Brain study targets motivation loss in depressed teens
NCT ID NCT05487885
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at anhedonia, a symptom of depression where people lose interest or pleasure in activities. Researchers used brain scans, blood tests, and questionnaires to understand this symptom in 123 young people. Some participants also tried treatments like brain stimulation or ketamine to see if they could improve motivation and enjoyment.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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123 people
The number who actually took part.
- Started
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Jul 2022
- Finished
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Jun 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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15 to 25 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Phase 1 (all participants) * Current DSM-5 depressive disorder * Severity ≥ 12 on MADRS * Moderate-severe anhedonia (75% of sample) or low anhedonia (25% of sample) Phase 2 (for participants in TBS and ketamine phase, in addition to above) • ≥ 1 failed antidepressant trial (for qualification for Phase 2 of study and definition of non-response to TMS in order to be eligible for ketamine) = Treatment for at least 6 weeks with an antidepressant medication reaching recommended dosage for adults for at least 3 weeks of the treatment (e.g., 20 mg fluoxetine) Exclusion Criteria: Phase 1 (all participants) * Lifetime psychosis, bipolar disorder, or developmental disorder * Serious, unstable neurological disorder (e.g., seizure disorder) * Brain injury with loss of consciousness * Moderate-severe substance use disorder, past 6 mos. * MRI contraindications (e.g., metal in body) Phase 2 (for participants in TBS and ketamine phase, in addition to above) * Serious, unstable respiratory or cardiovascular illness * Pre-TBS: Alcohol binge in past week or \> 3 drinks/day in past 3 days * Pre-ketamine: use of MAOIs in past 2 weeks * Pregnancy * High blood pressure * Current illicit stimulant use * Lifetime recreational ketamine or PCP use
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Loeffler Building
Pittsburgh, Pennsylvania, 15213, United States
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