search
Back to results

Efficacy Study of RX-10100 to Treat Major Depressive Disorder (MDD)

Primary Purpose

Major Depressive Disorder (MDD)

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
RX-10100
Sponsored by
Rexahn Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Major Depressive Disorder (MDD) focused on measuring Major Depressive Disorder (MDD), Serdaxin, Rexahn

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Males or females between 18 and 65 years old
  • Diagnosis of MDD using DSM-IV criteria
  • Have a score of 20 or more on the HAM-D-17
  • Have a score of 4 or more on the CGI-S
  • Written informed consent obtained
  • Have a negative serum (P-HCG) pregnancy test at screening (for all women)
  • Female subjects must meet one of the following criteria: (a) Be surgically sterile or (b) Agree that, if sexually active they will use oral contraceptives, double barrier contraception (E.g., condom with spermicide), intrauterine device, or other method approved by the sponsor.

Exclusion Criteria:

  • Have a BMI > 40 or < 18
  • Unstable angina pectoris
  • History of myocardial infarction, stroke, or life-threatening arrhythmia within the prior 6 months
  • Uncontrolled atrial fibrillation/flutter at screening
  • Severe chronic or acute liver disease; history of moderate or severe hepatic impairment
  • Clinically significant chronic hematological disease which may lead to priapism, such as sickle cell anemia and leukemia
  • Bleeding disorder
  • Resting hypotension or hypertension
  • History of malignancy (cancers) within the past 5 years (other than squamous or basal cell skin cancer)
  • NYHA Class III or IV heart failure
  • Substance abuse/dependence within the past 6 months
  • Significant suicidal ideation based on the C-SSRS
  • Other current nondepressive Axis I disorders
  • Depressive episode duration of less than 1 month or greater than 9 months
  • Bipolar disorder
  • Dysthmic disorder
  • Borderline personality disorder
  • Psychotic disorder/current psychotic features
  • Any abnormal findings on the screening ECG judged clinically significant by the Investigator
  • Any medical condition that is not stabilized or is anticipated to require hospitalization within 6 months, in the opinion of the Investigator
  • Any history of cholestatic jaundice or liver cirrhosis
  • Hyper- or hypothyroidism unless the subject has received a stable dose of thyroid medication for at least 3 months prior to the screening visit
  • Women, who are breast-feeding, have been lactating within 3 months prior to screening
  • Concurrent psychotherapy
  • Subjects who have received any other investigational drug (including placebo) within 30 days before Visit 1
  • Use of any treatment for MDD within 7 days of Visit 1 (14 days for fluoxetine) and during the study other than the study medication
  • Use of antidepressants, anxiolytics, or other psychoactive drugs within 14 days of Visit 1 and during the study
  • Concomitant use of antibiotics in the penicillin class (for the reduction of the potential for any additive or synergistic hepatotoxicity)
  • A positive urine drug screen
  • Elevation of AST and/or ALT > 3 times the upper limit of normal (ULN)
  • Diabetic subjects with an HbAlc ≥ 12%
  • Any abnormal screening laboratory values judged clinically significant by the Investigator
  • Previous nonresponse or hypersensitivity to two or more trials of antidepressant medication given in adequate doses and duration for the treatment of symptoms present in the current illness
  • Subjects with known hypersensitivity to any antibiotic in the penicillin class
  • Subjects who are illiterate or unable to understand the questionnaires
  • Subjects who, in the opinion of the investigator, would be non-compliant with the visit schedule of study procedures
  • Subjects who pose potential harm to others

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Placebo Comparator

Experimental

Experimental

Experimental

Arm Label

Placebo

2

3

4

Arm Description

Placebo (w/o API)

5mg dose of RX-10100

10mg dose of RX-10100

15 mg dose of RX-10100

Outcomes

Primary Outcome Measures

Change from baseline at 8 weeks on the Montgomery-Asberg Depression Rating Scale (MADRS)

Secondary Outcome Measures

Changes from baseline on the HAM-D
Changes from baseline on the QIDS-SR
CGI-I scale at the end of treatment,
Side effects during and immediately following the treatment period

Full Information

First Posted
February 5, 2009
Last Updated
November 18, 2013
Sponsor
Rexahn Pharmaceuticals, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT00839176
Brief Title
Efficacy Study of RX-10100 to Treat Major Depressive Disorder (MDD)
Official Title
A Double-blinded, Randomized, Placebo-controlled, Dose-Exploring Study of RX-10100 When Given for Eight Consecutive Weeks to Subjects With Major Depression Disorder (MDD)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2013
Overall Recruitment Status
Completed
Study Start Date
January 2009 (undefined)
Primary Completion Date
September 2009 (Actual)
Study Completion Date
October 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rexahn Pharmaceuticals, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this Phase IIa trial is to determine the effective dose and treatment period for an upcoming RX-10100 Phase IIb trial in subjects with major depression disorder (MDD). The secondary objectives of this trial are to evaluate the safety and quality of life in subjects with MDD receiving RX-10100 treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Major Depressive Disorder (MDD)
Keywords
Major Depressive Disorder (MDD), Serdaxin, Rexahn

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
118 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo (w/o API)
Arm Title
2
Arm Type
Experimental
Arm Description
5mg dose of RX-10100
Arm Title
3
Arm Type
Experimental
Arm Description
10mg dose of RX-10100
Arm Title
4
Arm Type
Experimental
Arm Description
15 mg dose of RX-10100
Intervention Type
Drug
Intervention Name(s)
RX-10100
Other Intervention Name(s)
Serdaxin
Intervention Description
Extended-release tablet, 5~15mg, twice day (morning & evening) at least 30 min before meal, 8 weeks
Primary Outcome Measure Information:
Title
Change from baseline at 8 weeks on the Montgomery-Asberg Depression Rating Scale (MADRS)
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Changes from baseline on the HAM-D
Time Frame
8 weeks
Title
Changes from baseline on the QIDS-SR
Time Frame
8 weeks
Title
CGI-I scale at the end of treatment,
Time Frame
8 weeks
Title
Side effects during and immediately following the treatment period
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males or females between 18 and 65 years old Diagnosis of MDD using DSM-IV criteria Have a score of 20 or more on the HAM-D-17 Have a score of 4 or more on the CGI-S Written informed consent obtained Have a negative serum (P-HCG) pregnancy test at screening (for all women) Female subjects must meet one of the following criteria: (a) Be surgically sterile or (b) Agree that, if sexually active they will use oral contraceptives, double barrier contraception (E.g., condom with spermicide), intrauterine device, or other method approved by the sponsor. Exclusion Criteria: Have a BMI > 40 or < 18 Unstable angina pectoris History of myocardial infarction, stroke, or life-threatening arrhythmia within the prior 6 months Uncontrolled atrial fibrillation/flutter at screening Severe chronic or acute liver disease; history of moderate or severe hepatic impairment Clinically significant chronic hematological disease which may lead to priapism, such as sickle cell anemia and leukemia Bleeding disorder Resting hypotension or hypertension History of malignancy (cancers) within the past 5 years (other than squamous or basal cell skin cancer) NYHA Class III or IV heart failure Substance abuse/dependence within the past 6 months Significant suicidal ideation based on the C-SSRS Other current nondepressive Axis I disorders Depressive episode duration of less than 1 month or greater than 9 months Bipolar disorder Dysthmic disorder Borderline personality disorder Psychotic disorder/current psychotic features Any abnormal findings on the screening ECG judged clinically significant by the Investigator Any medical condition that is not stabilized or is anticipated to require hospitalization within 6 months, in the opinion of the Investigator Any history of cholestatic jaundice or liver cirrhosis Hyper- or hypothyroidism unless the subject has received a stable dose of thyroid medication for at least 3 months prior to the screening visit Women, who are breast-feeding, have been lactating within 3 months prior to screening Concurrent psychotherapy Subjects who have received any other investigational drug (including placebo) within 30 days before Visit 1 Use of any treatment for MDD within 7 days of Visit 1 (14 days for fluoxetine) and during the study other than the study medication Use of antidepressants, anxiolytics, or other psychoactive drugs within 14 days of Visit 1 and during the study Concomitant use of antibiotics in the penicillin class (for the reduction of the potential for any additive or synergistic hepatotoxicity) A positive urine drug screen Elevation of AST and/or ALT > 3 times the upper limit of normal (ULN) Diabetic subjects with an HbAlc ≥ 12% Any abnormal screening laboratory values judged clinically significant by the Investigator Previous nonresponse or hypersensitivity to two or more trials of antidepressant medication given in adequate doses and duration for the treatment of symptoms present in the current illness Subjects with known hypersensitivity to any antibiotic in the penicillin class Subjects who are illiterate or unable to understand the questionnaires Subjects who, in the opinion of the investigator, would be non-compliant with the visit schedule of study procedures Subjects who pose potential harm to others
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christine Peterson, PhD
Organizational Affiliation
Rexahn Pharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
City
Denver
State/Province
Colorado
ZIP/Postal Code
80239
Country
United States
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30308
Country
United States
City
Rockville
State/Province
Maryland
ZIP/Postal Code
20852
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22203317
Citation
Riesenberg R, Rosenthal J, Moldauer L, Peterson C. Results of a proof-of-concept, dose-finding, double-blind, placebo-controlled study of RX-10100 (Serdaxin(R)) in subjects with major depressive disorder. Psychopharmacology (Berl). 2012 Jun;221(4):601-10. doi: 10.1007/s00213-011-2604-x. Epub 2011 Dec 28.
Results Reference
derived

Learn more about this trial

Efficacy Study of RX-10100 to Treat Major Depressive Disorder (MDD)

We'll reach out to this number within 24 hrs