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
- Contact Person Email
- merkel@studienzentrum-chemnitz.de
- 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
- Contact Person Email
- monika.szewczuk-boguslawska@umw.edu.pl
- 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
- Contact Person Email
- sekretariat@klinika-inventiva.pl
- 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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