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AV-101 as Adjunct Antidepressant Therapy in Patients With Major Depression (ELEVATE)

Primary Purpose

Major Depressive Disorder

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
AV-101
Placebo
Sponsored by
VistaGen Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Major Depressive Disorder

Eligibility Criteria

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

Inclusion Criteria:

  • Diagnosed with MDD, single or recurrent, and currently experiencing a MDE of at least 8 weeks in duration.
  • Has a history of inadequate response to at least 1 approved antidepressant including at least 1 and no more than 3 during the current depressive episode.
  • Meet the threshold on the total HAMD-17 score of > 20
  • If female, a status of nonchildbearing potential or use of an acceptable form of birth control.
  • Body mass index between 18 to 40 kg/m2.
  • Other criteria may apply

Exclusion Criteria:

  • History of bipolar disorder, schizophrenia or schizoaffective disorders, or any history of psychotic symptoms in the current or previous depressive episodes.
  • Any Axis I or Axis II Disorder, which at screening is clinically predominant to their MDD or has been predominant to their MDD at any time within 6 months prior to screening.
  • Women who are pregnant or breastfeeding or a positive pregnancy test at screening or baseline.
  • Currently taking a prohibited adjunct therapy. Such drugs must be washed out for at least 4 weeks prior to baseline.
  • Current diagnosis of moderate or severe substance use (including alcohol) disorder (abuse or dependence, as defined by DSM-5), with the exception of nicotine dependence, at screening or within 6 months prior to screening.
  • In the opinion of the investigator, the subject has a significant risk for suicidal behavior
  • Has received electroconvulsive therapy, or had repetitive transcranial magnetic stimulation in the current episode.
  • Has received vagus nerve stimulation at any time prior to screening.
  • Any current or past history of any physical condition, which in the investigator's opinion might put the subject at risk or interfere with study results interpretation.

Sites / Locations

  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site
  • VistaGen Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

AV-101

Placebo

Arm Description

L-4-chlorokynurenine 1440 mg daily for 14 days

Placebo

Outcomes

Primary Outcome Measures

Montgomery Åsberg Depression Rating Scale 10-item version (MADRS-10)
Depression questionnaire

Secondary Outcome Measures

Time course of improvement including response rates
50% improvement on MADRS-10
Safety and tolerability will be assessed by incidence of adverse events (AEs)
Also include EKG, labs etc.

Full Information

First Posted
March 8, 2017
Last Updated
October 7, 2019
Sponsor
VistaGen Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03078322
Brief Title
AV-101 as Adjunct Antidepressant Therapy in Patients With Major Depression
Acronym
ELEVATE
Official Title
Double-Blind, Placebo-Controlled, Phase 2 Trial to Test Efficacy and Safety of AV-101 (L-4-chlorokynurenine) as Adjunct to Current Antidepressant Therapy in Patients With Major Depressive Disorder (the ELEVATE Study)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2019
Overall Recruitment Status
Completed
Study Start Date
March 5, 2018 (Actual)
Primary Completion Date
October 1, 2019 (Actual)
Study Completion Date
October 1, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
VistaGen Therapeutics, Inc.

4. Oversight

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

5. Study Description

Brief Summary
The study will evaluate the safety and efficacy of AV-101.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
180 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AV-101
Arm Type
Experimental
Arm Description
L-4-chlorokynurenine 1440 mg daily for 14 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
AV-101
Other Intervention Name(s)
L-4-chlorokynurenine
Intervention Description
Oral capsules taken once daily (in addition to open-label treatment with a commercially available antidepressant)
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral capsules taken once daily (in addition to open-label treatment with a commercially available antidepressant)
Primary Outcome Measure Information:
Title
Montgomery Åsberg Depression Rating Scale 10-item version (MADRS-10)
Description
Depression questionnaire
Time Frame
2 weeks
Secondary Outcome Measure Information:
Title
Time course of improvement including response rates
Description
50% improvement on MADRS-10
Time Frame
2 weeks
Title
Safety and tolerability will be assessed by incidence of adverse events (AEs)
Description
Also include EKG, labs etc.
Time Frame
2 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: Diagnosed with MDD, single or recurrent, and currently experiencing a MDE of at least 8 weeks in duration. Has a history of inadequate response to at least 1 approved antidepressant including at least 1 and no more than 3 during the current depressive episode. Meet the threshold on the total HAMD-17 score of > 20 If female, a status of nonchildbearing potential or use of an acceptable form of birth control. Body mass index between 18 to 40 kg/m2. Other criteria may apply Exclusion Criteria: History of bipolar disorder, schizophrenia or schizoaffective disorders, or any history of psychotic symptoms in the current or previous depressive episodes. Any Axis I or Axis II Disorder, which at screening is clinically predominant to their MDD or has been predominant to their MDD at any time within 6 months prior to screening. Women who are pregnant or breastfeeding or a positive pregnancy test at screening or baseline. Currently taking a prohibited adjunct therapy. Such drugs must be washed out for at least 4 weeks prior to baseline. Current diagnosis of moderate or severe substance use (including alcohol) disorder (abuse or dependence, as defined by DSM-5), with the exception of nicotine dependence, at screening or within 6 months prior to screening. In the opinion of the investigator, the subject has a significant risk for suicidal behavior Has received electroconvulsive therapy, or had repetitive transcranial magnetic stimulation in the current episode. Has received vagus nerve stimulation at any time prior to screening. Any current or past history of any physical condition, which in the investigator's opinion might put the subject at risk or interfere with study results interpretation.
Facility Information:
Facility Name
VistaGen Investigational Site
City
Garden Grove
State/Province
California
ZIP/Postal Code
92845
Country
United States
Facility Name
VistaGen Investigational Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90024
Country
United States
Facility Name
VistaGen Investigational Site
City
National City
State/Province
California
ZIP/Postal Code
91950
Country
United States
Facility Name
VistaGen Investigational Site
City
Oakland
State/Province
California
ZIP/Postal Code
94607
Country
United States
Facility Name
VistaGen Investigational Site
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
VistaGen Investigational Site
City
Temecula
State/Province
California
ZIP/Postal Code
92591
Country
United States
Facility Name
VistaGen Investigational Site
City
Fort Myers
State/Province
Florida
ZIP/Postal Code
33912
Country
United States
Facility Name
VistaGen Investigational Site
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32256
Country
United States
Facility Name
VistaGen Investigational Site
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30331
Country
United States
Facility Name
VistaGen Investigational Site
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912
Country
United States
Facility Name
VistaGen Investigational Site
City
Hoffman Estates
State/Province
Illinois
ZIP/Postal Code
60169
Country
United States
Facility Name
VistaGen Investigational Site
City
Lake Charles
State/Province
Louisiana
ZIP/Postal Code
70629
Country
United States
Facility Name
VistaGen Investigational Site
City
Gaithersburg
State/Province
Maryland
ZIP/Postal Code
20877
Country
United States
Facility Name
VistaGen Investigational Site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63141
Country
United States
Facility Name
VistaGen Investigational Site
City
New York
State/Province
New York
ZIP/Postal Code
10128
Country
United States
Facility Name
VistaGen Investigational Site
City
Rochester
State/Province
New York
ZIP/Postal Code
14618
Country
United States
Facility Name
VistaGen Investigational Site
City
Dayton
State/Province
Ohio
ZIP/Postal Code
45417
Country
United States
Facility Name
VistaGen Investigational Site
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73112
Country
United States
Facility Name
VistaGen Investigational Site
City
Media
State/Province
Pennsylvania
ZIP/Postal Code
19063
Country
United States
Facility Name
VistaGen Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
VistaGen Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77058
Country
United States
Facility Name
VistaGen Investigational Site
City
Bellevue
State/Province
Washington
ZIP/Postal Code
98007
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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AV-101 as Adjunct Antidepressant Therapy in Patients With Major Depression

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