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Aticaprant Supratherapeutic Dose

Phase 2

Undisclosed | Small molecule | Other |Johnson & Johnson|Trials Updated: Apr 29, 2025

Aticaprant Supratherapeutic Dose development status

Highest phase Phase 2 (NCT03559192)
Phase scored for JNJPhase 1
Registered trials 4 across 2 sponsors since Jun 2018

Aticaprant Supratherapeutic Dose target and mechanism

Molecular targetOPRK1
Target classAntagonist
ModalitySmall molecule

Also known as JNJ-67953964

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment241

FDA Designations

No designations recorded

Aticaprant Supratherapeutic Dose clinical trials

Aticaprant Supratherapeutic Dose · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT03559192A Study to Explore the Efficacy of JNJ-67953964 in the Treatment of DepressionDepressive Disorder, Major
COMPLETED181 Analytics
PHASE2COMPLETED
A Study to Explore the Efficacy of JNJ-67953964 in the Treatment of Depression
Depressive Disorder, MajorUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Treatment Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score at Treatment Week 6 in Participants Who Were Non-Responders During Placebo Lead-in Period
Treatment Baseline up to Week 6 of DB-treatment period

The MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The scale 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), summed for a total possible score of 60. Higher scores represent a more severe condition. The MADRS evaluates apparent sadness, reported sadness, inner tension, sleep appetite, concentration, lassitude, inability to feel (interest level), pessimistic thoughts, and suicidal thoughts. Negative change from baseline indicates improvement.

Change from Baseline in QTc at Each Time Point
Baseline up to Day 4

Change from baseline in QTc at each time point will be reported.

Secondary Endpoints

Change From Treatment Baseline in MADRS Total Score at Treatment Week 6
Treatment Baseline up to Week 6 of DB-treatment period
Number of Participants With Treatment-emergent Adverse Events (TEAEs) During DB Treatment Period
Up to Week 6
Change From Treatment Baseline in Snaith-Hamilton Pleasure Scale (SHAPS) Total Score at Treatment Week 6 (eITT Population)
Treatment Baseline up to Week 6 of DB-treatment period
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Lead-in Period: PlaceboPLACEBO_COMPARATORParticipants will receive matching placebo for the entire duration of the lead-in period.
Treatment Period: JNJ-67953964 or PlaceboEXPERIMENTALParticipants who respond or do not respond (based on reduction from lead-in baseline in MADRS) in the placebo lead-in period will receive either matching placebo or 10 (2\*5) milligram (mg) JNJ-67953964 capsules in a 1:1 ratio for 6 weeks.
Withdrawal Period: PlaceboPLACEBO_COMPARATORParticipants who complete the double-blind treatment period prior to the end of Week 11 will receive matching placebo for the remaining time of the treatment phase of the study.
Treatment Sequence 1EXPERIMENTALHealthy participants will receive single oral dose of Aticaprant (Dose 1) (Treatment A) in Treatment Period 1, followed by Moxifloxacin (Dose 2) (Treatment D) in Treatment Period 2, followed by Aticaprant (Dose 3) (Treatment B) in Treatment Period 3 and then placebo (Treatment C) in Treatment Period 4, on Day 1 of each treatment period. There will be a wash-out period up to 7-15 days between each treatment period.
Treatment Sequence 2EXPERIMENTALHealthy participants will receive single oral dose of Treatment B in Treatment Period 1, followed by Treatment A in Treatment Period 2, followed by Treatment C in Treatment Period 3 and then Treatment D in Treatment Period 4, on Day 1 of each treatment period. There will be a wash-out period up to 7-15 days between each treatment period.
Treatment Sequence 3EXPERIMENTALHealthy participants will receive single oral dose of Treatment C in Treatment Period 1, followed by Treatment B in Treatment Period 2, followed by Treatment D in Treatment Period 3 and then Treatment A in Treatment Period 4, on Day 1 of each treatment period. There will be a wash-out period up to 7-15 days between each treatment period.
Treatment Sequence 4EXPERIMENTALHealthy participants will receive single oral dose of Treatment D in Treatment Period 1, followed by Treatment C in Treatment Period 2, followed by Treatment A in Treatment Period 3 and then Treatment B in Treatment Period 4, on Day 1 of each treatment period. There will be a wash-out period up to 7 to 15 days between each treatment period.

Interventions

NameTypeDescription
JNJ-67953964DRUGJNJ-67953964 10 mg will be administered as two 5-mg capsules orally once daily.
PlaceboDRUGMatching placebo will be administered as 2 capsules orally once daily.
Aticaprant Supratherapeutic DoseDRUGAticaprant supratherapeutic dose capsule will be administered orally.
Aticaprant Therapeutic DoseDRUGAticaprant therapeutic dose capsule will be administered orally.
MoxifloxacinDRUGMoxifloxacin capsule will be administered orally.
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Eligibility Criteria

Age Range18 Years to 64 Years
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: * Have a Body Mass Index (BMI) between 18 and 35 kilogram per meter square (kg/m\^2) inclusive (BMI = weight/height\^2) * Participants must be medically stable based on clinical laboratory tests, medical history, vital signs, and 12-lead electrocardiogram (ECG) performed at scre...

Countries:United StatesGermanyMoldovaRussiaUkraineUnited KingdomBelgium
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Frequently asked questions about Aticaprant Supratherapeutic Dose

What is Aticaprant Supratherapeutic Dose?

Aticaprant Supratherapeutic Dose refers to a high-dose formulation of aticaprant studied by Johnson & Johnson in a Phase 1 clinical trial. The trial evaluated the cardiac safety profile of the supratherapeutic dose in healthy adult volunteers. Aticaprant is a small molecule drug candidate.

What does Aticaprant Supratherapeutic Dose target?

Aticaprant Supratherapeutic Dose targets OPRK1, the kappa opioid receptor. It acts as an antagonist at this receptor. The supratherapeutic dose formulation was designed to test the drug at higher exposure levels than standard dosing in a dedicated cardiac safety study.

Who makes Aticaprant Supratherapeutic Dose?

Johnson & Johnson, which trades under the ticker JNJ, is the developer of Aticaprant Supratherapeutic Dose. The company sponsored the Phase 1 thorough QT study of the compound, also known as JNJ-67953964, in healthy adult participants.

What phase is Aticaprant Supratherapeutic Dose in?

Aticaprant Supratherapeutic Dose is in Phase 1 clinical development. It is an investigational drug candidate and has not been approved by the FDA. The single completed Phase 1 trial enrolled 60 healthy adult participants and was conducted in Belgium.

What clinical trials is Aticaprant Supratherapeutic Dose in?

Aticaprant Supratherapeutic Dose has been studied in one completed Phase 1 trial, NCT05387759, titled A Thorough QT Study of Aticaprant (JNJ-67953964) in Healthy Adult Participants. The randomized, double-blind, controlled trial enrolled 60 healthy volunteers in Belgium to assess cardiac safety.

Is Aticaprant Supratherapeutic Dose the same as JNJ-67953964?

Yes, Aticaprant Supratherapeutic Dose is the same compound as JNJ-67953964. JNJ-67953964 is the internal code designation used by Johnson & Johnson for aticaprant. The supratherapeutic dose refers to the high-dose formulation evaluated in the Phase 1 thorough QT study.