A Study of Different Titration Schedules of ALKS 5461 in Adults With Major Depressive Disorder (MDD)
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ClinicalTrials.gov Identifier: NCT02085135 |
Recruitment Status :
Completed
First Posted : March 12, 2014
Results First Posted : March 27, 2019
Last Update Posted : August 14, 2019
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Major Depressive Disorder | Drug: ALKS 5461 | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 66 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Primary Purpose: | Treatment |
Official Title: | A Phase 3, Randomized, Double-blind Study to Evaluate the Safety and Tolerability of Two Titration Schedules for ALKS 5461 for the Adjunctive Treatment of Major Depressive Disorder in Adults With an Inadequate Response to Antidepressant Therapy (the FORWARD-1 Study) |
Study Start Date : | February 2014 |
Actual Primary Completion Date : | September 2014 |
Actual Study Completion Date : | September 2014 |

Arm | Intervention/treatment |
---|---|
Experimental: Titration Schedule 1 |
Drug: ALKS 5461
Sublingual tablet taken once daily |
Experimental: Titration Schedule 2 |
Drug: ALKS 5461
Sublingual tablet taken once daily |
- Number of Subjects With Adverse Events (AEs) [ Time Frame: 8 weeks ]

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Ages Eligible for Study: | 18 Years to 70 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Body mass index of 18-40 kg/m2
- Have a diagnosis of MDD
- Have a current major depressive episode (MDE) lasting 8 weeks to 24 months
- Have been treated with an adequate dose of an approved antidepressant during the current MDE for at least 8 weeks
- Have an inadequate response to current antidepressant treatment
- Agree to use an approved method of birth control for the duration of the study
- Additional criteria may apply
Exclusion Criteria:
- Currently pregnant or breastfeeding
- History of or current infection with Hepatitis B Virus, Hepatitis C Virus or Human Immunodeficiency Virus (HIV)
- Have experienced hallucinations, delusions, or any psychotic symptoms in the current MDE
- Have used opioid agonists (eg, codeine, oxycodone, tramadol, or morphine) or opioid antagonists (eg, naloxone, naltrexone) within 14 days
- Have received electroconvulsive therapy treatment within the last 5 years
- Have attempted suicide within the past 2 years
- Have a history of intolerance, allergy, or hypersensitivity to buprenorphine or opioid antagonists (eg, naltrexone, naloxone)
- Have had a significant blood loss or blood donation with 60 days of screening
- Additional criteria may apply

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02085135
United States, Florida | |
Alkermes Investigational Site | |
Jacksonville, Florida, United States, 32256 | |
Alkermes Investigational Site | |
Orlando, Florida, United States, 32806 | |
United States, Georgia | |
Alkermes Investigational Site | |
Atlanta, Georgia, United States, 30308 | |
United States, Missouri | |
Alkermes Investigational Site | |
Saint Charles, Missouri, United States, 63304 | |
United States, New York | |
Alkermes Investigational Site | |
Staten Island, New York, United States, 10305 | |
United States, Ohio | |
Alkermes Investigational Site | |
Dayton, Ohio, United States, 45417 | |
United States, Pennsylvania | |
Alkermes Investigational Site | |
Allentown, Pennsylvania, United States, 18104 | |
United States, Washington | |
Alkermes Investigational Site | |
Bellevue, Washington, United States, 98007 | |
Canada, Nova Scotia | |
Alkermes Investigational Site | |
Halifax, Nova Scotia, Canada |
Study Director: | Sanjeev Pathak, MD | Alkermes, Inc. |
Responsible Party: | Alkermes, Inc. |
ClinicalTrials.gov Identifier: | NCT02085135 |
Other Study ID Numbers: |
ALK5461-210 |
First Posted: | March 12, 2014 Key Record Dates |
Results First Posted: | March 27, 2019 |
Last Update Posted: | August 14, 2019 |
Last Verified: | August 2019 |
depression major depressive disorder Alkermes |
ALKS 5461 samidorphan buprenorphine |
Disease Depressive Disorder Depression Depressive Disorder, Major |
Pathologic Processes Mood Disorders Mental Disorders Behavioral Symptoms |