All studies
Active not recruitingPHASE3INTERVENTIONAL

Efficacy, Safety, and Tolerability of Two Administrations of COMP360 in Participants With TRD

This study, called "Efficacy, Safety, and Tolerability of Two Administrations of COMP360 in Participants With TRD," is testing a new treatment, COMP360, for people aged 18 and over who have depression that hasn't responded to at least two other types of antidepressant medication. This is known as Treatment Resistant Depression (TRD). The study wants to find out how well COMP360 works to improve depression symptoms, how safe it is, and if people can tolerate it. Participants will receive two doses of COMP360 at different strengths, or a very low dose, along with psychological support. The study will follow participants for about 62 weeks to track their progress and side effects.

At a glance

Status
Active not recruiting
Phase
PHASE3
Sponsor
COMPASS Pathways
Enrolment target
572
Start
14 Feb 2023
Estimated completion
01 Dec 2026

What is this study about?

This research is looking into a new approach for people who are struggling with depression that hasn't gotten better with standard treatments. This type of depression is called Treatment Resistant Depression, or TRD. The study is particularly interested in a medication called COMP360, which contains a substance called psilocybin. The main goal is to see if taking COMP360, alongside psychological support, can help significantly reduce the symptoms of depression in adults with TRD. They also want to understand if the treatment is safe and easy for people to handle.

To get clear results, this study is set up as a 'Phase 3' trial, which means it’s a later stage of research involving a larger number of people. It's designed to be 'double-blind,' meaning neither the patients nor their doctors will know whether they are receiving the actual COMP360 treatment or a very low dose that acts as a comparison. This helps make sure the results are fair and aren't influenced by what people expect.

About 568 participants will be involved, and they'll be divided into groups to receive either a 25 mg dose of COMP360, a 10 mg dose, or a very low 1 mg dose. Participants will receive two doses in total. The study will last for roughly 62 weeks, which includes check-ups and follow-up periods over many months to see how people are doing in the long term after their treatment.

Key takeaways

  • This study explores a new treatment (COMP360) for severe depression not helped by other therapies.
  • It aims to see how effective and safe COMP360 is when given twice, alongside support.
  • Participants will be aged 18 or older with persistent depression symptoms.
  • The study is 'double-blind,' meaning you won't know if you're getting the active treatment or a low comparison dose.
  • You'd be followed for about 62 weeks to check your progress and well-being.

Who may be eligible?

To be considered for this study, you need to be at least 18 years old. You must have major depression, and your depression shouldn't involve any symptoms of psychosis (like hallucinations or delusions). Specifically, your depression must be considered "treatment resistant," meaning you've tried and not responded well to at least two to four different antidepressant medications for your current episode of depression.

There are also some reasons why you wouldn't be able to join. For example, if you have ever been diagnosed with bipolar disorder, schizophrenia, or certain other serious mental health conditions like ongoing PTSD or severe eating disorders, you wouldn't be eligible. Also, if you've been in hospital for a psychiatric reason in the last year, or have received treatments like electroconvulsive therapy (ECT) recently for your current depression episode, you wouldn't be able to take part.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 18 years old or older?
  2. Have you been diagnosed with major depression without psychotic symptoms?
  3. Has your depression not improved after trying at least two different antidepressant medications?
  4. Do you agree to stop any forbidden medications during the study?
  5. Have you *not* been diagnosed with conditions like bipolar disorder, schizophrenia, or severe ongoing PTSD?
  6. Have you *not* been in hospital for mental health reasons in the past year?
Answer every question to see your result.

What does participation involve?

If you decide to join this study, your journey will be split into three main parts, lasting about 62 weeks in total. First, there's a screening period of three to ten weeks where doctors will check if the study is right for you. If you qualify, you'll be assigned to one of three groups to receive two administrations of COMP360 (at 25mg, 10mg, or 1mg) along with psychological support.

After receiving the first study treatment, you'll have check-ups and follow-ups. Part A involves a nine-week follow-up. Part B extends this follow-up to 26 weeks from your first treatment. Finally, Part C will follow your progress for a full 52 weeks after your initial treatment. Throughout this time, you will have regular visits with the study team for assessments, which will help them understand how you are responding to the treatment and to monitor your well-being.

Potential risks and benefits

Taking part in any medical study has potential benefits and risks. You might benefit from the new experimental treatment, which could help your depression symptoms improve, especially if other treatments haven't worked. You would also be closely monitored by a medical team. However, COMP360, like any medication, may have side effects, and some may be unexpected. The specific risks will be fully explained before you decide to join. It's important to remember that you are free to stop participating in the study at any time, for any reason, without it affecting your medical care.

Locations (116)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Lighthouse Psychiatry Scottsdale
    Verified postcode
    Gilbert, United States
  • Clinical Innovations, Inc.
    Verified postcode
    Bellflower, United States
  • M3 Wake Research
    Verified postcode
    Encino, United States
  • The Regents of the University of California - San Diego
    Verified postcode
    La Jolla, United States
  • Kadima Neuropsychiatry Institute
    Verified postcode
    La Jolla, United States
  • CalNeuro Research Group, Inc
    Verified postcode
    Los Angeles, United States
  • Catalina Research Institute, LLC
    Verified postcode
    Montclair, United States
  • Piedmont Hospital Neuroscience Centre
    Verified postcode
    Oakland, United States
  • ATP Clinical Research, Inc.
    Verified postcode
    Orange, United States
  • CITrials
    Verified postcode
    Riverside, United States
  • Lumos Clinical Research Center
    Verified postcode
    San Jose, United States
  • Syrentis Clinical Research
    Verified postcode
    Santa Ana, United States

Common questions

What is Treatment Resistant Depression (TRD)?

TRD is when your depression hasn't gotten better even after trying at least two different antidepressant medications at appropriate doses and for long enough.

What is COMP360?

COMP360 is the experimental medication being tested in this study, which contains psilocybin. Researchers want to see if it can help improve depression symptoms.

Will I know if I'm getting the real treatment?

No, this is a 'double-blind' study, meaning neither you nor your study doctor will know whether you are receiving one of the active doses of COMP360 or the very low comparison dose.

How long does the study last?

The study will last about 62 weeks in total, including screening and follow-up periods after your treatment.

Do I get psychological support in the study?

Yes, COMP360 will be given alongside psychological support as part of the study.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Discussion

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