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Low Dose PRT042

Phase 2

Major Depressive Disorder (MDD | Small molecule | Psychiatry |Co-Diagnostics, Inc.|Last Updated: Jan 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment98
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07193901A Study to Evaluate the Efficacy, Safety, and Pharmacokinetic Characteristics of (R)-Ketamine Hydrochloride Nasal Spray in Patients With Depression and Acute Suicidal Ideation or BehaviorPHASE2 RECRUITING 98May 27, 2025Jun 1, 2026Jan 22, 20268 China
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Study Endpoints
Primary Endpoints
Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score at 24 Hours After the First Dose (Day 2)
Baseline (Day 1, predose) and 24 hours first post dose (Day 2)

The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The test 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.

Secondary Endpoints
Change From Baseline in Montgomery Asberg Depression Rating Scale Total Score During Double-blind Phase
Days 1 (4 hours postdose), 4, 8, 11, 15, 18, 22 and Day 25
Number of Participants who Achieved Response (≥50% decrease from baseline MADRS total score)Through the Double-blind Phase
Days 1 (4 hours postdose),2, 4, 8, 11, 15, 18, 22 and Day 25
Number of Participants Who Achieved Remission (MADRS Total Score Less Than or Equal to [<=] 12) Through the Double-blind Phase
Days 1 (4 hours postdose), 2, 4, 8, 11, 15, 18, 22 and Day 25
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Low Dose PRT042 nasal sprayEXPERIMENTAL -
median Dose PRT042 nasal sprayEXPERIMENTAL -
high Dose PRT042 nasal sprayEXPERIMENTAL -
placeboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
Low Dose PRT042 nasal sprayDRUGtwo times a week, for 4 weeks
median Dose PRT042 nasal sprayDRUGtwo times a week, for 4 weeks
high dose PRT042 nasal sprayDRUGtwo times a week, for 4 weeks
placeboDRUGtwo times a week, for 4 weeks
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Eligibility Criteria
Age Range18 Years — 64 Years
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: 1. Participant must meet Diagnostic and Statistical Manual of Mental Disorders (5th edition) (DSM-5) diagnostic criteria for Major Depressive Disorder (MDD), without psychotic features, based upon clinical assessment and confirmed by the Mini International Psychiatric Interview ...

Countries:China
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