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CompletedNCT06254612Updated Aug 18, 2026

A Study of the Efficacy and Safety of SP-624 in the Treatment of Adults With Major Depressive Disorder

A Phase 2 interventional study of SP-624 and Placebo in Major Depressive Disorder, sponsored by Sirtsei Pharmaceuticals, Inc.. Completed at 50 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-08-18.

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

Phase
Phase 2
Study type
Interventional
Enrollment
497
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a Phase 2B clinical study evaluating the effectiveness and safety of SP-624 as compared to placebo in the treatment of adults with Major Depressive Disorder.

02

Conditions studied

  • Major Depressive Disorder
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 497 is above the median of 80 across 2,283 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Sirtsei Pharmaceuticals, Inc. is the lead sponsor of 4 studies on the registry; none are open to participants now.

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:

  • Males and females, aged 18 to 65 years, inclusive.
  • Meet DSM-5 criteria for moderate to severe MDD, as confirmed by the Mini International Neuropsychiatric Interview (MINI).
  • In generally good physical health, in the opinion of the Investigator.
  • Body mass index (BMI) must be ≥ 18 and ≤ 45 kg/m2.

Key Exclusion Criteria:

  • Female who is pregnant, breastfeeding, or less than 6 months postpartum at screen.
  • A history of or current DSM-5 diagnosis of MDD with psychotic features, any schizophrenia spectrum and other psychotic disorders, bipolar disorder, or personality disorder.
  • Presence or history of any known clinically significant cardiovascular disorders including, but not limited to: coronary artery disease, heart failure, valvular heart disease, cardiomyopathies, myocardial infarction, chamber enlargement or hypertrophy, or orthostatic hypotension.
  • Presence of uncontrolled hypertension, defined as consistent sitting systolic blood pressure (SBP) >160 mmHg or consistent sitting diastolic blood pressure (DBP) >95 mmHg despite present therapy.
  • Screening laboratory value(s) outside the laboratory reference range that are considered to be clinically significant by the Investigator (clinical chemistry, hematology, thyroid function, and urinalysis).
05

Study design

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

Study arms

  • Experimental
    SP-624

    Participants to receive two 10 mg capsules of SP-624 once daily for a total daily dose of 20 mg

    Drug: SP-624

  • Placebo comparator
    Placebo

    Participant to receive 2 matching placebo capsules once daily

    Drug: Placebo

Interventions

  • DrugSP-624

    Once daily oral administration of two capsules totaling 20 mg/day

  • DrugPlacebo

    Once daily oral administration of two matching placebo capsules

06

What researchers measure

Primary outcomes

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

    The MADRS is a 10-item depression rating scale used to assess the severity of depression. Individual items are scored on a 7-point scale (0 to 6). The toal score is the sum of individual items, ranging from 0 to 60; where a higher score indicates more depression.

    Time frame: Baseline to Week 4

Secondary outcomes

  1. Change from Baseline in the Clinical Global Impression - Severity (CGI-S) score.

    The CGI-S is a 7-point scale to rate the severity of the participant's illness at the time of assessment, relative to the clinician's past experience with participants who have the same diagnosis. A score of 1 represents "normal" and 7 represents "most extremely ill".

    Time frame: Baseline to Weeks 1-4 and 1- and 2- Week Follow-up

  2. Change from Baseline in Quick Inventory of Depressive Symptomology-Self-Report (QIDS-SR) total score.

    The QIDS-SR is a 16-item self-reported scale where each item has a 4-point scale where 0 represents least impact scores while 3 represents greatest impact scores. Some questions are linked. The total score ranges from 0 to 27 where a higher score indicates more depression.

    Time frame: Baseline to Weeks 1-4 and 1- and 2- Week Follow-up

  3. Change from Baseline in the Montgomery-Asberg Depression Rating Scale (MADRS) total score.

    The MADRS is a 10-item depression rating scale used to assess the severity of depression. Individual items are scored on a 7-point scale (0 to 6). The toal score is the sum of individual items, ranging from 0 to 60; where a higher score indicates more depression.

    Time frame: Baseline to Weeks 1-3 and 1- and 2- Week Follow-up

  4. Change from Baseline in 17-item-Hamilton Depression Rating Scale (HAM-D-17) total score.

    The 17-item HAM-D is used to assess the severity of depression. Individual items are scored on either a 3-point (0 to 2) or a 5-point scale (0 to 4), with 0=No difficulty/absent and 4=most severe. The total score is the sum of individual items, ranging from 0 to 52; where a higher score indicates more depression.

    Time frame: Baseline to Weeks 2 and 4

  5. Change from Baseline in Sheehan Disability Scale (SDS) total score.

    The SDS is a 3-part scale that measures the degree of disruption on work, social and family life using an 11-point scale where 0 represents "no disruption" and 10 represents "extreme disruption". In addition to the 11-point scale, participants are asked to indicate the number of days in the past week that were "lost" and numbers of days that were "underproductive". The results of these questions have a range from 0 to 7. A total global functioning impairment score can be utilized by summing the scores from work, social and family life scales for a value range from 0 to 30.

    Time frame: Baseline to Weeks 2 and 4

  6. Change from Baseline in Symbol Digit Modalities Test (SDMT) score.

    The SDMT is an assessment of complex scanning and visual tracking requiring elements of attention, visuoperceptual processing, working memory, and cognitive/psychomotor speed. The SDMT measures the time to pair abstract symbols with specific numbers. The number of correct substitutions within 90 seconds is recorded and the total score is derived from the total number of correct responses with a minimum possible score of 0 and maximum of 110 where high scores indicate better outcome.

    Time frame: Baseline to Weeks 2 and 4

  7. Incidence rates of treatment emergent adverse events (TEAEs), serious adverse events (SAEs), and TEAEs leading to withdrawal from study.

    Time frame: Baseline to Weeks 1-4 and 1- and 2- Week Follow up

07

Study locations

50 sites
  • IMA Clinical Research
    Phoenix, Arizona 85012, United States
  • Noble Clinical Research
    Tucson, Arizona 85704, United States
  • SanRo Clinical Research Group
    Bryant, Arkansas 72022, United States
  • Clinical Innovations
    Bellflower, California 90706, United States
  • Sun Valley Research Center
    Imperial, California 92251, United States
  • Synergy San Diego
    Lemon Grove, California 91945, United States
  • Excell Research
    Oceanside, California 92056, United States
  • CiTrials
    Riverside, California 92506, United States
  • Collaborative Neuroscience Research
    Torrance, California 90504, United States
  • Sunwise Clinical Research
    Walnut Creek, California 94596, United States
  • Next Level Clinical Trials
    West Covina, California 91790, United States
  • MCB Clinical Research Centers
    Colorado Springs, Colorado 80910, United States
  • Clinical Neuroscience Solutions
    Jacksonville, Florida 32256, United States
  • Accel Clinical
    Lakeland, Florida 33803, United States
  • Segal Trials
    Lauderhill, Florida 33319, United States
  • Segal Trials - Miami Lakes
    Miami Lakes, Florida 33016, United States
  • Clinical Neuroscience Solutions
    Orlando, Florida 32801, United States
  • DMI Research
    Pinellas Park, Florida 33782, United States
  • Accelerated Enrollment Solutions
    Atlanta, Georgia 30328, United States
  • Velocity Clinical Research
    Meridian, Idaho 83642, United States
  • Revive Research Institute
    Elgin, Illinois 60123, United States
  • Tandem Clinical Research
    Marrero, Louisiana 70072, United States
  • Boston Clinical Trials
    Boston, Massachusetts 02131, United States
  • Neurobehavioral Medicine Group
    Bloomfield Hills, Michigan 48302, United States
  • Midwest Research Group
    Saint Charles, Missouri 63304, United States
  • Alivation Research
    Lincoln, Nebraska 68526, United States
  • IMA Clinical Research
    Las Vegas, Nevada 89102, United States
  • Redbird Research
    Las Vegas, Nevada 89119, United States
  • Center for Emotional Fitness
    Cherry Hill, New Jersey 08002, United States
  • CenExel HRI
    Marlton, New Jersey 08053, United States
  • IMA Clinical Research
    Albuquerque, New Mexico 87109, United States
  • Integrative Clinical Trials
    Brooklyn, New York 11229, United States
  • Pioneer Clinical Research
    New York, New York 10016, United States
  • Magnolia Clinical Research
    Cary, North Carolina 27511, United States
  • UNC Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • New Hope Clinical Research
    Charlotte, North Carolina 28211, United States
  • Velocity Clinical Research
    Beachwood, Ohio 44122, United States
  • Midwest Clinical Research Center
    Dayton, Ohio 45417, United States
  • North Star Medical Research
    Middleburg Heights, Ohio 44130, United States
  • Summit Headlands
    Portland, Oregon 97210, United States
  • Coastal Carolina Research Center
    North Charleston, South Carolina 29405, United States
  • Clinical Neuroscience Solutions
    Memphis, Tennessee 38119, United States
  • Donald J. Garcia, Jr, MD, PA
    Austin, Texas 78737, United States
  • Future Search Trials of Dallas
    Dallas, Texas 75231, United States
  • Haracec Clinical Research
    El Paso, Texas 79902, United States
  • Pillar Clinical Research
    Richardson, Texas 75080, United States
  • R and H Clinical Research
    Stafford, Texas 77477, United States
  • Grayline Research Center
    Wichita Falls, Texas 76309, United States
  • Northwest Clinical Research Center
    Bellevue, Washington 98007, United States
  • Core Clinical Research
    Everett, Washington 98201, United States
08

References and documents

Publications

  • Raskin J, Clayton AH, Kornstein SG, Papakostas GI, Prescott Y, Abernathy K, Hall J, Ackermann M, Wargin W, Rigdon G; SP-624-201 study investigators. A phase 2, multicenter, double-blind, randomized, placebo-controlled study of the safety and efficacy of forvisirvat (SP-624) in the treatment of adults with major depressive disorder. Curr Med Res Opin. 2025 Sep;41(9):1723-1734. doi: 10.1080/03007995.2025.2574465. Epub 2025 Oct 29. PubMed 41099447 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06254612
Lead sponsor
Sirtsei Pharmaceuticals, Inc.
Collaborators
Rho, Inc.
Responsible party
Sponsor
First posted
Feb 12, 2024
Start date
Mar 25, 2024
Primary completion
Jul 8, 2026
Completion
Jul 8, 2026
Last update
Aug 18, 2026

Study contacts

Greg Rigdon, PhD
study director · Sirtsei Pharmaceuticals, Inc.

Oversight

Data monitoring committee
No
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 Aug 2026. You cannot join it, but the record below documents what was studied.

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