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Asenapine 5-20 mg daily for Depression

Phase 4
Waitlist Available
Led By John Beyer, MD
Research Sponsored by Duke University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2, 4, 6 weeks
Awards & highlights
Pivotal Trial
Drug Has Already Been Approved
All Individual Drugs Already Approved
Approved for 5 Other Conditions

Summary

This is a 6-week comparison of asenapine versus placebo as an add-on to ongoing antidepressant treatment in patients with major depression who have not had a complete therapeutic response to treatment with the antidepressant alone. The investigators hypothesize that added asenapine will produce greater reductions in depression than will added placebo.

Eligible Conditions
  • Depression

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2, 4, 6 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and 2, 4, 6 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change in MADRS Total Score
Secondary study objectives
Clinical Remission Rate
Clinical Response Rate
Rates of Sustained Remission
+1 more

Side effects data

From 2014 Phase 4 trial • 46 Patients • NCT01670019
48%
Insomnia
43%
Excessive daytime sedation
22%
Oral/ Lingual dysaethesia
9%
orthostasis faintness
100%
80%
60%
40%
20%
0%
Study treatment Arm
Asenapine 5-20 mg Daily
Placebo 1-4 Tablets Daily

Awards & Highlights

Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Approved for 5 Other Conditions
This treatment demonstrated efficacy for 5 other conditions.

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Asenapine 5-20 mg dailyExperimental Treatment1 Intervention
Asenapine will be started at 5 mg BID. The asenapine dose can be increased to 15 mg daily and then to 20 mg daily, or reduced to 5 mg daily, depending on therapeutic response and tolerability
Group II: Placebo 1-4 tablets dailyPlacebo Group1 Intervention
Matched, blinded placebo tablets will be administered at doses from 1-4 tablets daily depending on therapeutic response and tolerability
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Asenapine
FDA approved

Find a Location

Who is running the clinical trial?

Duke UniversityLead Sponsor
2,455 Previous Clinical Trials
2,971,033 Total Patients Enrolled
76 Trials studying Depression
39,209 Patients Enrolled for Depression
Merck Sharp & Dohme LLCIndustry Sponsor
4,020 Previous Clinical Trials
5,186,819 Total Patients Enrolled
17 Trials studying Depression
7,801 Patients Enrolled for Depression
John Beyer, MDPrincipal InvestigatorDuke University
1 Previous Clinical Trials
30 Total Patients Enrolled
~4 spots leftby Nov 2025