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PDC-1421

Botanical

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Partialsignal

Evidence outlook · lead readout

NCT02395978 · Major Depressive Disorder

The completed lead evidence is positive, with design limits that temper confidence; the rationale below says which.

NCT02395978: The treatment phase was randomized, triple-blind, placebo-controlled, and included 60 participants across three groups, although the groups were small. Its primary clinical endpoint, change in MADRS score at week 6, was not statistically significant compared with placebo, so the findings provide limited evidence of benefit. Label revised to mixed on 2026-09-02: one dose arm shows a numerical advantage the sponsor reports as significant, the other shows none.

The registered primary (MADRS change at week 6 vs placebo, Part II) spans two dose arms: 2-capsule arm -13.19 vs placebo -9.2; 1-capsule arm -9.21 vs -9.2 (registry, ITT, ~20 per arm). The sponsor's 2019-06-05 release reports the high-dose arm met the prespecified primary; the registry results carry no p-values.

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Competitive landscape

60 competitors in this universe: 0 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication; 23 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
PDC-1421: this drugPhase 2BotanicalPolygalae radix extract (active components: tenuifolin, polygalasaponins, etc.)
Brexpiprazole (Rexulti)ApprovedSmall moleculeDopamine D2/D3 and serotonin 5-HT1A receptor
Cariprazine (Vraylar)ApprovedSmall moleculeDopamine D3/D2 receptor (partial agonist)
Cyclobenzaprine (Tonmya)ApprovedSmall molecule5-HT2A, α1-adrenergic, H1-histaminergic, and M1-muscarinic acetylcholine receptors (functional antagonism)
Dextromethorphan / Bupropion (Auvelity)ApprovedSmall moleculesigma-1/NMDA
Esketamine (Spravato)ApprovedSmall moleculeNMDA receptor
Lumateperone (Caplyta)ApprovedSmall moleculeSerotonin 5-HT2A / dopamine D1-D2 receptor
Olanzapine / Fluoxetine (Symbyax)ApprovedSmall moleculeDopamine D2 and serotonin 5-HT2A receptors (antagonist); serotonin transporter (reuptake inhibitor)
Solriamfetol (Sunosi)ApprovedSmall moleculeDopamine/norepinephrine transporter
Vortioxetine (Trintellix)ApprovedSmall moleculeSerotonin transporter + multiple 5-HT receptors
AmmoxetinePhase 3Small moleculeSerotonin/norepinephrine transporter
Ansofaxine HydrochloridePhase 3Small moleculeSerotonin/norepinephrine/dopamine transporter
AV-101Phase 3Small moleculeNMDA receptor
AzetukalnerPhase 3Small moleculeKv7 potassium channel
BrenipatidePhase 3PeptideGLP-1/GIP receptor (dual)
CYB003Phase 3Small molecule5-HT2A receptor

…and 45 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(1 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2028 (1)
February 2028 (1)
Phase 1/2Major Depressive DisorderNot yet recruiting
Est. primary completion 2028-02-28 · NCT03833206 · CT.gov ↗
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All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 2 (3)
Phase 1/2 (1)
Phase 1 (1)