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Phase 2 N=273 Randomized Quadruple-blind Treatment

A Phase 2 Trial of OPC-64005 for Major Depressive Disorder

Major Depressive Disorder

Enrolled (actual)
273
Serious AEs
1.1%
Results posted
Sep 2024
Primary outcome: Primary: Mean Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score at Week 6 of the Double-blind Treatment Period — -1.9; -1.6; -2.1; -3.9 Units on a scale — p=0.288

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
OPC-64005 20 mg , Once-daily (Drug); OPC-64005 10 mg , Once-daily (Drug); Placebo, Once-daily (Drug)
Age
Adult · 20+ yrs
Sex
All
Sponsor
Otsuka Pharmaceutical Co., Ltd.
Primary completion
Feb 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Mean Change From Baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score at Week 6 of the Double-blind Treatment Period
-1.9; -1.6; -2.1; -3.9; -3.4; -3.6 0.288
SECONDARY
MADRS Response Rate
0.0; 0.8; 0.8; 3.2; 5.0; 3.3 0.329
SECONDARY
MADRS Remission Rate
16.1; 14.9; 13.3 0.731

Summary

The objective of the trial is to compare the efficacy of OPC-64005 at 20 mg vs placebo and to assess the safety and pharmacokinetics of OPC-64005 at 10 and 20 mg in patients with major depressive disorder (MDD).The primary endpoint is the mean change from baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) total score at Week 6 of the double-blind treatment period in the OPC-64005 20-mg group compared with the placebo group

Eligibility Criteria

Inclusion Criteria

  • Patients with a DSM-5 classification-based diagnosis of "major depressive disorder, single episode" or "major depressive disorder, recurrent episode" with the current episode persisting for ≥4 weeks to ≤1 year
  • Patients with a total score of ≥18 on the 17-item Hamilton Rating Scale for Depression (HAM-D)

Exclusion Criteria

  • Patients with a diagnosis of any of the following diseases according to DSM-5 Neurocognitive disorders, history or complication of schizophrenia spectrum or other psychotic disorder, history or complication of bipolar and related disorders, feeding and eating disorders, obsessive-compulsive disorder, panic disorder, posttraumatic stress disorder, personality disorders, neurodevelopmental disorders, substance-related and addictive disorders (within 180 days prior to informed consent)
  • Patients exhibiting mood-incongruent psychotic features in the current major depressive episode
  • Patients who, in the opinion of the investigator or subinvestigator, are judged to have treatment-resistant depression, ie, a certain degree of therapeutic effect is not obtained by administration of 2 or more antidepressants having different mechanisms of action at sufficient doses for at least 6 weeks for the current major depressive episode
  • Patients receiving augmentation treatment, such as antipsychotics, for the current major depressive episode (excluding the use of sulpiride for depression/depressive state or gastric/duodenal ulcer)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04244253). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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