Overview
Sponsor-declared trial summary
Major Depressive Disorder (MDD), with or without Anxious Distress
To evaluate the safety and tolerability of oral doses of SPT 300 in participants with MDD, with or without anxious distress
Key facts
- Sponsor
- Seaport Therapeutics Inc.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Psychiatry and Psychology [F] - Mental Disorders [F03]
- Trial duration
- 26 Nov 2025 → ongoing
- Decision date (initial)
- 2025-11-11
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- Seaport Therapeutics · Seaport Therapeutics
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy, Others, Safety, Efficacy
To evaluate the safety and tolerability of oral doses of SPT 300 in participants with MDD, with or without anxious distress
Secondary objectives 1
- To further evaluate the effectiveness of SPT-300 as monotherapy in participants with MDD, with or without anxious distress, with respect to the following: o Depressive symptoms o Anxiety symptoms o Overall illness severity o Overall functioning o Quality of life
Conditions and MedDRA coding
Major Depressive Disorder (MDD), with or without Anxious Distress
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | LLT | 10081270 | Major depressive disorder | 10037175 |
Regulatory references
- Plan to share IPD
- No
| EU CT number | Title | Sponsor |
|---|---|---|
| 2025-521240-37-00 | A Randomized, Parallel-Group, Double-Blind, Placebo-Controlled, Monotherapy Study of the Efficacy, Safety, and Tolerability of SPT-300 in Adults with Major Depressive Disorder (MDD), with or without Anxious Distress | Seaport Therapeutics Inc. |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Participant who completed treatment in Study SPT-300-2024-203-OUS (ie, participant who competed Visit 6 [Day 42] of Study SPT-300-2024-203-OUS)
- Participant must be able, willing, and have capacity to provide written informed consent prior to any study procedures and should agree to comply with the requirements and restrictions listed in the informed consent form (ICF) and in the protocol.
- Women of childbearing potential (WOCP) must not plan to become pregnant during the course of the study or be currently breastfeeding. WOCP must agree to use at least an acceptable form of highly effective contraception during participation in the study and for 30 days after receiving the last dose of study treatment.
- Male participants and their female partners should agree to use at least an acceptable method of effective contraception for the duration of study and for at least 30 days after receiving the last dose of the study treatment.
- Participant is willing and able to refrain from the use of drugs of abuse (including recreational cannabinoids/medical cannabinoids) and alcohol for the duration of the study.
- Willing and able to comply with the scheduled visits, treatment plan, laboratory tests, and other study procedures and requirements.
Exclusion criteria 3
- Participants who, in the opinion of the Investigator, medical monitor, or Sponsor, should not participate in the study.
- Participants who, in the judgment of the Investigator, were noncompliant with trial procedures or with study treatment administration during the double-blind study.
- Female participants with a positive urine pregnancy test result. Female participants may be enrolled without a negative urine test if they are surgically sterile or at least 2 years post-menopause.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- Incidence, severity, and duration of treatment-emergent adverse events, serious adverse events, and incidence of clinically significant vital signs, electrocardiograms, safety laboratory, and physical examination findings
- Suicidal ideation and behavior using the Columbia Suicide Severity Rating Scale
Secondary endpoints 1
- Change from Baseline to Visit 6 (Study Day 42) in the following: • HAM-D-17 total score • CGI-S • Hamilton Anxiety Rating Scale • PGI-S • Sheehan Disability Scale • The Quality of Life, Enjoyment, and Satisfaction Questionnaire-Short Form
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD12241179 · Product
- Active substance
- Brexanolone Caprilcerbate
- Substance synonyms
- 1-[1,3-Bis(octanoyloxy)propan-2-yl]5-[({[(20-oxo-5-alfa-pregnan-3-alfa-yl)oxy]carbonyl}oxy)methyl]3-methylpentanedioate
- Pharmaceutical form
- CAPSULE
- Route of administration
- ORAL
- Max daily dose
- 375 mg milligram(s)
- Max total dose
- 375 mg milligram(s)
- Max treatment duration
- 6 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- SEAPORT THERAPEUTICS, INC.
- Paediatric formulation
- No
- Orphan designation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Seaport Therapeutics Inc.
- Sponsor organisation
- Seaport Therapeutics Inc.
- Address
- 101 Seaport Boulevard Floor 12
- City
- Boston
- Postcode
- 02210-2149
- Country
- United States
Scientific contact point
- Organisation
- Seaport Therapeutics Inc.
- Contact name
- Clinical trial information desk
Public contact point
- Organisation
- Seaport Therapeutics Inc.
- Contact name
- Clinical trial information desk
Third parties 13
| Organisation | City, country | Duties |
|---|---|---|
| Catalent Cts (Edinburgh) Limited ORG-100011832
|
Bathgate, United Kingdom | Other |
| Block Clinical Inc. ORG-100048643
|
San Diego, United States | Other |
| Medidata Solutions Inc. ORG-100016256
|
New York, United States | E-data capture |
| Eresearchtechnology Inc. ORG-100013039
|
Philadelphia, United States | Other |
| YES Print ORL-000013530
|
Hants, United Kingdom | Other |
| Celerion Inc. ORG-100029202
|
Lincoln, United States | Laboratory analysis |
| Catalent Germany Schorndorf GmbH ORG-100011845
|
Schorndorf, Germany | Other |
| The Doctors Laboratory Limited ORG-100012670
|
London, United Kingdom | Laboratory analysis |
| Etymax Limited ORG-100047823
|
London, United Kingdom | Other |
| Premier Research Group S.L. ORG-100013963
|
Madrid, Spain | On site monitoring, Code 11, Code 12, Code 13, Code 2, Code 5, Data management, E-data capture, Code 8 |
| Acm Global Central Laboratory Limited ORG-100042459
|
York, United Kingdom | Laboratory analysis |
| Signant Health Global Solutions Limited ORG-100047290
|
Dublin 2, Ireland | Other |
| EMA Wellness LLC ORG-100052335
|
Norwood, United States | Other |
Locations
7 EU/EEA countries · 35 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Bulgaria | Ongoing, recruiting | 33 | 4 |
| Czechia | Ongoing, recruiting | 45 | 6 |
| Germany | Ongoing, recruiting | 22 | 4 |
| Hungary | Authorised, recruitment pending | 20 | 4 |
| Poland | Ongoing, recruiting | 87 | 13 |
| Romania | Authorised, recruitment pending | 20 | 1 |
| Slovakia | Ongoing, recruiting | 23 | 3 |
| Rest of world
United States
|
— | 129 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Bulgaria | 2025-12-23 | 2026-01-05 | |||
| Czechia | 2025-11-26 | 2026-01-13 | |||
| Germany | 2026-02-26 | 2026-03-26 | |||
| Poland | 2025-12-10 | 2025-12-16 | |||
| Slovakia | 2026-03-11 | 2026-04-01 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 133 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_ Protocol 2025-522347-18-00_Redacted | 2.0-OUS |
| Protocol (for publication) | D4_Patient facing document copyright statement_C-SSRS-Since Last Visit_BUL | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_C-SSRS-Since Last Visit_CZE | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_C-SSRS-Since Last Visit_DEU | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_C-SSRS-Since Last Visit_ENG | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_C-SSRS-Since Last Visit_HUN | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_C-SSRS-Since Last Visit_ROM | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_C-SSRS-Since Last Visit_SVK | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_ESS_BUL | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_ESS_CZE | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_ESS_DEU | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_ESS_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_ESS_HUN | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_ESS_ROM | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_ESS_SVK | N/A |
| Protocol (for publication) | D4_Patient facing document copyright statement_HAM-A_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_OASIS_BUL | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_OASIS_CZE | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_OASIS_DEU | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_OASIS_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_OASIS_HUN | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_OASIS_ROM | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_OASIS_SVK | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_PSQI_BUL | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_PSQI_CZE | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_PSQI_DEU | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_PSQI_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_PSQI_HUN | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_PSQI_ROM | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_PSQI_SVK | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_PWC-20_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_Q-LES-Q-SF_BUL | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_Q-LES-Q-SF_CZE | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_Q-LES-Q-SF_DEU | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_Q-LES-Q-SF_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_Q-LES-Q-SF_HUN | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_Q-LES-Q-SF_ROM | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_Q-LES-Q-SF_SVK | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SDS_BUL | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SDS_CZE | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SDS_DEU | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SDS_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SDS_HUN | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SDS_ROM | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SDS_SVK | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_Past Week_BUL | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_Past Week_CZE | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_Past Week_DEU | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_Past Week_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_Past Week_HUN | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_Past Week_ROM | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_Past Week_SVK | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_SLE_BUL | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_SLE_CZE | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_SLE_DEU | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_SLE_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_SLE_HUN | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_SLE_ROM | 1.0 |
| Protocol (for publication) | D4_Patient facing document copyright statement_SIGH-D_SLE_SVK | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_CGI-S_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PGI-S | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PGI-S | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PGI-S | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PGI-S_CZE | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PGI-S_ENG | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PGI-S_ROM | 1.0 |
| Protocol (for publication) | D4_Patient facing documents_PGI-S_SVK | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed Consent Procedure | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and informed consent procedure | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed consent procedure_CZE | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed Consent Procedure_ENG | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment and Informed Consent Procedure_ROM | 2.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 2.0 |
| Recruitment arrangements (for publication) | K2_Recruitment material_GP Letter_Redacted | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_EMA Wellness Content General_ENG | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_EMA Wellness Content General_ROM | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_EMA Wellness Mobile App_Screenshots_ENG | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_EMA Wellness Participant Handout_ENG | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_EMA Wellness Participant Handout_ROM | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_EMA WellnessMobileApp_Screenshots_ROM | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_GP letter_CZE_Redacted | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_GP Letter_ENG_Redacted | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_GP Letter_Redacted | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_GP Letter_ROM_Redacted | 1.0 |
| Recruitment arrangements (for publication) | K2_Recruitment materials_GP letter_SVK_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_ICF_Data processor consent_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_BG_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main_ENG_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Block Clinical ICF_ENG | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Block Clinical ICF_ROM | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Caregiver ICF_BG_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Caregiver ICF_ENG_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Data Processor Consent_ICF | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Data Processor_BG | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Data Processor_ENG | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Data Processor_SVK | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DEU_Data Processor Consent_ger | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DEU_Main ICF_ger_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DEU_Pregnancy ICF_ger | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_DEU_Study Companion ICF_ger_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main Combined_CZE_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_ENG_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main ICF_ROM_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_SVK_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PIS GDPR Caregiver_CZE_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PIS GDPR Caregiver_SVK_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PIS GDPR Participant_CZE_Redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PIS GDPR Participant_SVK_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PP ICF_BG_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_PP ICF_ENG_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_CZE_Redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_SVK | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner ICF | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner ICF_ENG | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant Partner ICF_ROM | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnant-Partner | 2.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient Card | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient Card_ENG | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient Card_ROM | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Patient card_SVK | 1.0 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Subject emergency card | 2.0 |
| Synopsis of the protocol (for publication) | D1_Plain language protocol synopsis_2025-522347-18-00_BUL | 2.0-OUS |
| Synopsis of the protocol (for publication) | D1_Plain language protocol synopsis_2025-522347-18-00_CZE | 2.0-OUS |
| Synopsis of the protocol (for publication) | D1_Plain language protocol synopsis_2025-522347-18-00_ENG | 2.0-OUS |
| Synopsis of the protocol (for publication) | D1_Plain language protocol synopsis_2025-522347-18-00_HUN | 2.0-OUS |
| Synopsis of the protocol (for publication) | D1_Plain language protocol synopsis_2025-522347-18-00_POL | 2.0-OUS |
| Synopsis of the protocol (for publication) | D1_Plain language protocol synopsis_2025-522347-18-00_ROM | 2.0-OUS |
| Synopsis of the protocol (for publication) | D1_Plain language protocol synopsis_2025-522347-18-00_SVK | 2.0-OUS |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_2025-522347-18-00_HUN_Redacted | 2.0-OUS |
Application history
6 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-07-22 | Germany | Acceptable 2025-11-06
|
2025-11-06 |
| 2 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-11-19 | Acceptable | 2026-02-23 | |
| 3 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-11-20 | Germany | Acceptable | 2025-12-04 |
| 4 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-12-09 | Acceptable | 2026-01-30 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-7 | 2026-02-25 | Acceptable | 2026-02-26 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-6 | 2026-03-13 | Acceptable | 2026-04-28 |