A Study to Assess the Efficacy, Safety and Tolerability of VLS-01 Buccal Film, Compared to Placebo in Patients With Treatment Resistant Depression (ELUMINA)
This Phase II, randomised, triple-blind, placebo-controlled trial (n=142) is evaluating VLS-01, a buccal film formulation of DMT, in adults with treatment-resistant depression. Participants receive VLS-01 or matching placebo twice, with administrations separated by 2 weeks, followed by 12 weeks of monitoring for the onset and durability of antidepressant effects. The primary outcome is change from baseline in Montgomery-Åsberg Depression Rating Scale total score at Day 29, with a key secondary assessment at Day 43 and safety monitoring through Day 113. After the placebo-controlled period, participants are re-randomised to receive one additional active VLS-01 administration at one of two dose strengths.
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Detailed Description
This Phase 2 study (protocol number VLS-01-203) will determine the efficacy, safety, and tolerability of short-term treatment with a VLS-01 transmucosal buccal film (VLS-01-BU) in patients with treatment resistant Major Depressive disorder (TRD) and will characterize the onset and durability of antidepressant effects of VLS-01-BU versus placebo.
Study Arms & Interventions
VLS-01-BU
experimentalInterventions
- DMTvia Other• two administrations, 2 weeks apart• 2 doses total
Buccal transmucosal VLS-01 (DMT); a third active dose follows re-randomisation after the controlled period.
Placebo (matched to VLS-01-BU)
inactiveInterventions
- Placebovia Other• two administrations, 2 weeks apart• 2 doses total
Buccal transmucosal placebo during the controlled treatment period.
Participants
Inclusion Criteria
- Participant must be 18 to 65 years of age inclusive at the time of signing the Informed Consent.
- Has a diagnosis of recurrent moderate or severe MDD without psychotic features or single- episode MDD with duration greater than or equal to 3 months without psychotic features and is currently experiencing a major depressive episode.
- Onset of first episode of MDD occurred before age 55.
- Has not responded to an adequate dose and duration of at least two and no more than five antidepressant medications for the current depressive episode, as determined by the Massachusetts General Hospital Antidepressant Treatment Response Questionnaire (MGH- ATRQ).
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.
Exclusion Criteria
- Has a current or prior DSM-5-TR diagnosis of a schizophrenia spectrum and other psychotic disorder, substance/medication-induced psychotic disorder, bipolar and related disorder, or any disorder with psychotic features.
- Has a moderate or severe substance use disorder (drug, alcohol, or tobacco) within the 6 months before Screening and/or history of moderate or severe substance use disorder (drug alcohol) within the previous 1 year before Screening
- Has a history of, or current signs and symptoms of, diseases or conditions that would make participation not be in the best interest (e.g., compromise the wellbeing) of the participant or that could prevent, limit, or confound the protocol-specified assessments.
- Has suicidal ideation with some intent to act within 6 months before Screening or a history of suicidal behavior within the past 1 year before Screening.
- Has a history of clinically significant cardiovascular, cerebrovascular, or peripheral vascular disease or condition, including but not limited to unstable angina, myocardial infarction, congestive heart failure, cardiac arrhythmia, valvular heart disease, obstructive coronary artery disease, hypertension, hypotension, bradycardia, tachycardia, or risk factors for long QT Syndrome.
- Has an active malignancy, or history of malignancy, excluding basal or squamous cell carcinoma of the skin, within 2 years before Screening.
- Has any known allergy or hypersensitivity to VLS-01 or to any of the excipients in the formulation.
- Has recently initiated and is currently undergoing directive psychotherapy (e.g., cognitive behavioral therapy, interpersonal psychotherapy, psychodynamic psychotherapy) within the past 30 days before Screening. Participants planning to initiate individual or group therapy during the study are also not eligible.
- Has received any prohibited therapies.
- Has clinically significant laboratory abnormalities at Screening.
Study Protocol, Arms & Participants
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Study Details
- StatusRecruiting
- PhasePhase II
- Typeinterventional
- DesignRandomizedtriple Blind
- Target Enrollment142 participants
- TimelineStart: 2024-12-30End: 2026-08-30
- Compounds
- Topic
Study Team
Sponsors & Collaborators
- AtaiBeckleyPrimary Sponsor
Locations
Recent activity
- StartedA Study to Assess the Efficacy, Safety and Tolerability of VLS-01 Buccal Film, Compared to Placebo in Patients… (NCT06524830, dmt)
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