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Completed

NCT Number: NCT06342310

RE104 Safety and Efficacy Study in Postpartum Depression

The purpose of this study is to determine if treatment with a single dose of RE104 for Injection reduces depressive symptoms in participants with moderate-to-severe postpartum depression (PPD) as compared to active-control.

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Key information

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 2

Primary location

Reunion Investigational Site, Birmingham, Alabama, 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

  • Is ≤15 months postpartum at Screening.
  • Meet DSM-5 criteria for postpartum depression (PPD): experiencing a major depressive episode that began at any time starting at the beginning of the second trimester (≥14 weeks) of pregnancy through 4 weeks post delivery.
  • Has a Hamilton Depression Scale (HAM-D) total score meeting severity threshold at Screening and Baseline.
  • Is not using any psychotropic medications or psychotherapy for 30 days prior to Screening, OR are on an already stable/established regimen of SSRIs or psychotherapy for 30 days prior to Screening.
  • Has ceased breastfeeding at Screening.
  • Has a negative pregnancy test at Screening and Day 0 prior to study drug administration.

Exclusion criteria

  • History or active postpartum psychosis per Investigator assessment.
  • History of treatment-resistant depression within the current postpartum depressive episode.
  • Has a significant risk of suicide.
  • Active or medical history of bipolar disorder, schizophrenia, schizoaffective disorder, psychotic disorder and/or borderline personality disorder, or first-degree family history of psychosis or bipolar disorder.
  • Medically significant condition rendering unsuitability for the study .
  • Has received electroconvulsive therapy (ECT) or transcranial magnetic stimulation within 90 days prior to Screening.
  • Has used psychedelics such as psilocybin, ayahuasca, mescaline, or LSD (with the exception of cannabis) within 12 months prior to Screening.
  • Has used or will need to use prohibited medications.

Treatment and study plan

RE104 for Injection

Drug

Single, subcutaneous dose of RE104 for Injection

Primary outcomes

  1. RE104 30 mg versus RE104 1.5 mg change from baseline in MADRS total score

    Time frame: Day 7

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a 10-item clinician rated scale measuring depression severity. The total score ranges from 0-60 with higher scores representing greater severity of depression.

Secondary outcomes

  1. RE104 30 mg versus RE104 1.5 mg change from baseline in MADRS total score

    Time frame: Day 1, Day 14 and Day 28

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a 10-item clinician rated scale measuring depression severity. The total score ranges from 0-60 with higher scores representing greater severity of depression.

  2. RE104 30 mg versus RE104 1.5 mg percentage of patients with MADRS response (≥ 50 percent reduction in score from baseline)

    Time frame: Day 7

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a 10-item clinician rated scale measuring depression severity. The total score ranges from 0-60 with higher scores representing greater severity of depression.

  3. RE104 30 mg versus RE104 1.5 mg percentage of patients with MADRS remission (score ≤ to 10)

    Time frame: Day 7

    Montgomery-Åsberg Depression Rating Scale (MADRS) is a 10-item clinician rated scale measuring depression severity. The total score ranges from 0-60 with higher scores representing greater severity of depression.

  4. RE104 30 mg versus RE104 1.5 mg Clinical Global Impression-Improvement (CGI-I)

    Time frame: Day 1, Day 7 and Day 28

    The Clinical Global Impression - Improvement (CGI-I) Scale is a clinician-rated instrument that weighs the clinical impact of the identified symptom(s) on behavior and function and measures changes in psychopathology since the treatment was administered on a scale from 1 (very much improved) to 7 (very much worse).

  5. RE104 30 mg versus RE104 1.5 mg change from baseline in CGI-Severity (CGI-S)

    Time frame: Day 1, Day 7 and Day 28

    The Clinical Global Impression - Severity Scale is a clinician-rated instrument that grades severity of symptoms on a scale from 1 (normal, not ill at all) to 7 (among the most extremely ill patients).

  6. RE104 30 mg versus RE104 1.5 mg changes in total score from baseline in Hamilton Anxiety Rating Scale (HAM-A)

    Time frame: Day 7

    The Hamilton Rating Scale for Anxiety (HAM-A) is a 14-item scale that is used to rate the severity of symptoms of anxiety. The total score ranges from 0-56 with higher scores representing greater severity of anxiety.

  7. RE104 30 mg versus RE104 1.5 mg incidence of treatment-emergent adverse events (TEAEs) by frequency, severity and seriousness.

    Time frame: From dosing through study completion (post-dose follow-up is for 28 days)

    A treatment-emergent adverse event (TEAE) is defined as any unfavorable and unintended sign, symptom or disease temporally associated with the use of a study drug.

Sponsors and collaborators

Lead sponsor

Reunion Neuroscience Inc

Industry

Registry information

Official study title

A Multicenter, Randomized, Double-Blind, Parallel-Group Dose-Controlled Study Evaluating the Safety and Efficacy of RE104 for Injection in the Treatment of Patients With Postpartum Depression (PPD)

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Apr 2, 2024
Registry last updated
May 14, 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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