Status:

RECRUITING

Phase III Long-term Extension Trial to Assess Safety and Efficacy of CYB003 in MDD (EXTEND)

Lead Sponsor:

Cybin IRL Limited

Collaborating Sponsors:

Worldwide Clinical Trials

Conditions:

Major Depressive Disorder

Eligibility:

All Genders

18-85 years

Phase:

PHASE3

Brief Summary

This is a long- term extension of the double-blind trials APPROACH (CYB003-002) and EMBRACE (CYB003-003). Its aim is to examine the safety and long-term efficacy of CYB003 in participants with MDD.

Eligibility Criteria

Inclusion

  • Has successfully completed either CYB003-002 APPROACH or CYB003-003 EMBRACE and received both dose administrations of trial medication
  • Has continued the same antidepressant medication at the stable dose/day throughout CYB003-002 APPROACH or CYB003-003 EMBRACE
  • Has provided written informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form
  • Participants capable of producing sperm must use a condom plus spermicide (where publicly available) during the trial and for 12 weeks after their final dose of IP, if their partner is a person of childbearing potential. In addition, their partner of childbearing potential must continue to use a highly effective method of contraception (i.e., failure rate less than 1% when used consistently and correctly) throughout the trial until 12 weeks after the participant's final dose of IP
  • Participants of childbearing potential (POCBP) who have a partner capable of producing sperm must agree to continue to use a highly effective method of contraception (i.e., failure rate of less than 1% when used consistently and correctly) in combination with the use of a condom plus spermicide (where publicly available) during the trial and for 12 weeks after their final dose of IP
  • Female participants must have a negative pregnancy test at Baseline (the end of trial \[EOT\] Visit in the APPROACH or EMBRACE trial), and prior to dose administration on the dosing day

Exclusion

  • newly developed symptoms of schizophrenia spectrum or other psychotic disorders that manifested in the APPROACH or EMBRACE trial
  • Significant suicide risk as defined by suicidal ideation as endorsed on items 4 or 5 on the C-SSRS at Baseline OR has experienced an adverse event (AE) of suicide ideation/attempt or self-harm in CYB003-002 APPROACH OR has had a \>1 point change in item 1 or 2 of the C-SSRS from Screening in CYB003-002 APPROACH
  • Clinically relevant arrhythmia or vital sign changes noted during any of the dosing sessions in the APPROACH or EMBRACE trial
  • Presence of clinically significant ECG abnormalities noted during the APPROACH or EMBRACE trials or at the Baseline of EXTEND
  • Sensitivity or suspected sensitivity to CYB003 noted in the APPROACH or EMBRACE trial
  • Positive urine test for drugs of abuse, or alcohol breath test prior to dosing.
  • Unwilling to consent to audio and video recording of psychological support and dosing sessions

Key Trial Info

Start Date :

July 18 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 15 2028

Estimated Enrollment :

468 Patients enrolled

Trial Details

Trial ID

NCT06605105

Start Date

July 18 2025

End Date

March 15 2028

Last Update

November 24 2025

Active Locations (10)

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Page 1 of 3 (10 locations)

1

Open Mind Collective / UCSF Medical Center - Mount Zion

San Francisco, California, United States, 94114

2

Research Centers of America

Hollywood, Florida, United States, 33024

3

Segal Trials Center for Psychedelic Research

Lauderhill, Florida, United States, 33319

4

Cenexel iResearcvh Atlanta, LLC

Atlanta, Georgia, United States, 30030