRUITING

Autobahn Site #132

Chandler, Arizona, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #116

Phoenix, Arizona, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #136

Tucson, Arizona, United States

Site Status WITHDRAWN

Autobahn Site #150

Anaheim, California, United States

Site Status RECRUITING

Autobahn Site #113

Encino, California, United States

Site Status WITHDRAWN

Autobahn Site #133

Encino, California, United States

Site Status WITHDRAWN

Autobahn Site #124

Glendale, California, United States

Site Status RECRUITING

Autobahn Site #140

Long Beach, California, United States

Site Status RECRUITING

Autobahn Site #121

Los Alamitos, California, United States

Site Status WITHDRAWN

Autobahn Site #117

Newport Beach, California, United States

Site Status WITHDRAWN

Autobahn Site #106

Oceanside, California, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #152

Orange, California, United States

Site Status RECRUITING

Autobahn Site #151

Rancho Cucamonga, California, United States

Site Status RECRUITING

Autobahn Site #119

San Jose, California, United States

Site Status RECRUITING

Autobahn Site #126

Walnut Creek, California, United States

Site Status RECRUITING

Autobahn Site #149

West Covina, California, United States

Site Status RECRUITING

Autobahn Site #122

Cromwell, Connecticut, United States

Site Status RECRUITING

Autobahn Site #108

Brandon, Florida, United States

Site Status RECRUITING

Autobahn Site #110

Hialeah, Florida, United States

Site Status RECRUITING

Autobahn Site #101

Jacksonville, Florida, United States

Site Status RECRUITING

Autobahn Site #139

Lake City, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #111

Miami, Florida, United States

Site Status RECRUITING

Autobahn Site #141

Miami, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #147

Miami Gardens, Florida, United States

Site Status RECRUITING

Autobahn Site #102

Orlando, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #148

Tampa, Florida, United States

Site Status RECRUITING

Autobahn Site #123

Atlanta, Georgia, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #112

Decatur, Georgia, United States

Site Status RECRUITING

Autobahn Site #142

Peachtree Corners, Georgia, United States

Site Status RECRUITING

Autobahn Site #120

Savannah, Georgia, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #154

Elgin, Illinois, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #137

Boston, Massachusetts, United States

Site Status RECRUITING

Autobahn Site #138

Watertown, Massachusetts, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #127

Saint Charles, Missouri, United States

Site Status RECRUITING

Autobahn Site #130

Las Vegas, Nevada, United States

Site Status WITHDRAWN

Autobahn Site #129

Berlin, New Jersey, United States

Site Status RECRUITING

Autobahn Site #105

Brooklyn, New York, United States

Site Status RECRUITING

Autobahn Site #134

Brooklyn, New York, United States

Site Status RECRUITING

Autobahn Site #125

New York, New York, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #104

Staten Island, New York, United States

Site Status RECRUITING

Autobahn Site #109

Beachwood, Ohio, United States

Site Status RECRUITING

Autobahn Site #107

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Autobahn Site #128

North Charleston, South Carolina, United States

Site Status ACTIVE_NOT_RECRUITING

Autobahn Site #153

Beaumont, Texas, United States

Site Status RECRUITING

Autobahn Site #146

San Antonio, Texas, United States

Site Status RECRUITING

Autobahn Site #144

Sherman, Texas, United States

Site Status RECRUITING

Autobahn Site #159

Orem, Utah, United States

Site Status RECRUITING

Autobahn Site #145

Fairfax, Virginia, United States

Site Status RECRUITING

Autobahn Site #143

Bellevue, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Ashlee Heldreth, MS

Role: CONTACT

8582573418

Other Identifiers

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ABX-002-2001

Identifier Type: -

Identifier Source: org_study_id

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