Status:

TERMINATED

Study of Efficacy and Safety of MIJ821 in Addition to Comprehensive Standard of Care on the Rapid Reduction of Symptoms of Major Depressive Disorder in Subjects Who Have Suicidal Ideation With Intent

Lead Sponsor:

Novartis Pharmaceuticals

Conditions:

Major Depressive Disorder With Suicidal Ideation With Intent

Eligibility:

All Genders

18-65 years

Phase:

PHASE2

Brief Summary

Study of efficacy and safety of MIJ821 in addition to comprehensive standard of care on the rapid reduction of symptoms of Major Depressive Disorder (MDD) in subjects who have suicidal ideation with i...

Detailed Description

The main purpose of this study is to support the dose selection for future Phase III clinical trials by evaluating efficacy and safety of four MIJ821 doses (very low, low, high and very high) administ...

Eligibility Criteria

Inclusion

  • Signed informed consent must be obtained prior to participation in the study
  • Male and female participants, 18 to 65 years of age (inclusive) at screening
  • DSM-5 defined major depressive disorder (MDD) with a current major depressive episode (MDE) without psychotic features at the time of screening based upon clinical assessment and confirmed by the Mini International Neuropsychiatric Interview (M.I.N.I.) assessed at Screening
  • Participants must have current suicidal ideation with intent, confirmed by a "Yes" response to Question B3 AND either Question B10 or Question B11 obtained from the M.I.N.I., assessed at Screening
  • Current suicidal ideation with intent, confirmed by "Yes" response to Question 3 AND either Question 9 or Question 10 obtained from the SSTS at Baseline
  • Montgomery-Åsberg Depression Rating Scale (MADRS) score \> 28 at Screening and before randomization on Day 1
  • Participants must agree to receive pharmacological standard of care treatment to treat their MDD (as determined by the treating physician(s) based on clinical judgement and local treatment guidelines) during the trial duration
  • In the physician's opinion, acute psychiatric hospitalization is clinically warranted to treat the patient's condition, and the patient is either already in the hospital or agrees to be hospitalized voluntarily for the required per protocol period

Exclusion

  • Any prior or current diagnosis of bipolar disorder, MDD with psychotic features, schizophrenia, or schizoaffective disorder as obtained from M.I.N.I. at Screening
  • Patients with acute alcohol or substance use disorder or withdrawal symptoms requiring detoxification, or patients who went through detoxification treatment (inpatient or outpatient) within 1 month before Screening.
  • Participant has a current clinical diagnosis of autism, dementia, or intellectual disability
  • History of seizures. Note: childhood febrile seizures are not exclusionary
  • Participants with borderline personality disorder as obtained from M.I.N.I. at Screening.
  • Participants with suicidal ideation or behavior caused primarily by another non-MDD condition as obtained from M.I.N.I. at Screening
  • Participants taking medications prohibited by the protocol
  • Intake of the following medications/ psychotherapy:
  • Esketamine or Ketamine 2 months before Screening
  • Monoamine oxidase inhibitors (MAOIs) 14 days before Screening
  • Non-stable psychotherapy regimen and/or started less than 6 weeks before Screening
  • Any other condition (e.g. known liver disease/liver dysfunction, active malignancy, etc.) which in the opinion of the investigator would put the safety of the participant at risk, impede compliance or hinder completion of the study.

Key Trial Info

Start Date :

July 20 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 26 2023

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT04722666

Start Date

July 20 2021

End Date

September 26 2023

Last Update

April 22 2024

Active Locations (39)

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Page 1 of 10 (39 locations)

1

Novartis Investigative Site

Birmingham, Alabama, United States, 35294-3300

2

Novartis Investigative Site

Farmington, Connecticut, United States, 06030-3100

3

Novartis Investigative Site

Oakland Park, Florida, United States, 33334

4

Novartis Investigative Site

Atlanta, Georgia, United States, 30331