A Home-based Study Using Mobile Technology to Test Whether BI 1358894 is Effective in People With Depression

Sponsor
Boehringer Ingelheim (Industry)
Overall Status
Terminated
CT.gov ID
NCT04423757
Collaborator
(none)
45
1
2
22.8
2

Study Details

Study Description

Brief Summary

This is a home-based study in adults with depression. People who have been diagnosed with Major Depressive Disorder can participate in the study. Participants can take part if they are being treated for their depression but still have symptoms. The purpose of this study is to find out whether a medicine called BI 1358894 helps people with depression.

Participants are in the study for about 2 months and do not need to visit a study site during this time. All study visits are conducted at participant's home by a mobile study nurse, by videoconference, and by phone calls. Participants are put into 2 groups by chance. One group takes BI 1358894 tablets. The other group takes placebo tablets. Placebo tablets look like BI 1358894 tablets but do not contain any medicine.

The participants answer questions about the symptoms of their depression. We then compare the results between the BI 1358894 and placebo groups. The doctors and nurses also regularly check the general health of the participants.

Condition or Disease Intervention/Treatment Phase
  • Drug: BI 1358894
  • Drug: Placebo
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
45 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase II 6-week, Randomized, Double-blinded, Placebo Controlled, Parallel Group Decentralised Clinical Trial to Evaluate Efficacy and Safety of Oral BI 1358894 in Patients With Major Depressive Disorder With Inadequate Response to Antidepressants
Actual Study Start Date :
Jun 22, 2020
Actual Primary Completion Date :
Apr 20, 2022
Actual Study Completion Date :
May 18, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: BI 1358894

Drug: BI 1358894
BI 1358894

Placebo Comparator: Placebo

Drug: Placebo
Placebo

Outcome Measures

Primary Outcome Measures

  1. Change from baseline in Montgomery-Asberg Depression Rating Scale (MADRS) total score [At week 6]

Secondary Outcome Measures

  1. Montgomery-Asberg Depression Rating Scale (MADRS), response defined as ≥ 50% MADRS reduction from baseline [At week 6]

  2. State-Trait Anxiety Inventory (STAI), change from baseline in STAI State and Trait version scores [At week 6]

  3. Clinical Global Impression Severity Scale (CGI-S), change from baseline in CGI-S score [At week 6]

  4. Symptoms of Major Depressive Disorder Scale (SMDDS), change from baseline in SMDDS total score [At week 6]

  5. Patient Global Impression Severity Scale (PGI-S), change from baseline in PGI-S score [At week 6]

  6. Patient Global Impression of Change Scale (PGI-C) score [At week 6]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 65 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Established diagnosis of Major Depressive Disorder, single episode or recurrent, as confirmed at the time of screening by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders v5 (DSM-5, SCID-5), with a duration of current depressive episode ≥ 8 weeks and ≤ 12 months at the time of screening visit.

  • Montgomery-Åsberg Depression Rating Scale (MADRS) total score ≥ 22 at screening, as confirmed by a trained rater. In addition, trial participants must have a score of ≥ 3 on the Reported Sadness item on MADRS.

  • A documented ongoing monotherapy treatment of ≥ 8 weeks at the screening visit, with a protocol specified SSRI or SNRI (refer to the ISF) at adequate dose (at least minimum effective dose as per prescribing information and as confirmed per detectable drug levels in the screening blood or urine sampling).

  • Male and female participants, 18 to 65 years of age, both inclusively at the time of consent.

  • Women of child-bearing potential (WOCBP)2 able and willing to use two methods of contraception, which include one highly effective method of birth control per ICH M3 (R2) that results in a low failure rate of less than 1%, plus one barrier method.

  • Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial.

  • Able to communicate well, and to understand and comply with trial requirements.

Exclusion Criteria:
  • Per DSM-5, had ever met diagnostic criteria for schizophrenia, schizoaffective disorder, schizophreniform disorder, bipolar disorder, delusional disorder or MDD with psychotic features as assessed by the Structured Clinical Interview for DSM -5 (SCID-5) at the time of screening.

  • Diagnosis of any other mental disorder (in addition to those as described in Exclusion Criterion #1) that was the primary focus of treatment within 6 months prior to screening or at baseline (as per clinical discretion of the investigator).

  • Diagnosis with antisocial, paranoid, schizoid or schizotypal personality disorder as per DSM-5 criteria, at the time of screening visit. Any other personality disorder at screening visit that significantly affects current psychiatric status and likely to impact trial participation, as per the judgement of investigator.

  • Diagnosis of a substance related disorder within 3 months prior to screening visit (with exception of caffeine and tobacco).

  • History of seizure disorders, stroke, brain tumor or any other major neurological illness that can impact participation in the trial.

  • History of 4 or more unsuccessful monotherapy treatments (at adequate dosage and duration, per local prescribing information of the product) with an approved antidepressant medication for the current ongoing major depressive episode. These include ongoing monotherapy treatment with a protocol specified SSRI or SNRI as described in Inclusion Criterion #3.

  • Any suicidal behavior in the past 12 months prior to screening (per investigator judgement including an actual attempt, interrupted attempt, aborted attempt, or preparatory acts or behaviour).

  • Any suicidal ideation of type 4 or 5 in the Columbia Suicide Severity Rating Scale (CSSRS) in the past 3 months prior to screening or at screening or baseline visit (i.e. active suicidal thought with method and intent but without specific plan, or active suicidal thought with method, intent and plan).

  • Further exclusion criteria apply

Contacts and Locations

Locations

Site City State Country Postal Code
1 Science 37, Inc. Culver City California United States 90230

Sponsors and Collaborators

  • Boehringer Ingelheim

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Boehringer Ingelheim
ClinicalTrials.gov Identifier:
NCT04423757
Other Study ID Numbers:
  • 1402-0014
First Posted:
Jun 9, 2020
Last Update Posted:
Jun 3, 2022
Last Verified:
May 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jun 3, 2022