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. 2021 Jul 30;11(8):774. doi: 10.3390/life11080774

Table 4.

Clinical trials which study the effects of repurposed medications on MDD since 2015.

Treatment (Tₓ)
Phase/Year First, Posted
Ref
Dosage
(Duration of Therapy)
Subjects/F/M
Condition
Groups
Study Design Results Non-Serious AEs
(Treatment-Related)
Serious AEs
(Treatment-Related)
General anesthetics
Ketamine
NA/2016
[97]
Experimental: 1 mg/kg IV ketamine for the duration of their ECT index course over 2–3 weeks
Active comparator: 1 mg/kg of IV methohexital for the duration of their ECT index course over 2–3 weeks
52/NA/NA
MDD
R, PG, DB NA NA NA
Ketamine
Early phase I/2015
[98]
Experimental: ketamine + TAU
Active comparator: midazolam + TAU
9/NA/NA
MDD, BP1 disorder, BP2 disorder, BP depression, suicidal ideation
R, PG, DB NA NA NA
Ketamine
Phase I/2017
[99]
Experimental: 4 ketamine infusions at 0.05 mg/kg—once weekly
Active comparator: 4 infusions at 0.045 mg/kg—once weekly
25/NA/NA
A major depressive episode, unipolar depression, BP depression
R, PG, QB NA NA NA
Ketamine
Phase IV/2016
[100]
Placebo: saline 0.9%, IV administration of 0.2 mg/kg or 50 mg
Medication: ketamine (1st phase) IV administration of 0.2 mg/kg or 50 mg
Medication: ketamine (2nd phase) additional 4 sessions (twice a week, 2 weeks) of 0.5 mg/kg over 40 min
45/NA/NA
MDD
R, PG, QB NA NA NA
Ketamine
Phase IV/2015
[101]
Medication: ketamine 0.5 mg/kg over 40 min IV
Other: MRI technology will be used before and after ketamine for patients with depression
16/8/8
MDD, anxious depression, depression
SG, OL NA None Not reported
Ketamine
NA/2021
[102]
Received IV ketamine in 2014–15 and will be evaluated in 5 years 11/NA/NA/
MDD, medication abuse, medications, relapse
Retrospective NA NA NA
Ketamine
NA/2017
[103]
Experimental: ketamine and 16 CBT sessions over 14 weeks
Active comparator: ketamine and psychoeducation all sessions over 14 weeks
28/NA/NA
MDD
R, PG, SB NA NA NA
Ketamine
Phase II/2018
[104]
Experimental: different dosages and regimens for MIJ821
Active comparator: ketamine infusion 0.5 mg/kg weekly
Placebo Comparator: placebo infusion
70/35/35
TRD
R, PG, DB NA None Hyperacusis, photophobia, vision blurred, dry mouth, nausea, fatigue, feeling of relaxation, gait disturbance, increased systolic blood pressure, decreased platelet count, dizziness, dysgeusia, headache, paresthesia, sciatica, somnolence, anxiety, depersonalization/derealization disorder, disinhibition, irritability, alopecia, pruritus
Ketamine
Phase II/2016
[105]
Experimental: NRX-101 oral capsule + ketamine IV infusion + saline solution IV infusion
Active comparator: lurasidone oral capsule + ketamine IV infusion + saline solution IV infusion
22/16/6
BP depression, suicidal ideation, suicide attempts
R, SG, QB NA None Angina pectoris, tinnitus, vision blurred, diarrhea, dry mouth, coordination abnormal, dizziness, dysmetropsia, hypoesthesia, sedation, restlessness, depression, suicidal ideation, acute kidney injury, dry skin, hypertension
Antimanic agents
Lithium
Phase III/2015
[106]
Experimental: 40 mg ITI-007 administered orally as capsules once daily for 6 weeks
Experimental: 60 mg ITI-007 administered orally as capsules once daily for 6 weeks
Placebo Comparator: placebo administered orally as visually-matched capsules once daily for 6 weeks
529/NA/NA
BD
R, PG, QB NA NA NA
Risperidone
2011
[68,107]
Groups: olanzapine users, quetiapine users, risperidone users, all other antipsychotic users 17743/9692/8051
SCH = 475
MDD = 798
BP disorder = 270
Generalized anxiety disorder = 17
Other mental health disorders = 637
Unknown indication = 15546
Quetiapine = 4658
Olanzapine = 5856
Risperidone = 7229
Observational, cohort, retrospective Comparison between quetiapine and olanzapine: quetiapine is associated with lower extrapyramidal symptoms and diabetes mellitus
Comparison between quetiapine and risperidone: quetiapine is associated with lower extrapyramidal symptoms, but higher failed suicide attempt rates
NA NA
Atypical antipsychotics
Aripiprazole
Phase II/2016
[108]
Oral tablet (2,5,10,15,20, or 30 mg) with an IEM QD
(8 weeks)
49/31/18
BP1 (n = 22)
SCH (n = 15)
MDD (n = 12)
Tx = 49
SG, OL, multi-center NA Rash, erythema, pruritus skin irritation, upper respiratory tract infection, sinusitis, headache, syncope, meniscus injury, sunburn, peripheral swelling, pain in extremity Not reported
Quetiapine
Phase III/2016
[109]
Active comparator: levomilnacipran ER 20–120 mg/d starting at 20 mg/d on days 1–2, 40 mg/d on days 3–7 in week 1, then between 40–120 mg/d during weeks 2–8
Active comparator: 1uetiapine XR 50 mg/d on day 1–2, 150 mg/d on days 3–7 in week 1, then between 150–300 mg/d during weeks 1–8 along with their current antidepressant
60/NA/NA
MDD
R, PG, TB NA NA NA
Quetiapine
Phase II/2017
[110]
Experimental: 1 capsule of 20 mg JNJ-42847922 and 1 capsule of placebo once daily for 14 days. Then, JNJ-42847922 dose can be increased to 40 mg (2 capsules) until day 167
Active comparator: 1 capsule of quetiapine XR 50 mg along with 1 capsule of placebo once daily for 2 days, followed by 1 capsule of 150 mg along with 1 capsule of placebo once daily from day 3–14. Then, the dose can be increased to 300 mg (2 capsules) until day 167.
107/NA/NA
MDD
R, PG, DB NA NA NA
Patients should continue to take their baseline SSRI/SNRI.
Brexpiprazole
Phase III/2018
[35]
Experimental: brexpiprazole, 2–3 mg/day, once daily for 6 weeks, oral administration
Placebo Comparator: placebo, 2–3 mg/day, once daily for 6 weeks, oral administration
65/NA/NA
MDD
R, PG, TB NA NA NA
Dopamine agonists
Pramipexole
Phase IV/2014
[47,111]
Started at 0.125 mg BD PO and increased by 0.25 mg/day every 3–4 days to a target range of 1.0–2.5 mg/day
(6 weeks)
51/25/26
MDD (n = 26)
Healthy (n = 25)
Healthy control patients did not receive study medication and only have baseline measures
Non-randomized, PG, OL Symptom’s improvement Nausea, heartburn, vomiting, ↑appetite, ↓appetite, diarrhea, constipation, somnolence, restlessness, insomnia, forgetfulness, sleep attacks, compulsive behaviors, impaired concentration, headache, lightheadedness, dizziness, dry mouth, fatigue, ↓ libido, sexual dysfunction, skin problems, sweating, impaired coordination, tremor, blurry vision, bruising Not reported
Armodafinil
Phase III/2011
[50,112]
Tablet, PO, QD in the morning, started at 50 mg/day; the dosage was increased by 50 mg/day on days 2 and 4, up to 150 mg/day.
(8 weeks)
399/241/158
depressive episode despite maintenance therapy for BP1 disorder
P = 199
Tx = 200
R, PG, DB, PC, multi-center ↓Severity of depression, ↓depressive symptoms,
Improved functioning
Headache, nausea Anxiety, BP1 disorder, depression, insomnia, suicide attempt, cholecystitis chronic, social stay hospitalization
Armodafinil
Phase III/2010
[51,113]
Tablet, PO, QD in the morning, started at 50 mg/kg and titrated up in the first week to 150 or 200 mg/kg.
Treatment with 200 mg/kg dose was discontinued via a protocol amendment.
(8 weeks)
492/273/219
major depressive episode despite BP1 disorder maintenance therapy
P = 230
Tx (150 mg/kg) = 232
Tx (200 mg/kg) = 30
R, PG, DB, PC, multi-center ↓ Depressive symptoms Nausea, diarrhea, dry mouth, toothache, dyspepsia, headache, dizziness, insomnia, anxiety, suicidal ideation, nasopharyngitis, cough Mania, psychotic disorder, suicidal ideation, pulmonary embolism, abortion spontaneous, accidental overdose, non-cardiac chest pain, coronary artery disease
Armodafinil
Phase III/2010
[49,114]
Tablet, PO, QD in the morning, started at 50 mg/kg and titrated up in the first week to 150 or 200 mg/kg.
Treatment with 200 mg/kg dose was discontinued via a protocol amendment.
(8 weeks)
433/288/145
major depressive episode while taking at least 4 weeks of conventional maintenance medication
P = 199
Tx (150 mg/kg) =201
Tx (200 mg/kg) =33
R, PG, DB, PC, multi-center Improvement in depressive symptoms Diarrhea, nausea, headache, migraine, insomnia, feeling jittery Psychotic disorder, suicidal ideation, depressive symptom, aggression, acute hepatic failure, hepatitis acute
Modafinil with D-cycloserine (DCS)
Phase III/2015
[7]
250 mg DCS before two weekly sessions, 100 mg modafinil before two weekly sessions 36/20/14/2 (transgender)
MDD
P = 11
Tx (modafinil) = 12
Tx (DCS) = 13
R, PG, DB, PC NA ↑Energy/concentration, fatigue/low motivation Not reported
Supplementation
Omega-3 PUFA
Not applicable/2018
[115]
One capsule (EPA 300 mg and 200 mg DHA) QD were given antidepressant (citalopram, escitalopram, paroxetine 1 tablet at night time).
(12 weeks)
70/NA/NA
Taking antidepressants
P = NA
Tx = NA
R, PG, SB, PC NA NA NA
n-3 Polyunsaturated fatty acid
Not applicable/2017
[116]
2 g of EPA and 1 g of DHA
(12 weeks)
60/NA/NA
MDD and cardiovascular disease
P = NA
Tx = NA
R, PG, DB, PC NA NA NA
Zinc
Not applicable/2020
[46]
Oral 30 mg zinc sulfate QD with SSRIs
(8 weeks)
100/NA/NA
MDD
P = 50
Tx = 50
R, PG, DB, PC NA NA NA
NMDA receptor antagonist
Dextromethorphan hydrobromide
Phase I/2016
[38]
Two 75 mg capsules PO, separated by 4 h 4/NA/NA
MDD
P = NA
Tx = NA
R, PG, DB, PC NA NA NA
Esketamine
Phase III/2017
[117,118]
84 mg intranasal, twice a week (on days 1,4,8,11,15,18,22 and 25) along with the standard of care antidepressant treatment initiated on day 1
(4 weeks)
225/139/86
MDD and have suicidal ideation with intent but without psychotic features
P = 112
Tx = 113
R, PG, DB, PC, multi-center ↓ MADRS total score (improved), improvement in the severity of suicidality measured by CGI-SS-r Dizziness, headache, somnolence, dysgeusia, hypoesthesia, sedation, dizziness postural, nausea, constipation, vomiting, dissociation, insomnia, anxiety, ↑ blood pressure, blurred vision, vertigo Suicidal depression, depression, suicide attempt, diabetic ketoacidosis
Esketamine
Phase III/2017
[119,120]
84 mg intranasal, twice a week (on days 1,4,8,11,15,18,22 and 25) along with the standard of care antidepressant treatment initiated on day 1
(4 weeks)
227/136/91
MDD and having suicidal ideation with intent, but without psychotic features
P = 113
Tx = 114
R, PG, DB, PC, multi-center ↓MADRS total score (improved), ↓ in the severity of suicidality measured by CGI-SS-r Dizziness, dysgeusia, somnolence, headache, paresthesia, sedation, hypoesthesia, dizziness postural, nausea, vomiting, paresthesia oral, dry mouth, constipation, hypoesthesia oral, dissociation, anxiety, euphoric mood, depersonalization/derealization disorder, insomnia, vision blurred, diplopia, nasal discomfort, oropharyngeal pain, throat irritation, vertigo, ↑ blood pressure, hyperhidrosis, feeling drunk Suicide attempt, suicidal ideation, depersonalization/derealization disorder
Esketamine
Phase II/2019
[121]
Four low, medium, or high doses (three different groups) on days 1,4,8 and 11 via dry powder inhaler
(2 weeks)
88/NA/NA
TRD in the course of MDD
P = NA
Tx = NA
R, PG, DB, PC, multi-center NA NA NA
Esketamine
Phase I/2016
[122,123]
Treatment A: intranasal placebo on day 1 and oral placebo on day 2
Treatment B: intranasal placebo on day 1 and oral alcohol on day 2
Treatment C: 84 mg of intranasal esketamine on day 1 and oral placebo on day 2
Participants will receive one of the ABC, BCA, CAB, CBA, ACB, or BAC treatments in part A and intranasal placebo on day 1 and 84 mg of intranasal esketamine on days 4,8,11,15,18,22 and 25 in part B
23/16/7
MDD
P = 20
Tx = 23
Part A: R, cross-over assignment, SB, PC, active-controlled, double-dummy, 3-period
Part B: OL, PC, fixed sequence, single period
Improvement in overall depression scores in MADRS Dissociation, dizziness, dysgeusia, paresthesia, fatigue, paresthesia oral, nausea, headache, feeling abnormal, nasal discomfort, vision blurred, somnolence, euphoric mood, tinnitus, diplopia, ↑ blood pressure, feeling drunk, dysarthria, feeling of relaxation, illusion, hypoesthesia, altered time perception Not reported
Combined medications
AXS-05
Phase III/2019
[40,124]
Oral tablets of 45 mg dextromethorphan and 105 mg bupropion, BID
(6 weeks)
327/215/112
Moderate or severe MDD
P = 164
Tx = 163
R, PG, DB, PC, multi-center ↓ MADRS total score, improvement in daily functioning, improvement in quality of life Dizziness, nausea, headache, diarrhea, somnolence, dry mouth Not reported
AXS-05
Phase II/2018
[39,125]
45 mg dextromethorphan and 105 mg bupropion BID and
Bupropion as AC
(6 weeks)
80/51/29
Moderate or severe MDD
AC = 37
Tx = 43
R, PG, DB, active-controlled, multi-center ↓ MADRS total score, improvement in core symptoms of depression Nausea, dizziness, dry mouth, ↓ appetite, anxiety Not reported
AXS-05
Phase III/2019
[41,126]
Oral tablets of 45 mg dextromethorphan and 105 mg bupropion, BID
(12 months)
876/380/496
MDD including TRD
Tx = 876
SG, OL, multi-center ↓ Depression symptoms, improvement in functioning Dizziness, nausea, headache, dry mouth, ↓ appetite Not reported
Anticholinergic agents
Scopolamine
Phase IV/2017
[45]
Experimental: scopolamine (0.3 mg/1 mL, IM) BID; escitalopram (10 mg/d PO) QD
Experimental: scopolamine (0.3 mg/1 mL, IM) QD; placebo (1 mL saline, IM) QD; escitalopram (10 mg/d PO) QD
Placebo comparator: placebo (1 mL saline, IM) BID; escitalopram (10 mg/d PO) QD
66/NA/NA
MDD
R, PG, QB NA NA NA
Scopolamine
Phase IV/2017
[44]
Experimental: participants will receive active medications scopolamine and naltrexone
Placebo comparator: participants will receive placebo medication
14/NA/NA
Depression
R, PG, DB NA NA NA
Mucolytic agents
N-acetyl cysteine Early phase I/2014
[127]
Experimental: sertraline and N-acetyl cysteine for 7 weeks
Experimental: citalopram and N-acetyl cysteine for 7 weeks
Experimental: existing depression medication treatment and N-acetyl cysteine for 7 weeks
10/NA/NA
MDD
Non-randomized, SG, OL NA NA NA
Antibiotics
Minocycline
Early phase I/2015
[128]
Experimental: minocycline 50 mg/day on week 1, 50 mg/BID on week 2, and 100 mg/BID weeks 3–8. For tapering, the dose will be reduced to 50 mg BID for a week and then stopped
Placebo comparator: the number and appearance of the pills would be identical to those in the minocycline arm
115/NA/NA
MDD
R, SG, QB NA NA NA
Minocycline
Phase II/2015
[129]
Experimental: minocycline and standard antidepressant treatment
Placebo comparator: placebo and standard antidepressant treatment
168/NA/NA
MDD
R, PG, TB NA NA NA
Cycloserine
Not applicable/2017
[130,131]
Group A: placebo + placebo: placebo 8 mm pill, single dose
Group B: fludrocortisone + placebo: fludrocortisone Astonin H 0, 1 gm, single-dose + placebo 8 mm pill, single dose
Group C: D-cycloserine + placebo: cycloserine 250 mg capsule, single-dose + placebo 8 mm pill, single dose
Group D: fludrocortisone + D-Cycloserine: fludrocortisone Astonin H 0, 1 gm, single-dose + cycloserine 250 mg capsule, single dose
232/182/50
MDD = 116
Healthy = 116
P = 58
Group B = 58
Group C = 58
Group D = 58
R, PG, DB, PC ↑ Cognitive empathy in the group with stimulated mineralocorticoid receptor, ↓ cognitive empathy only for positive emotions in MDD patients with NMDA-R stimulation, NA NA
D-cycloserine
Phase IIb/III/2016
[42,105]
Experimental: NRX-101 (D-cycloserine + lurasidone) oral capsule with fixed-dose (administered to subjects who respond to an intravenous infusion of ketamine—0.5 mg/kg administered over 40 min; on Day 0)ketamine intravenous infusion (Randomized administration of Ketamine or Placebo in a 3 to 1 ratio), saline solution intravenous infusion (Randomized administration of Ketamine or Placebo in a 3 to 1 ratio)
Active comparator: Lusaridone in the same dosage as lurasidone in NRX-101
ketamine intravenous infusion (Randomized administration of Ketamine or Placebo in a 3 to 1 ratio), saline solution intravenous infusion (Randomized administration of Ketamine or Placebo in a 3 to 1 ratio)
(6 weeks)
22/16/6
BP depression, suicidal ideas, suicidal ideation, attempted suicide
Ketamine Followed by NRX-101 = 12
Ketamine Followed by Lurasidone = 5
Saline Followed by NRX-101 = 4
Saline Followed by Lurasidone = 1
R, SA, QB, multicenter NA Angina pectoris, palpitation, tinnitus, diplopia, vision blurred, diarrhea, vomiting, dyspepsia, abdominal distention, dry mouth, nausea, gastroesophageal reflux disease, fatigue, vulvovaginal candidiasis, thermal burn, wound, ↑weight, muscle spasm, coordination abnormal, dizziness, dysmetropsia, headache, hypoesthesia, akathisia, hypersomnia, lethargy, somnolence, sedation, dissociation, restlessness, euphoric mood, anorgasmia, depressed mood, depression, suicidal ideation, acute kidney injury, ejaculation delayed, dry skin, rash, hypertension Not reported
Antidiabetic agents
Metformin
Phase I and II/2019
[132]
Experimental: fluoxetine 20 mg capsule once daily for 12 weeks + metformin 1000 mg XR tablet once daily for 12 weeks
Placebo comparator: fluoxetine 20 mg capsule once daily for 12 weeks + placebo tablet once daily for 12 weeks
80/NA/NA
MDD
R, PG, DB NA NA NA
Ganglionic blocking agents
Mecamylamine (TC-5214)
Phase III/2012
[132,133]
Experimental: SSRI/SNRI + TC-5214, 0.1 mg BID
SSRI/SNRI + TC-5214, 1 mg BID
SSRI/SNRI + TC-5214, 4 mg BID
Placebo comparator: SSRI/SNRI + placebo BID
(8 weeks)
696/498/198
MDD with inadequate response to no more than one antidepressant
P = 174
0.1 mg = 174
1 mg = 174
4 mg = 174
R, PG, DB, PC, multi-center No significant difference between the two groups Headache, dizziness, somnolence, dysgeusia, constipation, dry mouth, nausea, abdominal pain upper, diarrhea, vomiting, insomnia, agitation, nightmare, nervousness, fatigue, hyperhidrosis, influenza, UTI, ↑ alanine aminotransferase, nasopharyngitis, orthostatic hypotension, hypertension, hypotension, vertigo, ↑ appetite Suicide attempt, suicidal ideation, depression, pneumonia, UTI, toxicity to various agents, food poisoning
Mecamylamine (TC-5214)
Phase III/2010
[37,134]
Experimental: SSRI/SNRI + oral tablet TC-5214, 1–4 mg BID
Placebo comparator: SSRI/SNRI + oral tablet placebo BID
(8 weeks)
319/200/119
MDD or depression with inadequate response to no more than one antidepressant
P = 160
Tx = 159
R, PG, DB, PC, multi-center No significant difference between the two groups Constipation, diarrhea, nausea, dry mouth, vomiting, headache, dizziness, somnolence, dizziness postural, abnormal dreams, insomnia, anxiety, agitation, nightmare, upper respiratory tract infection, nasopharyngitis, fatigue, ↑ weight, orthostatic hypotension, hyperhidrosis, musculoskeletal stiffness headache
Mecamylamine (TC-5214)
Phase III/2010
[132,134]
Experimental: SSRI/SNRI + oral tablet TC-5214, 1–4 mg BID
Placebo comparator: SSRI/SNRI + oral tablet placebo BID
(8 weeks)
295/189/106
MDD or depression with inadequate response to no more than one antidepressant
P = 148
Tx = 147
R, PG, DB, PC, multi-center No significant difference between the two groups Constipation, nausea, dry mouth, diarrhea, abdominal distention, abdominal pain upper, headache, dizziness, somnolence, dizziness postural, sedation, tremor, orthostatic hypotension, hypertension, nasopharyngitis, sinusitis, influenza, fatigue, asthenia, insomnia, anxiety, back pain, vertigo, hyperhidrosis, vision blurred, ↑ appetite, ↑ aspartate aminotransferase Uterine cancer
Mecamylamine (TC-5214)
Phase III/2010
[132,133]
Experimental: SSRI/SNRI + TC-5214, 0.5 mg BID
SSRI/SNRI + TC-5214, 2 mg BID
SSRI/SNRI + TC-5214, 4 mg BID
Placebo comparator: SSRI/SNRI + placebo BID
(8 weeks)
641/355/276
MDD or depression with inadequate response to no more than one antidepressant
P = 161
0.5 mg = 160
2 mg = 160
4 mg = 160
R, PG, DB, PC, multi-center No significant difference between the two groups Blurred vision, constipation, nausea, dry mouth, diarrhea, abdominal distention, vomiting, dyspepsia, flatulence, fatigue, pyrexia, asthenia, pain, nasopharyngitis, bronchitis, upper respiratory tract infection, sinusitis, ↑ aspartate aminotransferase, ↑ appetite, back pain, muscle spasms, muscle tightness, myalgia, headache, dizziness, somnolence, dizziness postural, akathisia, insomnia, nightmare, agitation, abnormal dreams, pollakiuria, orthostatic hypotension, hypertension Major depression, suicidal ideation, clavicle fracture, rib fracture, scapula fracture, obstructive uropathy, renal failure acute, upper respiratory tract infection, benign prostatic hyperplasia, pulmonary fibrosis, convulsion
Mecamylamine (TC-5214)
Phase III/2010
[135,136]
Experimental: SSRI/SNRI + oral tablet TC-5214, 1–4 mg BID
Placebo comparator: SSRI/SNRI + oral tablet placebo BID
(52 weeks)
813/566/247
MDD or depression with inadequate response to no more than one antidepressant
P = 203
Tx = 610
R, PG, DB, PC, multi-center No significant difference between the two groups Constipation, nausea, dry mouth, diarrhea, abdominal pain, vomiting, abdominal pain upper, flatulence, abdominal distension, fatigue, seasonal allergy, nasopharyngitis, bronchitis, upper respiratory tract infection, sinusitis, influenza, UTI, gastroenteritis, gastroenteritis viral, contusion, muscle strain, ↑ weight, ↑ blood pressure, ↑ appetite, arthralgia, back pain, muscle spasms, musculoskeletal pain, neck pain, pain in extremities, myalgia, headache, dizziness, somnolence, dizziness postural, sedation, memory impairment, migraine, paresthesia, tremor, insomnia, abnormal dreams, agitation, anxiety, bruxism, cough, nasal congestion, oropharyngeal pain, wheezing, hyperhidrosis, rash, hypertension, orthostatic hypotension Bradycardia, abdominal hernia, diverticulum, hemorrhoids, small intestinal obstruction, cellulitis, oral infection, pneumonia, brain contusion, cerebral vertebral fracture, contusion, facial bones fracture, fibula fracture, tibia fracture, toxicity to various agents, musculoskeletal chest pain, abortion spontaneous, alcohol withdrawal syndrome, psychotic disorder, suicidal ideation, suicide attempt, ovarian torsion, hypertensive crisis

AC: Active comparator; ADT: antidepressant therapy; AEs: Adverse events; BD: bipolar depression; BID: twice a day; BP: Bipolar; CBT: Cognitive behavioral therapy; CGI-SS-r: Clinical Global Impression–Severity of Suicidality—revised; DB: Double blind; DHA: Docosahexaenoic acid; EPA: Eicosatetraenoic acid; F: Female; FA: factorial assignment; IEM: Ingestible event marker; IM: intramuscular; ITI-007:Lumateperone LE: Leukocyte esterase; M: Male; MADRS: Montgomery-Asberg depression rating scale; MDD: Major depressive disorder; NA: Not available; NMDA: N-methyl-D-aspartate receptor; OL: Open label; P: Placebo; PC: Placebo-controlled; PG: Parallel-group; PO: by mouth; PUFA: Polyunsaturated fatty acid; QD: once a day; QB: Quadruple blind R: Randomized; SA: Sequential Assignment; SB: single blind; SCH: Schizophrenia; SG: Single group; SNRI: serotonin norepinephrine reuptake inhibitor; SSRI: Selective serotonin reuptake inhibitor; TAU: Treatment as usual; TB: Triple blind; TRD: Treatment-resistant depression; Tx: Treatment; WBC: White blood cell; UTI: Urinary tract infection.