A Clinical Trial of Intravenous (IV) Ganaxolone in Women... | NCT03228394 | Trialant
NCT03228394
Sponsor
Marinus Pharmaceuticals
Status
Completed
Last Update Posted
Jul 19, 2023Actual
Enrollment
91Actual
Phase
Phase 2
Conditions
Depression
Depressive Disorder
Depression, Postpartum
Behavioral Symptoms
Mood Disorders
Mental Disorders
Puerperal Disorders
Pregnancy Complications
Postpartum
PPD
Interventions
Ganaxolone
Placebo
Countries
United States
Protocol Section
Identification Module
NCT ID
NCT03228394
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
1042-PPD-2002
Secondary IDs
Not provided
Brief Title
A Clinical Trial of Intravenous (IV) Ganaxolone in Women With Postpartum Depression
Official Title
A Phase 2A, Double-blind, Placebo-controlled, Multiple-dose Escalation Study to Evaluate Safety, Pharmacokinetics and Efficacy of Intravenously Administered Ganaxolone in Women With Postpartum Depression
Acronym
Not provided
Organization
Marinus PharmaceuticalsINDUSTRY
Status Module
Record Verification Date
Jul 2023
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Jun 27, 2017Actual
Primary Completion Date
May 10, 2019Actual
Completion Date
May 10, 2020Actual
First Submitted Date
Jul 5, 2017
First Submission Date that Met QC Criteria
Jul 20, 2017
First Posted Date
Jul 24, 2017Actual
Results Waived
Not provided
Results First Submitted Date
May 24, 2022
Results First Submitted that Met QC Criteria
Jan 13, 2023
Results First Posted Date
Feb 8, 2023Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Sep 2, 2020
Certification/Extension First Submitted that Passed QC Review
Jan 13, 2023
Certification/Extension First Posted Date
Feb 8, 2023Actual
Last Update Submitted Date
Jul 4, 2023
Last Update Posted Date
Jul 19, 2023Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
Marinus PharmaceuticalsINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
This study will evaluate the Safety, Pharmacokinetics and Efficacy of IV Administration of Ganaxolone in Women with Postpartum Depression
Detailed Description
This study will explore whether ganaxolone is safe and well tolerated in women suffering from PPD. In addition, ganaxolone's efficacy in treating depressive symptoms will be assessed through a set of exploratory analyses. Plasma levels of ganaxolone will be determined through pharmacokinetic analysis. The study results will be used to select a ganaxolone dose and dosing regimen for further development in PPD.
Conditions Module
Conditions
Depression
Depressive Disorder
Depression, Postpartum
Behavioral Symptoms
Mood Disorders
Mental Disorders
Puerperal Disorders
Pregnancy Complications
Postpartum
PPD
Keywords
Postpartum Care
Postpartum Depression
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
91Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Ganaxolone
Experimental
Intravenous
Drug: Ganaxolone
Placebo
Placebo Comparator
Intravenous
Drug: Placebo
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Ganaxolone
Drug
Ganaxolone IV
Ganaxolone
Placebo
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Total Score
The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Baseline and Day 3 post-infusion (60 hours post start of infusion) for Cohorts 1 to 3 and Baseline and Day 29 for Cohort 6
Secondary Outcomes
Measure
Description
Time Frame
Change From Baseline in HAMD17 Total Score at Indicated Time Points
The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Participant experienced a Major Depressive Episode, which started between the start of the third trimester and 4 weeks following delivery. The Major Depressive Episode must be diagnosed according to Mini International Neuropsychiatric Interview (MINI) 7.0 interview
Participant gave birth in the last 6 months
Participant has a Hamilton Depression Rating Scale 17-item version (HAMD17) score of ≥ 26 at screening
Participant must agree to stop breastfeeding from start of study treatment or must agree to temporarily cease giving breast milk to her infant(s)
Exclusion Criteria:
Current or past history of any psychotic illness, including Major Depressive Episode with psychotic features
History of suicide attempt within the past 3 years
Active suicidal ideation
History of bipolar I disorder
History of seizure disorder
Accepts Healthy Volunteers
No
Sex
Female
Sex/Gender Based
Yes
Sex/Gender Description
Women with postpartum depression
Minimum Age
18 Years
Maximum Age
45 Years
Standard Ages
Adult
Study Population
Not provided
Sampling Method
Not provided
Contacts/Locations Module
Central Contacts
Not provided
Overall Officials
Not provided
Locations
Facility
Status
City
State
ZIP
Country
Contacts
Marinus Research Site
Little Rock
Arkansas
72211
United States
Marinus Research Site
References Module
No data available
No data is available for this block.
IPD Sharing Statement Module
No data available
No data is available for this block.
Results Section
Participant Flow Module
Pre-assignment Details
Not provided
Recruitment Details
Not provided
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Placebo Cohort 1
Intravenous (IV) infusion of placebo (PBO) at rate of 16 milliliter per hour (mL/h) for 48 hours, then 8 mL/h for 12 hours
FG001
Ganaxolone Cohort 1
IV infusion of ganaxolone (GNX) at rate of 4 milligram per hour (mg/h) (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
Baseline, Day1 post-infusion(6hours post start of infusion), Day1(12hours post start of infusion), Day2(24hours post start of infusion),Day3 post-infusion(48hours post start of infusion),Day4(72hours post start of infusion),Days 8,11,15,22,36,57 and 71
Number of Participants With HAMD17 Response
HAMD17 Response was defined as ≥50% reduction from Baseline in total score. The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Number of participants with HAMD17 response is presented.
Day1 post-infusion (6 hours post start of infusion [SOI]), Day 1 (12 hours post SOI), Day 2 (24 hours post SOI),Day 3 post-infusion (48 hours post SOI), Day 3 post-infusion (60 hours post SOI), Day 4 (72 hours post SOI), Days 8,11,15,22,29,36,57 and 71
Number of Participants With HAMD17 Remission
HAMD17 Remission was defined as total score ≤7. The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Number of participants with HAMD17 remission is presented
Day1 post-infusion (6 hours post start of infusion [SOI]), Day 1 (12 hours post SOI), Day2 (24 hours post SOI), Day 3 post-infusion (48 hours post SOI), Day 3 post-infusion (60 hours post SOI), Day 4 (72 hours post SOI), Days 8,11,15,22,29,34,57 and 71
Change From Baseline in Edinburgh Postnatal Depression Scale (EPDS) Total Score
The EPDS is a validated 10-question depression assessment for postpartum women, which includes anxiety symptoms and excludes constitutional symptoms associated with depression common in the postpartum period, such as changes in sleeping patterns. It consists of 10 multiple choice questions with scores for each question ranging from 0-3. Questions 1, 2, & 4 are scored 0, 1, 2 or 3 with top box scored as 0 and the bottom box scored as 3. Questions 3 and 5 to 10 are reverse scored, with the top box scored as a 3 and the bottom box scored as 0. Scores are then summed for a total score, which ranges from 0: no depression to 30: severe depression. Higher score indicates severe depression. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Baseline, Day 1, Day 2, Day 3 post-infusion (60 hours post start of infusion), Day 8, Day 11, Day 15, Day 22, Day 29, Day 34, Day 36, Day 57 and Day 71
Change From Baseline in Spielberger State-Trait Anxiety Inventory 6-item Version (STAI6) Total Score
The STAI6 is a 6-item self-rated instrument used to assess anxiety state. The STAI6 questions included: 1. "I feel calm"; 2. "I am tense"; 3. "I feel upset"; 4. "I am relaxed"; 5. "I feel content"; 6. "I am worried". Each of these questions were rated as: a) "not at all"; b) "somewhat"; c) "moderately"; d) "very much". For questions 2, 3, and 6, the scoring was a = 1, b = 2, c = 3, and d = 4. For the other 3 questions, the scoring was a = 4, b = 3, c = 2, and d = 1. The STAI6 score was the result of first totaling the 6 individual item scores, and then prorating by a multiplication factor of 20/6 to acquire a score range of 20 (low anxiety) to 80 (high anxiety). Higher score indicated higher level of anxiety. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Baseline, Day 1 (12 hours post start of infusion), Day 2, Day 3 post-infusion (60 hours post start of infusion), Day 4, Day 8, Day 11, Day 15, Day 22, Day 29, Day 34, Day 36, Day 57 and Day 71
Number of Participants With Response to Clinical Global Impression-Improvement (CGI-I) Scale
The CGI-I scale is a clinician-rated 7-point scale used to assess how much the participant's illness had improved or worsened relative to a Baseline state at the beginning of the intervention. It was rated as: 1. "very much improved"; 2. "much improved"; 3. "minimally improved"; 4. "no change"; 5. "minimally worse"; 6. "much worse"; 7. "very much worse". Higher scores indicated worse condition. Response was defined as >50% decrease from Baseline in CGI-I total score.
Day 1 (12 hours post start of infusion), Day 2, Day 3 post-infusion (60 hours post start of infusion), Day 4, Day 8, Day 11, Day 15, Day 22, Day 29, Day 34, Day 36, Day 57 and Day 71
Costa Mesa
California
92626
United States
Marinus Research Site
Lemon Grove
California
91945
United States
Marinus Research Site
San Diego
California
92103
United States
Marinus Research Site
Jacksonville
Florida
32216
United States
Marinus Research Site
Atlanta
Georgia
30331
United States
Marinus Research Site
Decatur
Georgia
30030
United States
Marinus Research Site
Leawood
Kansas
66206
United States
Marinus Research Site
Overland Park
Kansas
66211
United States
Marinus Research Site
New York
New York
10032
United States
Marinus Research Site
Dayton
Ohio
45417
United States
Marinus Research Site
Houston
Texas
77058
United States
Marinus Research Site
Irving
Texas
75062
United States
Marinus Research Site
Orem
Utah
84058
United States
Marinus Research Site
Salt Lake City
Utah
84124
United States
Marinus Research Site
Richmond
Virginia
23298
United States
FG002
Placebo Cohort 2
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours.
FG003
Ganaxolone Cohort 2
IV infusion of GNX at rate of 8 mg/h for 48 hours, then 4 mg/h (8 mL/h) for 12 hours
FG004
Placebo Cohort 3
IV bolus of 24 mL PBO over 2 minutes; then 24 mL for 48 hours and then 12 mL/h for 12 hours.
FG005
Ganaxolone Cohort 3
IV bolus of 12 mg (24mL) GNX over 2 minutes; then GNX at 12 mg/h (24 mL/h) for 48 hours and then 6 mg/h (12 mL/h) for 12 hours.
FG006
Placebo Cohort 6
IV infusion of PBO at rate of 40 mL/h for 6 hours; then 900 mg PBO (4 capsules) orally at dinner for 28 days
FG007
Ganaxolone Cohort 6
IV infusion of GNX at rate of 20 mg/h (40 mL/h) for 6 hours followed by 900 mg (4 capsules) orally at dinner for 28 days
FG0004 subjects
FG0015 subjects
FG00214 subjects
FG00315 subjects
FG00410 subjects
FG00510 subjects
FG00617 subjects
FG00716 subjects
COMPLETED
FG0004 subjects
FG0015 subjects
FG00212 subjects
FG00313 subjects
FG00410 subjects
FG00510 subjects
FG00612 subjects
FG00713 subjects
NOT COMPLETED
FG0000 subjects
FG0010 subjects
FG0022 subjects
FG0032 subjects
FG0040 subjects
FG0050 subjects
FG0065 subjects
FG0073 subjects
Type
Comment
Reasons
Lost to Follow-up
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0031 subjects
FG0040 subjects
FG0050 subjects
FG0062 subjects
FG0070 subjects
Withdrawal by Subject
FG0000 subjects
FG0010 subjects
FG0021 subjects
FG0030 subjects
FG004
Protocol Violation
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
FG004
Physician Decision
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Noncompliance
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
BG001
Ganaxolone Cohort 1
IV infusion of GNX at rate of 4 mg/h (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
BG002
Placebo Cohort 2
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
BG003
Ganaxolone Cohort 2
IV infusion of GNX at rate of 8 mg/h for 48 hours, then 4 mg/h (8 mL/h) for 12 hours
BG004
Placebo Cohort 3
IV bolus of 24 mL PBO over 2 minutes; then 24 mL/h for 48 hours and then 12 mL/h for 12 hours
BG005
Ganaxolone Cohort 3
IV bolus of 12 mg (24mL) GNX over 2 minutes; then GNX at 12 mg/h (24 mL/h) for 48 hours and then 6 mg/h (12 mL/h) for 12 hours
BG006
Placebo Cohort 6
IV infusion of PBO at rate of 40 mL/h for 6 hours; then 900 mg PBO (4 capsules) orally at dinner for 28 days
BG007
Ganaxolone Cohort 6
IV infusion of GNX at rate of 20 mg/h (40 mL/h) for 6 hours followed by 900 mg (4 capsules) orally at dinner for 28 days
BG008
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG0004
BG0015
BG00214
BG00315
BG00410
BG00510
BG00617
BG00716
BG00891
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00025.3± 2.22
BG00124.4± 6.27
BG00226.4± 6.02
BG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG0004
BG0015
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0002
BG0011
BG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Total Score
The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Modified intent-to-treat (mITT) population: Included all participants in the safety set who had ≥1 post-randomization efficacy assessment. Only those participants with data available at the specified data points were analyzed.
Posted
Mean
Standard Deviation
Scores on a scale
Baseline and Day 3 post-infusion (60 hours post start of infusion) for Cohorts 1 to 3 and Baseline and Day 29 for Cohort 6
ID
Title
Description
OG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
OG001
Ganaxolone Cohort 1
IV infusion of GNX at rate of 4 mg/h (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
OG002
Placebo Cohort 2
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
OG003
Ganaxolone Cohort 2
IV infusion of GNX at rate of 8 mg/h for 48 hours, then 4 mg/h (8 mL/h) for 12 hours
OG004
Placebo Cohort 3
IV bolus of 24 mL PBO over 2 minutes; then 24 mL/h for 48 hours and then 12 mL/h for 12 hours
OG005
Ganaxolone Cohort 3
IV bolus of 12 mg (24mL) GNX over 2 minutes; then GNX at 12 mg/h (24 mL/h) for 48 hours and then 6 mg/h (12 mL/h) for 12 hours
OG006
Placebo Cohort 6
IV infusion of PBO at rate of 40 mL/h for 6 hours; then 900 mg PBO (4 capsules) orally at dinner for 28 days
OG007
Ganaxolone Cohort 6
IV infusion of GNX at rate of 20 mg/h (40 mL/h) for 6 hours followed by 900 mg (4 capsules) orally at dinner for 28 days
Units
Counts
Participants
OG0004
OG0015
OG00212
OG003
Title
Denominators
Categories
Day 3 post-infusion (60 hours post start of infusion)
ParticipantsOG0004
ParticipantsOG0015
ParticipantsOG00212
ParticipantsOG003
Secondary
Change From Baseline in HAMD17 Total Score at Indicated Time Points
The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
mITT population. Only those participants with data available at the specified data points were analyzed.
Posted
Mean
Standard Deviation
Scores on a scale
Baseline, Day1 post-infusion(6hours post start of infusion), Day1(12hours post start of infusion), Day2(24hours post start of infusion),Day3 post-infusion(48hours post start of infusion),Day4(72hours post start of infusion),Days 8,11,15,22,36,57 and 71
ID
Title
Description
OG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
OG001
Ganaxolone Cohort 1
IV infusion of GNX at rate of 4 mg/h (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
Secondary
Number of Participants With HAMD17 Response
HAMD17 Response was defined as ≥50% reduction from Baseline in total score. The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Number of participants with HAMD17 response is presented.
mITT population. Only those participants with data available at the specified data points were analyzed.
Posted
Count of Participants
Participants
Day1 post-infusion (6 hours post start of infusion [SOI]), Day 1 (12 hours post SOI), Day 2 (24 hours post SOI),Day 3 post-infusion (48 hours post SOI), Day 3 post-infusion (60 hours post SOI), Day 4 (72 hours post SOI), Days 8,11,15,22,29,36,57 and 71
ID
Title
Description
OG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
OG001
Ganaxolone Cohort 1
IV infusion of GNX at rate of 4 mg/h (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
Secondary
Number of Participants With HAMD17 Remission
HAMD17 Remission was defined as total score ≤7. The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Number of participants with HAMD17 remission is presented
mITT population. Only those participants with data available at the specified data points were analyzed.
Posted
Count of Participants
Participants
Day1 post-infusion (6 hours post start of infusion [SOI]), Day 1 (12 hours post SOI), Day2 (24 hours post SOI), Day 3 post-infusion (48 hours post SOI), Day 3 post-infusion (60 hours post SOI), Day 4 (72 hours post SOI), Days 8,11,15,22,29,34,57 and 71
ID
Title
Description
OG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
OG001
Ganaxolone Cohort 1
IV infusion of GNX at rate of 4 mg/h (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
Secondary
Change From Baseline in Edinburgh Postnatal Depression Scale (EPDS) Total Score
The EPDS is a validated 10-question depression assessment for postpartum women, which includes anxiety symptoms and excludes constitutional symptoms associated with depression common in the postpartum period, such as changes in sleeping patterns. It consists of 10 multiple choice questions with scores for each question ranging from 0-3. Questions 1, 2, & 4 are scored 0, 1, 2 or 3 with top box scored as 0 and the bottom box scored as 3. Questions 3 and 5 to 10 are reverse scored, with the top box scored as a 3 and the bottom box scored as 0. Scores are then summed for a total score, which ranges from 0: no depression to 30: severe depression. Higher score indicates severe depression. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
mITT population. Only those participants with data available at the specified data points were analyzed.
Posted
Mean
Standard Deviation
Scores on a scale
Baseline, Day 1, Day 2, Day 3 post-infusion (60 hours post start of infusion), Day 8, Day 11, Day 15, Day 22, Day 29, Day 34, Day 36, Day 57 and Day 71
ID
Title
Description
OG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
OG001
Ganaxolone Cohort 1
IV infusion of GNX at rate of 4 mg/h (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
Secondary
Change From Baseline in Spielberger State-Trait Anxiety Inventory 6-item Version (STAI6) Total Score
The STAI6 is a 6-item self-rated instrument used to assess anxiety state. The STAI6 questions included: 1. "I feel calm"; 2. "I am tense"; 3. "I feel upset"; 4. "I am relaxed"; 5. "I feel content"; 6. "I am worried". Each of these questions were rated as: a) "not at all"; b) "somewhat"; c) "moderately"; d) "very much". For questions 2, 3, and 6, the scoring was a = 1, b = 2, c = 3, and d = 4. For the other 3 questions, the scoring was a = 4, b = 3, c = 2, and d = 1. The STAI6 score was the result of first totaling the 6 individual item scores, and then prorating by a multiplication factor of 20/6 to acquire a score range of 20 (low anxiety) to 80 (high anxiety). Higher score indicated higher level of anxiety. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
mITT population. Only those participants with data available at the specified data points were analyzed.
Posted
Mean
Standard Deviation
Scores on a scale
Baseline, Day 1 (12 hours post start of infusion), Day 2, Day 3 post-infusion (60 hours post start of infusion), Day 4, Day 8, Day 11, Day 15, Day 22, Day 29, Day 34, Day 36, Day 57 and Day 71
ID
Title
Description
OG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
OG001
Ganaxolone Cohort 1
Secondary
Number of Participants With Response to Clinical Global Impression-Improvement (CGI-I) Scale
The CGI-I scale is a clinician-rated 7-point scale used to assess how much the participant's illness had improved or worsened relative to a Baseline state at the beginning of the intervention. It was rated as: 1. "very much improved"; 2. "much improved"; 3. "minimally improved"; 4. "no change"; 5. "minimally worse"; 6. "much worse"; 7. "very much worse". Higher scores indicated worse condition. Response was defined as >50% decrease from Baseline in CGI-I total score.
mITT population. Only those participants with data available at the specified data points were analyzed.
Posted
Count of Participants
Participants
Day 1 (12 hours post start of infusion), Day 2, Day 3 post-infusion (60 hours post start of infusion), Day 4, Day 8, Day 11, Day 15, Day 22, Day 29, Day 34, Day 36, Day 57 and Day 71
ID
Title
Description
OG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
OG001
Ganaxolone Cohort 1
IV infusion of GNX at rate of 4 mg/h (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
OG002
Placebo Cohort 2
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
Time Frame
Baseline up to 71 days
Description
Not provided
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Placebo Cohort 1
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
0
4
0
4
1
4
EG001
Ganaxolone Cohort 1
IV infusion of GNX at rate of 4 mg/h (16 mL/h) for 48 hours, then 2 mg/h for 12 hours
0
5
0
5
2
5
EG002
Placebo Cohort 2
IV infusion of PBO at rate of 16 mL/h for 48 hours, then 8 mL/h for 12 hours
0
14
0
14
3
14
EG003
Ganaxolone Cohort 2
IV infusion of GNX at rate of 8 mg/h for 48 hours, then 4 mg/h (8 mL/h) for 12 hours
0
15
0
15
5
15
EG004
Placebo Cohort 3
IV bolus of 24 mL PBO over 2 minutes; then 24 mL/h for 48 hours and then 12 mL/h for 12 hours
0
10
0
10
3
10
EG005
Ganaxolone Cohort 3
IV bolus of 12 mg (24mL) GNX over 2 minutes; then GNX at 12 mg/h (24 mL/h) for 48 hours and then 6 mg/h (12 mL/h) for 12 hours
0
10
0
10
8
10
EG006
Placebo Cohort 6
IV infusion of PBO at rate of 40 mL/h for 6 hours; then 900 mg PBO (4 capsules) orally at dinner for 28 days
0
17
1
17
7
17
EG007
Ganaxolone Cohort 6
IV infusion of GNX at rate of 20 mg/h (40 mL/h) for 6 hours followed by 900 mg (4 capsules) orally at dinner for 28 days