COMP 006

  • Research type

    Research Study

  • Full title

    A phase III, multicentre, randomised, double-blind, controlled study to investigate the efficacy, safety and tolerability of two administrations of COMP360 in participants with treatment-resistant depression

  • IRAS ID

    1006213

  • Contact name

    Lynsey Kennedy

  • Contact email

    IRASUK@iconplc.com

  • Sponsor organisation

    COMPASS Pathfinder Limited

  • Eudract number

    2022-002339-73

  • Research summary

    A phase IIb, international, multicentre, randomised, double-blind, controlled, dose-finding study (COMP 001) to assess the safety and efficacy of two different single doses of COMP360 (COMPASS Pathfinder Limited’s [COMPASS] proprietary synthetic psilocybin formulation) delivered as monotherapy with psychological support 25 mg and 10 mg versus COMP360 1 mg was conducted in 233 participants with treatment-resistant depression (TRD). For the primary efficacy endpoint, the COMP360 25 mg treatment group versus the COMP360 1 mg treatment group showed a statistically and clinically significant treatment difference of -6.6 points in the change from baseline at Week 3 in the Montgomery-Åsberg Depression Rating Scale (MADRS) total score (p<0.001). This treatment difference was apparent from the day after the COMP360 administration session up to Week 6, denoting a rapid antidepressant effect after a single administration. Improvements in the COMP360 10 mg treatment group compared to the COMP360 1 mg treatment group were not statistically significant in the change from baseline at Week 3 in MADRS total score. COMP360 was found to be generally well tolerated, and the secondary and exploratory endpoints supported the primary endpoint findings.
    In this study, the aim is to assess the efficacy after one and two administrations of COMP360 25 mg or COMP360 10 mg versus COMP360 1 mg for reducing symptom severity in TRD, when administered with psychological support.

  • REC name

    East Midlands - Derby Research Ethics Committee

  • REC reference

    23/EM/0002

  • Date of REC Opinion

    17 Aug 2023

  • REC opinion

    Further Information Favourable Opinion