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
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
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

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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