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NCT05573074 | RECRUITING | Major Depressive Disorder

Transcranial Near Infrared Radiation and Cerebral Blood Flow in Depression - R33
Sponsor:

NYU Langone Health

Brief Summary:

The purpose of this research study is to determine if application of near infrared energy to the forehead can change blood flow in the brains of people with depression. Near infrared energy is like light but is not visible to the human eye.

Condition or disease

Major Depressive Disorder

Intervention/treatment

Transcranial Photobiomodulator

Sham

Phase

NA

Detailed Description:

In this multi-center study, approximately 60 subjects with Major Depressive Disorder (MDD) will undergo Magnetic Resonance Imaging (MRI) scanning during transcranial Photobiomodulation (tPBM) before and after a randomized, double-blinded, controlled 16 session course of treatment with tPBM or sham.

Study Type : INTERVENTIONAL
Estimated Enrollment : 120 participants
Masking : DOUBLE
Primary Purpose : DIAGNOSTIC
Official Title : Transcranial Near Infrared Radiation and Cerebral Blood Flow in Depression - R33
Actual Study Start Date : 2023-04-01
Estimated Primary Completion Date : 2026-01-31
Estimated Study Completion Date : 2026-04-30

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years to 65 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * Participants must be able to give written informed consent and follow study procedures
  • * Participants must be 18-65 years of age
  • * Participants must have major depressive disorder; all the following conditions need to be met to ensure presence of significant depression symptoms
    • 1. Meeting diagnostic criteria for Major Depressive Disorder (MDD) in the past two weeks, at the DSM-5 Mini-International Neuropsychiatric Interview (MINI)
    • 2. Inventory for Depressive Symptomatology Clinician-rated (IDS-C) total score ≥23 at screening
    • 3. Depression symptoms are the primary target of treatment or treatment-seeking.
    • * Women of child-bearing potential must agree to use adequate contraception
    • * Participants taking medications or psychotherapy approved for the treatment of major depressive disorder will need to be stable for at least 8 weeks prior to screen.
    Exclusion Criteria
    • * Unwilling or unable to comply with study requirements
    • * Patients judged to be at serious and imminent suicidal (C-SSRS≥4) or homicide risk, or currently in crisis such that inpatient hospitalization or other crisis management should take priority.
    • * History of any or psychotic or bipolar disorder
    • * Met diagnostic criteria for an alcohol or substance use disorder, post-traumatic stress disorder, obsessive-compulsive disorder, anorexia nervosa, or bulimia nervosa within the preceding 6 months
    • * History of dementia, traumatic brain injury (TBI), or neurological disorders affecting the brain, including any history of stroke or seizure disorders requiring treatment in the last 5 years
    • * Cognitive impairment significant as determined by the Montreal Cognitive Assessment (MOCA) \<22 or MOCA-Blind \<19.
    • * History of antisocial personality disorder, or any clinically significant personality trait that would, in the investigator's judgment, preclude safe study participation or impair ability to remain adherent with the treatment protocol
    • * History of significant treatment non-adherence or situations where the subjects are unlikely to adhere to treatment, in the opinion of the investigator.
    • * Pregnant (as confirmed by pregnancy test at screen) or nursing
    • * Currently undergoing device-based treatment for depression or taking medications for depression other than SSRIs, SNRIs, or Wellbutrin (bupropion).
    • * Treatment resistance with failure to respond to more than two adequate treatments with FDA-approved antidepressant medications during current episode of major depressive disorder.
    • * History of ECT in the last 12 months; lifetime history of VNS; lifetime treatment resistance to any FDA-approved device-based treatment for major depressive disorder (such as ECT, TMS, VNS); device-based interventions for depression will need to be discontinued at least 8 weeks prior to screen.
    • * Serious, unstable medical illnesses including hepatic, renal, gastroenterologic, respiratory, cardiovascular, endocrinologic, neurologic, immunologic, hematologic disease; defined as any medical illness which is not well-controlled with standard-of-care v Clinically significant abnormal findings of laboratory parameters including urine toxicology screen for drugs of abuse or at physical examination.
    • * Clinical or laboratory evidence of uncontrolled hypothyroidism; if maintained on thyroid medication must be euthyroid for at least 1 month before screening.
    • * Past intolerance or hypersensitivity to tPBM.
    • * Significant skin conditions (i.e., hemangioma, scleroderma, psoriasis, rash, open wound or tattoo) on the subject's scalp that are found in the area of the procedure sites.
    • * Any use of light-activated drugs (photodynamic therapy) within 14 days prior to study enrollment.
    • * Any type of implants in the head, whose functioning might be affected by tPBM (e.g., stent, clipped aneurysm, embolized AVM, implantable shunt - Hakim valve).
    • * Failure to meet standard MRI safety requirements (e.g., claustrophobia, non-removable piercings, implanted medical devices, other non-removable metals) as determined by the MRI Safety Checklist.
Transcranial Near Infrared Radiation and Cerebral Blood Flow in Depression - R33

Location Details

NCT05573074

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How to Participate

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Locations

RECRUITING

United States, Massachusetts

Harvard Medical School

Boston, Massachusetts, United States, 02114

RECRUITING

United States, New York

NYU Langone Health

New York, New York, United States, 10016

RECRUITING

United States, New York

Nathan Kline Institute for Psychiatric Research

Orangeburg, New York, United States, 10962