Trial Outcomes & Findings for Study of Adjunctive or Monotherapy Rapastinel Treatment in Patients With Major Depressive Disorder (MDD) (NCT NCT03668600)

NCT ID: NCT03668600

Last Updated: 2020-07-17

Results Overview

A Treatment Emergent Adverse Event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. An Adverse Drug Reaction was a harmful and unintended reaction that is incurred during routine administration or use of the drug, whose causal relationship with the drug cannot be excluded.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

230 participants

Primary outcome timeframe

Up to 45 Weeks

Results posted on

2020-07-17

Participant Flow

Patients from RAP-MD-99, completed 1 of the rapastinel lead-in studies - RAP-MD-04, RAP-MD-05, RAP-MD-06 or RAP-MD-33.

Participant milestones

Participant milestones
Measure
Rapastinel
Rapastinel 450 mg (prefilled syringe, weekly or biweekly or up to 4 weeks at the investigator's discretion intravenous IV administration)
Overall Study
STARTED
230
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
230

Reasons for withdrawal

Reasons for withdrawal
Measure
Rapastinel
Rapastinel 450 mg (prefilled syringe, weekly or biweekly or up to 4 weeks at the investigator's discretion intravenous IV administration)
Overall Study
Study Terminated by the Sponsor
157
Overall Study
Protocol Violation
1
Overall Study
Pregnancy
1
Overall Study
Lost to Follow-up
7
Overall Study
Withdrawal by Subject
56
Overall Study
Lack of Efficacy
7
Overall Study
Adverse Event
1

Baseline Characteristics

Study of Adjunctive or Monotherapy Rapastinel Treatment in Patients With Major Depressive Disorder (MDD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rapastinel
n=230 Participants
Rapastinel 450 mg (prefilled syringe, weekly or biweekly or up to 4 weeks at the investigator's discretion intravenous IV administration)
Age, Continuous
48.3 Years
STANDARD_DEVIATION 11.49 • n=99 Participants
Sex: Female, Male
Female
191 Participants
n=99 Participants
Sex: Female, Male
Male
39 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
21 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
209 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=99 Participants
Race (NIH/OMB)
Asian
4 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
23 Participants
n=99 Participants
Race (NIH/OMB)
White
200 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Weight
84.70 kg
STANDARD_DEVIATION 18.55 • n=99 Participants
Height
166.22 cm
STANDARD_DEVIATION 8.82 • n=99 Participants
BMI
30.63 kg/m^2
STANDARD_DEVIATION 6.66 • n=99 Participants

PRIMARY outcome

Timeframe: Up to 45 Weeks

Population: The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.

A Treatment Emergent Adverse Event was considered any unfavorable and unintended sign, symptom, or disease associated with the use of the study drug, whether or not considered related to the study drug. An Adverse Drug Reaction was a harmful and unintended reaction that is incurred during routine administration or use of the drug, whose causal relationship with the drug cannot be excluded.

Outcome measures

Outcome measures
Measure
Rapastinel
n=230 Participants
Rapastinel 450 mg (prefilled syringe, weekly or biweekly or up to 4 weeks at the investigator's discretion intravenous IV administration)
Count of Participants Experiencing One or More Treatment Emergent Adverse Events (TEAEs)
100 Participants

Adverse Events

Rapastinel

Serious events: 4 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rapastinel
n=230 participants at risk
Rapastinel 450 mg (prefilled syringe, weekly or biweekly or up to 4 weeks at the investigator's discretion intravenous IV administration)
Cardiac disorders
Ventricular tachycardia
0.43%
1/230 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.
Product Issues
Device malfunction
0.43%
1/230 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.
Cardiac disorders
Pericardial effusion
0.43%
1/230 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.
Infections and infestations
Pneumonia
0.43%
1/230 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
0.52%
1/191 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.
Injury, poisoning and procedural complications
Rib fracture
0.43%
1/230 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.
Injury, poisoning and procedural complications
Skin laceration
0.43%
1/230 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.
Injury, poisoning and procedural complications
Road traffic accident
0.43%
1/230 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.

Other adverse events

Other adverse events
Measure
Rapastinel
n=230 participants at risk
Rapastinel 450 mg (prefilled syringe, weekly or biweekly or up to 4 weeks at the investigator's discretion intravenous IV administration)
Nervous system disorders
Dysgeusia
6.1%
14/230 • Up to 45 Weeks
The Open-label Safety Population will consist of all participants who signed the RAP-MD-99 ICF and who received at least 1 dose of open-label rapastinel during the OLTP of the protocol.

Additional Information

Therapeutic Area, Head

Allergan

Phone: 714-246-4500

Results disclosure agreements

  • Principal investigator is a sponsor employee A disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER