NCT04019704

Brief Summary

A Phase 3, randomized, double-blind, placebo-controlled, multicenter trial of AXS-05 in patients with major depressive disorder (MDD).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
327

participants targeted

Target at P50-P75 for phase_3 depression

Timeline
Completed

Started Jun 2019

Shorter than P25 for phase_3 depression

Geographic Reach
1 country

43 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 20, 2019

Completed
21 days until next milestone

First Submitted

Initial submission to the registry

July 11, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

July 15, 2019

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 26, 2019

Completed
9 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 5, 2019

Completed
2.9 years until next milestone

Results Posted

Study results publicly available

October 12, 2022

Completed
Last Updated

October 12, 2022

Status Verified

September 1, 2022

Enrollment Period

5 months

First QC Date

July 11, 2019

Results QC Date

September 16, 2022

Last Update Submit

September 16, 2022

Conditions

Keywords

Depressive DisorderDepressive Disorder, MajorBupropionDextromethorphanMDDDopamine Reuptake InhibitorAXS-05NMDA Receptor AntagonistCentral Nervous SystemCNSSigma-1 Receptor AgonistNicotinic Acetylcholine Receptor AntagonistNorepinephrine Reuptake InhibitorGlutamate ModulatorAxsome TherapeuticsGEMINISerotonin Reuptake Inhibitor

Outcome Measures

Primary Outcomes (1)

  • Change in MADRS Total Score From Baseline to Week 6

    The primary objective of the study was to evaluate the efficacy of AXS-05 as measured by the Montgomery-Ă…sberg Depression Rating Scale (MADRS) for change in severity of depressive symptoms from baseline to Week 6. The MADRS is a 10-item scale and items are scored between 0-6 points. For each item, a score of 0 indicates the absence of symptoms, and a score of 6 indicates symptoms of maximum severity. A maximum total score is 60 points.

    6 weeks

Study Arms (2)

AXS-05

EXPERIMENTAL

AXS-05 (bupropion and dextromethorphan) oral tablets

Drug: AXS-05

Placebo

PLACEBO COMPARATOR

Placebo oral tablets to match AXS-05

Drug: Placebo

Interventions

AXS-05DRUG

Oral AXS-05 tablets, taken daily for 6 weeks.

AXS-05

Placebo to match oral AXS-05 tablets, taken daily for 6 weeks.

Placebo

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18 - 65
  • Currently meets DSM-5 criteria for MDD
  • Body Mass Index between 18 and 40 kg/m\^2, inclusive

You may not qualify if:

  • Suicide risk
  • History of treatment resistance in current depressive episode
  • History of electroconvulsive therapy, vagus nerve stimulation, transcranial magnetic stimulation or any experimental central nervous system treatment during the current episode or in the past 6 months
  • Pregnant, breastfeeding, or planning to become pregnant or breastfeed during the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (43)

Clinical Research Site

Phoenix, Arizona, 85012, United States

Location

Clinical Research Site

Phoenix, Arizona, 85016, United States

Location

Clinical Research Site

Little Rock, Arkansas, 72209, United States

Location

Clinical Research Site

Bellflower, California, 90706, United States

Location

Clinical Research Site

Beverly Hills, California, 90210, United States

Location

Clinical Research Site

Garden Grove, California, 92845, United States

Location

Clinical Research Site

Oakland, California, 94607, United States

Location

Clinical Research Site

Oceanside, California, 92056, United States

Location

Clinical Research Site

Panorama City, California, 91402, United States

Location

Clinical Research Site

Redlands, California, 92374, United States

Location

Clinical Research Site

Riverside, California, 92506, United States

Location

Clinical Research Site

San Diego, California, 92103, United States

Location

Clinical Research Site

Sherman Oaks, California, 91403, United States

Location

Clinical Research Site

Upland, California, 91786, United States

Location

Clinical Research Site

Coral Springs, Florida, 33067, United States

Location

Clinical Research Site

Hollywood, Florida, 33024, United States

Location

Clinical Research Site

Jacksonville, Florida, 32256, United States

Location

Clinical Research Site

Lauderhill, Florida, 33319, United States

Location

Clinical Research Site

North Miami, Florida, 33161, United States

Location

Clinical Research Site

Orlando, Florida, 32801, United States

Location

Clinical Research Site

Atlanta, Georgia, 30328, United States

Location

Clinical Research Site

Boise, Idaho, 83704, United States

Location

Clinical Research Site

Chicago, Illinois, 60634, United States

Location

Clinical Research Site

Boston, Massachusetts, 02131, United States

Location

Clinical Research Site

Las Vegas, Nevada, 89102, United States

Location

Clinical Research Site

Berlin, New Jersey, 08009, United States

Location

Clinical Research Site

Cherry Hill, New Jersey, 08002, United States

Location

Clinical Research Site

Toms River, New Jersey, 08755, United States

Location

Clinical Research Site

Jamaica, New York, 11432, United States

Location

Clinical Research Site

Rochester, New York, 14618, United States

Location

Clinical Research Site

Staten Island, New York, 10312, United States

Location

Clinical Research Site

Hickory, North Carolina, 28601, United States

Location

Clinical Research Site

Cincinnati, Ohio, 45219, United States

Location

Clinical Research Site

Middleburg Heights, Ohio, 44130, United States

Location

Clinical Research Site

Oklahoma City, Oklahoma, 73112, United States

Location

Clinical Research Site

Media, Pennsylvania, 19063, United States

Location

Clinical Research Site

Philadelphia, Pennsylvania, 19104, United States

Location

Clinical Research Site

Memphis, Tennessee, 38119, United States

Location

Clinical Research Site

Dallas, Texas, 75243, United States

Location

Clinical Research Site

Fort Worth, Texas, 76104, United States

Location

Clinical Research Site

Houston, Texas, 77058, United States

Location

Clinical Research Site

Wichita Falls, Texas, 76309, United States

Location

Clinical Research Site

Everett, Washington, 98201, United States

Location

Related Publications (2)

  • Iosifescu DV, Jones A, O'Gorman C, Streicher C, Feliz S, Fava M, Tabuteau H. Efficacy and Safety of AXS-05 (Dextromethorphan-Bupropion) in Patients With Major Depressive Disorder: A Phase 3 Randomized Clinical Trial (GEMINI). J Clin Psychiatry. 2022 May 30;83(4):21m14345. doi: 10.4088/JCP.21m14345.

  • Dean RL, Hurducas C, Hawton K, Spyridi S, Cowen PJ, Hollingsworth S, Marquardt T, Barnes A, Smith R, McShane R, Turner EH, Cipriani A. Ketamine and other glutamate receptor modulators for depression in adults with unipolar major depressive disorder. Cochrane Database Syst Rev. 2021 Sep 12;9(9):CD011612. doi: 10.1002/14651858.CD011612.pub3.

Related Links

MeSH Terms

Conditions

DepressionDepressive Disorder, MajorDepressive Disorder

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorMood DisordersMental Disorders

Results Point of Contact

Title
Caroline Streicher, Senior Director, Clinical Operations
Organization
Axsome Therapeutics, Inc.

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 11, 2019

First Posted

July 15, 2019

Study Start

June 20, 2019

Primary Completion

November 26, 2019

Study Completion

December 5, 2019

Last Updated

October 12, 2022

Results First Posted

October 12, 2022

Record last verified: 2022-09

Data Sharing

IPD Sharing
Will not share

Locations