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Intranasal esketamine

Phase 2

Depression | Small molecule | Psychiatry |Johnson & Johnson|Last Updated: Apr 29, 2025

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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment202
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02918318A Study to Evaluate the Efficacy, Safety and Tolerability of Fixed Doses of Intranasal Esketamine in Japanese Participants With Treatment Resistant DepressionPHASE2 COMPLETED 202Dec 12, 2016Dec 13, 2019Apr 29, 202543 Japan
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Study Endpoints
Primary Endpoints
Double-Blind (DB) Induction Phase: Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score up to Day 28
Baseline (Day 1) up to Day 28 (DB phase) induction

MADRS is clinician-rated scale designed to measure depression severity, and to detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item is not present or is normal) to 6 (severe or continuous presence of symptoms), summed for a total possible score of 0 to 60. Higher scores represent more severe condition. Negative change in score indicates improvement.

Secondary Endpoints
DB Induction Phase: Percentage of Participants With Response Based on MADRS Total Score
Days 2, 8, 15, 22 and 28 (DB induction phase)
DB Induction Phase: Percentage of Participants With Remission Based on MADRS Total Score
Days 2, 8, 15, 22 and 28 (DB induction phase)
DB Induction Phase: Percentage of Participants Showing Onset of Clinical Response
Day 2 up to Day 28 (DB induction phase)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboEXPERIMENTALParticipant will receive 1 spray of placebo to each nostril at 0 minute, 5 minutes and 10 minutes.
Esketamine 28 milligram (mg)EXPERIMENTALParticipant will receive 1 spray of Esketamine to each nostril at 0 minute and placebo at 5 minutes and 10 minutes.
Esketamine 56 mgEXPERIMENTALParticipant will receive 1 spray of Esketamine to each nostril at 0 minute, 5 minutes and placebo at 10 minutes.
Esketamine 84 mgEXPERIMENTALParticipant will receive 1 spray of Esketamine to each nostril at 0 minute, 5 minutes and 10 minutes.
Interventions
NameTypeDescription
PlaceboDRUGParticipant will receive 1 spray of placebo to each nostril at 0 minute, 5 minutes and 10 minutes.
Intranasal esketamine (28 mg)DRUGParticipant will receive 1 spray of Esketamine to each nostril at 0 minute and placebo at 5 minutes and 10 minutes.
Intranasal esketamine (56 mg)DRUGParticipant will receive 1 spray of Esketamine to each nostril at 0 minute, 5 minutes and placebo at 10 minutes.
Intranasal esketamine (84 mg)DRUGParticipant will receive 1 spray of Esketamine to each nostril at 0 minute, 5 minutes and 10 minutes.
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Eligibility Criteria
Age Range20 Years — 64 Years
SexALL
Healthy VolunteersNo
Study Sites43

Inclusion Criteria: * At the start of the screening phase, participant must meet the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria for single-episode major depressive disorder (MDD) or recurrent major depressive disorder (MDD), without psychotic features, based u...

Countries:Japan
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