Evaluating AXS-05 for preventing relapse in depression compared to bupropion
Official title: A Randomized, Double-blind, Active-controlled Study of AXS-05 for the Prevention of Relapse of Depressive Symptoms
Run by Axsome Therapeutics, Inc. · NCT06223880 · Data updated 2026-11-12
This study is testing if continuing AXS-05 can help prevent depression from coming back better than switching to bupropion in people who have responded well to AXS-05 before.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 350 (estimated) |
| Sponsor | Axsome Therapeutics, Inc. Industry-sponsored |
| Locations | 40 sites (Bellflower, California and 39 other locations) |
| Status | Recruiting |
| Started | December 27, 2023 |
| Main results expected | March 2026 |
| Study ends | March 2026 |
| Registry record updated | January 23, 2025 |
| Trial ID | NCT06223880 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are individuals diagnosed with major depressive disorder who have responded to AXS-05 treatment.
✕Probably not a fit
Patients who have previously participated in a clinical study of AXS-05 or those with psychotic features will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study is a randomized, double-blind, active-controlled, multi-center evaluation of AXS-05's efficacy in preventing relapse of depressive symptoms in individuals with major depressive disorder (MDD) who have previously responded to AXS-05 treatment. Participants will first undergo a 10-week open-label treatment with AXS-05, followed by a randomized phase where they will either continue with AXS-05 or switch to bupropion for 26 weeks. The study aims to monitor and compare the relapse rates between the two treatment groups.
Why it matters
Potential benefit: If successful, this study could provide a new effective treatment option for preventing relapse in patients with major depressive disorder.
How similar studies have gone: Other studies have shown promising results with similar approaches in treating major depressive disorder, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Currently meets DSM-5 criteria for diagnosis of MDD without psychotic features * Current major depressive episode of at least 4 weeks in duration Exclusion Criteria: * Previously participated in another clinical study of AXS-05; received any investigational drug or device treatment within 30 days of (Screening) Visit 1, or has been prescribed Auvelity. * Unable to comply with study procedures * Medically inappropriate for study participation in the opinion of the investigator
Where it's running
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Bellflower, California, United States Recruiting -
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Lafayette, California, United States Recruiting -
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Oceanside, California, United States Recruiting -
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Redlands, California, United States Recruiting -
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Riverside, California, United States Recruiting -
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San Diego, California, United States Recruiting
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Upland, California, United States Recruiting -
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Brandon, Florida, United States Recruiting -
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Doral, Florida, United States Recruiting -
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Hialeah, Florida, United States Recruiting -
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Jacksonville, Florida, United States Recruiting -
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Friendswood, Texas, United States Recruiting -
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San Antonio, Texas, United States Recruiting -
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Wichita Falls, Texas, United States Recruiting -
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Everett, Washington, United States Recruiting
Study contacts
- Study coordinator: Study Director
- Email: axs-05-mdd-401@axsome.com
- Phone: +1 (212) 332-5061
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Accelerated vs Standard iTBS for Major Depression
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Psilocybin with Structured Integrated Reframing Therapy for trauma-related MDD and PTSD
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Magnesium Bisglycinate Added to Your Depression Treatment
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Motif XCS System for treatment-resistant depression
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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.