J&J Reports Positive Depression Drug Data

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Johnson & Johnson is reporting positive topline results from its pivotal Phase 3 MDD3001 clinical trial evaluating the efficacy and safety of seltorexant as an adjunctive treatment to baseline antidepressants in adult and elderly patients with major depressive disorder with insomnia symptoms. Seltorexant is described as a first-in-class selective antagonist of the orexin-2 receptor.

“Seltorexant selectively antagonizes the orexin-2 receptors, potentially improving mood and sleep symptoms associated with depression,” J&J says. “When orexin-2 receptors are stimulated for too long or at inappropriate times, their activation can cause hyperarousal manifestations, including insomnia and excessive cortisol release, which may contribute to depression and insomnia.”

According to the company, the Phase 3 placebo-controlled study achieved all primary and secondary endpoints, with “seltorexant demonstrating both a statistically significant and clinically meaningful improvement in depressive symptoms based on the Montgomery-Asberg Depression Rating Scale (MADRS) total score at day 43, and improved sleep disturbance outcomes,” in patients who had a prior inadequate response to certain antidepressants alone.

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