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Brain imaging may predict which depression treatment works for you

NCT ID NCT06002100

Knowledge-focused Sponsor: Kernel Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only This study
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

About 540 people

The number the study aims to enrol. It can still change while the study runs.

Started

Aug 2023

Expected to finish

Aug 2026

An estimate. End dates often move.

Lead sponsor

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

18 to 75 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

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.

  1. The places running it

    10 sites. The list below names each one and where it is.

  2. 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.

    Open the record ↗

  3. 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

  • Acacia Clinics

    Sunnyvale, California, 94087, United States

  • Bespoke Treatment

    Los Angeles, California, 90012, United States

  • Bespoke Treatment

    Los Angeles, California, 90025, United States

  • BrainHealth Solutions

    Costa Mesa, California, 92626, United States

  • Kadima Neuropsychiatry Institute

    La Jolla, California, 92037, United States

  • Kaizen Brain Center, LLC

    La Jolla, California, 92037, United States

  • Metro Psychiatry Inc.

    Columbus, Ohio, 43215, United States

  • Seattle Neuropsychiatric Treatment Center

    Bellevue, Washington, 98004, United States

  • Seattle Neuropsychiatric Treatment Center

    Seattle, Washington, 98104, United States

  • UCLA TMS

    Los Angeles, California, 90024, United States

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Other studies related to the condition(s) this trial covers.