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NotablePrimary completion moved earlier from Jul 31, 2027 to Dec 4, 2025v171
Minor3 versionsRe-verified since May 29, 2026, no change to tracked fieldsv168-v170
MinorTrial status: Recruiting to Active, Not Recruiting
Enrollment target: estimated 35 to confirmed 8
Site details revised
v167
NotablePrimary completion date: Oct 31, 2025 to Jul 31, 2027
Study completion date: Oct 31, 2025 to Oct 31, 2027
v166
MinorPrimary completion date: Jul 31, 2025 to Oct 31, 2025v165
Show 43 earlier versionsHide 43 earlier versions
Minor2 versionsRe-verified since Jul 8, 2025, no change to tracked fieldsv163-v164
MinorPublications: 4 to 3v162
Minor5 versionsRe-verified since Mar 6, 2025, no change to tracked fieldsv157-v161
MinorEligibility criteria expanded, about 18 words
Publications: 3 to 4
v156
MinorInterventions: ECT device without stimulation (Other), MagPro TMS Stimulator and coil (Device), Magnetic Resonance Imaging Scanner (Device), Thymatron… to ECT device without stimulation (Other), MagPro TMS Stimulator and coil (Device), Magnetic Resonance Imaging Scanner (Device), Thymatron(R)…
Study title revised
v155
Minor7 versionsRe-verified since Nov 23, 2023, no change to tracked fieldsv148-v154
MinorStudy description revisedv147
Minor5 versionsRe-verified since Jan 24, 2023, no change to tracked fieldsv142-v146
MinorPrimary completion date: Jul 23, 2025 to Jul 31, 2025
Study completion date: Jul 23, 2025 to Oct 31, 2025
Start date changed from estimate of Oct 6, 2022 to Nov 8, 2022
v141
MinorStart date: Oct 5, 2022 to Oct 6, 2022v140
MinorStart date: Oct 4, 2022 to Oct 5, 2022v139
MinorStart date: Oct 3, 2022 to Oct 4, 2022v138
MinorStart date: Oct 2, 2022 to Oct 3, 2022v137
MinorStart date: Sep 29, 2022 to Oct 2, 2022v136
MinorStart date: Sep 28, 2022 to Sep 29, 2022v135
MinorStart date: Sep 27, 2022 to Sep 28, 2022v134
MinorStart date: Sep 26, 2022 to Sep 27, 2022v133
MinorStart date: Sep 22, 2022 to Sep 26, 2022v132
MinorStart date: Sep 21, 2022 to Sep 22, 2022v131
MinorStart date: Sep 20, 2022 to Sep 21, 2022v130
MinorStart date: Sep 19, 2022 to Sep 20, 2022v129
MinorStart date: Sep 18, 2022 to Sep 19, 2022v128
MinorStart date: Sep 15, 2022 to Sep 18, 2022v127
MinorStart date: Sep 14, 2022 to Sep 15, 2022v126
MinorStart date: Sep 13, 2022 to Sep 14, 2022v125
MinorStart date: Sep 12, 2022 to Sep 13, 2022v124
MinorStart date: Sep 8, 2022 to Sep 12, 2022v123
MinorStart date: Sep 7, 2022 to Sep 8, 2022v122
Stopped: an ongoing trial was terminated, suspended or withdrawn.
Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
Minor: routine progress and housekeeping, such as sites added or enrollment closed.
Background:
People with TRD are often helped by electroconvulsive therapy (ECT). But ECT can affect memory and thinking. Researchers want to study a treatment called TEST that uses less electricity.
Objective:
To study the safety and feasibility of TEST and assess its antidepressant effects.
Eligibility:
Adults aged 25-64 with major depression that has not been relieved by current treatments.
Design:
Participants will be admitted to the NIH Clinical Center for 5 18 weeks over 2 3 treatment phases. Their medications may be adjusted.
Participants will be interviewed about their depression, side effects, and other treatments they are receiving. They will complete questionnaires. They will give blood and urine samples. Their brain waves and heart rhythm will be recorded. They will take tests of memory, attention, mental functioning, and thinking.
Participants will have magnetic resonance imaging (MRI) scans of the head and brain. They will lie on a table that slides in and out of the scanner. Pictures of brain chemicals will also be taken. They may complete tasks during the MRI.
Participants will receive TEST and/or sham treatments. They may receive optional ECT. An intravenous catheter will be placed in an arm vein to receive general anesthesia. Two electrodes will be placed on the front of their head. An electric current will be passed from the ECT machine through the electrodes. For sham treatments, they will not receive the electric current. Their breathing, heart rate, brain function, blood pressure, and body movements will be measured.
Participants will have 7 follow-up visits over 6 months. Visits can be done via telehealth.
Participation will last for up to 42 weeks.