Prediction of REsponse to Depression Interventions (Accelerated rTMS) Using Clinical and TD-fNIRS Measurements

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorKernel

About this trial

This observational, longitudinal, multi-cohort study aims to evaluate functional brain activity in adults undergoing treatment for Major Depressive Disorder (MDD) at participating clinical sites. A separate cohort of healthy adults will be enrolled as a control group. All data collected in this study are for research purposes only and will not influence clinical decision-making or treatment plans.

This study will use TD-fNIRS to measure hemodynamic brain responses at rest and/or during tasks in patients receiving accelerated transcranial magnetic stimulation (TMS). Imaging will occur at multiple timepoints (pre-treatment, post-treatment, and follow-ups). Healthy control participants will complete similar measurements at one visit, with the option for a follow-up visit. The primary objectives are to assess feasibility, characterize brain activity patterns, and explore potential biomarkers associated with treatment response.

Eligibility criteria

Qualifiers

Adults aged 18-75 at the time of enrollment

Primary diagnosis of MDD as defined by the DSM-5

Determined by the clinic to be eligible for accelerated rTMS treatment and agrees to receive accelerated rTMS treatment

Agrees to start accelerated rTMS treatment in conjunction with study participation to capture baseline measurements

Disqualifiers

Pregnant or may become pregnant during the treatment course

Unable or unwilling to wear the fNIRS headset

Has had electroconvulsive therapy (ECT) in the past 3 months

Major medical illnesses including neurological and psychiatric conditions such as Alzheimer's disease, Parkinson's disease, multiple sclerosis, epilepsy, schizophrenia, or stroke.

Trial design

Treatments tested in this trial

  • fNIRS measurement

Treatment groups

100 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Kernel

Lead sponsor

Acacia Clinics

Collaborator