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The study will assess the safety, tolerability, and pharmacokinetics of basimglurant compared to placebo after multiple ascending oral doses for up to 22 days in healthy subjects and in patients with MDD on stable selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI) background therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Basimglurant: Healthy Cohort (1) | Experimental | Healthy participants assigned to basimglurant will receive a 22-day ascending dose regimen. Cohort 1 will receive a prespecified titration scheme; however, adaptive titration schemes may be applied in subsequent cohorts. |
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| Basimglurant: Healthy Cohort (2) | Experimental | Healthy participants assigned to basimglurant will receive a 22-day ascending dose regimen. The dosing scheme for Cohort 2 will be selected in accordance with decision criteria on the basis of the incidence of severe AEs in Cohort 1. |
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| Basimglurant: Healthy Cohort (3) | Experimental | Healthy participants assigned to basimglurant will receive a 22-day ascending dose regimen. The dosing scheme for Cohort 3 will be selected in accordance with decision criteria on the basis of the incidence of severe AEs in preceding Cohorts 1 and 2. |
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| Basimglurant: Healthy Cohort (4) | Experimental | Healthy participants assigned to basimglurant will receive a 22-day ascending dose regimen. The dosing scheme for Cohort 4 will be selected in accordance with decision criteria on the basis of the incidence of severe AEs in preceding Cohorts 1, 2, and 3. |
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| Basimglurant: MDD Cohort (5) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Basimglurant | Drug | Participants will receive once-daily oral basimglurant capsules in a multiple ascending dose regimen. Basimglurant dose will be titrated over 22 days; dose escalations will be separated by at least 4 days, with the final dose administered for a minimum of 14 days. The minimum starting dose will be 1.5 mg, which can be titrated up to a maximum dose of 4.0 mg. Intrapatient dose increments will not exceed 1.0 mg every 4 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety: Incidence of adverse events (AEs) | Up to 10 weeks | |
| Safety: Suicidality as assessed using the Columbia Suicide Severity Rating Scale (C-SSRS) | Up to 10 weeks | |
| Safety: Sleep habits as assessed using a participant-recorded sleep diary | Up to 21 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics: Maximum plasma concentration (Cmax) | Post dose on Day 1 and Day 22 (or final dose) | |
| Pharmacokinetics: Area under the plasma concentration-time curve from 0 to 24 hours (AUC0-24) | Post dose on Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trials | Hoffmann-La Roche | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Garden Grove | California | 92845 | United States |
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| Experimental |
Participants with MDD assigned to basimglurant will receive a 22-day ascending dose regimen. The dosing scheme for Cohort 5 may differ from those previously evaluated; however, the titration steps and the highest dose tested will remain equal to or lower than the doses tested in Cohorts 1 to 4. |
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| Placebo: Healthy Cohorts (1 to 4) | Placebo Comparator | Healthy participants will receive a 22-day regimen of matching placebo capsules. |
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| Placebo: MDD Cohort (5) | Placebo Comparator | Participants with MDD will receive a 22-day regimen of matching placebo capsules. |
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| Placebo | Drug | Participants will receive 22 days of once-daily oral matching placebo capsules. |
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| Pharmacokinetics: Area under the plasma concentration-time curve over the dosing interval (AUC0-tau) | Post dose on Day 22 (or final dose) |
| Pharmacokinetics: Time to maximum plasma concentration (Tmax) | Post dose on Day 1 and Day 22 (or final dose) |
| Pharmacokinetics: Trough plasma concentration (Ctrough) | Post dose on Day 1 and Day 22 (or final dose) |
| Pharmacokinetics: Apparent terminal elimination half-life (t1/2) | Post dose on Day 22 (or final dose) |
| Safety: QT interval corrected using the Fridericia method (QTcF) | Up to 10 weeks |
| ID | Term |
|---|---|
| D003865 | Depressive Disorder, Major |
| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C000596770 | 2-chloro-4-(1-(4-fluorophenyl)-2,5-dimethyl-1H-imidazol-4-ylethynyl)pyridine |
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