Head-to-head evidence
CLE-100 vs Esketamine
Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.
Major Depressive Disorder
Shared mechanism: NMDA receptor · full Major Depressive Disorder pipeline
CLE-100
Developed by Clexio Biosciences
NCT04103892 · Phase 2 · completed
The study randomized 146 participants overall, including 130 in the main Part B comparison, to double-blind CLE-100 or placebo alongside standard antidepressant treatment. Its clinical MADRS primary endpoint was missed: the improvement with CLE-100 was not significantly different from placebo (p=0.46), so the trial provides well-controlled but inconclusive evidence.
Esketamine · Spravato
Marketed by Johnson & Johnson
NCT02417064 · Phase 3 · completed
The study randomized 346 participants to double-blind 56 mg esketamine, 84 mg esketamine, or matching placebo, each with an oral antidepressant, and used the clinical MADRS depression score as its primary endpoint. The 56 mg dose significantly outperformed placebo, while the 84 mg dose did not, so the primary results were mixed despite the strong trial design.
Next expected readout: December 2026 · NCT07369102 (registry estimate)
The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: CLE-100's landscape · Esketamine's landscape