ClinicalTrials.gg
RecruitingNCT06958692Updated May 6, 2025

A Trial of Dextromethorphan and Bupropion Sustained-Release Tablets in Patients With Major Depressive Disorder

A Phase 3 interventional study of Dextromethorphan and Bupropion Sustained-Release Tablets and Placebo in Major Depressive Disorder (MDD), sponsored by CSPC Ouyi Pharmaceutical Co., Ltd.. Recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-05-06.

Sponsored by CSPC Ouyi Pharmaceutical Co., Ltd. (part of CSPC Pharmaceutical Group Limited) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 7 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
388
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A multicenter, randomized, double-blind, placebo-controlled, phase 3 trial, aim to evaluate the efficacy and safety of dextromethorphan and bupropion sustained-release tablets in Chinese adult patients with major depressive disorder.

02

Conditions studied

  • Major Depressive Disorder (MDD)
03

In context

Depressive Disorder, Major

3,041 studies on the registry are indexed under Depressive Disorder, Major; 588 are open to participants now.

This study's planned enrollment of 388 is above the median of 79 across 2,530 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

CSPC Ouyi Pharmaceutical Co., Ltd. is the lead sponsor of 30 studies on the registry; 15 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male or female, Age 18 - 65, inclusive
  2. Currently meets diagnosis of MDD without psychotic features, Current major depressive episode of at least 4 weeks in duration at screening
  3. Identified as MDD by Mini-international Neuropsychiatric interview (M.I.N.I.)
  4. MADRS score ≥25 and CGI-S ≥4 at screening and baseline
  5. The results of physical examination and laboratory tests during the screening period meet the test requirements
  6. between 18 and 40 kg/m2, inclusive
  7. For male subjects, use of an adequate method of by the subject and by female sexual partners

Exclusion criteria

Exclusion Criteria:

    1. The researchers determined that it was depression [defined as in a current depressive episode or a previous depressive episode, After 2 or more antidepressants, a sufficient amount (in the maximum recommendation of the manual), a course of foot therapy (at least even Continued medication for 4-6 weeks) ineffective after treatment] 2. The MADRS score improved by ≥ 25% at baseline compared with the screening period.

      1. Hospitalization in a psychiatric hospital during a current depressive episode 4. There is a risk of suicide or self-harm and harm to others 5. Screening patients tested positive for substance abuse 6. In the investigator's judgment, there are any clinically significant oncology, hematology, or internal diseases that are not suitable for entry into the study Secretory/metabolic, cardiovascular, respiratory, kidney, liver, gastrointestinal, infectious or nervous system fever Or suffer from an unstable or progressive chronic disease 7. hypertension 8. Hypothyroidism or hyperthyroidism, except for the following cases: receiving stable medication with no change in dose for at least 1 month before screening (serum TSH must be > 0.75×LLN( Lower Limit of Normal ) and \< 1.25×(Upper Limit of Normal )) 9 Bupropion, dextromethorphan, opioids (such as codeine), or any of the study drugs Allergic to other ingredients 10. Presence of a history of intolerance to bupropion or dextromethorphan 11. People living with , or testing positive for HIV during screening 12. Screening period hepatitis virology test positive 13. Liver enzyme test results during the screening period (total , and/or alanine aminotransferase) > 2.0 × ULN 14. According to the investigator's judgment, other conditions are not suitable for participating in this clinical study
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

05

Study design

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

Study arms

  • Experimental
    Dextromethorphan and Bupropion

    Drug: Dextromethorphan and Bupropion Sustained-Release Tablets

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugDextromethorphan and Bupropion Sustained-Release Tablets

    Oral dextromethorphan and bupropion sustained-release tablets, taken daily for 6 weeks.

  • DrugPlacebo

    Oral placebo tablets, taken daily for 6 weeks.

06

What researchers measure

Primary outcomes

  1. Change in MADRS Total Score From Baseline to Week 6

    The MADRS is a 10-item scale and items are scored between 0-6 points. For each item, a score of 0 indicates the absence of symptoms, and a score of 6 indicates symptoms of maximum severity. A maximum total score is 60 points.

    Time frame: 6 weeks

Secondary outcomes

  1. Treatment response rate (the proportion of participants whose total score on the Montgomery-Åsberg Depression Rating Scale (MADRS) has improved by ≥ 50% compared to the baseline at the 6th week after administration)

    The minimum MARDS score is 0, and the maximum score is 60. The higher the total score, the more severe the patient's depressive symptoms are.

    Time frame: 2 weeks

  2. Clinical cure rate (the proportion of participants with a total score of the Montgomery-Åsberg Depression Rating Scale (MADRS) ≤ 10 at the 2nd week after administration)

    The minimum MARDS score is 0, and the maximum score is 60. The higher the total score, the more severe the patient's depressive symptoms are.

    Time frame: 6 weeks

  3. Proportion of participants with a ≥ 30% improvement in total MADRS scores from baseline at week 6 after administration

    The minimum MARDS score is 0, and the maximum score is 60. The higher the total score, the more severe the patient's depressive symptoms are.

    Time frame: 6 weeks

  4. PGI-I score at week 6 after administration

    (PGI-I:Patient Global Impression - Improvement)The minimum PGI-I score is 0, and the maximum score is 7 The higher the score, the more severe the degree of deterioration, while the lower the score, the better the improvement.

    Time frame: 6 weeks

  5. CGI-I score (Week 1, Week 2, Week 3, Week 4, Week 6)

    CGI-I:Clinical Global Impressions - Improvement. The minimum CGI-I score is 1, and the maximum score is 7. The higher the score, the more severe the degree of deterioration, while the lower the score, the better the improvement.

    Time frame: 1,2,3,4,6 weeks

  6. Changes in CGI-S score from baseline to week 6

    CGI-S(Clinical Global Impressions-Severity): The minimum CGI-S score is 0, and the maximum score is 7. The lower the score, the closer the patient's condition is to the normal state, while the higher the score, the more severe the condition.

    Time frame: 6 weeks

  7. Change in QIDS-SR-16 score from baseline to Week 6

    QIDS-SR-16(Quick Inventory of Depressive Symptomatology - Self-Report, 16-Item):The minimum QIDS-SR-16 score is 0, and the maximum score is 27. The lower the score, the milder the depressive symptoms are, while the higher the score, the more severe the depressive symptoms are.

    Time frame: 6 weeks

  8. Change in SDS score from baseline to Week 6

    SDS(Self-Rating Depression Scale):The minimum SDS score is 0, and the maximum score is 30. In the assessment, the lower the standard score, the milder the depressive state, and vice versa.

    Time frame: 6 weeks

  9. Incidence of adve rse events

    Unit: % (proportion of participants experiencing adverse events to the total number of enrolled participants)

    Time frame: Within 7 weeks

  10. Incidence of serious adverse events

    Unit: % (proportion of participants experiencing serious adverse events to the total number of enrolled participants)

    Time frame: Within 7 weeks

  11. Proportion of participants with significant abnormalities in vital signs

    Unit: % (proportion of participants with significant vital sign abnormalities to the total number of enrolled participants) * Vital signs include: * Body temperature (axillary): ℃ (Celsius) * Respiration: times/minute * Pulse: times/minute * Sitting blood pressure: mmHg

    Time frame: Within 7 weeks

  12. Proportion of participants with significant abnormalities in physical examination results

    * Unit: % (proportion of participants with significant physical examination abnormalities to the total number of enrolled participants) * Examination content includes: general condition, head and face, skin system, lymph nodes, eyes, ear-nose-throat, oral cavity, thyroid, respiratory system, cardiovascular system, abdomen, musculoskeletal system, nervous system, etc.

    Time frame: Within 7 weeks

  13. Proportion of participants with abnormal electrocardiogram (ECG) parameters

    (The number of participants with significantly abnormal heart rate, respiratory rate (RR), PR interval, QRS duration, QT interval, and QTcF (in this study, the QT interval was corrected using Fridericia's formula).) o Unit: % (proportion of participants with abnormal ECG parameters to the total number of enrolled participants)

    Time frame: Within 7 weeks

  14. Proportion of participants with significant abnormalities in laboratory test results

    o Unit: % (proportion of participants with significant laboratory test abnormalities to the total number of enrolled participants)

    Time frame: Within 7 weeks

  15. Incidence of suicidal ideation and behavior assessed by C-SSRS(Columbia Suicide Severity Rating Scale),It can comprehensively assess the individual's suicide risk level. The higher the score, the higher the suicide risk.

    * Unit: % (proportion of participants with suicidal ideation or behavior to the total number of enrolled participants) * C-SSRS is a questionnaire used to evaluate participants' suicidal ideation and behavior, systematically assessing participants' suicidal status from three dimensions: suicidal ideation, intensity of ideation, and suicidal behavior.

    Time frame: Within 7 weeks

  16. Withdrawal responses as assessed by the PWC-20

    (Physician Withdrawal Checklist - 20)scale(The minimum PWC-20 score is 0, and the maximum score is 60. The higher the score, the more severe the condition.)

    Time frame: 7 weeks

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06958692
Responsible party
Sponsor
First posted
May 6, 2025
Start date
Apr 11, 2025
Primary completion
Sep 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
May 6, 2025

Study contacts

Clinical Trials Information Group officer
Contact
ctr-contact@cspc.cn
86-0311-69085587

Oversight

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

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