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Johnson & Johnson to highlight breadth of its major depressive disorder portfolio at 2025 ECNP Congress 17 abstracts from across the Company's portfolio and pipeline highlight new clinical and real-world data on major depressive disorder and...

Key Takeaway: Johnson & Johnson is set to present 17 abstracts on major depressive disorder (MDD) at the upcoming ECNP Congress in Amsterdam. The data focuses on new clinical insights from their portfolio, including treatments like CAPLYTA and SPRAVATO. Highlights include analyses of treatment options that address both MDD and treatment-resistant depression. The company's commitment to innovative therapies aims to improve patient outcomes amidst the complexities of managing MDD.

Market Sentiment Analysis

POSITIVE FACTORS

  • Presenting 17 abstracts reflects a strong commitment to advancing mental health treatment.
  • New data showcases innovations in treatment-resistant depression, potentially improving patient outcomes.
  • Emphasis on patient-first approach may lead to more effective, tailored treatments for MDD.

CONCERNS & RISKS

  • MDD is a complex disorder with varied treatment outcomes, highlighting ongoing challenges.
  • Approximately two-thirds of patients continue to experience symptoms despite standard treatments.
  • Need for adjunctive therapies underscores limitations of existing oral antidepressants.

Full Press Release Details

17 abstracts from across the Company's portfolio and pipeline highlight new clinical and real-world data on major depressive disorder and treatment-resistant depression
New post-hoc analysis of CAPLYTA ® (lumateperone) Phase 3 data evaluates the impact on sexual function in MDD, reinforcing potential to reset treatment expectations
European Union and United Kingdom sub-group analyses of Phase 3 data evaluate efficacy of adjunctive seltorexant compared to adjunctive quetiapine XR in MDD with insomnia symptoms
New data from post-hoc analysis of ESCAPE-TRD explores association of patient characteristics and remission with SPRAVATO ® (esketamine) versus quetiapine XR in treatment-resistant depression
TITUSVILLE, N.J. , Oct. 10, 2025 /PRNewswire/ -- Johnson & Johnson (NYSE: JNJ ) announced today that 17 abstracts featuring new clinical and real-world data will be presented at the annual European College of Neuropsychopharmacology (ECNP) Congress, taking place October 11-14 in Amsterdam, The Netherlands. Presentations include the latest research from across the Company's neuropsychiatry portfolio, including major depressive disorder (MDD), treatment-resistant depression (TRD), and schizophrenia.
"MDD is a complex disorder that can manifest in different ways for each individual, and the traditional one-size-fits-all treatment approach often results in mixed patient outcomes," said Bill Martin, Ph.D., Global Neuroscience Therapeutic Area Head, Johnson & Johnson Innovative Medicine. 1,2 "At Johnson & Johnson, we are committed to advancing innovative and differentiated therapies through a targeted and patient-first approach, and our data at ECNP strongly reflects our relentless focus on this commitment."
Key presentations include:
Johnson & Johnson will present the following posters at ECNP Congress on October 12 from 8:00 – 8:30 a.m. CET (e-posters), October 13 from 12:35 – 2:00 p.m. CET, and October 14 from 12:35 – 2:00 p.m. CET.
Poster # Title
Major Depressive Disorder
EP03-0245 Adjunctive Lumateperone 42 mg Treatment in Major Depressive Disorder: Efficacy in Anhedonia and Across Broad Range of Depressive Symptoms
PS03-2109 Efficacy of Adjunctive Lumateperone 42 mg Treatment Across Depression and Anhedonia Symptoms in Major Depressive Disorder
PS04-3102 Evaluation of Sexual Function With Adjunctive Lumateperone in Patients With Major Depressive Disorder
EP03-0243 Long-Term Adjunctive Lumateperone Treatment in Major Depressive Disorder: Results From a Six- Month Open-Label Extension Study
PS03-2108 Beyond Inflammation: Unveiling Novel Molecular Mechanisms in Major Depressive Disorder and Antidepressant Response in a Cohort Stratified by Inflammatory Status
PS02-1123 Seltorexant: A Safe and Well-Tolerated Adjunctive Treatment for Adolescent Major Depressive Disorder With Comparable Pharmacokinetics to Adults
PS03-2143 Factors Associated With Long-Term Hypnotics Use in Depression
Oral Presentation Developments in Adjunctive Treatment: Seltorexant Versus Quetiapine in Managing Major Depressive Disorder With Insomnia Symptoms
Treatment-Resistant Depression
PS02-1220 Efficacy and Safety of 4 Months of Treatment With Esketamine Nasal Spray Monotherapy in Adult Patients With Treatment-Resistant Depression
PS01-0124 Early Dose Management and Up-Titration of Esketamine in the Double-Blind Induction Phase of the Randomized, Active-Controlled, Phase 3 TRANSFORM-2 Study
PS04-3215 Expert Consensus on Decision-Making Factors for Continuation of Esketamine Nasal Spray in Treatment-Resistant Depression: A Delphi Method
PS02-1216 ECHO: Study Design and Baseline Characteristics of a Non-Interventional Cohort Study of Esketamine Nasal Spray in Treatment-Resistant Depression
PS02-1219 Patient Characteristics Associated With Relative Benefit of Esketamine Nasal Spray Versus Quetiapine Extended Release on Achieving Remission in ESCAPE-TRD Study
PS02-1111 Evolution of Clinical Dimensions and Safety in Patients With Major Depressive Disorder Treated by Esketamine: The French Real-World ELLIPSE Study
PS01-0076 Prevalence, Incidence, and Therapy of (Treatment-Resistant) Depression in Germany: A Sickness Funds Analysis
Schizophrenia
PS01-0220 Impact of Paliperidone Palmitate 1-Month and 3-Month Long-Acting Injectables on Clinical and Psychosocial Outcomes in Rwandan Patients With Schizophrenia
PS04-3104 Lumateperone For The Prevention of Relapse in Patients with Schizophrenia: Results From a Double- Blind, Placebo-Controlled, Randomized Withdrawal, Phase 3 Trial
ABOUT MAJOR DEPRESSIVE DISORDER (MDD) MDD is one of the most common psychiatric disorders and a leading cause of disability worldwide, impacting an estimated 332 million people – or about 4 percent of the population. 8,9 In 2023, approximately 22 million adults in the U.S. had at least one major depressive episode. 10 While depression is typically treated with a "one-size-fits-all" approach, no two cases are the same. MDD is a complex, heterogeneous disorder involving multiple regions of the brain and presenting with as many as 256 unique symptom combinations. 1,2 As a result, responses to treatment vary widely. With current standard-of-care oral antidepressants, 2 in 3 people living with MDD continue to experience residual or persistent symptoms. 11 Moreover, MDD is a risk factor for the development and worsening of a range of comorbidities, illustrating the importance of integrating mental and general health care. 12
Insomnia is one of the most common symptoms of MDD, affecting more than 80 percent of people living with MDD. 13 Disturbed sleep and insomnia symptoms have a significant impact on a patient's quality of life and exacerbate the risk of depressive relapse and suicide. 14,15
Approximately one-third of adults with MDD will not respond to oral antidepressants alone and are considered to have treatment-resistant depression (TRD), which is often defined as inadequate response to two or more oral antidepressants that were administered at an adequate dose for an adequate duration. 16,17 TRD has a significant negative impact on the lives of those affected and has one of the highest economic burdens of all psychiatric disorders. 17 Patients often cycle through multiple oral medications, waiting 4-6 weeks for potential relief. 18 Based on the STAR*d study, after trying their third oral antidepressant, approximately 86 percent of patients do not achieve remission. 18
ABOUT CAPLYTA ® CAPLYTA ® (lumateperone) 42 mg is an oral, once daily atypical antipsychotic approved for the treatment of adults with schizophrenia, as well as depressive episodes associated with bipolar I or II disorder (bipolar depression), as monotherapy, and as adjunctive therapy with lithium or valproate.
While its exact mechanism of action is unknown, CAPLYTA ® is characterized by high serotonin 5-HT 2A receptor occupancy and lower amounts of dopamine D 2 receptor occupancy at therapeutic doses.
A supplemental new drug application (sNDA) for CAPLYTA ® as an adjunctive treatment for adults with major depressive disorder is currently under U.S. Food and Drug Administration review.
ABOUT SELTOREXANT Seltorexant, an investigational first-in-class therapy, is a selective antagonist of the human orexin-2 receptor currently being developed as an adjunctive treatment for adults with MDD with insomnia symptoms. Seltorexant selectively antagonizes the orexin-2 receptors, potentially improving mood symptoms and restoring sleep without next-day sedation in patients with depression. 19 When orexin-2 receptors are stimulated for too long or at inappropriate times, their activation can cause hyperarousal manifestations, including insomnia and excessive cortisol release, which may contribute to depression and insomnia. 20,21 Seltorexant is the only investigational therapy being studied in MDD that is believed to work by normalizing the overactivation of the orexin-2 receptors, thereby addressing the underlying biology that contributes to depression and causes insomnia symptoms.
ABOUT SPRAVATO ® SPRAVATO ® (esketamine) CIII nasal spray is approved by the U.S. Food and Drug Administration alone or in conjunction with an oral antidepressant for adults with MDD when they have inadequate response to at least two oral antidepressants (TRD) and depressive symptoms in adults with major depressive disorder with acute suicidal ideation or behavior in conjunction with an oral antidepressant. It is a non-selective, non-competitive antagonist of the N-methyl-D-aspartate (NMDA) receptor and is believed to work differently than traditional antidepressants by acting on a pathway in the brain that affects glutamate. The mechanism by which esketamine exerts its antidepressant effect is unknown. To date, SPRAVATO ® has been approved in 79 markets and administered to more than 150,000 patients worldwide.
ABOUT SCHIZOPHRENIA Schizophrenia is a complex, chronic brain disorder that affects how people think, feel, speak, and act. It affects up to an estimated 2.8 million adults in the U.S. yet remains widely misunderstood and insufficiently treated. 22 Symptoms vary by person, but confusion and distortions in perceptions, emotions, and behavior are common. 23 Evidence shows that the first three to five years after diagnosis – "the critical period" – from symptom onset are key for a patient's treatment, as this is when the condition progresses most rapidly. 24,25 A comprehensive treatment plan, which may include medication, therapy, and psychosocial services, can be critical in delaying the time to relapse for adults with schizophrenia. 26
ABOUT JOHNSON & JOHNSON'S SCHIZOPHRENIA PORTFOLIO Johnson & Johnson's portfolio of schizophrenia therapies offers the broadest range of oral and long-acting injectable treatment options to support each patient's individual treatment journey. The Company's long-acting injectable treatments for adults with schizophrenia provides the most varied range of dosing options and the longest-lasting schizophrenia treatments with each dose available, including INVEGA SUSTENNA ® (1-month paliperidone palmitate), INVEGA TRINZA ® (3-month paliperidone palmitate), and INVEGA HAFYERA ® (6-month paliperidone palmitate), all of which are administered in a clinical setting by a medical professional. 23,24
CAPLYTA ® is a once-daily oral therapy approved to treat adults with schizophrenia. A supplemental New Drug Application (sNDA) for CAPLYTA ® with long-term data evaluating the safety and efficacy of the medication for the prevention of relapse in schizophrenia was recently submitted to the U.S. Food and Drug Administration.
CAPLYTA ® IMPORTANT SAFETY INFORMATION
CAPLYTA ® (lumateperone) is indicated in adults for the treatment of schizophrenia and depressive episodes associated with bipolar I or II disorder (bipolar depression) as monotherapy and as adjunctive therapy with lithium or valproate.
Important Safety Information
Boxed Warnings:
Contraindications: CAPLYTA is contraindicated in patients with known hypersensitivity to lumateperone or any components of CAPLYTA. Reactions have included pruritus, rash (e.g., allergic dermatitis, papular rash, and generalized rash), and urticaria.
Warnings & Precautions: Antipsychotic drugs have been reported to cause:
Drug Interactions: CAPLYTA should not be used with CYP3A4 inducers. Dose reduction is recommended for concomitant use with strong CYP3A4 inhibitors or moderate CYP3A4 inhibitors.
Special Populations: Newborn infants exposed to antipsychotic drugs during the third trimester of pregnancy are at risk for extrapyramidal and/or withdrawal symptoms following delivery. Dose reduction is recommended for patients with moderate or severe hepatic impairment.
Adverse Reactions : The most common adverse reactions in clinical trials with CAPLYTA vs. placebo were somnolence/sedation, dizziness, nausea, and dry mouth.
CAPLYTA is available in 10.5 mg, 21 mg, and 42 mg capsules.
Please click here to see full Prescribing Information including Boxed Warnings.
SPRAVATO ® IMPORTANT SAFETY INFORMATION
What is SPRAVATO ® (esketamine) CIII nasal spray? SPRAVATO ® is a prescription medicine used:
SPRAVATO ® is not for use as a medicine to prevent or relieve pain (anesthetic). It is not known if SPRAVATO ® is safe or effective as an anesthetic medicine.
It is not known if SPRAVATO ® is safe and effective for use in preventing suicide or in reducing suicidal thoughts or actions. SPRAVATO ® is not for use in place of hospitalization if your healthcare provider determines that hospitalization is needed, even if improvement is experienced after the first dose of SPRAVATO ® .
It is not known if SPRAVATO ® is safe and effective in children.
IMPORTANT SAFETY INFORMATION What is the most important information I should know about SPRAVATO ® ?
SPRAVATO ® can cause serious side effects, including:
Tell your healthcare provider or get emergency help right away if you or your family member have any of the following symptoms, especially if they are new, worse, or worry you:
Do not take SPRAVATO ® if you:
If you are not sure if you have any of the above conditions, talk to your healthcare provider before taking SPRAVATO ® .
Before you take SPRAVATO ® , tell your healthcare provider about all of your medical conditions, including if you:
Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Taking SPRAVATO ® with certain medicine may cause side effects.
Especially tell your healthcare provider if you take central nervous system (CNS) depressants, psychostimulants, or monoamine oxidase inhibitors (MAOIs) medicines. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.
How will I take SPRAVATO ® ?
What should I avoid while taking SPRAVATO ® ?
Do not drive, operate machinery, or do anything where you need to be completely alert after taking SPRAVATO ® . Do not take part in these activities until the next day following a restful sleep. See "What is the most important information I should know about SPRAVATO ® ?"
What are the possible side effects of SPRAVATO ® ?
SPRAVATO ® may cause serious side effects including:
See "What is the most important information I should know about SPRAVATO ® ?"
Increased blood pressure. SPRAVATO ® can cause a temporary increase in your blood pressure that may last for about 4 hours after taking a dose. Your healthcare provider will check your blood pressure before taking SPRAVATO ® and for at least 2 hours after you take SPRAVATO ® . Tell your healthcare provider right away if you get chest pain, shortness of breath, sudden severe headache, change in vision, or seizures after taking SPRAVATO ® .
Problems with thinking clearly. Tell your healthcare provider if you have problems thinking or remembering.
Bladder problems. Tell your healthcare provider if you develop trouble urinating, such as a frequent or urgent need to urinate, pain when urinating, or urinating frequently at night.
The most common side effects of SPRAVATO ® include:
If these common side effects occur, they usually happen right after taking SPRAVATO ® and go away the same day.
These are not all the possible side effects of SPRAVATO ® .
Call your doctor for medical advice about side effects. You may report side effects to Johnson & Johnson at 1-800-526-7736, or to the FDA at 1-800-FDA-1088.
Please see full Prescribing Information , including Boxed WARNINGS, and Medication Guide for SPRAVATO ® and discuss any questions you may have with your healthcare provider.
INVEGA SUSTENNA ® , INVEGA TRINZA ® , INVEGA HAFYERA ® IMPORTANT SAFETY INFORMATION
INVEGA HAFYERA ® (6-month paliperidone palmitate) is a prescription medicine given by injection every 6 months by a healthcare professional and used to treat schizophrenia. INVEGA HAFYERA ® is used in adults who have been treated with either:
INVEGA TRINZA ® is a prescription medicine given by injection every 3 months by a healthcare professional and used to treat schizophrenia. INVEGA TRINZA ® is used in people who have been adequately treated with INVEGA SUSTENNA ® for at least 4 months.
INVEGA SUSTENNA ® is a prescription medicine given by injection by a healthcare professional.
INVEGA SUSTENNA ® is used to treat schizophrenia in adults.
INVEGA SUSTENNA ® , INVEGA TRINZA ® , INVEGA HAFYERA ® IMPORTANT SAFETY INFORMATION
What is the most important information I should know about INVEGA HAFYERA ® , INVEGA TRINZA ® and INVEGA SUSTENNA ® ?
INVEGA HAFYERA ® , INVEGA TRINZA ® and INVEGA SUSTENNA ® may cause serious side effects, including:
INVEGA HAFYERA ® , INVEGA TRINZA ® and INVEGA SUSTENNA ® increase the risk of death in elderly people who have lost touch with reality (psychosis) due to confusion and memory loss (dementia). INVEGA HAFYERA ® , INVEGA TRINZA ® and INVEGA SUSTENNA ® are not for the treatment of people with dementia-related psychosis.
Do not receive INVEGA HAFYERA ® , INVEGA TRINZA ® or INVEGA SUSTENNA ® if you are allergic to paliperidone, paliperidone palmitate, risperidone, or any of the ingredients in INVEGA HAFYERA ® , INVEGA TRINZA ® or INVEGA SUSTENNA ® . See the end of the Patient Information leaflet in the full Prescribing Information for a complete list of INVEGA HAFYERA ® , INVEGA TRINZA ® and INVEGA SUSTENNA ® ingredients.
Before you receive INVEGA HAFYERA ® , INVEGA TRINZA ® or INVEGA SUSTENNA ® , tell your healthcare professional about all your medical conditions, including if you:
Tell your healthcare professional about all the medicines you take , including prescription and over-the-counter medicines, vitamins, and herbal supplements. INVEGA HAFYERA ® , INVEGA TRINZA ® and INVEGA SUSTENNA ® may affect the way other medicines work, and other medicines may affect how INVEGA HAFYERA ® , INVEGA TRINZA ® and INVEGA SUSTENNA ® works.
Your healthcare provider can tell you if it is safe to receive INVEGA HAFYERA ® , INVEGA TRINZA ® or INVEGA SUSTENNA ® with your other medicines. Do not start or stop any medicines during treatment with INVEGA HAFYERA ® , INVEGA TRINZA ® or INVEGA SUSTENNA ® without talking to your healthcare provider first. Know the medicines you take. Keep a list of them to show to your healthcare professional or pharmacist when you get a new medicine.
Patients (particularly the elderly) taking antipsychotics with certain health conditions or those on long-term therapy should be evaluated by their healthcare professional for the potential risk of falls.
How will I receive INVEGA HAFYERA ® , INVEGA TRINZA ® or INVEGA SUSTENNA ® ?
What should I avoid while receiving INVEGA HAFYERA ® , INVEGA TRINZA ® or INVEGA SUSTENNA ® ?
INVEGA HAFYERA ® , INVEGA TRINZA ® and INVEGA SUSTENNA ® may cause serious side effects, including:
The most common side effects of INVEGA HAFYERA ® include: injection site reactions, weight gain, headache, upper respiratory tract infections, feeling restlessness or difficulty sitting still, slow movements, tremors, stiffness and shuffling walk.
The most common side effects of INVEGA TRINZA ® include: injection site reactions, weight gain, headache, upper respiratory tract infections, feeling restlessness or difficulty sitting still, slow movements, tremors, stiffness and shuffling walk.
The most common side effects of INVEGA SUSTENNA ® include: injection site reactions; sleepiness or drowsiness; dizziness; feeling of inner restlessness or needing to be constantly moving; abnormal muscle movements, including tremor (shaking), shuffling, uncontrolled involuntary movements, and abnormal movements of your eyes.
Tell your healthcare professional if you have any side effect that bothers you or does not go away. These are not all the possible side effects of INVEGA HAFYERA ® , INVEGA TRINZA ® or INVEGA SUSTENNA ® . For more information, ask your healthcare professional or pharmacist.
Call your healthcare professional for medical advice about side effects. You may report side effects of prescription drugs to the FDA at 1-800-FDA-1088.

Frequently Asked Questions

What new data is being presented on major depressive disorder?

Seventeen abstracts will showcase clinical and real-world data on major depressive disorder and treatment-resistant depression at the ECNP Congress.

How does CAPLYTA impact sexual function in MDD?

A post-hoc analysis of CAPLYTA's Phase 3 data suggests it may positively affect sexual function in patients with major depressive disorder.

What is seltorexant used for in MDD treatment?

Seltorexant is being developed as an adjunctive treatment for major depressive disorder with insomnia symptoms, targeting overactive orexin-2 receptors.

What distinguishes SPRAVATO in treating TRD?

SPRAVATO, an esketamine nasal spray, is approved for treatment-resistant depression and works by targeting a different brain pathway than traditional antidepressants.

What does 'treatment-resistant depression' mean?

Treatment-resistant depression is defined as insufficient response to two or more oral antidepressants administered adequately, affecting about one-third of adults with MDD.

Last updated: Oct 10, 2025