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TC-5214

Phase 3

Major Depressive Disorder | Small molecule | Psychiatry |AstraZeneca PLC|Last Updated: Apr 11, 2014

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment4,532

FDA Designations

No designations recorded

Clinical trial landscape

TC-5214 · 11 trials · 10 indications

Phase 3 5Phase 1 6
NCT01180400A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderMajor Depressive Disorder
COMPLETED295 Analytics
NCT01197508A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder.Major Depressive Disorder
COMPLETED696 Analytics
NCT01152554A Study to Assess the Long- Term Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderMajor Depressive Disorder
COMPLETED813 Analytics
NCT01153347A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive DisorderMajor Depressive Disorder
COMPLETED2,409 Analytics
NCT01157078A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder (MDD)Major Depressive Disorder
COMPLETED319 Analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder.
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Long- Term Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Study to Assess the Efficacy and Safety of TC-5214 as an Adjunct Therapy in Patients With Major Depressive Disorder (MDD)
Major Depressive DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score From Randomization to End of Treatment.
Randomization (Week 8) to end of treatment (Week 16)

A 10-item scale for the evaluation of depressive symptoms. Each MADRS item is rated on a 0 to 6 scale. The MADRS total score is calculated as the sum of the 10 individual item scores; the total score can range from 0 to 60. Higher MADRS scores indicate higher levels of depressive symptoms.

Frequency of Patients Experiencing at Least One Adverse Event (AE)
Randomization (Week 0) to end of the follow-up period (Week 54)

The frequency of patients experiencing at least one AE during the randomized treatment or follow-up periods was calculated.

Frequency of Patients Experiencing AEs That Resulted in Discontinuation of Investigational Product (IP)
Randomization (Week 0) to end of the follow-up period (Week 54)

The frequency of patients experiencing AEs that resulted in discontinuation of IP during the randomized treatment or follow-up periods was calculated.

Frequency of Patients Experiencing Serious Adverse Events (SAEs)
Randomization (Week 0) to end of the follow-up period (Week 54)

The frequency of patients experiencing serious adverse events (SAEs) during the randomized treatment or follow-up periods was calculated.

TC-5214 area under the plasma concentration time curve will be measured.
Pre dose, 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 7, 12, 24, 36, 48 and 72 hours post dose
TC-5214 maximum plasma concentration will be measured
Pre dose, 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 7, 12, 24, 36, 48 and 72 hours post dose
assess the safety and tolerability during single and multiple ascending oral doses by assessment of AEs, brief neurological examinations, vital signs, eye symptoms question, physical examinations, laboratory parameters, and ECGs, and C-SSRS.
During the whole study period, ca. 50 days
Incidence of Adverse events
Range of 5 days
Neurological examinations
Range of 5 days
Visual acuity tests
Range of 5 days
Vital signs
Range of 5 days
Physical examinations
Range of 5 days
Laboratory parameters
Range of 5 days
Suicidality as assessed by the Columbia-Suicide Severity Rating Scale
Range of 5 days
Electrocardiograms
Range of 5 days
The pharmacokinetics (PK) of a single dose of TC-5214 in subjects with renal impairment in comparison to the results in subjects with normal renal function
For Group 1, Group 2, and Group 3 blood PK samples will be collected at predose, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48, and 72 hours postdose.
Safety by assessment of adverse events, brief neurological examinations, visual acuity test, vital signs, physical examinations, laboratory parameters, and electrocardiograms (ECGs), and Columbia Suicide Severity Rating Scale (C-SSRS).
Collected prior to treatment, during treatment and 7-10 days following discharge. Volunteers will be monitored througout the study for adverse events.
safety and tolerability assessed by incidence and severity of AE's, abnormalities in vital sign assessments, ECG's, telemetry, clinical lab assessments, physical exams, neurological exams, suicidality evaluations, visual acuity tests and digital ECGs
Collected prior to treatment, during treatment and for 7-10 days following discharge. Volunteers will be monitored througout the study for adverse events.

Secondary Endpoints

Response in Depressive Symptoms of Major Depressive Disorder (MDD), Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score at End of Treatment (Week 16)
Randomization (Week 8) to end of treatment (Week 16)
Remission in Depressive Symptoms of MDD, Defined as MADRS Total Score of ≤8 at End of Treatment (Week 16)
Week 16
Early and Sustained Response, Defined as a ≥50% Reduction From Randomization (Week 8) in MADRS Total Score and a MADRS Total Score of ≤12 at Week 10, Week 12, Week 14, and End of Treatment (Week 16)
Randomization (Week 8) to end of treatment (Week 16); Week 10, Week 12, Week 14, and Week 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TC-5214EXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 1-4 mg BID
PlaceboPLACEBO_COMPARATORSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + Placebo BID
0.1 mg BID TC-5214EXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 0.1 mg BID
1 mg BID TC-5214EXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 1 mg BID
4 mg BID TC-5214EXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 4 mg BID
SSRI/Serotonin/SNRI + TC-5214 1-4 mgEXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214 1-4 mg BID
SSRI/Serotonin/SNRI + placeboPLACEBO_COMPARATORSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + placebo BID
SSRI/Serotonin/SNRI+ TC-5214 0.5 mgEXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 0.5 mg BID
SSRI/Serotonin/SNRI + TC-5214 2 mgEXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 2 mg BID
SSRI/Serotonin/SNRI + TC-5214 4 mgEXPERIMENTALSelective serotonin reuptake inhibitor (SSRI)/Serotonin/norepinephrine reuptake inhibitor (SNRI) + TC-5214, 4 mg BID
A - first fed then fasted treatmentEXPERIMENTALTC-5214
B - first fasted then fed treatmentEXPERIMENTALTC-5214
1EXPERIMENTALTC-5214
2PLACEBO_COMPARATORPlacebo matched to TC-5214
ActiveEXPERIMENTALEach cohort will have 9 volunteers that will receive TC-5214

Interventions

NameTypeDescription
TC-5214DRUGTablet, oral, twice daily for 8 weeks
PlaceboDRUGTablet, oral, twice daily for 8 weeks
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites66

Inclusion Criteria: * Provision of signed and dated informed consent before initiation of any study-related procedures. * The patient must have a clinical diagnosis of major depressive disorder (MDD) with inadequate response to no more than one antidepressant. * Out-patient status at enrollment and...

Countries:CzechiaEstoniaFinlandFranceGermanyHungaryLatviaLithuaniaPolandSwedenArgentinaBrazilBulgariaChileColombiaCroatiaRomaniaRussiaSerbiaSlovakiaSouth AfricaSpainUkraineUnited StatesPuerto RicoIndiaJapan
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Frequently asked questions about TC-5214

What is TC-5214 used for?

TC-5214 is an investigational small molecule being studied as an adjunct therapy in patients with major depressive disorder. It has also been evaluated in clinical trials involving healthy subjects and elderly subjects, including those with stable disease, to assess its safety, tolerability, and pharmacokinetics.

Who makes TC-5214?

TC-5214 is being developed by AstraZeneca PLC, which is listed on the stock exchange under the ticker AZN. The company has sponsored multiple clinical trials to evaluate the drug's efficacy, safety, and pharmacokinetic profile across various patient populations.

What phase is TC-5214 in?

TC-5214 has completed Phase 1 and Phase 3 clinical trials. The Phase 3 trial assessed its efficacy and safety as an adjunct therapy in major depressive disorder, while Phase 1 trials focused on pharmacokinetics in elderly subjects, subjects with renal impairment, and healthy subjects.

What clinical trials is TC-5214 in?

TC-5214 has been studied in several completed trials, including NCT01197508, a Phase 3 study in major depressive disorder with 696 participants, and NCT01239771, a Phase 1 study in elderly subjects. Other trials include NCT01240967 in renal impairment and NCT01458899 in healthy subjects.

Is TC-5214 FDA approved?

TC-5214 is an investigational drug and is not FDA approved. It has completed clinical trials, including a Phase 3 study for major depressive disorder, but no approval status has been reported. The drug remains in clinical development as an investigational therapy.

What does TC-5214 target?

TC-5214 is a small molecule, but its specific molecular target has not been disclosed in the available clinical trial information. The trials focus on its efficacy and safety in major depressive disorder and its pharmacokinetic properties in various populations.