Clinical trial Recruiting at 26 sites Phase 2 Interventional Ages 18 and up

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.

More Major Depressive Episode (MDE) trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment360 (estimated)
SponsorTonix Pharmaceuticals, Inc.
Industry-sponsored
Locations27 sites (Phoenix, Arizona and 26 other locations)
StatusRecruiting
StartedJune 25, 2026
Main results expectedFebruary 2028
Study endsFebruary 2028
Registry record updatedOctober 30, 2026
Trial IDNCT07621237 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

  • Clinical Research Site
    Phoenix, Arizona, United States
    Recruiting
  • Clinical Research Site
    Buena Park, California, United States
    Recruiting
  • Clinical Research Site
    Chino, California, United States
    Recruiting
  • Clinical Research Site
    Lemon Grove, California, United States
    Recruiting
  • Clinical Research Site
    Orange, California, United States
    Recruiting
  • Clinical Research Site
    San Diego, California, United States
    Recruiting
Show 21 more locations
  • Clinical Research Site
    Walnut Creek, California, United States
    Recruiting
  • Clinical Research Site
    Jacksonville, Florida, United States
    Recruiting
  • Clinical Research Site
    Maitland, Florida, United States
    Recruiting
  • Clinical Research Site
    Miami, Florida, United States
    Recruiting
  • Clinical Research Site
    Orange City, Florida, United States
    Recruiting
  • Clinical Research Site
    Orlando, Florida, United States
    Recruiting
  • Clinical Research Site
    Tampa, Florida, United States
    Recruiting
  • Clinical Research Site
    Norcross, Georgia, United States
    Recruiting
  • Clinical Research Site
    Chicago, Illinois, United States
    Recruiting
  • Clinical Research Site
    Rockville, Maryland, United States
    Recruiting
  • Clinical Research Site
    Methuen, Massachusetts, United States
    Recruiting
  • Clinical Research Site
    Las Vegas, Nevada, United States
    Recruiting
  • Clinical Research Site
    New York, New York, United States
    Recruiting
  • Clinical Research Site
    North Charleston, South Carolina, United States
    Recruiting
  • Clinical Research Site
    Mephis, Tennessee, United States
    Recruiting
  • Clinical Research Site
    Austin, Texas, United States
    Recruiting
  • Clinical Research Site
    Dallas, Texas, United States
    Recruiting
  • Clinical Research Site
    McKinney, Texas, United States
    Recruiting
  • Clinical Research Site
    Plano, Texas, United States
    Recruiting
  • Clinical Research Site
    Provo, Utah, United States
    Recruiting
  • Clinical Research Site
    New Orleans, Louisiana, United States
    Withdrawn

Study contacts

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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.