A Phase 3 Trial of DT120 for Major Depressive Disorder (Ascend)
This Phase III, randomised, double-blind, placebo-controlled trial (n=165) will evaluate the efficacy and safety of oral DT120 (LSD) in adults aged 18 to 74 years with major depressive disorder (MDD). Participants will be assigned to placebo, 50µg DT120 or 100µg DT120, with the main efficacy measure being change from baseline in Montgomery-Åsberg Depression Rating Scale (MADRS) total score at Week 6. The study includes a 12-week single-dose treatment period in Part A, followed by a 40-week open-label extension in Part B. Adults must have a DSM-5-confirmed diagnosis of MDD, a current major depressive episode lasting 8 weeks to 24 months, a MADRS score of at least 26 and a Clinical Global Impression-Severity (CGI-S) score of at least 4 at screening and baseline. During the extension phase, participants may receive open-label retreatment with DT120 based on pre-specified safety and symptom severity criteria, and will be monitored for efficacy and safety.
Detailed Description
A Phase 3 Double-blind, Placebo-controlled Study (Part A) with an Open-label Extension (Part B) Evaluating DT120 Compared to Placebo in Major Depressive Disorder - Ascend
Study Arms & Interventions
Arm 1 - Placebo
inactiveA substance that is designed to have no therapeutic value
Interventions
- Placebo• single dose• 1 doses total
Arm 2 - 50µg DT120
inactiveA psychoactive substance that mediates effects mainly through an agonist activity in the serotonin 2A receptor (5-HT2A)
Interventions
- Placebo50• single dose• 1 doses total
Unmatched intervention treated as placebo placeholder: DT120
Arm 3 - 100µg DT120
experimentalA psychoactive substance that mediates effects mainly through an agonist activity in the serotonin 2A receptor (5-HT2A)
Interventions
- Placebo50• single dose• 1 doses total
Unmatched intervention treated as placebo placeholder: DT120
Participants
Inclusion Criteria
- 1. Diagnosis of MDD per DSM-5
- 2. Male or female aged 18 to 74
- 3. Currently experiencing a major depressive episode (MDE) of ≥8 weeks and ≤24 months duration
- 4. MADRS Total Score ≥26
- 5. CGI-S Score ≥4
Exclusion Criteria
- 1. Certain psychiatric disorders (other than major depressive disorder)
- 2. First degree relative with or lifetime history of a psychotic disorder or bipolar disorder
- 3. Current diagnosis of alcohol or substance use disorder (excluding nicotine and caffeine
- 4. Any clinically significant unstable illness
Study Details
- StatusRecruiting
- PhasePhase III
- Typeinterventional
- DesignRandomizedtriple Blind
- Target Enrollment165 participants
- TimelineStart: 2026-05-10End: 2028-06-01
- Compounds
- Topic
Study Team
Sponsors & Collaborators
- Definium TherapeuticsPrimary Sponsor