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Phase 3 N=200 Randomized Quadruple-blind Treatment

A Study to Evaluate the Efficacy and Safety of SAGE-217 in Participants With Severe Postpartum Depression (PPD)

Depression, Postpartum

Enrolled (actual)
200
Serious AEs
1.0%
Results posted
Jun 2023
Primary outcome: Primary: Change From Baseline (CFB) in the 17-item Hamilton Rating Scale for Depression (HAM-D) Total Score at Day 15 — 28.8; 28.6; -11.4; -15.6 score on a scale — p=0.0007

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
SAGE-217 (Drug); Placebo (Drug)
Age
Adult · 18+ yrs
Sex
Female
Sponsor
Biogen
Primary completion
Mar 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline (CFB) in the 17-item Hamilton Rating Scale for Depression (HAM-D) Total Score at Day 15
28.8; 28.6; -11.4; -15.6 0.0007 sig
SECONDARY
Change From Baseline in the 17-item HAM-D Total Score
28.8; 28.6; -6.3; -9.5; -13.5; -16.3 0.0008 sig
SECONDARY
Change From Baseline in Clinical Global Impressions - Severity Scale (CGI-S) Score
4.9; 5.0; -1.6; -2.2 0.0052 sig
SECONDARY
Percentage of Participants With HAM-D Response
38.9; 57.0; 54.1; 61.9 0.0209 sig
SECONDARY
Percentage of Participants With HAM-D Remission
16.7; 26.9; 29.4; 44.0 0.1110
SECONDARY
Percentage of Participants With Clinical Global Impression - Improvement (CGI-I) Response
46.7; 66.7 0.0089 sig
SECONDARY
Change From Baseline in Hamilton Rating Scale for Anxiety (HAM-A) Total Score
24.7; 24.4; -10.4; -13.0 0.0235 sig
SECONDARY
Change From Baseline in the Montgomery Åsberg Depression Rating Scale (MADRS) Total Score
35.0; 35.5; -14.1; -19.9 0.0034 sig
SECONDARY
Change From Baseline in HAM-D Subscale
47.6; 49.2; -20.4; -27.7; 52.6; 51.2 0.0151 sig
SECONDARY
Change From Baseline in Self-Reported Measures of Depressive Symptoms, as Assessed by the Edinburgh Postnatal Depression Scale (EPDS) Total Score
20.0; 21.1; -2.2; -4.2; -6.0; -8.9
SECONDARY
Change From Baseline in Self-Reported Measures of Depressive Symptoms, as Assessed by the 9-item Patient Health Questionnaire (PHQ-9) Score
-2.3; -2.0; -5.9; -7.7; -8.6; -10.5 0.6912
SECONDARY
Percentage of Participants With at Least One Treatment-Emergent Adverse Event (TEAE)
53.1; 66.3

Summary

The purpose of this study is to determine if treatment with SAGE-217 reduces depressive symptoms in females with severe postpartum depression (PPD) as compared to placebo.

Eligibility Criteria

Inclusion Criteria

  • Participant has ceased lactating or agrees not to provide breastmilk to her infant(s) from just prior to receiving the investigational product (IP) on Day 1 until 7 days after the last dose of IP.
  • Participant has had a major depressive episode that began no earlier than the third trimester and no later than the first 4 weeks following delivery, as diagnosed by Structured Clinical Interview for Diagnostic and DSM-5 Clinical Trial Version (SCID-5-CT).
  • Participant is ≤12 months postpartum at screening and Day 1.

Exclusion Criteria

  • Participant is at significant risk of suicide or has attempted suicide associated with the current episode of PPD.
  • Participant has active psychosis per investigator assessment.
  • Participant has a medical history of nonfebrile seizures.
  • Participant has a medical history of bipolar disorder, schizophrenia, and/or schizoaffective disorder.
  • Participant has a history of sleep apnea.

Note: Other protocol-defined inclusion/exclusion criteria applied.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04442503). 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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