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JNJ-39393406

Phase 2

Depression | Small molecule | Psychiatry |Johnson & Johnson|Last Updated: May 22, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment80

FDA Designations

No designations recorded

Clinical trial landscape

JNJ-39393406 · 3 trials · 3 indications

Phase 2 1Phase 1 2
NCT02677207The Effects of JNJ-39393406 on Psychometric Performance and Residual DepressiveDepression
COMPLETED80 Analytics
PHASE2COMPLETED
The Effects of JNJ-39393406 on Psychometric Performance and Residual Depressive
DepressionUnlock trial analytics

Study Endpoints

Primary Endpoints

To evaluate the effects of the nicotinic allosteric modulator JNJ-39393406 on cognition
two weeks - each study visit

Brief Assessment of Cognition (BACS)

Plasma concentration of JNJ39393406
At 0:30, 1, 1:30, 2, 2:30, 3, 3:30, 4, 6, 8, 10, 12, 16, 20 and 24 hours post dose
Cerebral spinal fluid (CSF) concentration of JNJ39393406
At 0:30, 1, 1:30, 2, 2:30, 3, 3:30, 4, 6, 8, 10, 12, 16, 20 and 24 hours post dose
Number of participants with adverse events
Up to Day 56
Maximum Observed Plasma Concentration (Cmax) of JNJ-39393406 in Part A of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2 to 6 (predose), Day 8 (24 hours), and Days 9, 10 (48/72 hours)

The Plasma Concentration (Cmax) is defined as maximum observed analyte concentration.

Maximum Observed Plasma Concentration (Cmax) of JNJ-39393406 in Part B of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2, 3, 4, 5, 6, 8, 9, 10, 11, 13 (predose), Day 12 (predose, 1, 2, 4, 6, 8 hours), Day 14 (24 hours), and Days 15, 16 (48/72 hours)

The Plasma Concentration (Cmax) is defined as maximum observed analyte concentration.

Time to Reach Maximum Observed Plasma Concentration (Tmax) of JNJ-39393406 in Part A of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2 to 6 (predose), Day 8 (24 hours), and Days 9, 10 (48/72 hours)

The Tmax is defined as actual sampling time to reach maximum observed analyte concentration.

Time to Reach Maximum Observed Plasma Concentration (Tmax) of JNJ-39393406 in Part B of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2, 3, 4, 5, 6, 8, 9, 10, 11, 13 (predose), Day 12 (predose, 1, 2, 4, 6, 8 hours), Day 14 (24 hours), and Days 15, 16 (48/72 hours)

The Tmax is defined as actual sampling time to reach maximum observed analyte concentration.

Area Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC[t]) of JNJ-39393406 in Part A of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2 to 6 (predose), Day 8 (24 hours), and Days 9, 10 (48/72 hours)

The Area Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC\[t\]) is area under the plasma concentration-time curve from time zero to the last quantifiable concentration.

Area Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC[t]) of JNJ-39393406 in Part B of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2, 3, 4, 5, 6, 8, 9, 10, 11, 13 (predose), Day 12 (predose, 1, 2, 4, 6, 8 hours), Day 14 (24 hours), and Days 15, 16 (48/72 hours)

The Area Under the Plasma Concentration-Time Curve From Time Zero to Time at Last Observed Quantifiable Concentration (AUC\[t\]) is area under the plasma concentration-time curve from time zero to the last quantifiable concentration.

Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[infinity]) of JNJ-39393406 in Part A of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2 to 6 (predose), Day 8 (24 hours), and Days 9, 10 (48/72 hours)

The AUC(infinity) is area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of Area under Curve (AUC) last and C(last)/lambda(z), in which C(last) is the last observed quantifiable concentration.

Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC[infinity]) of JNJ-39393406 in Part B of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2, 3, 4, 5, 6, 8, 9, 10, 11, 13 (predose), Day 12 (predose, 1, 2, 4, 6, 8 hours), Day 14 (24 hours), and Days 15, 16 (48/72 hours)

The AUC(infinity) is area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of Area under Curve (AUC) last and C(last)/lambda(z), in which C(last) is the last observed quantifiable concentration.

Terminal Rate Constant (Lambda[z]) of JNJ-39393406 in Part A of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2 to 6 (predose), Day 8 (24 hours), and Days 9, 10 (48/72 hours)

Lambda(z) is defined as terminal rate-constant which reflect the speed of drug elimination in vivo (within the living), and is estimated by log-linear regression analysis of the terminal phase of the plasma concentration versus time curve for at least 3 points.

Terminal Rate Constant (Lambda[z]) of JNJ-39393406 in Part B of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2, 3, 4, 5, 6, 8, 9, 10, 11, 13 (predose), Day 12 (predose, 1, 2, 4, 6, 8 hours), Day 14 (24 hours), and Days 15, 16 (48/72 hours)

Lambda(z) is defined as terminal rate-constant which reflect the speed of drug elimination in vivo (within the living), and is estimated by log-linear regression analysis of the terminal phase of the plasma concentration versus time curve for at least 3 points.

Plasma Decay Half-Life (t1/2) of JNJ-39393406 in Part A of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2 to 6 (predose), Day 8 (24 hours), and Days 9, 10 (48/72 hours)

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

Plasma Decay Half-Life (t1/2) of JNJ-39393406 in Part B of the study
Days 1 and 7 (predose, 10, 20, 30, 45 minutes, and 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 18 hours), Days 2, 3, 4, 5, 6, 8, 9, 10, 11, 13 (predose), Day 12 (predose, 1, 2, 4, 6, 8 hours), Day 14 (24 hours), and Days 15, 16 (48/72 hours)

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

Change from baseline in cognition in elderly and young healthy participants in Part A of the study
Baseline to Day 6

For cognitive testing a computerized test battery will be applied, focusing on memory, executive function and attention.

Change from baseline in cognition in elderly and young healthy participants in Part B of the study
Baseline to Day 13

For cognitive testing a computerized test battery will be applied, focusing on memory, executive function and attention.

Secondary Endpoints

To evaluate the effects of JNJ-39393406 on depressive symptoms
two weeks - each study visit
To evaluate the effects of JNJ-39393406 on residual depressive symptoms
two weeks - each study visit
Incidence of adverse events as a measure of safety and tolerability
Approximately 6 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
JNJ-39393406EXPERIMENTAL2 capsules, once daily for the first week and 4 capsules once a day for the rest of the trial.
PlaceboPLACEBO_COMPARATOR2 capsules, once daily for the first week and 4 capsules once a day for the rest of the trial.
Part A: Cohort 1EXPERIMENTAL8 participants will be included in this cohort. 6 participants will receive a single dose of 50 mg JNJ-39393406 and 2 participants will receive placebo for 7 consecutive days.
Part A: Cohort 2EXPERIMENTAL8 participants will be included in this cohort. 6 participants will receive a single dose of 150 mg JNJ-39393406 and 2 participants will receive placebo for 7 consecutive days.
Part A: Cohort 3EXPERIMENTAL8 participants will be included in this cohort. 6 participants will receive a single dose of 450 mg JNJ-39393406 and 2 participants will receive placebo for 7 consecutive days.
Part A: Cohort 4EXPERIMENTAL8 participants will be included in this cohort. 6 participants will receive a single dose of 1,350 mg JNJ-39393406 and 2 participants will receive placebo for 7 consecutive days.
Part A: Cohort 5EXPERIMENTAL8 participants will be included in this cohort. 6 participants will receive a single dose of 2,700 mg JNJ-39393406 and 2 participants will receive placebo for 7 consecutive days.
Part B: Cohort AEXPERIMENTAL16 participants will be included in this cohort. 12 participants will receive a single dose of JNJ-39393406 selected based on the pharmacokinetic (PK) data from Part A of the study and 4 participants will receive placebo for 13 consecutive days.
Part B: Cohort BEXPERIMENTAL16 participants will be included in this cohort. 12 participants will receive a single dose of JNJ-39393406 selected based on the PK data from Part A of the study and 4 participants will receive placebo for 13 consecutive days.
Part B: Cohort CEXPERIMENTAL16 participants will be included in this cohort. 12 participants will receive a single dose of JNJ-39393406 selected based on the PK data from Part A of the study and 4 participants will receive placebo for 13 consecutive days.

Interventions

NameTypeDescription
JNJ-39393406DRUGJNJ-39393406 100 mg capsules or placebo daily for the first week and 200 mg daily for the rest of the trial
PlaceboDRUGJNJ-39393406 100 mg capsules or placebo daily for the first week and 200 mg daily for the rest of the trial
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Eligibility Criteria

Age Range18 Years to 50 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: 1. Meet DSM V criteria for history of MDD or BPD by MINI. 2. Between 18-50 years of age, male or female subjects of any race, smokers and non-smokers. 3. Able to provide informed consent. All participant patients must have signed an informed consent document indicating they unde...

Countries:MoldovaRomaniaBelgium
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Frequently asked questions about JNJ-39393406

What is JNJ-39393406 used for?

JNJ-39393406 is an investigational small molecule being studied for the treatment of depression. It has also been evaluated in healthy volunteers to assess its safety, tolerability, and pharmacokinetics. The drug is developed by Johnson & Johnson and is currently in Phase 2 clinical development.

Who makes JNJ-39393406?

JNJ-39393406 is developed by Johnson & Johnson, a pharmaceutical company traded on the New York Stock Exchange under the ticker JNJ. The drug is being investigated for use in depression and has completed early-stage clinical trials in healthy volunteers.

What phase is JNJ-39393406 in?

JNJ-39393406 is in Phase 2 clinical development. It has completed one Phase 2 trial investigating its effects on psychometric performance and residual depressive symptoms in patients with depression. The drug is not approved and remains investigational.

What clinical trials is JNJ-39393406 in?

JNJ-39393406 has been studied in three completed clinical trials. NCT01556217 and NCT02023255 were Phase 1 trials in healthy volunteers, while NCT02677207 was a Phase 2 trial in patients with depression. The Phase 2 trial enrolled 80 participants and was conducted in Moldova and Romania.

Is JNJ-39393406 FDA approved?

JNJ-39393406 is not FDA approved. It is an investigational drug currently in Phase 2 clinical development for depression. The drug has completed clinical trials, but no approval has been granted, and it remains under investigation for safety and efficacy.