NBI-1065845 as an adjunctive maintenance treatment for major depressive disorder
Official title: A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Maintenance of Effect of NBI-1065845 as an Adjunctive Treatment in Subjects With Major Depressive Disorder (MDD)
Run by Neurocrine Biosciences · NCT07196501 · Data updated 2026-11-12
This Phase 3 test will see if adding NBI-1065845 to a person’s current oral antidepressant helps delay relapse in people with recurrent major depressive disorder who have not responded adequately to their current medication.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 550 (estimated) |
| Sponsor | Neurocrine Biosciences Industry-sponsored |
| Locations | 61 sites (Oceanside, California and 60 other locations) |
| Status | Recruiting |
| Started | August 18, 2025 |
| Main results expected | July 2028 |
| Study ends | July 2028 |
| Registry record updated | October 22, 2026 |
| Trial ID | NCT07196501 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with recurrent MDD or persistent depressive disorder who have had an inadequate response to their current oral antidepressant, have been stable on that antidepressant for at least 8 weeks, and have a HAM-D17 score of 22 or higher at baseline.
✕Probably not a fit
People with a primary psychiatric disorder other than MDD in the past year, those judged to be at imminent suicide risk, or those already stably responding to their current antidepressant are unlikely to benefit from this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 interventional trial compares adjunctive NBI-1065845 with placebo to determine whether it can maintain antidepressant effect and delay relapse of depressive symptoms in participants with recurrent MDD. Eligible participants must have had an inadequate response in the current episode, have been on the same oral antidepressant for at least 8 weeks, and have HAM-D17 scores ≥22 at screening and baseline. Participants will continue their stable oral antidepressant and receive either NBI-1065845 or matching placebo while relapse rates are monitored over the maintenance period. Key exclusions include a primary non-MDD psychiatric disorder treated in the past year and participants judged to be at imminent risk of suicide or harm, and the trial is conducted at Neurocrine clinical sites in California and Connecticut.
Why it matters
Potential benefit: If successful, the treatment could reduce relapse rates and extend the duration of symptom control for people with recurrent MDD on oral antidepressants.
How similar studies have gone: Other adjunctive strategies have shown benefit in reducing relapse risk in MDD, but NBI-1065845 is a newer agent and this Phase 3 trial aims to provide confirmatory evidence of its maintenance effect.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Participant has a primary diagnosis of recurrent MDD (moderate or severe) or persistent depressive disorder. * Participant has had an inadequate response to oral antidepressant treatments in the current episode of depression. * Participant must have been taking oral antidepressants for at least 8 weeks and is willing to continue the same oral antidepressants at the same dose and frequency of administration throughout participation in the study. * Total Hamilton Depression Rating Scale-17 Item (HAM-D17) score ≥22 at screening and at study baseline (Day 1). * Willing and able to comply with all study procedures and restrictions in the opinion of the investigator. Key Exclusion Criteria: * A current or prior psychiatric disorder diagnosis in the last 1 year that was the primary focus of treatment other than MDD. * Are considered by the investigator to be at imminent risk of suicide or injury to self or others. * Participants depressive symptoms have previously demonstrated nonresponse to electroconvulsive therapy (ECT) in the current major depressive episode. Note: Other protocol-defined Inclusion and Exclusion criteria may apply.
Where it's running
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Neurocrine Clinical Site
Oceanside, California, United States Recruiting -
Neurocrine Clinical Site
Orange, California, United States Recruiting -
Neurocrine Clinical Site
San Jose, California, United States Recruiting -
Neurocrine Clinical Site
New Haven, Connecticut, United States Recruiting -
Neurocrine Clinical Site
Miami Gardens, Florida, United States Recruiting -
Neurocrine Clinical Site
Orlando, Florida, United States Recruiting
Show 44 more locations
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Neurocrine Clinical Site
Palm Bay, Florida, United States Recruiting -
Neurocrine Clinical Site
Tampa, Florida, United States Recruiting -
Neurocrine Clinical Site
Iowa City, Iowa, United States Recruiting -
Neurocrine Clinical Site
Marrero, Louisiana, United States Recruiting -
Neurocrine Clinical Site
O'Fallon, Missouri, United States Recruiting -
Neurocrine Clinical Site
Glen Oaks, New York, United States Recruiting -
Neurocrine Clinical Site
Charlotte, North Carolina, United States Recruiting -
Neurocrine Clinical Site
Edmond, Oklahoma, United States Recruiting -
Neurocrine Clinical Site
Oklahoma City, Oklahoma, United States Recruiting -
Neurocrine Clinical Site
Philadelphia, Pennsylvania, United States Recruiting -
Neurocrine Clinical Site
Bellaire, Texas, United States Recruiting -
Neurocrine Clinical Site
Stafford, Texas, United States Recruiting -
Neurocrine Clinical Site
Draper, Utah, United States Recruiting -
Neurocrine Clinical Site
Roanoke, Virginia, United States Recruiting -
Neurocrine Clinical Site
Carlton, Victoria, Australia Recruiting -
Neurocrine Clinical Site
Melbourne, Victoria, Australia Recruiting -
Neurocrine Clinical Site
Parkville, Victoria, Australia Recruiting -
Neurocrine Clinical Site
Sofia, Bulgaria Recruiting -
Neurocrine Clinical Site
Sofia, Bulgaria Recruiting -
Neurocrine Clinical Site
Sofia, Bulgaria Recruiting -
Neurocrine Clinical Site
Sofia, Bulgaria Recruiting -
Neurocrine Clinical Site
Calgary, Alberta, Canada Recruiting -
Neurocrine Clinical Site
North Vancouver, British Columbia, Canada Recruiting -
Neurocrine Clinical Site
Kingston, Ontario, Canada Recruiting -
Neurocrine Clinical Site
Toronto, Canada Recruiting -
Neurocrine Clinical Site
Tallinn, Estonia Recruiting -
Neurocrine Clinical Site
Tallinn, Estonia Recruiting -
Neurocrine Clinical Site
Tartu, Estonia Recruiting -
Neurocrine Clinical Site
Roma, Italy Recruiting -
Neurocrine Clinical Site
Rome, Italy Recruiting -
Neurocrine Clinical Site
Torino, Italy Recruiting -
Neurocrine Clinical Site
Bialystok, Poland Recruiting -
Neurocrine Clinical Site
Bydgoszcz, Poland Recruiting -
Neurocrine Clinical Site
Gdansk, Poland Recruiting -
Neurocrine Clinical Site
Belgrade, Serbia Recruiting -
Neurocrine Clinical Site
Kovin, Serbia Recruiting -
Neurocrine Clinical Site
Kragujevac, Serbia Recruiting -
Neurocrine Clinical Site
Ansan-si, Gyeonggi-do, South Korea Recruiting -
Neurocrine Clinical Site
Seoul, South Korea Recruiting -
Neurocrine Clinical Site
Seoul, South Korea Recruiting -
Neurocrine Clinical Site
Seoul, South Korea Recruiting -
Neurocrine Clinical Site
Alcorcón, Madrid, Spain Recruiting -
Neurocrine Clinical Site
Barcelona, Spain Recruiting -
Neurocrine Clinical Site
Barcelona, Spain Recruiting
+11 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Neurocrine Medical Information Call Center
- Email: medinfo@neurocrine.com
- Phone: 1-877-641-3461
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.