NCT04855760

Brief Summary

This was a 1-year, multicenter, open-label, long-term study to assess the safety of REL-1017 once daily (QD) as monotherapy or as adjunctive treatment of Major Depressive Disorder. Adjunctive study participants continued to take their current antidepressant therapy in addition to the study drug for the duration of the treatment period.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
627

participants targeted

Target at P75+ for phase_3 major-depressive-disorder

Timeline
Completed

Started Apr 2021

Typical duration for phase_3 major-depressive-disorder

Geographic Reach
1 country

9 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

April 1, 2021

Completed
18 days until next milestone

First Submitted

Initial submission to the registry

April 19, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 22, 2021

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 27, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 27, 2023

Completed
1 year until next milestone

Results Posted

Study results publicly available

August 9, 2024

Completed
Last Updated

February 11, 2025

Status Verified

January 1, 2023

Enrollment Period

2.3 years

First QC Date

April 19, 2021

Results QC Date

July 16, 2024

Last Update Submit

January 22, 2025

Conditions

Keywords

REL-1017

Outcome Measures

Primary Outcomes (1)

  • Safety and Tolerability of REL-1017 as Incidence of Treatment Emergent Adverse Events (TEAEs)

    Subjects with at least one Treatment Emergent Adverse Events (TEAEs)

    52 weeks

Secondary Outcomes (11)

  • Change in the QT Interval With Fridericia's Correction (QTcF) Interval From Baseline to Month 3

    3 Month

  • Change in the QT Interval With Fridericia's Correction (QTcF) Interval From Baseline to Month 6

    6 Month

  • Change in the QT Interval With Fridericia's Correction (QTcF) Interval From Baseline to Month 12

    12 Month

  • Change in Diastolic Blood Pressure From Baseline to Month 3

    3 Month

  • Change in Diastolic Blood Pressure From Baseline to Month 12

    12 Month

  • +6 more secondary outcomes

Other Outcomes (2)

  • Change in the MADRS10 Total Score From Baseline to Month 3

    3 Month

  • Change in the MADRS10 Total Score From Baseline to Month 12

    12 Month

Study Arms (1)

REL-1017

EXPERIMENTAL

Roll-over participants received 25 mg REL-1017 (one 25 mg REL-1017 tablet), orally, per day, either as a monotherapy or in addition to their ongoing antidepressant (ADT), rolling over from the monotherapy study REL-1017-303 or the adjunctive therapy studies REL-1017-301 and REL-1017-302, respectively. De Novo participants received a 75 mg REL-1017 loading dose (three 25 mg REL-1017 tablets) on Day-1 of the 365-day treatment period. From Day-2 to Day-365, participants received 25 mg REL-1017 either as monotherapy or as adjunctive therapy.

Drug: REL-1017

Interventions

REL-1017 tablet

Also known as: Esmethadone HCl
REL-1017

Eligibility Criteria

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

You may qualify if:

  • Adults 18 to 65 years, inclusive.
  • Diagnosed with Major Depressive Disorder (MDD) based on Structured Clinical Interview for DSM-5 (SCID-5) for MDD.
  • Current major depressive episode.

You may not qualify if:

  • Any current and primary psychiatric disorder other than Major Depressive Disorder.
  • History of bipolar I and II disorder, psychosis, and/or mania.
  • Acute or chronic condition that, in the Investigator's opinion, would limit the subject's ability to complete or participate in this clinical study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Relmada Site

Miami, Florida, 33015, United States

Location

Relmada Site

Miami, Florida, 33175, United States

Location

Relmada Site

Orlando, Florida, 32801, United States

Location

Relmada Site

Palm Bay, Florida, 32905, United States

Location

Relmada Site

Chicago, Illinois, 60634, United States

Location

Relmada Site

Chicago, Illinois, 60640, United States

Location

Relmada Site

Boston, Massachusetts, 02116, United States

Location

Relmada Site

Watertown, Massachusetts, 02472, United States

Location

Relmada Site

Staten Island, New York, 10312, United States

Location

Related Publications (1)

  • Fava M, Pani L, De Martin S, Cutler AJ, Gorodetzky CW, Vocci FJ, Sapienza FL, Kosten TR, Kroger C, Champasa P, Guidetti C, Comai S, Mattarei A, Folli F, Bushnell D, Traversa S, Inturrisi CE, Manfredi PL, Pappagallo M. Long-Term Safety and Efficacy of Esmethadone in Patients With Major Depressive Disorder: Findings From a 12-Month Open-Label Study. J Clin Psychiatry. 2025 Feb 17;86(1):24m15438. doi: 10.4088/JCP.24m15438.

MeSH Terms

Conditions

Depressive Disorder, Major

Condition Hierarchy (Ancestors)

Depressive DisorderMood DisordersMental Disorders

Results Point of Contact

Title
Marco Pappagallo, MD
Organization
Relmada Therapeutics

Study Officials

  • Marco Pappagallo, MD

    Relmada Therapeutics

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

April 19, 2021

First Posted

April 22, 2021

Study Start

April 1, 2021

Primary Completion

July 27, 2023

Study Completion

July 27, 2023

Last Updated

February 11, 2025

Results First Posted

August 9, 2024

Record last verified: 2023-01

Locations