Clinical trial Recruiting at 13 sites Phase 3 Interventional Ages 18 and up

Evaluating NBI-1065845 for treating major depressive disorder

Official title: A Randomized, Double-Blind, Placebo-Controlled Study to Assess the Efficacy and Safety of NBI-1065845 as Adjunctive Treatment in Subjects With Major Depressive Disorder (MDD)

Run by Neurocrine Biosciences · NCT06786624 · Data updated 2026-11-12

This study is testing a new treatment called NBI-1065845 to see if it can help people with major depressive disorder who haven't felt better with their current antidepressants.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorNeurocrine Biosciences
Industry-sponsored
Locations18 sites (Little Rock, Arkansas and 17 other locations)
StatusRecruiting
StartedJanuary 22, 2025
Main results expectedJuly 2027
Study endsJuly 2027
Registry record updatedOctober 29, 2025
Trial IDNCT06786624 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults diagnosed with recurrent major depressive disorder or persistent depressive disorder who have not adequately responded to previous antidepressant treatments.

Probably not a fit

Patients with other primary psychiatric disorders or those at imminent risk of self-harm may 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 assesses the efficacy and safety of NBI-1065845 as an additional treatment for individuals with major depressive disorder (MDD) who have not adequately responded to standard oral antidepressants. Participants will receive either NBI-1065845 or a placebo while continuing their current antidepressant regimen. The study aims to measure improvements in depressive symptoms using standardized scales. It is a Phase 3 interventional trial, indicating a focus on confirming the treatment's effectiveness and safety.

Why it matters

Potential benefit: If successful, this treatment could provide a new option for patients with major depressive disorder who have not responded well to existing therapies.

How similar studies have gone: Previous studies have shown promise in similar approaches for treating major depressive disorder, but the specific efficacy of NBI-1065845 is being evaluated for the first time in this context.

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.

Where it's running

  • Neurocrine Clinical Site
    Little Rock, Arkansas, United States
    Recruiting
  • Neurocrine Clinical Site
    Orange, California, United States
    Recruiting
  • Neurocrine Clinical Site
    Pico Rivera, California, United States
    Recruiting
  • Neurocrine Clinical Site
    San Diego, California, United States
    Recruiting
  • Neurocrine Clinical Site
    Upland, California, United States
    Recruiting
  • Neurocrine Clinical Site
    Hollywood, Florida, United States
    Recruiting
Show 12 more locations
  • Neurocrine Clinical Site
    Maitland, Florida, United States
    Recruiting
  • Neurocrine Clinical Site
    Boston, Massachusetts, United States
    Recruiting
  • Neurocrine Clinical Site
    Mount Kisco, New York, United States
    Recruiting
  • Neurocrine Clinical Site
    Avon Lake, Ohio, United States
    Recruiting
  • Neurocrine Clinical Site
    Dallas, Texas, United States
    Recruiting
  • Neurocrine Clinical Site
    Houston, Texas, United States
    Recruiting
  • Neurocrine Clinical Site
    Everett, Washington, United States
    Recruiting
  • Neurocrine Clinical Site
    Garden Grove, California, United States
    Completed
  • Neurocrine Clinical Site
    Watertown, Massachusetts, United States
    Suspended
  • Neurocrine Clinical Site
    Westlake, Ohio, United States
    Completed
  • Neurocrine Clinical Site
    Richmond, Texas, United States
    Withdrawn
  • Neurocrine Clinical Site
    The Woodlands, Texas, United States
    Suspended

Study contacts

Similar studies

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

  • Dupilumab for Major Depressive Disorder

    This study tests whether dupilumab can engage immune targets in adults with major depressive disorder to see if it can help with depressive symptoms.

    Recruiting Phase 2 Icahn School of Medicine at Mount Sinai · New York, New York · NCT07908563

  • Accelerated vs Standard iTBS for Major Depression

    This trial tests whether giving more accelerated iTBS sessions is better tolerated and more effective than the standard schedule for adults with major depressive disorder.

    Recruiting Military Hospital 175 · Ho Chi Minh City · NCT07768397

  • Psilocybin with Structured Integrated Reframing Therapy for trauma-related MDD and PTSD

    This trial tests whether psilocybin therapy, alone or with Structured Integrated Reframing Therapy (SIRT), helps people with trauma-related major depressive disorder who are already on a stable antidepressant.

    Recruiting Phase 3 Khyber Medical University Peshawar · Islamabad, Capital and 2 other locations · NCT07703722

  • Magnesium Bisglycinate Added to Your Depression Treatment

    This study tests whether adding magnesium bisglycinate to your current antidepressant can help reduce depressive symptoms and improve sleep and daily functioning for adults with major depressive disorder.

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  • Motif XCS System for treatment-resistant depression

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    Recruiting at 4 sites Motif Neurotech, Inc. · Atlanta, Georgia and 3 other locations · NCT07594483

  • A Phase 3 test of DT120 for major depressive disorder

    DT120 is tested against placebo in adults with major depressive disorder to see if it can help reduce depressive symptoms.

    Recruiting at 23 sites Phase 3 Definium Therapeutics US, Inc. · Little Rock, Arkansas and 25 other locations · NCT07592689

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.