Recent Updates
Recently added Catalysts

MIJ821

Phase 2

Depressive Disorder, Treatment-Resistant | Small molecule | Psychiatry |Novartis AG|Last Updated: Apr 13, 2025

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment70

FDA Designations

No designations recorded

Clinical trial landscape

MIJ821 · 3 trials · 3 indications

Phase 2 2Phase 1 1
NCT05454410Study of Efficacy, Safety, Tolerability and Pharmacokinetics of MIJ821 in Participants With Treatment- Resistant Depression (TRD)Treatment-Resistant Depression
COMPLETED60 Analytics
NCT03756129Proof of Concept Study Evaluating the Efficacy and Safety of MIJ821 in Patients With Treatment-resistant DepressionDepressive Disorder, Treatment-Resistant
COMPLETED70 Analytics
PHASE2COMPLETED
Study of Efficacy, Safety, Tolerability and Pharmacokinetics of MIJ821 in Participants With Treatment- Resistant Depression (TRD)
Treatment-Resistant DepressionUnlock trial analytics
PHASE2COMPLETED
Proof of Concept Study Evaluating the Efficacy and Safety of MIJ821 in Patients With Treatment-resistant Depression
Depressive Disorder, Treatment-ResistantUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Montgomery Asberg Depression Rating Scale (MADRS) Total Score 24 Hours (Day 2) After Injection
Baseline and 24 hours after SC injection

The Montgomery Åsberg Depression Rating Scale (MADRS, SIGMA version), is a clinician rated scale designed to measure depression severity and detects changes due to antidepressant treatment. The test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total possible score of 0 - 60. Higher scores represent a more severe condition. The MADRS evaluates apparent sadness, reported sadness, inner tension, sleep, appetite, concentration, lassitude, interest level, pessimistic thoughts and suicidal thoughts. The MADRS scores were collected electronically by qualified personnel.

Change From Baseline in the Total Score of the Montgomery Asberg Depression Rating Scale (MADRS) at 24 Hrs
Baseline, and at 24 hours

Efficacy. To assess change from baseline in the total MADRS score. The efficacy of MIJ821 in treatment-resistant depression will be compared to the placebo after single dose administration. MADRS is a clinician-rated scale designed to measure depression severity and detects changes due to antidepressant treatment: the test consists of 10 items, each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of the symptoms), for a total possible score of 60. Higher scores represent a more severe condition.

Human Brain Receptor Occupancy and Plasma Concentration of MIJ821
Baseline PET Scan up to 15 days post dose

To evaluate the relationship between plasma concentration of MIJ821 and brain receptor occupancy by MIJ821 in healthy participants, by using positron emission tomography (PET) with \[11C\]Me-NB1

Secondary Endpoints

Percentage of Participants With Treatment-Emergent Adverse Events (TEAEs), Including Adverse Events of Special Interest (AESIs)
From Day 1 after SC injection to end of study, up to 29 Days
Pharmacokinetics (PK) of MIJ821 in Plasma for Area Under the Curve From the Time of Dosing to the Time of the Last Measurable Concentration (AUClast)
Baseline, 0.17 hour, 0.33 hour, 0.5 hour, 0.75 hour, 1, 1.5, 2, 4 and 24 hours post injection
PK of MIJ821 in Plasma for Maximum Serum Concentration (Cmax)
Baseline, 0.17 hour, 0.33 hour, 0.5 hour, 0.75 hour, 1, 1.5, 2, 4 and 24 hours post injection
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MIJ821 1 mgEXPERIMENTALParticipants received a single dose of 1 mg MIJ821 administered as a subcutaneous (SC) injection on Day 1.
MIJ821 4 mgEXPERIMENTALParticipants received a single dose of 4 mg MIJ821 administered as an SC injection on Day 1.
MIJ821 10 mgEXPERIMENTALParticipants received a single dose of 10 mg MIJ821 administered as an SC injection on Day 1.
PlaceboPLACEBO_COMPARATORParticipants received a single dose of 0.9% sodium chloride solution administered as an SC injection on Day 1.
MIJ821 low dose weeklyEXPERIMENTALInfusion. MIJ821 low dose weekly - 0.16 mg/kg
MIJ821 low dose bi-weeklyEXPERIMENTALInfusion. MIJ821 low dose bi-weekly - 0.16 mg/kg
MIJ821 high dose weeklyEXPERIMENTALInfusion. MIJ821 high dose weekly - 0.32 mg/kg
MIJ821 high dose bi-weeklyEXPERIMENTALInfusion. MIJ821 high dose bi-weekly - 0.32 mg/kg
Placebo weeklyPLACEBO_COMPARATORInfusion. Placebo weekly
Ketamine 0.5 mg/kg weeklyACTIVE_COMPARATORInfusion. Ketamine 0.5 mg/kg weekly
Cohort 1EXPERIMENTALMIJ821, starting dose
Cohort 2EXPERIMENTALMIJ821, dose will be defined based on the results of the previous cohort(s).
Cohort 3EXPERIMENTALMIJ821, dose will be defined based on the results of the previous cohort(s).
Cohort 4EXPERIMENTALMIJ821, dose will be defined based on the results of the previous cohort(s).
Cohort 5EXPERIMENTALMIJ821, dose will be defined based on the results of the previous cohort(s).

Interventions

NameTypeDescription
MIJ821 Subcutaneous Injection 1 mgDRUGMIJ821 supplied in vials as a powder for solution for injection, reconstituted and administered as a single SC injection on Day 1.
MIJ821 Subcutaneous Injection 4 mgDRUGMIJ821 supplied in vials as a powder for solution for injection, reconstituted and administered as a single SC injection on Day 1.
MIJ821 Subcutaneous Injection 10 mgDRUGMIJ821 supplied in vials as a powder for solution for injection, reconstituted and administered as a single SC injection on Day 1.
Placebo Subcutaneous InjectionDRUG0.9% sodium chloride solution administered as a single SC injection on Day 1.
MIJ821DRUGDifferent dosages and different regimen for MIJ821
PlaceboDRUGInfusion
KetamineDRUGInfusion
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites16

Inclusion Criteria: * Signed informed consent obtained prior to participation in the study * Male and female participants, 18 to 65 years of age (inclusive) at screening * DSM-5 defined major depressive disorder (MDD) and a current major depressive episode (MDE) * MADRS score ≥ 24 * Failure to resp...

Countries:United StatesJapanPolandSpainUnited Kingdom
Unlock Eligibility Criteria

Frequently asked questions about MIJ821

What is MIJ821 used for?

MIJ821 is an investigational small molecule being developed by Novartis for psychiatric conditions, specifically major depressive disorder and treatment-resistant depression. It is currently in Phase 2 clinical development and has not been approved by regulatory authorities.

How does MIJ821 work?

MIJ821 is a small molecule being studied for its effects on depression. Its specific molecular target has not been disclosed in available information, so its precise mechanism of action is not fully characterized in public data.

Who makes MIJ821?

MIJ821 is being developed by Novartis AG, a global pharmaceutical company traded on the New York Stock Exchange under the ticker symbol NVS. The company is conducting clinical trials to evaluate the drug's safety and efficacy in depression.

What phase is MIJ821 in?

MIJ821 is in Phase 2 clinical development for treatment-resistant depression. It remains investigational and has not received FDA approval. Clinical trials have been completed, but the drug is still being evaluated for safety and efficacy.

What clinical trials is MIJ821 in?

MIJ821 has been studied in several completed trials, including NCT03756129, a Phase 2 proof-of-concept study in 70 patients with treatment-resistant depression, and NCT05454410, a Phase 2 study in 60 participants with the same condition. A Phase 1 PET study (NCT05666687) in healthy volunteers also evaluated brain receptor occupancy.

Is MIJ821 the same as other depression treatments?

MIJ821 is a distinct investigational compound developed by Novartis. It is not known to be the same as any other marketed depression medication, and no alternative names have been associated with it in available clinical trial information.