Personalized DBS Targeting for Treating Depression
NCT06784388 · Status: RECRUITING · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 5
Last updated 2026-04-27
Summary
The goal of this clinical trial is to optimize the target brain areas for deep brain stimulation (DBS) for depression based on personalized brain imaging and stereo-electroencephalography(SEEG), to administer long-term DBS treatment in the target brain areas, to assess the effectiveness and safety of DBS for refractory depression and to validate the method of personalized optimization of DBS targets. The main questions it aims to answer are:
1. Where is the optimal DBS target brain region for each patient?
2. What are the optimal DBS parameters for each patient ?
3. What are the neural biomarkers of depression symptoms for each patient?
4. Are the optimized DBS strategies effective in treating refractory depression?
Conditions
- Treatment-resistant Depression (TRD)
Interventions
- DEVICE
-
Deep Brain Stimulation(DBS)
During the DBS treatment phase, the DBS device will apply electrical stimulation to the patient's target brain regions using a specific strategy, and if the efficacy of this phase is not satisfactory, electrical stimulation will continue to be applied during the efficacy observation phase after DBS shutdown.
- DRUG
-
SEEG intraoperative experiment: patients will be implanted with microelectrodes and connected to an electrophysiological recorder under local anesthesia. Intraoperative neurophysiological baseline will be recorded for 5 minutes, and esketamine will be injected intravenously at a dose of 0.5 mg/kg, and neurophysiological recordings will be continued for 15 minutes to observe the neuronal electrophysiological changes in various brain regions and target points.
Sponsors & Collaborators
-
Second Affiliated Hospital, School of Medicine, Zhejiang University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-05
- Primary Completion
- 2027-12-30
- Completion
- 2028-12-30
- FDA Drug
- Yes
- FDA Device
- Yes
Countries
- China
Study Locations
More Related Trials
-
Neuronavigation Guided iTBS With Personalized Target for Depression
NCT05577481 ·Status: COMPLETED ·Phase: PHASE2
-
Efficacy Study of Deep Brain Stimulation in Patients With Treatment Resistant Major Depression
NCT03653858 ·Status: COMPLETED ·Phase: NA
-
DBS of the Habenula for Treatment- Resistant Major Depression
NCT03347487 ·Status: TERMINATED ·Phase: NA
-
Remotely Programmed Deep Brain Stimulation of the Bilateral Habenula for Treatment- Resistant Major Depression: An Open Label Pilot Trial
NCT03254017 ·Status: TERMINATED ·Phase: NA
-
Identifying Local Field Potential Biomarkers for Treatment-Resistant Major Depression With Deep Brain Stimulation
NCT06542094 ·Status: RECRUITING ·Phase: NA
-
Efficacy and Safety of DBS in Patients With Treatment-Resistant Depression
NCT03667872 ·Status: UNKNOWN ·Phase: NA
-
Deep Brain Stimulation for Treatment-Refractory Major Depression
NCT00122031 ·Status: COMPLETED ·Phase: PHASE1
-
Efficacy of Deep Brain Stimulation(DBS) for Treatment-Resistant Depression(TRD)
NCT06542900 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Deep Brain Stimulation for Treatment Resistant Depression
NCT04009928 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Deep Brain Stimulation of Nucleus Accumbens for Chronic and Resistant Major Depressive Disorder
NCT01569711 ·Status: COMPLETED
-
Personalized High-Definition Transcranial Direct Current Stimulation (HD-tDCS) Treatment for Major Depressive Episode
NCT05498441 ·Status: UNKNOWN ·Phase: NA
-
The Mechanisms of Underlying Accelerated Repetitive Transcranial Magnetic Stimulation for Treatment-resistant Depression
NCT05607654 ·Status: RECRUITING ·Phase: NA
-
New Techniques for Diagnosis and Treatment of Cognitive Impairment in Affective Disorder
NCT05596461 ·Status: UNKNOWN ·Phase: NA
-
Electroencephalography-based Precise Repetitive Transcranial Magnetic Stimulation Treatment
NCT06385405 ·Status: RECRUITING ·Phase: NA
-
DBS of the Lateral Habenula in Treatment-Resistant Depression
NCT01798407 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Precision Transcranial Magnetic Stimulation for Depression Based on Orbital Frontal Cortex-habenula Circuitry
NCT06837207 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Deep Brain Stimulation of the Superolateral Branch of the Medial Forebrain Bundle (slMFB) for the Treatment of Refractory Major Depression
NCT01778790 ·Status: COMPLETED ·Phase: PHASE2
-
Effects of Deep Brain Stimulation in Treatment Resistant Major Depression
NCT01095263 ·Status: COMPLETED ·Phase: PHASE1
-
PINS Stimulator System for Patients With Treatment Resistant Depression
NCT02253355 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
A Randomized, Double-Blind Controlled Comparison of NRX-101 vs. Placebo for Adults Being Treated With Transcranial Magnetic Stimulation for Treatment Resistant Depression
NCT07227103 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3
-
Treatment ResistAnt Depression Subcallosal CingulatE Network DBS (TRANSCEND)
NCT06423430 ·Status: RECRUITING ·Phase: NA
-
Efficacy and Safety of Task-specific, Biomarker-driven, HD-ctACS inTRD.
NCT07184697 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Tractography Guided Subcallosal Cingulate Deep Brain Stimulation for Treatment Resistant Depression
NCT03952962 ·Status: RECRUITING ·Phase: NA
-
A Study of rTMS Personalized Precision Treatment of Post-stroke Depression
NCT03256305 ·Status: UNKNOWN ·Phase: NA
-
Dose-Optimized and Spaced Transcranial Direct Current Stimulation for Treatment-Resistant Depression
NCT06730841 ·Status: COMPLETED ·Phase: NA