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Trial · NCT03460756

A Clinical Trial of Oral Ganaxolone in Women With Postpartum Depression

NCT03460756, Phase 2, Completed, Marinus Pharmaceuticals; results first posted 2023-01-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Clinical Trial of Oral Ganaxolone in Women With Postpartum Depression. Trials, record NCT03460756. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03460756

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Clinical Trial of Oral Ganaxolone in Women With Postpartum Depression
NCT number
NCT03460756
Status
Completed
Phases
Phase 2
Enrollment
84 participants, actual
Lead sponsor
Marinus Pharmaceuticals
Conditions
Depressive Disorder, Depression, Depression, Postpartum, Behavioral Symptoms, Mood Disorders, Mental Disorder, Pregnancy Complications, Postpartum Blues, PPD, Postpartum Disorder
Interventions
Ganaxolone, Placebo
First posted
2018-03-09
Last updated
2023-08-18
Results first posted
2023-01-30

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentBaseline (Day 1) and through Day 10 for 2 week treatment group and Day 29 for 4 week treatment groups
The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline is defined as post dose visit value minus Baseline value.
SecondaryChange From Baseline in Hamilton Depression Rating Scale 17-item Version Post TreatmentBaseline (Day 1) and Through Day 38 for 2 week treatment group and Day 71 and 119 for 4 week treatment groups
The HAMD17 was a 17-item clinician-rated instrument used to assess the range of symptoms that were most frequently observed in participants with major depression. All items were scored on an ordinal scale between 0 and 4 (8 items) or 0 and 2 (9 items) of increasing severity. Each of 17 items was rated by clinician with rating of 0: absent, 1: doubtful to mild, 2: mild to moderate, 3: moderate to severe, and 4: very severe. A total score (0 to 52) was calculated by adding scores of all 17 items, where 0 indicated no depression and 52 indicated severe depression. Higher score represented more severe condition. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline is defined as post dose visit value minus Baseline value.
SecondaryNumber of Participants With Response to Hamilton Depression Rating Scale 17 Item (HAMD17)
Day 2 (all treatment groups), Day 7 (TID & QHS), Day 8/10 (all treatment groups), Day 15/17 (all treatment groups), Day 22 and 29 (QHS, 1125mg), Day 36/38 (all treatment groups), Day 57/59 (QHS, 1125mg), Day 71 (1125mg), Day 89 (QHS), Day 119 (QHS)
HAMD17 Response was defined as ≥50% reduction from Baseline in total score. The HAMD-17 is a 17-item assessment used to assess the severity of depression and its improvement during the course of therapy. Each item was evaluated and scored using either a 5-point scale of 0 (not present/absent) to 4 (very severe) or a 3-point scale of 0 (not present/absent) to 2 (marked). Items rated on the 3-point scale include: insomnia early, middle, late; somatic symptoms gastrointestinal and general; genital symptoms; loss of weight; insight. Items rated on 5-point scale include: depressed mood; feelings of guilt; suicide; work and activities; retardation; agitation; anxiety psychic and somatic; hypochondriasis. The total score was the sum of the scores from HAMD-17 Items 1 through 17 and ranged from 0 (not at all depressed) to 52 (severely depressed). Higher scores indicate greater symptom severity. Number of participants with response to HAMD-17 has been presented.
SecondaryNumber of Participants With Hamilton Depression Rating Scale 17-item RemissionDay 8/10 (all treatment arms), Day 15/17 (all treatment arms), Day 22 and 29 (QHS & 1125mg), Day 36/38 (all treatment arms), Day 57/59 (QHS & 1125mg), Day 71 (1125mg), Day 89 & 119 (QHS)
Remission was defined as an observed total score of 0 to 7. The HAMD-17 is a 17-item assessment used to assess the severity of depression and its improvement during the course of therapy. Each item was evaluated and scored using either a 5-point scale of 0 (not present/absent) to 4 (very severe) or a 3-point scale of 0 (not present/absent) to 2 (marked). Items rated on the 3-point scale include: insomnia early, middle, late; somatic symptoms gastrointestinal and general; genital symptoms; loss of weight; insight. Items rated on 5-point scale include: depressed mood; feelings of guilt; suicide; work and activities; retardation; agitation; anxiety psychic and somatic; hypochondriasis. The total score was the sum of the scores from HAMD-17 Items 1 through 17 and ranged from 0 (not at all depressed) to 52 (severely depressed). Higher scores indicate greater symptom severity. Number of participants with HAMD-17 remission has been presented.
SecondaryChange From Baseline in Edinburgh Postnatal Depression Scale (EPDS) Total ScoreBaseline (Day 1) through Day 119
The EPDS is a validated 10-question depression assessment for postpartum women, which includes anxiety symptoms and excludes constitutional symptoms associated with depression common in the postpartum period, such as changes in sleeping patterns. It consists of 10 multiple choice questions with scores for each question ranging from 0-3. Questions 1, 2, \& 4 are scored 0, 1, 2 or 3 with top box scored as 0 and the bottom box scored as 3. Questions 3 and 5 to 10 are reverse scored, with the top box scored as a 3 and the bottom box scored as 0. Scores are then summed for a total score, which ranges from 0: no depression to 30: severe depression. Higher score indicates severe depression. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline is defined as post dose visit value minus Baseline value.
SecondaryChange From Baseline in Spielberger State-Trait Anxiety Inventory, 6-item VersionBaseline (Day 1) through Day 119
The Spielberger State-Trait Anxiety Inventory was a 6-item questionnaire designed and validated. It is a reliable and sensitive measure of anxiety. The 6-item version has been shown to have acceptable reliability, producing similar scores as the full 20-item inventory for those with normal and raised levels of anxiety. Participants are prompted to respond to indicate "how \[the participant\] feel right now, at this moment", followed by a list of common experiences like "I feel calm, I am tense, I feel upset, I am relaxed I feel content and I am worried." Responses range from Not at all (1) to Very much (4), with overall scores ranging from 20-80, where higher scores reflected higher states of anxiety. Baseline was defined as the Day 1 assessment before study drug infusion. Change from Baseline is defined as post dose visit value minus Baseline value.
SecondaryNumber of Participants With Clinical Global Impression-ImprovementBaseline through Day 119
The CGI-I scale is a clinician-rated 7-point scale used to assess how much the participant's illness had improved or worsened relative to a Baseline state at the beginning of the intervention. It was rated as: 1. "very much improved" 2. "much improved" 3. "minimally improved" 4. "no change" 5. "minimally worse" 6. "much worse" 7. "very much worse". Higher scores indicated worse condition. Only those participants with CGI- improvement have been presented.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentBaseline (Day 1) and through Day 10 for 2 week treatment group and Day 29 for 4 week treatment groupsSafety Set was defined as all participants who were dispensed study drug. Only those participants with HAMD17 response through treatment have been presented.score on a scaleMEAN
SECONDARYChange From Baseline in Hamilton Depression Rating Scale 17-item Version Post TreatmentBaseline (Day 1) and Through Day 38 for 2 week treatment group and Day 71 and 119 for 4 week treatment groupsSafety Set. Only those participants with HAMD17 response post treatment have been presented.score on a scaleMEAN
SECONDARYNumber of Participants With Response to Hamilton Depression Rating Scale 17 Item (HAMD17)
Day 2 (all treatment groups), Day 7 (TID & QHS), Day 8/10 (all treatment groups), Day 15/17 (all treatment groups), Day 22 and 29 (QHS, 1125mg), Day 36/38 (all treatment groups), Day 57/59 (QHS, 1125mg), Day 71 (1125mg), Day 89 (QHS), Day 119 (QHS)
Safety Set. Only those participants with data available at specified timepoints have been presented.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Hamilton Depression Rating Scale 17-item RemissionDay 8/10 (all treatment arms), Day 15/17 (all treatment arms), Day 22 and 29 (QHS & 1125mg), Day 36/38 (all treatment arms), Day 57/59 (QHS & 1125mg), Day 71 (1125mg), Day 89 & 119 (QHS)Safety Set. Only those participants with data available at specified timepoints have been presented.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From Baseline in Edinburgh Postnatal Depression Scale (EPDS) Total ScoreBaseline (Day 1) through Day 119Safety Set. Only those participants with data available at specified timepoints has been presented.Score on a scaleMEAN
SECONDARYChange From Baseline in Spielberger State-Trait Anxiety Inventory, 6-item VersionBaseline (Day 1) through Day 119Safety Set. Only those participants with data available at specified timepoints has been analyzed.Scores on a scaleMEAN
SECONDARYNumber of Participants With Clinical Global Impression-ImprovementBaseline through Day 119Safety Set. Only those participants with data available at specified timepoints has been presented.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group206

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentTID (2-week)Day 2/4-8.0Standard Deviation 9.90score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentQHS (2-week)Day 2/4-5.7Standard Deviation 4.87score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentQHS (4-week)Day 2/4-0.8Standard Deviation 3.19score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through Treatment1125 mg (4-week)Day 2/4-2.6Standard Deviation 5.46score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentTID (2-week)Day 7-15.0Standard Deviation 12.73score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentQHS (2-week)Day 7-6.7Standard Deviation 7.93score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentTID (2-week)Day 8/10-3.0Standard Deviation 0score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentQHS (2-week)Day 8/10-10.5Standard Deviation 7.21score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through TreatmentQHS (4-week)Day 8/10-6.8Standard Deviation 7.25score on a scale
Change From Baseline in Hamilton Depression Rating Scale 17-item Version (HAMD17) Through Treatment1125 mg (4-week)Day 8/10-10.2Standard Deviation 7.44score on a scale

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTID (2-week)2
Overall StudySTARTEDQHS (2-week)14
Overall StudySTARTEDQHS (4-week)25
Overall StudySTARTED1125 mg (4-week)43
Overall StudyCOMPLETEDTID (2-week)2
Overall StudyCOMPLETEDQHS (2-week)9
Overall StudyCOMPLETEDQHS (4-week)16
Overall StudyCOMPLETED1125 mg (4-week)34
Overall StudyNOT COMPLETEDTID (2-week)0
Overall StudyNOT COMPLETEDQHS (2-week)5

Adverse events56

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVertigoEar and labyrinth disordersTID (2-week)02
otherVertigoEar and labyrinth disordersQHS (2-week)014
otherVertigoEar and labyrinth disordersQHS (4-week)025
otherVertigoEar and labyrinth disorders1125 mg (4-week)243
otherDry mouthGastrointestinal disordersTID (2-week)02
otherDry mouthGastrointestinal disordersQHS (2-week)114
otherDry mouthGastrointestinal disordersQHS (4-week)125
otherDry mouthGastrointestinal disorders1125 mg (4-week)243
otherNauseaGastrointestinal disordersTID (2-week)12
otherNauseaGastrointestinal disordersQHS (2-week)014

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTID (2-week)02
Total, all-cause mortalityQHS (2-week)014
Total, all-cause mortalityQHS (4-week)025
Total, all-cause mortality1125 mg (4-week)043
Total, other adverse eventsTID (2-week)22
Total, other adverse eventsQHS (2-week)514
Total, other adverse eventsQHS (4-week)1625
Total, other adverse events1125 mg (4-week)3243
Total, serious adverse eventsTID (2-week)02
Total, serious adverse eventsQHS (2-week)014

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03460756

GET https://conductscience.org/api/trials/v1/NCT03460756/results?page=2