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A Phase 2 Study of ANC-501 in the treatment of adults with Major Depressive Disorder
This is a single-arm, open-label Phase 2 study to assess the safety, tolerability, pharmacokinetics (PK), and activity of ANC-501 oral capsules as adjunctive treatment in subjects diagnosed with major depressive disorder (MDD)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ANC-501 | Experimental | 50 mg/day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ANC-501 | Drug | Five 10 mg capsules per day |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline (Day 1) to Day 56 in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score. | The MADRS was utilized as the primary efficacy assessment of the participant's level of depression. The MADRS consists of 10 items, all rated on a scale 0 to 6 with 0 being the "best" rating and 6 being the "worst" rating. The MADRS Total Score is the sum of ratings for all 10 items. Total MADRS score range is 0 to 60. A higher score indicates more severe depression. | Baseline (Day 1) to Day 56 |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change From Baseline (Day 1) in Montgomery Asberg Depression Rating Scale (MADRS) Total Score at All Timepoints. | The MADRS was utilized to assess the participant's level of depression. The MADRS consists of 10 items, all rated on a scale 0 to 6 with 0 being the "best" rating and 6 being the "worst" rating. The MADRS Total Score is the sum of ratings for all 10 items. Total MADRS score range is 0 to 60. A higher score indicates more severe depression. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Phil Perera, MD | Ancora Bio, Inc. d/b/a EmbarkNeuro, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ATP Clinical Research | Orange | California | 92868 | United States | ||
| Florida Behavioral Medicine |
The total duration of participation is 20 weeks (up to 30 days screening, 8 weeks dosing, 8 weeks follow-up).
This trial was conducted in 15 participants at 8 sites in the United States; 5 of the 8 trial sites enrolled subjects.
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| ID | Title | Description |
|---|---|---|
| FG000 | ANC-501 | Participants were administered 50 mg ANC501 (5 x 10 mg) capsules orally once daily for 8 weeks in addition to their current stable dose antidepressant therapy (ADT). |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | ANC-501 | Participants were administered 50 mg ANC501 (5 x 10 mg) capsules orally once daily for 8 weeks in addition to their current stable dose antidepressant therapy (ADT). |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Mean Change From Baseline (Day 1) to Day 56 in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score. | The MADRS was utilized as the primary efficacy assessment of the participant's level of depression. The MADRS consists of 10 items, all rated on a scale 0 to 6 with 0 being the "best" rating and 6 being the "worst" rating. The MADRS Total Score is the sum of ratings for all 10 items. Total MADRS score range is 0 to 60. A higher score indicates more severe depression. | Efficacy population (N=13) consists of all subjects who received at least one dose of ANC501 and had completed treatment. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day 1) to Day 56 |
|
Adverse events were reported from the signing of the informed consent until the last dose of ANC-501 with a safety follow-up of 8 weeks (+-3 days).
One participant out of the 15 enrolled participants had one baseline AE that began prior to study drug dosing and continued during the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | ANC-501 | Participants were administered 50 mg ANC501 (5 x 10 mg) capsules orally once daily for 8 weeks in addition to their current stable dose antidepressant therapy (ADT). |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Tinnitus | Ear and labyrinth disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Medical Officer | Ancora Bio, Inc dba EmbarkNeuro | 610 871-4891 | info@embarkneuro.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 7, 2023 | Aug 8, 2024 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Sep 29, 2023 | Aug 9, 2024 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D003865 | Depressive Disorder, Major |
| ID | Term |
|---|---|
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
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| Baseline (Day1), Day 8, Day 15, Day 29, Day 43, Day 56, and Day 70 |
| Percentage of Participants With Montgomery Asberg Depression Rating Scale (MADRS) Response. | MADRS responder rate was defined as >=50% reduction in total score from Baseline (Day 1) to all time points. The MADRS consists of 10 questions, each rated on a 7-point scale, to stratify severity of depressive episodes. The MADRS total score is the sum of ratings for all 10 items. Total MADRS score range is 0 to 60. A higher score indicates more severe depression. | Baseline (Day1), Day 8, Day 15, Day 29, Day 43, Day 56, and Day 70 |
| Percentage of Participants With Montgomery Asberg Depression Rating Scale (MADRS) Remission. | MADRS remission rate was defined where total score was <=10 at all time points. The MADRS consists of 10 questions, each rated on a 7-point scale, to stratify severity of depressive episodes. The MADRS total score is the sum of ratings for all 10 items. Total MADRS score range is 0 to 60. A higher score indicates more severe depression. | Baseline (Day1), Day 8, Day 15, Day 29, Day 43, Day 56, and Day 70 |
| Mean Change From Baseline (Day 1) to Day 56 in Hamilton Anxiety Scale (HAM-A) Total Score. | The HAM-A was utilized as an assessment to rate participants level of anxiety. HAM-A is a 14-item questionnaire with each question rated on a 5-point scale with a total score of 0 to 56. The higher scores indicating more severe anxiety symptoms. | Baseline (Day 1) to Day 56 |
| Mean Change in Clinical Global Impression-Severity (CGI-S) Score From Baseline (Day1) to Day 56. | The CGI-S was utilized as an assessment for clinician to rate the severity of the patient's illness at the time of the assessment, relative to past experience with patients having the same diagnosis. CGI-S is a 7-point scale with response choices included: 0 = not assessed, 1 = normal, not at all ill, 2 = borderline mentally ill, 3 = mildly ill, 4 = moderately ill, 5 = markedly ill, 6 = severely ill, 7 = among the most extremely ill patients. The response at Day 56 was compared with the participants condition at Baseline prior to the first dose of study medication. | Baseline (Day1) to Day 56 |
| Percentage of Participants With Clinical Global Impression-Improvement (CGI-I) Improvement | The CGI-I was utilized as an assessment for clinician to rate the improvement of the patient's illness at the time of the assessment compared to patient's condition at admission of the trial. To perform this assessment, the study physician answered the following question: "Compared to his/her condition at admission to the project, how much has he/she changed?" This question is rated on a scale from 0 to 7, where a higher score indicates greater lack of improvement. Response choices included: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. The response at a given visit was compared with the participants condition at Baseline prior to the first dose of study medication. A CGI-I improver was defined as a subject with a CGI-I score of "Very much approved" or "Much Approved". | Baseline (Day1), Day 8, Day 15, Day 29, Day 43, Day 56, and Day 70 |
| Number of Participants With Clinical Global Impression-Improvement (CGI-I) Improvement | The CGI-I was utilized as an assessment for clinician to rate the improvement of the patient's illness at the time of the assessment compared to patient's condition at admission of the trial. To perform this assessment, the study physician answered the following question: "Compared to his/her condition at admission to the project, how much has he/she changed?" This question is rated on a scale from 0 to 7, where a higher score indicates greater lack of improvement. Response choices included: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. The response at a Day 56 was compared with the participants condition at Baseline prior to the first dose of study medication. A CGI-I improver was defined as a subject with a CGI-I score of "Very much approved" or "Much Approved". | Baseline (Day1) to Day 56 |
| Largo |
| Florida |
| 33770 |
| United States |
| Innovative Clinical Research, Inc. | Lauderhill | Florida | 33319 | United States |
| Combined Research Orlando | Orlando | Florida | 32807 | United States |
| Clinilabs Drug Development Corporation | Eatontown | New Jersey | 07724 | United States |
| Clinilabs Drug development Corporation | New York | New York | 10016 | United States |
| Richmond Behavioral Associates | Staten Island | New York | 10314 | United States |
| Conrad Clinical Research | Edmond | Oklahoma | 73013 | United States |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Height | Mean | Standard Deviation | cm |
|
| Baseline Weight | Mean | Standard Deviation | kg |
|
| BMI | Mean | Standard Deviation | kg/m^2 |
|
|
|
| Secondary | Mean Change From Baseline (Day 1) in Montgomery Asberg Depression Rating Scale (MADRS) Total Score at All Timepoints. | The MADRS was utilized to assess the participant's level of depression. The MADRS consists of 10 items, all rated on a scale 0 to 6 with 0 being the "best" rating and 6 being the "worst" rating. The MADRS Total Score is the sum of ratings for all 10 items. Total MADRS score range is 0 to 60. A higher score indicates more severe depression. | Efficacy population (N=13) consists of all subjects who received at least one dose of ANC501 and had completed treatment. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day1), Day 8, Day 15, Day 29, Day 43, Day 56, and Day 70 |
|
|
|
| Secondary | Percentage of Participants With Montgomery Asberg Depression Rating Scale (MADRS) Response. | MADRS responder rate was defined as >=50% reduction in total score from Baseline (Day 1) to all time points. The MADRS consists of 10 questions, each rated on a 7-point scale, to stratify severity of depressive episodes. The MADRS total score is the sum of ratings for all 10 items. Total MADRS score range is 0 to 60. A higher score indicates more severe depression. | Efficacy population (N=13) consists of all subjects who received at least one dose of ANC501 and had completed treatment. | Posted | Count of Participants | Participants | Baseline (Day1), Day 8, Day 15, Day 29, Day 43, Day 56, and Day 70 |
|
|
|
| Secondary | Percentage of Participants With Montgomery Asberg Depression Rating Scale (MADRS) Remission. | MADRS remission rate was defined where total score was <=10 at all time points. The MADRS consists of 10 questions, each rated on a 7-point scale, to stratify severity of depressive episodes. The MADRS total score is the sum of ratings for all 10 items. Total MADRS score range is 0 to 60. A higher score indicates more severe depression. | Efficacy population (N=13) consists of all subjects who received at least one dose of ANC501 and had completed treatment. | Posted | Count of Participants | Participants | Baseline (Day1), Day 8, Day 15, Day 29, Day 43, Day 56, and Day 70 |
|
|
|
| Secondary | Mean Change From Baseline (Day 1) to Day 56 in Hamilton Anxiety Scale (HAM-A) Total Score. | The HAM-A was utilized as an assessment to rate participants level of anxiety. HAM-A is a 14-item questionnaire with each question rated on a 5-point scale with a total score of 0 to 56. The higher scores indicating more severe anxiety symptoms. | Efficacy population (N=13) consists of all subjects who received at least one dose of ANC501 and had completed treatment. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day 1) to Day 56 |
|
|
|
| Secondary | Mean Change in Clinical Global Impression-Severity (CGI-S) Score From Baseline (Day1) to Day 56. | The CGI-S was utilized as an assessment for clinician to rate the severity of the patient's illness at the time of the assessment, relative to past experience with patients having the same diagnosis. CGI-S is a 7-point scale with response choices included: 0 = not assessed, 1 = normal, not at all ill, 2 = borderline mentally ill, 3 = mildly ill, 4 = moderately ill, 5 = markedly ill, 6 = severely ill, 7 = among the most extremely ill patients. The response at Day 56 was compared with the participants condition at Baseline prior to the first dose of study medication. | Efficacy population (N=13) consists of all subjects who received at least one dose of ANC501 and had completed treatment. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day1) to Day 56 |
|
|
|
| Secondary | Percentage of Participants With Clinical Global Impression-Improvement (CGI-I) Improvement | The CGI-I was utilized as an assessment for clinician to rate the improvement of the patient's illness at the time of the assessment compared to patient's condition at admission of the trial. To perform this assessment, the study physician answered the following question: "Compared to his/her condition at admission to the project, how much has he/she changed?" This question is rated on a scale from 0 to 7, where a higher score indicates greater lack of improvement. Response choices included: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. The response at a given visit was compared with the participants condition at Baseline prior to the first dose of study medication. A CGI-I improver was defined as a subject with a CGI-I score of "Very much approved" or "Much Approved". | Efficacy population (N=13) consists of all subjects who received at least one dose of ANC501 and had completed treatment. | Posted | Count of Participants | Participants | Baseline (Day1), Day 8, Day 15, Day 29, Day 43, Day 56, and Day 70 |
|
|
|
| Secondary | Number of Participants With Clinical Global Impression-Improvement (CGI-I) Improvement | The CGI-I was utilized as an assessment for clinician to rate the improvement of the patient's illness at the time of the assessment compared to patient's condition at admission of the trial. To perform this assessment, the study physician answered the following question: "Compared to his/her condition at admission to the project, how much has he/she changed?" This question is rated on a scale from 0 to 7, where a higher score indicates greater lack of improvement. Response choices included: 0 = not assessed, 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. The response at a Day 56 was compared with the participants condition at Baseline prior to the first dose of study medication. A CGI-I improver was defined as a subject with a CGI-I score of "Very much approved" or "Much Approved". | Efficacy population (N=13) consists of all subjects who received at least one dose of ANC501 and had completed treatment. | Posted | Count of Participants | Participants | Baseline (Day1) to Day 56 |
|
|
|
| 0 |
| 15 |
| 0 |
| 15 |
| 11 |
| 15 |
| Elevated Amylase | Endocrine disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Elevated Lipase | Endocrine disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Bilateral Eye Disorder | Eye disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Blepharospasm | Eye disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Change in Cortical assessment per LOCS III >=0.5 in either eye compared to screening | Eye disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Change in Nuclear Opalescence per LOCS III >= 0.5 in either eye as compared to screening | Eye disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Right Eye Disorder | Eye disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Abdominal Pain | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Dry Mouth | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Emesis | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Flatulence | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Seasonal Allergies | Immune system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Brown Vaginal Discharge | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| UTI | Infections and infestations | MedDRA (Unspecified) | Non-systematic Assessment |
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| Back strain | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Fall | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Fracture Left Ankle | Injury, poisoning and procedural complications | MedDRA (Unspecified) | Non-systematic Assessment |
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| Pain Left Ankle | Musculoskeletal and connective tissue disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Burning While Urinating | Renal and urinary disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Increase Urinary Frequency | Renal and urinary disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Chest Congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Dyspnea | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Nasal Congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Shortness of Breath | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
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| Sneeze | Respiratory, thoracic and mediastinal disorders | MedDRA (Unspecified) | Non-systematic Assessment |
|
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| Title | Measurements |
|---|---|
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| Day 43 |
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| Day 56 |
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| Day 70/FU |
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| Title | Measurements |
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| Day 43 |
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| Day 56 |
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| Day 70/FU |
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| Title | Measurements |
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| Day 43 |
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| Day 56 |
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| Day 70/FU |
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| Title | Measurements |
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| Day 43 |
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| Day 56 |
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| Day 70 |
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