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Monoclonal Antibodies
Ixekizumab for Treatment-Resistant Depression
Phase 2
Recruiting
Led By James W Murrough, MD, PhD
Research Sponsored by Icahn School of Medicine at Mount Sinai
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Participants must meet DSM-5 criteria for Major Depressive Disorder (MDD) in a current major depressive episode (MDE) as determined by a study psychiatrist and confirmed using the Structured Clinical Interview for DSM-5 Research Version (SCID-5-RV)
Men and women, age 18-70 years
Must not have
Diagnosis of a major neurocognitive disorder
Any contraindication to MRI or gadolinium including claustrophobia, any trauma or surgery which may have left magnetic material in the body, magnetic implants or pacemakers, inability to lie still for 1 hour or more, any known allergy to gadolinium
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 weeks
Awards & highlights
No Placebo-Only Group
Summary
This trial tests ixekizumab, a medication that blocks a specific protein, in adults whose depression hasn't improved with other treatments. By reducing inflammation, it may help alleviate their symptoms.
Who is the study for?
Adults aged 18-65 with treatment-resistant depression, on stable antidepressant doses for over 4 weeks, and have had at least two adequate treatment trials. Participants must not be at risk of self-harm or substance abuse, pregnant or breastfeeding, and willing to use contraception.
What is being tested?
The trial is testing Ixekizumab, an antibody targeting IL-17A, against a placebo in patients who haven't responded well to standard depression treatments. It's designed to see if this new approach can help where other treatments haven't.
What are the potential side effects?
Ixekizumab may cause side effects such as infections due to immune system suppression, allergic reactions at the injection site, and possibly others that are common with monoclonal antibodies.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have been diagnosed with Major Depressive Disorder and am currently experiencing a major depressive episode.
Select...
I am between 18 and 70 years old.
Select...
I have been on the same dose of antidepressant for more than 4 weeks.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have been diagnosed with a significant memory or thinking problem.
Select...
I can undergo an MRI without any health risks or physical limitations.
Select...
I do not have any unstable illnesses affecting my organs or immune system.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 6 weeks
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~6 weeks
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Drop-out Rate
Number of anticipated and unanticipated Adverse events
Secondary study objectives
Change in Clinical Global Impression Scale
Change in Montgomery-Åsberg Depression Rating Scale Score - remission rate
Change in Montgomery-Åsberg Depression Rating Scale Score - response rate
+5 moreSide effects data
From 2019 Phase 4 trial • 566 Patients • NCT031515511%
Nasopharyngitis
1%
Upper respiratory tract infection
100%
80%
60%
40%
20%
0%
Study treatment Arm
Adalimumab Follow-up
Ixekizumab Follow-up
Ixekizumab
Adalimumab
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: IxekizumabExperimental Treatment1 Intervention
Ixekizumab 160 mg (two 80 mg injections) at Week 0, followed by 80 mg at Weeks 2 and 4 via subcutaneous route.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Ixekizumab
2020
Completed Phase 4
~6560
Find a Location
Who is running the clinical trial?
Icahn School of Medicine at Mount SinaiLead Sponsor
913 Previous Clinical Trials
572,781 Total Patients Enrolled
38 Trials studying Depression
6,042 Patients Enrolled for Depression
James W Murrough, MD, PhDPrincipal InvestigatorIcahn School of Medicine at Mount Sinai
1 Previous Clinical Trials
44 Total Patients Enrolled
1 Trials studying Depression
44 Patients Enrolled for Depression
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have been diagnosed with Major Depressive Disorder and am currently experiencing a major depressive episode.I am not pregnant, breastfeeding, and I agree to use birth control during and for 6 months after the study.I have no major health issues found in lab tests or physical exams.I have been diagnosed with a significant memory or thinking problem.I can undergo an MRI without any health risks or physical limitations.I do not have any unstable illnesses affecting my organs or immune system.I am not on any other biologic or immune-suppressing drugs, but I may use NSAIDs as needed.I am between 18 and 70 years old.I have tried at least 2 different antidepressants without success.I agree to use barrier contraception during the study and for 6 months after if my partner can become pregnant.I have been on the same dose of antidepressant for more than 4 weeks.
Research Study Groups:
This trial has the following groups:- Group 1: Ixekizumab
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.