A study of azetukalner compared to placebo for adults with moderate-to-severe major depressive disorder

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What is this study about?

This study is looking at Major Depressive Disorder, which is a mental health condition that causes persistent feelings of sadness and loss of interest in activities. The study will test a medication called azetukalner, which is also known as XPF-010. Some participants will receive azetukalner while others will receive placebo. The purpose of the study is to see if azetukalner works effectively in treating moderate-to-severe Major Depressive Disorder.

Participants will take either azetukalner capsules or placebo capsules by mouth once daily for a period of time. The dose of azetukalner that will be used is 20 milligrams per day. The study will measure changes in depression symptoms over several weeks, with particular attention to how participants feel after six weeks of treatment. The study will also look at changes in the ability to feel pleasure and overall improvement in the severity of depression symptoms.

This is a randomized, double-blind, placebo-controlled study, which means that participants will be assigned by chance to receive either the active medication or placebo, and neither the participants nor the doctors will know which treatment is being given until the study is completed. The treatment period will last up to 18 months. Participants may also continue taking their regular antidepressant medication during the study.

1 Treatment period begins

After joining the study, you will be randomly assigned to one of two groups. One group will receive azetukalner 20 mg capsules, and the other group will receive placebo capsules that look identical but contain no active ingredient.

You will not know which treatment you are receiving, and neither will your study doctor. This is called a double-blind design.

You will take your assigned capsules once daily by mouth.

2 Week 1 assessment

At Week 1, you will have an assessment to measure changes in your symptoms.

Your depression symptoms will be evaluated using a questionnaire called the HAMD-17, which is a standard tool that measures the severity of depression through 17 questions about your mood, sleep, anxiety, and other symptoms.

3 Week 6 assessments

At Week 6, you will undergo several assessments to evaluate how the treatment has affected your condition.

Your depression symptoms will be measured again using the HAMD-17 questionnaire. The change in your score from the beginning of the study to Week 6 is the main measure of whether the treatment is working.

You will also complete the SHAPS assessment, which measures your ability to experience pleasure from activities you normally enjoy. Changes in this score from the start of the study will be recorded.

Your doctor will assess your overall condition using the CGI-S scale, which rates the severity of your illness. Changes in this rating from the beginning of the study will also be recorded.

4 Continuation of daily treatment

Throughout the study period, you will continue taking your assigned capsules once daily by mouth.

The study will continue until the planned end date, which is estimated to be in July 2027.

Who Can Join the Study?

  • You must be an adult between 18 and 74 years old
  • Your first episode of major depression, which is a period of severe low mood and loss of interest in activities, must have occurred before you turned 50 years old
  • Your Body Mass Index, which is a measure of body weight in relation to height, must be 40 or less
  • You must currently meet specific medical criteria for major depressive disorder and be experiencing a major depressive episode, which will be confirmed through a structured interview
  • Your current major depressive episode must have lasted at least 6 weeks but not more than 24 months
  • Both men and women can participate in this study

Who Cannot Join the Study?

  • There are no specific exclusion criteria (reasons why you cannot join the study) listed in the available information for this clinical trial
  • However, the study doctor will review your complete medical history and current health condition to determine if you are suitable to participate
  • General safety considerations will be evaluated during the screening process (the initial check to see if you can join the study)
  • Your doctor will discuss with you any personal health factors that might affect your ability to safely participate in this research

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Praktyka Lekarska Małgorzata Wojtanowska-Bogacka Poznan Poland
Bellvitge University Hospital L'hospitalet De Llobregat Spain
Clinic Nutrimed Cercetare S.R.L. Bucharest Romania

Other Sites

Site Name City Country Status
Charite Universitaetsmedizin Berlin KöR Berlin Germany
In Vivo Sp. z o.o. Bydgoszcz Poland
INEP medical s.r.o. Prague Czechia
Clinical Medical Research Sp. z o.o. Katowice Poland
Centru De Evaluare Si Tratament A Toxicodependentelor Pentru Tineri Sf. Stelian Bucharest Romania
Liptovska Nemocnica S Poliklinikou Mudr. Ivana Stodolu Liptovsky Mikulas Liptovsky Mikulas Slovakia
Servei De Salut De Les Illes Balears Palma Spain
Clintrial s.r.o. Prague Czechia
Filip Rybakowski Specjalistyczna Praktyka Lekarska Poznan Poland
Bhzezlgbpszl Ptmkbzjj &rbfdmg Pfumvw fzo Pyijiaucdgmg Pzbfthhrkiqrubj Nupdrikdli Rosenheim Germany
Gtuvzm Uaaklljepo Fsdjfxafs Frankfurt Germany
Coshijv Bxita Kysczivdgea Pfowyzdl Slg z ojvs Gdansk Poland
Ihikprckga Ppakku dq Cosxnhhuc Mmvxpesyyhu poogrb Bbrf Ahmhmrvciq Exzaygonp se Rypx Craiova Romania
Dviz Ibtcdgrjglilny stqzj ssguoxh Banska Bystrica Slovakia
Onhe Maejvhbcdp Oo Oulu Finland
Htybosxe Vcgi diajjwut Barcelona Spain
Spgoht Tvbtqpqxske Op Turku Finland

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Czechia Czechia
Not yet recruiting
27.02.2026
Finland Finland
Recruiting
27.02.2026
Germany Germany
Not yet recruiting
27.02.2026
Poland Poland
Recruiting
27.02.2026
Romania Romania
Recruiting
27.02.2026
Slovakia Slovakia
Recruiting
27.02.2026
Spain Spain
Recruiting
27.02.2026

Trial locations

Investigated drugs:

Azetukalner is an investigational medication being studied for the treatment of moderate-to-severe major depressive disorder. Major depressive disorder is a mental health condition that causes persistent feelings of sadness and loss of interest in daily activities. This medication is taken once daily and is being tested to see if it can help improve symptoms of depression.

Placebo is an inactive substance that looks like the real medication but contains no active treatment. It is used in this study to compare against azetukalner to help researchers determine if the medication is truly effective. Some participants will receive the placebo instead of the active medication.

Major Depressive Disorder – Major Depressive Disorder is a mental health condition characterized by persistent feelings of sadness, emptiness, and loss of interest in activities that were once enjoyable. People with this disorder experience these symptoms for at least two weeks, affecting their daily functioning and quality of life. The condition involves changes in sleep patterns, appetite, energy levels, and concentration. Individuals may also experience feelings of worthlessness or excessive guilt. The disorder can occur as a single episode or recur multiple times throughout a person’s life. Without proper care, symptoms may persist for months or even years, significantly impacting personal relationships, work performance, and overall well-being.

Trial ID:
2025-523202-32-00
Protocol code:
XPF-010-D302
NCT ID:
NCT07076407
Trial Phase:
Therapeutic confirmatory (Phase III)

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