New depression pill shows promise in Late-Stage trial
NCT ID NCT06963021
First seen Jun 27, 2026 · Last updated Aug 11, 2026 · Updated 2 times
Summary
This Phase 3 trial is testing whether an experimental drug called NBI-1065845 can help reduce depression symptoms in adults who haven't responded well to standard antidepressants. About 200 participants will take either the drug or a placebo alongside their current antidepressant for 8 weeks. The main goal is to see if the drug improves mood and daily functioning more than placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- NBI-1065845 (also known as TAK-653) tablets
- What this could lead to
- If it works, this could provide a new option for people with depression who don't get enough relief from current antidepressants alone.
- What could go wrong
- This is still an experimental drug, and previous studies may have shown mixed results. Even if effective, it is meant as an add-on, not a standalone cure, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2025
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Participant has a primary diagnosis of recurrent MDD (moderate or severe) or persistent depressive disorder. * Participant has had an inadequate response to oral antidepressant treatments in the current episode of depression. * Participant must have been taking oral antidepressants for at least 8 weeks and is willing to continue the same oral antidepressants at the same dose and frequency of administration throughout participation in the study. * Total Hamilton Depression Rating Scale-17 Item (HAM-D17) score ≥22 at screening and at study baseline (Day 1). * Willing and able to comply with all study procedures and restrictions in the opinion of the investigator. Key Exclusion Criteria: * A current or prior psychiatric disorder diagnosis in the last 1 year that was the primary focus of treatment other than MDD. * Are considered by the investigator to be at imminent risk of suicide or injury to self or others. * Participants depressive symptoms have previously demonstrated nonresponse to electroconvulsive therapy (ECT) in the current major depressive episode.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
28 sites in 7 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Neurocrine Clinical Site
RECRUITINGChino, California, 91710, United States
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Neurocrine Clinical Site
RECRUITINGLos Angeles, California, 90025, United States
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Neurocrine Clinical Site
RECRUITINGStanford, California, 94305, United States
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Neurocrine Clinical Site
RECRUITINGAurora, Colorado, 80045, United States
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Neurocrine Clinical Site
ACTIVE_NOT_RECRUITINGCromwell, Connecticut, 06416, United States
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Neurocrine Clinical Site
ACTIVE_NOT_RECRUITINGFarmington, Connecticut, 06030, United States
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Neurocrine Clinical Site
RECRUITINGMaitland, Florida, 32751, United States
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Neurocrine Clinical Site
RECRUITINGMiami, Florida, 33136, United States
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Neurocrine Clinical Site
WITHDRAWNTampa, Florida, 33613, United States
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Neurocrine Clinical Site
ACTIVE_NOT_RECRUITINGGaithersburg, Maryland, 20877, United States
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Neurocrine Clinical Site
RECRUITINGCedarhurst, New York, 11516, United States
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Neurocrine Clinical Site
ACTIVE_NOT_RECRUITINGNew York, New York, 10029, United States
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Neurocrine Clinical Site
RECRUITINGNew York, New York, 10128, United States
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Neurocrine Clinical Site
RECRUITINGCharlotte, North Carolina, 28211, United States
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Neurocrine Clinical Site
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Neurocrine Clinical Site
ACTIVE_NOT_RECRUITINGAlken, 3570, Belgium
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Neurocrine Clinical Site
RECRUITINGBruges, 8310, Belgium
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Neurocrine Clinical Site
RECRUITINGMechelen, 2800, Belgium
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Neurocrine Clinical Site
RECRUITINGToronto, Ontario, M5B 1W8, Canada
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Neurocrine Clinical Site
RECRUITINGVerdun, H4H 1R3, Canada
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Neurocrine Clinical Site
RECRUITINGKuopio, 70110, Finland
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Neurocrine Clinical Site
RECRUITINGOulu, 90100, Finland
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Neurocrine Clinical Site
RECRUITINGTampere, 33210, Finland
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Neurocrine Clinical Site
RECRUITINGBudapest, 1036, Hungary
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Neurocrine Clinical Site
RECRUITINGBudapest, 1083, Hungary
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Neurocrine Clinical Site
RECRUITINGBudapest, 1135, Hungary
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Neurocrine Clinical Site
RECRUITINGGyöngyös, 3200, Hungary
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Neurocrine Clinical Site
ACTIVE_NOT_RECRUITINGKalocsa, 6300, Hungary
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Neurocrine Clinical Site
RECRUITINGJelgava, LV-3008, Latvia
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Neurocrine Clinical Site
RECRUITINGLiepāja, LV-3401, Latvia
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Neurocrine Clinical Site
RECRUITINGSigulda, LV-2150, Latvia
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Neurocrine Clinical Site
RECRUITINGLondon, SE5 8AZ, United Kingdom
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Neurocrine Clinical Site
RECRUITINGSalford, M6 8HD, United Kingdom
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Neurocrine Clinical Site
RECRUITINGSheffield, S5 7JT, United Kingdom
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Neurocrine Clinical Site
RECRUITINGSouthampton, SO30 3JB, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Targeting the brain's reward system: a new test for depression treatment
- Can brain activity reveal why some people with depression lose motivation and pleasure?
- A brain stimulation trial aims to rewire the circuit behind depression
- Can sound, heat, and pressure rewire the depressed brain?
- Can two natural supplements boost antidepressants?
- Can a short talk therapy boost TB recovery?