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CompletedNCT06058039Updated Jul 6, 2026

Study to Assess the Effects of Oral NMRA-335140 in Participants With Major Depressive Disorder

A Phase 3 interventional study of NMRA-335140 and Placebo in Major Depressive Disorder, sponsored by Neumora Therapeutics, Inc.. Completed at 71 sites in 8 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-06.

Sponsored by Neumora Therapeutics, Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
422
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This randomized, double-blind, placebo-controlled, multicenter study will evaluate the effects of NMRA-335140 (formerly BTRX-335140) on symptoms of depression in participants with Major Depressive Disorder (MDD). The study design consists of a Screening Period (up to 35 days), and a 6-week Treatment Period (during which participants will receive either NMRA-335140 or placebo). At the completion of the 6-week Treatment Period, participants who complete the study, provide informed consent, and meet the eligibility criteria may enter an open-label extension study (NMRA-335140-501).

02

Conditions studied

  • Major Depressive Disorder

Keywords

  • Major Depressive Disorder
  • NMRA-335140
  • Placebo-controlled
  • Double-blind
  • Navacaprant
  • NMRA335140
  • NMRA 335140
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 422 is above the median of 80 across 2,283 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Neumora Therapeutics, Inc. is the lead sponsor of 7 studies on the registry; none are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) 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:

  • Have a primary Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revised (DSM-5-TR) diagnosis of MDD without psychotic features confirmed by Structured Clinical Interview for DSM 5 Disorders, Clinical Trials Version (SCID 5 CT) at screening (this may be a first or recurrent episode).
  • Participant's current major depressive episode must be confirmed by independent assessment.
  • The symptoms of the current MDD episode have been present for more than 4 weeks prior to the Screening Visit, but no longer than 12 months prior to the Screening Visit.
  • Have a MADRS total score of 25 or higher at Screening and Baseline.
  • A change in MADRS total score between Screening and Baseline of ≤20%.

Key Exclusion Criteria:

  • Have failed 2 or more courses of antidepressant treatment at sufficient doses for at least 6 to 8 weeks for the current MDD episode.
  • Currently or in the past year have been diagnosed with a personality disorder per the DSM-5-TR or in the past 3 years have been diagnosed with any of the following DSM-5-TR disorders: anorexia nervosa, bulimia nervosa, or binge eating disorder. Participants with comorbid generalized anxiety disorder, social anxiety disorder, simple phobias, or panic disorder for whom MDD is considered the primary diagnosis are not excluded.
  • Have a lifetime diagnosis of bipolar 1 or 2, schizophrenia, schizoaffective, schizophreniform, obsessive compulsive disorder, or post-traumatic stress disorder (PTSD).
  • Have moderate to severe substance or alcohol use disorder, per DSM-5-TR criteria, within the 12 months prior to screening (excluding nicotine).
  • Are actively suicidal (eg, any suicide attempts within the past 12 months) or are at serious suicidal risk as indicated by any current suicidal intent, including a plan, as assessed by the Columbia Suicide Severity Rating Scale (C-SSRS) (score of "YES" on suicidal ideations Item 4 or 5 within 3 months prior to Visit 1 [Screening]) and/or based on clinical evaluation by the Investigator; or are homicidal, in the opinion of the Investigator. Participants who are currently hospitalized for MDD symptoms or suicidality are not allowed into the study. If there is a recent history (within 3 months of screening) of hospitalization due to MDD symptoms, the participant should be discussed with the Medical Monitor for eligibility.
05

Study design

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

Study arms

  • Experimental
    NMRA-335140 80 milligrams (mg) once daily (QD)

    Participants will receive a NMRA-335140 tablet at a dose of 80 mg QD

    Drug: NMRA-335140

  • Placebo comparator
    Placebo

    Placebo participants will receive matching placebo tablet once daily

    Drug: Placebo

Interventions

  • DrugNMRA-335140

    Participants will receive NMRA-335140 at a dose of 80 mg QD, orally

    Also known as: BTRX-335140, CYM-53093, Navacaprant

  • DrugPlacebo

    Placebo will be administered orally

06

What researchers measure

Primary outcomes

  1. Change from Baseline to Week 6 in the Montgomery-Asberg Depression Rating Scale (MADRS) total score

    The MADRS is a 10-item, clinician-rated scale that evaluates the participant's depressive symptomatology during the past week. Participants are rated on items assessing feelings of sadness, lassitude, pessimism, inner tension, suicidality, reduced sleep or appetite, difficulty in concentration, and lack of interest. Each item will be scored on a 7- point scale with a score of 0 reflecting no symptoms and a score of 6 reflecting symptoms of maximum severity. Thus, scores in the MADRS range from 0 to 60, with increasing scores indicating increasing severity.

    Time frame: Baseline and up to Week 6

Secondary outcomes

  1. Change from Baseline to Week 6 assessed in the Snaith-Hamilton Pleasure Scale (SHAPS) total score

    The SHAPS is a 14-item participant-reported instrument which measures anhedonia. It has been shown to be valid and reliable in normal and clinical samples, with adequate construct validity, satisfactory test-retest reliability, and high internal consistency. The scale will be completed by the participant and reviewed by site personnel qualified to oversee completeness. Each of the 14 items has a set of 4 responses, 2 of which endorse agreement (Definitely Agree, Agree) and 2 of which endorse disagreement (Disagree, Strongly Disagree). A total score can be derived by summing the response items; where those answered with "strongly agree" will be coded as a 1, while a "strongly disagree" response will be coded as 4. Therefore, scores on the SHAPS can range from 14 to 56, with higher scores corresponding to higher levels of anhedonia.

    Time frame: Baseline and up to Week 6

07

Study locations

71 sites
  • Neumora Investigator Site
    Cerritos, California 90703, United States
  • Neumora Investigator Site
    Irvine, California 92614, United States
  • Neumora Investigator Site
    Long Beach, California 90807, United States
  • Neumora Investigator Site
    San Diego, California 92103, United States
  • Neumora Investigator Site
    San Francisco, California 94107, United States
  • Neumora Investigator Site
    New Haven, Connecticut 06520, United States
  • Neumora Investigator Site
    Brandon, Florida 33511, United States
  • Neumora Investigator Site
    Hialeah, Florida 33012, United States
  • Neumora Investigator Site
    Hialeah, Florida 33016, United States
  • Neumora Investigator Site
    Jacksonville, Florida 32256, United States
  • Neumora Investigator Site
    Miami, Florida 33143, United States
  • Neumora Investigator Site
    Miami, Florida 33165, United States
  • Neumora Investigator site
    Miami, Florida 33174, United States
  • Neumora Investigator Site
    Miami Beach, Florida 33140, United States
  • Neumora Investigator site
    Miami Springs, Florida 33166, United States
  • Neumora Investigator Site
    Palm Bay, Florida 32905, United States
  • Neumora Investigator Site
    Pembroke Pines, Florida 33024, United States
  • Neumora Investigator Site
    Pompano Beach, Florida 33060, United States
  • Neumora Investigator Site
    Saint Augustine, Florida 32086, United States
  • Neumora Investigator Site
    Atlanta, Georgia 30328, United States
  • Neumora Investigator Site
    Decatur, Georgia 30030, United States
  • Neumora Investigator Site
    Savannah, Georgia 31405, United States
  • Neumora Investigator Site
    Springfield, Massachusetts 01103, United States
  • Neumora Investigator Site
    St Louis, Missouri 63141, United States
  • Neumora Investigator Site
    Omaha, Nebraska 68112, United States
  • Neumora Investigator Site
    Berlin, New Jersey 08009, United States
  • Neumora Investigator Site
    New York, New York 10029, United States
  • Neumora Investigator Site
    New York, New York 10036, United States
  • Neumora Investigator Site
    Staten Island, New York 10310, United States
  • Neumora Investigator Site
    Charlotte, North Carolina 28211, United States
  • Neumora Investigator Site
    Austin, Texas 78759, United States
  • Neumora Investigator Site
    DeSoto, Texas 75115, United States
  • Neumora Investigator Site
    Fort Worth, Texas 76104, United States
  • Neumora Investigator Site
    Plano, Texas 75093, United States
  • Neumora Investigator Site
    Cherven Bryag, Pleven 5980, Bulgaria
  • Neumora Investigator Site
    Sofia, Sofia-Grad 1408, Bulgaria
  • Neumora Investigator Site
    Sofia, Sofia-Grad 1463, Bulgaria
  • Neumora Investigator Site
    Sofia, Sofia-Grad 1680, Bulgaria
  • Neumora Investigator Site
    Kardzhali, 6600, Bulgaria
  • Neumora Investigator Site
    Pleven, 5800, Bulgaria
  • Neumora Investigator Site
    Targovishte, 7700, Bulgaria
  • Neumora Investigator Site #1
    Varna, 9020, Bulgaria
  • Neumora Investigator Site
    Varna, 9020, Bulgaria
  • Neumora Investigator Site
    Pilsen, Plzen 301 00, Czechia
  • Neumora Investigator Site
    Prague, Prague 186 00, Czechia
  • Neumora Investigator Site #1
    Kladno, South Bohemian 272 01, Czechia
  • Neumora Investigator Site
    Kladno, 272 01, Czechia
  • Neumora Investigator Site
    Prague, 109 00, Czechia
  • Neumora Investigator Site
    Helsinki, Etelä-Suomen Lääni 00100, Finland
  • Neumora Investigator Site
    Turku, Etelä-Suomen Lääni 20520, Finland
  • Neumora Investigator Site
    Oulu, Oulun Lääni 90100, Finland
  • Neumora Investigator Site
    Clermont-Ferrand, Auvergne-Rhône-Alpes 63000, France
  • Neumora Investigator Site
    Douai, Hauts-de-France 59500, France
  • Neumora Investigator Site
    Montpellier, Hérault 34295, France
  • Neumora Investigator Site
    Angers, Maine-et-Loire 49100, France
  • Neumora Investigator Site
    La Roche-sur-Yon, Vendée 85000, France
  • Neumora Investigator Site
    Poitiers, Vienne 86000, France
  • Neumora Investigator Site #1
    Berlin, 10117, Germany
  • Neumora Investigator Site
    Berlin, 10117, Germany
  • Neumora Investigator Site
    Berlin, 10629, Germany
  • Neumora Investigator Site
    Berlin, 13187, Germany
  • Neumora Investigator Site
    Hamburg, 20253, Germany
  • Neumora Investigator Site
    Suchy Las, Greater Poland Voivodeship 62-002, Poland
  • Neumora Investigator Site
    Bydgoszcz, Kuyavian-Pomeranian Voivodeship 85-133, Poland
  • Neumora Investigator Site
    Wroclaw, Lower Silesian Voivodeship 50-414, Poland
  • Neumora Investigator Site
    Lublin, Lublin Voivodeship 20-109, Poland
  • Neumora Investigator Site
    Lublin, Lublin Voivodeship 20-582, Poland
  • Neumora Investigator Site
    Bialystok, Podlaskie Voivodeship 15-879, Poland
  • Neumora Investigator Site
    Gdansk, Pomeranian Voivodeship 80-438, Poland
  • Neumora Investigator Site
    Lund, Skåne County 222 22, Sweden
  • Neumora Investigator Site
    Stockholm, Stockholm County 113 29, Sweden
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 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06058039
Lead sponsor
Neumora Therapeutics, Inc.
Responsible party
Sponsor
First posted
Sep 28, 2023
Start date
Dec 21, 2023
Primary completion
May 4, 2026
Completion
Jun 11, 2026
Last update
Jul 6, 2026

Oversight

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

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