FDA Clears Digital Therapeutic for Depression

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FDA has cleared an Otsuka Pharmaceutical and Click Therapeutics 510(k) for Rejoyn, a prescription digital therapeutic authorized for treating major depressive disorder (MDD) symptoms as an adjunct to clinician-managed outpatient care for adult patients with MDD who are on antidepressant medication. Rejoyn is intended to reduce MDD symptoms.

Rejoyn is a six-week treatment program designed to reduce MDD symptoms and help “enhance cognitive control of emotion through a combination of clinically-validated cognitive emotional training exercises for the brain and brief therapeutic lessons,” the companies say. “Rejoyn represents a novel and exciting adjunctive treatment option to address MDD symptoms that complements the current standard of care,” they add.

The device’s clearance is based on "data from the Mirai study, a 13-week pivotal, multicenter, remote, double-blinded, randomized, controlled trial of 386 participants, aged 22 to 64, diagnosed with MDD who were on antidepressant medication for treating depression,” according to the companies. “Individuals treated with Rejoyn showed an improvement in depression symptom severity from baseline. Symptom improvement was consistently observed across multiple patient and clinician-reported scales, including the Montgomery-Åsberg Depression Rating Scale (MADRS), Patient Health Questionnaire nine-item depression scale (PHQ-9), and the Clinical Global Impression – Severity scale (CGI-S).”

Additionally, the companies say Rejoyn offers a novel approach to treating depression symptoms by targeting “neural networks affected by depression and is hypothesized to leverage the brain’s inherent neuroplasticity to alter those connections leading to symptom reduction over time…Rejoyn has a neuromodulatory mechanism designed to act like physical therapy for the brain by delivering personalized, consistent brain-training exercises designed to help improve connections in the brain regions affected by depression.”

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