Clinical trial Recruiting at 32 sites Phase 2 Interventional Ages 18 to 80

Single-dose RE104 injection for adjustment disorder in people with cancer or certain chronic illnesses

Official title: A Randomized, Double-Blind, Parallel-Group, Dose-Controlled Study Evaluating the Safety and Efficacy of RE104 for Injection in the Treatment of Adjustment Disorder in Patients With Cancer and Other Medical Illnesses

Run by Reunion Neuroscience Inc · NCT07002034 · Data updated 2026-11-12

This trial tests whether a single injection of RE104 reduces depressive or mixed anxiety–depression symptoms in people with adjustment disorder related to cancer, ALS, MS, Parkinson's disease, or idiopathic pulmonary fibrosis.

More Adjustment Disorders trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment100 (estimated)
SponsorReunion Neuroscience Inc
Industry-sponsored
Locations33 sites (Birmingham, Alabama and 32 other locations)
StatusRecruiting
StartedJuly 30, 2025
Main results expectedApril 2027
Study endsMay 2027
Registry record updatedNovember 10, 2026
Trial IDNCT07002034 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are ambulatory adults with at least four weeks of DSM-5-TR–defined adjustment disorder presenting with depressed mood or mixed anxiety–depressed mood triggered by cancer, ALS, MS, Parkinson's disease, or IPF, who have normal cognition and are willing to maintain or delay other psychiatric treatments per protocol.

Probably not a fit

Patients with significant suicide risk, active or past bipolar disorder, schizophrenia, schizoaffective disorder, other primary psychotic disorders, borderline personality disorder, pregnancy, major cognitive impairment, or inability to travel to a study site are unlikely to be eligible or to benefit from this protocol.

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

What this trial studies

This Phase 2 interventional trial gives eligible participants a single dose of RE104 for Injection and compares symptom change to an active placebo. Participants must have at least a four-week history of adjustment disorder with depressed mood or mixed anxiety and depression triggered by a qualifying medical illness and must be ambulatory with normal cognition. Concomitant antidepressants or psychotherapy are allowed if stable, or can be delayed until study end, and people with high suicide risk or primary psychotic or bipolar disorders are excluded. Recruitment occurs at three U.S. sites and standardized clinical rating scales will be used to measure changes in depressive and anxiety symptoms.

Why it matters

Potential benefit: If effective, RE104 could provide a rapid, single-dose option to reduce depressive or mixed anxiety–depression symptoms in medically ill patients with adjustment disorder.

How similar studies have gone: Single-dose, rapid-acting neuropsychiatric treatments (for example ketamine) have shown benefit for depressive symptoms in other populations, but RE104 itself is experimental and prior efficacy for adjustment disorder has not been established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Has a ≥4 week history of AjD as defined by DSM-5-TR with either depressed mood, or mixed anxiety and depressed mood confirmed by clinical interview with evidence that the AjD was instigated by one of the following medical illnesses (e.g., diagnosis, impact, management, recurrence, prognosis): Cancer, ALS, MS, PD or IPF
* Is sufficiently ambulatory and capable of self care as necessary to complete study procedures
* Has normal cognitive function
* Is on stable use of antidepressants or psychotherapy, or is willing to delay use until the end of study
* If female is not pregnant or planning to become pregnant. If male is not planning to make a partner pregnant
* Is willing and able to comply with the conditions and requirements of the study

Exclusion Criteria:

* Has a significant risk of suicide
* Has active or medical history of bipolar disorder, schizophrenia, schizoaffective disorder, psychotic disorder and/or borderline personality disorder, or first-degree family history of psychosis or bipolar disorder
* Has a history of current active central nervous system malignancy
* Has other medically significant conditions rendering unsuitability for the study
* Has used or will need to use prohibited medications or therapies
* Has a known sensitivity or intolerance to study intervention or potential rescue medications

Where it's running

  • UAB, Psychiatry and Behavioral Neurology
    Birmingham, Alabama, United States
    Recruiting
  • University of Arizona
    Tucson, Arizona, United States
    Recruiting
  • Kadima Neuropsychiatry Institute
    San Diego, California, United States
    Recruiting
  • University of Colorado
    Aurora, Colorado, United States
    Recruiting
  • University of South Florida, Department of Psychiatry and Behavioral Neuroscience
    Tampa, Florida, United States
    Recruiting
  • Emory University
    Atlanta, Georgia, United States
    Recruiting
Show 27 more locations
  • Hawaii Pacific Neuroscience
    Honolulu, Hawaii, United States
    Recruiting
  • Rush University Medical Center
    Chicago, Illinois, United States
    Recruiting
  • University of Chicago Medical Center
    Chicago, Illinois, United States
    Recruiting
  • The University of Kansas Medical Center
    Kansas City, Kansas, United States
    Recruiting
  • LSU Health Shreveport
    Shreveport, Louisiana, United States
    Recruiting
  • Sunstone Therapies, PC
    Rockville, Maryland, United States
    Recruiting
  • Sheppard Pratt
    Towson, Maryland, United States
    Recruiting
  • Dana Farber Cancer Institute
    Boston, Massachusetts, United States
    Recruiting
  • University of Massachusetts Chan Medical Center
    Worcester, Massachusetts, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Henry Ford Health
    Novi, Michigan, United States
    Recruiting
  • University of Nebraska Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • University of New Mexico, School of Medicine
    Albuquerque, New Mexico, United States
    Recruiting
  • Roswell Park Center Institute
    Buffalo, New York, United States
    Recruiting
  • NYU Langone Health
    New York, New York, United States
    Recruiting
  • New York State Psychiatric Institute
    New York, New York, United States
    Recruiting
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina, United States
    Recruiting
  • Cleveland Clinic
    Cleveland, Ohio, United States
    Recruiting
  • The Ohio State University, Department of Psychiatry
    Columbus, Ohio, United States
    Recruiting
  • University of Pennsylvania
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Alliance for Multispecialty Research Clinical
    Knoxville, Tennessee, United States
    Recruiting
  • Dell Medical School, University of Texas at Austin
    Austin, Texas, United States
    Recruiting
  • Cedar Clinical Research Inc.
    Draper, Utah, United States
    Recruiting
  • UVA Center for Psychiatric Clinical Research
    Charlottesville, Virginia, United States
    Recruiting
  • Seattle Neuropsychiatric Treatment Center
    Seattle, Washington, United States
    Recruiting
  • University of Wisconsin at Madison
    Madison, Wisconsin, United States
    Recruiting
  • Providence Medical Foundation
    Santa Rosa, California, United States
    Terminated

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.