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NMRA-335140

Phase 3

Major Depressive Disorder | Small molecule | Psychiatry |Neumora Therapeutics, Inc.|Last Updated: May 12, 2026

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment2,251
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06058039Study to Assess the Effects of Oral NMRA-335140 in Participants With Major Depressive DisorderPHASE3 ACTIVE NOT_RECRUITING 332Dec 21, 2023Jun 1, 2026Apr 8, 202671 United States, Bulgaria +6
NCT06058013Study to Assess the Effects of Oral NMRA-335140 Versus Placebo in Participants With Major Depressive DisorderPHASE3 ACTIVE NOT_RECRUITING 332Dec 20, 2023Jun 1, 2026Apr 8, 202674 United States, Brazil +2
NCT06029439Study to Assess the Safety and Effectiveness of NMRA-335140-501PHASE3 RECRUITING 1,000Nov 10, 2023Jun 1, 2027May 12, 2026178 United States, Brazil +9
NCT06029426Study to Evaluate the Effects of Oral NMRA-335140 Versus Placebo in Participants With Major Depressive DisorderPHASE3 COMPLETED 383Sep 20, 2023Jan 15, 2025Nov 26, 202564 United States
NCT04221230Study in Major Depressive Disorder With NMRA-335140 (BTRX-335140) vs PlaceboPHASE2 COMPLETED 204Jan 3, 2020Jun 23, 2022May 29, 202538 United States
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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.

Safety and tolerability assessments based on Treatment Emergent Adverse Events (TEAEs) and validated clinical scales
Up to 54 Weeks

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.

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
Change from Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) total score over time.
Baseline and up to Week 54
Change from Baseline in the Snaith-Hamilton Pleasure Scale (SHAPS) total score over time
Baseline and up to Week 54
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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
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Eligibility Criteria
Age Range18 Years — 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)
LOWMay 26, 2026NCT06029439primaryCompletionDate: changed
MEDIUMMay 26, 2026NCT06058013Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMMay 26, 2026NCT06058039Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 24, 2026NCT06058013studyFirstPostDate: changed
LOWMay 24, 2026NCT06029439studyFirstPostDate: changed
LOWMay 24, 2026NCT06058039studyFirstPostDate: changed