A Study to Evaluate the Efficacy, Safety, and Pharmacokinetic Characteristics of (R)-Ketamine Hydrochloride Nasal Spray in Patients With Depression and Acute Suicidal Ideation or Behavior

NCT ID: NCT07193901

Last Updated: 2026-01-22

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

98 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-27

Study Completion Date

2026-06-30

Brief Summary

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The purpose of this study is to learn about:

* To evaluate the efficacy of PRT-042 nasal spray for the Rapid Reduction of the depressive symptoms in adults with major depressive disorder (MDD) with acute suicidal ideation or behavior
* To evaluate the safety and pharmacokinetic (PK) characteristics after multiple dose of PRT-042 nasal spray in adults with major depressive disorder (MDD) with acute suicidal ideation or behavior

Detailed Description

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Conditions

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Major Depressive Disorder (MDD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Low Dose PRT042 nasal spray

Group Type EXPERIMENTAL

Low Dose PRT042 nasal spray

Intervention Type DRUG

two times a week, for 4 weeks

median Dose PRT042 nasal spray

Group Type EXPERIMENTAL

median Dose PRT042 nasal spray

Intervention Type DRUG

two times a week, for 4 weeks

high Dose PRT042 nasal spray

Group Type EXPERIMENTAL

high dose PRT042 nasal spray

Intervention Type DRUG

two times a week, for 4 weeks

placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

two times a week, for 4 weeks

Interventions

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Low Dose PRT042 nasal spray

two times a week, for 4 weeks

Intervention Type DRUG

median Dose PRT042 nasal spray

two times a week, for 4 weeks

Intervention Type DRUG

high dose PRT042 nasal spray

two times a week, for 4 weeks

Intervention Type DRUG

placebo

two times a week, for 4 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Participant must meet Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSM-5) diagnostic criteria for Major Depressive Disorder (MDD), without psychotic features, based upon clinical assessment and confirmed by the Mini International Psychiatric Interview (MINI) .
2. Participants must have current suicidal ideation with intent, confirmed by a "Yes" response to Question B3 \[Think (even momentarily) about harming or of hurting or of injuring yourself: with at least some intent or awareness that you might die as a result; or think about suicide (ie, about killing yourself)?\] and Question B10 \[Intend to act on thoughts of killing yourself?\] obtained from the MINI.
3. Participant has a Montgomery Asberg Depression Rating Scale (MADRS) total score of greater than (≥) 28 and the score for item 10"suicide ideation" of greater than (≥) 3 predose on Day 1

Exclusion Criteria

1. Participant has a current DSM-5 diagnosis of bipolar (or related disorders), antisocial personality disorder, or obsessive compulsive disorder.
2. Participant has a current clinical diagnosis of autism, dementia, or intellectual disability.
3. Participant has a current or prior DSM-5 diagnosis of a psychotic disorder, or MDD with psychotic features .
4. Participant meets the DSM-5 severity criteria for moderate or severe substance or alcohol use disorder, within the 6 months before screening
5. Participant has a current or prior diagnosis of a reatment resistant depression
6. Any nasal conditions or diseases that, in the investigator's judgment, may significantly affect the administration or absorption of a nasal product.
7. Participant has a history of malignancy within 5 years before screening
8. Pregnant or breastfeeding women, or those with a positive pregnancy test result during screening.
9. Previous participation in another clinical trial and receiving the investigational drug within 3 months prior to dosing.
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sichuan Purity Pharmaceutical Technology Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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BEIjing AnDing hospital capital medical university

Beijing, , China

Site Status RECRUITING

Beijing AnDing hospital capital medical university

Beijing, , China

Site Status RECRUITING

Beijing Huilongguan Hospital

Beijing, , China

Site Status RECRUITING

The Fourth People's Hospital of Chengdu

Chengdu, , China

Site Status RECRUITING

Hangzhou Seventh People's Hospital

Hangzhou, , China

Site Status RECRUITING

The fourth affiliated hospital of Anhui medical university

Hefei, , China

Site Status RECRUITING

The affiliated Kangning Hospital of Ningbo University

Ningbo, , China

Site Status RECRUITING

Suzhou Guangji Hospital

Suzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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ke yao

Role: CONTACT

86-028-85170738

Facility Contacts

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Gang Wang, PhD

Role: primary

86-010-58303236

Wei Wang

Role: primary

Fude Yang

Role: primary

Feiyan Wang

Role: primary

Tao Li

Role: primary

Zhonglin Tan

Role: backup

Huanzhong Liu

Role: primary

Yongming Xu

Role: primary

Yansong Liu

Role: primary

Other Identifiers

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PRT042-II-01

Identifier Type: -

Identifier Source: org_study_id

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