The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of multiple dose oral administration of SEP-380135 in participants with schizophrenia or with a major depressive episode associated with bipolar I or II disorder or major depressive disorder (MDD).
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All Cohorts: Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), and Treatment Emergent Adverse Events (TEAEs) Leading to Trial Discontinuation
Timeframe: Up to Day 44
All Cohorts: Percentage of Participants With Suicidal Ideation or Suicidal Behavior Using the Columbia-Suicide Severity Rating Scale (C-SSRS)
Timeframe: Up to Day 18
All Cohorts: Percentage of Participants With Withdrawal Symptoms Using the 20-Item Physician Withdrawal Checklist (PWC-20)
Timeframe: Up to Day 44
All Cohorts: Percentage of Participants With Change From Baseline in Potentially Clinically Relevant Laboratory Tests
Timeframe: Baseline, Day 18
All Cohorts: Percentage of Participants With Change From Baseline in Potentially Clinically Relevant Vital Signs
Timeframe: Baseline, Day 18
All Cohorts: Percentage of Participants With Change From Baseline in Potentially Clinically Relevant Orthostatic Effects
Timeframe: Baseline, Day 18
All Cohorts: Actual Values of Weight
Timeframe: Up to Day 18
All Cohorts: Change From Baseline in Weight
Timeframe: Baseline, Day 18
All Cohorts: Actual Values of Body Mass Index (BMI)
Timeframe: Up to Day 18
All Cohorts: Change From Baseline in BMI
Timeframe: Baseline, Day 18
All Cohorts: Actual Values of Waist Circumference
Timeframe: Up to Day 18
All Cohorts: Change From Baseline in Waist Circumference
Timeframe: Baseline, Day 18
All Cohorts: Percentage of Participants With Change From Baseline in 12-Lead Electrocardiogram (ECG)
Timeframe: Baseline, Day 18
All Cohorts: Actual Values of QT interval corrected using Fridericia's Formula (QTcF)
Timeframe: Up to Day 18
All Cohorts: Change From Baseline in QTcF
Timeframe: Baseline, Day 18
Cohorts 1, 2, and 3: Actual Values of Clinician-Administered Dissociative States Scale (CADSS) Score
Timeframe: Up to Day 18
Cohorts 1, 2, and 3: Change From Baseline in CADSS Score
Timeframe: Baseline, Day 18
All Cohorts: Actual Values of Drug Effect Questionnaire (DEQ) Scored Using Visual Analog Scale Score
Timeframe: Up to Day 18
All Cohorts: Change From Baseline in DEQ Scored Using Visual Analog Scale Score
Timeframe: Baseline, Day 18
Cohorts 1, 2, and 3: Actual Values of Barnes Akathisia Rating Scale (BARS) Score
Timeframe: Up to Day 18
Cohorts 1, 2, and 3: Change From Baseline in BARS Score
Timeframe: Baseline, Day 18
Cohorts 1, 2, and 3: Actual Values of Abnormal Involuntary Movement Scale (AIMS) Score
Timeframe: Up to Day 18
Cohorts 1, 2, and 3: Change From Baseline in AIMS Score
Timeframe: Baseline, Day 18
Cohorts 1, 2, and 3: Actual Values of Simpson Angus Scale (SAS) Score
Timeframe: Up to Day 18
Cohorts 1, 2, and 3: Change From Baseline in SAS Score
Timeframe: Baseline, Day 18
Cohorts 1, 2, and 3: Actual Values of Positive and Negative Syndrome Scale (PANSS) Score
Timeframe: Up to Day 18
Cohorts 1, 2, and 3: Change From Baseline in PANSS Score
Timeframe: Baseline, Day 18
All Cohorts: Actual Values of Clinical Global Impressions-Severity Scale (CGI-S) Score
Timeframe: Up to Day 18
All Cohorts: Change From Baseline in CGI-S Score
Timeframe: Baseline, Day 18
Cohorts 1, 2, and 3: Actual Values of Calgary Depression Scale for Schizophrenia (CDSS) Score
Timeframe: Up to Day 18
Cohorts 1, 2, and 3: Change From Baseline in CDSS Score
Timeframe: Baseline, Day 18
All Cohorts: Percentage of Participants With Change From Baseline in Physical Examinations
Timeframe: Baseline, Day 18
All Cohorts: Percentage of Participants With Change From Baseline in Neurological Examinations
Timeframe: Baseline, Day 18
Cohort 4: Actual Values of Hamilton Anxiety Rating Scale (HAM-A) Score
Timeframe: Up to Day 18
Cohort 4: Change From Baseline in HAM-A Score
Timeframe: Baseline, Day 18
Cohort 4: Actual Values of Montgomery-Asberg Depression Rating Scale (MADRS) Score
Timeframe: Up to Day 18
Cohort 4: Change From Baseline in MADRS Score
Timeframe: Baseline, Day 18
Cohort 4: Actual Values of Young Mania Rating Scale (YMRS) Score
Timeframe: Up to Day 18
Cohort 4: Change From Baseline in YMRS Score
Timeframe: Baseline, Day 18
All Cohorts: Percentage of Participants With Changes in Quantitative Sleep Parameters Measured Using Electroencephalography (EEG)
Timeframe: Up to Day 17
All Cohorts: Apparent Clearance (CL/F) of SEP-380135
Timeframe: Day 14
All Cohorts: Volume of Distribution (Vz/F) of SEP-380135
Timeframe: Day 14
All Cohorts: Maximum Plasma Concentration (Cmax) of SEP-380135
Timeframe: Day 14
All Cohorts: Area Under the Drug Concentration-time Curve From Time Zero Predose to 24 hours Postdose (AUC0-24h) of SEP-380135
Timeframe: Day 14