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CompletedNCT02943577Updated Nov 13, 2019Results posted

A Study of Rapastinel as Adjunctive Therapy in Major Depressive Disorder (RAP-MD-03)

A Phase 3 interventional study of Rapastinel and Placebo in Depressive Disorder, Major, sponsored by Naurex, Inc, an affiliate of Allergan plc. Completed at 40 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-11-13.

Sponsored by Naurex, Inc, an affiliate of Allergan plc (part of AbbVie) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
429
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study will evaluate the efficacy, safety, and tolerability of rapastinel 450 milligrams (mg) compared to placebo adjunctive to antidepressant therapy (ADT) in patients with major depressive disorder (MDD) who have a partial response to ADT.

02

Conditions studied

  • Depressive Disorder, Major
03

In context

Depressive Disorder, Major

2,805 studies on the registry are indexed under Depressive Disorder, Major; 565 are open to participants now.

This study's enrollment of 429 is above the median of 80 across 2,338 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Naurex, Inc, an affiliate of Allergan plc is the lead sponsor of 20 studies on the registry; none are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 10 (83%) have results posted.

First submitted before Naurex, Inc became part of AbbVie.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for MDD
  • Current major depressive episode of at least 8 weeks and not exceeding 18 months in duration at Visit 1
  • Have no more than partial response (\< 50% improvement) to ongoing treatment with a protocol-allowed antidepressant
  • If female of childbearing potential, have a negative serum β-human chorionic gonadotropin (β-hCG) pregnancy test.

Exclusion criteria

Exclusion Criteria:

  • DSM-5-based diagnosis of any disorder other than MDD that was the primary focus of treatment within 6 months before Visit 1
  • Lifetime history of meeting DSM-5 criteria for:

    1. Schizophrenia spectrum or other psychotic disorder
    2. Bipolar or related disorder
    3. Major neurocognitive disorder
    4. Neurodevelopmental disorder of greater than mild severity or of a severity that impacts the participant's ability to consent, follow study directions, or otherwise safely participate in the study
    5. Dissociative disorder
    6. Posttraumatic stress disorder
    7. MDD with psychotic features
  • Significant suicide risk, as judged by the Investigator.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
429 participants (actual)

Study arms

  • Experimental
    Rapastinel 450 mg

    Rapastinel 450 mg weekly intravenous (IV) injections. Each participant will continue to take the same dose of antidepressant therapy the participant was receiving prior to entering this study throughout treatment.

    Drug: Rapastinel

  • Placebo comparator
    Placebo

    Placebo-matching rapastinel weekly IV injections. Each participant will continue to take the same dose of antidepressant therapy the participant was receiving prior to entering this study throughout treatment.

    Drug: Placebo

Interventions

  • Rapastinel pre-filled syringes for weekly IV injections.

  • DrugPlacebo

    Placebo-matching rapastinel pre-filled syringes for weekly IV injections.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at the End of Study

    The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

    Time frame: Baseline and 3 Weeks

Secondary outcomes

  1. Change From Baseline in MADRS Total Score

    The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

    Time frame: Baseline and Day 8

  2. Change From Baseline to Day 21 in MADRS Total Score for the Placebo Non-responders of mITT Population

    The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

    Time frame: Baseline and Day 21

  3. Change From Baseline to Day 8 in MADRS Total Score for the Placebo Non-responders of mITT Population

    The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

    Time frame: Baseline and Day 8

07

Results

Posted Nov 13, 2019

Participant flow

Participant flow — Overall Study
MilestonePlaceboRapastinel 450 mg
Started209206
Completed204201
Not completed55
Withdrew: Protocol violation01
Withdrew: Adverse event32
Withdrew: Lost to follow-up01
Withdrew: Withdrawal by subject11
Withdrew: Pregnancy10

Outcome measures

PrimaryChange From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at the End of Study

The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

Time frame:
Baseline and 3 Weeks
Reported as:
Least squares mean · Score on a Scale
Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at the End of Study
Score on a ScalePlaceboRapastinel 450 mg
Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score at the End of Study-4.1 ± 0.64-5.1 ± 0.66
Statistical analysis
  • Placebo vs Rapastinel 450 mg · Mixed Model Repeated Measures (MMRM) · p = 0.2398 · Least squares mean difference: -1.0 · 95% CI -2.70 to 0.68
SecondaryChange From Baseline in MADRS Total Score

The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

Time frame:
Baseline and Day 8
Reported as:
Least squares mean · Score on a Scale
Change From Baseline in MADRS Total Score
Score on a ScalePlaceboRapastinel 450 mg
Change From Baseline in MADRS Total Score-4.3 ± 0.53-3.9 ± 0.55
Statistical analysis
  • Placebo vs Rapastinel 450 mg · Mixed Model Repeated Measures (MMRM) · p = 0.5522 · Least squares mean difference: 0.4 · 95% CI -0.95 to 1.77
SecondaryChange From Baseline to Day 21 in MADRS Total Score for the Placebo Non-responders of mITT Population

The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

Time frame:
Baseline and Day 21
Reported as:
Least squares mean · Score on a Scale
Change From Baseline to Day 21 in MADRS Total Score for the Placebo Non-responders of mITT Population
Score on a ScalePlaceboRapastinel 450 mg
Change From Baseline to Day 21 in MADRS Total Score for the Placebo Non-responders of mITT Population-4.6 ± 0.72-4.6 ± 0.74
Statistical analysis
  • Placebo vs Rapastinel 450 mg · Mixed Model Repeated Measures (MMRM) · p = 0.9901 · Least squares mean difference: -0.0 · 95% CI -2.01 to 1.99
SecondaryChange From Baseline to Day 8 in MADRS Total Score for the Placebo Non-responders of mITT Population

The MADRS is a clinician-rated scale to assess depressive symptomatology during the preceding week. Participants are rated on 10 items (feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating, and lack of interest) each on a 7-point scale from 0 (no symptoms) to 6 (symptoms of maximum severity). The total score ranges from 0 to 60 with a higher score indicating more depression. A negative change score indicates improvement.

Time frame:
Baseline and Day 8
Reported as:
Least squares mean · Score on a Scale
Change From Baseline to Day 8 in MADRS Total Score for the Placebo Non-responders of mITT Population
Score on a ScalePlaceboRapastinel 450 mg
Change From Baseline to Day 8 in MADRS Total Score for the Placebo Non-responders of mITT Population-4.1 ± 0.61-3.6 ± 0.62
Statistical analysis
  • Placebo vs Rapastinel 450 mg · Mixed Model Repeated Measures (MMRM) · p = 0.5563 · Least squares mean difference: 0.5 · 95% CI -1.17 to 2.17

Adverse events

Collected over Adverse Events were collected for up to 28 days.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo1/209 (0.5%)3/209 (1.4%)18/209 (8.6%)
Rapastinel 450 mg0/206 (0%)0/206 (0%)15/206 (7.3%)
Most frequent serious events
Most frequent serious events
EventPlaceboRapastinel 450 mg
Abortion spontaneousPregnancy, puerperium and perinatal conditions1/1510/156
AsthmaRespiratory, thoracic and mediastinal disorders1/2090/206
Subarachnoid haemorrhageNervous system disorders1/2090/206
Most frequent other events
Most frequent other events
EventPlaceboRapastinel 450 mg
HeadacheNervous system disorders18/20915/206

Baseline characteristics

The modified Intent-to-Treat (mITT) Population will consist of all patients who were randomized, received at least 1 dose of IP during the randomized treatment period, and had at least 1 post-randomization assessment of the MADRS total score.

Age, Continuous
Age, Continuous(Years)PlaceboRapastinel 450 mgTotal
Mean46.4 ± 11.9347.4 ± 11.3446.9 ± 11.64
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboRapastinel 450 mgTotal
Female151156307
Male5850108
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboRapastinel 450 mgTotal
Hispanic or Latino253459
Not Hispanic or Latino184172356
Unknown or Not Reported000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboRapastinel 450 mgTotal
White156157313
Black or African American484593
Asian336
American Indian or Alaska Native202
Native Hawaiian or Other Pacific Islander011
MADRS total score at baseline
MADRS total score at baseline(Scores on a Scale)PlaceboRapastinel 450 mgTotal
Mean33.8 ± 4.8334.1 ± 4.7334.0 ± 4.76
08

Study locations

40 sites
  • Harmonex Neuroscience Research
    Dothan, Alabama 36303, United States
  • NoesisPharma
    Phoenix, Arizona 85016, United States
  • Sun Valley Research Center
    Imperial, California 92251, United States
  • Irvine Center for Clinical Research, Inc
    Irvine, California 92614, United States
  • NRC Research Institute
    Orange, California 92868, United States
  • Asclepes Research Centers
    Panorama City, California 91402, United States
  • Artemis Institute for Clinical Research
    San Marcos, California 92078, United States
  • MCB Clinical Research Center
    Colorado Springs, Colorado 80910, United States
  • Gulfcoast Clinical Research Center
    Fort Myers, Florida 33912, United States
  • Research Centers of America
    Hollywood, Florida 33024, United States
  • Innova Clinical Trials Inc.
    Miami, Florida 33133, United States
  • Combined Research Orlando Phase I-IV
    Orlando, Florida 32807, United States
  • Olympian Clinical Research
    Tampa, Florida 33609, United States
  • The University of South Florida Board of Trustees, A public Body Corporate, for University of South Florida
    Tampa, Florida 33613, United States
  • Northwest Behavioral Research Center
    Marietta, Georgia 30060, United States
  • AMR - Baber Research, Inc.
    Naperville, Illinois 60563, United States
  • Psychiatric Associates
    Overland Park, Kansas 66211, United States
  • Louisiana Clinical Research
    Shreveport, Louisiana 71101, United States
  • Sheppard Pratt Health System
    Baltimore, Maryland 21204, United States
  • University of Massachusetts Medical School
    Worcester, Massachusetts 01655, United States
  • Psychiatric Care and Research Center
    O'Fallon, Missouri 63368, United States
  • St. Charles Psychiatric Associates - Midwest Research Group
    Saint Charles, Missouri 63304, United States
  • Alivation Research
    Lincoln, Nebraska 68526, United States
  • Healthy Perspectives - Innovative Mental Health Services. PLLC
    Nashua, New Hampshire 03060, United States
  • Hassman Research Institute, LLC
    Berlin, New Jersey 08009, United States
  • Global Medical Institute, LLC
    Princeton, New Jersey 08540, United States
  • Bio Behavioral Health
    Toms River, New Jersey 08755, United States
  • Albuquerque Neuroscience, Inc
    Albuquerque, New Mexico 87109, United States
  • SPRI Clinical Trials, Inc
    Brooklyn, New York 11235, United States
  • Manhattan Behavioral Medicine
    New York, New York 10036, United States
  • Fieve Clinical Research
    New York, New York 10168, United States
  • New Hope Clinical Research Inc.
    Charlotte, North Carolina 28211, United States
  • Dr. Cherian Verghese
    Norristown, Pennsylvania 20006, United States
  • Research Strategies of Memphis, LLC
    Memphis, Tennessee 38119, United States
  • Houston Clinical Trials, LLC
    Bellaire, Texas 77401, United States
  • North Texas Clinical Trials
    Fort Worth, Texas 76104, United States
  • Grayline Clinical Drug Trials
    Wichita Falls, Texas 76309, United States
  • Psychiatric and Behavioral Solutions
    Salt Lake City, Utah 84105, United States
  • Department of Psychiatry and Neurobehavioral Sciences, University of Virginia
    Charlottesville, Virginia 22903, United States
  • Psychiatric Alliance of the Blue Ridge, Inc.
    Charlottesville, Virginia 22903, United States
09

References and documents

Study documents

  • Study protocol · Nov 20, 2018
  • Statistical analysis plan · Jan 25, 2019

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 13, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02943577
Responsible party
Sponsor
First posted
Oct 24, 2016
Start date
Nov 2, 2016
Primary completion
Oct 26, 2018
Completion
Nov 21, 2018
Results posted
Nov 13, 2019
Last update
Nov 13, 2019

Study contacts

Jenna Hoogerheyde
study director · Allergan

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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