ClinicalTrials.gg
RecruitingNCT06966401Updated Nov 2, 2026

Long-Term Study to Assess the Safety and Tolerability of NBI-1065845 as an Adjunctive Treatment in Participants With Major Depressive Disorder (MDD)

A Phase 3 interventional study of NBI-1065845 in Major Depressive Disorder, sponsored by Neurocrine Biosciences. Recruiting at 120 sites in 23 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Neurocrine Biosciences · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 6 months later.
Updated Nov 2, 2026First sites in Australia, Serbia and South KoreaSite recruiting status changed+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
850
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the long-term safety and tolerability of NBI-1065845 as an adjunctive treatment in participants with MDD.

02

Conditions studied

  • Major Depressive Disorder

Keywords

  • MDD
  • Depression
  • Major Depressive Disorder
  • NBI-1065845
  • TAK-653
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 850 is above the median of 79 across 2,530 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Neurocrine Biosciences is the lead sponsor of 86 studies on the registry; 16 are open to participants now.

Of its 35 completed or terminated interventional studies of FDA-regulated products, 23 (66%) have results posted.

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

04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  • Participant has a primary diagnosis of recurrent MDD (moderate or severe) or persistent depressive disorder.
  • Participant has had an inadequate response to oral antidepressant treatments in the current episode of depression.
  • Participant must have been taking oral antidepressants for at least 8 weeks prior to screening.
  • Willing and able to comply with all study procedures and restrictions in the opinion of the investigator.

Key Exclusion Criteria:

  • A current or prior psychiatric disorder diagnosis in the last 1 year that was the primary focus of treatment other than MDD.
  • Are considered by the investigator to be at imminent risk of suicide or injury to self or others.

Other protocol defined inclusion and exclusion criteria apply.

05

Study design

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

Study arms

  • Experimental
    NBI-1065845

    NBI-1065845 administered orally once a day.

    Drug: NBI-1065845

Interventions

  • NBI-1065845 tablets

    Also known as: TAK-653

06

What researchers measure

Primary outcomes

  1. Number of Participants with Treatment-emergent Adverse Events (TEAEs)

    Time frame: Baseline through Week 52

07

Study locations

106 of 120 sites recruiting
  • Neurocrine Clinical Site
    Huntsville, Alabama 35801, United States
    Recruiting
  • Neurocrine Clinical Site
    Bryant, Arkansas 72022, United States
    Recruiting
  • Neurocrine Clinical Site
    Little Rock, Arkansas 72204, United States
    Recruiting
  • Neurocrine Clinical Site
    Chino, California 91710, United States
    Recruiting
  • Neurocrine Clinical Site
    Glendale, California 91206, United States
    Recruiting
  • Neurocrine Clinical Site
    Irvine, California 92614, United States
    Recruiting
  • Neurocrine Clinical Site
    Los Angeles, California 90025, United States
    Recruiting
  • Neurocrine Clinical Site
    Oceanside, California 92056, United States
    Recruiting
  • Neurocrine Clinical Site
    Orange, California 92866, United States
    Recruiting
  • Neurocrine Clinical Site
    Pico Rivera, California 90660, United States
    Recruiting
  • Neurocrine Clinical Site
    San Diego, California 92103-8229, United States
    Recruiting
  • Neurocrine Clinical Site
    San Francisco, California 94107, United States
    Active, not recruiting

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    San Jose, California 95124, United States
    Recruiting
  • Neurocrine Clinical Site
    Upland, California 91786, United States
    Terminated

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Cromwell, Connecticut 06416, United States
    Recruiting
  • Neurocrine Clinical Site
    Farmington, Connecticut 06030, United States
    Recruiting
  • Neurocrine Clinical Site
    Hollywood, Florida 33024, United States
    Recruiting
  • Neurocrine Clinical Site
    Maitland, Florida 32751-5669, United States
    Recruiting
  • Neurocrine Clinical Site
    Maitland, Florida 32751, United States
    Recruiting
  • Neurocrine Clinical Site
    Miami, Florida 33174, United States
    Recruiting
  • Neurocrine Clinical Site
    Miami Gardens, Florida 33014, United States
    Recruiting
  • Neurocrine Clinical Site
    Orlando, Florida 32803, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Palm Bay, Florida 32905, United States
    Recruiting
  • Neurocrine Clinical Site
    Tampa, Florida 33607, United States
    Recruiting
  • Neurocrine Clinical Site
    Tampa, Florida 33613, United States
    Recruiting
  • Neurocrine Clinical Site
    Tampa, Florida 33629, United States
    Recruiting
  • Neurocrine Clinical Site
    Atlanta, Georgia 30318, United States
    Recruiting
  • Neurocrine Clinical Site
    Gaithersburg, Maryland 20877, United States
    Recruiting
  • Neurocrine Clinical Site
    Boston, Massachusetts 02116, United States
    Recruiting
  • Neurocrine Clinical Site
    Watertown, Massachusetts 02472, United States
    Recruiting
  • Neurocrine Clinical Site
    O'Fallon, Missouri 63368, United States
    Recruiting
  • Neurocrine Clinical Site
    Saint Charles, Missouri 63304, United States
    Recruiting
  • Neurocrine Clinical Site
    Cedarhurst, New York 11516, United States
    Recruiting
  • Neurocrine Clinical Site
    Mount Kisco, New York 10549, United States
    Recruiting
  • Neurocrine Clinical Site
    New York, New York 10029, United States
    Recruiting
  • Neurocrine Clinical Site
    New York, New York 10128, United States
    Recruiting
  • Neurocrine Clinical Site
    The Bronx, New York 10461, United States
    Recruiting
  • Neurocrine Clinical Site
    Avon Lake, Ohio 44012, United States
    Recruiting
  • Neurocrine Clinical Site
    Edmond, Oklahoma 73013, United States
    Recruiting
  • Neurocrine Clinical Site
    Oklahoma City, Oklahoma 73112, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Neurocrine Clinical Site
    Bellaire, Texas 77401, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Dallas, Texas 75251, United States
    Recruiting
  • Neurocrine Clinical Site
    DeSoto, Texas 75115, United States
    Recruiting
  • Neurocrine Clinical Site
    Houston, Texas 77030, United States
    Recruiting
  • Neurocrine Clinical Site
    Richmond, Texas 77407, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Stafford, Texas 77477, United States
    Recruiting
  • Neurocrine Clinical Site
    The Woodlands, Texas 77381, United States
    Recruiting
  • Neurocrine Clinical Site
    Draper, Utah 84080, United States
    Recruiting
  • Neurocrine Clinical Site
    Carlton, Victoria 3053, Australia
    Recruiting
  • Neurocrine Clinical Site
    Melbourne, 3004, Australia
    Recruiting
  • Neurocrine Clinical Site
    Alken, 3570, Belgium
    Recruiting
  • Neurocrine Clinical Site
    Mechelen, 2800, Belgium
    Recruiting
  • Neurocrine Clinical Site
    Kardzhali, 6600, Bulgaria
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Plovdiv, 4400, Bulgaria
    Recruiting
  • Neurocrine Clinical Site
    Rousse, 7003, Bulgaria
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Sofia, 1113, Bulgaria
    Recruiting
  • Neurocrine Clinical Site
    Sofia, 1408, Bulgaria
    Recruiting
  • Neurocrine Clinical Site
    Sofia, 1510, Bulgaria
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Sofia, 1510, Bulgaria
    Recruiting
  • Neurocrine Clinical Site
    Sofia, 1680, Bulgaria
    Recruiting
  • Neurocrine Clinical Site
    Varna, 9020, Bulgaria
    Recruiting
  • Neurocrine Clinical Site
    North Vancouver, British Columbia V7P 2T4, Canada
    Recruiting
  • Neurocrine Clinical Site
    Toronto, Ontario M5H 1A1, Canada
    Recruiting
  • Neurocrine Clinical Site
    Zagreb, 10000, Croatia
    Recruiting
  • Neurocrine Clinical Site
    Zagreb, 10090, Croatia
    Recruiting
  • Neurocrine Clinical Site
    Zagreb, 10090, Croatia
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Pilsen, 30100, Czechia
    Recruiting
  • Neurocrine Clinical Site
    Prague, 100 00, Czechia
    Recruiting
  • Neurocrine Clinical Site
    Prague, 11000, Czechia
    Recruiting
  • Neurocrine Clinical Site
    Prague, 160 00, Czechia
    Recruiting
  • Neurocrine Clinical Site
    Prague, 186 00, Czechia
    Recruiting
  • Neurocrine Clinical Site
    Tallinn, 11315, Estonia
    Recruiting
  • Neurocrine Clinical Site
    Kuopio, 70110, Finland
    Recruiting
  • Neurocrine Clinical Site
    Oulu, 90100, Finland
    Recruiting
  • Neurocrine Clinical Site
    Tampere, 33210, Finland
    Recruiting
  • Neurocrine Clinical Site
    Budapest, 1036, Hungary
    Recruiting
  • Neurocrine Clinical Site
    Budapest, 1135, Hungary
    Recruiting
  • Neurocrine Clinical Site
    Milan, 20127, Italy
    Recruiting
  • Neurocrine Clinical Site
    Roma, 00168, Italy
    Recruiting
  • Neurocrine Clinical Site
    Jelgava, LV-3008, Latvia
    Recruiting
  • Neurocrine Clinical Site
    Liepāja, LV-3401, Latvia
    Recruiting
  • Neurocrine Clinical Site
    Sigulda, LV-2150, Latvia
    Recruiting
  • Neurocrine Clinical Site
    Kaunas, LT-44279, Lithuania
    Recruiting
  • Neurocrine Clinical Site
    Kaunas, LT-49449, Lithuania
    Recruiting
  • Neurocrine Clinical Site
    Vilnius, LT-10309, Lithuania
    Recruiting
  • Neurocrine Clinical Site
    Amsterdam, 1081 GN, Netherlands
    Recruiting
  • Neurocrine Clinical Site
    Groningen, 9713 GZ, Netherlands
    Recruiting
  • Neurocrine Clinical Site
    Leiden, 2333 ZA, Netherlands
    Recruiting
  • Neurocrine Clinical Site
    Bełchatów, 97-400, Poland
    Recruiting
  • Neurocrine Clinical Site
    Bialystok, 15-404, Poland
    Recruiting
  • Neurocrine Clinical Site
    Bialystok, 15-756, Poland
    Recruiting
  • Neurocrine Clinical Site
    Bialystok, 15-879, Poland
    Withdrawn

    Not enrolling at this site — choose another above.

  • Neurocrine Clinical Site
    Bydgoszcz, 85-794, Poland
    Recruiting
  • Neurocrine Clinical Site
    Gdansk, 80-283, Poland
    Recruiting
  • Neurocrine Clinical Site
    Gdansk, 80-546, Poland
    Recruiting
  • Neurocrine Clinical Site
    Grudziądz, 86-300, Poland
    Recruiting
  • Neurocrine Clinical Site
    Katowice, 40-514, Poland
    Recruiting
  • Neurocrine Clinical Site
    Craiova, 200157, Romania
    Recruiting
  • Neurocrine Clinical Site
    Belgrade, 11000, Serbia
    Recruiting

Showing the first 100 of 120 sites across 23 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2025 (actual). Primary completion is estimated for May 2029, 49 months after the start.

Of 95 industry-sponsored phase 3 interventional studies under Depressive Disorder, Major, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 33. This study's planned 49 months is above that.

Counting every sponsor, half of 124 studies reached it within 27 months; a quarter within 21 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 30, 2025
First posted
May 11, 2025
StartActual
Apr 16, 2025
Primary completionEst.
May 2029
CompletionEst.
May 2030
Last update
Nov 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
18 sites added, 4 sites removed — first sites in Australia, Serbia and South Korea. 3 sites changed recruiting status (2 now withdrawn, 1 now active, not recruiting)
Show 3 sites
  • Neurocrine Clinical Site · San Francisco, United StatesRecruiting→Active, not recruiting
  • Neurocrine Clinical Site · Bellaire, United StatesRecruiting→Withdrawn
  • Neurocrine Clinical Site · Kardzhali, BulgariaRecruiting→Withdrawn
Show 18 added (4 United States, 2 Australia, 2 Serbia, 2 South Korea, 1 Bulgaria, 1 Canada, 1 Croatia, 1 Hungary, 1 Italy, 1 Latvia, 1 Lithuania, 1 Spain)
  • Neurocrine Clinical Site · Chino, United States
  • Neurocrine Clinical Site · Irvine, United States
  • Neurocrine Clinical Site · Tampa, United States
  • Neurocrine Clinical Site · Draper, United States
  • Neurocrine Clinical Site · Carlton, Australia
  • Neurocrine Clinical Site · Melbourne, Australia
  • Neurocrine Clinical Site · Rousse, Bulgaria
  • Neurocrine Clinical Site · North Vancouver, Canada
  • Neurocrine Clinical Site · Zagreb, Croatia
  • Neurocrine Clinical Site · Budapest, Hungary
  • Neurocrine Clinical Site · Milan, Italy
  • Neurocrine Clinical Site · Sigulda, Latvia
  • Neurocrine Clinical Site · Vilnius, Lithuania
  • Neurocrine Clinical Site · Belgrade, Serbia
  • Neurocrine Clinical Site · Kragujevac, Serbia
  • Neurocrine Clinical Site · Gyeonggi-do, South Korea
  • Neurocrine Clinical Site · Seoul, South Korea
  • Neurocrine Clinical Site · Barcelona, Spain
Show 4 removed
  • Neurocrine Clinical Site · Everett, United States
  • Neurocrine Clinical Site · Jelgava, Latvia
  • Neurocrine Clinical Site · Liepāja, Latvia
  • Neurocrine · Sigulda, Latvia
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    18 sites added, 4 sites removed — first sites in Australia, Serbia and South Korea. 3 sites changed recruiting status (2 now withdrawn, 1 now active, not recruiting)
    Show 3 sites
    • Neurocrine Clinical Site · San Francisco, United StatesRecruiting→Active, not recruiting
    • Neurocrine Clinical Site · Bellaire, United StatesRecruiting→Withdrawn
    • Neurocrine Clinical Site · Kardzhali, BulgariaRecruiting→Withdrawn
    Show 18 added (4 United States, 2 Australia, 2 Serbia, 2 South Korea, 1 Bulgaria, 1 Canada, 1 Croatia, 1 Hungary, 1 Italy, 1 Latvia, 1 Lithuania, 1 Spain)
    • Neurocrine Clinical Site · Chino, United States
    • Neurocrine Clinical Site · Irvine, United States
    • Neurocrine Clinical Site · Tampa, United States
    • Neurocrine Clinical Site · Draper, United States
    • Neurocrine Clinical Site · Carlton, Australia
    • Neurocrine Clinical Site · Melbourne, Australia
    • Neurocrine Clinical Site · Rousse, Bulgaria
    • Neurocrine Clinical Site · North Vancouver, Canada
    • Neurocrine Clinical Site · Zagreb, Croatia
    • Neurocrine Clinical Site · Budapest, Hungary
    • Neurocrine Clinical Site · Milan, Italy
    • Neurocrine Clinical Site · Sigulda, Latvia
    • Neurocrine Clinical Site · Vilnius, Lithuania
    • Neurocrine Clinical Site · Belgrade, Serbia
    • Neurocrine Clinical Site · Kragujevac, Serbia
    • Neurocrine Clinical Site · Gyeonggi-do, South Korea
    • Neurocrine Clinical Site · Seoul, South Korea
    • Neurocrine Clinical Site · Barcelona, Spain
    Show 4 removed
    • Neurocrine Clinical Site · Everett, United States
    • Neurocrine Clinical Site · Jelgava, Latvia
    • Neurocrine Clinical Site · Liepāja, Latvia
    • Neurocrine · Sigulda, Latvia
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06966401
Responsible party
Sponsor
First posted
May 11, 2025
Start date
Apr 16, 2025
Primary completion
May 2029 (estimated)
Completion
May 2030 (estimated)
Last update
Nov 2, 2026

Study contacts

Neurocrine Medical Information Call Center
Contact
medinfo@neurocrine.com
1-877-641-3461
Clinical Development Lead
study director · Neurocrine Biosciences

Oversight

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

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