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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05657691
Registration number
NCT05657691
Ethics application status
Date submitted
17/10/2022
Date registered
20/12/2022
Date last updated
10/07/2024
Titles & IDs
Public title
Xanamem® in Adults With Major Depressive Disorder and Impaired Cognition (XanaCIDD)
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Scientific title
XanaCIDD: A Double-Blind, Randomized, Placebo Controlled, Parallel-Group Trial to Assess the Safety, Tolerability, and Efficacy of Xanamem® in Adults With Major Depressive Disorder and Impaired Cognition
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Secondary ID [1]
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ACW0008
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Major Depressive Disorder
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MDD
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Cognitive Impairment
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Condition category
Condition code
Mental Health
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Depression
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Mental Health
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Xanamem™
Treatment: Drugs - Placebo
Experimental: 10 mg Xanamem™ - 10 mg Xanamem™ capsule, to be administered orally once every morning with or without food
Placebo comparator: Placebo - Placebo capsule, to be administered orally once every morning with or without food
Treatment: Drugs: Xanamem™
Xanamem™ is formulated in green and cream-colored size 3, Coni-Snap-shaped gelatin capsules as an excipient blend at a dose of 10mg. It contains the active pharmaceutical ingredient of UE2343.
Treatment: Drugs: Placebo
Matching placebo which is identical in appearance to the test product (10 mg Xanamem™ QD) except that it contains no active ingredient.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Efficacy of Xanamem on attention, including working memory
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Assessment method [1]
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Change from Baseline to EOT in an Attention Composite of a Cognitive Test Battery (CTB) (Detection, Identification, and One Back tests)
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Timepoint [1]
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6 Weeks (Baseline to Week 6 (end of treatment (EOT)))
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Primary outcome [2]
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Evaluation of the short-term safety and tolerability of Xanamem
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Assessment method [2]
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Incidence and severity of treatment-emergent adverse events (TEAEs) Incidence of serious adverse events (SAEs) and SUSARs
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Timepoint [2]
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6 Weeks (Baseline to Week 6 (EOT))
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Secondary outcome [1]
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Determine the effects of Xanamem on depressive symptoms
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Assessment method [1]
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Change from Baseline to EOT on the Montgomery-Åsberg Depression Rating Scale (MADRS).
The MADRS is a 10-item diagnostic questionnaire used to assess the severity of depressive episodes and is designed to be sensitive to treatment effects. Each item is scored from 0 to 6, and overall scores range from 0 to 60. Higher scores indicate greater severity.
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Timepoint [1]
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6 Weeks (Baseline to Week 6 (EOT))
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Eligibility
Key inclusion criteria
Key
* Male or female aged 18 to 75, inclusive.
* Positive MDD primary diagnosis confirmed by the Mini-International Neuropsychiatric Interview (MINI).
* Persistent depressive symptoms as determined by a Hamilton Depression Rating Scale (HAM-D) = 17 at Screening.
* Cognitive abilities on a coding test > 0.5 standard deviations below expected.
* Self-reported subjective cognitive dysfunction.
* Currently or previously treated with a stable dose of a first- or second-line antidepressant that is approved for the treatment of depression (but not a tricyclic antidepressant, monoamine oxidase inhibitor, or vortioxetine). If on current treatment, dose must be stable for at least 6 weeks.
* Smokers are eligible if they are able to comfortably abstain from nicotine for 2 hours prior to scheduled cognitive assessments.
* Able to comfortably abstain from caffeine intake for 4 hours prior to scheduled cognitive assessments.
* Must provide written informed consent to participate in the trial and be willing and able to comply with the requirements of the protocol and complete all trial visits.
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Minimum age
18
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Active suicidal ideation within the previous 3 months
* On a tricyclic antidepressant, monoamine oxidase inhibitor, esketamine, or vortioxetine.
* A history of clinically diagnosed dementia of any type
* Previous clinically significant systemic illness or infection, including test positive COVID-19, within the past 4 weeks prior to Screening
* Has a BMI or body weight that will interfere with participation in the trial
* Type I or Type II diabetes requiring insulin
* Clinically significant ECG abnormalities
* Participation in another clinical trial of a drug or device
* Trial participants who in the opinion of the Investigator exhibit physical, cognitive, or language impairments of such severity as to adversely affect the validity of the data derived from the neuropsychological tests.
* Positive testing for HIV, hepatitis B surface antigen, or hepatitis C antibodies at Screening.
* Participants with a history of drug abuse or addiction in the past 2 years
* Current use of cannabis/marijuana, or tetrahydrocannabinol-containing medications.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/11/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/07/2024
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Sample size
Target
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Accrual to date
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Final
167
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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Paratus Clinical Research Western Sydney - Blacktown
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Recruitment hospital [2]
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Genesis Research Services - Newcastle
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Recruitment hospital [3]
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Paratus Clinical Research Brisbane - Brisbane
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Recruitment hospital [4]
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USC Clinical Trials - Sippy Downs
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Recruitment hospital [5]
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Ramsay Clinic Albert Road - Melbourne
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Recruitment hospital [6]
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Monash Alfred Psychiatry Research Centre - Melbourne
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Recruitment hospital [7]
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NeuroCentrix - Noble Park
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Recruitment postcode(s) [1]
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- Blacktown
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Recruitment postcode(s) [2]
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- Newcastle
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Recruitment postcode(s) [3]
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- Brisbane
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Recruitment postcode(s) [4]
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- Sippy Downs
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Recruitment postcode(s) [5]
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3004 - Melbourne
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Recruitment postcode(s) [6]
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- Melbourne
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Recruitment postcode(s) [7]
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- Noble Park
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Recruitment outside Australia
Country [1]
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United Kingdom
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State/province [1]
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London
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Country [2]
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United Kingdom
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State/province [2]
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Manchester
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Country [3]
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United Kingdom
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State/province [3]
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Motherwell
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Country [4]
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United Kingdom
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State/province [4]
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Tankersley
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Actinogen Medical
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Address
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Other collaborator category [1]
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Other
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Name [1]
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AXIOM Real Time Metrics
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
Xanamem is being developed as a potential treatment for symptomatic, early stages of Alzheimer's Disease (AD) and Major Depressive Disorder (MDD). This XanaCIDD Phase II study in MDD is to investigate the safety and efficacy of Xanamem™ in treating patients with cognitive and depressive symptoms. Trial participants will be randomized to either receive 10mg of Xanamem™ once daily or a Placebo at a 1:1 ratio in a double-blinded fashion.
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Trial website
https://clinicaltrials.gov/study/NCT05657691
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05657691
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