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
- Anhedonia
- Depression
- Depressive Disorder
- Depressive Symptoms
- Major Depressive Disorder
- Major Depressive Episode
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 70 Years
- Healthy Volunteers
- Accepted
Interventions
- cross-sectional MRI and EEG assessments (NO INTERVENTION) — OTHERn/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) GroupIndividuals (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 Group50 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
- Jason Hemmerle, MBA415 221 4810
- Kaitlyn Dal Bon, BA415 221 4810
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| San Francisco Healthcare System | San Francisco | California | 94121 |
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