A Study of Esketamine Nasal Spray in Korean Participants With Treatment-resistant Depression

NCT ID: NCT07053345

Last Updated: 2025-11-10

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

PHASE4

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-09

Study Completion Date

2027-06-25

Brief Summary

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The purpose of this study is to evaluate how well esketamine nasal spray works in improving depressive symptoms in participants with treatment resistant depression (TRD). This will be assessed by the change from baseline in the Hamilton depression rating scale (HAM-D; 17-item) total score from Day 1 (baseline) to the end of the 4-week treatment phase (Day 28).

Detailed Description

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Conditions

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Depressive Disorder, Treatment-Resistant

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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Esketamine Nasal Spray

Participants will self-administer one esketamine (flexibly dosed; 56 or 84 milligrams \[mg\]) nasal spray into each nostril (that is, a total of 2 sprays using 1 intranasal device) twice a week for 4 weeks. For 84 mg, sprays to each nostril will be delivered in rapid succession at 3 different time points (3 devices total). 56 mg will have 2 devices.

Group Type EXPERIMENTAL

Esketamine 56 mg

Intervention Type DRUG

Participants will self-administer 56 mg of esketamine as intranasal spray into each nostril.

Esketamine 84 mg

Intervention Type DRUG

Participants will self-administer 84 mg of esketamine as intranasal spray into each nostril.

Interventions

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Esketamine 56 mg

Participants will self-administer 56 mg of esketamine as intranasal spray into each nostril.

Intervention Type DRUG

Esketamine 84 mg

Participants will self-administer 84 mg of esketamine as intranasal spray into each nostril.

Intervention Type DRUG

Other Intervention Names

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JNJ-54135419 JNJ-54135419

Eligibility Criteria

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Inclusion Criteria

* Must have a confirmed diagnosis of major depressive disorder (MDD) according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition at the time of enrollment, without psychotic features, based on clinical assessment, and confirmed by mini international neuropsychiatric interview (MINI)
* Must have a Hamilton depression rating scale (HAM-D; 17-item) total score greater than or equal to (\>=) 22 at screening and Day 1
* Participants must have had non-response (less than or equal to \[\<=\] 25 percent \[%\] improvement of symptoms) to \>= 2 oral antidepressant treatments in the current moderate to severe episode of depression after having been given at an adequate dosage for an adequate duration of at least 6 weeks
* A female participant of childbearing potential must have a negative serum pregnancy test at screening and urine prior to the first dose of study intervention on Day 1

Exclusion Criteria

* Participants with hyperthyroidism that has not been sufficiently treated
* History of malignancy within 5 years of enrollment before screening
* Known allergies, hypersensitivity, or intolerance to esketamine/ketamine or its excipients
* Received an investigational intervention or used an invasive investigational medical device within 60 days before the planned first dose of study intervention or first data collection time point
* Currently enrolled in an investigational study that involves treatments for MDD or may otherwise be expected to impact mood
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Korea, Ltd., Korea

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Korea, Ltd., Korea Clinical Trial

Role: STUDY_DIRECTOR

Janssen Korea, Ltd., Korea

Locations

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Cha Ilsan Medical Center

Goyang Si Gyeonggi Do, , South Korea

Site Status RECRUITING

Wonkwang University Hospital

Iksan, , South Korea

Site Status RECRUITING

Kyung Hee University Medical Center

Seoul, , South Korea

Site Status RECRUITING

Kangbuk Samsung Hospital

Seoul, , South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Study Contact

Role: CONTACT

Phone: 844-434-4210

Email: [email protected]

Other Identifiers

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54135419TRD4017

Identifier Type: OTHER

Identifier Source: secondary_id

54135419TRD4017

Identifier Type: -

Identifier Source: org_study_id