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NV-5138

Phase 2

Major Depressive Disorder | Small molecule | Psychiatry |Supernus Pharmaceuticals, Inc.|Trials Updated: Apr 17, 2026

NV-5138 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Oct 2001

NV-5138 target and mechanism

ModalitySmall molecule

Also known as [14C]-NV-5138, SPN-820

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials2
Total Enrollment290

FDA Designations

No designations recorded

NV-5138 clinical trials

NV-5138 · 2 trials · 2 indications

Phase 2 2
NCT05066672Phase 2 Study of NV-5138 in Adults With Treatment Resistant DepressionTreatment Resistant Depression
COMPLETED250 Analytics
NCT06235905Open-Label of SPN-820 in Adults With Major Depressive DisorderMajor Depressive Disorder
COMPLETED40 Analytics
PHASE2COMPLETED
Phase 2 Study of NV-5138 in Adults With Treatment Resistant Depression
Treatment Resistant DepressionUnlock trial analytics
PHASE2COMPLETED
Open-Label of SPN-820 in Adults With Major Depressive Disorder
Major Depressive DisorderUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline to Week 4 in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score.
Baseline to Week 4

MADRS is a 10-item scale (Reported sadness, Apparent sadness, Inner tension, Reduced sleep, Reduced appetite, Concentration difficulties, Lassitude, Inability to feel, Pessimist thoughts, and Suicidal thoughts) where each item is scored from 0 to 6. The total score is the sum of the 10 items ranging from 0 to 60 where higher scores indicate more severe depression, and lower scores are better outcomes. A negative change from baseline indicates improvement in depressive symptoms.

Change From Baseline to Each Time Point in the Hamilton Depression Rating Scale-6 Items (HAM-D6) Total Score (HAM-D6).
10 days (end of study)

The HAM-D6 scale consists of 6 items: five of them (depressed mood, work and activities, feeling of guilt, anxiety, psychic, retardation) are scored on a scale of 0 to 4, and one item (somatic symptoms general) is scored on a scale 0 to 2. The total score is the sum of the 6 items ranging from 0 to 22, higher scores indicate severe depression, and lower scores are better outcomes.

Secondary Endpoints

Change From Baseline to Each Scheduled Week in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score.
Baseline to Weeks 1, 2 and 3
Change From Baseline to Each Scheduled Week in the Clinical Global Impression - Severity of Illness Score (CGI-S).
Baseline to Weeks 1, 2, 3 and 4
Change From Baseline to Each Scheduled Week in the The Hamilton Depression Rating Scale - 6 Items (HAM-D6) Total Score.
Baseline to Weeks 1, 2, 3 and 4
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NV-5138 400 mg oral capsulesEXPERIMENTALParticipants received either 800 or 1600 mg NV-5138 (2 or 4, 400 mg capsules) once daily for 4 weeks. During the first week of the Treatment Period, all participants took 1600 mg once a day. Participants who experienced an intolerable adverse effect at 1600 mg at Week 2, could have their dose reduced to 800 mg. Participants who had an inadequate response to 800 mg might have their dose increased again to 1600 mg per Investigator judgment to maximize their treatment response; however, no dose adjustments were allowed after Week 3. The dose at Week 4 was the same as stable dose at Week 3. After completion of the 4-week treatment, all participants received placebo in a double-blinded fashion and continued the treatment for one week.
matched placeboPLACEBO_COMPARATORParticipants received either 2 or 4 capsules of placebo once daily for 5 weeks.
SPN-820 6 x 400 mg capsulesOTHER -

Interventions

NameTypeDescription
NV-5138DRUGNV-5138 is a novel, orally bioavailable, selective, direct enhancer of mTORC1 cellular signaling
matched placeboDRUGmatched placebo oral capsules
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Male or female, aged 18 to 70 years at Screening. * Diagnosis of Major Depressive Disorder (MDD) according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) for either recurrent or single episode MDD without psychotic features that is confirmed ...

Countries:United States
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Frequently asked questions about NV-5138

What is NV-5138?

NV-5138 is an investigational small molecule developed by Supernus Pharmaceuticals for major depressive disorder and treatment resistant depression. It has completed Phase 2 clinical testing. It is not approved for commercial use and remains in clinical development.

What is NV-5138 used for?

NV-5138 is being studied for major depressive disorder and treatment resistant depression. It is an investigational therapy that has completed Phase 2 trials and is not approved for any indication.

Who makes NV-5138?

NV-5138 is developed by Supernus Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker SUPN. Supernus is the sponsor of the clinical program evaluating NV-5138 in depression.

What phase is NV-5138 in?

NV-5138 has completed Phase 2 clinical development. It is investigational and has not been approved by the FDA. No active trials are currently listed for NV-5138.

What clinical trials is NV-5138 in?

NV-5138 has been evaluated in two completed Phase 2 trials. NCT05066672 studied NV-5138 in adults with treatment resistant depression and enrolled 250 participants. NCT06235905 was an open-label Phase 2 study of SPN-820 in adults with major depressive disorder and enrolled 40 participants in the United States.

Is NV-5138 the same as [14C]-NV-5138?

Yes, [14C]-NV-5138 is an alternative name for NV-5138. The carbon-14 label refers to a radiolabeled form used in research. Both names refer to the same investigational compound developed by Supernus Pharmaceuticals for depression.