Actively Recruiting

Phase 2
Age: 35Years - 65Years
All Genders
NCT06580145

Leucine in Midlife Depression

Led by Emory University · Updated on 2025-04-24

75

Participants Needed

1

Research Sites

225 weeks

Total Duration

On this page

Sponsors

E

Emory University

Lead Sponsor

N

National Institute of Mental Health (NIMH)

Collaborating Sponsor

AI-Summary

What this Trial Is About

The study aims to investigate the effects of a 6-week leucine challenge on brain chemistry, connectivity, and behavior in people with midlife depression. The researchers will compare the leucine and an active comparator arm (lysine) for 6 weeks.

CONDITIONS

Official Title

Leucine in Midlife Depression

Who Can Participate

Age: 35Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Able and willing to provide informed consent
  • Diagnosis of major depression per Structured Interview for DSM-V (SCID-V)
  • Moderate to severe depression with Inventory of Depressive Symptoms - Self Reported (IDS-SR) score greater than 34
  • SHAPS score greater than 30 on the 0-56 scale
  • Body mass index (BMI) between 20-35 kg/m2
  • Plasma C-reactive protein (CRP) greater than 1 mg/L
  • No contraindications to MRI
  • Availability of friends or family for transportation after lumbar puncture procedure
  • Clinically significant findings on EKG
  • Patient Health Questionnaire (PHQ-9) score greater than 10
  • Willingness to adopt contraceptive measures unless exempt due to male sex, hysterectomy, bilateral oophorectomy, or natural postmenopause for at least 24 months
Not Eligible

You will not qualify if you...

  • History of maple syrup urine disease
  • Risk of hypoglycemia (unstable diabetes)
  • History of vitamin B6 deficiency
  • Current use of calcium supplements
  • History of renal or gall stones unless cleared by a primary care provider
  • Cognitive impairment with MMSE score less than 28
  • Lifetime diagnosis of psychotic disorders
  • Current mania or hypomania
  • Substance use disorder in the last 6 months
  • Active suicidal ideation or psychiatric hospitalization in the past year
  • Suicide attempts within the last five years
  • Scores greater than 3 on the Columbia Suicide Severity Rating Scale (C-SSRS)
  • Binge eating without mood symptoms increasing
  • Primary diagnosis of severe anxiety, PTSD exceeding depression severity, obsessive-compulsive disorder
  • Significant personality disorders with multiple hospitalizations or suicide attempts
  • Developmental disorders such as ADHD
  • Use of immune-active medications, antibiotics, immunizations, or steroids within specified recent time frames
  • Use of psychotropic medications within the last 4 weeks (8 weeks for fluoxetine)
  • Daily use of sedative-hypnotics, benzodiazepines, or opiates
  • Unstable medical disorders with frequent provider or medication changes
  • Lifetime diagnosis or treatment of cancers (excluding basal cell carcinoma) or autoimmune disorders
  • Lifetime exposure to chemotherapeutic agents
  • Unsafe metallic objects for MRI
  • Use of antidepressant medications or treatments with antidepressant effects
  • Pregnant women, children, prisoners, or individuals unable to consent

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Emory University Hospital

Atlanta, Georgia, United States, 30322

Actively Recruiting

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Research Team

E

Ebrahim Haroon, MD

CONTACT

D

Diana Beltran, BS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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