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NCT03352453

A Study of Rapastinel for Rapid Treatment of Depression and Suicidality in Major Depressive Disorder

Terminated Phase 2 Results posted Last updated 14 August 2020
What this trial tests

Phase 2 trial testing Rapastinel in Depressive Disorder, Major in 138 participants. Terminated before completion.

Timeline
15 December 2017
Primary endpoint
21 June 2019
21 June 2019

Quick facts

Lead sponsorNaurex, Inc, an affiliate of Allergan plc
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment138
Start date15 December 2017
Primary completion21 June 2019
Estimated completion21 June 2019
Sites17 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Naurex, Inc, an affiliate of Allergan plc — full company profile →

Who can join

Adults 18 to 65, any sex, with Depressive Disorder, Major. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score Primary · Baseline and 1 Day

The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and a lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

GroupValue95% CI
Placebo-17.6± 12.49
Rapastinel 450mg-16.3± 11.36
Change From Baseline in Sheehan - Suicidality Tracking Scale (S-STS) Total Score Primary · Baseline and 1 Day

The S-STS is a patient-report informed, clinician-rated scale used to rate the severity of suicidal impulses, thoughts, and behaviors. This is a 14 item scale ranging from 0=Not at all to 4= Extremely. The total score ranges from 0 to 56 with a higher score indicating higher suicidal tendency.

GroupValue95% CI
Placebo-20.6± 12.27
Rapastinel 450mg-20.2± 11.93
Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score Secondary · Baseline and 28 Days

The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and a lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

GroupValue95% CI
Placebo-25.6± 14.74
Rapastinel 450mg-23.0± 15.00
Change From Baseline in Sheehan - Suicidality Tracking Scale (S-STS) Total Score Secondary · Baseline and 28 Days

The S-STS is a patient-report informed, clinician-rated scale used to rate the severity of suicidal impulses, thoughts, and behaviors. This is a 14 item scale ranging from 0=Not at all to 4= Extremely. The total score ranges from 0 to 56 with a higher score indicating higher suicidal tendency.

GroupValue95% CI
Placebo-25.9± 11.61
Rapastinel 450mg-26.4± 12.74

Adverse events — posted to ClinicalTrials.gov

Time frame: The study consisted of a 4 week double-blind treatment period, followed by a 1-week safety follow-up period.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 5/64 (8%)
Deaths: 0/64
Rapastinel 450mg
Serious: 12/72 (17%)
Deaths: 0/72

Serious adverse events (12 terms)

ReactionSystemPlaceboRapastinel 450mg
Suicidal ideationPsychiatric disorders
Suicide attemptPsychiatric disorders
Non-cardiac chest painGeneral disorders
AnxietyPsychiatric disorders
Depressive SymptomPsychiatric disorders
Major DepressionPsychiatric disorders
DepressionPsychiatric disorders
DiverticulitisInfections and infestations
Small Intestinal ObstructionGastrointestinal disorders
Mitral Valve IncompetenceCardiac disorders
Mitral Valve ProlapseCardiac disorders
NephrolithiasisRenal and urinary disorders
Other adverse events (5 terms — click to expand)

ReactionSystemPlaceboRapastinel 450mg
HeadacheNervous system disorders
InsomniaPsychiatric disorders
AnxietyPsychiatric disorders
DizzinessNervous system disorders
NauseaGastrointestinal disorders

Most-reported serious reactions: Suicidal ideation, Suicide attempt, Non-cardiac chest pain, Anxiety, Depressive Symptom, Major Depression, Depression, Diverticulitis.

Data from ClinicalTrials.gov NCT03352453 adverse events section.

Sponsor's own description

The study will evaluate the efficacy, safety, and tolerability of 450 milligrams (mg) of Rapastinel, compared to placebo in adult patients with major depressive disorder (MDD) who are at imminent risk of suicide.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. A new generation of antidepressants: an update on the pharmaceutical pipeline for novel and rapid-acting therapeutics in mood disorders based on glutamate/GABA neurotransmitter systems.
    Wilkinson ST, Sanacora G. · · 2019 · cited 111× · PMID 30447328 · DOI 10.1016/j.drudis.2018.11.007
  2. Emerging Therapeutics Based on the Amino Acid Neurotransmitter System: An Update on the Pharmaceutical Pipeline for Mood Disorders.
    Hecking J, Davoudian PA, Wilkinson ST. · · 2021 · cited 13× · PMID 34124495 · DOI 10.1177/24705470211020446
  3. Fluoroethylnormemantine, A Novel Derivative of Memantine, Facilitates Extinction Learning Without Sensorimotor Deficits.
    Chen BK, Le Pen G, Eckmier A, Rubinstenn G, et al · · 2021 · cited 11× · PMID 33631001 · DOI 10.1093/ijnp/pyab007

Verify or expand the search:

Other trials of Rapastinel

Trials testing the same drug.

Other recruiting trials for Depressive Disorder, Major

Currently open trials in the same condition.

Other Naurex, Inc, an affiliate of Allergan plc trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03352453.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing