Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
NCT07230990

Mechanisms Of Orbitofrontal Stimulation in Depression

Led by Subha Subramanian · Updated on 2026-05-14

80

Participants Needed

1

Research Sites

241 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The orbitofrontal cortex (OFC), a region involved in emotional regulation, decision making, and reward processing, is a key area linked to antidepressant response. This study tests whether noninvasive stimulation of the OFC using transcranial magnetic stimulation (TMS) can improve depressive symptoms. TMS uses magnetic fields generated by a coil placed next to the scalp to alter brain activity.

CONDITIONS

Official Title

Mechanisms Of Orbitofrontal Stimulation in Depression

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18-65 years
  • Able to read, speak, and understand English
  • Diagnosed with major depressive disorder experiencing a moderate to severe depressive episode (Hamilton Depression Rating Scale score ≥ 17)
  • Judged capable of completing study procedures by study staff
  • In stable outpatient treatment with no hospitalizations or medication changes in the past 30 days
Not Eligible

You will not qualify if you...

  • Moderate to severe substance use disorder within the past three months
  • History of fainting spells of unknown cause that may be seizures
  • Diagnosis of epilepsy except a single benign seizure
  • Current or past neurological disorders such as stroke, progressive disease, brain lesions, or prior neurosurgery/head trauma with lasting impairment
  • Any unstable medical condition
  • Presence of metal in the brain or skull (except dental fillings) unless cleared by a doctor
  • Devices affected by TMS or MRI (e.g., pacemaker, medication pump, nerve stimulator, cochlear implant, TENS unit, shunt) unless cleared by a doctor
  • Pregnancy; female participants will have a pregnancy test and pregnant individuals will not be enrolled

AI-Screening

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Trial Site Locations

Total: 1 location

1

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States, 02215

Actively Recruiting

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Research Team

S

Subha Subramanian, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

2

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