Phase 3 Study of Adjunctive Treatment With Seltorexant in Adult and Elderly Participants With Major Depressive Disorder and Insomnia Symptoms

Recruiting now · Phase 3 · Has a placebo group

Conditions studied: Depressive Disorder, Major

In brief

The purpose of this study is to know how well seltorexant works, and also to evaluate safety and maintenance effect of seltorexant compared with placebo as an adjunctive therapy to an antidepressant in improving depressive symptoms in participants with major depressive disorder with insomnia symptoms (MDDIS) who have had an inadequate response to current antidepressant therapy with a selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI).

Key facts

Study ID

NCT06559306

Run by

Janssen Research & Development, LLC

People needed

752

Starts

2024-07-25

Expected to finish

2026-12-30

Last updated by the study team

2026-07-31

Who can join

Age: 18 and older, up to 74. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Participants in part 1 and direct enrollers to part 2:
• Meet DSM-5 MDD, without psychotic features based upon clinical assessment and confirmed by the structured clinical interview for DSM-5 Axis I disorders-clinical trials version (SCID-CT) diagnosed with first depressive episode prior to age 60
• Have had an inadequate response to at least 1 but no more than 2 antidepressants, administered at an adequate dose and duration in the current episode of depression. An inadequate response is defined as less than (<) 50% reduction but with some improvement (that is, improvement greater than [>] 0%) in depressive symptom severity with residual symptoms other than insomnia present, and overall good tolerability, as assessed by the MGH-ATRQ, and this must include the participant's current antidepressant treatment
• Is receiving and tolerating well any one of the following SSRI or SNRI for depressive symptoms at screening, in any formulation and available in the participating country: citalopram, duloxetine, escitalopram, fluvoxamine, fluoxetine, milnacipran, levomilnacipran, paroxetine, sertraline, venlafaxine, desvenlafaxine, vilazodone, or vortioxetine at a stable dose (at therapeutic dose level) for at least 6 weeks
• Having a major depressive episode of at least moderate severity, as assessed with 17-item Hamilton Depression Rating Scale, implemented through the Structured Interview Guide (SIGH-D) in a blinded manner at screening and must not demonstrate a clinically significant improvement from the beginning to end of screening.
• Participants entering after completing part 1:
• Must have completed Part 1 DB treatment phase
• Can consistently tolerate study drug (at the end of Part 1), and there is no additional safety risk for the participant if they proceed to Part 2
• Was able to consistently follow the study procedures in Part 1 as judged by the investigator.
• Must be medically stable based on clinical laboratory tests

You may not qualify if…

• Has a recent (last 3 months) history of, or current signs and symptoms of, severe renal insufficiency clinically significant or unstable cardiovascular, respiratory, gastrointestinal, neurologic, hematologic, rheumatologic, immunologic or endocrine disorders and uncontrolled Type 1 or Type 2 diabetes mellitus
• Has a history of narcolepsy and seizures
• Has current signs/symptoms of hypothyroidism or hyperthyroidism
• Participants taking thyroid supplementation for antidepressant purposes
• Has Cushing's disease, Addison's disease, primary amenorrhea, or other evidence of significant medical disorders of the HPA axis

Where it is running

• Interventional Psychiatry of Tampa Bay — Tampa, Florida, United States (enrolling)
• Accelerated Clinical Research Group LLC — Snellville, Georgia, United States (enrolling)
• Nuovida Research Center — Miami, Florida, United States (enrolling)
• Psych Me Medical Research Inc — Tampa, Florida, United States (enrolling)
• Advanced Discovery Research — Atlanta, Georgia, United States (enrolling)
• iResearch Atlanta LLC — Decatur, Georgia, United States (enrolling)
• Pharmax Research Clinic Inc — Miami, Florida, United States (enrolling)
• Miami Dade Medical Research Institute — Miami, Florida, United States (enrolling)
• Nova Psychiatry INC — Orlando, Florida, United States (enrolling)
• Excell Research Inc — Oceanside, California, United States (enrolling)
• Health Synergy Clinical Research — West Palm Beach, Florida, United States (enrolling)
• Anderson Clinical Research — Redlands, California, United States (enrolling)
• Lumos Clinical Research Center LLC — San Jose, California, United States (enrolling)
• Axiom Research — Colton, California, United States (enrolling)
• SanRo Clinical Research Group LLC WCG Clinical Network — Bryant, Arkansas, United States (enrolling)
• Mountain View Clinical Research — Denver, Colorado, United States (enrolling)
• UConn Health Center — Farmington, Connecticut, United States (enrolling)
• Clinical Research of Brandon — Brandon, Florida, United States (enrolling)
• AGA Clinical Trials — Hialeah, Florida, United States (enrolling)
• Reliable Clinical Research — Hialeah, Florida, United States (enrolling)
• Advanced Research Institute of Miami — Homestead, Florida, United States (enrolling)
• Clinical NeuroScience Solutions Inc — Jacksonville, Florida, United States (enrolling)
• PAMOJA Clinical Institute LLC — Anaheim, California, United States (enrolling)
• University of Arizona — Tucson, Arizona, United States (enrolling)
• Northwestern University — Chicago, Illinois, United States (enrolling)

Full record on ClinicalTrials.gov

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