Clinical trial Recruiting at 55 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment550 (estimated)
SponsorNeurocrine Biosciences
Industry-sponsored
Locations61 sites (Oceanside, California and 60 other locations)
StatusRecruiting
StartedAugust 18, 2025
Main results expectedJuly 2028
Study endsJuly 2028
Registry record updatedOctober 22, 2026
Trial IDNCT07196501 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

  • 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
  • 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.