E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Bipolar Depression |
Depresión Bipolar |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Psychiatry and Psychology [F] - Mental Disorders [F03] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 21.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10004936 |
E.1.2 | Term | Bipolar depression |
E.1.2 | System Organ Class | 100000004873 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the efficacy of JNJ-55308942 compared to placebo on symptoms of depression in participants with bipolar disorders (BD) in a major depressive episode (MDE) at Week 6. |
Evaluar la eficacia de JNJ-55308942 en comparación con el placebo en los síntomas de depresión de pacientes con TB en un episodio depresivo mayor (EDM) en la semana 6. |
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E.2.2 | Secondary objectives of the trial |
Secondary Objectives of Special Interest are: 1. To evaluate the efficacy of JNJ-55308942 compared to placebo on symptoms of anhedonia 2. To evaluate the efficacy of JNJ-55308942 compared to placebo on symptoms of depression in participants with BD who are heterozygous or homozygous for a P2X7 GoF SNP biomarker (genetic subgroup analysis) 3. To evaluate the efficacy of JNJ-55308942 compared to placebo on symptoms of depression in participants with BD type I or BD type II (diagnosis subgroup analysis) 4. To evaluate the efficacy of JNJ-55308942 compared to placebo on symptoms of depression in subgroups of patients with specific biomarker profiles (biomarker subgroup analysis) 5. To evaluate the efficacy of JNJ-55308942 compared to placebo on symptoms of depression in a subgroup of patients with messenger ribonucleic acid (mRNA) transcript levels at baseline that exceed the median level for both P2RX7 and IL-1β |
1. Evaluar la eficacia de JNJ-55308942 en comparación con el placebo en los síntomas de anhedonia. 2. Evaluar la eficacia de JNJ-55308942 en comparación con el placebo en los síntomas de depresión en pacientes con TB que sean heterocigotos u homocigotos para el polimorfismo de nucleótido único (SNP) de ganancia de función (GoF) en rs1718119 de P2X7 (análisis de subgrupos genéticos). 3. Evaluar la eficacia de JNJ-55308942 en comparación con el placebo en los síntomas de depresión en pacientes con TB de tipo I o II (análisis de subgrupos de diagnóstico) 4. Evaluar la eficacia de JNJ-55308942 en comparación con el placebo en los síntomas de depresión en subgrupos de pacientes con perfiles de biomarcadores específicos (análisis de subgrupos de biomarcadores) 5. Evaluar la eficacia de JNJ-55308942 en comparación con el placebo en los síntomas de depresión en un subgrupo de pacientes con niveles de transcripción de ácido ribonucleico mensajero (ARNm) (más información en el Protocolo) |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Each potential participant must satisfy all of the following criteria to be enrolled in the study:
Age 1. Any gender, 18 to 64 years of age, inclusive.
Type of Participant and Disease Characteristic 2. Presence of one or two copies of a GoF SNP biomarker in the P2RX7 gene. 3. Have a primary DSM-5 diagnosis of BD (Type I or II) without psychotic features, as confirmed by the MINI. 4. Must be experiencing an MDE 5. If currently taking lithium, valproic acid, or lamotrigine mood stabilizer therapy, must have been on a stable dose for at least the 4 weeks prior to screening. 6. Medically stable on the basis of physical examination, medical history, and vital signs performed at screening. 7. Medically stable on the basis of clinical laboratory tests performed at screening.
Please refer to protocol for full inclusion criteria. |
Para ser reclutados en el estudio, los posibles pacientes deberán cumplir los criterios siguientes: Edad 1. Cualquier género, de 18 a 64 años, ambos inclusive.
Tipo de paciente y características de la enfermedad 2. Presencia de una o dos copias del alelo GoF A en rs1718119 (debe ser GA o AA en el nucleótido 1042; Ala348Thr) en el gen P2RX7. 3. Tener un diagnóstico primario DSM-5 de TB (tipo I o II) sin características psicóticas, según lo confirmado por la MINI. 4. Estar experimentando un EDM. 5. Si actualmente toma litio, ácido valproico o un tratamiento estabilizador del estado de ánimo con lamotrigina, debe haber estado tomando una dosis estable durante al menos las 4 semanas anteriores a la selección. 6. Ser estable desde el punto de vista médico de acuerdo con la exploración física, la historia clínica y las constantes vitales en el momento de la selección. 7. Ser estable desde el punto de vista médico de acuerdo con las pruebas analíticas clínicas realizadas en la selección. |
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E.4 | Principal exclusion criteria |
Any potential participant who meets any of the following criteria will be excluded from participating in the study:
Medical Conditions 1. Presence of two copies of a first LoF SNP biomarker, and/or has one or two copies of a second LoF SNP biomarker in the P2RX7 gene. 2. Based on the MINI (with Borderline Personality Disorder module) and clinical discretion, has a current DSM-5 diagnosis of: • borderline personality disorder • antisocial personality disorder • eating disorder • suicide behavior disorder • ≥ 4 episodes of mood disturbances (e.g., mania, hypomania, depressed, dysthymia, or hypomania) within the past 12 months • any psychotic disorder 3. Currently meets the DSM-5 criteria for Manic Episode (ME) on the MINI. 4. A YMRS of >12.
Please refer to protocol for full exclusion criteria. |
No podrán participar en el estudio los posibles pacientes que cumplan alguno de los siguientes criterios: Afecciones médicas: 1. Presencia de dos copias del alelo LoF C en rs3751143 (es decir, con CC en el nucleótido 1487) o una o más copias del alelo LoF A en rs1653624 (es decir, con AA o AT en el nucleótido 1703) en el gen P2RX7. 2. Según la MINI (con módulo de trastorno límite de la personalidad) y el criterio clínico, tener un diagnóstico actual según DSM-5 de: - trastorno límite de la personalidad - trastorno de personalidad antisocial - trastorno alimenticio - trastorno de conducta suicida - mayor/igual 4 episodios de alteraciones del estado de ánimo (p. ej., manía, hipomanía, depresión, distimia o hipomanía) en los últimos 12 meses - cualquier trastorno psicótico 3. Cumplir actualmente los criterios de DSM-5 para episodios maniacos (EM) en la MINI. 4. Una puntuación en YMRS mayor de 12. (más información en el Protocolo) |
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E.5 End points |
E.5.1 | Primary end point(s) |
Change in Montgomery-Åsberg Depression Rating Scale (MADRS) total score from baseline. |
Cambios en la Escala de valoración de la depresión de Montgomery-Åsberg (MADRS), respecto la puntuación del periodo de referencia. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
Secondary endpoints of Special Interest: 1. Change in Dimensional Anhedonia Rating Scale (DARS) total score from baseline 2. Change in MADRS total score from baseline
Other secondary endpoints: 3. Vital signs, clinical labs, AEs, ECG, Young Mania Rating Scale (YMRS) score, Columbia Suicide Severity Rating Scale (C-SSRS) score 4. CGI-S 5. Plasma concentrations of JNJ-55308942 6.Self-rated outcomes 7. Response and remission rates |
Objetivos secundarios de especial interés: 1. Cambio en la puntuación total de la Escala de la Evaluación Dimensional de la Anhedonia (EEDA) respecto al momento de referencia en la semana 6. 2. Cambio en la puntuación total de la Escala de valoración de la depresión de MontgomeryÅsberg (MADRS)
Otros objetivos secundarios: 3. Constantes vitales, pruebas analíticas clínicas, acontecimientos adversos, ECG, puntuación en la Escala de Young para la evaluación de la manía (YMRS), puntuación en la Escala Columbia para evaluar el riesgo de suicidio (C-SSRS). 4. CGI-S 5. Concentraciones plasmáticas de JNJ-55308942. 6. Capacidad para participar en funciones y actividades sociales. 7. Valores de respuesta y remisión. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
1, 2 and 7: At week 6 3. Throughout the study 4 and 5. Day 1 (D1), D8, D15, D29 and D43 6. D1, D8, D15, D22, D29, D36 and D43 |
1, 2 y 7: en la semana 6 3: A lo largo de todo el ensayo 4 y 5: en el Día 1 (D1), D8, D15, D29 y D43 6: D1, D8, D15, D22, D29, D36 y D43 |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Tolerability |
Tolerabilidad |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
Estratificado, estudio multicéntrico |
Stratified, multicenter study |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 10 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 17 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Russian Federation |
Ukraine |
United States |
Poland |
Spain |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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LVLS |
Última visita del último paciente |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 10 |
E.8.9.1 | In the Member State concerned days | 28 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 10 |
E.8.9.2 | In all countries concerned by the trial days | 28 |