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Major Depressive Disorder With Anxious DistressPhase 2NCT04080752

A Study of JNJ-61393215 in the Treatment of Depression

A Phase 2 study testing JNJ-61393215 in people with Major Depressive Disorder With Anxious Distress, run by Janssen Research & Development, LLC at 35 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the efficacy of JNJ-61393215 as adjunctive treatment compared to adjunctive placebo, as assessed by the change from baseline to week 6 on a 17-item Hamilton Depression Rating Scale (HDRS-17) in participants with major depressive disorder (MDD) with anxious distress with a score… Read more about this study

Who is it for?
Ages 18 to 64 years
What is being tested?
JNJ-61393215
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
222 participants
Where
35 sitesin 5 countries
Study dates
17 Sep 2019to 2 Sep 2021
Phase
Phase 2
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 64 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Participants must have a body mass index (BMI) between 18 and 36 kilogram per meter square (kg/m^2)
  • Participants must have a primary diagnostic and statistical manual of mental disorders, 5th edition (DSM-5) diagnosis of major depressive disorder (MDD) with anxious distress, as assessed by the mini international neuropsychiatric inventory 7.0. Plus (MINI). Participants with a diagnosis of comorbid generalized anxiety disorder (GAD), post-traumatic stress disorder, persistent depressive disorder, attention deficit hyperactivity disorder (ADHD), social anxiety disorder or nicotine/caffeine dependence may be included, if MDD is primary diagnosis
  • Participants must have an inventory of depressive symptomatology, clinician rating-30 (IDS-C30) total score greater than or equal to (>=) 35 (moderate to severe depression)
  • Participant must not have received more than 3 failed antidepressant treatments (of adequate dose and duration), including their current treatment, in the current episode of depression, as documented by the massachusetts general hospital antidepressant treatment history questionnaire (MGH-ATRQ)
  • Participant must be currently receiving 1 of the following antidepressants for at least 6 weeks duration at screening, at an adequate therapeutic dose, as determined by the MGH-ATRQ and should remain on a stable dose throughout the study: bupropion, citalopram, escitalopram, sertraline, paroxetine, venlafaxine, desvenlafaxine, duloxetine, fluoxetine, vilazodone, vortioxetine, mirtazapine, agomelatine, nortriptyline, imipramine, amitriptyline and levomilnacipran
  • Participants must have a suboptimal response (improvement <50%) to the antidepressant used as their current treatment, as measured by the MGH-ATRQ
  • A woman of childbearing potential must have a negative serum pregnancy test at screening and a negative urine pregnancy test before the first dose

Who cannot join

  • Participant has any other psychiatric condition including but not limited to: MDD with current psychotic features, bipolar disorder (including lifetime diagnosis), obsessive-compulsive disorder, borderline personality disorder, eating disorder (example: bulimia, anorexia nervosa), or schizophrenia (lifetime)
  • Age of onset of depression is after 55 years of age
  • Participant has a history of alcohol or substance use disorder (abuse/dependence) within 6 months prior to screening (nicotine and caffeine dependence are not exclusionary)
  • Participant has a current or recent (within the past year) history of clinically significant suicidal ideation (corresponding to a score of >= 3 for ideation) or any suicidal behavior within the past year, as validated on the Colombia suicide severity rating scale (C-SSRS) at screening or baseline
  • Length of current major depressive episode >60 months
  • Participant has organic brain disease or dementia or has known or suspected intellectual development disorder
Show all 11Show fewer
  • Participant has been treated with at least one of the following treatments: (a) electroconvulsive therapy in the current episode; (b) deep brain stimulation (lifetime); (c) repetitive transcranial magnetic stimulation within 4 weeks prior to baseline visit
  • Participant has any clinically relevant medical condition that could potentially alter the absorption, metabolism, or excretion of the study intervention, such as liver disease or renal disease
  • Participant has a relevant history of any significant and/or unstable cardiovascular, respiratory, neurological (including seizures - uncomplicated childhood febrile seizures with no sequelae are not exclusionary) or significant cerebrovascular, renal, hepatic, dermatologic, hematologic, gastrointestinal or endocrine diseases. Hospitalization for cardiovascular event (myocardial infarction, unstable angina, stroke, transient ischemic attack) within 3 months prior to the first administration of study drug is exclusionary. Diabetes mellitus be allowed when the participant is stable (HbA1c less than 7.5% or 58 mmol/mol)
  • Participant has a clinically significant abnormal physical examination, vital signs or 12-lead electrocardiogram (ECG) at screening or baseline Minor deviations in ECG, which are not considered to be of clinical significance to the investigator, are acceptable.If at screening visit QTcB or QTcF interval >=450 ms for males or >=470 ms for females, or >480 ms if bundle branch block and prolongation of the QTc interval are present;participant is excluded
  • Participant has a history of known demyelinating diseases such as multiple sclerosis or optic neuritis

Trial locations and contacts

35 sites in 5 countries.

35 sites in 5 countries

Russia13 sites
  • City Clinical Psychiatric Hopsital 3

    Moscow, 107076

  • Nizny Novgorod clinical psychiatric hospital 1

    Nizny Novgorod, 603155

  • Orenburg Regional Clinical Psychiatric Hospital #1

    Orenburg

  • Medical and Rehabilitation Research Center Phoenix

    Rostov-on-Don, 344010

  • Psychoneurological dispensary 10

    Saint Petersburg, 190121

  • City Psychiatric hospital 7 named after I.P.Pavlov

    Saint Petersburg, 199034

  • Psychoneurological dispensary 1

    Saint Petersburg, 199178

  • SHI 'Saratov City Clinical Hospital 2 n.a V.I. Razumovsky

    Saratov, 410028

  • Saratov Regional Psychiatric hospital named after St. Sofia

    Saratov, 410060

  • Engels psychiatric hospital

    Saratov Region, 413124

  • Psychoneurological Dispensary #4

    St.Peterburg, 197110

  • Stavropol Region Psychiatric Hospital #2

    Stavropol, 357034

  • Research Institute of Mental Health

    Tomsk, 634014

Other trials in Russia

United States9 sites
  • Atlanta Institute

    Alpharetta, Georgia, 30022

  • Atlanta Center for Medical Research

    Atlanta, Georgia, 30331

  • Ohio State University

    Columbus, Ohio, 43220

  • UT Southwestern Medical Center

    Dallas, Texas, 75235

  • Collaborative NeuroScience Network

    Garden Grove, California, 92845

  • Suburban Research Associates

    Media, Pennsylvania, 19063

  • The Medical Research Network, LLC

    New York, New York, 10128

  • IPS Research Company

    Oklahoma City, Oklahoma, 73106

  • Richmond Behavioural Associates

    Staten Island, New York, 10312

Other trials in United States

Ukraine8 sites
  • MNCE of Kyiv RC Regional Psychiatric and Narcological Medical Association

    Hlevakha, 8630

  • CNCE'Precarpathian Regional Clinical Mental Health Center Ivano-Frankivsk RC'

    Ivano-Frankivsk, 76011

  • Mnpe of Kharkiv Regional Council 'Regional Clinical Psychiatric Hospital #3'

    Kharkiv, 61068

  • CNPE'Kherson Regional Institution of Mental Care'of Kherson Regional Council

    Kherson, 73488

  • Kyiv Railway Station Clinical Hospital #2

    Kyiv, 03049

  • Mnpe 'Regional Clinical Psychiatric Hospital of Kirovohrad Regional Council'

    Nove, 25491

  • CNCE 'Cherkasy Regional Psychiatric Hospital of Cherkasy Regional Council'

    Smila, 20708

  • CNCE 'Vinnytsya RC Psychoneurological Hospital n.a. O.I. Yushchenko Vinnytsya RC'

    Vinnytsia, 21005

Other trials in Ukraine

United Kingdom4 sites
  • MAC Clinical Research

    Barnsley, S75 3DL

  • MAC Clinical Research

    Liverpool, L341BH

  • Kings College London

    London, SE5 8AZ

  • MAC Clinical Research

    Manchester, M139NQ

Other trials in United Kingdom

Moldova1 site
  • ARENSIA

    Chisinau, MD2025

Other trials in Moldova

About this study

Official title: Double-Blind, Placebo-Controlled, Multi-Center Study Investigating the Efficacy, Safety, and Tolerability of JNJ-61393215 as Adjunctive Treatment in Adults With Major Depressive Disorder With Anxious Distress With Suboptimal Response to Standard Antidepressants

The purpose of this study is to evaluate the efficacy of JNJ-61393215 as adjunctive treatment compared to adjunctive placebo, as assessed by the change from baseline to week 6 on a 17-item Hamilton Depression Rating Scale (HDRS-17) in participants with major depressive disorder (MDD) with anxious distress with a score greater than or equal to (>=) 2 on item 26 or 27 of the Inventory of Depressive Symptomatology, Clinician Rating -30 (IDS-C30), who have a suboptimal response to current treatment with a standard antidepressant.

Being tested
JNJ-61393215, Placebo

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • JNJ-61393215Drug

    Also called Orexin-1

    JNJ-61393215 will be administrated orally.

  • PlaceboDrug

    Matching placebo will be administered orally.

Study groups in NCT04080752
Study groupRoleWhat they receive
JNJ-61393215 135 milligram (mg)ExperimentalParticipants will receive JNJ-61393215 135 mg (3*45 mg capsules) orally once daily for 6 weeks along with the prescribed standard oral antidepressants (without dose change) throughout the study.
Receives: Drug: JNJ-61393215
PlaceboPlacebo comparatorParticipants will receive matching placebo for 6 weeks along with the prescribed standard oral antidepressants (without dose change) throughout the study.
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Hamilton Depression Rating Scale-17 (HDRS-17) Total Score at Week 6

    Change from baseline in HDRS-17 total score at Week 6 was reported. The HDRS-17 is a clinician-administered rating scale designed to assess the severity of symptoms in participants diagnosed with depression with a score range of 0 to 52. Each of the 17 items is rated by the clinician on either a 3-point (0 to 2) or a 5-point scale (0 to 4). The point scale used a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). A total score (range: 0 to 52) was calculated by adding the scores of all 17 items. For each item as well as the total score, a higher score represents a more severe condition (greater depression).

    Measured: Baseline and Week 6

Secondary outcomes (10)
  1. Change From Baseline in Hamilton Anxiety Rating Scale (HAM-A) Total Score at Week 6

    Change from baseline in HAM-A total score at Week 6 was reported. HAM-A is a 14-item scale designed to measure severity of anxiety-related symptoms in participants. Each question reflects a symptom of general anxiety, including physical anxiety and mental anxiety. Each item was rated on a 5-point scale ranged from 0 (not present) to 4 (maximum anxiety). The total score was sum of 14 items scores and it ranged from 0 (normal) to 56 (severe), where higher score indicated greater degree of anxiety symptom. The total score was categorized as 0-13: normal range, 14-17: mild severity, 18-24: mild to moderate severity, 25-30: moderate to severe, and >=31: severe. Negative change in score indicates improvement.

    Measured: Baseline and Week 6

  2. Change From Baseline in HAM-A Total Score at Weeks 2 and 4

    Change from baseline in HAM-A total score at Weeks 2 and 4 were reported. HAM-A is a 14-item scale designed to measure severity of anxiety-related symptoms in participants. Each question reflects a symptom of general anxiety, including physical anxiety and mental anxiety. Each item was rated on a 5-point scale ranged from 0 (not present) to 4 (maximum anxiety). The total score was sum of 14 items scores and it ranged from 0 (normal) to 56 (severe), where higher score indicated greater degree of anxiety symptom. The total score was categorized as 0-13: normal range, 14-17: mild severity, 18-24: mild to moderate severity, 25-30: moderate to severe, and >=31: severe. Negative change in score indicates improvement.

    Measured: Baseline, Week 2, and Week 4

  3. Change From Baseline in HDRS-17 Total Score in Participants With a Baseline HAM-A Score >=20 at Week 6

    Change from baseline in HDRS-17 total score in participants with a baseline HAM-A score >=20 at Week 6 was reported. The HDRS-17 is a clinician-administered rating scale designed to assess the severity of symptoms in participants diagnosed with depression with a score range of 0 to 52. Each of the 17 items is rated by the clinician on either a 3-point (0 to 2) or a 5-point scale (0 to 4). The point scale used a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). A total score (range: 0 to 52) was calculated by adding the scores of all 17 items. For each item as well as the total score, a higher score represents a more severe condition (greater depression).

    Measured: Baseline and Week 6

  4. Change From Baseline in HAM-A Total Score in Participants With a Baseline HAM-A Score >=20 at Week 6

    Change from baseline in HAM-A total score in participants with a baseline HAM-A score >=20 at Week 6 was reported. HAM-A is a 14-item scale designed to measure severity of anxiety-related symptoms in participants. Each question reflects a symptom of general anxiety, including physical anxiety and mental anxiety. Each item was rated on a 5-point scale ranged from 0 (not present) to 4 (maximum anxiety). The total score was sum of 14 items scores and it ranged from 0 (normal) to 56 (severe), where higher score indicated greater degree of anxiety symptom. The total score was categorized as 0-13: normal range, 14-17: mild severity, 18-24: mild to moderate severity, 25-30: moderate to severe, and >=31: severe. Negative change in score indicates improvement.

    Measured: Baseline and Week 6

  5. Change From Baseline in Generalized Anxiety Disorder-7 (GAD-7) Total Score at Week 6

    Change from baseline in GAD-7 total score at Week 6 was reported. The GAD-7 is a brief and validated 7-item self-reported assessment of overall anxiety. Participants respond to each item using a 4-point scale with response categories of 0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day. Item responses are summed to yield a total score with a range of 0 to 21, where higher scores indicate more anxiety. The recall period is 2 weeks. The severity of the GAD-7 is categorized as follows: None (0-4), Mild (5-9), Moderate (10-14) and Severe (15-21).

    Measured: Baseline and Week 6

  6. Change From Baseline in Patient Health Questionnaire (PHQ-9) Total Score at Weeks 2 and 4

    Change From baseline in PHQ-9 total score at Weeks 2 and 4. The PHQ-9 is a 9-item, Patient Reported Outcome (PRO) measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) major depressive disorder (MDD) criteria. Each item is rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participants item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: None-minimal (0-4), Mild (5-9), Moderate (10-14), Moderately Severe (15-19) and Severe (20-27).

    Measured: Baseline, Week 2, and Week 4

  7. Change From Baseline in HDRS-17 Total Score at Weeks 2 and 4

    Change From baseline in HDRS-17 total score at Weeks 2 and 4. The HDRS-17 is a clinician-administered rating scale designed to assess the severity of symptoms in participants diagnosed with depression with a score range of 0 to 52. Each of the 17 items is rated by the clinician on either a 3-point (0 to 2) or a 5-point scale (0 to 4). The point scale used a rating of 0 (absent), 1 (doubtful to mild), 2 (mild to moderate), 3 (moderate to severe), and 4 (very severe). A total score (range: 0 to 52) was calculated by adding the scores of all 17 items. For each item as well as the total score, a higher score represents a more severe condition (greater depression).

    Measured: Baseline, Week 2, and Week 4

  8. Number of Participants With Treatment-emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability

    An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were events during the initiation of study drug up till follow-up period.

    Measured: Up to 8 weeks

  9. Total Plasma Concentration of JNJ-61393215

    Total plasma concentration of JNJ-61393215 was reported. The concentrations of JNJ-61393215 were measured using a validated, specific, and sensitive liquid chromatography-mass spectrometry/mass spectrometry (LC-MS/MS) method.

    Measured: 1-4 hours postdose on Day 1; Predose and 1-4 hours post dose on Days 15, 29, and 43

  10. Plasma Protein Binding (PPB): Percentage of JNJ-61393215 Unbound

    Percentage of JNJ-61393215 unbound was determined by using a liquid chromatography-mass spectrometry/mass spectrometry (LC-MS/MS) method. The protein binding was assessed by spiking plasma samples with radiolabeled JNJ-61393215.

    Measured: Predose and 1-4 hours post dose on Day 43

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Sep 2019
  2. Study start17 Sep 2019
  3. Primary completion2 Sep 2021
  4. Study completion2 Sep 2021

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
222 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04080752
Sponsor's protocol ID
CR108655
Other IDs
2019-001683-29, 61393215MDD2001, 2019
Status last verified
Apr 2025
First submitted
4 Sep 2019
Last updated
29 Apr 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Publications

  • Schmidt ME, Moyer JA, Kezic I, Zhou X, Samtani MN, Bleys C, Dallas S, Salvadore G, Drevets WC. Efficacy, safety, and tolerability of JNJ-61393215 (tebideutorexant), a selective orexin-1 receptor antagonist, as adjunctive treatment for major depressive disorder with anxious distress: A double-blind, placebo-controlled, randomized phase 2a study. Eur Neuropsychopharmacol. 2025 Jun;95:14-23. doi: 10.1016/j.euroneuro.2025.03.007. Epub 2025 Apr 13.

    PubMed 40215570

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing JNJ-61393215 in people with Major Depressive Disorder With Anxious Distress, run by Janssen Research & Development, LLC at 35 sites in 5 countries.

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 7 inclusion and 11 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 29 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in Russia, United States, Ukraine, United Kingdom, Moldova. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 29 Sep 2022). 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?

Change From Baseline in Hamilton Depression Rating Scale-17 (HDRS-17) Total Score at Week 6 (time frame: Baseline and Week 6). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04080752, which also lists 1 linked publication.

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 29 Apr 2025.

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