Table 3.
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.
Refers to the length over time of the pharmacological intervention.
Refers to the length of monitoring over time of participant’s health after the end of the pharmacological intervention.