Life sciences · Phase 3 Trial
ClinicalTrials.gov · October 1, 2026
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Phase 3 Trial.
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Registry record from ClinicalTrials.gov (NCT07573176). This is a study registration, not published results. Lead sponsor: Janssen Research & Development, LLC. Recruitment status: RECRUITING. Phase: PHASE3. Study type: INTERVENTIONAL. Enrollment: 600 participants (ESTIMATED). Conditions: Depressive Disorder, Major. Interventions: DRUG: Seltorexant; DRUG: Placebo. 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) , Baseline up to Day 43; Open-Label (OL) Treatment Phase: Number of Participants with Adverse Events Including Adverse Event of Special Interests (AESIs) , OL Baseline (Day 43) Up to 6 months; OL Treatment Phase: Number of Participants with Vital Signs Abnormalities , OL Baseline (Day 43) Up to 6 months; OL Treatment Phase: Number of Participants with Suicidality Assessment using Columbia-Suicide Severity Rating Scale (C-SSRS) , OL Baseline (Day 43) Up to 6 months; OL Treatment Phase: Number of Participants with Withdrawal Symptoms Assessment Using Physician Withdrawal Checklist (PWC-20) , End of Treatment/Early withdrawal to end of the Follow-up visit (up to 14 days); OL Treatment Phase: Number of Participants with Abnormalities in Electrocardiogram (ECG) , OL Baseline (Day 43) up to 6 months; OL Treatment Phase: Number of Participants Reporting Sexual Functioning using Arizona Sexual Experiences Scale (ASEX) , Up to 6 months; OL Treatment Phase: Change from Baseline in the Body Weight , OL Baseline (Day 43) up to 6 months; OL Treatment Phase: Change from Baseline in the Body Mass Index (BMI) , OL Baseline (Day 43) up to 6 months; OL Treatment Phase: Change from Baseline in the Waist Circumference , OL Baseline (Day 43) up to 6 months; OL Treatment Phase: Number of Participants with Abnormalities in Clinical Laboratory Parameters , OL Baseline (Day 43) up to 6 months. Brief summary: 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.