Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 to 65

ALKS 7290 added to antidepressants for adults with major depression

Official title: A Phase 2, Randomized, Double-Blind, Placebo-controlled Study to Evaluate the Safety and Efficacy of ALKS 7290 as an Adjunctive Therapy to Antidepressants in Adult Participants With Major Depressive Disorder

Run by Alkermes, Inc. · NCT07901179 · Data updated 2026-11-12

This study tests whether ALKS 7290, taken with current antidepressants, helps adults with major depressive disorder.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment180 (estimated)
SponsorAlkermes, Inc.
Industry-sponsored
Locations1 site (Jacksonville, Florida)
StatusRecruiting
StartedOctober 2026
Main results expectedJanuary 2028
Study endsJanuary 2028
Registry record updatedOctober 28, 2026
Trial IDNCT07901179 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with Major Depressive Disorder who have not fully responded to an adequate antidepressant therapy and are medically stable on permitted medications.

Probably not a fit

Individuals with certain psychiatric comorbidities, cognitive impairments, or those not meeting stability or BMI criteria may not benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 2 interventional trial evaluating the safety and potential benefit of ALKS 7290 as an adjunctive oral therapy for adults with Major Depressive Disorder who have not fully responded to antidepressants. Participants will be randomized to receive either ALKS 7290 at a specified dose or placebo, in addition to their current medication. The study monitors efficacy, safety, tolerability, and changes in depressive symptoms over a defined period. Eligibility requires DSM-5 confirmed MDD, stability on permitted meds, inadequate antidepressant response, and moderate to severe symptoms. Key exclusions include certain psychiatric conditions and significant cognitive or substance-use concerns.

Why it matters

Potential benefit: If successful, participants may experience greater reduction in depressive symptoms and improved functioning when adding ALKS 7290 to their current treatment.

How similar studies have gone: Prior studies of orexin pathway modulators have shown mixed results; this trial explores a novel adjunctive approach for MDD with some precedent but still largely experimental.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Meets the DSM-5 criteria for MDD, as confirmed by both MINI and an adequate clinical psychiatric evaluation.
* Is otherwise healthy as determined by medical evaluation, including medical history, physical examination, laboratory tests, and cardiac monitoring.
* Participants must be stable on permitted medication prior to screening.
* An inadequate response to an adequate dosage of antidepressant therapy in the current depressive episode.
* Symptoms of depression that are considered moderate to severe, based on assessments completed with the study team during both screening and baseline visits.
* Has a BMI within 18 to 35 kg/m2 at Screening

Exclusion Criteria:

* Diagnosis of schizophrenia, schizoaffective disorder, or bipolar I or II disorder, moderate to severe substance use disorder
* Significant problems with memory, thinking, learning or understanding that could make it difficult to complete study activities or follow study instructions. This includes conditions such as dementia or other disorders affecting thinking and memory that have been present within the past two years.
* Participant poses a current suicide risk as assessed by the Investigator or as confirmed by the C-SSRS
* Any other psychiatric condition that could interfere with participation in the study.

Where it's running

  • Alkermes Investigator Site
    Jacksonville, Florida, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.