Actively Recruiting
A Phase 3, Randomized, Double-blind, Placebo-Controlled Study to Evaluate Azetukalner in Moderate-to-Severe Major Depressive Disorder
Led by Xenon Pharmaceuticals Inc. · Updated on 2026-06-02
450
Participants Needed
44
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating azetukalner as a treatment for adults diagnosed with Moderate-to-Severe Major Depressive Disorder MDD. This Phase 3, randomized, double-blind, placebo-controlled study aims to assess the clinical effectiveness, safety, and tolerability of azetukalner when used alone in adults aged 18 to 74 years who are currently experiencing a major depressive episode. The study is sponsored by Xenon Pharmaceuticals Inc. and focuses on improving depressive symptoms over a six-week period. Participants will be randomly assigned to receive either azetukalner 20 mg or a placebo once daily, taken orally with food, preferably with the evening meal. Treatment lasts for six weeks, during which the effects of the medication will be closely monitored. The study uses a quadruple-blind design, meaning that participants, care providers, investigators, and outcome assessors will not know which treatment is given to ensure unbiased results. During the study, participants will undergo regular assessments including the Hamilton Depression Rating Scale HAMD-17 to measure changes in depression severity from baseline to Week 6, along with other scales like the Snaith-Hamilton Pleasure Scale SHAPS and Clinical Global Impression of Severity CGI-S. Safety and tolerability will be monitored from about four weeks before treatment through eight weeks after the final dose. The total participation duration covers treatment and follow-up to evaluate both short-term effects and safety outcomes.
CONDITIONS
Brief Title
A Randomized Study of Azetukalner Versus Placebo in Major Depressive Disorder (X-NOVA3)
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adults aged 18 to 74 years
- Experienced first major depressive episode before age 50
- Body Mass Index (BMI) 40 kg/m2 or less
- Meets DSM-5-TR criteria for current major depressive disorder confirmed by MINI
- Current major depressive episode lasting between 6 weeks and 24 months
You will not qualify if you...
- Primary diagnosis of mood disorder other than Major Depressive Disorder
- History of psychotic or catatonic features, mixed features, Bipolar I or II, OCD, schizophrenia, or other psychotic disorders
- Current diagnosis of seasonal pattern MDD, peripartum or perimenopausal depression, PTSD, antisocial or borderline personality disorder, panic disorder or agoraphobia, unstable ADHD
- Substance or alcohol use disorder within 12 months prior to screening (excluding tobacco)
- Active suicidal plan or intent within 6 months prior to screening, suicidal behavior within 2 years, or more than one suicide attempt after age 24
- History of non-suicidal self-harm within 12 months prior to screening
- Use of antidepressants or prohibited medications within 2 weeks (4 weeks for fluoxetine) or less than 5 times drug half-life before randomization
- History of non-response to two or more antidepressants in current episode
- Medical conditions interfering with study conduct or purpose
- Pregnant, breastfeeding, or planning pregnancy
Research Team
X
Xenon Medical Affairs
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