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SPL026

Phase 1

Major Depressive Disorder | Small molecule | Psychiatry |Cybin Inc.|Last Updated: Jun 14, 2024

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-BlindCONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment98
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05644093IM and IV SPL026 Drug Product in Healthy ParticipantsPHASE1 COMPLETED 14Jan 3, 2023Apr 5, 2023Mar 22, 20241 United Kingdom
NCT05553691SPL026 With or Without SSRIs in Participants With MDDPHASE1 COMPLETED 18Dec 13, 2022Aug 3, 2023Jun 14, 20242 United Kingdom
NCT04673383SPL026 (DMT Fumarate) in Healthy Subjects and MDD PatientsPHASE1 COMPLETED 66Feb 4, 2021Dec 22, 2022Mar 27, 20242 United Kingdom
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Study Endpoints
Primary Endpoints
Lab biochemistry [Safety & Tolerability]
Change from baseline at Day 1 post dose

Values of potential clinical importance

Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]
Throughout the study until 14 days after dosing (Day 15 EOS)

Adverse Events (AEs)

Heart Rate [Vital Signs - Safety & Tolerability]
Change from baseline heart rate at Day 1 or Day 2 post dose

pulse rate will be measured in bpm

Blood Pressure [Vital Signs - Safety & Tolerability]
Change from baseline blood pressure at Day 1 or Day 2 post dose

arterial blood pressure

Temperature [Vital Signs - Safety & Tolerability]
Change from baseline temperature at Day 1 or Day 2 post dose

tympanic temperature

12-lead ECG [Safety & Tolerability]
Change from baseline ECG at Day 1 or Day 2 post dose

QTcX intervals

Physical Exam [Safety & Tolerability]
Change from baseline at Day 1 post dose

Full physical exam screening and a brief symptom guided exam at Day -1 and Day 1

Beck Scale for Suicidal Ideation (BSS) - [Safety & Tolerability]
Change from baseline at Day 15 post dose

The Beck Suicidal Ideation scale to monitor suicidal ideation

Safety & tolerability: Adverse Events
Screening to End-of-Study Follow-up (Day 29)

Adverse events (AEs)

Safety & tolerability: Lab biochemistry
Screening, Day -1 and Day 1

Values of potential clinical importance

Safety & tolerability: Vital signs - Heart Rate
Screening to Day 2

Heart rate

Safety & tolerability: Vital signs - Blood pressure
Screening to Day 2

Blood pressure

Safety & tolerability: Vital signs - Temperature
Screening to Day 2

Temperature

Safety & tolerability: Electrocardiogram
Screening to Day 2

QTcX intervals

Safety & tolerability: Suicidal Ideation
Screening to End-of-Study Follow-up (Day 29)

Columbia-Suicide Severity Rating Scale

Safety and tolerability in healthy volunteers
Up to three months after a single dose

Safety and tolerability measured by lab biochemistry, adverse events and intensity rating scale to measure tolerability of the psychedelic experience

Efficacy of SPL026 in MDD patients with moderate to severe depression
2 weeks after a single dose

Montgomery-Åsberg Depression Rating Scale (MADRS) score (where 7 - 19 is mild depression, 20 - 34 is moderate depression, and \>34 is severe depression) change from baseline at 2 weeks after the first dose (± 2 days)

Secondary Endpoints
Evaluation of plasma levels of DMT
Day 1
Mystical Experience Questionnaire (MEQ) - [Pharmacodynamics - Psychometric Scales and Questionnaires]
Day 1 (dosing day)
Challenging Experience Questionnaire (CEQ) - [Pharmacodynamics - Psychometric Scales and Questionnaires]
Day 1 (dosing day)
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Psychedelic Experienced IM then IV crossoverEXPERIMENTALParticipants will be dosed with IM SPL026 then IV SPL026 2-3 weeks later.
Psychedelic Naive IM dosing onlyEXPERIMENTALParticipants will be dosed with IM SPL026 one time.
Test CohortEXPERIMENTALPatients who are currently taking an SSRI that is not effective in fully relieving their depression (prescribed outside of study). Patients will be administered a single dose of SPL026 by intravenous infusion.
Control CohortEXPERIMENTALPatients who are not currently taking any pharmacological treatment for their depression. Patients will be administered a single dose of SPL026 by intravenous infusion.
Healthy volunteers (active)EXPERIMENTALSPL026 to be administered by IV injection
Healthy volunteers (placebo)EXPERIMENTALSPL026-matched placebo to be administered by IV injection
Patients (active)EXPERIMENTALSPL026 to be administered by IV injection
Patients (placebo)EXPERIMENTALSPL026-matched placebo to be administered by IV injection
Interventions
NameTypeDescription
SPL026 IVDRUGIV dosing
SPL026 IMDRUGIM dosing
SPL026DRUGIntravenous
PlaceboDRUGSPL026-matched placebo
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Eligibility Criteria
Age Range25 Years — 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: Part A only 1. Healthy psychedelic-experienced female or male participants (psychedelic-experienced is defined as having at least 2 previous experiences, with breakthrough, of serotonergic psychedelic drugs, including but not limited to: DMT, ayahausca, LSD, LSA \[morning glory...

Countries:United Kingdom
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