Major Depressive DisorderPhase 3NCT06029439
Study to Assess the Safety and Effectiveness of NMRA-335140-501
A Phase 3 study testing NMRA-335140 in people with Major Depressive Disorder, run by Neumora Therapeutics, Inc. at 178 sites in 11 countries.
Trial summary
This is a 52-week open-label extension (OLE) study that will evaluate the safety, tolerability, and effectiveness of NMRA-335140 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
- Major Depressive Disorder
- What is being tested?
- NMRA-335140
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 904 participants
- Where
- 178 sitesin 11 countries
- Study dates
- 10 Nov 2023to 17 Aug 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- Rollover participants are eligible for the study if the following inclusion criteria are met:
- Completed a previous NMRA-335140 Phase 3 MDD study (example: NMRA-335140-301, NMRA-335140-302, or NMRA-335140-303) according to the completion definition in the parent study protocol.
- Signed an informed consent form (ICF) for this study.
- Willing to comply with the contraception requirements described in the inclusion criteria of the parent study protocol.
- Willing to comply with the concomitant medication/therapy restrictions described in the exclusion criteria of the parent study protocol.
Who cannot join
- Rollover participants are excluded from the study if any of the following exclusion criteria are met:
- Diagnosed with another Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) disorder that would have been exclusionary in the parent study (eg, personality disorder, bipolar 1 or 2, schizophrenia, any other psychotic disorder, or moderate or severe substance or alcohol use disorder [excluding nicotine]).
- Considered to be at significant risk of suicide in the judgment of the Investigator. This includes participants who are actively suicidal (eg, any suicide attempts during the parent study) or are at serious suicidal risk as indicated by any current suicidal intent, including a plan, as assessed by the C-SSRS ("Since Last Visit" version, score of "YES" on suicidal ideation Item 4 or 5) and/or based on clinical evaluation by the Investigator; or are homicidal, in the opinion of the Investigator.
- Non-adherent with study medication (took ≤70% of study drug over any 2-week visit interval) or procedures during the parent study.
- Experienced treatment emergent adverse events (TEAEs) considered related to the study medication from the parent study and judged by the Investigator to be clinically significant to render the participant ineligible for enrollment.
- Have an abnormality on ocular examination that would prohibit continued study participation as determined by the Investigator.
- Use of disallowed concomitant medication or therapy that would have been exclusionary in the parent study, may compromise the safety of the participant, and/or confound the interpretation of protocol assessments.
- Considered by the Investigator to be inappropriate for any other reason.
Trial locations and contacts
178 sites in 11 countries.
178 sites in 11 countries
United States126 sites
Neumora Investigator Site
Albuquerque, New Mexico, 87109
Neumora Investigator Site
Allentown, Pennsylvania, 18104
Neumora Investigator Site
Atlanta, Georgia, 30318
Neumora Investigator Site #1
Atlanta, Georgia, 30328
Neumora Investigator Site
Atlanta, Georgia, 30328
Neumora Investigator Site
Atlanta, Georgia, 30338
Neumora Investigator Site
Austin, Texas, 78737
Neumora Investigator site
Austin, Texas, 78759
Neumora Investigator Site
Baltimore, Maryland, 21208
Neumora Investigator Site
Bellevue, Washington, 98007
Neumora Investigator site
Bellflower, California, 90706
Neumora Investigator Site
Bentonville, Arkansas, 72712
Neumora Investigator Site
Berlin, New Jersey, 08009
Neumora Investigator site
Bloomfield Township, Michigan, 48302
Neumora Investigator Site
Boston, Massachusetts, 02116
Neumora Investigator Site
Boston, Massachusetts, 02131
Neumora Investigator Site
Bradenton, Florida, 34205
Neumora Investigator Site
Brandon, Florida, 33511
Neumora Investigator Site
Brooklyn, New York, 11224
Neumora Investigator Site
Buffalo, New York, 14215
Neumora Investigator Site
Cedarhurst, New York, 11516
Neumora Investigator Site
Cerritos, California, 90703
Neumora Investigator Site
Charlotte, North Carolina, 28211
Neumora Investigator Site
Chicago, Illinois, 60634
Neumora Investigator Site
Colorado Springs, Colorado, 80910
Neumora Investigator Site
Columbus, Ohio, 43210
Neumora Investigator Site
Dallas, Texas, 75243
Neumora Investigator Site
Dayton, Ohio, 45417
Neumora Investigator Site
Decatur, Georgia, 30030
Neumora Investigator Site
DeSoto, Texas, 75115
Neumora Investigator Site
Edmond, Oklahoma, 73013
Neumora Investigator Site
Encino, California, 91316
Neumora Investigator Site #1
Everett, Washington, 98201
Neumora Investigator Site
Flowood, Mississippi, 39232
Neumora Investigator Site
Fort Worth, Texas, 76104
Neumora Investigator Site
Gainesville, Florida, 32607
Neumora Investigator Site
Garden Grove, California, 92845
Neumora Investigator Site
Glendale, California, 91206
Neumora Investigator Site
Hallandale, Florida, 33009
Neumora Investigator Site
Hialeah, Florida, 33012
Neumora Investigator Site
Hialeah, Florida, 33016
Neumora Investigator Site
Hollywood, Florida, 33024
Neumora Investigator Site #1
Houston, Texas, 77030
Neumora Investigator Site
Houston, Texas, 77030
Neumora Investigator Site
Houston, Texas, 77090
Neumora Investigator site
Huntsville, Alabama, 35801
Neumora Investigator Site
Imperial, California, 92251
Neumora Investigator Site
Inwood, New York, 11096
Neumora Investigator Site
Irvine, California, 92614
Neumora Investigator Site
Jacksonville, Florida, 32256
Neumora Investigator Site
Lafayette, California, 94549
Neumora Investigator Site
Las Vegas, Nevada, 89102
Neumora Investigator Site
Lauderhill, Florida, 33319
Neumora Investigator Site #1
Little Rock, Arkansas, 72211
Neumora Investigator site
Little Rock, Arkansas, 72211
Neumora Investigator Site #1
Long Beach, California, 90807
Neumora Investigator site
Long Beach, California, 90807
Neumora Investigator Site
Los Angeles, California, 90015
Neumora Investigator Site
Maitland, Florida, 32751
Neumora Investigator Site
Mankato, Minnesota, 56001
Neumora Investigator Site
Marietta, Georgia, 30060
Neumora Investigator Site
Marrero, Louisiana, 70072
Neumora Investigator Site
Media, Pennsylvania, 19063
Neumora Investigator Site
Memphis, Tennessee, 38119
Neumora Investigator site
Methuen, Massachusetts, 01844
Neumora Investigator Site
Miami, Florida, 33122
Neumora Investigator Site
Miami, Florida, 33126
Neumora Investigator Site
Miami, Florida, 33133
Neumora Investigator Site
Miami, Florida, 33137
Neumora Investigator Site
Miami, Florida, 33143
Neumora Investigator Site
Miami, Florida, 33165
Neumora Investigator Site
Miami, Florida, 33174
Neumora Investigator site
Miami, Florida, 33183
Neumora Investigator Site
Miami Beach, Florida, 33140
Neumora Investigator site
Miami Lakes, Florida, 33014
Neumora Investigator Site #1
Miami Lakes, Florida, 33016
Neumora Investigator Site #2
Miami Lakes, Florida, 33016
Neumora Investigator Site
Miami Springs, Florida, 33166
Neumora Investigator Site
Monroe, North Carolina, 28112
Neumora Investigator Site
New Haven, Connecticut, 06520
Neumora Investigator Site
New Orleans, Louisiana, 70115
Neumora Investigator Site
New York, New York, 10017
Neumora Investigator Site
New York, New York, 10029
Neumora Investigator Site
New York, New York, 10036
Neumora Investigator Site
Newport Beach, California, 92660
Neumora Investigator Site
North Canton, Ohio, 44720
Neumora Investigator Site
Norwalk, Connecticut, 06851
Neumora Investigator Site
Oceanside, California, 92056
Neumora Investigator Site
Oklahoma City, Oklahoma, 73118
Neumora Investigator Site #1
Orange, California, 92868
Neumora Investigator Site
Orange, California, 92868
Neumora Investigator Site #1
Orlando, Florida, 32801
Neumora Investigator site
Orlando, Florida, 32801
Neumora Investigator Site
Orlando, Florida, 32803
Neumora Investigator Site
Orlando, Florida, 32807
Neumora Investigator Site
Pembroke Pines, Florida, 33024
Neumora Investigator Site
Philadelphia, Pennsylvania, 19104
Neumora Investigator Site
Phoenix, Arizona, 85012
Neumora Investigator Site #1
Pompano Beach, Florida, 33060
Neumora Investigator Site
Pompano Beach, Florida, 33060
Neumora Investigator site
Princeton, New Jersey, 08540
Neumora Investigator Site
Riverside, California, 92506
Neumora Investigator Site
Rogers, Arkansas, 72758
Neumora Investigator Site
Saint Augustine, Florida, 32086
Neumora Investigator Site
Saint Charles, Missouri, 63304
Neumora Investigator Site
San Diego, California, 92103
Neumora Investigator Site
San Francisco, California, 94107
Neumora Investigator Site
San Jose, California, 95124
Neumora Investigator Site
Santa Ana, California, 92704
Neumora Investigator Site
Savannah, Georgia, 31405
Neumora Investigator Site
Sherman Oaks, California, 91403
Neumora Investigator site
Springfield, Massachusetts, 01103
Neumora Investigator Site
St Louis, Missouri, 63141
Neumora Investigator Site
Staten Island, New York, 10310
Neumora Investigator Site
Staten Island, New York, 10314
Neumora Investigator Site
Tampa, Florida, 33607
Neumora Investigator Site #1
Tampa, Florida, 33613
Neumora Investigator Site
Tampa, Florida, 33613
Neumora Investigator Site
Temecula, California, 92591
Neumora Investigator Site
The Bronx, New York, 10461
Neumora Investigator Site
Toms River, New Jersey, 08755
Neumora Investigator Site
Torrance, California, 90504
Neumora Investigator site
Towson, Maryland, 21204
Neumora Investigator Site
Warrenville, Illinois, 60555
Neumora Investigator Site
Watertown, Massachusetts, 02472
Neumora Investigator Site
Wichita Falls, Texas, 76309
Bulgaria8 sites
Neumora Investigator Site
Cherven Bryag, Pleven, 5980
Neumora Investigator Site
Kardzhali, 6600
Neumora Investigator Site
Pleven, 5800
Neumora Investigator Site
Sofia, Sofia-Grad, 1408
Neumora Investigator Site
Sofia, Sofia-Grad, 1463
Neumora Investigator Site
Sofia, Sofia-Grad, 1680
Neumora Investigator Site
Varna, 9020
Neumora Investigator Site
Varosha, Targovishte, 7700
Brazil7 sites
Neumora Investigator Site
Botafogo - Rio de Janeiro, Rio de Janeiro, 22270-060
Neumora Investigator Site
Curitiba, Paraná, 80240280
Neumora Investigator Site
Porto Alegre, Rio Grande do Sul, 90610-001
Neumora Investigator Site
Santa Cecília, São Paulo, 01228-000
Neumora Investigator Site
São Bernardo do Campo, São Paulo, 09726150
Neumora Investigator Site
São José do Rio Preto, São Paulo, 15090-000
Neumora Investigator Site
São Paulo, 01236030
Poland7 sites
Neumora Investigator Site
Białystok, Podkarpackie Voivodeship, 15-879
Neumora Investigator Site
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-133
Neumora Investigator Site
Gdansk, Pomeranian Voivodeship, 80-438
Neumora Investigator Site
Lublin, Lublin Voivodeship, 20-109
Neumora Investigator Site
Lublin, Lublin Voivodeship, 20-582
Neumora Investigator Site
Suchy Las, Greater Poland Voivodeship, 62-002
Neumora Investigator Site
Wroclaw, Lower Silesian Voivodeship, 50-414
Canada5 sites
Neumora Investigator Site
Hamilton, Ontario, L8S 1B7
Neumora Investigator Site
Kelowna, British Columbia, V1Y 1Z9
Neumora Investigator Site
Markham, Ontario, L3R 1A3
Neumora Investigator Site
Mississauga, Ontario, L5L 1W8
Neumora Investigator Site
Toronto, Ontario, M5S 1M2
Chile5 sites
Neumora Investigator Site
Antofagasta, 1270244
Neumora Investigator Site
Santiago, Santiago Metropolitan, 7500710
Neumora Investigator Site
Santiago, Santiago Metropolitan, 7560356
Neumora Investigator Site
Santiago, Santiago Metropolitan, 7561282
Neumora Investigator Site
Santiago, Santiago Metropolitan, 8330034
Czechia5 sites
Neumora Investigator Site
Kladno, South Bohemian, 272 01
Neumora Investigator Site
Kladno, 272 01
Neumora Investigator Site
Pilsen, Plzeň, 301 00
Neumora Investigator Site
Prague, Prague, 186 00
Neumora Investigator Site
Prague, 109 00
France5 sites
Neumora Investigator Site
Clermont-Ferrand, Auvergne-Rhône-Alpes, 63000
Neumora Investigator Site
Douai, Hauts-de-France, 59500
Neumora Investigator Site
La Roche-sur-Yon, Vendée, 85000
Neumora Investigator Site
Montpellier, Hérault, 34295
Neumora Investigator Site
Poitiers, Vienne, 86000
Germany5 sites
Neumora Investigator Site #1
Berlin, 10117
Neumora Investigator Site
Berlin, 10117
Neumora Investigator Site
Berlin, 10629
Neumora Investigator Site
Berlin, 13187
Neumora Investigator Site
Hamburg, 20253
Finland3 sites
Neumora Investigator Site
Helsinki, Etelä-Suomen Lääni, 00100
Neumora Investigator Site
Oulu, Oulun Lääni, 90100
Neumora Investigator Site
Turku, Etelä-Suomen Lääni, 20520
Sweden2 sites
Neumora Investigator Site
Lund, Skåne County, 222 22
Neumora Investigator Site
Stockholm, Stolkholm Ian, 113 29
About this study
Official title: Long-term Study to Assess the Safety and Effectiveness of NMRA-335140 in Participants With Major Depressive Disorder
This is a 52-week open-label extension (OLE) study that will evaluate the safety, tolerability, and effectiveness of NMRA-335140 in participants with major depressive disorder (MDD). Participants who completed a parent study investigating the efficacy and safety of NMRA-335140 as a treatment for MDD (ie, NMRA-335140-301, NMRA-335140-302, or NMRA-335140-303), and complete the 6 weeks double-blind treatment, provide informed consent, and meet eligibility criteria, may enter this extension study.
- Conditions
- Major Depressive Disorder
- Being tested
- NMRA-335140
- Keywords
- Major Depressive Disorder, NMRA-335140, Long-term, Safety, Efficacy, Navacaprant, NMRA335140, NMRA 335140
- 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.
NMRA-335140Drug
Also called BTRX-335140, CYM-53093, Navacaprant
Participants will receive NMRA-335140 at a dose of 80 mg once daily (QD), orally during a 52-week treatment period.
| Study group | Role | What they receive |
|---|---|---|
| NMRA-335140 80 milligrams (mg) once daily (QD) | Experimental | Participants will receive a NMRA-335140 tablet at a dose of 80 mg once daily (QD) during a 52-week treatment period. Receives: Drug: NMRA-335140 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety and tolerability assessments based on Treatment Emergent Adverse Events (TEAEs) and validated clinical scales
An AE is any untoward medical occurrence in a participant or clinical trial participant, temporally associated with the use of trial intervention, whether or not considered related to the trial intervention. Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward were counted as treatment-emergent AE (TEAE). Clinically significant abnormalities in Clinical Laboratory Evaluations, ECGs, Vital Signs, Physical and Ophthalmological examinations, Corneal Specular Microscopy, Columbia Suicide Severity Rating Scale (C-SSRS), and Sexual Functioning Questionnaire-14 (CSFQ-14) will be reported as TEAEs.
Measured: Up to 54 Weeks
Secondary outcomes (10)
Change from Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) total score over time.
Change from baseline in MADRS total score over time will be reported. The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The scale consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total score of 60. Higher scores represent a more severe condition.
Measured: Baseline and up to Week 54
Change from Baseline in the Snaith-Hamilton Pleasure Scale (SHAPS) total score over time
The SHAPS is a 14-item participant-reported instrument which measures anhedonia. It has been shown to be valid and reliable in normal and clinical samples, with adequate construct validity, satisfactory test-retest reliability, and high internal consistency. The scale will be completed by the participant and reviewed by site personnel qualified to oversee completeness. Each of the 14 items has a set of 4 responses, 2 of which endorse agreement (Definitely Agree, Agree) and 2 of which endorse disagreement (Disagree, Strongly Disagree). A total score can be derived by summing the responses; items answered with strongly agree are coded as 1 while a strongly disagree response will be coded as 4. Therefore, scores on the SHAPS can range from 14 to 56, with higher scores corresponding to higher levels of anhedonia.
Measured: Baseline and up to Week 54
Change from Baseline in the Patient Health Questionnaire-9 (PHQ-9) total score over time.
Change from baseline in PHQ-9 total score over time will be reported. The 9-item PHQ-9 scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) diagnostic criteria for recurrent or single episode major depressive disorder (MDD) criteria and used both as a screening tool and a measure of response to treatment for depression. 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 participant's item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms.
Measured: Baseline and up to Week 54
Change from Baseline in PHQ-9 Anhedonia Item #1 over time.
The PHQ-9 is a participant-rated assessment scale for the evaluation of depression symptoms over the past 2 weeks. The PHQ-9 is a reliable and valid measure of depression and depression severity. The questionnaire consists of 9 items and each item is scored from 0 to 3. Participants will be asked how often they have been bothered by symptoms over the past 2 weeks (Not at all [0], Several days [1], More than half the time [2], or Nearly every day [3]). Higher scores indicate higher levels of depression.
Measured: Baseline and up to Week 54
Change from Baseline in the Hamilton Anxiety Rating Scale (HAM-A) total score over time.
The HAM-A is a clinician-rated instrument administered to assess severity of anxiety, its improvement during the course of treatment, and the timing of such improvement. This instrument will be completed by qualified and trained Investigator site raters based on a semi-structured interview for his/her assessment of the participant. The scale consists of 14 items. Each item is rated on a scale of 0 (feeling not present) to 4 (very severe prevalence of the feeling). The HAM-A total score is the sum of the 14 items and the score ranges from 0 to 56.
Measured: Baseline and up to Week 54
Change from Baseline in the Clinical Global Impression Scale of Severity (CGI-S)
Change from baseline in the CGI-S total score over time will be reported. The CGI-S evaluates the severity of psychopathology on a scale of 0 to 7. Considering total clinical experience, a participant is assessed on severity of mental illness at the time of rating according to: 0=not assessed; 1=normal (not at all ill); 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among the most extremely ill participants. The CGI-S permits a global evaluation of the participant's condition at a given time.
Measured: Baseline and up to Week 54
Clinical Global Impression Scale of Improvement (CGI-I) score at each timepoint
The CGI-I scale is a clinician-rated instrument that measures the improvement of the participant's symptoms of depression. It is a 7-point scale where a score of 1 indicates that the participant is "very much improved," a score of 4 indicates that the participant has experienced "no change," and a score of 7 indicates that the participant is "very much worse."
Measured: Baseline and up to Week 54
Percentage of participants whose MADRS total score decreased by greater than or equal to 50% from Baseline over time
Measured: Up to Week 54
Percentage of participants whose MADRS total score decreased to 10 or less over time
Measured: Up to Week 54
Change from baseline in the Sheehan Disability Scale (SDS) over time
The SDS is a participant-rated instrument which was developed to assess functional impairment in 3 related domains of work/school, social, and family life. It is a brief self rated tool where the participant rates the 3 items on an anchored 10 point visual analog scale. Following the participant's self assessment, the rater should review the Work/School and Days Lost items to confirm appropriateness of the selected rating by evaluating the impact of MDD symptoms across those sectors. The SDS may be administered via telephone assessment; however, the participant must be provided with a portable document format (PDF) copy of the assessment for reference of the visual analog scale when selecting their ratings.
Measured: Baseline and up to Week 54
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Sep 2023
- Study start10 Nov 2023
- Primary completion17 Aug 2026
- Study completion17 Aug 2026
Why it stopped: NMRA-335140 did not achieve the primary endpoint across three randomized controlled trials. Program discontinued due to lack of efficacy in MDD.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Major Depressive DisorderStudies 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 904 participants (actual)
Sponsor and investigators
- Lead sponsor
- Neumora Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06029439
- Sponsor's protocol ID
- NMRA-335140-501
- Other IDs
- KOASTAL-LT
- Status last verified
- Sep 2026
- First submitted
- 1 Sep 2023
- Last updated
- 14 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Long-term Study to Assess the Safety and Effectiveness of NMRA-335140 in Participants With Major Depressive Disorder
- ClinicalTrials.gov ID
- NCT06029439
- Acronym / sponsor ID
- NMRA-335140-501
- Conditions
- Major Depressive Disorder
- Keywords
- Major Depressive Disorder, NMRA-335140, Long-term, Safety, Efficacy, Navacaprant, NMRA335140, NMRA 335140
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: NMRA-335140 did not achieve the primary endpoint across three randomized controlled trials. Program discontinued due to lack of efficacy in MDD.
- Enrolment
- 904 participants (actual)
- Lead sponsor
- Neumora Therapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- 10 Nov 2023 (actual)
- Primary completion
- 17 Aug 2026 (actual)
- Study completion
- 17 Aug 2026 (actual)
- First posted
- 8 Sep 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a 52-week open-label extension (OLE) study that will evaluate the safety, tolerability, and effectiveness of NMRA-335140 in participants with major depressive disorder (MDD). Participants who completed a parent study investigating the efficacy and safety of NMRA-335140 as a treatment for MDD (ie, NMRA-335140-301, NMRA-335140-302, or NMRA-335140-303), and complete the 6 weeks double-blind treatment, provide informed consent, and meet eligibility criteria, may enter this extension study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| NMRA-335140 80 milligrams (mg) once daily (QD) | Experimental | Drug: NMRA-335140Participants will receive a NMRA-335140 tablet at a dose of 80 mg once daily (QD) during a 52-week treatment period. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Rollover participants are eligible for the study if the following inclusion criteria are met:
- Completed a previous NMRA-335140 Phase 3 MDD study (example: NMRA-335140-301, NMRA-335140-302, or NMRA-335140-303) according to the completion definition in the parent study protocol.
- Signed an informed consent form (ICF) for this study.
- Willing to comply with the contraception requirements described in the inclusion criteria of the parent study protocol.
- Willing to comply with the concomitant medication/therapy restrictions described in the exclusion criteria of the parent study protocol.
Key exclusion criteria (8 listed)
- Rollover participants are excluded from the study if any of the following exclusion criteria are met:
- Diagnosed with another Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) disorder that would have been exclusionary in the parent study (eg, personality disorder, bipolar 1 or 2, schizophrenia, any other psychotic disorder, or moderate or severe substance or alcohol use disorder [excluding nicotine]).
- Considered to be at significant risk of suicide in the judgment of the Investigator. This includes participants who are actively suicidal (eg, any suicide attempts during the parent study) or are at serious suicidal risk as indicated by any current suicidal intent, including a plan, as assessed by the C-SSRS ("Since Last Visit" version, score of "YES" on suicidal ideation Item 4 or 5) and/or based on clinical evaluation by the Investigator; or are homicidal, in the opinion of the Investigator.
- Non-adherent with study medication (took ≤70% of study drug over any 2-week visit interval) or procedures during the parent study.
- Experienced treatment emergent adverse events (TEAEs) considered related to the study medication from the parent study and judged by the Investigator to be clinically significant to render the participant ineligible for enrollment.
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 |
|---|---|---|
| NMRA-335140Also: BTRX-335140, CYM-53093, NavacaprantParticipants will receive NMRA-335140 at a dose of 80 mg once daily (QD), orally during a 52-week treatment period. | Drug | NMRA-335140 80 milligrams (mg) once daily (QD) |
Primary outcome
Safety and tolerability assessments based on Treatment Emergent Adverse Events (TEAEs) and validated clinical scales
Time frame: Up to 54 Weeks
An AE is any untoward medical occurrence in a participant or clinical trial participant, temporally associated with the use of trial intervention, whether or not considered related to the trial intervention. Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward were counted as treatment-emergent AE (TEAE). Clinically significant abnormalities in Clinical Laboratory Evaluations, ECGs, Vital Signs, Physical and Ophthalmological examinations, Corneal Specular Microscopy, Columbia Suicide Severity Rating Scale (C-SSRS), and Sexual Functioning Questionnaire-14 (CSFQ-14) will be reported as TEAEs.
10 secondary outcomes
Change from Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) total score over time.
Time frame: Baseline and up to Week 54
Change from Baseline in the Snaith-Hamilton Pleasure Scale (SHAPS) total score over time
Time frame: Baseline and up to Week 54
Change from Baseline in the Patient Health Questionnaire-9 (PHQ-9) total score over time.
Time frame: Baseline and up to Week 54
Change from Baseline in PHQ-9 Anhedonia Item #1 over time.
Time frame: Baseline and up to Week 54
Change from Baseline in the Hamilton Anxiety Rating Scale (HAM-A) total score over time.
Time frame: Baseline and up to Week 54
Change from Baseline in the Clinical Global Impression Scale of Severity (CGI-S)
Time frame: Baseline and up to Week 54
Clinical Global Impression Scale of Improvement (CGI-I) score at each timepoint
Time frame: Baseline and up to Week 54
Percentage of participants whose MADRS total score decreased by greater than or equal to 50% from Baseline over time
Time frame: Up to Week 54
Percentage of participants whose MADRS total score decreased to 10 or less over time
Time frame: Up to Week 54
Change from baseline in the Sheehan Disability Scale (SDS) over time
Time frame: Baseline and up to Week 54
Results and safety
The study was stopped early (reason given: NMRA-335140 did not achieve the primary endpoint across three randomized controlled trials. Program discontinued due to lack of efficacy in MDD.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Sep 2026.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
178 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing NMRA-335140 in people with Major Depressive Disorder, run by Neumora Therapeutics, Inc. at 178 sites in 11 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 5 inclusion and 8 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: stopped early, as of the sponsor's last update on 14 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 178 sites in United States, Bulgaria, Brazil, Poland, Canada and 6 more countries. 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. 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?
The study was stopped early (reason given: NMRA-335140 did not achieve the primary endpoint across three randomized controlled trials. Program discontinued due to lack of efficacy in MDD.). Results are not available in the source record.
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?
Safety and tolerability assessments based on Treatment Emergent Adverse Events (TEAEs) and validated clinical scales (time frame: Up to 54 Weeks). 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 14 Sep 2026.