Clinical trial • Phase III • Psychiatry

1-[6-ETHYL-8-FLUORO-4-METHYL-3-(3-METHYL-1,2,4-OXADIAZOL-5-YL)QUINOLIN-2-YL]-N-(OXAN-4-YL)PIPERIDIN-4-AMINE for Major Depressive Disorder

Phase III trial of 1-[6-ETHYL-8-FLUORO-4-METHYL-3-(3-METHYL-1,2,4-OXADIAZOL-5-YL)QUINOLIN-2-YL]-N-(OXAN-4-YL)PIPERIDIN-4-AMINE for Major Depressive Disord…

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
Major Depressive Disorder
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
15-03-2024
First CTIS Authorization Date
25-06-2024

Trial design

open-label, none/not specified-controlled Phase III trial in Germany, France, Finland and others.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
510
Trial Duration For Participant
364

Eligibility

Recruits 510 The trial flags vulnerable population selection. Participants must sign informed consent; for the Czech Republic every participant must have a caregiver participate to help monitor compliance and safety, the caregiver must be in personal contact at least 5 days/week for severely depressed or 2 days/week for moderately depressed participants, accompany participants to visits, and must sign a separate caregiver ICF. Country-specific SIS/ICF documents (adult, pregnancy, caregiver) are provided in multiple languages..

Vulnerable Population
The trial flags vulnerable population selection. Participants must sign informed consent; for the Czech Republic every participant must have a caregiver participate to help monitor compliance and safety, the caregiver must be in personal contact at least 5 days/week for severely depressed or 2 days/week for moderately depressed participants, accompany participants to visits, and must sign a separate caregiver ICF. Country-specific SIS/ICF documents (adult, pregnancy, caregiver) are provided in multiple languages.

Inclusion criteria

  • {"criterion_text":"- Completed a previous NMRA-335140 Phase 3 MDD study (NMRA-335140-301, NMRA-335140-302, or NMRA-335140-303) according to the completion definition in the parent study protocol.\n- Signed an informed consent form (ICF) for this study. Note: For participants in the Czech Republic, every participant must have a caregiver participate in the study to help monitor compliance and safety during the study. The caregiver must be in personal contact with the participant at least 5 days a week in severely depressed participants or 2 days a week in moderately depressed participants and accompany the participant to study visits. The caregiver must sign a separate caregiver ICF.\n- Willing to comply with the contraception requirements described in the inclusion criteria of the parent study protocol.\n- Willing to comply with the concomitant medication/therapy restrictions described in the exclusion criteria of the parent study protocol."}

Exclusion criteria

  • {"criterion_text":"- Diagnosed with another Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) disorder that would have been exclusionary in the parent study (eg, personality disorder, bipolar 1 or 2, schizophrenia, any other psychotic disorder, or moderate or severe substance or alcohol use disorder [excluding nicotine]).\n- Considered to be at significant risk of suicide in the judgment of the Investigator. This includes participants who are actively suicidal (eg, any suicide attempts during the parent study) or are at serious suicidal risk as indicated by any current suicidal intent, including a plan, as assessed by the C-SSRS (\"Since Last Visit\" version, score of \"YES\" on suicidal ideation Item 4 or 5) and/or based on clinical evaluation by the Investigator; or are homicidal, in the opinion of the Investigator.\n- Non-adherent with study medication (took less than or equal to 70% of study drug over any 2-week visit interval) or procedures during the parent study.\n- Experienced treatment emergent adverse events (TEAEs) considered related to the study medication from the parent study and judged by the Investigator to be clinically significant to render the participant ineligible for enrollment.\n- Have an abnormality on ocular examination that would prohibit continued study participation as determined by the Investigator.\n- Use of disallowed concomitant medication or therapy that would have been exclusionary in the parent study, may compromise the safety of the participant, and/or confound the interpretation of protocol assessments.\n- Considered by the Investigator to be inappropriate for any other reason."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Safety and tolerability assessments based on adverse events (AEs), clinical laboratory parameters, electrocardiograms (ECGs), vital signs, physical examinations, ophthalmologic examination and corneal specular microscopy (CSM), Columbia Suicide Severity Rating Scale (C-SSRS), and Change in Sexual Functioning Questionnaire-14 (CSFQ-14).","definition_or_measurement_approach":"Safety and tolerability assessed by collection and evaluation of AEs, clinical laboratory parameters, ECGs, vital signs, physical examinations, ophthalmologic exams including corneal specular microscopy (CSM), C-SSRS for suicidality, and CSFQ-14 for sexual functioning."}

Secondary endpoints

  • {"endpoint_text":"- Change from baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) total score over time.\n- Change from baseline in the Snaith-Hamilton Pleasure Scale (SHAPS) total score over time.\n- Change from baseline in the Patient Health Questionnaire-9 (PHQ-9) total score over time.\n- Change from baseline in PHQ-9 Anhedonia Item #1 over time.\n- Change from baseline in the Hamilton Anxiety Rating Scale (HAM-A) total score over time.\n- Change from baseline in the Clinical Global Impression of Severity (CGI-S) score over time\n- Value at each timepoint assessed in the Clinical Global Impression of Improvement (CGI-I) score.\n- Percentage of participants whose MADRS total score decreased by greater than or equal to 50% from baseline over time.\n- Percentage of participants whose MADRS total score decreased to 10 or less over time.\n- Change from baseline in the Sheehan Disability Scale (SDS) over time.","definition_or_measurement_approach":"All secondary endpoints are changes or values over time measured using the specified validated rating scales (MADRS, SHAPS, PHQ-9 including Anhedonia item, HAM-A, CGI-S, CGI-I) and SDS; responder and remission thresholds (e.g., ≥50% MADRS decrease; MADRS ≤10) measured over scheduled visits."}

Recruitment

Planned Sample Size
510
Recruitment Window Months
27
Consent Approach
Participants must sign an informed consent form (ICF). For the Czech Republic a caregiver must participate and sign a separate caregiver ICF; caregiver contact frequency requirements are specified. Subject information and ICF materials are provided in multiple country/language versions (documents available in German, French, Finnish, Czech, Swedish, Polish, Bulgarian and global versions per country files).

Geography

Total Number Of Sites
32
Total Number Of Participants
495

Germany

Earliest CTIS Part Ii Submission Date
04-06-2024
Latest Decision Or Authorization Date
26-06-2024
Processing Time Days
22
Number Of Sites
4
Number Of Participants
139

Sites

Site Name
Emovis GmbH
Department Name
Dedicated Study Site
Contact Person Name
Sascha Öhm
Contact Person Email
sascha.oehm@emovis.de
Site Name
Klinische Forschung Hamburg GmbH
Department Name
Neurologie und Psychiatrie
Contact Person Name
Christian Deckert
Contact Person Email
christian.deckert@pratia.com
Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Department of Psychiatry and Neurosciences
Contact Person Name
Dimitris Repantis
Contact Person Email
dimitris.repantis@charite.de
Site Name
Nervenärztliche Praxis Frau Dr. Kirsten Hahn
Department Name
Arztpraxis für Neurologie und Psychatrie
Contact Person Name
Kirsten Hahn
Contact Person Email
hahnkirsten@gmail.com

France

Earliest CTIS Part Ii Submission Date
11-06-2024
Latest Decision Or Authorization Date
28-06-2024
Processing Time Days
17
Number Of Sites
7
Number Of Participants
42

Sites

Site Name
Centre Hospitalier Georges Mazurelle- EPSM Mazurelle
Department Name
Département de Psychiatrie
Contact Person Name
Anne Sauvaget
Contact Person Email
anne.sauvaget@chu-nantes.fr
Site Name
Centre Hospitalier Henri Laborit
Department Name
Department of Psychiatry and Medical Psychology
Contact Person Name
Nematollah Jaafari
Contact Person Email
Nemat.jaafari@ch-poitiers.fr
Site Name
Desbonnet Recherche
Contact Person Name
Philippe Desbonnet
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Service Universitaire de Psychiatrie Adulte
Contact Person Name
Jérôme Attal
Contact Person Email
j-attal@chu-montpellier.fr
Site Name
University Hospital Of Clermont-Ferrand
Department Name
Département de Psychiatrie
Contact Person Name
Ludovic Samalin
Site Name
Centre Hospitalier Universitaire D'Angers
Department Name
Département de Psychiatrie
Contact Person Name
Bénédicte Gohier
Contact Person Email
begohier@chu-angers.fr
Site Name
Centre Hospitalier Georges Mazurelle- EPSM Mazurelle (duplicate entry if present)
Department Name
Département de Psychiatrie
Contact Person Name
Anne Sauvaget
Contact Person Email
anne.sauvaget@chu-nantes.fr

Finland

Earliest CTIS Part Ii Submission Date
05-06-2024
Latest Decision Or Authorization Date
27-06-2024
Processing Time Days
22
Number Of Sites
3
Number Of Participants
22

Sites

Site Name
Oulu Mentalcare Oy
Contact Person Name
Markku Timonen
Contact Person Email
markku.timonen@mentalcare.fi
Site Name
Lahdelma Consulting Oy
Contact Person Name
Liisa Lahdelma
Contact Person Email
liisa.lahdelma@kolumbus.fi
Site Name
Clinical Research Services Turku CRST Oy
Contact Person Name
Noora Scheinin
Contact Person Email
nmsche@utu.fi

Czechia

Earliest CTIS Part Ii Submission Date
26-06-2024
Latest Decision Or Authorization Date
08-07-2024
Processing Time Days
12
Number Of Sites
3
Number Of Participants
97

Sites

Site Name
A-Shine s.r.o.
Department Name
Psychiatrie
Contact Person Name
Luboš Janů
Contact Person Email
lubos.janu@seznam.cz
Site Name
Brain-Soultherapy s.r.o.
Contact Person Name
Claudia Vodičková-Borzová
Contact Person Email
cborzova@seznam.cz
Site Name
INEP medical s.r.o.
Contact Person Name
Alexander Nawka
Contact Person Email
nawka@inep.cz

Sweden

Earliest CTIS Part Ii Submission Date
05-06-2024
Latest Decision Or Authorization Date
25-06-2024
Processing Time Days
20
Number Of Sites
2
Number Of Participants
24

Sites

Site Name
ProbarE i Stockholm AB (Lund location)
Department Name
ProbareE location in Lund
Contact Person Name
Anders Luts
Contact Person Email
anders.luts@probare.se
Site Name
ProbarE i Stockholm AB (Stockholm location)
Contact Person Name
Peter Bosson
Contact Person Email
peter.bosson@probare.se

Poland

Earliest CTIS Part Ii Submission Date
07-06-2024
Latest Decision Or Authorization Date
05-07-2024
Processing Time Days
28
Number Of Sites
6
Number Of Participants
77

Sites

Site Name
Ginemedica Sp. z o.o.
Contact Person Name
Ewa Tylko
Contact Person Email
e.tylko@ginemedica.pl
Site Name
Prywatne Gabinety Lekarskie „Promedicus” Anna Agnieszka Tomczak
Contact Person Name
Anna Agnieszka Tomczak
Contact Person Email
promedicus@onet.eu
Site Name
Centrum Medyczne Luxmed Sp. z o.o.
Contact Person Name
Dariusz Malicki
Contact Person Email
dariuszmalicki@interia.eu
Site Name
E4r&D Sp. z o.o.
Contact Person Name
Wiesław J. Cubała
Contact Person Email
cubala@gumed.edu.pl
Site Name
Indywidualna Specjalistyczna Praktyka Lekarska Agnieszka Remlinger-Molenda
Contact Person Name
Agnieszka Remlinger-Molenda
Contact Person Email
aremlinger@gmail.com
Site Name
Promente Sp. z o.o.
Contact Person Name
Katarzyna Łachut
Contact Person Email
rejestracja@pro-mente.pl

Bulgaria

Earliest CTIS Part Ii Submission Date
10-06-2024
Latest Decision Or Authorization Date
01-07-2024
Processing Time Days
21
Number Of Sites
7
Number Of Participants
94

Sites

Site Name
Diagnostics-Consultancy Center Mladost M Varna OOD
Contact Person Name
Hristo Kozhuharov
Contact Person Email
christokojuharov@abv.bg
Site Name
Medical Center Intermedica Ltd.
Contact Person Name
Toni Donchev
Contact Person Email
tonyd@abv.bg
Site Name
Diagnostic And Consultation Centre St.Vrach And St.St. Kuzma And Damian OOD
Contact Person Name
Petya Dimitrova
Contact Person Email
drdimitrova@abv.bg
Site Name
Medical Center Lifemed EOOD
Contact Person Name
Rozaliya Rangelova
Contact Person Email
rrangelova80@gmail.com
Site Name
Multiprofile Hospital For Active Treatment - Targovishte AD
Department Name
Department of Psychiatry
Contact Person Name
Ivan Tyanev
Contact Person Email
dr.ivan.tyanev@gmail.com
Site Name
Dr. Ivo Natsov Outpatient Clinic For Individual Practice For Specialized Medical Care In Psychiatry ET
Contact Person Name
Ivo Natsov
Contact Person Email
ivo_nacov@abv.bg
Site Name
edical Center Akademica EOOD
Contact Person Name
Vihra Milanova
Contact Person Email
vihra.milanova@gmail.com

Sponsor

Primary sponsor

Full Name
Neumora Therapeutics Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Icon Clinical Research Limited
Responsibilities
codes: 1,11,12,13,2,3,4,5,6,8
Name
Tigermed-Bdm Inc.
Responsibilities
code: 10
Name
Almac Clinical Services LLC
Responsibilities
code: 14
Name
WCG Clinical Inc.
Responsibilities
codes: 13, 15 (eCOA, Rater Training)

Third parties

  • {"country":"United States","full_name":"Psomagen Inc.","duties_or_roles":"code: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient concierge","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Tigermed-Bdm Inc.","duties_or_roles":"code: 10","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Almac Clinical Services LLC","duties_or_roles":"code: 14","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Alturas Analytics Inc.","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"code: 7","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"France","full_name":"Quipment","duties_or_roles":"Equipment-Konan Microscope","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Voiant","duties_or_roles":"codes: 13, 15 (Ophthalmology)","organisation_type":"Health care"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"codes: 1,11,12,13,2,3,4,5,6,8","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"codes: 13, 15 (eCOA, Rater Training)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Mms Holdings Inc.","duties_or_roles":"code: 15 (Pharmacovigilance)","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
NMRA-335140
Active Substance
1-[6-ETHYL-8-FLUORO-4-METHYL-3-(3-METHYL-1,2,4-OXADIAZOL-5-YL)QUINOLIN-2-YL]-N-(OXAN-4-YL)PIPERIDIN-4-AMINE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Starting Dose
80 mg
Dose Levels
80 mg
Frequency
Once daily (QD)
Maximum Dose
80 mg

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