Actively Recruiting

Phase 1
Age: 18Years - 70Years
All Genders
Healthy Volunteers
NCT04582916

PET Imaging of Cyclooxygenase in Participants With Major Depressive Disorder (MDD)

Led by National Institute of Mental Health (NIMH) · Updated on 2026-03-13

64

Participants Needed

1

Research Sites

455 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Background: Researchers developed \[11C\]MC1, a radioligand for cyclooxygenase-2 (COX-2). COX-2 is an enzyme induced in the brain during inflammation. Researchers want to see the levels of COX-1 (measured as distribution volume VT) are elevated in the brain of two groups of mood disorders patients undergoing MDE relative to the control group. Objective: To determine whether COX-1 and COX-2 are detectable in the brains of individuals with MDD experiencing a major depressive episode (MDE). Eligibility: People aged 18-70 years with MDD and Healthy Volunteers aged 18 70 years. Design: Group A: MDD participants will be studied with the same dose of \[11C\]MC1 before and after administration of 600 mg celecoxib; the study is neither randomized nor placebo-controlled. Group B: MDD participants, both medicated and unmedicated, will be studied with \[11C\]PS13 and compared to healthy volunteers.. https://nimhcontent.nimh.nih.gov/start/surveys/?s=TJW4RA4WN3LDD988

CONDITIONS

Official Title

PET Imaging of Cyclooxygenase in Participants With Major Depressive Disorder (MDD)

Who Can Participate

Age: 18Years - 70Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants aged 18 to 70 years old
  • Female participants of childbearing potential must use medically acceptable contraception
  • Participants must be in good general health based on medical history and physical exam
  • Participants must have sufficient understanding to consent and complete required tests
  • All participants must have completed screening assessment under specified protocols
  • MDD participants must meet DSM-5 criteria for major depression without psychotic features
  • MDD participants must have a MADRS score ≥18 or HAM-D score ≥15 within one week of study entry
  • MDD participants must be experiencing a major depressive episode lasting at least four weeks
  • Unmedicated participants must be medication-free for at least two weeks (five weeks for aripiprazole, brexpiprazole, fluoxetine) before screening
  • Participants must have adequate ulnar collateral flow checked at the radial artery pulse and no metal or foreign objects in both wrists
  • Participants must agree to lifestyle considerations
  • Healthy controls aged 18 to 70 years old
  • Healthy controls must be in good general health without cognitive impairment
  • Healthy controls must be enrolled in specified protocols
  • Healthy controls must have adequate ulnar collateral flow and no metal or foreign objects in both wrists
  • Healthy controls must agree to lifestyle considerations
Not Eligible

You will not qualify if you...

  • Clinically significant abnormalities on EKG or lab tests, including CBC and metabolic panels
  • Creatinine level greater than 1.3 mg/dL
  • Use of prohibited medications within required washout periods, including antidepressants, anti-inflammatory drugs (except celecoxib), antipsychotics, anxiolytics, psychotropic drugs, sedatives, or hypnotics
  • Use of NSAIDs within two weeks prior to PET scan and aspirin, corticosteroids (except topical), or immunosuppressants within one month
  • Current psychotic features or diagnosis of schizophrenia or other psychotic disorders
  • History of substance use disorder (except caffeine or nicotine) within the past three months
  • Serious suicidal or homicidal risk as judged by investigator
  • History of aggressive behavior
  • Unstable medical conditions making participation unsafe
  • Seeking or changing treatment during study
  • Inability to travel to NIH
  • Recent excess radiation exposure from other research
  • Inability to lie flat and still for at least two hours due to claustrophobia, weight, or behavioral symptoms
  • Inability to undergo MRI due to implanted devices or metal fragments
  • Pregnancy or breastfeeding
  • HIV infection
  • NIMH staff or NIH employees related to investigators
  • Non-English speaking participants due to neuropsychological testing requirements
  • Children excluded due to radiation risk

AI-Screening

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Trial Site Locations

Total: 1 location

1

National Institutes of Health Clinical Center

Bethesda, Maryland, United States, 20892

Actively Recruiting

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Research Team

T

Tara N Turon, C.R.N.P.

CONTACT

R

Robert B Innis, M.D.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

DIAGNOSTIC

Number of Arms

1

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