Actively Recruiting

Age: 14Years - 21Years
All Genders
NCT05329441

Inflammatory and Glutamatergic Mechanisms of Sustained Threat in Adolescents With Depression

Led by University of California, Los Angeles · Updated on 2025-05-28

160

Participants Needed

1

Research Sites

251 weeks

Total Duration

On this page

Sponsors

U

University of California, Los Angeles

Lead Sponsor

U

University of Southern California

Collaborating Sponsor

AI-Summary

What this Trial Is About

Despite the prevalence and significant public health concern over depression among adolescents, up to 40% of depressed adolescents do not respond to first-line antidepressants (herein termed treatment non-response, TNR). The goal of this project is to recruit and assess 160 treatment-seeking depressed adolescents and test whether acute stress impacts peripheral levels of inflammation and downstream levels of glutamate in corticolimbic regions previously associated with depression, whether these stress-related biomarkers predict TNR to a 12-week trial of either fluoxetine or escitalopram, and whether these stress-related biomarkers predict 18-month clinical course.

CONDITIONS

Official Title

Inflammatory and Glutamatergic Mechanisms of Sustained Threat in Adolescents With Depression

Who Can Participate

Age: 14Years - 21Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • DSM-V criteria for a depressive disorder
  • All sexes and genders
  • All ethnicities
  • Ages 14 to 21 years
  • Postpubertal (Tanner stage greater than 3)
  • No medications that interfere with the study (including antidepressants, mood stabilizers, hormone supplements, steroids) for at least 2 to 6 weeks
  • Currently being treated by a clinician with fluoxetine or escitalopram
  • Ability to provide assent and complete all study procedures
  • Caregiver consent if applicable
Not Eligible

You will not qualify if you...

  • Primary mental health diagnosis other than a depressive disorder
  • Contraindications to MRI scanning, blood draws, or SSRI treatment
  • Use of stimulants
  • Concussion within the last 6 weeks or any lifetime concussion with loss of consciousness for at least 10 minutes
  • Any inflammatory conditions or use of anti-inflammatory medications that may affect study results
  • Major neurological or developmental disorders affecting study participation
  • Current or past mania, psychosis, bipolar disorder, or substance use disorders
  • First-degree relative with current, past, or suspected mania or psychosis

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University of California, Los Angeles

Los Angeles, California, United States, 90095

Actively Recruiting

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Research Team

T

Tiffany Ho, Ph.D.

CONTACT

C

Cheryl Sun, B.A.

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Inflammatory and Glutamatergic Mechanisms of Sustained Threat in Adolescents With Depression | DecenTrialz