Clinical trial • Phase II • Psychiatry

BREXANOLONE CAPRILCERBATE for Major depressive disorder

Phase II trial of BREXANOLONE CAPRILCERBATE for Major depressive disorder.

Overview

Trial Therapeutic Area
Psychiatry
Trial Disease
Major depressive disorder
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
22-04-2025
First CTIS Authorization Date
04-08-2025

Trial design

Randomised, spt-300 (brexanolone caprilcerbate) oral capsule; dose information in record: maxdailydoseamount 375 mg (doseuom: mg), maxtotaldoseamount 375 mg, maxtreatmentperiod 6 (timeunitcode: 2). comparator arm: placebo for spt-300 (placebo).-controlled Phase II trial across 31 sites in Romania, Bulgaria, Czechia and others.

Randomised
Yes
Comparator
SPT-300 (BREXANOLONE CAPRILCERBATE) oral capsule; dose information in record: maxDailyDoseAmount 375 mg (doseUom: mg), maxTotalDoseAmount 375 mg, maxTreatmentPeriod 6 (timeUnitCode: 2). Comparator arm: Placebo for SPT-300 (Placebo).
Target Sample Size
94

Eligibility

Recruits 94 isVulnerablePopulationSelected is true. Participants must be adults (18-65) and have capacity to provide written informed consent. Caregiver information/consent documents (caregiver ICF) and pregnant partner ICF documents are included in the trial documentation..

Vulnerable Population
isVulnerablePopulationSelected is true. Participants must be adults (18-65) and have capacity to provide written informed consent. Caregiver information/consent documents (caregiver ICF) and pregnant partner ICF documents are included in the trial documentation.

Inclusion criteria

  • {"criterion_text":"- Participant is a male or female between 18 and 65 years of age, inclusive willing and able and have capacity to provide written informed consent."}
  • {"criterion_text":"- Participants must have a primary diagnosis of MDD. Participants with a diagnosis of comorbid generalized anxiety disorder, social anxiety disorder, or panic disorder (with or without agoraphobia) may be included if not the focus of treatment over the past 6 months prior to Screening and the Investigator considers MDD to be the primary diagnosis at Screening and Baseline."}
  • {"criterion_text":"- Eligible participants must have a current depressive episode of at least 4 weeks, but no greater than 18 months in duration prior to Screening."}

Exclusion criteria

  • {"criterion_text":"- History of, or current presentation consistent with: a.\tany depressive episode with psychotic or catatonic features b.\tany bipolar manic, hypomanic or mixed episode, and substance-induced (eg, antidepressant-induced) manic, hypomanic/mixed episode c.\tbipolar disorder, including history of bipolar depression, or current presentation consistent with bipolar depression d.\tschizophrenia, schizoaffective, or other psychotic disorder e.\tobsessive-compulsive disorder f.\tany persistent neurocognitive disorder"}
  • {"criterion_text":"- Psychiatric hospitalization within current depressive episode. Participants with MDD that requires hospitalization are not eligible for the study."}
  • {"criterion_text":"- Evidence or history of clinically significant disease which can affect the patients’ participation."}
  • {"criterion_text":"- Previous history of intolerance or significant adverse effects, including drug allergy to allopregnanolone or any components of the SPT-300/placebo formulation."}
  • {"criterion_text":"- Participant has a history of drug or alcohol use disorder."}
  • {"criterion_text":"- Participants with a positive test for cannabinoids."}
  • {"criterion_text":"- Clinically significant risk of suicide or harm to self or others."}
  • {"criterion_text":"- History of treatment-resistant depression defined as 2 or more failed treatments of adequate dose and duration in the current depressive episode."}
  • {"criterion_text":"- Borderline or antisocial personality disorder or other disorder of sufficient severity that judged by the Investigator could interfere with participation in this study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change from Baseline to Visit 6 (Study Day 42) in Hamilton Depression Rating Scale-17 (HAM-D-17) total score","definition_or_measurement_approach":"Change from baseline to Visit 6 (Study Day 42) measured by total score on the HAM-D-17 questionnaire"}

Secondary endpoints

  • {"endpoint_text":"- Change from Baseline to Visit 6 (Study Day 42) in Clinician Global Impression-Severity (CGI-S)","definition_or_measurement_approach":"Change from baseline to Visit 6 (Study Day 42) measured by the Clinician Global Impression - Severity (CGI-S) scale"}

Recruitment

Digital Remote Recruitment
True (documents reference Instagram posts and website posts as recruitment channels)
Planned Sample Size
94
Recruitment Window Months
15
Consent Approach
Written informed consent obtained from the participant (participants must have capacity to provide written informed consent). Subject information and ICF documents available in multiple languages (documents present in EN, BG, CZ, HU, RO, SK, DE, PL). Caregiver ICF and Pregnant Partner ICF documents are included where applicable; data processor consent documents also provided.

Methods

  • GP letters (GP Letter documents listed for multiple countries)
  • Study brochures and leaflets (Study Brochure, leaflet documents listed per country)
  • Website posts (document titles include 'website post')
  • Social media posts (document titles include 'post instagram')
  • Local recruitment arrangements and GP engagement (K1/K2 recruitment arrangements documents listed per country)
  • Patient cards and participant handouts (Patient card / Participant Handout documents)

Geography

Total Number Of Sites
31
Total Number Of Participants
266

Romania

Earliest CTIS Part Ii Submission Date
31-07-2025
Latest Decision Or Authorization Date
11-08-2025
Processing Time Days
11
Number Of Sites
1
Number Of Participants
36

Sites

Site Name
Spitalul Universitar De Urgenta Militar Central Dr. Carol Davila
Department Name
Psychiatry
Contact Person Name
Octavian Vasiliu
Contact Person Email
octavvasiliu@yahoo.com

Bulgaria

Earliest CTIS Part Ii Submission Date
31-07-2025
Latest Decision Or Authorization Date
05-12-2025
Processing Time Days
127
Number Of Sites
3
Number Of Participants
26

Sites

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
20-07-2025
Latest Decision Or Authorization Date
10-02-2026
Processing Time Days
205
Number Of Sites
6
Number Of Participants
45

Sites

Site Name
A-Shine s.r.o.
Contact Person Name
Lubos Janu
Contact Person Email
ambulance.smrkova@gmail.com
Site Name
Medical Services Prague s.r.o.
Contact Person Name
Erik Herman
Contact Person Email
erik.herman@seznam.cz
Site Name
INEP medical s.r.o.
Contact Person Name
Alexander Nawka
Contact Person Email
clinicaltrials@inep.cz
Site Name
Clintrial s.r.o.
Contact Person Name
Zdenek Solle
Contact Person Email
info@clintrial.cz
Site Name
Neuropsychiatrie Petrska s.r.o.
Contact Person Name
Ales Urban
Contact Person Email
studie@psychiatrie-urban.cz
Site Name
Medipa s.r.o.
Contact Person Name
Marta Lendlova
Contact Person Email
lendlova@medipa.org

Hungary

Earliest CTIS Part Ii Submission Date
24-07-2025
Latest Decision Or Authorization Date
30-03-2026
Processing Time Days
249
Number Of Sites
3
Number Of Participants
24

Sites

Site Name
Clinexpert Kft.
Contact Person Name
Tiberiu Dina
Contact Person Email
dinatibi@yahoo.com
Site Name
Processus Kft.
Contact Person Name
Katalin Hideg
Contact Person Email
hidegkati@gmail.com
Site Name
Semmelweis University
Department Name
Psychiatry
Contact Person Name
Csilla Bolyos
Contact Person Email
bolyos.csilla@semmelweis.hu

Germany

Earliest CTIS Part Ii Submission Date
25-07-2025
Latest Decision Or Authorization Date
27-03-2026
Processing Time Days
245
Number Of Sites
4
Number Of Participants
22

Sites

Site Name
Somni bene Institut fuer medizinische Forschung und Schlafmedizin Schwerin GmbH
Department Name
Institute for Medical Research and Sleep Medicine
Contact Person Name
Heike Benes
Contact Person Email
heike.benes@somibene.de
Site Name
Pharmakologisches Studienzentrum Chemnitz GmbH
Contact Person Name
Ralf Bodenschatz
Site Name
FutureMeds GmbH
Contact Person Name
Sascha Öhm
Contact Person Email
Sascha.oehm@futuremeds.com
Site Name
Zentrum fuer klinische Forschung Dr. I. Schoell GmbH
Contact Person Name
Elvira Steidl
Contact Person Email
Info@forschung-badhomburg.de

Poland

Earliest CTIS Part Ii Submission Date
01-08-2025
Latest Decision Or Authorization Date
29-04-2026
Processing Time Days
271
Number Of Sites
11
Number Of Participants
87

Sites

Site Name
MłynowaMed Specjalistyczny Psychiatryczny Gabinet Lekarski Joanna Łazarczyk
Contact Person Name
Joanna Lazarczyk
Contact Person Email
joannalaz@wp.pl
Site Name
MEDICMENTAL
Contact Person Name
Monika Szewczuk-Boguslawska
Site Name
Gyncentrum Sp. z o.o.
Contact Person Name
Marek Jarema
Contact Person Email
jarema@ipin.edu.pl
Site Name
Gynecentrum Sp. z o.o. NZOZ Holsamed Oddział Libero
Contact Person Name
Krzysztof Klinke
Contact Person Email
k.klinke@holsaclinical.com
Site Name
Inventiva Biomedical And Research Sp. z o.o.
Contact Person Name
Jaroslaw Strzelec
Site Name
Niepubliczny Zaklad Opieki Psychiatrycznej Mentis
Contact Person Name
Bartlomiej Krzewinski
Contact Person Email
krzevo@poczta.onet.pl
Site Name
E4r&D Sp. z o.o.
Contact Person Name
Wieslaw Cubala
Contact Person Email
cubala@gumed.edu.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
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
Przychodnia Srodmiescie Sp. z o.o.
Contact Person Name
Izabela Fadel
Contact Person Email
iza07@o2.pl

Slovakia

Earliest CTIS Part Ii Submission Date
31-07-2025
Latest Decision Or Authorization Date
04-05-2026
Processing Time Days
277
Number Of Sites
3
Number Of Participants
26

Sites

Site Name
PsychoLine s.r.o.
Contact Person Name
Abdul Mohammad Shinwari
Contact Person Email
shinwariam@gmail.com
Site Name
Mentum s.r.o.
Contact Person Name
Peter Molcan
Contact Person Email
molcan@mentum.sk
Site Name
Crystal Comfort s.r.o.
Contact Person Name
Dagmar Breznoscakova
Contact Person Email
tkraviarova@gmail.com

Sponsor

Primary sponsor

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

Contract research organisations

Name
Premier Research Group S.L.
Responsibilities
Multiple sponsor duties (codes: 1,11,12,13,2,5,6,7,8) as listed in third-party duties

Third parties

  • {"country":"United Kingdom","full_name":"The Doctors Laboratory Limited","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"Medical imaging - ECG (sponsorDuties code: 15, value: Medical imaging - ECG)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Block Clinical Inc.","duties_or_roles":"Patient travel reimbursement, transport service (sponsorDuties code: 15)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"YES Print","duties_or_roles":"Printing services (sponsorDuties code: 15)","organisation_type":"SME"}
  • {"country":"United Kingdom","full_name":"Catalent Cts (Edinburgh) Limited","duties_or_roles":"Completes packaging/labeling for US/EU release (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Celerion Inc.","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"sponsorDuties code: 7","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Massachusetts General Hospital","duties_or_roles":"Review of the SIGH-D and SCID audio recordings (sponsorDuties code: 15)","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"Germany","full_name":"Catalent Germany Schorndorf GmbH","duties_or_roles":"EU release and distribution (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Innovative Trials Limited","duties_or_roles":"Branding services (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Acm Global Central Laboratory Limited","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"Spain","full_name":"Premier Research Group S.L.","duties_or_roles":"Multiple sponsor duties (codes: 1,11,12,13,2,5,6,7,8)","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Etymax Limited","duties_or_roles":"Translation services (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Signant Health Global Solutions Limited","duties_or_roles":"Rater Training and Audio Recordings (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"EMA Wellness LLC","duties_or_roles":"a validated eCOA smart phone application (dosing reminders) (sponsorDuties code: 15)","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
Dose Levels
maxDailyDoseAmount 375 mg; maxTotalDoseAmount 375 mg; maxTreatmentPeriod 6 (timeUnitCode 2)
Maximum Dose
375 mg
Investigational Product Name
Placebo for SPT-300
Modality
Other

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