| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT06058039 | Study to Assess the Effects of Oral NMRA-335140 in Participants With Major Depressive Disorder | PHASE3 | ACTIVE NOT_RECRUITING | 332 | — | — | Dec 21, 2023 | Jun 1, 2026 | Apr 8, 2026 | 71 | United States, Bulgaria +6 |
| NCT06058013 | Study to Assess the Effects of Oral NMRA-335140 Versus Placebo in Participants With Major Depressive Disorder | PHASE3 | ACTIVE NOT_RECRUITING | 332 | — | — | Dec 20, 2023 | Jun 1, 2026 | Apr 8, 2026 | 74 | United States, Brazil +2 |
| NCT06029439 | Study to Assess the Safety and Effectiveness of NMRA-335140-501 | PHASE3 | RECRUITING | 1,000 | — | — | Nov 10, 2023 | Jun 1, 2027 | May 12, 2026 | 178 | United States, Brazil +9 |
| NCT06029426 | Study to Evaluate the Effects of Oral NMRA-335140 Versus Placebo in Participants With Major Depressive Disorder | PHASE3 | COMPLETED | 383 | — | — | Sep 20, 2023 | Jan 15, 2025 | Nov 26, 2025 | 64 | United States |
| NCT04221230 | Study in Major Depressive Disorder With NMRA-335140 (BTRX-335140) vs Placebo | PHASE2 | COMPLETED | 204 | — | — | Jan 3, 2020 | Jun 23, 2022 | May 29, 2025 | 38 | United States |
The MADRS is a 10-item, clinician-rated scale that evaluates the participant's depressive symptomatology during the past week. Participants are rated on items assessing feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty in concentration, and lack of interest. Each item will be scored on a 7- point scale with a score of 0 reflecting no symptoms and a score of 6 reflecting symptoms of maximum severity. Thus, scores in the MADRS range from 0 to 60, with increasing scores indicating increasing severity.
An AE is any untoward medical occurrence in a participant or clinical trial participant, temporally associated with the use of trial intervention, whether or not considered related to the trial intervention. Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward were counted as treatment-emergent AE (TEAE). Clinically significant abnormalities in Clinical Laboratory Evaluations, ECGs, Vital Signs, Physical and Ophthalmological examinations, Corneal Specular Microscopy, Columbia Suicide Severity Rating Scale (C-SSRS), and Sexual Functioning Questionnaire-14 (CSFQ-14) will be reported as TEAEs.
The MADRS is a 10-item, clinician-rated scale that evaluates the participant's depressive symptomatology during the past week. Participants are rated on items assessing feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty in concentration, and lack of interest. Each item will be scored on a 7-point scale with a score of 0 reflecting no symptoms and a score of 6 reflecting symptoms of maximum severity. Thus, scores in the MADRS range from 0 to 60, with increasing scores indicating increasing severity.
The HAMD-17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (9 items) or 0 and 2 (8 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represents more severe condition. Baseline is defined as the latest non-missing measurement prior to or within 1 hour of the first administration of study drug. Change from Baseline is defined as post dose visit value minus Baseline value.
| Arm | Type | Description |
|---|---|---|
| NMRA-335140 80 milligrams (mg) once daily (QD) | EXPERIMENTAL | Participants will receive a NMRA-335140 tablet at a dose of 80 mg QD |
| Placebo | PLACEBO_COMPARATOR | Placebo participants will receive matching placebo tablet once daily |
| NMRA-335140 (BTRX-335140) | EXPERIMENTAL | NMRA-335140 will be administered. |
| Name | Type | Description |
|---|---|---|
| NMRA-335140 | DRUG | Participants will receive NMRA-335140 at a dose of 80 mg QD, orally |
| Placebo | DRUG | Placebo will be administered orally |
Key Inclusion Criteria: * Have a primary Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revised (DSM-5-TR) diagnosis of MDD without psychotic features confirmed by Structured Clinical Interview for DSM 5 Disorders, Clinical Trials Version (SCID 5 CT) at screening (this may...