Brain imaging may predict which depression treatment works for you
NCT ID NCT06002100
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study aims to find brain activity patterns that can predict how people with major depression will respond to different treatments. Researchers will use a non-invasive brain imaging device (TD-fNIRS) to measure brain function in 540 adults before they start treatment. The goal is to move toward personalized depression care, where the right treatment is chosen based on individual brain signals.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could lead to personalized depression treatment plans based on brain activity, improving outcomes.
- What could go wrong
- This is an observational study, not a treatment trial. It may not identify reliable biomarkers, and results may not apply to all patients.
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.
- Participants
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About 540 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2023
- Expected to finish
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Aug 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult participants seeking treatment for depression at a participating clinic/study site. Separate cohorts of participants will be enrolled depending on the treatment they have been prescribed. No clinical decisions will be made based on the data acquired for this study, and participation in the study has no influence on treatment decisions.
- Ages
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18 to 75 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: Ketamine cohort * Adult between the ages of 18 - 65, inclusive at time of enrollment * Primary diagnosis of MDD as defined by DSM-5 * Determined by clinic to be eligible for ketamine treatment and agrees to receive ketamine treatment * Agrees to start ketamine treatment in conjunction with study participation to capture pre-treatment measurements accurately * Has not received a ketamine treatment course in the past 12 months * Has not received a TMS treatment course in the past 3 months * Ability to consent for themselves * Fluency in English (speaking and reading) SPRAVATO cohort * Adult between the ages of 18 - 75, inclusive at time of enrollment * Primary diagnosis of MDD as defined by DSM-5 * Determined by clinic to be eligible for SPRAVATO treatment and agrees to receive SPRAVATO treatment * Agrees to start SPRAVATO treatment in conjunction with study participation to capture pre-treatment measurements accurately * Has not received a ketamine or SPRAVATO treatment course in the past 12 months * Has not received a TMS treatment course in the past 3 months * Ability to consent for themselves * Fluency in English (speaking and reading) TMS cohort * Adult between the ages of 18 - 65, inclusive at time of enrollment * Primary diagnosis of MDD as defined by DSM-5 * Determined by clinic to be eligible for TMS treatment and agrees to receive TMS treatment * Agrees to start TMS treatment in conjunction with study participation to capture pre-treatment measurements accurately * Has not received a TMS treatment course in the past 12 months * Has not received a ketamine or SPRAVATO treatment course within the last 3 months * Ability to consent for themselves * Fluency in English (speaking and reading) Antidepressants cohort * Adult between the ages of 18 - 65, inclusive at time of enrollment * Primary diagnosis of MDD as defined by DSM-5 * Determined by clinic to be eligible for antidepressant treatment and agrees to receive antidepressant treatment * Agrees to start antidepressant treatment in conjunction with study participation to capture pre-treatment measurements accurately * Has not taken antidepressants in the past 3 months * Has not received a TMS, SPRAVATO, or ketamine treatment course in the past 3 months * Ability to consent for themselves * Fluency in English (speaking and reading) Exclusion Criteria: * Is or may be pregnant (for participant of childbearing potential \[POCBP\]), even if they have been cleared to receive the depression treatment * Unable or unwilling to wear the TD-fNIRS headset * Has had ECT in the past 3 months * Major visual or auditory deficits that would prevent study task completion * Hospitalizations and/or unstable health/medical condition/treatment in the last 30 days * Major medical illnesses and psychiatric conditions including: * Alzheimer's/Mild Cognitive Impairment * Parkinson's disease * Motor neuron diseases * Multiple Sclerosis * Brain Tumor * Stroke * Encephalitis * Meningitis * Epilepsy * TBI with serious results (coma, unconscious for \>2 hrs, or skull fracture) * Current serious psychiatric conditions (bipolar disorder, schizophrenia, or psychosis) * Any other clinically significant medical condition or circumstance that, in the opinion of the Investigator, could affect patient safety, preclude evaluation of response, interfere with the ability to comply with study procedures, or prohibit completion of the study * Not an appropriate candidate for the study in the judgment of the investigator(s)
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
10 sites. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Acacia Clinics
Sunnyvale, California, 94087, United States
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Bespoke Treatment
Los Angeles, California, 90012, United States
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Bespoke Treatment
Los Angeles, California, 90025, United States
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BrainHealth Solutions
Costa Mesa, California, 92626, United States
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Kadima Neuropsychiatry Institute
La Jolla, California, 92037, United States
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Kaizen Brain Center, LLC
La Jolla, California, 92037, United States
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Metro Psychiatry Inc.
Columbus, Ohio, 43215, United States
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Seattle Neuropsychiatric Treatment Center
Bellevue, Washington, 98004, United States
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Seattle Neuropsychiatric Treatment Center
Seattle, Washington, 98104, United States
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UCLA TMS
Los Angeles, California, 90024, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can teachers and a phone app ease teen depression?
- Can imagining exercise boost brain power after spinal cord injury?
- Can an antipsychotic restore feelings in people with depression?
- Can a group program teach teens to cope before therapy starts?