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
- Contact Person Email
- philippe.desbonnet654@orange.fr
- 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
- Contact Person Email
- lsamalin@chu-clermontferrand.fr
- 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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