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NMDA Antagonist

NRX101 for Bipolar Depression (MBD Trial)

Phase 2 & 3
Waitlist Available
Research Sponsored by NeuroRx, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 6 weeks
Awards & highlights

MBD Trial Summary

This trial will test whether NRX-101, a combination of two drugs, is better than lurasidone alone at treating bipolar depression and reducing suicidal thoughts or behavior.

Who is the study for?
This trial is for adults with bipolar depression who currently have suicidal thoughts but don't need hospitalization. They must score ≥30 on the MADRS, a depression rating scale, and meet DSM-5 criteria for bipolar disorder without other major psychiatric disorders or recent substance abuse.Check my eligibility
What is being tested?
The study compares NRX-101, a combination of D-cycloserine and lurasidone, to lurasidone alone in maintaining remission from bipolar depression and reducing suicidal thoughts over six weeks with twice-daily oral dosing.See study design
What are the potential side effects?
Potential side effects may include those commonly associated with NMDA antagonists such as dizziness, nausea, headache; or antipsychotics like lurasidone which can cause restlessness, muscle stiffness, weight gain.

MBD Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~six weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and six weeks for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change from Baseline in MADRS-10 over 42 Days
Secondary outcome measures
Mean Change from baseline in CGI-SS
Time to Treatment Failure

MBD Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: NRX-101Experimental Treatment1 Intervention
Following study enrollment and randomization, subjects will receive twice daily NRX-101
Group II: LurasidoneActive Control1 Intervention
Following study enrollment, subjects will receive twice daily lurasidone
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
NRX-101
2018
Completed Phase 3
~10

Find a Location

Who is running the clinical trial?

Prevail Infoworks, IncUNKNOWN
1 Previous Clinical Trials
120 Total Patients Enrolled
NeuroRx, Inc.Lead Sponsor
12 Previous Clinical Trials
1,085 Total Patients Enrolled
Fred Grossman, DOStudy DirectorChief Medical Officer, NeuroRx, Inc.
2 Previous Clinical Trials
672 Total Patients Enrolled

Media Library

NRX-101 (NMDA Antagonist) Clinical Trial Eligibility Overview. Trial Name: NCT03395392 — Phase 2 & 3
Depression, Bipolar Disorder Research Study Groups: NRX-101, Lurasidone
Depression, Bipolar Disorder Clinical Trial 2023: NRX-101 Highlights & Side Effects. Trial Name: NCT03395392 — Phase 2 & 3
NRX-101 (NMDA Antagonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03395392 — Phase 2 & 3
Depression, Bipolar Disorder Patient Testimony for trial: Trial Name: NCT03395392 — Phase 2 & 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is there any precedent for the use of NRX-101 in experimental studies?

"Currently, 5 trials for NRX-101 are in progress with 2 of them at Phase 3. Dallas, Texas remains the primary hub for this medication's clinical trials; however 28 other sites have also been identified as operating studies related to NRX-101."

Answered by AI

What are the overarching objectives of this experiment?

"For the duration of this six-week clinical trial, investigators will measure changes in MADRS scores at the 42nd day and monitor secondary outcomes such as modifications to C-SSRS ratings - with lower values indicating a more favourable outcome -, time to relapse defined by returns of suicidal ideation on C-SSRS or depression recurrence following an improvement of 25% on MADRS scores, and remission percentages at Day 42/exit."

Answered by AI

Is this research novel in its methodology?

"Research into NRX-101 has been ongoing since 2014, beginning with an Otsuka America Pharmaceutical sponsored study of 200 participants. Subsequently, the drug was approved for Phase 4 use and 5 active trials have emerged in 25 cities across four nations."

Answered by AI

How many facilities are involved in administering this trial?

"Science 37 in Culver City, California, San Marcus Research Clinic, Inc. in Miami Lakes, Florida and University of Texas Health Austin in Austin, Texas are three out of fifteen clinical trial sites hosting this experiment."

Answered by AI

Is participation in this investigation open to me?

"This clinical trial is recruiting 70 eligible adults (ages 18-65) with bipolar disorder and suicidal ideation. Criteria for participants include: a DSM-5 diagnosis, confirmed active suicidal thoughts without intention to act, score of 30 or higher on the MADRS scale, no co-morbidities as measured by medical history, physical exam, lab tests and ECG."

Answered by AI

How many participants are being enrolled in this experiment?

"To complete this study, 70 patients with the pre-defined eligibility requirements need to be recruited. Patients can register for this trial at Science 37 in Culver City, California and San Marcus Research Clinic Inc., located in Miami Lakes, Florida."

Answered by AI

Is enrollment currently available for the mentioned clinical trial?

"According to the records stored on clinicaltrials.gov, this medical study is still recruiting participants. This trial was originally shared on May 12th 2022 and its most recent update occurred on November 25th 2022."

Answered by AI

Does this experiment restrict its participants to those under 35 years of age?

"This clinical trial only considers those aged 18 to 65, with 223 studies for minors and 1065 trials for individuals above the seniority threshold."

Answered by AI

Has the US Food and Drug Administration given clearance to NRX-101?

"Due to the lack of clinical evidence in support of efficacy, NRX-101 was given a safety rating of 2 on our 1 - 3 scale. This is indicative of the fact that this trial is categorized as Phase 2."

Answered by AI

Who else is applying?

What state do they live in?
Florida
Ohio
Oregon
Other
How old are they?
18 - 65
What site did they apply to?
San Marcus Research Clinic, Inc.
Houston Mind and Brain
Other
Peace Health Medical Group
What portion of applicants met pre-screening criteria?
Did not meet criteria
Met criteria
How many prior treatments have patients received?
0
1
3+

Why did patients apply to this trial?

I've tried medications that are not helping. I have tried all kinds of antidepressant non seem to work for long.
PatientReceived 2+ prior treatments
Tried different medications and therapy and still struggling w bipolar and depression.
PatientReceived no prior treatments
Down and not feeling great due to being broke and jobless, homeless but I'm at a shelter. I've tried different depression medication including Seroquel.
PatientReceived no prior treatments
I have tried medications but cant tolerate all due to medicall conditions , i can take some but Australia is limited and I thought new options may exist in the USA. Also on prevvious pahe I ticked CA but would go to any state but prefer warmer weather.
PatientReceived 1 prior treatment

What questions have other patients asked about this trial?

How is the screening? How long does trial run for, is accommodation supplied and are new medications being trailed. Would i have to pay for my own air fair (flight)?
PatientReceived 2+ prior treatments
~25 spots leftby Apr 2025