Trial Outcomes & Findings for A Study to Test Different Doses of BI 1569912 in People With Depression (NCT NCT06558344)

NCT ID: NCT06558344

Last Updated: 2026-05-22

Results Overview

The change from baseline at Week 6 in the total Montgomery-Åsberg Depression Rating Scale (MADRS) score is reported, calculated as \[Week 6 MADRS score\] - \[Baseline MADRS score\]. The MADRS score assessed the severity of symptoms in people with depression, consisting of 10 items. Each item was rated from 0 (no symptom) to 6 (severe symptom), with a total score ranging from 0 to 60 (0 = normal/absence of symptoms, 60 = severe depression). The least squares mean and 95% confidence intervals were estimated by a mixed model for repeated measures (MMRM) including the fixed categorical effects of treatment at each time point and the number of antidepressant treatments taken for the current episode (0/1), and the baseline MADRS total score at each time point as fixed continuous effects. The time point is treated as the repeated measure with an unstructured covariance structure used to model the within-patient measurements.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

225 participants

Primary outcome timeframe

MMRM included measurements at baseline, Day 8, Week 2, Week 4, and Week 6. Change from baseline values at Week 6 is reported.

Results posted on

2026-05-22

Participant Flow

Phase II dose finding multicentre, randomised, double-blind, placebo-controlled trial to examine the efficacy and safety of different doses of oral BI 1569912 once daily over a planned 6-week treatment period in adult patients with moderate to severe major depressive disorder (MDD). Participants were randomized to placebo or one of 3 doses of active BI 1569912 (5, 10, or 20 mg) in a 2:1:1:2 ratio.

All subjects were screened for eligibility prior to participation in the trial. Subjects attended a specialist site which ensured that they (the subjects) strictly met all inclusion and none of the exclusion criteria. Subjects were not to be allocated to a treatment group if any of the entry criteria were violated.

Participant milestones

Participant milestones
Measure
Placebo-matching BI 1569912
Patients with moderate to severe major depressive disorder (MDD) took placebo matching in size and weight to BI 1569912 tablets orally, once daily.
5 mg BI 1569912
Patients with moderate to severe major depressive disorder (MDD) took two 2.5 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 5 mg.
10 mg BI 1569912
Patients with moderate to severe major depressive disorder (MDD) took one 10 milligrams (mg) tablet of BI 1569912 and one placebo tablet orally, once daily, for a total dose of 10 mg.
20 mg BI 1569912
Patients with moderate to severe major depressive disorder (MDD) took two 10 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 20 mg.
Overall Study
STARTED
76
35
41
73
Overall Study
COMPLETED
63
29
35
66
Overall Study
NOT COMPLETED
13
6
6
7

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo-matching BI 1569912
Patients with moderate to severe major depressive disorder (MDD) took placebo matching in size and weight to BI 1569912 tablets orally, once daily.
5 mg BI 1569912
Patients with moderate to severe major depressive disorder (MDD) took two 2.5 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 5 mg.
10 mg BI 1569912
Patients with moderate to severe major depressive disorder (MDD) took one 10 milligrams (mg) tablet of BI 1569912 and one placebo tablet orally, once daily, for a total dose of 10 mg.
20 mg BI 1569912
Patients with moderate to severe major depressive disorder (MDD) took two 10 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 20 mg.
Overall Study
No reason available
2
4
0
1
Overall Study
Other reason than listed
5
1
1
3
Overall Study
Protocol deviation
2
0
1
1
Overall Study
Burden of study procedures
1
0
2
0
Overall Study
Change of residence
0
1
0
0
Overall Study
Perceived lack of efficacy
1
0
0
0
Overall Study
Adverse Event
2
0
2
2

Baseline Characteristics

Primary analysis set (PAS) - all randomized participants who received at least one dose of study drug during the trial and had a baseline MADRS total score ≥24.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo-matching BI 1569912
n=76 Participants
Patients with moderate to severe major depressive disorder (MDD) took placebo matching in size and weight to BI 1569912 tablets orally, once daily.
5 mg BI 1569912
n=35 Participants
Patients with moderate to severe major depressive disorder (MDD) took two 2.5 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 5 mg.
10 mg BI 1569912
n=41 Participants
Patients with moderate to severe major depressive disorder (MDD) took one 10 milligrams (mg) tablet of BI 1569912 and one placebo tablet orally, once daily, for a total dose of 10 mg.
20 mg BI 1569912
n=73 Participants
Patients with moderate to severe major depressive disorder (MDD) took two 10 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 20 mg.
Total
n=225 Participants
Total of all reporting groups
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=76 Participants
6 Participants
n=35 Participants
11 Participants
n=41 Participants
19 Participants
n=73 Participants
48 Participants
n=225 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
64 Participants
n=76 Participants
29 Participants
n=35 Participants
30 Participants
n=41 Participants
54 Participants
n=73 Participants
177 Participants
n=225 Participants
Age, Continuous
41.2 Years
STANDARD_DEVIATION 14.3 • n=76 Participants
39.9 Years
STANDARD_DEVIATION 11.1 • n=35 Participants
43.8 Years
STANDARD_DEVIATION 14.6 • n=41 Participants
40.8 Years
STANDARD_DEVIATION 13.0 • n=73 Participants
41.4 Years
STANDARD_DEVIATION 13.4 • n=225 Participants
Sex: Female, Male
Female
43 Participants
n=76 Participants
21 Participants
n=35 Participants
22 Participants
n=41 Participants
36 Participants
n=73 Participants
122 Participants
n=225 Participants
Sex: Female, Male
Male
33 Participants
n=76 Participants
14 Participants
n=35 Participants
19 Participants
n=41 Participants
37 Participants
n=73 Participants
103 Participants
n=225 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=76 Participants
0 Participants
n=35 Participants
0 Participants
n=41 Participants
0 Participants
n=73 Participants
0 Participants
n=225 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=76 Participants
0 Participants
n=35 Participants
1 Participants
n=41 Participants
1 Participants
n=73 Participants
2 Participants
n=225 Participants
Race (NIH/OMB)
Asian
17 Participants
n=76 Participants
3 Participants
n=35 Participants
8 Participants
n=41 Participants
12 Participants
n=73 Participants
40 Participants
n=225 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=76 Participants
0 Participants
n=35 Participants
0 Participants
n=41 Participants
0 Participants
n=73 Participants
0 Participants
n=225 Participants
Race (NIH/OMB)
Black or African American
14 Participants
n=76 Participants
12 Participants
n=35 Participants
13 Participants
n=41 Participants
23 Participants
n=73 Participants
62 Participants
n=225 Participants
Race (NIH/OMB)
White
40 Participants
n=76 Participants
17 Participants
n=35 Participants
14 Participants
n=41 Participants
33 Participants
n=73 Participants
104 Participants
n=225 Participants
Race (NIH/OMB)
More than one race
4 Participants
n=76 Participants
2 Participants
n=35 Participants
2 Participants
n=41 Participants
2 Participants
n=73 Participants
10 Participants
n=225 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=76 Participants
1 Participants
n=35 Participants
3 Participants
n=41 Participants
2 Participants
n=73 Participants
7 Participants
n=225 Participants
Total Montgomery-Åsberg Depression Rating Scale (MADRS) score
31.6 Units on a scale
STANDARD_DEVIATION 4.7 • n=72 Participants • Primary analysis set (PAS) - all randomized participants who received at least one dose of study drug during the trial and had a baseline MADRS total score ≥24.
32.0 Units on a scale
STANDARD_DEVIATION 4.1 • n=33 Participants • Primary analysis set (PAS) - all randomized participants who received at least one dose of study drug during the trial and had a baseline MADRS total score ≥24.
32.2 Units on a scale
STANDARD_DEVIATION 4.5 • n=36 Participants • Primary analysis set (PAS) - all randomized participants who received at least one dose of study drug during the trial and had a baseline MADRS total score ≥24.
32.2 Units on a scale
STANDARD_DEVIATION 4.2 • n=67 Participants • Primary analysis set (PAS) - all randomized participants who received at least one dose of study drug during the trial and had a baseline MADRS total score ≥24.
31.9 Units on a scale
STANDARD_DEVIATION 4.4 • n=208 Participants • Primary analysis set (PAS) - all randomized participants who received at least one dose of study drug during the trial and had a baseline MADRS total score ≥24.

PRIMARY outcome

Timeframe: MMRM included measurements at baseline, Day 8, Week 2, Week 4, and Week 6. Change from baseline values at Week 6 is reported.

Population: Primary analysis set (PAS) - all randomized participants who received at least one dose of study drug during the trial and had a baseline MADRS total score ≥24. Only participants with a baseline and at least one post-baseline MADRS value were included in the analysis.

The change from baseline at Week 6 in the total Montgomery-Åsberg Depression Rating Scale (MADRS) score is reported, calculated as \[Week 6 MADRS score\] - \[Baseline MADRS score\]. The MADRS score assessed the severity of symptoms in people with depression, consisting of 10 items. Each item was rated from 0 (no symptom) to 6 (severe symptom), with a total score ranging from 0 to 60 (0 = normal/absence of symptoms, 60 = severe depression). The least squares mean and 95% confidence intervals were estimated by a mixed model for repeated measures (MMRM) including the fixed categorical effects of treatment at each time point and the number of antidepressant treatments taken for the current episode (0/1), and the baseline MADRS total score at each time point as fixed continuous effects. The time point is treated as the repeated measure with an unstructured covariance structure used to model the within-patient measurements.

Outcome measures

Outcome measures
Measure
Placebo-matching BI 1569912
n=70 Participants
Patients with moderate to severe major depressive disorder (MDD) took placebo matching in size and weight to BI 1569912 tablets orally, once daily.
5 mg BI 1569912
n=30 Participants
Patients with moderate to severe major depressive disorder (MDD) took two 2.5 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 5 mg.
10 mg BI 1569912
n=36 Participants
Patients with moderate to severe major depressive disorder (MDD) took one 10 milligrams (mg) tablet of BI 1569912 and one placebo tablet orally, once daily, for a total dose of 10 mg.
20 mg BI 1569912
n=66 Participants
Patients with moderate to severe major depressive disorder (MDD) took two 10 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 20 mg.
Change From Baseline in MADRS Total Score at Week 6
-10.3 Units on a scale
Interval -13.1 to -7.5
-13.6 Units on a scale
Interval -17.8 to -9.4
-10.6 Units on a scale
Interval -14.5 to -6.7
-10.0 Units on a scale
Interval -12.9 to -7.2

Adverse Events

Placebo-matching BI 1569912

Serious events: 1 serious events
Other events: 15 other events
Deaths: 0 deaths

5 mg BI 1569912

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

10 mg BI 1569912

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

20 mg BI 1569912

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo-matching BI 1569912
n=76 participants at risk
Patients with moderate to severe major depressive disorder (MDD) took placebo matching in size and weight to BI 1569912 tablets orally, once daily.
5 mg BI 1569912
n=35 participants at risk
Patients with moderate to severe major depressive disorder (MDD) took two 2.5 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 5 mg.
10 mg BI 1569912
n=41 participants at risk
Patients with moderate to severe major depressive disorder (MDD) took one 10 milligrams (mg) tablet of BI 1569912 and one placebo tablet orally, once daily, for a total dose of 10 mg.
20 mg BI 1569912
n=73 participants at risk
Patients with moderate to severe major depressive disorder (MDD) took two 10 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 20 mg.
Cardiac disorders
Acute left ventricular failure
0.00%
0/76 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/35 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
2.4%
1/41 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/73 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
Psychiatric disorders
Suicidal ideation
1.3%
1/76 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/35 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/41 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/73 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
Renal and urinary disorders
Acute kidney injury
0.00%
0/76 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/35 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
2.4%
1/41 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/73 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.

Other adverse events

Other adverse events
Measure
Placebo-matching BI 1569912
n=76 participants at risk
Patients with moderate to severe major depressive disorder (MDD) took placebo matching in size and weight to BI 1569912 tablets orally, once daily.
5 mg BI 1569912
n=35 participants at risk
Patients with moderate to severe major depressive disorder (MDD) took two 2.5 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 5 mg.
10 mg BI 1569912
n=41 participants at risk
Patients with moderate to severe major depressive disorder (MDD) took one 10 milligrams (mg) tablet of BI 1569912 and one placebo tablet orally, once daily, for a total dose of 10 mg.
20 mg BI 1569912
n=73 participants at risk
Patients with moderate to severe major depressive disorder (MDD) took two 10 milligrams (mg) tablets of BI 1569912 orally, once daily, for a total dose of 20 mg.
Gastrointestinal disorders
Diarrhoea
1.3%
1/76 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
5.7%
2/35 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
4.9%
2/41 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
2.7%
2/73 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
Infections and infestations
Influenza
6.6%
5/76 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/35 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
2.4%
1/41 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
1.4%
1/73 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
Infections and infestations
Nasopharyngitis
3.9%
3/76 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
2.9%
1/35 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
4.9%
2/41 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
8.2%
6/73 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
Infections and infestations
Upper respiratory tract infection
1.3%
1/76 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
5.7%
2/35 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
0.00%
0/41 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
1.4%
1/73 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
Nervous system disorders
Headache
7.9%
6/76 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
14.3%
5/35 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
9.8%
4/41 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.
12.3%
9/73 • All-cause mortality and adverse event reporting: From first drug administration to last drug administration for each of the interventions, plus residual effect period. Up to 81 days.
Treated set: All participants who were randomized and treated with the study drug.

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER