Depressive Disorder, MajorPhase 3NCT02951988
A Study of Rapastinel as Adjunctive Therapy in the Prevention of Relapse in Patients With Major Depressive Disorder
A Phase 3 study testing Rapastinel in people with Depressive Disorder, Major, run by Naurex, Inc, an affiliate of Allergan plc at 137 sites in United States.
Trial summary
This study will evaluate the efficacy, safety and tolerability of rapastinel 450 milligrams (mg) intravenous (IV) once weekly or once every 2 weeks versus placebo as an adjunctive treatment to ongoing anti-depressive therapy (ADT) in the prevention of relapse in participants with Major Depressive Disorder (MDD). Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Depressive Disorder, Major
- What is being tested?
- Rapastinel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,304 participants
- Where
- 137 sitesUnited States
- Study dates
- 13 Nov 2016to 22 Feb 2019
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for MDD
- Current major depressive episode of at least 8 weeks and not exceeding 18 months in duration at Screening
- Have no more than partial response (< 50% improvement) to ongoing treatment with a protocol-allowed antidepressant
- If female of childbearing potential, have a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test.
Who cannot join
- DSM-5-based diagnosis of any disorder other than MDD that was the primary focus of treatment within 6 months before Screening
- Lifetime history of meeting DSM-5 criteria for:
- Schizophrenia spectrum or other psychotic disorder
- Bipolar or related disorder
- Major neurocognitive disorder
- Neurodevelopmental disorder of greater than mild severity or of a severity that impacts the participant's ability to consent, follow study directions, or otherwise safely participate in the study
Show all 10Show fewer
- Dissociative disorder
- Posttraumatic stress disorder
- MDD with psychotic features
- Significant suicide risk, as judged by the Investigator.
Trial locations and contacts
137 sites in 1 country.
137 sites in 1 country
United States137 sites
Albuquerque Neuroscience, Inc
Albuquerque, New Mexico, 87109
Lehigh Center for Clinical Research
Allentown, Pennsylvania, 18104
Institute for Advanced Medical Research
Alpharetta, Georgia, 30005
California Pharmaceutical Research Institute, Inc
Anaheim, California, 92804
Atlanta Center for Medical Research
Atlanta, Georgia, 30331
Donald J. Garcia, Jr., MD, PA
Austin, Texas, 78737
Community Clinical Research, Inc.
Austin, Texas, 78754
BioBehavioral Research of Austin
Austin, Texas, 78759
Sheppard Pratt Health System
Baltimore, Maryland, 21204
Pharmasite Research, Inc
Baltimore, Maryland, 21208
Houston Clinical Trials, LLC
Bellaire, Texas, 77401
NorthWest Clinical Research Center
Bellevue, Washington, 98007
Hassman Research Institute, LLC
Berlin, New Jersey, 08009
Southern California Research LLC.
Beverly Hills, California, 90036
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Boston Clinical Trials
Boston, Massachusetts, 02131
Pacific Institute of Medical Sciences
Bothell, Washington, 98011
Meridien Research
Bradenton, Florida, 34201
SPRI Clinical Trials, Inc
Brooklyn, New York, 11235
Neuro-Behavioral Clinical Research, Inc
Canton, Ohio, 44718
Carolina Clinical Trials, Inc.
Charleston, South Carolina, 29407
New Hope Clinical Research Inc.
Charlotte, North Carolina, 28211
Department of Psychiatry and Neurobehavioral Sciences, University of Virginia
Charlottesville, Virginia, 22903
Psychiatric Alliance of the Blue Ridge, Inc
Charlottesville, Virginia, 22903
Center for Emotional Fitness
Cherry Hill, New Jersey, 08002
Great Lakes Clinical Trials
Chicago, Illinois, 60640
Patient Priority Clinical Site, LLC
Cincinnati, Ohio, 45215
University of Cincinnati
Cincinnati, Ohio, 45219
MCB Clinical Research Center
Colorado Springs, Colorado, 80910
The Ohio State University Department of Psychiatry
Columbus, Ohio, 43210
ATP Clinical Research Inc.
Costa Mesa, California, 92626
Millennium Psychiatric Associates
Creve Coeur, Missouri, 63141
ProScience Research Group
Culver City, California, 90230
Relaro Medical Trials
Dallas, Texas, 75243
Midwest Clinical Research Center LLC
Dayton, Ohio, 45417
iResearch Atlanta, LLC
Decatur, Georgia, 30030
Harmonex Neuroscience Research
Dothan, Alabama, 36303
El Campo Clinical Trials
El Campo, Texas, 77347
Pharmacology Research Institute
Encino, California, 91316
Eastside Therapeutic Resource
Everett, Washington, 98201
Precise Research Centers
Flowood, Mississippi, 39232
Gulfcoast Clinical Research Center
Fort Myers, Florida, 33912
North Texas Clinical Trials
Fort Worth, Texas, 76104
Sarkis Clinical Trials
Gainesville, Florida, 32607
Collaborative Neuroscience Network, LLC
Garden Grove, California, 92845
Charak Clinical Research Center
Garfield Heights, Ohio, 44125
Behavioral Research Specialists, LLC
Glendale, California, 91206
MD Clinical
Hallandale, Florida, 33009
Reliable Clinical Research
Hialeah, Florida, 33012
Alexian Brothers Center for Psychiatric Research
Hoffman Estates, Illinois, 60169
Advanced Research Institute of Miami
Homestead, Florida, 33030
Earle Research
Houston, Texas, 77058
Red Oak Psychiatry Associates, PA
Houston, Texas, 77090
Sun Valley Research Center
Imperial, California, 92251
Irvine Center for Clinical Research, Inc
Irvine, California, 92614
Clinical Neuroscience Solutions, Inc
Jacksonville, Florida, 32256
Lake Charles Clinical Trials
Lake Charles, Louisiana, 70629
Meridien Research
Lakeland, Florida, 33805
Altea Research
Las Vegas, Nevada, 89102
Innovative Clinical Research, Inc
Lauderhill, Florida, 33319
Synergy Clinical Research Center of Escondido
Lemon Grove, California, 91945
Synergy San Diego
Lemon Grove, California, 91945
Capstone Clinical Research
Libertyville, Illinois, 60048
Alivation Research
Lincoln, Nebraska, 68526
Woodland International Research Group
Little Rock, Arkansas, 72211
Pharmacology Research Institute
Los Alamitos, California, 90720
Northwest Behavioral Research Center
Marietta, Georgia, 30060
Pharmaceutical Research Associates Inc
Marlton, New Jersey, 08053
Lindner Center of Hope
Mason, Ohio, 45040
Professional Psychiatric Services
Mason, Ohio, 45040
Suburban Research Associates
Media, Pennsylvania, 19063
Clinical Neuroscience Solutions, Inc
Memphis, Tennessee, 38119
Research Strategies of Memphis, LLC
Memphis, Tennessee, 38119
ActivMed Practices & Research, Inc.
Methuen, Massachusetts, 01844
Innova Clinical Trials Inc.
Miami, Florida, 33145
International Research Associates, LLC
Miami, Florida, 33183
Bioscience Research
Mount Kisco, New York, 10549
Coastal Carolina Research Center, Inc.
Mt. Pleasant, South Carolina, 29464
AMR - Baber Research, Inc.
Naperville, Illinois, 60563
Healthy Perspectives - Innovative Mental Health Services. PLLC
Nashua, New Hampshire, 03060
BTC of New Bedford
New Bedford, Massachusetts, 02740
Manhattan Behavioral Medicine
New York, New York, 10022
Eastside Comprehensive Medical Center, LLC
New York, New York, 10128
The Medical Research Network, LLC
New York, New York, 10128
Fieve Clinical Research
New York, New York, 10168
Dr. Cherian Verghese
Norristown, Pennsylvania, 20006
Comprehensive Psychiatric Care
Norwich, Connecticut, 06360
Psychiatric Care and Research Center
O'Fallon, Missouri, 63368
Pacific Research Partners; LLC.
Oakland, California, 94607
Research Centers of America
Oakland Park, Florida, 33334
Sarkis Clinical Trials
Ocala, Florida, 34474
Excell Research
Oceanside, California, 92056
IPS Research
Oklahoma City, Oklahoma, 73103
Red River Medical Research Center, LLC
Oklahoma City, Oklahoma, 73112
Sooner Clinical Research, Inc
Oklahoma City, Oklahoma, 73112
Paradigm Research Professionals
Oklahoma City, Oklahoma, 73118
NRC Research Institute
Orange, California, 92868
Medical Research Group of Central Florida
Orange City, Florida, 32763
Clinical Neuroscience Solutions, Inc
Orlando, Florida, 32801
Combined Research Orlando Phase I-IV
Orlando, Florida, 32807
Millenia Psychiatry & Research, Inc
Orlando, Florida, 32839
Psychiatric Associates
Overland Park, Kansas, 66211
Asclepes Research Centers
Panorama City, California, 91402
NoesisPharma
Phoenix, Arizona, 85032
Summit Research Network
Portland, Oregon, 97210
Phoenix Medical Research
Prairie Village, Kansas, 66208
Global Medical Institute, LLC
Princeton, New Jersey, 08540
Richard H. Weisler, MD, PA
Raleigh, North Carolina, 27609
Anderson Clinical Research
Redlands, California, 92374
CITrials
Riverside, California, 92506
Finger Lakes Clinical Research
Rochester, New York, 14618
CBH Health
Rockville, Maryland, 20850
Woodland Research Northwest
Rogers, Arkansas, 72758
St. Charles Psychiatric Associates - Midwest Research Group
Saint Charles, Missouri, 63304
Psychiatric and Behavioral Solutions
Salt Lake City, Utah, 84105
PRA Health Sciences
Salt Lake City, Utah, 84106
Clinical Trials of Texas
San Antonio, Texas, 78229
Artemis Institute for Clinical Research
San Diego, California, 92103
PCSD Feighner Research
San Diego, California, 92108
Artemis Institute for Clinical Research
San Marcos, California, 92078
Thomas M. Shiovitz, M.D., Inc., DBA California Neuroscience Research Medical Group, Inc.,
Sherman Oaks, California, 91403
Louisiana Clinical Research
Shreveport, Louisiana, 71101
J Gary Booker, MD APMC
Shreveport, Louisiana, 71104
IRIS Research
Smyrna, Georgia, 30080
Richmond Behavioral Associates
Staten Island, New York, 10312
Olympian Clinical Research
Tampa, Florida, 33609
The University of South Florida Board of Trustees, A public Body Corporate, for University of South Florida
Tampa, Florida, 33613
Viking Clinical Research
Temecula, California, 92591
Family Psychiatry of The Wood
The Woodlands, Texas, 77381
Bio Behavioral Health
Toms River, New Jersey, 08755
University of Arizona Department of Psychiatry
Tucson, Arizona, 85724
Pacific Clinical Research Medical
Upland, California, 91786
Adams Clinical Trials
Watertown, Massachusetts, 02472
Coastal Research Associates
Weymouth, Massachusetts, 02190
Heartland Research Associates
Wichita, Kansas, 67207
Grayline Clinical Drug Trials
Wichita Falls, Texas, 76309
University of Massachusetts Medical School
Worcester, Massachusetts, 01655
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Multicenter Study of Rapastinel as Adjunctive Therapy in the Prevention of Relapse in Patients With Major Depressive Disorder
This study will evaluate the efficacy, safety and tolerability of rapastinel 450 milligrams (mg) intravenous (IV) once weekly or once every 2 weeks versus placebo as an adjunctive treatment to ongoing anti-depressive therapy (ADT) in the prevention of relapse in participants with Major Depressive Disorder (MDD).
- Conditions
- Depressive Disorder, Major
- Being tested
- Rapastinel, Placebo-matching Rapastinel
- Medical subject headings
- Depressive Disorder, Major
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RapastinelDrug
Rapastinel pre-filled syringes for IV injections.
Placebo-matching RapastinelDrug
Placebo-matching rapastinel pre-filled syringes for weekly IV injections.
| Study group | Role | What they receive |
|---|---|---|
| Rapastinel 450 mg Weekly | Experimental | Rapastinel 450 milligrams (mg) intravenous (IV) once a week during OLTP followed by rapastinel 450 mg IV once a week during DBTP. Receives: Drug: Rapastinel |
| Rapastinel 450 mg Every 2 Weeks | Experimental | Rapastinel 450 mg IV once a week during OLTP followed by rapastinel 450 mg IV once every 2 weeks during DBTP. Receives: Drug: Rapastinel |
| Placebo | Placebo comparator | Rapastinel 450 mg IV once a week during OLTP followed by placebo-matching rapastinel 450 mg IV once a week during DBTP. Receives: Drug: Placebo-matching Rapastinel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to First Relapse During the First 52 Weeks of the Double-Blind Treatment Period
The time in days to first relapse is defined as the number of days from the date of randomization to the first relapse.
Measured: 52 Weeks
Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point Scales
On the C-SSRS, the 5 types of suicidal ideation are:
Type 1: "Wish to be dead" Type 2: Non-specific active suicidal thoughts Type 3: "Active suicidal ideation with any methods (not plan) without intent to act" Type 4: "Active suicidal ideation with some intent to act, without specific plan" Type 5: "Active suicidal ideation with specific plan and intent"
Measured: 104 Weeks
Secondary outcomes (1)
Time to First Relapse During the Entire Double-Blind Treatment Period
The time in days to first relapse is defined as the number of days from the date of randomization to the first relapse.
Measured: 104 Weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Nov 2016 (estimated)
- Study start13 Nov 2016
- Primary completion22 Feb 2019
- Study completion22 Feb 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Depressive Disorder, MajorStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 1,304 participants (actual)
Sponsor and investigators
- Lead sponsor
- Naurex, Inc, an affiliate of Allergan plc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jenna Hoogerheyde, Study director, Allergan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02951988
- Sponsor's protocol ID
- RAP-MD-04
- Status last verified
- Feb 2020
- First submitted
- 31 Oct 2016
- Last updated
- 9 Mar 2020
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Mar 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Multicenter Study of Rapastinel as Adjunctive Therapy in the Prevention of Relapse in Patients With Major Depressive Disorder
- ClinicalTrials.gov ID
- NCT02951988
- Acronym / sponsor ID
- RAP-MD-04
- Conditions
- Depressive Disorder, Major
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,304 participants (actual)
- Lead sponsor
- Naurex, Inc, an affiliate of Allergan plcIndustry (pharma, biotech, devices)
- Study start
- 13 Nov 2016 (actual)
- Primary completion
- 22 Feb 2019 (actual)
- Study completion
- 22 Feb 2019 (actual)
- First posted
- 1 Nov 2016 (estimated)
- Results
- Posted 9 Mar 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy, safety and tolerability of rapastinel 450 milligrams (mg) intravenous (IV) once weekly or once every 2 weeks versus placebo as an adjunctive treatment to ongoing anti-depressive therapy (ADT) in the prevention of relapse in participants with Major Depressive Disorder (MDD).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Rapastinel 450 mg Weekly | Experimental | Drug: RapastinelRapastinel 450 milligrams (mg) intravenous (IV) once a week during OLTP followed by rapastinel 450 mg IV once a week during DBTP. |
| Rapastinel 450 mg Every 2 Weeks | Experimental | Drug: RapastinelRapastinel 450 mg IV once a week during OLTP followed by rapastinel 450 mg IV once every 2 weeks during DBTP. |
| Placebo | Placebo comparator | Drug: Placebo-matching RapastinelRapastinel 450 mg IV once a week during OLTP followed by placebo-matching rapastinel 450 mg IV once a week during DBTP. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for MDD
- Current major depressive episode of at least 8 weeks and not exceeding 18 months in duration at Screening
- Have no more than partial response (< 50% improvement) to ongoing treatment with a protocol-allowed antidepressant
- If female of childbearing potential, have a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test.
Key exclusion criteria (10 listed)
- DSM-5-based diagnosis of any disorder other than MDD that was the primary focus of treatment within 6 months before Screening
- Lifetime history of meeting DSM-5 criteria for:
- Schizophrenia spectrum or other psychotic disorder
- Bipolar or related disorder
- Major neurocognitive disorder
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RapastinelRapastinel pre-filled syringes for IV injections. | Drug | Rapastinel 450 mg Every 2 Weeks, Rapastinel 450 mg Weekly |
| Placebo-matching RapastinelPlacebo-matching rapastinel pre-filled syringes for weekly IV injections. | Drug | Placebo |
Primary outcome
Time to First Relapse During the First 52 Weeks of the Double-Blind Treatment Period
Time frame: 52 Weeks
The time in days to first relapse is defined as the number of days from the date of randomization to the first relapse.
Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS) Using 5-Point Scales
Time frame: 104 Weeks
On the C-SSRS, the 5 types of suicidal ideation are: Type 1: "Wish to be dead" Type 2: Non-specific active suicidal thoughts Type 3: "Active suicidal ideation with any methods (not plan) without intent to act" Type 4: "Active suicidal ideation with some intent to act, without specific plan" Type 5: "Active suicidal ideation with specific plan and intent"
1 secondary outcome
Time to First Relapse During the Entire Double-Blind Treatment Period
Time frame: 104 Weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Mar 2020.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jenna Hoogerheyde study director
Allergan
137 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rapastinel in people with Depressive Disorder, Major, run by Naurex, Inc, an affiliate of Allergan plc at 137 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 137 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Mar 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to First Relapse During the First 52 Weeks of the Double-Blind Treatment Period (time frame: 52 Weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Mar 2020.