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CompletedNCT05686408UPLIFTUpdated Feb 17, 2025Results posted

Study to Evaluate TNX-601 ER Monotherapy Versus Placebo in Patients With Major Depressive Disorder (MDD)

A Phase 2 interventional study of TNX-601 ER and Placebo in Depression, Depressive Disorder and Depressive Symptoms, sponsored by Tonix Pharmaceuticals, Inc.. Completed at 27 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-02-17.

Sponsored by Tonix Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
132
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a Phase 2, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy, safety, and tolerability of TNX-601 ER monotherapy versus placebo in patients with Major Depressive Disorder (MDD).

02

Conditions studied

  • Depression
  • Depressive Disorder
  • Depressive Symptoms
  • Depressive Disorder, Major
  • Depressive Episode
  • Depression Severe
03

In context

Depression

8,055 studies on the registry are indexed under Depression; 1,643 are open to participants now.

This study's enrollment of 132 is above the median of 84 across 6,718 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Tonix Pharmaceuticals, Inc. is the lead sponsor of 34 studies on the registry; 1 is open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 12 (71%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Female or male aged 18 to 65 years (inclusive).
  • Have a primary DSM-5 diagnosis of current MDD.

    1. The duration of the current MDE must be at least 12 weeks.
    2. Without psychotic or catatonic features.

Exclusion criteria

Exclusion Criteria:

  • Psychiatric History:

    1. Diagnosis of DSM-5-defined lifetime bipolar disorder (I, II, or unspecified), schizophrenia, schizoaffective disorder, MDD with psychotic features, other psychotic disorder, or antisocial personality disorder; current (past month) obsessive-compulsive disorder; current (past month) posttraumatic stress disorder; current (past 3 months) anorexia nervosa; lifetime opioid or lifetime sedative-hypnotic use disorders, as confirmed by the MINI 7.0.2.
    2. Diagnosis of borderline personality disorder
    3. Patients with comorbid generalized anxiety disorder (GAD), social anxiety disorder (SAD), or panic disorder are excluded only if the GAD, SAD, or panic disorder is considered the primary psychiatric diagnosis, rather than MDD. (If MDD is the primary diagnosis, patients with comorbid GAD, SAD, and panic disorder are allowed for randomization).
  • Patients with treatment refractory MDD, ie, previously having in their lifetime failed ≥2 treatments with at least 2 different classes of antidepressants of adequate dose, duration, and treatment adherence
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
132 participants (actual)

Study arms

  • Experimental
    TNX-601 ER, 39.4 mg

    1x TNX-601 ER, 39.4 mg, tablet taken orally once daily for 6 weeks.

    Drug: TNX-601 ER

  • Placebo comparator
    Placebo

    Placebo tablet taken orally once daily for 6 weeks.

    Drug: Placebo

Interventions

  • DrugTNX-601 ER

    Patients will take 1 tablet orally once daily for 6 weeks.

    Also known as: Tianeptine

  • DrugPlacebo

    Patients will take 1 tablet orally once daily for 6 weeks.

06

What researchers measure

Primary outcomes

  1. Montgomery Asberg Depression Rating Scale (MADRS)

    Change from Baseline (Visit 2) in the MADRS total score at Week 6. Scores range from 0 to 60. Lower scores indicate less depression.

    Time frame: Day 1 and Week 6

Secondary outcomes

  1. Clinical Global Impression of Severity (CGI-S)

    Change from Baseline (Visit 2) in the Clinical Global Impression of Severity Scale (CGI-S) score at Week 6. Scores range from 1 to 7. Lower scores indicate less severe illness.

    Time frame: Day 1 and Week 6

  2. Sheehan Disability Scale (SDS)

    Change from Baseline (Visit 2) in the Sheehan Disability Scale (SDS) total score at Week 6. Scores range from 0 to 30. Lower scores indicate less impairment to activities.

    Time frame: Day 1 and Week 6

07

Results

Posted Feb 17, 2025

Participant flow

Participant flow — Overall Study
MilestonePlaceboTNX-601 ER, 39.4 mg
Started6864
Completed5853
Not completed1011

Outcome measures

PrimaryMontgomery Asberg Depression Rating Scale (MADRS)

Change from Baseline (Visit 2) in the MADRS total score at Week 6. Scores range from 0 to 60. Lower scores indicate less depression.

Time frame:
Day 1 and Week 6
Reported as:
Least squares mean · units on a scale
Montgomery Asberg Depression Rating Scale (MADRS)
units on a scalePlaceboTNX-601 ER, 39.4 mg
Montgomery Asberg Depression Rating Scale (MADRS)-12.8 ± 1.32-12.7 ± 1.30
SecondaryClinical Global Impression of Severity (CGI-S)

Change from Baseline (Visit 2) in the Clinical Global Impression of Severity Scale (CGI-S) score at Week 6. Scores range from 1 to 7. Lower scores indicate less severe illness.

Time frame:
Day 1 and Week 6
Reported as:
Least squares mean · units on a scale
Clinical Global Impression of Severity (CGI-S)
units on a scalePlaceboTNX-601 ER, 39.4 mg
Clinical Global Impression of Severity (CGI-S)-1.2 ± 0.16-1.0 ± 0.15
SecondarySheehan Disability Scale (SDS)

Change from Baseline (Visit 2) in the Sheehan Disability Scale (SDS) total score at Week 6. Scores range from 0 to 30. Lower scores indicate less impairment to activities.

Time frame:
Day 1 and Week 6
Reported as:
Least squares mean · units on a scale
Sheehan Disability Scale (SDS)
units on a scalePlaceboTNX-601 ER, 39.4 mg
Sheehan Disability Scale (SDS)-7.3 ± 0.97-5.8 ± 0.95

Adverse events

Collected over 8 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/68 (0%)1/68 (1.5%)3/68 (4.4%)
TNX-601 ER, 39.4 mg0/64 (0%)2/64 (3.1%)7/64 (10.9%)
Most frequent serious events
Most frequent serious events
EventPlaceboTNX-601 ER, 39.4 mg
SeizureNervous system disorders0/681/64
Generalized tonic-clonic seizureNervous system disorders0/681/64
SyncopeNervous system disorders0/681/64
DermatomyositisSkin and subcutaneous tissue disorders1/680/64
Most frequent other events
Most frequent other events
EventPlaceboTNX-601 ER, 39.4 mg
NauseaGastrointestinal disorders3/687/64

Baseline characteristics

Age, Continuous
Age, Continuous(years)PlaceboTNX-601 ER, 39.4 mgTotal
Mean41.8 ± 13.8740.2 ± 11.9241.0 ± 12.94
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboTNX-601 ER, 39.4 mgTotal
Female393877
Male292655
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboTNX-601 ER, 39.4 mgTotal
Hispanic or Latino121628
Not Hispanic or Latino5648104
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboTNX-601 ER, 39.4 mgTotal
American Indian or Alaska Native134
Asian112
Native Hawaiian or Other Pacific Islander000
Black or African American191433
White444589
More than one race000
Unknown or Not Reported314
Region of Enrollment
Region of Enrollment(participants)PlaceboTNX-601 ER, 39.4 mgTotal
United States6864132
08

Study locations

27 sites
  • Preferred Research Partners
    Little Rock, Arkansas 72211, United States
  • Cenexel CIT - Bellflower
    Bellflower, California 90706, United States
  • Behavioral Research Specialists
    Glendale, California 91206, United States
  • Synergy Research
    Lemon Grove, California 91945, United States
  • Excell Research
    Oceanside, California 92056, United States
  • NCR Research Institute
    Orange, California 92868, United States
  • Cenexel CIT - Riverside
    Riverside, California 92506, United States
  • Artemis Institute for Clinical Research
    San Diego, California 92103, United States
  • Cenexel CNR - Sherman Oaks
    Sherman Oaks, California 91403, United States
  • Viking Clinical Research
    Temecula, California 92951, United States
  • Mountain View Clinical Research
    Denver, Colorado 80209, United States
  • CT Clinical Research Associates
    Cromwell, Connecticut 06416, United States
  • Gulfcoast Clinical Research Center
    Fort Myers, Florida 33912, United States
  • Clinical Neuroscience Solutions - Jacksonville
    Jacksonville, Florida 32256, United States
  • West Broward Outpatient Clinic
    Lauderhill, Florida 33319, United States
  • Segal Trials - North Miami
    Miami Lakes, Florida 33016, United States
  • Clinical Neuroscience Solutions - Orlando
    Orlando, Florida 32801, United States
  • Cenexel ACMR - Atlanta
    Atlanta, Georgia 30331, United States
  • Cenexel Research - Decatur
    Decatur, Georgia 30030, United States
  • Northwest Clinical Trials
    Boise, Idaho 83704, United States
  • Chicago Research Center
    Chicago, Illinois 60634, United States
  • Cenexel HRI - Berlin
    Berlin, New Jersey 08009, United States
  • Summit Research Network
    Portland, Oregon 97210, United States
  • Clinical Neuroscience Solutions - Memphis
    Memphis, Tennessee 38119, United States
  • Donald J. Garcia, Jr.
    Austin, Texas 78737, United States
  • Futuresearch Trials of Dallas
    Dallas, Texas 75231, United States
  • Core Clinical Research
    Everett, Washington 98201, United States
09

References and documents

Study documents

  • Study protocol · Mar 2, 2023
  • Statistical analysis plan · Sep 19, 2023

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

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05686408
Lead sponsor
Tonix Pharmaceuticals, Inc.
Collaborators
Rho, Inc.
Responsible party
Sponsor
First posted
Jan 17, 2023
Start date
Mar 2, 2023
Primary completion
Sep 29, 2023
Completion
Sep 29, 2023
Results posted
Feb 17, 2025
Last update
Feb 17, 2025

Study contacts

Gregory Sullivan, MD
study director · Tonix Pharmaceuticals

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 Jan 2025. You cannot join it, but the record below documents what was studied.

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