Safety of BI 1358894 in patients with major depressive disorder: Results and learnings from a phase II randomized decentralized clinical trial

Safety of BI 1358894 in Patients with Major Depressive Disorder

Overview of the Study

This study explored the effectiveness of a fully remote clinical trial for patients with major depressive disorder (MDD). It aimed to gather insights for better future trials.

Trial Details

  • The trial was double-blind and placebo-controlled.
  • It involved adult patients who did not respond well to first-line antidepressants.
  • Patients were given either BI 1358894 (125 mg) or a placebo daily for 6 weeks.

Key Findings

  • The trial had a good execution of protocol, but was stopped early due to low enrollment.
  • Out of 136 patients screened, only 45 were randomized, with 43 completing treatment.
  • The average age of participants was 42.2 years, with a majority (83.7%) being female.
  • 86% of patients reported adverse events, with a higher percentage in the BI 1358894 group (90%).
  • 88% of participants had a positive experience with the remote trial.

Learnings for Future Trials

The study highlighted the importance of:

  • Streamlining eligibility criteria.
  • Using effective recruitment strategies.
  • Understanding the pros and cons of digital technology in trials.

Practical Solutions and Value

Conducting a fully remote clinical trial for MDD is feasible and well-received by patients. Future trials should consider the insights gained about recruitment and design to improve outcomes.

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