RecruitingPhase 2NCT07226661

Double-blind, Placebo-controlled Study in Adults With Major Depressive Disorder

A Phase 2, Multicenter, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of SPN-821 as an Adjunctive Therapy in Adults With Major Depressive Disorder


Sponsor

Supernus Pharmaceuticals, Inc.

Enrollment

230 participants

Start Date

Jan 19, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

This study will evaluate the efficacy and safety of SPN-821 in adults with major depressive disorder


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria5

  • 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 ill or worse) at the Screening Visit and Day 1 Visit
  • Stable, therapeutic dose of one of the following protocol-approved ADTs as a monotherapy for ≥ 8 weeks before the Screening Visit and ≥ 10 weeks at the Day 1 Visit. Additionally, inadequate response to the current ADT (less than 50% improvement in depressive symptoms) as confirmed by the ATRQ Investigator administered.

Exclusion Criteria9

  • MADRS total score change of ≥ 25% from the Screening Visit to Day 1 Visit
  • History of treatment resistant depression (TRD) defined as 3 or more failed ADTs of adequate dose (per ATRQ) and duration (at least 8 weeks) for the current MDE
  • History of alcohol or substance use disorder according to DSM-5 criteria 6 months before the Screening Visit
  • Evidence of significant risk for suicidal behavior during participation in the study in the Investigator's opinion
  • Lifetime diagnosis of any psychotic disorder including MDD with psychosis, MDD with mixed features, bipolar I/II disorder, bipolar depression, schizophrenia, posttraumatic stress disorder, autism spectrum disorder, or any personality disorder or intellectual disability that would affect the ability of the participant to enroll in the study
  • Diagnosis less then 12 months before screening of severe obsessive-compulsive disorder, acute stress disorder, panic disorder, eating disorders, or any other psychiatric condition that has been the primary focus of treatment, or diagnosis of generalized anxiety disorder less then 6 months before screening.
  • History of cardiovascular, respiratory, gastrointestinal, renal, hepatic, and hematologic disorders, or other medical disorders that could impose undue risk or compromise the study in the Investigator's opinion
  • Clinically significant abnormal result prior to Day 1 Visit per Investigator's judgment or abnormal renal function.
  • Requires treatment with a medication or other substance that is prohibited by the protocol.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DRUGSPN-821 2400 mg

SPN-821 is a novel, orally bioavailable, selective, direct enhancer of mTORC1 cellular signaling

DRUGPlacebo

Matched placebo oral tablets


Locations(1)

Collaborative Neuroscience Network

Garden Grove, California, United States

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT07226661


Related Trials