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Milsaperidone

Phase 3

Major Depressive Disorder (MDD) | Small molecule | Psychiatry |Vanda Pharmaceuticals Inc.|Last Updated: Feb 27, 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 Enrollment500
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06830044Evaluation of Efficacy and Safety of Milsaperidone as Adjunctive Therapy in Patients With Major Depressive DisorderPHASE3 RECRUITING 500Mar 3, 2025Mar 1, 2028Feb 27, 202638 United States, Bulgaria +2
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Study Endpoints
Primary Endpoints
Change from Baseline in Montgomery-Asberg Depression Rating Scale (MADRS)
6 weeks

The MADRS is a clinician-rated 10 item scale. Individual item scores are summed for a total possible score of 0 to 60 with a higher score indicating increased severity of depressive symptoms.

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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
MilsaperidoneEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
MilsaperidoneDRUGOral milsaperidone
PlaceboDRUGOral placebo
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: * Male or female patient 18 to 65 years of age, inclusive; * Meets DSM-5-TR criteria for MDD * Currently having an inadequate response to antidepressant therapy as confirmed by the Investigator using the Antidepressant Treatment Response Questionnaire (ATRQ) Exclusion Criteria:...

Countries:United StatesBulgariaCzechiaPoland
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06830044primaryCompletionDate: changed
LOWMay 24, 2026NCT06830044studyFirstPostDate: changed