Could an arthritis drug ease depression by calming brain inflammation?
NCT ID NCT04814355
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether celecoxib (Celebrex), an anti-inflammatory drug, can reduce brain inflammation in people with major depression. 41 adults with depression received 400 mg of celecoxib daily for 8 weeks. Researchers used PET scans to measure inflammation before and after treatment, and also tracked mood changes. The goal was to see if reducing inflammation improves depression symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- celecoxib (Celebrex)
- What this could lead to
- If it works, this could point toward an anti-inflammatory treatment for depression, especially for patients who don't respond to standard antidepressants.
- What could go wrong
- This is a small, early-phase pilot study (41 people) with no placebo group, so results may not be conclusive or generalizable. Celecoxib can cause stomach ulcers and cardiovascular risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
41 people
The number who actually took part.
- Started
-
Aug 2018
- Finished
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Feb 2026
- Lead sponsor
-
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
-
18 to 65 years
- Sex
-
Anyone
- Healthy volunteers
-
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 * Age: 18-65 * Diagnosis of MDD and currently in a major depressive episode * Capacity to give informed consent * Score of at least 29 on the MADRS Exclusion Criteria * Low affinity binders (LABs) for TSPO Genotype * Hypersensitivity to celecoxib, sulfonamides, aspirin, other NSAIDs, or any component of the formulation; previous asthma, urticaria, or allergic-type reactions after taking aspirin or other NSAIDs * Heptic impairment, heart failure, severe renal impairment, recent GI bleed, history of peptic ulcer disease, anemia or any other contraindication for celecoxib * Poor CYP2C9 metabolizer * Currently taking medications that interact with celecoxib (digoxin, antihypertensives, diuretics, anticoagulant or anti-platelet treatment, including aspirin) * Use of herbs, drugs, or medications with anti-inflammatory or immunomodulatory properties (within 5 half-lives of starting celecoxib treatment) * Unlikely to tolerate medication washout or the medication-free period following washout * Participant considered at significant risk for suicide * ECT within 1 month * High potential for excessive drug/alcohol use during the treatment period (excluding nicotine or cannabis) * Significant active physical illness or neurological deficit that may affect brain functioning or imaging * Any PET contraindications, including if study imaging will result in the participant receiving greater exposure than the research limit, or if participant is currently pregnant, breastfeeding, or planning to conceive during the course of study participation
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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
-
Psychiatry Department at Stony Brook University
Stony Brook, New York, 11794-8101, United States
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