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NMRA-335140

Phase 3

Major Depressive Disorder | Small molecule | Psychiatry |Neumora Therapeutics, Inc.|Trials Updated: Jul 6, 2026

NMRA-335140 development status

Highest phase Phase 3
Registered trials 5 across 1 sponsor since Jan 2020

NMRA-335140 target and mechanism

Molecular targetKOR
ModalitySmall molecule

Also known as BTRX-335140, CYM-53093, Navacaprant

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment1,457

FDA Designations

No designations recorded

NMRA-335140 clinical trials

NMRA-335140 · 5 trials · 2 indications

Phase 3 3Phase 2 2
NCT06058039Study to Assess the Effects of Oral NMRA-335140 in Participants With Major Depressive DisorderMajor Depressive Disorder
COMPLETED422 Analytics
NCT06058013Study to Assess the Effects of Oral NMRA-335140 Versus Placebo in Participants With Major Depressive DisorderMajor Depressive Disorder
COMPLETED430 Analytics
NCT06029426Study to Evaluate the Effects of Oral NMRA-335140 Versus Placebo in Participants With Major Depressive DisorderMajor Depressive Disorder
COMPLETED383 Analytics
PHASE3COMPLETED
Study to Assess the Effects of Oral NMRA-335140 in Participants With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
Study to Assess the Effects of Oral NMRA-335140 Versus Placebo in Participants With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
Study to Evaluate the Effects of Oral NMRA-335140 Versus Placebo in Participants With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline to Week 6 in the Montgomery-Asberg Depression Rating Scale (MADRS) total score
Baseline and up to Week 6

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.

Change from Baseline to Week 6 in the Montgomery Asberg Depression Rating Scale (MADRS) total score
Baseline and up to Week 6

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.

Change From Baseline in Hamilton Depression Rating Scale (HAMD-17) Total Score at Weeks 8
Baseline and at Week 8

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.

Secondary Endpoints

Change from Baseline to Week 6 assessed in the Snaith-Hamilton Pleasure Scale (SHAPS) total score
Baseline and up to Week 6
Clinical Global Impression of Improvement (CGI-I) Score
At Week 8
Change From Baseline in Snaith-Hamilton Pleasure Scale (SHAPS) Score
Baseline and at Week 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NMRA-335140 80 milligrams (mg) once daily (QD)EXPERIMENTALParticipants will receive a NMRA-335140 tablet at a dose of 80 mg QD
PlaceboPLACEBO_COMPARATORPlacebo participants will receive matching placebo tablet once daily
NMRA-335140 (BTRX-335140)EXPERIMENTALNMRA-335140 will be administered.

Interventions

NameTypeDescription
NMRA-335140DRUGParticipants will receive NMRA-335140 at a dose of 80 mg QD, orally
PlaceboDRUGPlacebo will be administered orally
NMRA-335140 80 mgDRUGParticipants will receive NMRA-335140 at a dose of 80 mg QD, orally.
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites71

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...

Countries:United StatesBulgariaCzechiaFinlandFranceGermanyPolandSwedenBrazilCanadaChile
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Recent Changes (Last 90 Days)

MEDIUMAug 6, 2026NCT06058013TRIAL_REMOVED: changed
MEDIUMAug 6, 2026NCT06058039TRIAL_REMOVED: changed
MEDIUMAug 6, 2026NCT06058013TRIAL_REMOVED: changed
MEDIUMAug 6, 2026NCT06058039TRIAL_REMOVED: changed
MEDIUMAug 6, 2026NCT06058013TRIAL_REMOVED: changed
MEDIUMAug 6, 2026NCT06058039TRIAL_REMOVED: changed

Frequently asked questions about NMRA-335140

What is NMRA-335140?

NMRA-335140 is an investigational small molecule being developed by Neumora Therapeutics, Inc. for major depressive disorder and for major depressive episodes associated with bipolar II disorder. It is a Phase 3 clinical candidate that has been studied in randomized, double-blind, placebo-controlled trials. It is not approved for any indication.

What is NMRA-335140 used for?

NMRA-335140 is being studied for the treatment of major depressive disorder and for major depressive episodes associated with bipolar II disorder. Both are psychiatric conditions within the psychiatry therapeutic area. The program is in Phase 3 development, and the drug has not been approved for any use.

What does NMRA-335140 target?

NMRA-335140 targets the kappa opioid receptor, or KOR. It is a small molecule directed at this receptor, which places it in the kappa opioid receptor antagonist class of psychiatric drug candidates. Neumora Therapeutics is developing it for major depressive disorder and for major depressive episodes associated with bipolar II disorder.

Who makes NMRA-335140?

NMRA-335140 is developed by Neumora Therapeutics, Inc., which trades under the ticker NMRA. The company is the sponsor of the clinical program studying the drug in major depressive disorder and in major depressive episodes associated with bipolar II disorder.

What phase is NMRA-335140 in?

NMRA-335140 is in Phase 3 clinical development. Four trials have been completed, including three Phase 3 studies in major depressive disorder and one Phase 2 study in major depressive episodes associated with bipolar II disorder. The drug is investigational and has not been approved by the FDA.

What clinical trials is NMRA-335140 in?

Completed trials of NMRA-335140 include NCT06058039, NCT06058013, and NCT06029426, all Phase 3 studies in major depressive disorder, plus NCT06429722, a Phase 2 study in major depressive episodes associated with bipolar II disorder. Total enrollment across these randomized, double-blind, placebo-controlled trials was 1,439 participants.