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OpenTrials
Enrolling by Invitation

NCT Number: NCT06922110

An Open-Label Study of Azetukalner in Major Depressive Disorder

X-NOVA-OLE is a multicenter, open-label study to evaluate the long-term safety, tolerability, and efficacy of azetukalner as a monotherapy in adult participants who successfully completed an antecedent Phase 3 study of azetukalner in Major Depressive Disorder (MDD).

Enrolling by Invitation

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Ima Clinical Research - Phoenix, Phoenix, Arizona, 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 of an antecedent azetukalner Phase 3 study in MDD.
  • 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.
  • Male participants must agree not to donate sperm until 3 months after the last dose of study drug. Female participants must agree not to donate ova until 3 months after the last dose of study drug.

Exclusion criteria

  • Participant met any of the withdrawal criteria, or discontinued study drug early, or was terminated early from an antecedent study.
  • Participant had any protocol deviations in an antecedent azetukalner study that, in the opinion of the investigator, would preclude participation in this study.
  • Participant is unable to comply with study procedures or is inappropriate for the study, as judged by the investigator.
  • 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.
  • Female participant who is pregnant, breastfeeding, or planning to become pregnant within 3 months after the last dose of study drug.
  • Participant is planning to enter a clinical study with a different investigational drug or planning to use any experimental device for treatment of any medical condition during the study or within 28 days after completion of this study.
  • Participant is judged to have a significant risk for self-harm or suicidal behavior or is considered to be an imminent danger to themself or others, as determined by the C-SSRS or in the opinion of the investigator.

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 Hamilton Depression Rating Scale, 17-Item (HAMD-17) total score over time

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

  2. 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)

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

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

  4. Change from baseline in Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) total score, Q-LES-Q-SF medication and life satisfaction and contentment in item scores over time

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

  5. Change from baseline in Sheehan Disability Scale (SDS) total score and subscale scores 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, Open-label, Long-term, Safety, Tolerability, and Efficacy Study of Azetukalner in Major Depressive Disorder

Acronym: X-NOVA-OLE

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Apr 10, 2025
Registry last updated
Jun 1, 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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