Reward Processing and Depressive Subtypes: Identifying Neural Biotypes

Part of paid clinical trials in San Francisco, California.

Sponsor
San Francisco Veterans Affairs Medical Center
Study ID
NCT06080646
Status
Recruiting

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - 70 Years
Healthy Volunteers
Accepted

Interventions

  • cross-sectional MRI and EEG assessments (NO INTERVENTION) — OTHER
    n/a there is no intervention in this observational study

Study Details

Deficits in motivation and pleasure are common in depression, and thought to be caused by alterations in the ways in which the brain anticipates, evaluates, and adaptively uses reward-related information. However, reward processing is a complex, multi-circuit phenomenon, and the precise neural mechanisms that contribute to the absence or reduction of pleasure and motivation are not well understood. Variation in the clinical presentation of depression has long been a rule rather than an exception, including individual variation in symptoms, severity, and treatment response. This heterogeneity complicates understanding of depression and thwarts progress toward disease classification and treatment planning. Discovery of depression-specific biomarkers that account for neurobiological variation that presumably underlies distinct clinical manifestations is critical to this larger effort.

Key Dates

Start date
Jun 1, 2021
Status verified
Jul 2024
Primary completion
Jun 1, 2025
Completion
Sep 1, 2025

Study Design

Enrollment
150 participants (estimated)

Arms

  • Arm: MDD (Major Depressive Disorder) Group
    Individuals (ages 18-70 years) who meet DSM-5 criteria for MDD, as assessed using the Structured Clinical Interview for DSM-5 (SCID-5), with Stable psychiatric medication regime for \> 1 month will be recruited for participation in EEG and fMRI sessions in this observational study.
  • Arm: Unaffected Comparison Group
    50 unaffected comparison participants will be matched as a group to the age, race, educational level, handedness, and parental socio-economic status of the MDD patient group will be recruited for participation in EEG and fMRI testing sessions identical to those administered to the patients

Primary Outcome Measure

Stimulus preceding negativity [ Time Frame: 1 month (EEG measure of reward anticipation) ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
San Francisco Healthcare SystemSan FranciscoCalifornia94121
Jason Hemmerle, MBA
415-221-4810

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