ClinicalTrials.gg
CompletedNCT05536414JUNIPERUpdated May 14, 2026

Trial of Centanafadine Efficacy and Safety as Monotherapy or as Adjunct to SSRI in Adults With Major Depressive Disorder

A Phase 2 interventional study of Centanafadine and Escitalopram in Major Depressive Disorder, sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc.. Completed at 62 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-05-14.

Sponsored by Otsuka Pharmaceutical Development & Commercialization, Inc. (part of Otsuka Holdings Co., Ltd.) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was May 2025, 1 year 5 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in May 2026.
Phase
Phase 2
Study type
Interventional
Enrollment
337
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a phase 2, multicenter, randomized, double-blind, placebo-controlled, parallel-arm trial to assess the efficacy, safety, and tolerability of centanafadine once-daily (QD) extended-release (XR) capsules for the treatment of adult subjects diagnosed with Major Depressive Disorder (MDD).

The trial will evaluate the efficacy and safety of centanafadine QD XR capsules as monotherapy or as adjunct to the selective serotonin reuptake inhibitor (SSRI), escitalopram.

02

Conditions studied

  • Major Depressive Disorder

Keywords

  • MDD
  • Centanafadine
  • SSRI
  • Depressive Disorder
  • Depression
  • Depressive Disorder, Major
  • Mood Disorders
  • Mental Disorders
  • Behavioral Symptoms
03

In context

Depressive Disorder, Major

3,041 studies on the registry are indexed under Depressive Disorder, Major; 588 are open to participants now.

This study's enrollment of 337 is above the median of 79 across 2,530 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Otsuka Pharmaceutical Development & Commercialization, Inc. is the lead sponsor of 295 studies on the registry; 18 are open to participants now.

Of its 106 completed or terminated interventional studies of FDA-regulated products, 71 (67%) 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:

  • Male and Female subjects between 18-65 years of age, with a primary diagnosis of major depressive disorder and in a current major depressive episode.
  • History of an inadequate response to at least 1 and no more than 3 antidepressant treatments in the current major depressive episode.

Key Exclusion Criteria:

  • Subjects who report an inadequate response to more than 3 antidepressant treatments in the current episode.
  • Subjects with a lifetime history of schizophrenia spectrum or other psychotic disorder, bipolar or related disorder, neurocognitive disorder, or personality disorder.
  • Subjects with a current diagnosis of post-traumatic stress disorder, obsessive compulsive disorder, panic disorder, or eating disorder (including anorexia nervosa or bulimia).
  • Sexually active subjects, who could become pregnant, not agreeing to practice 2 sponsor approved methods of or remain abstinent during the trial and for 30 days (females) or 90 days (males) after last dose of study drug.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

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

Study arms

  • Experimental
    Centanafadine + Placebo

    Drug: Centanafadine · Drug: Placebo

  • Experimental
    Centanafadine + Escitalopram

    Drug: Centanafadine · Drug: Escitalopram

  • Active comparator
    Escitalopram + Placebo

    Drug: Escitalopram · Drug: Placebo

  • Placebo comparator
    Placebo + Placebo

    Drug: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Change from baseline to Week 6 in Montgomery-Asberg Depression Rating Scale (MADRS) Total score.

    Time frame: Baseline, Week 6

07

Study locations

62 sites
  • Yuma CNS Research
    Yuma, Arizona 85365-4905, United States
  • SanRo Clinical Research Group LLC
    Bryant, Arkansas 72022-9252, United States
  • Behavioral Research Specialists-California-Irvine
    Glendale, California 91206-4282, United States
  • Sunwise Clinical Research, LLC - Lafayette - IVY - PPDS
    Lafayette, California 94549, United States
  • OM Research LLC - Lancaster - ClinEdge - PPDS
    Lancaster, California 93534-5504, United States
  • Synergy Research Centers - SRC - ERG - PPDS
    Lemon Grove, California 91945-2956, United States
  • ATP Clinical Research
    Orange, California 92866, United States
  • NRC Research Institute - Orange - PPDS
    Orange, California 92868-2847, United States
  • Prospective Research Innovations
    Rancho Cucamonga, California 91730-4850, United States
  • Anderson Clinical Research - ClinEdge - PPDS
    Redlands, California 92374-4555, United States
  • Lumos Clinical Research
    San Jose, California 95124-4108, United States
  • Syrentis Clinical Research
    Santa Ana, California 92705-8675, United States
  • Schuster Medical Research Institute
    Sherman Oaks, California 91403-1747, United States
  • Viking Clinical Research Ltd
    Temecula, California 92591-5285, United States
  • CNS Clinical Research Group
    Coral Springs, Florida 33067-4644, United States
  • Gulfcoast Clinical Research Center
    Fort Myers, Florida 33912-4367, United States
  • Clinical Neuroscience Solutions Inc
    Jacksonville, Florida 32256-6040, United States
  • South Florida Research Phase I - IV
    Miami Springs, Florida 33166-7225, United States
  • Behavioral Clinical Research, Inc
    North Miami, Florida 33161-5832, United States
  • Clinical Neuroscience Solutions Inc
    Orlando, Florida 32801-2987, United States
  • University of South Florida
    Tampa, Florida 33613-4706, United States
  • Atlanta Center for Medical Research - CenExel ACMR - PPDS
    Atlanta, Georgia 30331, United States
  • iResearch Atlanta - CenExel - PPDS
    Decatur, Georgia 30030-3438, United States
  • Psych Atlanta
    Marietta, Georgia 30060-2585, United States
  • Accelerated Clinical Trials,LLC
    Peachtree Corners, Georgia 30071-2655, United States
  • Northwest Clinical Trials
    Boise, Idaho 83704-8638, United States
  • Flourish Research - Andersonville - PPDS
    Chicago, Illinois 60640-2831, United States
  • Revive Research Institute
    Elgin, Illinois 60123-9215, United States
  • American Medical Research Inc
    Oak Brook, Illinois 60523-1818, United States
  • Louisiana Clinical Research, LLC
    Shreveport, Louisiana 71101-4603, United States
  • MTP Psychiatry, LLC
    Baltimore, Maryland 21229-1506, United States
  • Precise Research Centers - ClinEdge - PPDS
    Flowood, Mississippi 39232, United States
  • Psychiatric Care and Research Center
    O'Fallon, Missouri 63368-8223, United States
  • Bio Behavioral Health
    Toms River, New Jersey 08755-6434, United States
  • Integrative Clinical Trials - Hunt - PPDS
    Brooklyn, New York 11229-3576, United States
  • SPRI Clinical Trials, LLC - ERG - PPDS
    Brooklyn, New York 11235-5660, United States
  • Fieve Clinical Research
    New York, New York 10017-1945, United States
  • Manhattan Behavioral Medicine
    New York, New York 10036-4543, United States
  • Finger Lakes Clinical Research
    Rochester, New York 14618-1609, United States
  • Richmond Behavioral Associates
    Staten Island, New York 10314, United States
  • Patient Priority Clinical Sites LLC
    Cincinnati, Ohio 45215-2123, United States
  • University of Cincinnati
    Cincinnati, Ohio 45219-2498, United States
  • Charak Clinical Research Center
    Garfield Heights, Ohio 44125-2946, United States
  • Neuro-Behavioral Clinical Research Inc - ClinEdge - PPDS
    North Canton, Ohio 44720-1528, United States
  • Cutting Edge Research
    Oklahoma City, Oklahoma 73116-1423, United States
  • Summit Research Network, Inc. - Portland - Headlands - PPDS
    Portland, Oregon 97210-5354, United States
  • Suburban Research Associates - ATLAS - West Chester - PPDS
    West Chester, Pennsylvania 19380-4370, United States
  • LLM Research - South Carolina
    Myrtle Beach, South Carolina 29577-5898, United States
  • Clinical Neuroscience Solutions Inc
    Memphis, Tennessee 38119-4806, United States
  • FutureSearch Trials of Dallas, LLC - IVY - PPDS
    Dallas, Texas 75251, United States
  • InSite Clinical Research, LLC
    DeSoto, Texas 75115-2066, United States
  • Houston Mind & Brain
    Houston, Texas 77055-6349, United States
  • Innovative Medical Research of Texas
    Houston, Texas 77065-4776, United States
  • Red Oak Psychiatry Associates P A
    Houston, Texas 77090-2607, United States
  • University Hills Clinical Research
    Irving, Texas 75062-2762, United States
  • AIM Trials
    Plano, Texas 75093-8346, United States
  • Grayline Clinical Drug Trials
    Wichita Falls, Texas 76309-1608, United States
  • Alpine Research Organization, Inc
    Clinton, Utah 84015-8563, United States
  • Cedar Clinical Research - IVY - PPDS
    Draper, Utah 84020-9884, United States
  • The Memory Clinic
    Bennington, Vermont 05201-9810, United States
  • University of Virginia
    Charlottesville, Virginia 22903-9353, United States
  • Core Clinical Research
    Everett, Washington 98201-4077, United States
08

References and documents

Individual participant data

Plan to share: Yes — Anonymized Individual participant data (IPD) that underlie the results of this study will be shared with researchers to achieve aims pre-specified in a methodologically sound research proposal. Small studies with less than 25 participants are excluded from data sharing.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Data will be available after marketing approval in global markets, or beginning 1-3 years following article publication. There is no end date to the availability of the data.

Access criteria: Otsuka will share data on the Vivli data sharing platform which can be found here: https://vivli.org/ourmember/Otsuka/

Data sharing details ↗ · clinical-trials.otsuka.com

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2022 to primary completion in May 2025, 32 months.

Of 96 industry-sponsored phase 2 interventional studies under Depressive Disorder, Major, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 23. This study's 32 months is above that.

Counting every sponsor, half of 195 studies reached it within 22 months; a quarter within 14 and three quarters within 37.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 7, 2022
First posted
Sep 10, 2022
StartActual
Sep 12, 2022
Primary completionActual
May 16, 2025
CompletionActual
May 16, 2025
Results delay requested
May 5, 2026
Last update
May 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05536414
Responsible party
Sponsor
First posted
Sep 10, 2022
Start date
Sep 12, 2022
Primary completion
May 16, 2025
Completion
May 16, 2025
Last update
May 14, 2026

Oversight

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

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This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Centanafadine · Escitalopram

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