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A Study of Seltorexant as Monotherapy in Adults and Elderly Participants With Major Depressive Disorder

Depressive Disorder, Major
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#42847922MDD3011
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A Study of Seltorexant as Monotherapy in Adults and Elderly Participants With Major Depressive Disorder

The main purpose of this study is to assess how well the study drug (JNJ-42847922) works (efficacy) compared with placebo in improving depressive symptoms in participants with major depressive disorder ([MDD], a common mood disorder that causes a lasting feeling of sadness and a loss of interest in everyday activities) in double-blind treatment phase. Further, to evaluate long-term safety and tolerability of JNJ-42847922 in participants with MDD in the open label treatment phase.

Primary outcome measures

  • Double Blind (DB) Treatment Phase: Change from Baseline in Montgomery-Asberg Depression Rating Scale (MADRS) Total Score in Participants with Major Depressive Disorder with Moderate-to-Severe Insomnia Symptoms (MDDIS)
  • Open-Label (OL) Treatment Phase: Number of Participants with Adverse Events Including Adverse Event of Special Interests (AESIs)
  • OL Treatment Phase: Number of Participants with Vital Signs Abnormalities
  • OL Treatment Phase: Number of Participants with Suicidality Assessment using Columbia-Suicide Severity Rating Scale (C-SSRS)
  • OL Treatment Phase: Number of Participants with Withdrawal Symptoms Assessment Using Physician Withdrawal Checklist (PWC-20)
  • OL Treatment Phase: Number of Participants with Abnormalities in Electrocardiogram (ECG)
  • OL Treatment Phase: Number of Participants Reporting Sexual Functioning using Arizona Sexual Experiences Scale (ASEX)
  • OL Treatment Phase: Change from Baseline in the Body Weight
  • OL Treatment Phase: Change from Baseline in the Body Mass Index (BMI)
  • OL Treatment Phase: Change from Baseline in the Waist Circumference
  • OL Treatment Phase: Number of Participants with Abnormalities in Clinical Laboratory Parameters

Secondary outcome measures

  • DB Treatment Phase: Change from Baseline in MADRS-Without Sleep Item (WOSI) Total Score
  • DB Treatment Phase: Change from Baseline in Sleep Disturbance using Patient Reported Outcome Measurement Information System-Sleep Disturbance (PROMIS-SD) Short Form 10a(8a + 2a ) T-score
  • DB Treatment phase: Change from Baseline in MADRS-6 Total Score
  • DB Treatment Phase: Proportion of Participants with Response on Depressive Symptoms Scale
  • DB Treatment Phase: Change from Baseline in Sleep Disturbance using PROMIS-SD Short Form 8a T-Score
  • DB Treatment Phase: Change from Baseline in Patient Health Questionnaire 9-Item (PHQ-9) Total Score
  • DB Period: Change from Baseline in Work Productivity and Activity Impairment Questionnaire, Depression (WPAI-D) Scores
  • OL Treatment Phase: Change from Baseline Over Time in MADRS Total Score
  • OL Treatment Phase: Change from Baseline Over Time in Clinical Global Impression-Severity (CGI-S) Score
  • OL Treatment Phase: Change from Baseline Over Time in MADRS-WOSI Total Score
  • OL Treatment Phase: Change from Baseline Over Time in Sleep Disturbance using PROMIS-SD Short Form 10a(8a+2a) T-score
  • OL Treatment Phase: Change from Baseline in Work Productivity and Activity Impairment-Questionnaire Depression (WPAI-D) Score
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