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A Study of SDI-118 in Participants in Remission From Depression

Primary Purpose

Depression in Remission

Status
Withdrawn
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
SDI-118
Placebo
Sponsored by
Syndesi Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Depression in Remission focused on measuring Depression, Major Depressive Disorder, Depression in Remission

Eligibility Criteria

25 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and female participants between 25 and 55 years of age (inclusive) at screening.
  • Are remitted from depression.
  • Have received prescribed treatment with an antidepressant or a recognised psychotherapy for depression (e.g. cognitive behaviour therapy) for a previous MDE
  • Report present subjective cognitive impairment (such as difficulty concentrating, slow thinking, and difficulty in learning new things or remembering things).
  • Have not been treated with antidepressants or received other psychotherapy for depression for at least six weeks prior to Screening Visit 1.
  • Otherwise healthy with no clinically significant abnormalities as determined by medical history, physical examination, blood chemistry assessments, haematologic assessments, and urinalysis, measurement of vital signs, and Electrocardiogram (ECG).
  • Negative serology test for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibodies at screening.
  • Have a body mass index (BMI) of 18 to 36 inclusive.
  • Agree not to use herbal medications (including herbal tea, St. John's Wort), within 14 days prior to study agent administration through to the final follow-up visit.
  • Participants must be able and willing to give written, informed consent, indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
  • The participant, in the opinion of the investigator, is willing and able to adhere to the study visit schedule and other requirements, prohibitions and restrictions of the study.

Exclusion Criteria:

  • They are left-handed.
  • Have immediate recall of greater than 22 words from the International Shopping List Test (ISLT) and have delayed recall of greater than 8 words from the ISLT 15 mins after the presentation of the word list.
  • Positive urine drug screen or alcohol breath test at screening or assessment visits.
  • History or presence of significant neurological or psychiatric conditions except those related to MDD.
  • Any suicidal ideation of type 4 or 5 in the Columbia Suicide Severity Rating Scale (C-SSRS) in the past 3 months prior to screening or at screening or baseline visit.
  • Has a known clinically relevant structural brain abnormality as determined by e.g. previous MRI, or, persistent MRI imaging artefact which is judged to produce extensive imaging distortions.
  • Has a disease or takes medication that could, in the investigator's and/or sponsor's opinion, interfere with the assessments of safety, tolerability, or efficacy, or interfere with the conduct or interpretation of the study.

Sites / Locations

  • University of Manchester
  • University of Oxford
  • Cardiff University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

SDI-118 low dose

SDI-118 high dose

Placebo

Arm Description

SDI-118 (low dose) orally once daily (QD) for 17±1 day.

SDI-118 (high dose) orally once daily (QD) for 17±1 day.

Placebo orally once daily (QD) for 17±1 day.

Outcomes

Primary Outcome Measures

Number of participants with Adverse Events (AEs)
Adverse events (AEs) will be coded using medical dictionary for regulatory activities (MedDRA). An AE is any untoward medical occurrence in a participant administered a study drug and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medical product whether or not considered related to the medical product. An AE is considered "serious" if, in the view of either the investigator or sponsor, the event: results in death, is life-threatening, results in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, results in congenital anomaly or birth defect, requires hospitalization or prolongation to hospitalization, or other medically important event.
Number of participants with laboratory value abnormalities and/or adverse events (AEs)
Number of participants with potentially clinically significant laboratory values (hematology/chemistry/urinalysis)
Number of participants with vital sign abnormalities and/or adverse events (AEs)
Number of participants with potentially clinically significant vital sign values
Number of participants with routine 12 lead electrocardiogram (ECG) abnormalities and/or Adverse Events (AEs)
Number of participants with potentially clinically significant ECG values
Number of participants with C-SSRS abnormalities and/or Adverse Events (AEs)
Number of participants with potentially clinically significant changes in C-SSRS values.
Number of participants with routine physical examination abnormalities and/or Adverse Events (AEs)
Number of participants with potentially clinically significant changes in physical examination.
Number of participants with Changes in the Cogstate Brief Battery, including abnormalities and/or Adverse Events (AEs)
Number of participants with potentially clinically significant changes in the Cogstate Brief Battery values
Number of participants with Changes in the Digital Symbol Substitution Test, including abnormalities and/or Adverse Events (AEs)
Number of participants with potentially clinically significant changes in the DSST values.
Number of participants with Changes in the Controlled Oral Word Association Test, including abnormalities and/or Adverse Events (AEs)
Number of participants with potentially clinically significant changes in the COWAT values.
Number of participants with Changes in the Category Fluency Test, including abnormalities and/or Adverse Events (AEs)
Number of participants with potentially clinically significant changes in the CFT values.

Secondary Outcome Measures

Changes in Blood Oxygen Level Dependent (BOLD) signal
As measured by changes in deoxyhemoglobin levels driven by localized changes in brain blood flow and blood oxygenation in brain networks associated with executive function (working memory), including the prefrontal cortex, the hippocampus, and the associated limbic networks, during performance of the N-Back Tasks
Changes in Blood Oxygen Level Dependent (BOLD) signal
As measured by changes in processing of emotional stimuli during theperformance of the FEP task.
Performance measures associated with executive function (working memory) during the N-Back Tasks
As measured by both response accuracy and response latency between cue stimulus and detection of this cue in the presented trial stimuli.

Full Information

First Posted
May 26, 2021
Last Updated
April 14, 2022
Sponsor
Syndesi Therapeutics
Collaborators
P1vital Limited
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1. Study Identification

Unique Protocol Identification Number
NCT05212116
Brief Title
A Study of SDI-118 in Participants in Remission From Depression
Official Title
A Phase Ib, Exploratory, Double Blind, Placebo Controlled, Parallel Group, Study of SDI-118 to Evaluate Safety, Tolerability, and Pharmacodynamics Including Cognitive Function in Male and Female Participants in Remission From Depression
Study Type
Interventional

2. Study Status

Record Verification Date
April 2022
Overall Recruitment Status
Withdrawn
Why Stopped
Development Plan Amended
Study Start Date
September 16, 2021 (Actual)
Primary Completion Date
March 11, 2022 (Actual)
Study Completion Date
March 11, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Syndesi Therapeutics
Collaborators
P1vital Limited

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a multi-center, double-blind, randomized, placebo-controlled study to determine the safety, tolerability, and pharmacodynamics of SDI-118 in a once daily (QD) dosing regimen on male and female study participants reporting with cogntive decline and who in remission from depression.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Depression in Remission
Keywords
Depression, Major Depressive Disorder, Depression in Remission

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind Primary Purpose: Treatment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
SDI-118 low dose
Arm Type
Experimental
Arm Description
SDI-118 (low dose) orally once daily (QD) for 17±1 day.
Arm Title
SDI-118 high dose
Arm Type
Experimental
Arm Description
SDI-118 (high dose) orally once daily (QD) for 17±1 day.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo orally once daily (QD) for 17±1 day.
Intervention Type
Drug
Intervention Name(s)
SDI-118
Intervention Description
SDI-118 is presented as low dose, and high dose capsules.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
The Matching Placebo for SDI-118 is mannitol in capsules.
Primary Outcome Measure Information:
Title
Number of participants with Adverse Events (AEs)
Description
Adverse events (AEs) will be coded using medical dictionary for regulatory activities (MedDRA). An AE is any untoward medical occurrence in a participant administered a study drug and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medical product whether or not considered related to the medical product. An AE is considered "serious" if, in the view of either the investigator or sponsor, the event: results in death, is life-threatening, results in persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, results in congenital anomaly or birth defect, requires hospitalization or prolongation to hospitalization, or other medically important event.
Time Frame
17 days
Title
Number of participants with laboratory value abnormalities and/or adverse events (AEs)
Description
Number of participants with potentially clinically significant laboratory values (hematology/chemistry/urinalysis)
Time Frame
17 days
Title
Number of participants with vital sign abnormalities and/or adverse events (AEs)
Description
Number of participants with potentially clinically significant vital sign values
Time Frame
17 days
Title
Number of participants with routine 12 lead electrocardiogram (ECG) abnormalities and/or Adverse Events (AEs)
Description
Number of participants with potentially clinically significant ECG values
Time Frame
17 days
Title
Number of participants with C-SSRS abnormalities and/or Adverse Events (AEs)
Description
Number of participants with potentially clinically significant changes in C-SSRS values.
Time Frame
17 days
Title
Number of participants with routine physical examination abnormalities and/or Adverse Events (AEs)
Description
Number of participants with potentially clinically significant changes in physical examination.
Time Frame
17 days
Title
Number of participants with Changes in the Cogstate Brief Battery, including abnormalities and/or Adverse Events (AEs)
Description
Number of participants with potentially clinically significant changes in the Cogstate Brief Battery values
Time Frame
17 days
Title
Number of participants with Changes in the Digital Symbol Substitution Test, including abnormalities and/or Adverse Events (AEs)
Description
Number of participants with potentially clinically significant changes in the DSST values.
Time Frame
17 days
Title
Number of participants with Changes in the Controlled Oral Word Association Test, including abnormalities and/or Adverse Events (AEs)
Description
Number of participants with potentially clinically significant changes in the COWAT values.
Time Frame
17 days
Title
Number of participants with Changes in the Category Fluency Test, including abnormalities and/or Adverse Events (AEs)
Description
Number of participants with potentially clinically significant changes in the CFT values.
Time Frame
17 days
Secondary Outcome Measure Information:
Title
Changes in Blood Oxygen Level Dependent (BOLD) signal
Description
As measured by changes in deoxyhemoglobin levels driven by localized changes in brain blood flow and blood oxygenation in brain networks associated with executive function (working memory), including the prefrontal cortex, the hippocampus, and the associated limbic networks, during performance of the N-Back Tasks
Time Frame
17 days
Title
Changes in Blood Oxygen Level Dependent (BOLD) signal
Description
As measured by changes in processing of emotional stimuli during theperformance of the FEP task.
Time Frame
17 days
Title
Performance measures associated with executive function (working memory) during the N-Back Tasks
Description
As measured by both response accuracy and response latency between cue stimulus and detection of this cue in the presented trial stimuli.
Time Frame
17 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female participants between 25 and 55 years of age (inclusive) at screening. Are remitted from depression. Have received prescribed treatment with an antidepressant or a recognised psychotherapy for depression (e.g. cognitive behaviour therapy) for a previous MDE Report present subjective cognitive impairment (such as difficulty concentrating, slow thinking, and difficulty in learning new things or remembering things). Have not been treated with antidepressants or received other psychotherapy for depression for at least six weeks prior to Screening Visit 1. Otherwise healthy with no clinically significant abnormalities as determined by medical history, physical examination, blood chemistry assessments, haematologic assessments, and urinalysis, measurement of vital signs, and Electrocardiogram (ECG). Negative serology test for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibodies at screening. Have a body mass index (BMI) of 18 to 36 inclusive. Agree not to use herbal medications (including herbal tea, St. John's Wort), within 14 days prior to study agent administration through to the final follow-up visit. Participants must be able and willing to give written, informed consent, indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study. The participant, in the opinion of the investigator, is willing and able to adhere to the study visit schedule and other requirements, prohibitions and restrictions of the study. Exclusion Criteria: They are left-handed. Have immediate recall of greater than 22 words from the International Shopping List Test (ISLT) and have delayed recall of greater than 8 words from the ISLT 15 mins after the presentation of the word list. Positive urine drug screen or alcohol breath test at screening or assessment visits. History or presence of significant neurological or psychiatric conditions except those related to MDD. Any suicidal ideation of type 4 or 5 in the Columbia Suicide Severity Rating Scale (C-SSRS) in the past 3 months prior to screening or at screening or baseline visit. Has a known clinically relevant structural brain abnormality as determined by e.g. previous MRI, or, persistent MRI imaging artefact which is judged to produce extensive imaging distortions. Has a disease or takes medication that could, in the investigator's and/or sponsor's opinion, interfere with the assessments of safety, tolerability, or efficacy, or interfere with the conduct or interpretation of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Katharine Smith, DM
Organizational Affiliation
University of Oxford
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Maeve Duffy, PhD
Organizational Affiliation
Syndesi Therapeutics
Official's Role
Study Chair
Facility Information:
Facility Name
University of Manchester
City
Manchester
State/Province
Lancashire
Country
United Kingdom
Facility Name
University of Oxford
City
Oxford
State/Province
Oxfordshire
Country
United Kingdom
Facility Name
Cardiff University
City
Cardiff
State/Province
Wales
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study of SDI-118 in Participants in Remission From Depression

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