A Double-blind, Randomized, Psychoactive Placebo-controlled Study to Evaluate the Efficacy and Safety of Intranasal Esketamine 84 mg in Addition to Comprehensive Standard of Care for the Rapid Reduction of the Symptoms of Major Depressive Disorder in Adolescent Participants With Acute Suicidal Ideation or Behavior
Janssen Research & Development, LLC
Summary
The purpose of this study is to evaluate how well JNJ-54135419 works (efficacy) in addition to comprehensive standard of care (SoC) in rapidly reducing the symptoms of major depressive disorder (MDD, a mental disorder characterized by a persistent feeling of sadness and loss of interest in activities) as compared with psychoactive placebo (does not contain JNJ-54135419) plus SoC in adolescent participants with acute suicidal ideation or behavior.
Eligibility
- Age range
- 12–17 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Must meet diagnostic and statistical manual of mental disorders (5th edition) (DSM-5) diagnostic criteria for major depressive disorder (MDD) based upon clinical assessment and confirmed by the mini-international neuropsychiatric interview for children and adolescents (MINI-KID) * Must have a clinical global impression - severity of suicidality - revised (CGI-SS-R) score of "Markedly" or greater (that is, greater than or equal to \[\>=\] 4) at both screening and baseline (predose) visits * Must have a children's depression rating scale - revised (CDRS-R) total score \>=…
Interventions
- DrugEsketamine
Esketamine will be administered as intranasal solution.
- DrugMidazolam
Midazolam will be administered as oral solution.
- OtherOral Placebo
Placebo will be administered as oral solution.
- OtherIntranasal Placebo
Intranasal placebo will be administered as nasal solution.
Locations (9)
- University of Alabama at BirminghamBirmingham, Alabama
- Peachford Hospital-Atlanta Behavioral ResearchAtlanta, Georgia
- University of CincinnatiCincinnati, Ohio
- Sociedade Literaria e Caritativa Santo Agostinho Hospital Sao JoseCriciúma
- Instituto ApiceSalvador
- Centro Integrado FaciliSão Bernardo do Campo