CClinicalTrials.gg
Status unknownNCT04971291TARGETUpdated Jul 26, 2021

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

A Phase 2 interventional study of AXS-05 and Bupropion SR in Major Depressive Disorder and Treatment Resistant Depression, sponsored by Axsome Therapeutics, Inc.. Status unknown at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-07-26.

Sponsored by Axsome Therapeutics, Inc. · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2021), so the status shown — last known as Enrolling by invitation — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
312
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

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.

02

Conditions studied

  • Major Depressive Disorder
  • Treatment Resistant Depression

Keywords

  • AXS-05
  • Axsome
  • NMDA receptor
03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's planned enrollment of 312 is above the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Axsome Therapeutics, Inc. is the lead sponsor of 36 studies on the registry; 12 are open to participants now.

Of its 20 completed or terminated interventional studies of FDA-regulated products, 11 (55%) have results posted.

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

Eligibility 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
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
312 participants (estimated)

Study arms

  • Experimental
    AXS-05

    45 mg dextromethorphan-105 mg bupropion

    Drug: AXS-05

  • Active comparator
    Bupropion SR

    150 mg bupropion

    Drug: Bupropion SR

Interventions

  • DrugAXS-05

    AXS-05 taken twice daily for 6 weeks

  • DrugBupropion SR

    Bupropion taken twice daily for 6 weeks

06

What researchers measure

Primary outcomes

  1. Montgomery-Åsberg Depression Rating Scale (MADRS) total score

    The MADRS is used to assess depressive symptomatology during the previous week. Subjects are rated on 10 items to assess feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty concentrating and lack of interest. Each item is scored on a 7-point scale. A score of 0 indicates the absence of symptoms, and a score of 6 indicates symptoms of maximum severity.

    Time frame: Change from Baseline to Week 6

07

Study locations

1 site
  • Axsome Research Site
    New York, New York 10007, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 26, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04971291
Lead sponsor
Axsome Therapeutics, Inc.
Responsible party
Sponsor
First posted
Jul 21, 2021
Start date
Apr 14, 2021
Primary completion
Jul 2021 (estimated)
Completion
Jul 2021 (estimated)
Last update
Jul 26, 2021

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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