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. 2023 Jun 30;38(5):297–328. doi: 10.1097/YIC.0000000000000488

Table 3.

Completed clinical trials but not published in peer-reviewed journals until September 2022

Mood disorder Drug Dose Phase Type of study Durationa Follow upb NCT number Trial design Adjunctive treatment or monotherapy Depressive symptoms severity scale at baseline Population Drug effectiveness on depressive symptoms
N Sex (F/M) Age range or mean age
MDD AV-101 1440 mg II Multicenter randomized double-blind placebo-controlled parallel-group
Trial
2 weeks NA NCT03078322 2 arms
AV-101
Placebo
Adjunctive treatment HDRS-17 > 20 199 NA 18–65 Failed to improve depressive symptoms at day 15 in the MADRS
(Primary outcome)
AXS-05 45/105 mg III Multicenter open-label trial 12 months NA NCT04039022 Single arm Monotherapy MADRS 33 876 62%/38% 42.4 Reduction in depressive symptoms at week 6 MADRS: −21.1
(Primary outcome)
45/105 mg II Multicenter open-label trial 12 months NA Substudy of NCT04039022
(antidepressant unresponsive patients)
Single arm Monotherapy MADRS 33.3 115 NA NA Reduction in depressive symptoms at week 6
MADRS: −19.1
(Primary outcome)
45/105 mg III Multicenter open-label trial 12 months NA Substudy of NCT04039022
(patients with suicidal ideation)
Single arm Monotherapy MADRS-suicidal ideation 3.4
MADRS 36.8
37 NA NA Reduction in suicidal ideation at week 3
MADRS-SI: -2.8 [P = 0,001]
(Primary outcome)
Pimavanserin 34 mg III Multicenter randomized double-blind placebo-controlled parallel-group trials 6 weeks NA NCT03968159
and NCT03999918
2 arms
Pimavanserin (n 148)
Placebo (n 150)
Adjunctive treatment NA 298 69.8%/30.2% ≥ 18 Failed to improve depressive symptoms at week 5
HDRS-17: −9.0 for pimavanserin vs −8.1 for placebo [P = 0.296]
(Primary outcome)
Zuranolone 50 mg III Multicenter randomized double-blind placebo-controlled trial 2 weeks Day 42 NCT04442490 2 arms Zuranolone (n 27)
Placebo (n 272)
Monotherapy HDRS-17 26.8 543 66%/34% 39.7 Reduction in depressive symptoms at day 15
HDRS-17: −14.1 for ZRN vs −12.3 for placebo [P = 0.0141]
(Primary outcome)
30 mg
50 mg
III Open-label trial 2 weeks 1 year NCT03864614 Single arm Monotherapy (n 421)
Adjunctive treatment
(n 304)
HDRS-17 25.3 725 NA 18–75 Reduction in depressive symptoms at day 15
HDRS-17: −14.9 for zuranolone 30 vs −15.9 for zuranolone 50
50 mg III Randomized double-blind placebo-controlled trial 2 weeks 6 weeks NCT04476030 2 arms
Zuranolone (n 210)
Placebo (n 215)
Adjunctive treatment HDRS-17 26.8 440 NA 18–64 Reduction in depressive symptoms at day 3 HDRS-17: −8.9 for zuranolone vs −7.0 for placebo [P = 0.0004]
(Primary outcome)
20 mg
30 mg
III Multicenter randomized double-blind placebo-controlled trial 2 weeks Days 43–182 NCT03672175 3 arms
Zuranolone 20 (n 159)
Zuranolone 30 (n 166)
Placebo (n 157)
Monotherapy HDRS-17 ≥ 22 581 70.3%/29.7% 18–65 Failed to improve depressive symptoms at day 15
HDRS-17: –12.5 for zuranolone 30 vs -11.1 for placebo [P = 0.116] [d = 0.17] vs –11.5 for zuranolone 20 [P = 0.664] [d = 0.03]
(Primary outcome)
Prax-114 40 mg II/III Randomized double-blind placebo-controlled trial 4 weeks 2 weeks NCT04832425 2 arms
PRAX-114
Placebo
Monotherapy HDRS-17 ≥ 23 216 NA 18–65 Failed to improve depressive symptoms at day 15 in the HDRS-17
(Primary outcome)
Seltorexant 20 mg
40 mg
II Multicenter randomized double-blind flexible-dose parallel-group trial 6 months 2 weeks NCT03321526 2 arms
Seltorexant (n 52)
Quetiapine (extended-release) (n 52)
Adjunctive treatment NA 104 66.3%/33.7% 18–84 Failed to improve depressive symptoms at week 12 in the MADRS
TRD AXS-05 45/105 mg II Multicenter randomized double-blind placebo-controlled trial 52 weeks 0 NCT04608396 2 arms
AXS-05 (n 22)
Placebo (n 22)
Monotherapy NA 44 NA ≥ 18 Delayed the time to relapse of depressive symptoms up to 52 weeks [P = 0.002]
(Primary outcome)
45/105 mg III Randomized double-blind active-controlled two-period trial 12 weeks 0 NCT02741791 2 arms
AXS-05 (n 156)
Bupropion (n 156)
Monotherapy NA 312 NA 18–65 Failed to improve depressive symptoms at week 6 in the MADRS [P = 0.117] [d = 0.21]
(Primary outcome)
45/105 mg II Multicenter open-label trial 12 months 0 NCT04634669 Single arm Monotherapy MADRS 32.2 150 60.7%/39.3% 45.6 Reduction in depressive symptoms at 12 months
MADRS: −24.5 [P < 0.001]
(Primary outcome)
Psilocybin 1 mg
10 mg
25 mg
II Randomized double-blind controlled trial Single treatment session 12 weeks NCT03775200 3 arms
Psilocybin 1
Psilocybin 10
Psilocybin 25
Monotherapy (PAP) NA 233 NA ≥18 Reduction in depressive symptoms at week 3 MADRS: −6.6 Psilocybin 25 vs psilocybin 1 [P < 0.001]
(Primary outcome)
PPD Zuranolone 50 mg III Randomized double-blind placebo-controlled trial 2 weeks 4 weeks NCT04442503 2 arms
Zuranolone (n 97)
Placebo (n 98)
Monotherapy HDRS-17 ≥ 26 195 NA 18–45 Reduction in depressive symptoms at day 15 HDRS-17: −15.6 for zuranolone vs −11.6 for placebo [P = 0.0007]
(Primary outcome)
Bipolar depression Zuranolone 30 mg III Open-label trial 2 weeks 4 weeks NCT03692910 2 arms
Zuranolone
Placebo
Monotherapy HDRS 25.7 35 23%/12% 47.6 Reduction in depressive symptoms
MADRS: −7.7 on day 3, -15.5 on day 15, -16.4 on day 42
PMD Prax-114 60 mg II Open-label trial 2 weeks 2 weeks NA Single arm Monotherapy HDRS-17 25.3 6 100%/0% NA Reduction in depressive symptoms at day 15
HDRS-17: −12
(Primary outcome)

For some studies, some data is not available (i.e. follow-up, depressive symptoms severity scale at baseline, sex, age range or mean age, P value, effect size).

HDRS, Hamilton Depression Rating Scale total score; MADRS, Montgomery-Asberg Depression Rating Scale total score; MADRS-SI, Montgomery-Asberg Depression Rating Scale-Suicidal Ideation total score; MDD, major depressive disorder; NA, not available; PAP, psilocybin assisted psychotherapy; PMD, perimenopausal depression; PPD, postpartum depression; TRD, treatment-resistant depression.

a

Refers to the length over time of the pharmacological intervention.

b

Refers to the length of monitoring over time of participant’s health after the end of the pharmacological intervention.