FDA Approves Caplyta for Major Depressive Disorder

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FDA has approved an expanded use for Johnson & Johnson’s Caplyta (lumateperone) as an adjunctive therapy with oral antidepressants in adults with major depressive disorder. Caplyta was previously approved for schizophrenia and bipolar I and II depression.

Approval was based on data from two global, double-blind, placebo-controlled Phase 3 trials (Study 501 and Study 502), both of which met primary and key secondary endpoints, according to the company. Caplyta, when added to an existing antidepressant, demonstrated statistically significant and clinically meaningful reductions in depression symptoms compared with placebo, as measured by the Montgomery-Asberg Depression Rating Scale (MADRS) and the Clinical Global Impression-Severity (CGI-S) scale, it says. Highlights of study findings include:

  • In Study 501, MADRS scores improved by -4.9 points (effect size 0.61) versus placebo at six weeks, with separation seen as early as one week.
  • Study 502 showed a -4.5 point improvement (effect size 0.56), with separation from placebo by week two.
  • CGI-S scores also improved significantly in both studies at six weeks.

Additionally, Caplyta’s safety and tolerability profile was favorable and consistent with previous studies in schizophrenia and bipolar depression, the company says. Weight gain, metabolic changes, and sexual side effects were similar to placebo. Most common adverse events included sleepiness, dizziness, nausea, dry mouth, fatigue, and diarrhea, it adds.

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