A Study to Compare the Efficacy, Safety, and Tolerability of JNJ-42847922 Versus Quetiapine Extended-Release as Adjunctive Therapy to Antidepressants in Adult Participants With Major Depressive Disorder Who Have Responded Inadequately to Antidepressant Therapy

Inclusion Criteria:

- Male or female of non-childbearing potential (WONCBP) outpatients, aged 18 to 70 years
(inclusive). A WONCBP is defined as: a).Postmenopausal: A postmenopausal state is
defined as no menses for 12 months without an alternative medical cause. b).
Permanently sterile: Permanent sterilization methods include hysterectomy, bilateral
salpingectomy, bilateral tubal occlusion/ligation procedures, and bilateral
oophorectomy. c). If reproductive status is questionable, additional evaluation should
be considered

- Meet Diagnostic and Statistical Manual of Mental Disorders-5th Edition (DSM-5)
diagnostic criteria for major depressive disorder (MDD), without psychotic features,
based upon clinical assessment and confirmed by the Structured Clinical Interview for
DSM-5 Axis I Disorders- Clinical Trials Version (SCID-CT). The length of the current
depressive episode must be less than or equal to (<=) 18 months

- Have had an inadequate response to at least 1 but no more than 3 antidepressants,
administered at an adequate dose and duration in the current episode of depression, as
assessed by the Massachusetts General Hospital-Antidepressant Treatment Response
Questionnaire (MGH-ATRQ). An inadequate response is defined as less than (<)50 percent
(%) reduction in depressive symptom severity, as assessed by the MGH-ATRQ. An adequate
trial is defined as an antidepressant treatment for at least 4 weeks at or above the
minimum therapeutic dose, as specified in the MGH-ATRQ, for any particular
antidepressant. The inadequate response must include the participant's current
antidepressant treatment

- Be receiving monotherapy treatment for depressive symptoms with 1 of the following
selective serotonin reuptake inhibitor (SSRI)/serotonin-norepinephrine reuptake
inhibitor (SNRI) antidepressants, in any formulation: citalopram, duloxetine,
escitalopram, fluvoxamine, fluoxetine, milnacipran, levomilnacipran, paroxetine,
sertraline, venlafaxine, desvenlafaxine, vilazodone, or vortioxetine at a stable dose
(at or above the minimum therapeutic dose level) for at least 4 weeks, and for no
greater than 12 months, at screening. Modification of an effective preexisting therapy
should not be made for the explicit purpose of entering a participant into the study

- Have a Montgomery-Asberg Depression Rating Scale (MADRS) total score greater than or
equal to (>=)25 (performed by independent, centralized remote raters) at screening and
must not demonstrate a clinically significant improvement (that is, an improvement of
greater than (>)20% on their MADRS total score) from the screening to baseline visit

- Have a Body Mass Index (BMI) between 18 and 35 kilogram per meter square (kg/m^2)
inclusive (BMI equal to [=] weight/height^2)

- Must be otherwise healthy on the basis of physical examination, medical history, vital
signs, 12-lead electrocardiogram (ECG), and clinical laboratory tests performed at
screening. If there are abnormalities, they must be consistent with the underlying
illness in the study population. If the results of the clinical laboratory tests are
outside the normal reference ranges, the participant may be included only if the
investigator judges the abnormalities or deviations from normal to be not clinically
significant or to be appropriate and reasonable for the population under study. This
determination must be recorded in the participant's source documents and initialed by
the investigator

Exclusion Criteria:

- Have Cushing's Disease, Addison's Disease, primary amenorrhea, or other evidence of
significant medical disorders of the hypothalamic-pituitary-adrenal (HPA) axis

- Have a history of epilepsy, neuroleptic malignant syndrome (NMS) or Tardive Dyskinesia

- Have a history of previous non-response to an adequate trial of quetiapine as an
adjunctive treatment for MDD (adequate trial defined as >=150 mg for 4 weeks or more)
and/or a history of lack of response to 3 or more adequate antidepressant treatments
and/or a history or evidence of noncompliance with current antidepressant therapy

- Have taken a known moderate or strong inhibitor/inducer of cytochrome P450 (CYP)3A4
and CYP2C9 or a dual inhibitor/inducer of CYP3A4 and CYP2C9 within 14 days (or after
washout that is, duration of 5 times the drug's half-life) before the first study drug
administration on Day 1 until the follow-up visit. Fluvoxamine is a moderate CYP2C9
inhibitor and a mild CYP3A inhibitor, and will not be excluded from the study

- Have a history or current diagnosis of a psychotic disorder, bipolar disorder,
intellectual disability, autism spectrum disorder, borderline personality disorder,
somatoform disorders, or fibromyalgia