Keeping fibromyalgia symptoms controlled with AXS-14 (esreboxetine) after an initial response
Official title: A Double-Blind, Placebo-Controlled, Randomized Withdrawal Study to Assess the Efficacy and Safety of AXS-14 in the Management of Fibromyalgia
Run by Axsome Therapeutics, Inc. · NCT07398417 · Data updated 2026-11-12
This Phase 3 study will try AXS-14 (esreboxetine) in adults with fibromyalgia who respond to initial open treatment to see if continuing the drug keeps symptoms controlled better than switching to placebo.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 620 (estimated) |
| Sponsor | Axsome Therapeutics, Inc. Industry-sponsored |
| Locations | 57 sites (Glendale, Arizona and 56 other locations) |
| Status | Recruiting |
| Started | January 14, 2026 |
| Main results expected | March 2028 |
| Study ends | March 2028 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07398417 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with a primary diagnosis of fibromyalgia by 2016 ACR criteria who can provide informed consent, comply with study procedures, and are not currently receiving reboxetine/esreboxetine are ideal candidates.
✕Probably not a fit
Patients who do not respond during the open-label period, those with prior exposure to reboxetine/esreboxetine, or those judged medically inappropriate by investigators are unlikely to benefit from the randomized withdrawal phase.
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, multicenter trial uses a randomized withdrawal design to test whether continued AXS-14 maintains symptom control in adults with fibromyalgia. All participants receive open-label AXS-14 for 12 weeks, and those who meet response criteria are randomized 1:1 to continue AXS-14 or switch to placebo for up to 12 weeks under double-blind conditions. Participants are followed until loss of therapeutic response or the end of the double-blind period, with efficacy and safety monitored throughout. The design enriches the randomized cohort with initial responders to directly measure durability of effect.
Why it matters
Potential benefit: If successful, continuing AXS-14 could prolong symptom relief and reduce recurrence of fibromyalgia symptoms in patients who initially respond.
How similar studies have gone: Randomized withdrawal designs are commonly used to test maintenance of benefit, and prior trials of norepinephrine reuptake inhibitors in fibromyalgia have shown mixed results rather than consistent success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Has a primary diagnosis of fibromyalgia based on the 2016 ACR diagnostic criteria. * Male or female, ≥18 years of age. * Provides written informed consent to participate in the study before conducting any study procedures. Exclusion Criteria: * Previous participation in a clinical trial with reboxetine or esreboxetine or currently receiving treatment with reboxetine for any condition. * 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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Glendale, Arizona, United States Recruiting -
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Oceanside, California, United States Recruiting
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Memphis, Tennessee, United States Recruiting
+7 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Study Director
- Email: AXS-14-FM-301@axsome.com
- Phone: 212-332-5061
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Interoceptive Sensitivity and Central Sensitization in Fibromyalgia
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Psychologically Informed Physical Therapy (PIPT) for Fibromyalgia delivered online
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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.