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Effect of zuranolone vs placebo in postpartum depression

JAMA Psychiatry Sep 07, 2021

Deligiannidis KM, Meltzer-Brody S, Gunduz-Bruce H, et al. - FIndings from this phase 3, double-blind, randomized, outpatient, placebo-controlled clinical trial suggest zuranolone, a neuroactive steroid γ-aminobutyric acid receptor–positive allosteric modulator, as efficacious and safe in treating postpartum depression (PPD).

  • Participants were women with PPD (major depressive episode beginning third trimester or ≤ 4 weeks post delivery).

  • The women were randomized to receive placebo or zuranolone, 30 mg, orally each evening for 2 weeks.

  • Greater statistically significant reductions in depressive symptoms were recorded in patients taking daily zuranolone vs placebo at day 15, as assessed by change from baseline in the 17-item Hamilton Rating Scale for Depression.

  • There were decreases in depressive symptoms by day 3, that remained sustained at all measured time points through day 45.

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