A Study to Evaluate the Maintenance Effect of NBI-1065845 as an Adjunctive Treatment in Participants With Major Depressive Disorder (MDD)

Last updated: March 17, 2026
Sponsor: Neurocrine Biosciences
Overall Status: Active - Recruiting

Phase

3

Condition

Depression (Major/severe)

Depression

Affective Disorders

Treatment

NBI-1065845

Placebo

Clinical Study ID

NCT07196501
NBI-1065845-MDD3027
2025-520541-72-00
  • Ages > 18
  • All Genders

Study Summary

The primary objective of this study is to evaluate the efficacy of NBI-1065845 compared with placebo as an adjunctive treatment in delaying relapse of depressive symptoms (maintenance of effect) in participants with MDD.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Participant has a primary diagnosis of recurrent MDD (moderate or severe) orpersistent depressive disorder.

  • Participant has had an inadequate response to oral antidepressant treatments in thecurrent episode of depression.

  • Participant must have been taking oral antidepressants for at least 8 weeks and iswilling to continue the same oral antidepressants at the same dose and frequency ofadministration throughout participation in the study.

  • Total Hamilton Depression Rating Scale-17 Item (HAM-D17) score ≥22 at screening andat study baseline (Day 1).

  • Willing and able to comply with all study procedures and restrictions in the opinionof the investigator.

Exclusion

Key Exclusion Criteria:

  • A current or prior psychiatric disorder diagnosis in the last 1 year that was theprimary focus of treatment other than MDD.

  • Are considered by the investigator to be at imminent risk of suicide or injury toself or others.

  • Participants depressive symptoms have previously demonstrated nonresponse toelectroconvulsive therapy (ECT) in the current major depressive episode.

Note: Other protocol-defined Inclusion and Exclusion criteria may apply.

Study Design

Total Participants: 550
Treatment Group(s): 2
Primary Treatment: NBI-1065845
Phase: 3
Study Start date:
August 18, 2025
Estimated Completion Date:
July 31, 2028

Connect with a study center

  • Neurocrine Clinical Site

    Carlton, Victoria 3053
    Australia

    Active - Recruiting

  • Neurocrine Clinical Site

    Sofia, 1408
    Bulgaria

    Active - Recruiting

  • Neurocrine Clinical Site

    Sofia 727011, 1408
    Bulgaria

    Site Not Available

  • Neurocrine Clinical Site

    North Vancouver, British Columbia V7P 2T4
    Canada

    Active - Recruiting

  • Neurocrine Clinical Site

    North Vancouver 6090785, British Columbia 5909050 V7P 2T4
    Canada

    Site Not Available

  • Neurocrine Clinical Site

    Sherbrooke, Quebec J1L 0H8
    Canada

    Active - Recruiting

  • Neurocrine Clinical Site

    Sherbrooke 6146143, Quebec 6115047 J1L 0H8
    Canada

    Site Not Available

  • Neurocrine Clinical Site

    Toronto, M5H 1A1
    Canada

    Active - Recruiting

  • Neurocrine Clinical Site

    Toronto 6167865, M5H 1A1
    Canada

    Site Not Available

  • Neurocrine Clinical Site

    Tallinn, 11315
    Estonia

    Active - Recruiting

  • Neurocrine Clinical Site

    Tallinn 588409, 10138
    Estonia

    Site Not Available

  • Neurocrine Clinical Site

    Tartu, 50417
    Estonia

    Active - Recruiting

  • Neurocrine Clinical Site

    Tartu 588335, 50417
    Estonia

    Site Not Available

  • Neurocrine Clinical Site

    Milan, 20127
    Italy

    Active - Recruiting

  • Neurocrine Clinical Site

    Rome, 168
    Italy

    Active - Recruiting

  • Neurocrine Clinical Site

    Rome 3169070, 168
    Italy

    Site Not Available

  • Neurocrine Clinical Site

    Bialystok, 15-879
    Poland

    Active - Recruiting

  • Neurocrine Clinical Site

    Bialystok 776069, 15-879
    Poland

    Site Not Available

  • Neurocrine Clinical Site

    Bydgoszcz, 85-794
    Poland

    Active - Recruiting

  • Neurocrine Clinical Site

    Bydgoszcz 3102014, 85-794
    Poland

    Site Not Available

  • Neurocrine Clinical Site

    Gdansk, 80-283
    Poland

    Active - Recruiting

  • Neurocrine Clinical Site

    Gdansk 3099434, 80-283
    Poland

    Site Not Available

  • Neurocrine Clinical Site

    Belgrade, 11000
    Serbia

    Active - Recruiting

  • Neurocrine Clinical Site

    Kovin, 26220
    Serbia

    Active - Recruiting

  • Neurocrine Clinical Site

    Ansan-si, Gyeonggi-do 15355
    South Korea

    Active - Recruiting

  • Neurocrine Clinical Site

    Seoul, 06351
    South Korea

    Active - Recruiting

  • Neurocrine Clinical Site

    Alcorcón, Madrid 28922
    Spain

    Active - Recruiting

  • Neurocrine Clinical Site

    Barcelona, 08035
    Spain

    Active - Recruiting

  • Neurocrine Clinical Site

    Barcelona 3128760, 08035
    Spain

    Site Not Available

  • Neurocrine Clinical Site

    Keelung, 204
    Taiwan

    Active - Recruiting

  • Neurocrine Clinical Site

    Taipei, 10449
    Taiwan

    Active - Recruiting

  • Neurocrine Clinical Site

    Taipei 1668341, 11217
    Taiwan

    Site Not Available

  • Neurocrine Clinical Site

    Oceanside, California 92056
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    San Jose, California 95124
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Oceanside 5378771, California 5332921 92056
    United States

    Site Not Available

  • Neurocrine Clinical Site

    New Haven, Connecticut 06520
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    New Haven 4839366, Connecticut 4831725 06520
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Miami Gardens, Florida 33014
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Orlando, Florida 32803
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Palm Bay, Florida 32905
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Tampa, Florida 33629
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Melbourne 4163971, Florida 4155751 32901
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Miami Gardens 4164167, Florida 4155751 33014
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Orlando 4167147, Florida 4155751 32803
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Palm Bay 4167499, Florida 4155751 32905
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Tampa 4174757, Florida 4155751 33629
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Marrero, Louisiana 70072
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    O'Fallon, Missouri 63368
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    O'Fallon 4401242, Missouri 4398678 63368
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Albuquerque, New Mexico 87109
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Albuquerque 5454711, New Mexico 5481136 87109
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Charlotte, North Carolina 28211
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Charlotte 4460243, North Carolina 4482348 28211
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Edmond, Oklahoma 73013
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Oklahoma City, Oklahoma 73112
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Edmond 4535740, Oklahoma 4544379 73013
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Oklahoma City 4544349, Oklahoma 4544379 73112
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Bellaire, Texas 77401
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Friendswood, Texas 77546
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Stafford, Texas 77477
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Wichita Falls, Texas 76309
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Bellaire 4673353, Texas 4736286 77401
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Friendswood 4692521, Texas 4736286 77546
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Stafford 4734005, Texas 4736286 77477
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Wichita Falls 4741752, Texas 4736286 76309
    United States

    Site Not Available

  • Neurocrine Clinical Site

    Draper, Utah 84020
    United States

    Active - Recruiting

  • Neurocrine Clinical Site

    Draper 5774001, Utah 5549030 84020
    United States

    Site Not Available

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