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Agomelatine

Phase 3

Major Depressive Disorder | Small molecule | Psychiatry |Novartis AG|Last Updated: Dec 24, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials5
Total Enrollment2,824

FDA Designations

No designations recorded

Clinical trial landscape

Agomelatine · 6 trials · 2 indications

Phase 3 6
NCT01110889Efficacy, Safety and Tolerability of Agomelatine Sublingual Tablets in the Treatment of Major Depressive DisorderMajor Depressive Disorder
COMPLETED582 Analytics
NCT01110902Efficacy, Safety and Tolerability of Agomelatine Sublingual Tablets in the Treatment of Major Depressive Disorder (MDD)Major Depressive Disorder
COMPLETED589 Analytics
NCT00467402Efficacy, Safety and Tolerability of Agomelatine in the Prevention of Relapse of Major Depressive DisorderMajor Depressive Disorder
COMPLETED644 Analytics
NCT00463242A Placebo- and Paroxetine-controlled Study of the Efficacy, Safety and Tolerability of Agomelatine (25 or 50 mg) in the Treatment of Major Depressive Disorder (MDD)Major Depressive Disorder
COMPLETED501 Analytics
NCT00411099Efficacy, Safety and Tolerability of Agomelatine in the Treatment of Major Depressive DisorderMajor Depressive Disorder
COMPLETED508 Analytics
NCT00411242Efficacy, Safety and Tolerability of Agomelatine in the Treatment of Major Depressive DisorderMajor Depressive Disorder (MDD)
COMPLETED503 Analytics
PHASE3COMPLETED
Efficacy, Safety and Tolerability of Agomelatine Sublingual Tablets in the Treatment of Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy, Safety and Tolerability of Agomelatine Sublingual Tablets in the Treatment of Major Depressive Disorder (MDD)
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy, Safety and Tolerability of Agomelatine in the Prevention of Relapse of Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
A Placebo- and Paroxetine-controlled Study of the Efficacy, Safety and Tolerability of Agomelatine (25 or 50 mg) in the Treatment of Major Depressive Disorder (MDD)
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy, Safety and Tolerability of Agomelatine in the Treatment of Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy, Safety and Tolerability of Agomelatine in the Treatment of Major Depressive Disorder
Major Depressive Disorder (MDD)Unlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline to endpoint at Week 8 using the total score of the Hamilton Depression Rating Scale
Baseline and 8 weeks
Time to relapse, where relapse is defined by the occurrence of any one of the following:
Primary efficacy variable is measured from randomization to relapse
Hamilton Depression Rating Scale total score ≥16 at two consecutive visits;
Primary efficacy variable is measured from randomization to relapse
hospitalization due to depression;
Primary efficacy variable is measured from randomization to relapse
suicide attempt or suicide;
Primary efficacy variable is measured from randomization to relapse
discontinuation due to lack of efficacy according to Investigator judgment.
Primary efficacy variable is measured from randomization to relapse
Change from Baseline to Week 8 on the total score Hamilton Depression Rating Scale
8 weeks
To evaluate the change from Baseline to Week 8 on the total score of the clinician rated 17-Item Hamilton Depression Rating Scale (HAM-D17)
8 weeks
Change from Baseline to Week 8 on the total score of the clinician rated 17-Item Hamilton Depression Rating Scale (HAM-D17)
8 weeks

Secondary Endpoints

Effect on subjective sleep, as measured by the score of the Leeds Sleep Evaluation Questionnaire (LSEQ) domain "quality of sleep" at Week 8
8 weeks
Proportion of patients who demonstrate clinical response, where response is defined by a reduction of at least 50% in the Baseline clinician-rated HAM-D total score at Week 8 endpoint
8 weeks
Proportion of patients who demonstrate clinical improvement at Week 8, where improvement is defined by a score of 1 or 2 on the CGI-I scale
8 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AGO178C 0.5 mg /dayEXPERIMENTAL -
AGO178C 1 mg / dayEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
1EXPERIMENTAL -
2EXPERIMENTAL -
3PLACEBO_COMPARATOR -
AgomelatineEXPERIMENTALDosing for each subject in this extension study began with the same dose (25 mg or 50 mg of agomelatine orally once daily) the subject was receiving at the end of Week 8, the week before this study began.

Interventions

NameTypeDescription
Agomelatine (AGO178C)DRUG -
PlaceboDRUG -
agomelatineDRUG -
paroxetineDRUG -
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites48

Inclusion Criteria: * Patients with diagnosis of MDD, single or recurrent episode, according to DSM-IV criteria. * Current episode ≥4 weeks. * CGI-Severity score ≥4 at Screening and Baseline. Exclusion Criteria: * History of bipolar disorder (I or II), schizophrenia, schizoaffective disorder, eat...

Countries:United StatesPuerto Rico
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Frequently asked questions about Agomelatine

What is Agomelatine used for?

Agomelatine is an investigational small molecule being developed for the treatment of Major Depressive Disorder (MDD). It is currently in Phase 3 clinical development and has not been approved by the FDA. The drug is being studied in adult patients aged 18 years and older.

Who makes Agomelatine?

Agomelatine is being developed by Novartis AG, a multinational pharmaceutical company listed on the NYSE under the ticker symbol NVS. The company is conducting clinical trials to evaluate the drug's efficacy and safety in patients with Major Depressive Disorder.

What phase is Agomelatine in?

Agomelatine is in Phase 3 clinical development for the treatment of Major Depressive Disorder. It is an investigational drug and has not received FDA approval. All five completed trials were Phase 3 studies, with a total enrollment of 2,824 participants.

What clinical trials is Agomelatine in?

Agomelatine has completed five Phase 3 clinical trials, including NCT00411099, NCT00463242, NCT01110889, and NCT01110902. These randomized, double-blind, placebo-controlled studies evaluated the drug in patients with Major Depressive Disorder across the United States and Puerto Rico.

Is Agomelatine the same as any other drug?

Agomelatine is a distinct investigational compound being developed by Novartis. No alternative names have been reported for this drug in the available clinical trial data. It is being studied specifically for its potential use in treating Major Depressive Disorder.