TNX-102 SL taken at night for major depressive disorder
Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Efficacy, Safety, and Tolerability of TNX-102 SL Monotherapy Versus Placebo in Participants With Major Depressive Disorder (MDD)
Run by Tonix Pharmaceuticals, Inc. · NCT07621237 · Data updated 2026-11-12
A nighttime dose of TNX-102 SL is being tested to see if it helps adults with moderate to severe major depressive disorder compared to a placebo.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 360 (estimated) |
| Sponsor | Tonix Pharmaceuticals, Inc. Industry-sponsored |
| Locations | 27 sites (Phoenix, Arizona and 26 other locations) |
| Status | Recruiting |
| Started | June 25, 2026 |
| Main results expected | February 2028 |
| Study ends | February 2028 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT07621237 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with a primary DSM-5 diagnosis of current MDD, experiencing a major depressive episode of 6 weeks to 18 months, without psychotic features, who can read and understand English and provide informed consent.
✕Probably not a fit
People with certain psychotic disorders, some anxiety disorders as primary diagnoses, borderline personality disorder, or specific excluded comorbidities may not benefit from this treatment or may not be eligible to participate.
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 trial compares TNX-102 SL, a sublingual tablet taken at bedtime, with placebo over 6 weeks in adults with a current major depressive episode. Participants visit every two weeks for safety and symptom assessments while taking the study medication or placebo. The study aims to determine whether TNX-102 SL improves depressive symptoms on a standard rating scale and to characterize any safety concerns in this population. Eligible participants have a DSM-5 diagnosis of current MDD without psychotic features and must be able to consent in English. Exclusion criteria rule out certain psychotic disorders, borderline personality disorder, and specific comorbid conditions as outlined in the protocol.
Why it matters
Potential benefit: If successful, TNX-102 SL could provide another nighttime treatment option that improves depressive symptoms for adults with MDD.
How similar studies have gone: Prior research in similar approaches has shown mixed results; this trial seeks to clarify efficacy and safety for TNX-102 SL in MDD.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Primary DSM-5 diagnosis of current MDD. * The duration of the current MDE must be between 6 weeks and 18 months. * Without psychotic or catatonic features. * Capable of reading and understanding English and able to provide written informed consent to participate. Exclusion Criteria: * Diagnosis of DSM-5-defined lifetime bipolar disorder (I, II, or unspecified), schizophrenia, schizoaffective disorder, MDD with psychotic features, other psychotic disorder, or antisocial personality disorder; current (past month) obsessive-compulsive disorder; current (past month) posttraumatic stress disorder; current (past 3 months) anorexia nervosa, * Diagnosis of borderline personality disorder that is known, suspected * Participants with comorbid generalized anxiety disorder (GAD), social anxiety disorder (SAD), or panic disorder are excluded only if the GAD, SAD, or panic disorder is considered the primary psychiatric diagnosis, rather than MDD. * Participants with treatment refractory MDD, ie, previously having failed in their lifetime ≥2 treatments (due to inadequate efficacy) with at least 2 different classes of antidepressants of adequate dose, duration, and treatment adherence. * History of substance use disorder and/or alcohol use disorder during the preceding 12 months * Use of antidepressants (including ketamine/esketamine, St. John's Wort, S-adenosyl methionine, and/or trazodone used as an antidepressant) within 4 weeks of Baseline (Visit 2), except for fluoxetine, which must not be within 6 weeks of Baseline (Visit 2)
Where it's running
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Phoenix, Arizona, United States Recruiting -
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Buena Park, California, United States Recruiting -
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Chino, California, United States Recruiting -
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Lemon Grove, California, United States Recruiting -
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Orange, California, United States Recruiting -
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San Diego, California, United States Recruiting
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Walnut Creek, California, United States Recruiting -
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Jacksonville, Florida, United States Recruiting -
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Maitland, Florida, United States Recruiting -
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Miami, Florida, United States Recruiting -
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Orange City, Florida, United States Recruiting -
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Orlando, Florida, United States Recruiting -
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Tampa, Florida, United States Recruiting -
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Norcross, Georgia, United States Recruiting -
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Chicago, Illinois, United States Recruiting -
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Rockville, Maryland, United States Recruiting -
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Methuen, Massachusetts, United States Recruiting -
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Las Vegas, Nevada, United States Recruiting -
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New York, New York, United States Recruiting -
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North Charleston, South Carolina, United States Recruiting -
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Mephis, Tennessee, United States Recruiting -
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Austin, Texas, United States Recruiting -
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Dallas, Texas, United States Recruiting -
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McKinney, Texas, United States Recruiting -
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Plano, Texas, United States Recruiting -
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Provo, Utah, United States Recruiting -
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New Orleans, Louisiana, United States Withdrawn
Study contacts
- Study coordinator: Timothy Roush
- Email: timothy.roush@tonixpharma.com
- Phone: (862) 799-8599
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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.