Trial intelligence / Profile preview

Esketamine Nasal Spray in Treatment-resistant Depression

NCT07716098Phase 3

Key facts

Status
Recruiting
Start
Jul 2026
Primary completion
Dec 2028
Countries
4
Conditions
treatment-resistant depression (TRD)
01

Overview

Phase 3, randomised, double-blind trial of esketamine in treatment-resistant depression (TRD) (3 arms), sponsored by Janssen Pharmaceutical. Primary endpoint: Montgomery-Asberg Depression Rating Scale Total Score at 4 weeks. Started Jul 2026; status: recruiting.

02

Design

3 arms
Study design
RandomizedDouble-blind
  • Esketamine 56 mg

    Esketamine 56 mg twice a week for 4 weeks.

  • Esketamine 84 mg

    Esketamine 84 mg twice a week for 4 weeks.

  • Placebo

    Placebo twice a week for 4 weeks.

03

Who it enrols

Adults with treatment-resistant depression who have failed at least 2 oral antidepressants, excluding those with lifetime ketamine/esketamine use, recent substance abuse, or significant suicidal risk.

04

Endpoints

Primary

  • Montgomery-Asberg Depression Rating Scale Total Score

Secondary

  • Montgomery-Asberg Depression Rating Scale Total Score

  • Percentage of Responders in MADRS

  • Percentage of Participants in Remission in MADRS

  • Clinical Global Impression-Severity

  • MADRS Anhedonia Factor Score

  • Patient Health Questionnaire 9-item Item 1 Score

  • Patient Health Questionnaire 9-item Total Score

  • Percentage of Responders in PHQ-9

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