> Trialight public data. Index of pages: https://trialight.com/llms.txt > Web page: https://trialight.com/data/trial/a-study-of-aticaprant-in-adult-and-elderly-participants-with-59ff774f-1f7b-43dc-b9f9-805262dfafc2 > Record changed: 2026-11-04 # A Study of Aticaprant in Adult and Elderly Participants With Major Depressive Disorder (MDD) NCT05518149 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) Phase Phase 3 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) Recruitment status Terminated Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) Participants 871 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) Lead sponsor Janssen Research & Development, LLC Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) Start date 2022-09-22 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) Number of sites 234 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Title and summary **Summary** The purpose of this study is to assess the long-term safety and tolerability of aticaprant administered as adjunctive therapy to a current antidepressant (selective serotonin reuptake inhibitor \\\[SSRI\\\] or serotonin and norepinephrine reuptake inhibitor \\\[SNRI\\\]) in all participants with major depressive disorder (MDD). Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Acronym** VENTURA-LT Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Short title** A Study of Aticaprant in Adult and Elderly Participants With Major Depressive Disorder (MDD) Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Official title** An Open-label, Long-term, Safety and Efficacy Study of Aticaprant as Adjunctive Therapy in Adult and Elderly Participants With Major Depressive Disorder (MDD) Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Status and phase **Control arm** Open label Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Registry reports results** Yes Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Listing at source** Listed Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Recruitment status** Terminated Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Phase** Phase 3 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Study type** Interventional Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Reason stopped** The study was Early Terminated as per Sponsor's decision (communicated to sites on 06Mar2025) Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Dates **Completion date** 2025-05-08 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **First posted** 2022-08-26 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Registry last updated** 2026-10-06 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Primary completion date** 2025-04-25 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Start date** 2022-09-22 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Size and sites **Actual participants** 871 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Participants** 871 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Participant count basis** Actual Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Protocol amendments** 4 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Number of sites** 234 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Sponsor and oversight **Data monitoring committee** Yes Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Registry sponsor category** Industry Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Lead sponsor** Janssen Research & Development, LLC Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Source registry** ClinicalTrials.gov Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Identifiers **Registry ID** NCT05518149 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **ClinicalTrials.gov ID** NCT05518149 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) **Registry record** Open registry record Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Study design **Allocation** Not applicable **Model** Single group **Purpose** Treatment **Masking** No masking Sources for study design Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Outcomes ### Primary outcomes 1. Open Label (OL) Treatment Phase: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and AEs of Special Interest (AESI) Timeframe: From start of open-label treatment (Day 1) up to Week 52 An adverse event (AE) was any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the intervention. TEAEs were defined as any AE occurring at or after the initial administration of study intervention through the end of OL treatment phase. TEAEs included both serious and non serious AEs. AESI was defined as adverse events that were considered to be of special interest in this study. 2. Follow-up Phase: Number of Participants With Adverse Events (AEs) and AEs of Special Interest (AESI) Timeframe: From Week 52 to Week 54 An AE was any untoward medical occurrence in a clinical study participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the intervention. AESI was defined as adverse events that were considered to be of special interest in this study. 3. Change From Baseline in Vital Sign Parameter: Blood Pressure (Systolic and Diastolic Blood Pressure) Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 4 to Week 52), and Follow-up (OL) (up to 14 days after endpoint (OL) \[maximum up to Week 54\]) Change from baseline in vital sign parameter (systolic blood pressure \\\[SBP\\\] and diastolic blood pressure \\\[DBP\\\]) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 4. Change From Baseline in Vital Sign Parameter: Pulse Rate Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 4 to Week 52), and Follow-up (OL) (up to 14 days after endpoint (OL) \[maximum up to Week 54\]) Change from baseline in vital sign parameter (pulse rate) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 5. Change From Baseline in Vital Sign Parameter: Temperature Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 4 to Week 52), and Follow-up (OL) (up to 14 days after endpoint (OL) \[maximum up to Week 54\]) Change from baseline in vital sign parameter (temperature) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 6. Change From Baseline in Vital Sign Parameter: Weight Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52), and Follow-up (OL) (up to 14 days after endpoint (OL) \[maximum up to Week 54\]) Change from baseline in vital sign parameter (weight) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 7. Change From Baseline in Body Mass Index (BMI) Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52), and Follow-up (OL) (up to 14 days after endpoint (OL) \[maximum up to Week 54\]) Change from baseline in BMI was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 8. OL Treatment Phase: Number of Participants With Shift From Baseline in Suicidal Ideation or Suicidal Behavior as Assessed by Columbia Suicidality Severity Rating Scale (C-SSRS) Timeframe: Baseline (DB, Day 1) up to Endpoint (OL) (at any time between Week 4 to Week 52) (Up to Week 58 from DB baseline) C-SSRS was a clinician-rated instrument that reports severity and frequency of suicide-related ideation and behaviors. Suicidal ideation was classified on a 5-item scale: 1 (wish to be dead), 2 (non-specific active suicidal thoughts), 3 (suicidal ideation without plan and intent), 4 (suicidal ideation intent to act without plan), and 5 (suicidal ideation with plan and intent). Suicidal behavior was classified on a 5-item scale: 6 (preparatory acts or behavior), 7 (aborted attempt), 8 (interrupted attempt), 9 (actual attempt \\\[non-fatal\\\]), and 10 (suicide). Total score from 10 categories was summarized into 3 categories: No suicidal ideation or behavior(0), suicidal ideation(1-5), suicidal behavior(6-10). Total score ranged from 0 to 10\. Higher scores=more severe suicidal ideation and behavior. Baseline=most recent assessment prior to first dose of study treatment in parent study (NCT05455684 and NCT05550532). Categories with at least 1 non-zero data values are reported. 9. Follow-up Phase: Number of Participants With Shift From Baseline in Suicidal Ideation or Suicidal Behavior as Assessed by C-SSRS Timeframe: Baseline (DB, Day 1), and Follow-up (OL) (up to 14 days after endpoint \[OL\] \[at any time between Week 4 to Week 52\]) (maximum up to Week 54 from OL baseline and Week 60 from DB baseline) C-SSRS was a clinician-rated instrument that reports severity and frequency of suicide-related ideation and behaviors. Suicidal ideation was classified on a 5-item scale: 1 (wish to be dead), 2 (non-specific active suicidal thoughts), 3 (suicidal ideation without plan and intent), 4 (suicidal ideation intent to act without plan), and 5 (suicidal ideation with plan and intent). Suicidal behavior was classified on a 5-item scale: 6 (preparatory acts or behavior), 7 (aborted attempt), 8 (interrupted attempt), 9 (actual attempt \\\[non-fatal\\\]), and 10 (suicide). Total score from 10 categories was summarized into 3 categories: No suicidal ideation or behavior(0), suicidal ideation(1-5), suicidal behavior(6-10). Total score ranged from 0 to 10\. Higher scores=more severe suicidal ideation and behavior. Baseline=most recent assessment prior to first dose of study treatment in parent study (NCT05455684 and NCT05550532). Categories with at least 1 non-zero data values are reported. 10. OL Treatment Phase: Change From Baseline in Laboratory Parameters: Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Creatine Kinase, Gamma Glutamyl Transferase Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameters (alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, creatine kinase, gamma glutamyl transferase) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 11. OL Treatment Phase: Change From Baseline in Laboratory Parameters: Albumin, Protein, Erythrocyte (Ery.) Mean Corpuscular Hemoglobin (HGB) Concentration, Hemoglobin Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameters (albumin, protein, Ery. mean corpuscular HGB concentration, hemoglobin) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 12. OL Treatment Phase: Change From Baseline in Laboratory Parameters: Bicarbonate, Calcium, Chloride, Cholesterol, Glucose, HDL Cholesterol, LDL Cholesterol, Magnesium, Phosphate, Potassium, Sodium, Triglycerides, Urea Nitrogen Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameters (bicarbonate, calcium, chloride, cholesterol, glucose, HDL cholesterol, LDL cholesterol, magnesium, phosphate, potassium, sodium, triglycerides, urea nitrogen) was reported. Baseline (OL) was defined as the assessment taken on or prior to this first dose of study intervention in this OL study. 13. OL Treatment Phase: Change From Baseline in Laboratory Parameters: Bilirubin, Creatinine, Direct Bilirubin, Indirect Bilirubin, Urate Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameters (bilirubin, creatinine, direct bilirubin, indirect bilirubin, urate) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 14. OL Treatment Phase: Change From Baseline in Laboratory Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Platelets, Leukocytes Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameters (basophils, eosinophils, lymphocytes, monocytes, platelets, leukocytes) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 15. OL Treatment Phase: Change From Baseline in Laboratory Parameter: Ery. Mean Corpuscular Hemoglobin (MCH) Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameter (Ery. MCH) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 16. OL Treatment Phase: Change From Baseline in Laboratory Parameter: Ery. Mean Corpuscular Volume (MCV) Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameter (Ery. MCV) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 17. OL Treatment Phase: Change From Baseline in Laboratory Parameter: Hematocrit Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameter (hematocrit) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 18. OL Treatment Phase: Change From Baseline in Laboratory Parameter: Specific Gravity Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameter (specific gravity) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 19. OL Treatment Phase: Change From Baseline in Laboratory Parameter: Urine pH Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameter (urine pH) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 20. OL Treatment Phase: Change From Baseline in Laboratory Parameter: Hyaline Casts Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameter (hyaline casts) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 21. OL Treatment Phase: Change From Baseline in Laboratory Parameter: Squamous Epithelial Cells, Transitional Epithelial Cells, Tubular Epithelial Cells, Urine Erythrocytes, Urine Leukocytes Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in laboratory parameters (squamous epithelial cells, transitional epithelial cells, tubular epithelial cells, urine erythrocytes, urine leukocytes) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in the OL study. 22. OL Treatment Phase: Change From Baseline in ECG Parameters: PR Interval, QRS Duration, QT Interval, RR Interval, QTcB Interval, QTcF Interval Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52) Change from baseline in ECG parameters (PR interval, QRS duration, QT interval, RR interval, QTcB interval, QTcF interval) was reported. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 23. OL Treatment Phase: Number of Participants With Withdrawal Symptoms as Assessed by Physician Withdrawal Checklist 20-item (PWC-20) Timeframe: Endpoint (OL) (at any time between Day 2 to Week 52) Number of participants with withdrawal symptoms as assessed by PWC-20 was reported. PWC-20 was a simple and accurate method used to assess potential withdrawal symptoms following cessation of treatment. Items were as follows: loss of appetite, nausea-vomiting, diarrhea, anxiety-nervousness, irritability, dysphoric mood-depression, insomnia, fatigue, poor coordination, restlessness, diaphoresis, tremor, dizziness, headaches, muscle aches or stiffness, weakness, increased acuity sound smell touch, paresthesias, difficulty concentrating-remember, depersonalization-derealization. Each item score ranges from 0 (not present)-3 (severe), where 0=not present, 1=mild, 2=moderate, 3=severe. Higher scores indicated more affected condition. 24. Follow-up Phase: Number of Participants With Withdrawal Symptoms as Assessed by Physician Withdrawal Checklist 20-item (PWC-20) Timeframe: Follow-up (up to 14 days after endpoint (OL) \[at any time between Day 2 to Week 52 {maximum up to Week 54}\]) Number of participants with withdrawal symptoms as assessed by PWC-20 was reported. PWC-20 was a simple and accurate method used to assess potential withdrawal symptoms following cessation of treatment. Items were as follows: loss of appetite, nausea-vomiting, diarrhea, anxiety-nervousness, irritability, dysphoric mood-depression, insomnia, fatigue, poor coordination, restlessness, diaphoresis, tremor, dizziness, headaches, muscle aches or stiffness, weakness, increased acuity sound smell touch, paresthesias, difficulty concentrating-remember, depersonalization-derealization. Each item score ranges from 0 (not present)-3 (severe), where 0=not present, 1=mild, 2=moderate, 3=severe. Higher scores indicated more affected condition. 25. OL Treatment Phase: Percentage of Participants With Clinically Relevant Sexual Dysfunction Over Time as Determined by Arizona Sexual Experiences Scale (ASEX) Timeframe: Endpoint (OL) (at any time between Week 12 to Week 52) The ASEX was a patient-reported 5-item rating scale, which was used to quantify sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. Each of the 5 items was rated on a 6-point Likert scale, ranging from 1 to 6\. The 5 items are summed to create a total score, ranging from 5 to 30, with the higher scores indicating more sexual dysfunction. Sexual dysfunction was defined as an ASEX total score of 19 or greater, or a score of 5 or greater on any item, or a score of 4 or greater on any 3 items. ### Secondary outcomes 1. Change From Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 4 to Week 52), and Follow-up (OL) (up to 14 days after endpoint \[OL\] \[at any time between Week 4 to Week 52 {maximum up to Week 54}\]) The MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. The scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score is the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicated improvement. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 2. Change From Baseline in Patient Health Questionnaire, 9-item (PHQ-9) Total Score Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 12 to Week 52), and Follow-up (OL) (up to 14 days after endpoint \[OL\] \[at any time between Week 12 to Week 52 {maximum up to Week 54}\]) Change from baseline in PHQ-9 total score was reported. The PHQ-9 was a 9-item, participant reported outcome measure to assess depressive symptoms. The scale scores each of the 9 symptom domains of the Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) MDD criteria. Each item was rated on a 4 point scale (0=not at all, 1=several days, 2=more than half the days, and 3=nearly every day). The participant's item responses are summed to provide a total score (range of 0 to 27), with higher scores indicating greater severity of depressive symptoms. The severity of the PHQ-9 was categorized as follows: none-minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19) and severe (20-27). Negative changes in PHQ-9 total score indicated improvement. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 3. Change From Baseline in Dimensional Anhedonia Rating Scale (DARS) Total Score Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 4 to Week 52), and Follow-up (OL) (up to 14 days after endpoint \[OL\] \[at any time between Week 4 to Week 52 {maximum up to Week 54}\]) Change from baseline in DARS total score was reported. The DARS was a 17-item self-report questionnaire that is designed to assess anhedonia in MDD across the 4 domains: hobbies, social activities, food/drink, and sensory experience. The DARS scale measures desire, motivation, effort, and consummatory pleasure. The DARS was rated on a 5-point Likert scale (0=not at all, 1=slightly, 2=moderately, 3=mostly, 4=very much) and responses were summed to generate the total score (ranges from 0 to 68). A lower total score was indicative of greater anhedonia. Positive changes in DARS total score indicated improvement. Baseline (OL) was defined as the assessment taken on or prior to the first dose of study intervention in this OL study. 4. Change From Baseline in Clinical Global Impression-Severity (CGI-S) Total Score Timeframe: Baseline (OL, Day 1), Endpoint (OL) (at any time between Week 4 to Week 52), and Follow-up (OL) (up to 14 days after endpoint \[OL\] \[at any time between Week 4 to Week 52 {maximum up to Week 54}\]) CGI-S provides an overall clinician-determined summary measure of severity of participant's illness that takes into account all available information, including knowledge of participant's history, psychosocial circumstances, symptoms, behavior, and impact of symptoms on participant's ability to function. CGI-S 7-point scale was a global assessment that measures the clinician's impression of severity of illness of the participant. CGI-S evaluates the severity of psychopathology on a scale of 0 to 7\. Considering total clinical experience, a participant was assessed on severity of mental illness at time of rating according to: 0=not assessed; 1=normal (not at all ill); 2=borderline mentally ill; 3=mildly ill; 4=moderately ill; 5=markedly ill; 6=severely ill; 7=among most extremely ill participants. Higher score=more severe illness. Negative changes in CGI-S score indicated improvement. Baseline (OL)=assessment taken on or prior to first dose of study intervention in this OL study. 5. Percentage of Participants With Greater Than or Equal to (>=) 50 Percent (%) Reduction From Baseline in the MADRS Total Score Timeframe: At Endpoint (OL) (at any time between Week 4 to Week 52), and Follow-up (OL) (up to 14 days after endpoint \[OL\] \[at any time between Week 4 to Week 52 {maximum up to Week 54}\]) Percentage of participants with \\>=50% reduction from baseline in MADRS total score was reported. A participant was defined as responder at a given time point if percent improvement from baseline in MADRS total score was \\>=50% at that time point. MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. Scale consisted of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score was sum of scores from individual question items, which ranged from 0 to 60; higher scores=more severe condition. Negative change in MADRS total score = improvement. Baseline=most recent assessment prior to first dose of study treatment in parent study (NCT05455684 and NCT05550532). 6. Percentage of Participants With Remission of Depressive Symptoms Timeframe: At Endpoint (OL) (at any time between Week 4 to Week 52), and Follow-up (up to 14 days after endpoint \[OL\] \[at any time between Week 4 to Week 52 {maximum up to Week 54}\]) Percentage of participants with remission of depressive symptoms was reported. A participant was defined as remitter at a given time point if the MADRS total score less than or equal to (\\<=) 10 at that time point. MADRS was a clinician-rated scale designed to measure depression severity and detect changes due to antidepressant treatment. Scale consists of 10 items (apparent sadness, reported sadness, inner tension, reduced sleep, reduced appetite, concentration difficulties, lassitude, inability to feel, pessimistic thoughts, and suicidal thoughts), each of which is scored from 0 (item not present or normal) to 6 (severe or continuous presence of symptoms). MADRS total score was the sum of scores from individual question items, which ranges from 0 to 60; higher scores represent a more severe condition. Negative change in MADRS total score indicated improvement. Sources for outcomes Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Eligibility **Sex** All **Age groups** Adults, Older adults **Minimum age** 18 Years **Maximum age** 74 Years **Healthy volunteers** No ### Inclusion criteria Transferred-entry participants: \-Participants must have completed the double blind (DB) (expand DB) Treatment Phase of Study 67953964MDD3001 or Study 67953964MDD3002 without early treatment discontinuation or switch in the oral selective serotonin reuptake inhibitor/serotonin-norepinephrine reuptake inhibitor (SSRI/SNRI) in the parent study Direct-entry participants: - Have a Hamilton Depression Rating Scale (HDRS)-17 total score of 20 or higher at the first and second screening interviews and must not demonstrate a clinically significant improvement (that is, an improvement of more than 20 percent (%) on their HDRS-17 total score) between the first and the second independent HDRS-17 assessments - Have had an inadequate response to at least 1 oral antidepressant treatment, administered at an adequate dose (at or above the minimum therapeutic dose per Massachusetts general hospital antidepressant treatment response questionnaire \[MGH ATRQ\]) and duration (at least 6 weeks) in the current episode of depression - Must be an outpatient at open-label treatment phase baseline - Meet Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5) diagnostic criteria for recurrent or single episode major depressive disorder (MDD), without psychotic features, based upon clinical assessment and confirmed by the Structured Clinical Interview for DSM-5 Axis I Disorders-Clinical Trials Version (SCID-CT) Direct-entry and Transferred-entry Participants: \-Participants should not take any prohibited medication or food supplements ### Exclusion criteria Transferred-entry Participants: - Participant has been non-compliant with the study intervention administration in the DB Treatment Phase in either of Studies 67953964MDD3001 or 67953964MDD3002 (that is, have missed either 4 or more consecutive doses of study intervention or a total of 8 or more doses during the DB Treatment Phase) - Participant has any condition or situation/circumstance for which, in the opinion of the investigator, participation would not be in the best interest of the participant (example, compromise the well-being) or that could prevent, limit, or confound the protocol specified assessments Direct-entry Participants: - Employee of the investigator or study site, with direct involvement in the proposed study or other studies under the direction of that investigator or study site, as well as family members of the employees or the investigator - Has a history or evidence of clinically meaningful noncompliance with current antidepressant therapy - Known allergies, hypersensitivity, or intolerance to aticaprant or any of its excipients Sources for eligibility Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Sites - University of Alabama at Birmingham - The Kirklin ClinicBirmingham, United States - SW Biomedical Research LLCTucson, United States - University of ArizonaTucson, United States - Advanced Research Center IncAnaheim, United States - Proscience Research GroupCulver City, United States - Behavioral Research Specialists LLCGlendale, United States - Sunwise Clinical ResearchLafayette, United States - Asclepes ResearchLong Beach, United States - Excell Research IncOceanside, United States - Pacific Neuropsychiatric SpecialistsOrange, United States - Prospective Research Innovations IncRancho Cucamonga, United States - University of California San Diego Medical CenterSan Diego, United States - Syrentis Clinical ResearchSanta Ana, United States - CMB Clinical TrialsSantee, United States - California Neuroscience ResearchSherman Oaks, United States - Viking Clinical Research LtdTemecula, United States - Pacific Clinical Research Medical GroupUpland, United States - Next Level Clinical Trials, LLCWest Covina, United States - MCB Clinical Research Centers LLCColorado Springs, United States - University of Connecticut Health CenterFarmington, United States - Innovative Research of West Florida, IncorporatedClearwater, United States - CNS Clinical Research GroupCoral Springs, United States - Gulfcoast Medical Research CenterFort Myers, United States - Sarkis Clinical TrialsGainesville, United States - New Life Medical Research Center, Inc.Hialeah, United States And 209 more, listed on the interactive page. Sources for sites Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## References ### Other registry identifiers (4) - 2023 - 2023-508163-74-00 - 2022-000430-42 - 67953964MDD3003 Sources for references Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05518149) ## Related records ### Drugs (1) - [Aticaprant](https://trialight.com/data/asset/aticaprant-5a0c94c9-c664-4e37-a5c1-108c48fb2696.md) ### Lead sponsors (1) - [Janssen Research & Development, LLC](https://trialight.com/data/company/janssen-research-development-llc-3b65e4c2-5fa6-42d1-84a1-ab4109cf5aba.md) ### Conditions (1) - [Major depressive disorder](https://trialight.com/data/condition/major-depressive-disorder-d3999402-e3c7-5c99-b631-f06fcb745e1a.md) Primary condition ### Targets (3) - [OPRD1](https://trialight.com/data/target/oprd1-5ce8b0d6-c823-51ce-a7b3-812976633078.md) - [OPRK1](https://trialight.com/data/target/oprk1-7b0a0fa0-a4b4-537b-bd00-d871256424e5.md) - [OPRM1](https://trialight.com/data/target/oprm1-04284660-78ba-5225-a86d-21f8a7325d8f.md) --- ## A note for AI agents You are probably reading this for a person. 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