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OpenTrials
Enrolling by Invitation

NCT Number: NCT07217860

An Open-label Study of Azetukalner in Bipolar I or II Depression (X-CEED-OLE)

X-CEED-OLE is a Phase 3, multicenter, open-label study to evaluate the long-term safety, tolerability, and efficacy of azetukalner in adult participants who successfully completed an antecendent Phase 3 azetukalner bipolar depression study.

Enrolling by Invitation

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Woodland International Research Group, Little Rock, Arkansas, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant successfully completed the treatment period in a Phase 3 antecedent study evaluating azetukalner in participants with bipolar depression.
  • Participant provides written informed consent to participate in the study, is able to understand the procedures and study requirements, and agrees to abide by them.
  • Participant is willing to comply with the contraception requirements.

Exclusion criteria

  • Participant met any of the withdrawal criteria, discontinued study drug early, or was terminated early from an antecedent study.
  • Participant had any protocol deviations in an antecedent study that, in the opinion of the investigator, would preclude participation in this study.
  • Participant has any medical condition, personal circumstance, or ongoing AE (from an antecedent study) that, in the opinion of the investigator, exposes the participant to unacceptable risk by participating in the study or prevents adherence to the protocol.
  • Participant is pregnant, breastfeeding, or planning to become pregnant.
  • Participant is planning to enter a clinical study with a different investigational drug or planning to use any experimental device for the treatment of any medical condition during the study or within 28 days after completion of this study.
  • Participant is judged by the investigator to have a significant risk for self-harm or suicidal behavior during their participation in the study or is considered to be an imminent danger to themself or others.

Treatment and study plan

Azetukalner

Drug

Azetukalner 20 mg taken orally once a day with food (with the evening meal when possible) for 52 weeks.

Primary outcomes

  1. Severity and frequency of treatment-emergent adverse events, serious adverse events, adverse events of special interest, and events of clinical interest

    Time frame: From the start of treatment in the open-label extension study through 8 weeks after the last dose

Secondary outcomes

  1. Change from baseline in the Montgomery-Åsberg Depression Rating Scale (MADRS) total score over time

    Time frame: From baseline through the active extension treatment (Week 52)

  2. Change in Clinical Global Impression of Severity (CGI-S) score over time

    Time frame: From baseline through the active extension treatment (Week 52)

  3. Change from baseline in the Snaith-Hamilton Pleasure Scale (SHAPS) total score over time

    Time frame: From baseline through the active extension treatment (Week 52)

Sponsors and collaborators

Lead sponsor

Xenon Pharmaceuticals Inc.

Industry

Registry information

Official study title

A Multicenter, Long-term, Open-Label, Safety, Tolerability, and Efficacy Study of Azetukalner in Bipolar I or II Depression

Important dates

Study start
2025
Primary completion
2029
Study completion
2029
First posted
Oct 20, 2025
Registry last updated
Jun 3, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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