A Phase 2a Study to Evaluate the Safety and Tolerability of GM-2505 in Patients With MDD

Last updated: February 5, 2026
Sponsor: Gilgamesh Pharmaceuticals
Overall Status: Active - Recruiting

Phase

2

Condition

Depression (Major/severe)

Affective Disorders

Depression

Treatment

GM-2505

Clinical Study ID

NCT06236880
GM-2505-201
2023-000846-40
M26-286
  • Ages 18-65
  • All Genders

Study Summary

This is a three-part Phase 2a study. The aim of Part A is to assess the safety and tolerability and preliminary antidepressant efficacy in patients with MDD who are not currently on an antidepressant therapy. The aim of Part B is to assess the antidepressant efficacy, safety and tolerability in patients with MDD who are partial responders while on a current and adequate single SSRI or SNRI treatment. Part C aims to replicate the monotherapy findings of Part A, but with a lower control group dose.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Patients are male or female, of any ethnic origin.

  2. Patients are aged between 18 to 65 years, inclusive.

  3. Patients meet the Diagnostic and Statistical Manual of Mental Disorders, FifthEdition (DSM-5) diagnostic criteria for recurrent MDD without psychotic features, asassessed with the Mini-International Neuropsychiatric Interview (MINI) at Screening.

  4. Current moderate to severe MDD diagnosis confirmed with a MADRS-SIGMA

  5. Concomitant depression therapy:

  6. (Part A) Patients need to be stable and must not have taken any SSRI or SNRIfor at least 6 weeks prior to Screening and must be willing to avoid starting anew pharmacological treatment for MDD until the end of the study procedures andassessments. Discontinuing current treatment is not allowed if done for thepurposes of achieving eligibility for this study.

  7. (Part B) Patients need to be on stable treatment with any SSRI or SNRI for atleast 6 weeks prior to screening and must be willing to remain on the SSRI orSNRI for the duration of the trial

  8. Patients receiving any form of psychotherapy or counselling must have beenreceiving therapy at Screening and must be willing to remain in therapy untilthe end of the study procedures and assessments.

Exclusion

Key Exclusion Criteria:

  1. Patient has current or past primary DSM-5 diagnosis of a psychotic disorder or MDDwith psychotic features, bipolar, or related disorders. A current diagnosis of PTSD,complex PTSD and borderline personality disorder are exclusionary. Other psychiatricdisorders besides MDD should not be the primary disorder.

  2. In first degree relatives, a history of schizophrenia, psychosis, bipolar disorder,delusional disorder, paranoid personality disorder or schizoaffective disorder.

  3. Current or prior (six weeks before Screening) use of any SSRI/SNRI medication (PartA only).

  4. Current or prior (five weeks before Screening) use of any monoamine oxidaseinhibitor ([MAO-I]; including phenelzine, tranylcypromine, isocarboxazid,iproniazid, selegiline, rasagiline, the reversible MAO-I moclobemide and theantibiotic linezolid).or any tricyclic antidepressant

Study Design

Total Participants: 124
Treatment Group(s): 1
Primary Treatment: GM-2505
Phase: 2
Study Start date:
January 31, 2024
Estimated Completion Date:
October 31, 2026

Connect with a study center

  • MAC Clinical Research

    Manchester 2643123,
    United Kingdom

    Active - Recruiting

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