CClinicalTrials.gg
Enrolling by invitationNCT06922110X-NOVA-OLEUpdated Sep 3, 2026

An Open-Label Study of Azetukalner in Major Depressive Disorder

A Phase 3 interventional study of Azetukalner in Major Depressive Disorder, sponsored by Xenon Pharmaceuticals Inc.. Enrolling by invitation at 71 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by Xenon Pharmaceuticals Inc. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
460
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

X-NOVA-OLE is a multicenter, open-label study to evaluate the long-term safety, tolerability, and efficacy of azetukalner as a monotherapy in adult participants who successfully completed an antecedent Phase 3 study of azetukalner in Major Depressive Disorder (MDD).

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Conditions studied

  • Major Depressive Disorder

Keywords

  • Depression
  • Antidepressant
  • XEN1101
  • Azetukalner
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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 planned enrollment of 460 is above the median of 80 across 2,283 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Xenon Pharmaceuticals Inc. is the lead sponsor of 23 studies on the registry; 8 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participant successfully completed the treatment period of an antecedent azetukalner Phase 3 study in MDD.
  • Participant provides written informed consent to participate in the study, is able to understand the procedures and study requirements, and agrees to abide by them.
  • Participant is willing to comply with the contraception requirements.
  • Male participants must agree not to donate sperm until 3 months after the last dose of study drug. Female participants must agree not to donate ova until 3 months after the last dose of study drug.

Exclusion criteria

Exclusion Criteria:

  • Participant met any of the withdrawal criteria, or discontinued study drug early, or was terminated early from an antecedent study.
  • Participant had any protocol deviations in an antecedent azetukalner study that, in the opinion of the investigator, would preclude participation in this study.
  • Participant is unable to comply with study procedures or is inappropriate for the study, as judged by the investigator.
  • Participant has any medical condition, personal circumstance, or ongoing AE (from an antecedent study) that, in the opinion of the investigator, exposes the participant to unacceptable risk by participating in the study or prevents adherence to the protocol.
  • Female participant who is pregnant, breastfeeding, or planning to become pregnant within 3 months after the last dose of study drug.
  • Participant is planning to enter a clinical study with a different investigational drug or planning to use any experimental device for treatment of any medical condition during the study or within 28 days after completion of this study.
  • Participant is judged to have a significant risk for self-harm or suicidal behavior or is considered to be an imminent danger to themself or others, as determined by the C-SSRS or in the opinion of the investigator.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
460 participants (estimated)

Study arms

  • Experimental
    Azetukalner 20 mg

    Drug: Azetukalner

Interventions

  • DrugAzetukalner

    Azetukalner 20 mg taken orally once a day with food (with the evening meal when possible) for 52 weeks.

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What researchers measure

Primary outcomes

  1. Severity and frequency of treatment-emergent adverse events, serious adverse events, adverse events of special interest, and events of clinical interest

    Time frame: From the start of treatment in the open-label extension study through 8 weeks after the last dose

Secondary outcomes

  1. Change from baseline in the Hamilton Depression Rating Scale, 17-Item (HAMD-17) total score over time

    Time frame: From baseline through the active extension treatment (Week 52)

  2. Change from baseline in the Snaith-Hamilton Pleasure Scale (SHAPS) total score over time

    Time frame: From baseline through the active extension treatment (Week 52)

  3. Change in the Clinical Global Impression of Severity (CGI-S) score over time

    Time frame: From baseline through the active extension treatment (Week 52)

  4. Change from baseline in Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) total score, Q-LES-Q-SF medication and life satisfaction and contentment in item scores over time

    Time frame: From baseline through the active extension treatment (Week 52)

  5. Change from baseline in Sheehan Disability Scale (SDS) total score and subscale scores over time

    Time frame: From baseline through the active extension treatment (Week 52)

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Study locations

71 sites
  • Ima Clinical Research - Phoenix
    Phoenix, Arizona 85012, United States
  • Sanro Clinical Research Group, Llc
    Bryant, Arkansas 72022, United States
  • Woodland International Research Group
    Little Rock, Arkansas 72211, United States
  • Woodland Research Northwest
    Rogers, Arkansas 72758, United States
  • Cenexel Cit - Bellflower
    Bellflower, California 90706, United States
  • Irvine Clinical Research
    Irvington District, California 92614, United States
  • Calneuro Research Group, Inc.
    Los Angeles, California 90025, United States
  • Excell Research Inc.
    Oceanside, California 92056, United States
  • Atp Clinical Research
    Orange, California 92866, United States
  • Nrc Research Institute
    Orange, California 92868, United States
  • Artemis Institute For Clinical Research - San Diego
    San Diego, California 92123, United States
  • Cenexel Cnr - Sherman Oaks
    Sherman Oaks, California 91403-2131, United States
  • Cenexel Cns - Torrance
    Torrance, California 90501, United States
  • Pacific Clinical Research Management
    Upland, California 91786, United States
  • Sunwise Clinical Research
    Walnut Creek, California 94596, United States
  • Ct Clinical Research Associates
    Cromwell, Connecticut 06416, United States
  • Institute of Living - Clinical Trials Unit
    Hartford, Connecticut 06106, United States
  • Pharmasouth Research
    Coral Gables, Florida 33146, United States
  • Cns Clinical Research - Coral Springs
    Coral Springs, Florida 33067, United States
  • Gulfcoast Clinical Research Center
    Fort Myers, Florida 33912, United States
  • Sarkis Clinical Trials
    Gainesville, Florida 32607, United States
  • Neoclinical Research
    Hialeah, Florida 33016, United States
  • Clinical Neuroscience Solutions Llc.
    Jacksonville, Florida 32256, United States
  • Accel Research Sites - Lakeland
    Lakeland, Florida 33803, United States
  • Accel Research Sites - St. Petersburg-Largo
    Largo, Florida 33777, United States
  • Harmony Clinical Research Inc
    North Miami Beach, Florida 33162, United States
  • Clinical Neuroscience Solutions Llc
    Orlando, Florida 32801, United States
  • Combined Research Orlando Phase I-Iv
    Orlando, Florida 32807, United States
  • Panhandle Research and Medical Clinic
    Pensacola, Florida 32502, United States
  • Equipath Health and Research Tampa Bay, Llc
    Riverview, Florida 33578, United States
  • Advanced Discovery Research, Llc
    Atlanta, Georgia 30318, United States
  • Synexus - Atlanta
    Atlanta, Georgia 30328, United States
  • DelRicht Research
    Atlanta, Georgia 30329, United States
  • Cenexel Iresearch - Atlanta
    Decatur, Georgia 30030, United States
  • Psych Atlanta, Pc
    Marietta, Georgia 30060, United States
  • Cenexel Iresearch - Savannah
    Savannah, Georgia 31405, United States
  • IMA Clinical Research
    Chicago, Illinois 60634, United States
  • Advanced Quality Medical Research, LLC
    Orland Park, Illinois 60462, United States
  • Pharmasite Research Inc.
    Baltimore, Maryland 21208-6605, United States
  • Adams Clinical - Boston
    Boston, Massachusetts 02116, United States
  • Boston Clinical Trials Llc
    Boston, Massachusetts 02131, United States
  • Elixia MA, LLC
    Springfield, Massachusetts 01103, United States
  • Adams Clinical - Watertown
    Watertown, Massachusetts 02472, United States
  • Vitalix Clinical - Worcester
    Worcester, Massachusetts 01608, United States
  • Psychiatric Care and Research Center
    O'Fallon, Missouri 63368, United States
  • St. Charles Psychiatric Associates - Midwest Research Group
    Saint Charles, Missouri 63304, United States
  • Ima Clinical Research - Las Vegas
    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
  • Global Medical Institutes - Princeton Medical Institute
    Princeton, New Jersey 08540, United States
  • Bio Behavioral Health
    Toms River, New Jersey 08755, United States
  • Integrative Clinical Trials, Llc
    Brooklyn, New York 11229, United States
  • Bioscience Research Llc.
    Mount Kisco, New York 10549, United States
  • Fieve Clinical Research (Fcr), Inc.
    New York, New York 10017-1921, United States
  • Ima Clinical Research - Nyc Uptown
    New York, New York 10128, United States
  • Richmond Behavioral Associates
    Staten Island, New York 10314, United States
  • Magnolia Clinical Research
    Cary, North Carolina 27511, United States
  • New Hope Clinical Research
    Charlotte, North Carolina 28211, United States
  • Insight Clinical Trials Llc
    Independence, Ohio 44131, United States
  • Pahl Pharmaceutical Professionals Llc
    Oklahoma City, Oklahoma 73112, United States
  • Sooner Clinical Research
    Oklahoma City, Oklahoma 73116, United States
  • Lehigh Center For Clinical Research
    Allentown, Pennsylvania 18103, United States
  • Adams Clinical Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Clinical Neuroscience Solutions, LLC
    Memphis, Tennessee 38119, United States
  • Austin Clinical Trial Partners
    Austin, Texas 78737, United States
  • Delricht Research - Plano
    Plano, Texas 75024, United States
  • Grayline Research Center
    Wichita Falls, Texas 76309, United States
  • Boeson Research Pvu
    Provo, Utah 84604, United States
  • Core Clinical Research
    Everett, Washington 98201, United States
  • Oulu Mentalcare Oy
    Oulu, 90100, Finland
  • Praktyka Lekarska Malgorzata Wojtanowska-Bogacka - Centrum Badań Klinicznych
    Poznan, 60192, Poland
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06922110
Lead sponsor
Xenon Pharmaceuticals Inc.
Responsible party
Sponsor
First posted
Apr 10, 2025
Start date
Mar 18, 2025
Primary completion
Jan 2027 (estimated)
Completion
Mar 2027 (estimated)
Last update
Sep 3, 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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