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An Evaluation of AXS-05 for the Treatment of TRD in Treatment-Adherent Patients (TARGET)

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Axsome Therapeutics

Status and phase

Unknown
Phase 2

Conditions

Major Depressive Disorder
Treatment Resistant Depression

Treatments

Drug: Bupropion SR
Drug: AXS-05

Study type

Interventional

Funder types

Industry

Identifiers

NCT04971291
AXS-05-TRD-203

Details and patient eligibility

About

The TARGET study is an active-controlled evaluation of AXS-05 compared to bupropion in patients with treatment-resistant major depressive disorder (MDD) who are adherent to study drug. Subjects are considered to have treatment-resistant MDD if they have had a historical inadequate response to 1 or 2 prior antidepressant treatments (ADTs) and a prospective inadequate response to treatment with bupropion SR, during the current major depressive episode.

The TARGET study will first determine treatment adherence based on analysis of drug concentrations of dextromethorphan (in the AXS-05 group) and bupropion (in the bupropion group), and then evaluate the efficacy of AXS-05 in patients determined to be treatment-adherent. Efficacy data for evaluation of treatment effect will be obtained from assessments made during study AXS-05-301.

Enrollment

312 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

  • Provided written informed consent to participate in Study AXS-05-301
  • Has treatment-resistant depression, defined as an inadequate response to 2 or 3 prior ADTs
  • Body mass index (BMI) between 18 and 40 kg/m2, inclusive

Key Exclusion Criteria:

  • Suicide risk
  • Treatment with any investigational drug within 6 months
  • History of electroconvulsive therapy (ECT), vagus nerve stimulation, transcranial magnetic stimulation, or any experimental central nervous system treatment during the current episode or in the past 6 months
  • Pregnant, breastfeeding, or planning to become pregnant or breastfeed during the study

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

312 participants in 2 patient groups

AXS-05
Experimental group
Description:
45 mg dextromethorphan-105 mg bupropion
Treatment:
Drug: AXS-05
Bupropion SR
Active Comparator group
Description:
150 mg bupropion
Treatment:
Drug: Bupropion SR

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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