Clinical trial • Phase II • Psychiatry
BREXANOLONE CAPRILCERBATE for Major depressive disorder
Phase II trial of BREXANOLONE CAPRILCERBATE for Major depressive disorder. open-label, none/not specified-controlled. 129 participants.
Overview
- Trial Therapeutic Area
- Psychiatry
- Trial Disease
- Major depressive disorder
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 22-07-2025
- First CTIS Authorization Date
- 06-11-2025
Trial design
open-label, none/not specified-controlled Phase II trial in Poland, Hungary, Romania and others.
- Open Label
- Yes
- Comparator
- None/Not specified
- Target Sample Size
- 129
- Trial Duration For Participant
- 42
Eligibility
Recruits 129 Population flagged as vulnerable. Inclusion criterion states: "Participant must be able, willing, and have capacity to provide written informed consent prior to any study procedures and should agree to comply with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol." Subject information and ICF documents include caregiver and pregnant-partner ICFs and data-processor consent forms (documents listed in CTIS), and ICFs are provided in multiple languages..
- Pregnancy Exclusion
- Female participants with a positive urine pregnancy test result. Female participants may be enrolled without a negative urine test if they are surgically sterile or at least 2 years post-menopause.
- Vulnerable Population
- Population flagged as vulnerable. Inclusion criterion states: "Participant must be able, willing, and have capacity to provide written informed consent prior to any study procedures and should agree to comply with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol." Subject information and ICF documents include caregiver and pregnant-partner ICFs and data-processor consent forms (documents listed in CTIS), and ICFs are provided in multiple languages.
Inclusion criteria
- {"criterion_text":"- Participant who completed treatment in Study SPT-300-2024-203-OUS (ie, participant who competed Visit 6 [Day 42] of Study SPT-300-2024-203-OUS)\n- Participant must be able, willing, and have capacity to provide written informed consent prior to any study procedures and should agree to comply with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.\n- Women of childbearing potential (WOCP) must not plan to become pregnant during the course of the study or be currently breastfeeding. WOCP must agree to use at least an acceptable form of highly effective contraception during participation in the study and for 30 days after receiving the last dose of study treatment.\n- Male participants and their female partners should agree to use at least an acceptable method of effective contraception for the duration of study and for at least 30 days after receiving the last dose of the study treatment.\n- Participant is willing and able to refrain from the use of drugs of abuse (including recreational cannabinoids/medical cannabinoids) and alcohol for the duration of the study.\n- Willing and able to comply with the scheduled visits, treatment plan, laboratory tests, and other study procedures and requirements."}
Exclusion criteria
- {"criterion_text":"- Participants who, in the opinion of the Investigator, medical monitor, or Sponsor, should not participate in the study.\n- Participants who, in the judgment of the Investigator, were noncompliant with trial procedures or with study treatment administration during the double-blind study.\n- Female participants with a positive urine pregnancy test result. Female participants may be enrolled without a negative urine test if they are surgically sterile or at least 2 years post-menopause."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Incidence, severity, and duration of treatment-emergent adverse events, serious adverse events, and incidence of clinically significant vital signs, electrocardiograms, safety laboratory, and physical examination findings","definition_or_measurement_approach":"Collection and reporting of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs); monitoring and recording of vital signs, electrocardiograms (ECGs), safety laboratory tests and physical examination findings to assess incidence, severity and duration."}
- {"endpoint_text":"- Suicidal ideation and behavior using the Columbia Suicide Severity Rating Scale","definition_or_measurement_approach":"Assessed using the Columbia Suicide Severity Rating Scale (C-SSRS)."}
Secondary endpoints
- {"endpoint_text":"- Change from Baseline to Visit 6 (Study Day 42) in the following: •\tHAM-D-17 total score •\tCGI-S •\tHamilton Anxiety Rating Scale •\tPGI-S •\tSheehan Disability Scale •\tThe Quality of Life, Enjoyment, and Satisfaction Questionnaire-Short Form","definition_or_measurement_approach":"Change from baseline to Visit 6 (Day 42) measured by HAM-D-17 total score, CGI-S, Hamilton Anxiety Rating Scale (HAM-A), PGI-S, Sheehan Disability Scale (SDS), and Q-LES-Q-SF."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 250
- Recruitment Window Months
- 14
- Consent Approach
- Written informed consent is required from participants: "Participant must be able, willing, and have capacity to provide written informed consent prior to any study procedures..." Subject information sheets and ICFs (including Pregnant Partner ICF, Caregiver ICF and Data Processor consent) are provided; ICF and participant-facing documents are available in multiple languages (English, Romanian, Czech, Hungarian, Bulgarian, Slovak, German and Polish as evidenced by document filenames).
Methods
- GP letters: country-specific GP letters (documents titled K2_Recruitment materials_GP Letter in multiple country variants) to engage primary care/GPs.
- Participant handouts and printed recruitment materials (EMA Wellness participant handout, general EMA Wellness content) provided to potential participants.
- Mobile app / digital eCOA: a validated eCOA smartphone application (dosing reminders) and EMA Wellness mobile app screenshots are included in recruitment materials.
- Mobile and digital content available in multiple languages (documents show ENG, ROM, CZE, HUN, BUL, SVK, DEU variants).
- Patient support (logistics): patient travel reimbursement and transport services provided by Block Clinical Inc. to support participation.
Geography
- Total Number Of Sites
- 35
- Total Number Of Participants
- 250
Poland
- Earliest CTIS Part Ii Submission Date
- 24-10-2025
- Latest Decision Or Authorization Date
- 13-11-2025
- Processing Time Days
- 20
- Number Of Sites
- 13
- Number Of Participants
- 87
Sites
- Site Name
- Agnieszka Nowakowska-Rudzka Gabinet Lekarski Torunskie Centrum Psychiatryi Neuromed
- Contact Person Name
- Agnieszka Nowakowska-Rudzka
- Contact Person Email
- nowwa@wp.pl
- Site Name
- MEDICMENTAL
- Contact Person Name
- Monika Szewczuk-Boguslawska
- Contact Person Email
- monika.szewczuk-boguslawska@umw.edu.pl
- Site Name
- Gabinet Lekarski Psychiatryczny Ireneusz Kaczorowski
- Contact Person Name
- Ireneusz Kaczorowski
- Contact Person Email
- irek.k@tlen.pl
- Site Name
- Filip Rybakowski Specjalistyczna Praktyka Lekarska
- Contact Person Name
- Filip Rybakowski
- Contact Person Email
- filrybak@yahoo.com
- Site Name
- Inventiva Biomedical And Research Sp. z o.o.
- Contact Person Name
- Jaroslaw Strzelec
- Contact Person Email
- sekretariat@klinika-inventiva.pl
- Site Name
- MlynowaMed Specjalistyczny Psychiatryczny Gabinet Lekarski
- Contact Person Name
- Joanna Lazarczyk
- Contact Person Email
- joannalaz@wp.pl
- Site Name
- Gyncentrum Sp. z o.o.
- Department Name
- Oddzial Warszawa
- Contact Person Name
- Marek Jarema
- Contact Person Email
- m.zemelka@holsaclinical.com
- Site Name
- E4r&D Sp. z o.o.
- Contact Person Name
- Wieslaw Cubala
- Contact Person Email
- cubala@gumed.edu.pl
- Site Name
- Niepubliczny Zaklad Opieki Psychiatrycznej Mentis
- Contact Person Name
- Bartlomiej Krzewinski
- Contact Person Email
- krzevo@poczta.onet.pl
- Site Name
- Włókiennicza Med Specjalistyczna Praktyka Lekarska Dr n. med. Tomasz Markowski
- Contact Person Name
- Tomasz Markowski
- Contact Person Email
- tommarkowski@poczta.onet.pl
- Site Name
- Przychodnia Srodmiescie Sp. z o.o.
- Contact Person Name
- Izabela Fadel
- Contact Person Email
- iza07@o2.pl
- Site Name
- Specjalistyczna Praktyka Lekarska Piotr Zalitacz
- Contact Person Name
- Piotr Zalitacz
- Contact Person Email
- pzalitacz@gmail.com
- Site Name
- Gynecentrum Sp. z o.o. NZOZ Holsamed Oddział Libero
- Contact Person Name
- Krzysztof Klinke
- Contact Person Email
- k.klinke@holsaclinical.com
Hungary
- Earliest CTIS Part Ii Submission Date
- 20-10-2025
- Latest Decision Or Authorization Date
- 10-11-2025
- Processing Time Days
- 21
- Number Of Sites
- 4
- Number Of Participants
- 20
Sites
- Site Name
- Semmelweis University
- Department Name
- Psychiatry
- Contact Person Name
- Csilla Bolyos
- Contact Person Email
- bolyos.csilla@semmelweis.hu
- Site Name
- PsychoTech Kft.
- Contact Person Name
- Viktor Voros
- Contact Person Email
- viktor.voros@psychotech.hu
- Site Name
- Processus Kft.
- Contact Person Name
- Katalin Hideg
- Contact Person Email
- hidegkati@gmail.com
- Site Name
- Clinexpert Kft.
- Contact Person Name
- Tiberiu Dina
- Contact Person Email
- dinatibi@yahoo.com
Romania
- Earliest CTIS Part Ii Submission Date
- 22-10-2025
- Latest Decision Or Authorization Date
- 11-11-2025
- Processing Time Days
- 20
- Number Of Sites
- 1
- Number Of Participants
- 20
Sites
- Site Name
- Spitalul Universitar De Urgenta Militar Central Dr. Carol Davila
- Department Name
- Psychiatry
- Contact Person Name
- Octavian Vasiliu
- Contact Person Email
- rel_pub@scumc.ro
Slovakia
- Earliest CTIS Part Ii Submission Date
- 31-07-2025
- Latest Decision Or Authorization Date
- 23-02-2026
- Processing Time Days
- 207
- Number Of Sites
- 3
- Number Of Participants
- 23
Sites
- Site Name
- Crystal Comfort s.r.o.
- Department Name
- psychiatricka ambulancia
- Contact Person Name
- Dagmar Breznoscakova
- Contact Person Email
- tkraviarova@gmail.com
- Site Name
- MENTUM, s.r.o.
- Department Name
- psychiatricka ambulancia
- Contact Person Name
- Peter Molcan
- Contact Person Email
- molcan@mentum.sk
- Site Name
- PsychoLine s.r.o.
- Department Name
- psychiatricka ambulancia
- Contact Person Name
- Abdul Mohammad Shinwari
- Contact Person Email
- shinwariam@gmail.com
Germany
- Earliest CTIS Part Ii Submission Date
- 16-09-2025
- Latest Decision Or Authorization Date
- 04-12-2025
- Processing Time Days
- 79
- Number Of Sites
- 4
- Number Of Participants
- 22
Sites
- Site Name
- Zentrum fuer klinische Forschung Dr. I. Schoell GmbH
- Contact Person Name
- Elvira Steidl
- Contact Person Email
- Info@forschung-badhomburg.de
- Site Name
- FutureMeds GmbH
- Contact Person Name
- Sascha Öhm
- Contact Person Email
- sascha.oehm@futuremeds.com
- Site Name
- Somni bene Institut fuer medizinische Forschung und Schlafmedizin Schwerin GmbH
- Contact Person Name
- Heike Benes
- Contact Person Email
- heike.benes@somnibene.de
- Site Name
- Pharmakologisches Studienzentrum Chemnitz GmbH
- Contact Person Name
- Ralf Bodenschatz
- Contact Person Email
- merkel@studienzentrum-chemnitz.de
Bulgaria
- Earliest CTIS Part Ii Submission Date
- 24-10-2025
- Latest Decision Or Authorization Date
- 28-04-2026
- Processing Time Days
- 186
- Number Of Sites
- 4
- Number Of Participants
- 33
Sites
- Site Name
- State Psychiatric Hospital – Lovech
- Department Name
- Day Hospital Unit for Adults over 18 Years of Age within the Diagnostic and Consultative Block
- Contact Person Name
- Lyudmil Tumbev
- Contact Person Email
- l.tumbev@abv.bg
- Site Name
- Medical Center Intermedica Ltd.
- Contact Person Name
- Toni Donchev
- Contact Person Email
- tonyd@abv.bg
- Site Name
- Mental Health Center Sofia EOOD
- Department Name
- A day hospital Unit
- Contact Person Name
- Emil Grashnov
- Contact Person Email
- dr.emo@mail.bg
- Site Name
- Medical Center Mentalcare Ltd.
- Contact Person Name
- Stanka Yazova
- Contact Person Email
- syazova@gmail.com
Czechia
- Earliest CTIS Part Ii Submission Date
- 22-10-2025
- Latest Decision Or Authorization Date
- 26-02-2026
- Processing Time Days
- 127
- Number Of Sites
- 6
- Number Of Participants
- 45
Sites
- Site Name
- Medical Services Prague s.r.o.
- Contact Person Name
- Erik Herman
- Contact Person Email
- erik.herman@seznam.cz
- Site Name
- Clintrial s.r.o.
- Contact Person Name
- Zdenek Solle
- Contact Person Email
- zdenek.solle@clintrial.cz
- Site Name
- A-Shine s.r.o.
- Contact Person Name
- Lubos Janu
- Contact Person Email
- lubos.janu@seznam.cz
- Site Name
- INEP medical s.r.o.
- Contact Person Name
- Alexander Nawka
- Contact Person Email
- nawkas@inep.cz
- Site Name
- Neuropsychiatrie Petrska s.r.o.
- Contact Person Name
- Ales Urban
- Contact Person Email
- ordinace@psychiatrie-urban.cz
- Site Name
- Medipa s.r.o.
- Contact Person Name
- Marta Lendlova
- Contact Person Email
- lendlova@medipa.org
Sponsor
Primary sponsor
- Full Name
- Seaport Therapeutics Inc.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Block Clinical Inc.
- Responsibilities
- Patient travel reimbursement, transport service
- Name
- Premier Research Group S.L.
- Name
- Medidata Solutions Inc.
Third parties
- {"country":"United Kingdom","full_name":"Catalent Cts (Edinburgh) Limited","duties_or_roles":"Completes packaging/labeling for US/EU release","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Block Clinical Inc.","duties_or_roles":"Patient travel reimbursement, transport service","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"Medical imaging - ECG","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"YES Print","duties_or_roles":"Printing services","organisation_type":"SME"}
- {"country":"United States","full_name":"Celerion Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"Catalent Germany Schorndorf GmbH","duties_or_roles":"EU release and distribution","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"The Doctors Laboratory Limited","duties_or_roles":"","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United Kingdom","full_name":"Etymax Limited","duties_or_roles":"Translation services","organisation_type":"Pharmaceutical company"}
- {"country":"Spain","full_name":"Premier Research Group S.L.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"Acm Global Central Laboratory Limited","duties_or_roles":"","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Ireland","full_name":"Signant Health Global Solutions Limited","duties_or_roles":"Rater Training","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"EMA Wellness LLC","duties_or_roles":"a validated eCOA smart phone application (dosing reminders)","organisation_type":"Non-Pharmaceutical company"}
Investigational products
- Investigational Product Name
- SPT-300
- Active Substance
- BREXANOLONE CAPRILCERBATE
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Maximum Dose
- 375 mg
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