MindBio Therapeutics Corp. announced final regulatory approvals have been received for a world's first Phase 2B randomized controlled take home clinical trial microdosing MB22001 in patients with Major Depressive Disorder. The trial has received Ethics approval, has been approved by the Clinical Trials Registry and received final ministerial approval to begin dosing.
First dosing will begin on 11 March 2024. In this Phase 2B Randomized, triple blind and active placebo controlled trial, patients with major depressive disorder (MDD) will undertake an 8 week regimen of MindBio's lead candidate drug, MB22001, a proprietary titratable and self-administered form of Lysergic Acid Diethylamide (LSD) designed for take-home use. In this trial (n=90) half the trial participants will take an active placebo and the other half will take MB22001.
All participants will be offered an 8 week extension to ensure the placebo group has the opportunity to experience the treatment resulting in 16 weeks of data being collected from every patient. Major depressive disorder (MDD) is the leading cause of global disability, with over 260 million people affected. In Aotearoa/New Zealand, the jurisdiction of this study, approximately 6% of persons experience a depressive episode each year.
In the US, the Centers for Disease Control and Prevention (CDC) predicts that about 16 million adults in the US will experience depression each year. Despite this prevalence, current medical therapies are limited by slow onset, variable tolerability, with partial or total lack of efficacy in approximately one third of patients1. Surveys have shown that while people who take antidepressants feel they are helpful for mood, many report problems with drug withdrawal (74%), sexual dysfunction (72%), weight gain (65%), and emotional numbing (65%), all of which negatively impact quality of life.
The depth of data the company has collected is mounting evidence of the effectiveness and safety of MB22001 in treating depressive disorders at scale through take-home use. Extraordinarily, MindBio's unique investment thesis in the sector, is that small, sub-hallucinogenic doses of a psychedelic drug, MB22001 is the most scalable way to use a psychedelic medicine to treat depressive disorders globally. The methodology contrasts the major focus of pharmaceutical companies using large doses and lengthy expensive in-clinic hallucinogenic experiences coupled with extensive psychotherapy to treat these conditions.
Whilst those methods are proving to be effective in clinical trials, it is disruptive to a patient's routine, requires time off work and the treatment is expensive potentially making it inaccessible at scale. MindBio's goal is to commercialise MB22001 as an affordable, accessible replacement to first line medications such as anti-depressants with low side effects (particularly no sexual side effects or weight gain) resulting in greater adherence. MindBio is developing intellectual property in drug formulation and design for practical and safe take-home titratable use of MB22001.
And, in a big data play for the company, MindBio is developing precision treatment regimens based on an individual's unique medical presentation. MindBio is the only organization in the world that has this type of data including extensive psychometric testing, mRNA, DNA, PK, PD, Biometric Markers, Activity Data and Sleep Data collected in the real world and approved by regulators for take home microdosing. Whilst the top line statistical reporting of data and the clinical trial protocols are shared openly and trial results published in peer reviewed scientific journals, the extensive data sets are proprietary and not visible or available for use by competitors.
MindBio is building a defensive moat around its intellectual property including extensive data collection and analytics related to microdosing, with the ultimate view on competitively commercializing MB22001 directly against anti-depressants.