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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Reunion Neuroscience Inc Industry-sponsored |
| Locations | 33 sites (Birmingham, Alabama and 32 other locations) |
| Status | Recruiting |
| Started | July 30, 2025 |
| Main results expected | April 2027 |
| Study ends | May 2027 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07002034 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
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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
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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
- Study coordinator: Mark Pollack, Chief Medical Officer
- Email: info@reunionneuro.com
- Phone: 1-888-880-REUN
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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.