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CompletedNCT05550532VENTURA-2Updated Feb 13, 2026Results posted

A Study of Aticaprant 10 Milligrams (mg) as Adjunctive Therapy in Adult Participants With MDD With Moderate-to-severe Anhedonia and Inadequate Response to Current Antidepressant Therapy

A Phase 3 interventional study of Aticaprant and Placebo in Depressive Disorder, Major and Anhedonia, sponsored by Janssen Research & Development, LLC. Completed at 131 sites in 14 countries. Open to participants aged 18 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-02-13.

Sponsored by Janssen Research & Development, LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
444
Allocation
Randomized
Ages
18 Years to 74 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy of aticaprant compared with placebo as adjunctive therapy to an antidepressant in improving depressive symptoms in adult participants with major depressive disorder (MDD) with moderate to severe anhedonia (ANH+) who have had an inadequate response to current antidepressant therapy with a selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI).

Read the detailed description

Depression is a common and serious psychiatric disorder which is a leading cause of disability worldwide and is associated with elevated mortality and suicide risk. Aticaprant (JNJ-67953964) is a once daily, highly selective kappa opioid receptor (KOR) antagonist, with demonstrated selectivity over mu opioid receptor (MOR) and delta opioid receptor (DOR) being developed for adjunctive treatment of MDD with ANH+. The total duration of the study will be up to 87 days. Safety evaluation including adverse events, physical examinations, urine drug test, alcohol breath tests and clinical laboratory tests will be assessed at specific time points during this study.

02

Conditions studied

  • Depressive Disorder, Major
  • Anhedonia
03

In context

Depressive Disorder, Major

2,741 studies on the registry are indexed under Depressive Disorder, Major; 559 are open to participants now.

This study's enrollment of 444 is above the median of 80 across 2,283 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Janssen Research & Development, LLC is the lead sponsor of 912 studies on the registry; 76 are open to participants now.

Of its 278 completed or terminated interventional studies of FDA-regulated products, 131 (47%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Be medically stable on the basis of physical examination, medical history, vital signs, and 12-lead electrocardiogram (ECG) performed at screening and baseline
  • Have a Hamilton depression rating Scale 17 item (HDRS-17) total score of 20 or higher at the first and second screening interviews and must not demonstrate a clinically significant improvement (that is, an improvement of more than 20 percent [%] on their HDRS-17 total score) between the first and the second independent HDRS-17 assessments
  • Meet Diagnostic and Statistical Manual of Mental Disorders-5th edition (DSM-5) diagnostic criteria for recurrent or single episode major depressive disorder (MDD), without psychotic features, based upon clinical assessment and confirmed by the structural interview for DSM-5 Axis I disorders-clinical trials version (SCID-CT). Participants 65 years of age or older must have had the first onset of depression prior to 55 years of age
  • Is currently receiving and tolerating well any one of the following selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI) for depressive symptoms at screening, in any approved formulation and available in the participating country/territory: citalopram, duloxetine, escitalopram, fluvoxamine, fluoxetine, milnacipran, levomilnacipran, paroxetine, sertraline, venlafaxine, desvenlafaxine at a stable dose (at or above the minimum therapeutic dose per Massachusetts General Hospital Antidepressant Treatment Response Questionnaire [MGH-ATRQ] for at least 6 weeks. The current antidepressant cannot be the first antidepressant treatment for the first lifetime episode of depression
  • Participant's current major depressive episode, and antidepressant treatment response in the current depressive episode, must all be confirmed by the Site Independent Qualification Assessment

Exclusion criteria

Exclusion Criteria:

  • Have had in the current depressive episode, no response (treatment failure) to 5 or more antidepressant treatments including the current SSRI/SNRI (that is, the one presumed to be continued in the treatment phase) assessed using the MGH-ATRQ
  • Has a history or evidence of clinically meaningful noncompliance with current antidepressant therapy
  • Has a history of moderate-to-severe substance use disorder including alcohol use disorder according to diagnostic and statistical manual of mental disorders-5th edition (DSM-5) criteria within 6 months before screening
  • Has had in the current episode an inadequate response to adequate course of intravenous or intranasal ketamine or esketamine, electroconvulsive therapy (that is, at least 7 treatments), vagal nerve stimulation, or deep brain stimulation device
  • Has current, or a history (past 6 months), of seizures
  • Has a current homicidal ideation/intent, per the investigator's clinical judgment, or has suicidal ideation with some intent to act within 3 months prior to the start of the Screening Phase, per the investigator's clinical judgment or based on the Columbia Suicide Severity Rating Scale (C-SSRS), corresponding to a response of "Yes" on Item 4 (active suicidal ideation with some intent to act, without specific plan) or Item 5 (active suicidal ideation with specific plan and intent), or a history of suicidal behavior within the past 6 months prior to the start of the Screening Phase. Participants reporting suicidal ideation with intent to act or suicidal behavior at baseline should be excluded
  • Has one or more of the following diagnoses: a) A diagnostic and statistical manual of mental disorders-5th edition (DSM-5) diagnosis (which has been the primary focus of psychiatric treatment within the past 2 years) of any of the following: panic disorder, generalized anxiety disorder social anxiety disorder, specific phobia; b) A current (in the past year) DSM-5 diagnosis of: obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), anorexia nervosa, bulimia nervosa; c) A current or prior (lifetime) DSM-5 diagnosis of: a psychotic disorder or major depressive disorder (MDD) with psychotic features, bipolar or related disorders, intellectual disability, autism spectrum disorder, borderline personality disorder, antisocial personality disorder, histrionic personality disorder, narcissistic personality disorders, somatoform disorders
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
444 participants (actual)

Study arms

  • Experimental
    Aticaprant

    Participants will receive Aticaprant 10 milligrams (mg) tablet orally, once daily for 42 days during double-blind (DB) treatment phase in addition to their current antidepressant selective serotonin reuptake inhibitor/serotonin-norepinephrine reuptake inhibitor (SSRI/SNRI) therapy. Participants who will complete the DB treatment phase (Day 43) may be eligible to participate in a separate 52-week open-label long-term safety study 67953964MDD3003.

    Drug: Aticaprant

  • Placebo comparator
    Placebo

    Participants will receive matching placebo tablet orally, once daily for 42 days during DB treatment phase in addition to their current antidepressant SSRI/SNRI therapy. Participants who will complete the DB treatment phase (Day 43) may be eligible to participate in a separate 52-week open-label long-term safety study 67953964MDD3003.

    Other: Placebo

Interventions

  • DrugAticaprant

    Aticaprant tablet will be administered orally.

    Also known as: JNJ-67953964

  • OtherPlacebo

    Placebo tablet will be administered orally.

06

What researchers measure

Primary outcomes

  1. Change From Baseline to Day 43 in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

    The MADRS is a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicates improvement.

    Time frame: Baseline (Day 1) to Day 43

Secondary outcomes

  1. Change From Baseline to Day 43 in Dimensional Anhedonia Rating Scale (DARS) Total Score

    The DARS is a 17-item self-report questionnaire that is designed to assess anhedonia in MDD across the 4 domains: hobbies, social activities, food/drink, and sensory experience. The DARS scale measures desire, motivation, effort, and consummatory pleasure. The DARS is rated on a 5-point Likert scale (0=not at all, 1=slightly, 2=moderately, 3=mostly, 4=very much) and responses are summed to generate the total score (range of 0 to 68). A lower total score is indicative of greater anhedonia. Positive changes in DARS total score indicate improvement.

    Time frame: Baseline (Day 1) to Day 43

  2. Change From Baseline Over Time in MADRS Total Score

    Change from baseline over time in MADRS total score is reported. The MADRS is a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicates improvement.

    Time frame: Baseline (Day 1), Day 15, Day 29, and Day 43

  3. Percentage of Participants Who Achieved Response on Depressive Symptoms Scale Based on MADRS Total Score at Day 43

    Percentage of participants who achieved response on depressive symptoms scale based on MADRS total score at Day 43 are reported. Responders are defined as participants with a \>=50 percent (%) improvement in the MADRS total score from baseline to a given timepoint. The MADRS is a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicates improvement.

    Time frame: At Day 43

  4. Percentage of Participants With Remission of Depressive Symptoms Based on MADRS Total Score at Day 43

    Percentage of participants with remission of depressive symptoms based on MADRS total score at Day 43 is reported. Participant is defined as a remitter at a given time point if the MADRS total score is less than or equal to (\<=)10 at that time point. The MADRS is a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicates improvement.

    Time frame: At Day 43

  5. Change From Baseline to Day 43 in Patient Health Questionnaire, 9-Item (PHQ-9) Total Score

    Change from baseline to Day 43 in PHQ-9 total score is reported. The PHQ-9 is a 9-item, participant reported outcome measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) MDD criteria. Each item is rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27). Negative changes in PHQ-9 total score indicate improvement.

    Time frame: Baseline (Day 1) to Day 43

  6. Change From Baseline Over Time in DARS Total Score

    Change from baseline over time in DARS total score is reported. The DARS is a 17-item self-report questionnaire that is designed to assess anhedonia in MDD across the 4 domains: hobbies, social activities, food/drink, and sensory experience. The DARS scale measures desire, motivation, effort, and consummatory pleasure. The DARS is rated on a 5-point Likert scale (0=not at all, 1=slightly, 2=moderately, 3=mostly, 4=very much) and responses are summed to generate the total score (range of 0 to 68). A lower total score is indicative of greater anhedonia. Positive changes in DARS total score indicate improvement.

    Time frame: Baseline (Day 1), Days 15, 29, and 43

  7. Change From Baseline Over Time in the PHQ-9 Anhedonia-specific Item (PHQ-9, Item 1)

    Change from baseline over time in the PHQ-9 anhedonia-specific item (PHQ-9, item 1 is little interest or pleasure in doing things) is reported. The PHQ-9 is a 9-item, participant reported outcome measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) MDD criteria. Each item is rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27). PHQ-9, item 1 score ranged from 0-3. Higher score indicates more severe disease. Negative change in PHQ-9, item 1 score indicates improvement.

    Time frame: Baseline (Day 1), Day 15, Day 29, and Day 43

  8. Percentage of Participants With a Score Less Than (<) 2 in the PHQ-9 Anhedonia-specific Item (PHQ-9, Item 1) at Day 43

    Percentage of participants with a score \<2 in the PHQ-9 anhedonia-specific item (PHQ-9, item 1 is little interest or pleasure in doing things) at Day 43 is reported. The PHQ-9 is a 9-item, participant reported outcome measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) MDD criteria. Each item is rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27).

    Time frame: At Day 43

  9. Change From Baseline Over Time in Patient Reported Outcomes Measurement Information System Short Form - Ability to Participate in Social Roles and Activities - 8a (PROMIS-APS 8a)

    Change from baseline over time in the PROMIS-APS 8a is reported. This 8-item measure assesses participants' ability to participate in social roles and activities. The items measures the degree of involvement in social roles, activities, and responsibilities, including work, family, friends, and leisure. Each item is rated on a 5-point ordinal scale including 1=always, 2=usually, 3=sometimes, 4=rarely and 5=never, with higher scores indicating better social functioning. The total scores of PROMIS-APS 8a are scaled on a T-score metric with a mean of 50 and a standard deviation of 10. PROMIS-APS 8a total score ranges from 8 to 40 and T-score ranges from 25.9 to 65.4, a higher score indicates better social functioning. Positive change in score indicates improvement.

    Time frame: Baseline (Day 1), Days 15, 29, and 43

  10. DB Treatment Phase: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)

    Percentage of participants with TEAEs during DB treatment phase are reported. An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. TEAE is defined as any AE occurring at or after the initial administration of study intervention through the end of DB phase.

    Time frame: From start of treatment (Day 1) up to Day 43

  11. Follow-up (FU) Phase: Percentage of Participants With AEs

    Percentage of participants with AEs during FU phase are reported. An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention.

    Time frame: From Day 44 up to Day 57

07

Results

Posted Jan 2, 2026

Participant flow

Participant flow — Overall Study
MilestonePlaceboAticaprant 10 mg
Started225219
Participants who entered follow-up phase2118
Completed211209
Not completed1410
Withdrew: Withdrawal by subject83
Withdrew: Adverse event23
Withdrew: Lost to follow-up40
Withdrew: Other04

Outcome measures

PrimaryChange From Baseline to Day 43 in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score

The MADRS is a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicates improvement.

Time frame:
Baseline (Day 1) to Day 43
Reported as:
Least squares mean · Units on a scale
Change From Baseline to Day 43 in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score
Units on a scalePlaceboAticaprant 10 mg
Change From Baseline to Day 43 in the Montgomery-Asberg Depression Rating Scale (MADRS) Total Score-9.4 ± 0.96-10.0 ± 0.96
Statistical analysis
  • Placebo vs Aticaprant 10 mg · Mixed Model for Repeated Measures Model · p = =0.670 · Least square mean difference: -0.5 · 95% CI -2.95 to 1.90
SecondaryChange From Baseline to Day 43 in Dimensional Anhedonia Rating Scale (DARS) Total Score

The DARS is a 17-item self-report questionnaire that is designed to assess anhedonia in MDD across the 4 domains: hobbies, social activities, food/drink, and sensory experience. The DARS scale measures desire, motivation, effort, and consummatory pleasure. The DARS is rated on a 5-point Likert scale (0=not at all, 1=slightly, 2=moderately, 3=mostly, 4=very much) and responses are summed to generate the total score (range of 0 to 68). A lower total score is indicative of greater anhedonia. Positive changes in DARS total score indicate improvement.

Time frame:
Baseline (Day 1) to Day 43
Reported as:
Least squares mean · Units on a scale
Change From Baseline to Day 43 in Dimensional Anhedonia Rating Scale (DARS) Total Score
Units on a scalePlaceboAticaprant 10 mg
Change From Baseline to Day 43 in Dimensional Anhedonia Rating Scale (DARS) Total Score8.2 ± 1.398.8 ± 1.39
SecondaryChange From Baseline Over Time in MADRS Total Score

Change from baseline over time in MADRS total score is reported. The MADRS is a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicates improvement.

Time frame:
Baseline (Day 1), Day 15, Day 29, and Day 43
Reported as:
Least squares mean · Units on a scale
Change From Baseline Over Time in MADRS Total Score
Units on a scalePlaceboAticaprant 10 mg
Day 15-4.4 ± 0.75-5.4 ± 0.74
Day 29-7.5 ± 0.89-8.0 ± 0.89
Day 43-9.4 ± 0.96-10.0 ± 0.96
SecondaryPercentage of Participants Who Achieved Response on Depressive Symptoms Scale Based on MADRS Total Score at Day 43

Percentage of participants who achieved response on depressive symptoms scale based on MADRS total score at Day 43 are reported. Responders are defined as participants with a \>=50 percent (%) improvement in the MADRS total score from baseline to a given timepoint. The MADRS is a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicates improvement.

Time frame:
At Day 43
Reported as:
Number · Percentage of participants
Percentage of Participants Who Achieved Response on Depressive Symptoms Scale Based on MADRS Total Score at Day 43
Percentage of participantsPlaceboAticaprant 10 mg
Percentage of Participants Who Achieved Response on Depressive Symptoms Scale Based on MADRS Total Score at Day 4328.327.9
SecondaryPercentage of Participants With Remission of Depressive Symptoms Based on MADRS Total Score at Day 43

Percentage of participants with remission of depressive symptoms based on MADRS total score at Day 43 is reported. Participant is defined as a remitter at a given time point if the MADRS total score is less than or equal to (\<=)10 at that time point. The MADRS is a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicates improvement.

Time frame:
At Day 43
Reported as:
Number · Percentage of participants
Percentage of Participants With Remission of Depressive Symptoms Based on MADRS Total Score at Day 43
Percentage of participantsPlaceboAticaprant 10 mg
Percentage of Participants With Remission of Depressive Symptoms Based on MADRS Total Score at Day 4316.315.8
SecondaryChange From Baseline to Day 43 in Patient Health Questionnaire, 9-Item (PHQ-9) Total Score

Change from baseline to Day 43 in PHQ-9 total score is reported. The PHQ-9 is a 9-item, participant reported outcome measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) MDD criteria. Each item is rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27). Negative changes in PHQ-9 total score indicate improvement.

Time frame:
Baseline (Day 1) to Day 43
Reported as:
Least squares mean · Units on a scale
Change From Baseline to Day 43 in Patient Health Questionnaire, 9-Item (PHQ-9) Total Score
Units on a scalePlaceboAticaprant 10 mg
Change From Baseline to Day 43 in Patient Health Questionnaire, 9-Item (PHQ-9) Total Score-5.5 ± 0.58-5.2 ± 0.58
Statistical analysis
  • Placebo vs Aticaprant 10 mg · Least square mean difference: 0.3 · 95% CI -1.13 to 1.71
SecondaryChange From Baseline Over Time in DARS Total Score

Change from baseline over time in DARS total score is reported. The DARS is a 17-item self-report questionnaire that is designed to assess anhedonia in MDD across the 4 domains: hobbies, social activities, food/drink, and sensory experience. The DARS scale measures desire, motivation, effort, and consummatory pleasure. The DARS is rated on a 5-point Likert scale (0=not at all, 1=slightly, 2=moderately, 3=mostly, 4=very much) and responses are summed to generate the total score (range of 0 to 68). A lower total score is indicative of greater anhedonia. Positive changes in DARS total score indicate improvement.

Time frame:
Baseline (Day 1), Days 15, 29, and 43
Reported as:
Least squares mean · Units on a scale
Change From Baseline Over Time in DARS Total Score
Units on a scalePlaceboAticaprant 10 mg
Day 153.5 ± 1.174.2 ± 1.17
Day 296.9 ± 1.277.1 ± 1.27
Day 438.2 ± 1.398.8 ± 1.39
SecondaryChange From Baseline Over Time in the PHQ-9 Anhedonia-specific Item (PHQ-9, Item 1)

Change from baseline over time in the PHQ-9 anhedonia-specific item (PHQ-9, item 1 is little interest or pleasure in doing things) is reported. The PHQ-9 is a 9-item, participant reported outcome measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) MDD criteria. Each item is rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27). PHQ-9, item 1 score ranged from 0-3. Higher score indicates more severe disease. Negative change in PHQ-9, item 1 score indicates improvement.

Time frame:
Baseline (Day 1), Day 15, Day 29, and Day 43
Reported as:
Mean · Units on a scale
Change From Baseline Over Time in the PHQ-9 Anhedonia-specific Item (PHQ-9, Item 1)
Units on a scalePlaceboAticaprant 10 mg
Day 15-0.4 ± 0.93-0.6 ± 1.08
Day 29-0.7 ± 1.00-0.8 ± 1.05
Day 43-0.9 ± 1.12-0.9 ± 1.08
SecondaryPercentage of Participants With a Score Less Than (<) 2 in the PHQ-9 Anhedonia-specific Item (PHQ-9, Item 1) at Day 43

Percentage of participants with a score \<2 in the PHQ-9 anhedonia-specific item (PHQ-9, item 1 is little interest or pleasure in doing things) at Day 43 is reported. The PHQ-9 is a 9-item, participant reported outcome measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) MDD criteria. Each item is rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 is categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27).

Time frame:
At Day 43
Reported as:
Number · Percentage of participants
Percentage of Participants With a Score Less Than (<) 2 in the PHQ-9 Anhedonia-specific Item (PHQ-9, Item 1) at Day 43
Percentage of participantsPlaceboAticaprant 10 mg
Percentage of Participants With a Score Less Than (<) 2 in the PHQ-9 Anhedonia-specific Item (PHQ-9, Item 1) at Day 4350.846.3
SecondaryChange From Baseline Over Time in Patient Reported Outcomes Measurement Information System Short Form - Ability to Participate in Social Roles and Activities - 8a (PROMIS-APS 8a)

Change from baseline over time in the PROMIS-APS 8a is reported. This 8-item measure assesses participants' ability to participate in social roles and activities. The items measures the degree of involvement in social roles, activities, and responsibilities, including work, family, friends, and leisure. Each item is rated on a 5-point ordinal scale including 1=always, 2=usually, 3=sometimes, 4=rarely and 5=never, with higher scores indicating better social functioning. The total scores of PROMIS-APS 8a are scaled on a T-score metric with a mean of 50 and a standard deviation of 10. PROMIS-APS 8a total score ranges from 8 to 40 and T-score ranges from 25.9 to 65.4, a higher score indicates better social functioning. Positive change in score indicates improvement.

Time frame:
Baseline (Day 1), Days 15, 29, and 43
Reported as:
Least squares mean · T-score
Change From Baseline Over Time in Patient Reported Outcomes Measurement Information System Short Form - Ability to Participate in Social Roles and Activities - 8a (PROMIS-APS 8a)
T-scorePlaceboAticaprant 10 mg
Day 151.4 ± 0.541.5 ± 0.55
Day 293.2 ± 0.573.1 ± 0.59
Day 433.9 ± 0.634.3 ± 0.64
SecondaryDB Treatment Phase: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)

Percentage of participants with TEAEs during DB treatment phase are reported. An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention. TEAE is defined as any AE occurring at or after the initial administration of study intervention through the end of DB phase.

Time frame:
From start of treatment (Day 1) up to Day 43
Reported as:
Number · Percentage of participants
DB Treatment Phase: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)
Percentage of participantsDB: PlaceboDB: Aticaprant 10 mg
DB Treatment Phase: Percentage of Participants With Treatment Emergent Adverse Events (TEAEs)38.144.2
SecondaryFollow-up (FU) Phase: Percentage of Participants With AEs

Percentage of participants with AEs during FU phase are reported. An AE is any untoward medical occurrence in a clinical study participant administered a medicinal (investigational or non-investigational) product. An AE does not necessarily have a causal relationship with the intervention.

Time frame:
From Day 44 up to Day 57
Reported as:
Number · Percentage of participants
Follow-up (FU) Phase: Percentage of Participants With AEs
Percentage of participantsFU: PlaceboFU: Aticaprant 10 mg
Follow-up (FU) Phase: Percentage of Participants With AEs05.6

Adverse events

Collected over All cause mortality: DB treatment phase: From screening (-30 days) up to Day 43, FU Phase: From Day 44 up to Day 57; Serious and Other AEs: DB phase: From Day 1 up to Day 43; FU phase: From Day 44 up to Day 57. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
DB: Placebo0/225 (0%)1/223 (0.4%)18/223 (8.1%)
DB: Aticaprant 10 mg0/219 (0%)0/217 (0%)39/217 (18%)
FU: Placebo0/21 (0%)0/21 (0%)0/21 (0%)
FU: Aticaprant 10 mg0/18 (0%)0/18 (0%)1/18 (5.6%)
Most frequent serious events
Most frequent serious events
EventDB: PlaceboDB: Aticaprant 10 mgFU: PlaceboFU: Aticaprant 10 mg
AnxietyPsychiatric disorders1/2230/2170/210/18
Most frequent other events
Most frequent other events
EventDB: PlaceboDB: Aticaprant 10 mgFU: PlaceboFU: Aticaprant 10 mg
PruritusSkin and subcutaneous tissue disorders9/22325/2170/210/18
DiarrhoeaGastrointestinal disorders9/22317/2170/210/18
Suicidal IdeationPsychiatric disorders1/2231/2170/211/18

Baseline characteristics

Safety analysis set included all randomized participants (adults and elderly) who received at least 1 dose of study intervention.

Age, Continuous
Age, Continuous(Years)PlaceboAticaprant 10 mgTotal
Mean49.3 ± 13.1149.1 ± 13.1449.2 ± 13.11
Age, Customized
Age, Customized(Participants)PlaceboAticaprant 10 mgTotal
Adults (18-64 years)200192392
From 65 to 74 years232548
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboAticaprant 10 mgTotal
Female168161329
Male5556111
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboAticaprant 10 mgTotal
Hispanic or Latino7474148
Not Hispanic or Latino141137278
Unknown or Not Reported8614
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboAticaprant 10 mgTotal
American Indian or Alaska Native011
Asian151631
Native Hawaiian or Other Pacific Islander213
Black or African American9918
White182177359
More than one race224
Unknown or Not Reported131124
Region of Enrollment
Region of Enrollment(Participants)PlaceboAticaprant 10 mgTotal
Argentina353772
Brazil8412
Bulgaria9918
Czech Republic11718
France101020
Poland131427
Slovakia191736
South Africa121426
Korea, Republic of91019
Taiwan325
United Kingdom459
United States9088178
08

Study locations

131 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35205, United States
  • Sunwise Clinical Research
    Lafayette, California 94549, United States
  • Pacific Neuropsychiatric Specialists
    Orange, California 92868, United States
  • Prospective Research Innovations Inc
    Rancho Cucamonga, California 91730, United States
  • University of California San Diego Medical Center
    San Diego, California 92103, United States
  • CMB Clinical Trials
    Santee, California 92071, United States
  • California Neuroscience Research
    Sherman Oaks, California 91403, United States
  • Pacific Clinical Research Medical Group
    Upland, California 91786, United States
  • Next Level Clinical Trials, LLC
    West Covina, California 91790, United States
  • MCB Clinical Research Centers LLC
    Colorado Springs, Colorado 80910, United States
  • CNS Clinical Research Group
    Coral Springs, Florida 33067, United States
  • Sarkis Clinical Trials
    Gainesville, Florida 32607, United States
  • New Life Medical Research Center, Inc.
    Hialeah, Florida 33012, United States
  • K2 Medical Research
    Maitland, Florida 32751, United States
  • Vital Care Research
    Miami, Florida 33122, United States
  • Global Medical Institutes
    Miami, Florida 33125, United States
  • LCC Medical Research Institute Inc
    Miami, Florida 33126, United States
  • Florida Research Center Inc.
    Miami, Florida 33174, United States
  • Ezy Medical Research
    Miami, Florida 33175, United States
  • Felicidad Medical Research
    Miami, Florida 33184, United States
  • Bravo Health Care Center
    North Bay Village, Florida 33141, United States
  • APG Research LLC
    Orlando, Florida 32803, United States
  • Combined Research Orlando
    Orlando, Florida 32803, United States
  • Quantum Laboratories
    Pompano Beach, Florida 33064, United States
  • CDC Research Institute LLC
    Port Saint Lucie, Florida 34952, United States
  • Psychiatric Medicine Associates
    Skokie, Illinois 60076, United States
  • Tandem Clinical Research
    Marrero, Louisiana 70072, United States
  • CBH Health
    Gaithersburg, Maryland 20877, United States
  • Michigan Clinical Research Institute
    Ann Arbor, Michigan 48105, United States
  • Revive Research Institute
    Farmington Hills, Michigan 48334, United States
  • Midwest Research Group
    Saint Charles, Missouri 63304, United States
  • Premier Psychiatric Research Institute, LLC
    Lincoln, Nebraska 68526, United States
  • Erie County Medical Center
    Buffalo, New York 14215, United States
  • Manhattan Behavioral Medicine
    New York, New York 10036, United States
  • New Hope Clinical Research
    Charlotte, North Carolina 28211, United States
  • Monroe Biomedical Research
    Monroe, North Carolina 28112, United States
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Wexner Medical Center at the Ohio State University
    Columbus, Ohio 43221, United States
  • Conrad Clinical Research
    Edmond, Oklahoma 73013, United States
  • Sooner Clinical Research
    Oklahoma City, Oklahoma 73112, United States
  • Paradigm Research Professionals, LLC
    Oklahoma City, Oklahoma 73118, United States
  • Lehigh Center for Clinical Research LLC
    Allentown, Pennsylvania 18103, United States
  • Global Medical Institutes
    Moosic, Pennsylvania 18507, United States
  • Clinical Trials of South Carolina
    Charleston, South Carolina 29406, United States
  • Donald J Garcia Jr MD PA
    Austin, Texas 78737, United States
  • Relaro Medical Trials
    Dallas, Texas 75243, United States
  • UT Southwestern Medical Center
    Dallas, Texas 75247-9119, United States
  • R and H Clinical Research
    Stafford, Texas 77477, United States
  • Cedar Psychiatry
    Murray, Utah 84107, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Core Clinical Research
    Everett, Washington 98201, United States
  • Fundacion para el Estudio y Tratamiento de las Enfermedades Mentales
    Buenos Aires, C1133AAH, Argentina
  • CEN Consultorios Especializados en Neurociencias
    Córdoba, 5000FJF, Argentina
  • Instituto Medico DAMIC
    Córdoba, X5003DCE, Argentina
  • Centro Medico Luquez
    Córdoba, X5006IKK, Argentina
  • INSA Instituto de Neurociencias San Agustín
    La Plata, 1900, Argentina
  • Clinica Privada de Salud Mental Santa Teresa de Ávila
    La Plata, Thanks, Argentina
  • C I A P Centro de investigacion y Asistencia en Psiquiatria
    Rosario, 2000, Argentina
  • Clinica Mayo de UMCB
    San Miguel de Tucumán, 4000, Argentina
  • Clinica El Jardin
    Santiago del Estero, 4200, Argentina
  • Trial Tech Tecnologia em Pesquisas com Medicamentos
    Curitiba, 80240-280, Brazil
  • Associacao Hospitalar Moinhos de Vento
    Porto Alegre, 90035-001, Brazil
  • MHC - Sofia, EOOD
    Sofia, 1202, Bulgaria
  • DCC 'Sv. Vrach and Sv. Sv. Kuzma and Damyan', OOD
    Sofia, 1408, Bulgaria
  • Medical Center Hera EOOD
    Sofia, 1510, Bulgaria
  • Medical Center Intermedica, OOD
    Sofia, 1680, Bulgaria
  • Diagnostic Consulting Center Mladost - M Varna
    Varna, 9020, Bulgaria
  • Alpha Recherche Clinique
    Québec, Quebec G2J 0C4, Canada
  • DIEX Recherche Sherbrooke Inc
    Sherbrooke, Quebec J1L 0H8, Canada
  • Hebei Mental Health Center
    Baoding, 071000, China
  • Beijing Anding Hospital of Capital Medical University
    Beijing, 100088, China
  • Beijing Huilongguan Hospital
    Beijing, 100096, China
  • Peking University Sixth Hospital
    Beijing, 100191, China
  • The second Xiangya Hospital of Central South University
    Changsha, 410011, China
  • West China Hospital Sichuan University
    Chengdu, 610041, China
  • Guangdong Provincial People's Hospital
    Guangzhou, 510060, China
  • Huzhou third people's Hospital
    Huzhou, 313000, China
  • Shanghai Mental Health Center
    Shanghai, 200030, China
  • Tongji Hospital of Tongji University
    Shanghai, 200065, China
  • The First Hospital of Hebei Medical University
    Shijiazhuang, 050031, China
  • Suzhou Guangji Hospital
    Suzhou, 215003, China
  • Tianjin Anding Hospital
    Tianjin, 300222, China
  • Wuhan Mental Health Center
    Wuhan, 430000, China
  • Wuhu Hospital of Beijing Anding hospital
    Wuhu, 242407, China
  • XiAn Mental Healthcare Center
    Xi'an, 710061, China
  • The First Affiliated Hospital of Zhengzhou University
    Zhengzhou, 450052, China
  • Psychiatricka ambulance, MUDr. Marta Holanova
    Brno, 61500, Czechia
  • Neuroterapie KH S R O
    Kutná Hora, 284 01, Czechia
  • Medical Services Prague S R O
    Prague, 16000, Czechia
  • Institut Neuropsychiatricke pece
    Prague, 186 00, Czechia
  • CHU de Brest - Hopital de la Cavale Blanche
    Bohars, 29820, France
  • CHU Clermont-Ferrand - Hopital Gabriel Montpied
    Clermont-Ferrand, 63000, France
  • Cabinet Medical des Drs Prizac-Desbonnet Scottez
    Douai, 59500, France
  • CHU de Nantes hotel Dieu
    Nantes, 44093, France
  • Hopital Sainte Anne
    Paris, 75674, France
  • CHRU de Tours Clinique Psychiatrique Universitaire
    Tours, 37044, France
  • Clinsante Osrodek Badan Klinicznych
    Bydgoszcz, 85 794, Poland
  • Centrum Medyczne Care Clinic Katowice
    Katowice, 40568, Poland
  • Filip Rybakowski Specjalistyczna Praktyka Lekarska
    Poznan, 60-744, Poland
  • Indywidualna Specjalistyczna Praktyka Lekarska Agnieszka Remlinger Molenda
    Suchy Las, 62-002, Poland

Showing the first 100 of 131 sites across 14 countries.

09

References and documents

Study documents

  • Study protocol · Feb 22, 2023
  • Statistical analysis plan · Oct 3, 2024

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

Individual participant data

Plan to share: Yes — The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

10

Updates

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

Registry details

Key details

Study ID
NCT05550532
Lead sponsor
Janssen Research & Development, LLC
Responsible party
Sponsor
First posted
Sep 22, 2022
Start date
Dec 6, 2022
Primary completion
Nov 8, 2024
Completion
Nov 13, 2024
Results posted
Jan 2, 2026
Last update
Feb 13, 2026

Study contacts

Janssen Research & Development, LLC Clinical Trial
study director · Janssen Research & Development, LLC

Oversight

Data monitoring committee
Yes
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 Feb 2026. You cannot join it, but the record below documents what was studied.

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