NCT04476030

Brief Summary

The primary purpose of this study is to evaluate the efficacy of SAGE-217 plus an ADT in the treatment of major depressive disorder (MDD) compared to placebo plus an ADT.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
440

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Nov 2020

Shorter than P25 for phase_3

Geographic Reach
1 country

51 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

First Submitted

Initial submission to the registry

July 15, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 17, 2020

Completed
4 months until next milestone

Study Start

First participant enrolled

November 9, 2020

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 25, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 22, 2021

Completed
1.9 years until next milestone

Results Posted

Study results publicly available

November 7, 2023

Completed
Last Updated

December 22, 2023

Status Verified

December 1, 2023

Enrollment Period

12 months

First QC Date

July 15, 2020

Results QC Date

August 25, 2023

Last Update Submit

December 20, 2023

Conditions

Keywords

Major Depressive DisorderMDDSAGE-217

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in the HAMD-17 Total Score at Day 3

    The 17-item HAM-D scale is used to assess the severity of depression. It is comprised of individual ratings related to following symptoms: depressed mood, feelings of guilt, suicide, insomnia, work and activities, retardation, agitation, anxiety, somatic symptoms, genital symptoms, hypochondriasis, loss of weight, and insight. Individual items are scored on either 3-point (0=none to 2=severe) or 5-point scale (0=none/absent to 4=most severe). Total score is the sum of individual items, ranging from 0 (not depressed) to 52 (severely depressed); where a higher score indicates more depression. A negative change from baseline indicated improvement. Least Squares (LS) mean was estimated using mixed effects model for repeated measures (MMRM) analysis.

    Baseline, Day 3

Secondary Outcomes (15)

  • Change From Baseline in the HAMD-17 Total Score Over the Double-Blind Treatment Period

    Baseline through Day 15

  • Change From Baseline in the HAMD-17 Total Score at Days 15 and 42

    Baseline, Days 15 and 42

  • Change From Baseline in the HAMD-17 Total Score Around End of Blinded Treatment

    Baseline, End of blinded treatment assessment (i.e., average of Days 12, 15 , and 18)

  • Percentage of Participants With HAMD-17 Response at Day 15 and Day 42

    At Days 15 and 42

  • Percentage of Participants With HAMD-17 Remission at Day 15 and Day 42

    Days 15 and 42

  • +10 more secondary outcomes

Study Arms (2)

Placebo + Assigned ADT

ACTIVE COMPARATOR

Participants received SAGE-217-matching placebo capsules, orally, once daily along with an assigned ADT (sertraline, escitalopram, citalopram, duloxetine, or desvenlafaxine administered per labeled prescribing information), daily, from Day 1 through 14, followed by the same ADT, per labeled prescribing information, daily, up to Day 42.

Drug: Matching PlaceboDrug: SertralineDrug: EscitalopramDrug: CitalopramDrug: DuloxetineDrug: Desvenlafaxine

SAGE-217 + Assigned ADT

EXPERIMENTAL

Participants received SAGE-217, 50 milligrams (mg), orally, once daily along with an assigned ADT (sertraline, escitalopram, citalopram, duloxetine, or desvenlafaxine administered per labeled prescribing information), daily from Day 1 through 14, followed by the same ADT, per labeled prescribing information, daily, up to Day 42.

Drug: SAGE-217Drug: SertralineDrug: EscitalopramDrug: CitalopramDrug: DuloxetineDrug: Desvenlafaxine

Interventions

Oral capsules

SAGE-217 + Assigned ADT

Oral capsules

Placebo + Assigned ADT

Oral tablets

Placebo + Assigned ADTSAGE-217 + Assigned ADT

Oral tablets

Placebo + Assigned ADTSAGE-217 + Assigned ADT

Oral tablets

Placebo + Assigned ADTSAGE-217 + Assigned ADT

Oral capsules

Placebo + Assigned ADTSAGE-217 + Assigned ADT

Oral tablets

Placebo + Assigned ADTSAGE-217 + Assigned ADT

Eligibility Criteria

Age18 Years - 64 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Diagnosis of MDD as diagnosed by Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Clinical Trials Version (SCID-5-CT), with symptoms that have been present for at least a 4-week period
  • item Hamilton Rating Scale for Depression (HAM-D-17) total score of ≥24 at Screening and Day 1
  • Participant in good physical health and has no clinically significant findings, as determined by the investigator, on physical examination, 12-lead electrocardiogram (ECG), or clinical laboratory tests
  • Participant is willing, able, and eligible to take at least 1 of the 5 ADTs specified in the protocol (an eligible ADT is an ADT that has not been taken during the current depressive episode and for which the participant has no contraindications; further, a participant is not eligible for citalopram if escitalopram has been taken during the current depressive episode, and vice versa)

You may not qualify if:

  • Has attempted suicide associated with the current episode of MDD
  • Participant had onset of the current depressive episode during pregnancy or 4 weeks postpartum, or the participant has presented for screening during the 6-month postpartum period
  • Participant has treatment-resistant depression
  • History of bipolar disorder, schizophrenia, and/or schizoaffective disorder
  • Known allergy to SAGE-217, allopregnanolone, or related compounds
  • Has taken antidepressants within 30 days prior to Day 1, and/or has taken fluoxetine within 60 days prior to Day 1

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (51)

Sage Investigational Site

Dothan, Alabama, 36303, United States

Location

Sage Investigational Site

Phoenix, Arizona, 85012, United States

Location

Sage Investigational Site

Anaheim, California, 92805, United States

Location

Sage Investigational Site

Costa Mesa, California, 92626, United States

Location

Sage Investigational Site

Glendale, California, 91206, United States

Location

Sage Investigational Site

Irvine, California, 92614, United States

Location

Sage Investigational Site

Los Alamitos, California, 90720, United States

Location

Sage Investigational Site

Oceanside, California, 92056, United States

Location

Sage Investigational Site

Orange, California, 92868, United States

Location

Sage Investigational Site

Riverside, California, 92503, United States

Location

Sage Investigational Site

San Diego, California, 92103, United States

Location

Sage Investigational Site

Temecula, California, 92591, United States

Location

Sage Investigational Site

Colorado Springs, Colorado, 80910, United States

Location

Sage Investigational Site

Cromwell, Connecticut, 06416, United States

Location

Sage Investigational Site

Norwich, Connecticut, 06360, United States

Location

Sage Investigational Site

Coral Springs, Florida, 33067, United States

Location

Sage Investigational Site

Jacksonville, Florida, 32256, United States

Location

Sage Investigational Site

Orlando, Florida, 32801, United States

Location

Sage Investigational Site

Orlando, Florida, 32807, United States

Location

Sage Investigational Site

Pensacola, Florida, 32502, United States

Location

Sage Investigational Site

Alpharetta, Georgia, 30022, United States

Location

Sage Investigational Site

Atlanta, Georgia, 30331, United States

Location

Sage Investigational Site

Marietta, Georgia, 30060, United States

Location

Sage Investigational Site

Savannah, Georgia, 31405, United States

Location

Sage Investigational Site

Chicago, Illinois, 60634, United States

Location

Sage Investigational Site

Chicago, Illinois, 60640, United States

Location

Sage Investigational Site

Towson, Maryland, 21204, United States

Location

Sage Investigational Site

Watertown, Massachusetts, 02472, United States

Location

Sage Investigational Site

Ann Arbor, Michigan, 48109, United States

Location

Sage Investigational Site

Saint Charles, Missouri, 63304, United States

Location

Sage Investigational Site

Lincoln, Nebraska, 68526, United States

Location

Sage Investigational Site

Cherry Hill, New Jersey, 08002, United States

Location

Sage Investigational Site

Marlton, New Jersey, 08053, United States

Location

Sage Investigational Site

Princeton, New Jersey, 08540, United States

Location

Sage Investigational Site

Albuquerque, New Mexico, 87109, United States

Location

Sage Investigational Site

Brooklyn, New York, 11229, United States

Location

Sage Investigational Site

Brooklyn, New York, 11235, United States

Location

Sage Investigational Site

Mount Kisco, New York, 10549, United States

Location

Sage Investigational Site

Beachwood, Ohio, 44122, United States

Location

Sage Investigational Site

Cincinnati, Ohio, 45212, United States

Location

Sage Investigational Site

Cincinnati, Ohio, 45215, United States

Location

Sage Investigational Site

Cincinnati, Ohio, 45219, United States

Location

Sage Investigational Site

North Canton, Ohio, 44720, United States

Location

Sage Investigational Site

Oklahoma City, Oklahoma, 73112, United States

Location

Sage Investigational Site

Plymouth Meeting, Pennsylvania, 19462, United States

Location

Sage Investigational Site

Austin, Texas, 78759, United States

Location

Sage Investigational Site

Dallas, Texas, 75231, United States

Location

Sage Investigational Site

Houston, Texas, 77030, United States

Location

Sage Investigational Site

Houston, Texas, 77081, United States

Location

Sage Investigational Site

Wichita Falls, Texas, 76309, United States

Location

Sage Investigational Site

Bellevue, Washington, 98007, United States

Location

Related Publications (1)

  • Parikh SV, Aaronson ST, Mathew SJ, Alva G, DeBattista C, Kanes S, Lasser R, Bullock A, Kotecha M, Jung J, Forrestal F, Jonas J, Vera T, Leclair B, Doherty J. Efficacy and safety of zuranolone co-initiated with an antidepressant in adults with major depressive disorder: results from the phase 3 CORAL study. Neuropsychopharmacology. 2024 Jan;49(2):467-475. doi: 10.1038/s41386-023-01751-9. Epub 2023 Oct 24.

MeSH Terms

Conditions

Depressive Disorder, Major

Interventions

zuranoloneSertralineEscitalopramCitalopramDuloxetine HydrochlorideDesvenlafaxine Succinate

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental Disorders

Intervention Hierarchy (Ancestors)

1-NaphthylamineAminesOrganic ChemicalsNaphthalenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPolycyclic CompoundsPropylaminesNitrilesBenzofuransHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsThiophenesSulfur CompoundsHeterocyclic Compounds, 1-RingCyclohexanolsHexanolsFatty AlcoholsAlcoholsCyclohexanesCycloparaffinsHydrocarbons, AlicyclicPhenolsBenzene DerivativesLipids

Results Point of Contact

Title
US Biogen Clinical Trial Center
Organization
Biogen

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
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 15, 2020

First Posted

July 17, 2020

Study Start

November 9, 2020

Primary Completion

October 25, 2021

Study Completion

December 22, 2021

Last Updated

December 22, 2023

Results First Posted

November 7, 2023

Record last verified: 2023-12

Data Sharing

IPD Sharing
Will share

In accordance with Biogen's Clinical Trial Transparency and Data Sharing Policy on https://www.biogentrialtransparency.com/

More information

Locations