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SPN-821

Phase 2

Major Depressive Disorder (MDD) | Small molecule | Psychiatry |Supernus Pharmaceuticals, Inc.|Last Updated: Mar 24, 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_CONTROLLED
Total Trials1
Total Enrollment230
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07226661Double-blind, Placebo-controlled Study in Adults With Major Depressive DisorderPHASE2 RECRUITING 230Jan 19, 2026Jan 31, 2027Mar 24, 20261 United States
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Study Endpoints
Primary Endpoints
Change From Baseline to Day 29 in the Montgomery-Åsberg Depression Rating Scale (MADRS) Total Score.
4 weeks

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.

Secondary Endpoints
Change From Baseline to Day 29 in the Clinical Global Impression - Severity of Illness Score (CGI-S).
4 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SPN-821 2400 mgEXPERIMENTALThree 800 mg oral tablets administered twice a week adjunctive to current antidepressant
PlaceboPLACEBO_COMPARATORThree oral tablets administered twice a week adjunctive to current antidepressant
Interventions
NameTypeDescription
SPN-821 2400 mgDRUGSPN-821 is a novel, orally bioavailable, selective, direct enhancer of mTORC1 cellular signaling
PlaceboDRUGMatched placebo oral tablets
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Current diagnosis of MDD according to the DSM-5 for either single or recurrent MDE without psychotic features confirmed by the MINI * Duration of current MDE of at least 8 weeks * MADRS total score of ≥ 24 at the Screening Visit and Day 1 Visit * CGI-S score of ≥ 4 (moderately...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07226661Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 24, 2026NCT07226661studyFirstPostDate: changed