Depressive Disorder, Treatment-Resistant clinical trials
The registry lists 448 studies for Depressive Disorder, Treatment-Resistant across more than 10 countries. 147 are recruiting or about to start. 301 of them are mainly about Depressive Disorder, Treatment-Resistant (how this is decided). Per ClinicalTrials.gov, last updated 2026-11-13.
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Status
Who runs them
Janssen Research & Development, LLC (16) · Centre for Addiction and Mental Health (15) · Stanford University (13) · Washington University School of Medicine (12) · Massachusetts General Hospital (11) · Changping Laboratory (8) · Sunnybrook Health Sciences Centre (8) · University of California, San Diego (7)
What is being tested here
Drugs under test in Depressive Disorder, Treatment-Resistant studies, those with the most open studies first. Medicines only given beside them are not counted. How drugs are counted
| Drug | Open | Phase 3 | All |
|---|---|---|---|
| Psilocybin | 9 | 3 | 25 |
| Ketamine | 8 | 8 | 42 |
| Esketamine | 4 | 11 | 18 |
| Nitrous Oxide | 2 | 1 | 7 |
| Aripiprazole | 1 | 1 | 6 |
| Risperidone | 1 | 0 | 4 |
| Bupropion | 1 | 0 | 3 |
| BPL-003 | 1 | 0 | 2 |
| Pramipexole | 1 | 0 | 2 |
| Desethyloxybutynin | 1 | 1 | 1 |
Drug classes tested here Serotonin receptor agonists 9 open · Antipsychotics 2 open · Inhaled anesthetics 2 open · SSRIs 1 open
Coming up
Studies recruiting or running, from their records. “Main data collection” ends at the primary completion date, the sponsor’s own estimate, which often moves.
The 10 nearest, phase 3 first
- Feb 2027Sustained Mood Improvement With Laughing Gas Exposure · Phase 3 · Women's College Hospital
- Apr 2027Biomarker-guided rTMS for Treatment Resistant Depression · Phase 3 · Weill Medical College of Cornell University
- Nov 2026An Open-Label Study to Evaluate the Safety, Tolerability and Pharmacodynamics of BPL-003 in Patients With Treatment Resistant Depression · Beckley Psytech Limited
- Nov 2026Regulated Stimulation for Optimized Network Activity and Therapeutic Equilibrium - Maintenance · Motif Neurotech, Inc.
- Nov 2026Comparison of the Efficacy of Accelerated Intermittent Theta Burst Stimulation and Accelerated Continuous Theta Burst Stimulation in Patients With Treatment-Resistant Depression · Ataturk University
- Nov 2026Compressed Intermittent Theta Burst Stimulation · University of Pennsylvania
- Nov 2026Maintenance rTMS for Depression (Maitr-De) · University of California, San Diego
- Dec 2026Ketamine Associated ACC GABA and Glutamate Change and Depression Remission: · Mayo Clinic
- Dec 2026EEG Microstate Parameters and Neuroinflammatory Biomarkers in Patients With Treatment-Resistant Major Depressive Disorder Receiving ECT · Istanbul University - Cerrahpasa
- Dec 2026EEG Microstate and Neuroinflammatory Biomarkers in Older Age Patients With Major Depressive Disorder Receiving ECT · Istanbul University - Cerrahpasa
Who these studies take
Of the 114 Depressive Disorder, Treatment-Resistant studies recruiting now, 26 (23%) set no upper age limit and 76 (67%) stop at 75 or younger. 1 (1%) take children under 18. 0 (0%) are for women only and 0 (0%) for men only; 13 (11%) take healthy volunteers.
| Age | Women | Men |
|---|---|---|
| 10 | 0 (0%) | 0 (0%) |
| 18 | 94 (82%) | 94 (82%) |
| 30 | 108 (95%) | 108 (95%) |
| 40 | 108 (95%) | 108 (95%) |
| 50 | 107 (94%) | 107 (94%) |
| 65 | 105 (92%) | 105 (92%) |
| 75 | 48 (42%) | 48 (42%) |
| 85 | 34 (30%) | 34 (30%) |
Across all 448 studies, recruiting or not: 66% stop at 75 or younger and 45% at 65; 3% take children; 1% are for women only and <1% for men only; 11% take healthy volunteers. From each study’s registry entry; the criteria on its page decide.
How long Depressive Disorder, Treatment-Resistant studies take
Of 50 phase 2 interventional studies under Depressive Disorder, Treatment-Resistant, half reached primary completion within 31 months of starting, counting those still running.
| Start to primary completion | Every sponsor | Industry | Non-industry |
|---|---|---|---|
| Phase 1 | 41 mo16–59 · 19 studies | — | — |
| Phase 2 | 31 mo17–41 · 50 studies | — | — |
| Phase 3 | 30 mo24–59 · 24 studies | — | — |
| Phase 4 | 38 mo27–59 · 18 studies | — | — |
| Interventional, no phase | 50 mo22–88 · 140 studies | — | 42 mo22–79 · 136 studies |
| Observational | 52 mo31–65 · 32 studies | — | — |
Each figure is the month by which half the studies had reached primary completion, with the range in which the middle half did. Studies still running count until their last registry update; studies that stopped early are left out. Phase 1 includes early phase 1; observational means prospective or not stated, as retrospective and cross-sectional studies date a window of data rather than a study. How these figures are worked out
What changed recently
From the registry's own updates since Oct 15, 2026.
Started recruiting4
- Behavioural Activation Therapy and Ketamine for Treatment-Resistant DepressionNov 9, 2026NCT07801703
- EEG-Guided Transcranial Magnetic Stimulation for Adults With DepressionNov 3, 2026NCT07862205
- Ketogenic Diet and Neuromodulation in Treatment Resistant DepressionOct 28, 2026NCT07376018
- A Randomized, Double-Blind Controlled Comparison of NRX-101 vs. Placebo for Adults Being Treated With Robotic Transcranial Magnetic Stimulation for Treatment Resistant Depression: The SPARC-TMS TrialOct 21, 2026NCT07227103
Stopped3
- Acceptability and Feasibility of Transcranial Magnetic Stimulation (TMS) for Depression in Multiple SclerosisWithdrawnNov 6, 2026NCT06329414
- Linear Asymmetric rTMS in Adolescent Treatment-Resistant Depression: Treatment Durations From Ten Days to One DayWithdrawnNov 2, 2026NCT03986658
- Ketamine Biomarker ValidationWithdrawnOct 19, 2026NCT07307768
Newly registered5
- Phase-Locked Accelerated Intermittent Theta Burst Stimulation for Treatment-Resistant DepressionNov 10, 2026NCT07930000
- Effect of Neurofeedback and TMSOct 23, 2026NCT07892287
- Sensation Seeking and TMS Response in TRDOct 22, 2026NCT07889739
- French Minds Cohort: a French Longitudinal and Multimodal Cohort of Patients With Major Mood Disorders, Psychotic Disorders, Autism Spectrum Disorders, and Healthy ControlsOct 19, 2026NCT07881016
- SAINT® Therapy for Memory Problems in Older Adults With Treatment-Resistant DepressionOct 15, 2026NCT07876908
Studies
Recruiting first, then most recently updated. Showing 50 of 448. Browse all 448 → or search them.
- The BAARD Study : Evaluating a Computerized Approach to Treatment Selection in Older Adults With Treatment Resistant Depression.Not yet recruitingNCT07810738Phase 22 countries
- DBS for DepressionRecruitingNCT06096207Not applicable1 country
- Mapping and Modulating the Spatiotemporal Dynamics of Socio-Affective ProcessingEnrolling by invitationNCT05418894Not applicable1 country
- Regulated Stimulation for Optimized Network Activity and Therapeutic EquilibriumRecruitingNCT07594483Not applicable1 country
- Natural History of Depression, Bipolar Disorder and Suicide RiskRecruitingNCT064621961 country
- Behavioural Activation Therapy and Ketamine for Treatment-Resistant DepressionRecruitingNCT07801703Phase 2/31 country
- Biomarker-Guided Antidepressant SelectionRecruitingNCT07680140Phase 41 country
- ACP-211 Monotherapy for Major Depressive Disorder With Inadequate Antidepressant ResponseRecruitingNCT07284667Phase 21 country
- A Prospective, Multi-center, Randomized Controlled Blinded Trial Demonstrating the Safety and Effectiveness of VNS Therapy® System as Adjunctive Therapy Versus a No Stimulation Control in Subjects With Treatment-Resistant DepressionRecruitingNCT03887715Not applicable1 country
- A Study of Esketamine Nasal Spray Versus Placebo Spray in Adult Participants With Treatment-resistant DepressionRecruitingNCT07716098Phase 34 countries
- EEG-Guided Transcranial Magnetic Stimulation for Adults With DepressionRecruitingNCT07862205Not applicable1 country
- Vagus Nerve Stimulation (VNS) Electroencephalogram (EEG) Protocol SupplementEnrolling by invitationNCT07310381Not applicable1 country
- Ketogenic Diet and Neuromodulation in Treatment Resistant DepressionRecruitingNCT07376018Not applicable1 country
- SAINT® Therapy for Memory Problems in Older Adults With Treatment-Resistant DepressionRecruitingNCT07876908Not applicable1 country
- ALTO-207 in Adults With Treatment-resistant Depression (TRD)RecruitingNCT07553637Phase 22 countries
- InTRavenous kEtAmine and immerSive virtUal Reality to Treat dEpressionRecruitingNCT06781697Phase 31 country
- Effect of Neurofeedback and TMSNot yet recruitingNCT07892287Not applicable
- Psilocybin Assisted Psychotherapy for Treatment Resistant Depression and Co-occurring Substance Use DisorderNot yet recruitingNCT07499583Phase 1/21 country
- Accelerated vs. Conventional Theta Burst Stimulation for Late-life DepressionRecruitingNCT06854367Not applicable1 country
- Sensation Seeking and TMS Response in TRDRecruitingNCT078897391 country
- A Randomized, Double-Blind Controlled Comparison of NRX-101 vs. Placebo for Adults Being Treated With Robotic Transcranial Magnetic Stimulation for Treatment Resistant Depression: The SPARC-TMS TrialRecruitingNCT07227103Phase 2/31 country
- Treatment With Psilocybin for Chronic Neuropathic Pain and Depression (TRANSCEND)RecruitingNCT06518720Phase 21 country
- French Minds Cohort: a French Longitudinal and Multimodal Cohort of Patients With Major Mood Disorders, Psychotic Disorders, Autism Spectrum Disorders, and Healthy ControlsRecruitingNCT07881016Not applicable1 country
- Imaging the Effects of Serotonin 2A Receptor Modulation on Synaptic Density in Treatment-resistant Depression (SYNVEST)RecruitingNCT06512220Phase 21 country
- Intravenous Ketamine for Treatment-Resistant DepressionRecruitingNCT06668571Phase 21 country
- Treatment ResistAnt Depression Subcallosal CingulatE Network DBS (TRANSCEND)RecruitingNCT06423430Not applicable1 country
- ipRGC as a Potential Biomarker for Predicting Transcranial Magnetic Stimulation Treatment Response in Major Depressive DisorderRecruitingNCT07474974Not applicable1 country
- Investigation of the Antidepressant Effects of (2R,6R)-HNK, an Enhancer of Synaptic Glutamate Release, in Treatment-Resistant DepressionRecruitingNCT06511908Phase 21 country
- Long-term Observation of Participants With Mood DisordersRecruitingNCT048779771 country
- Feasibility Trial of Exercise as a Priming Strategy for rTMS Treatment in Difficult-to-Treat DepressionRecruitingNCT06773949Not applicable1 country
- Dehydroepiandrosterone (DHEA) as Augmentation of Standard Antidepressants in Treatment-resistant Depression.RecruitingNCT07843927Phase 31 country
- Ketamine-Assisted Psychotherapy for Treatment-Resistant DepressionNot yet recruitingNCT07247006Phase 21 country
- DBS for TRD With the Medtronic Percept PCRecruitingNCT05773755Not applicable1 country
- Home-Based Randomized Trial of Spaced Transcranial Direct Current Stimulation for Treatment-Resistant DepressionNot yet recruitingNCT07834762Not applicable1 country
- Efficacy of Psilocybin and Trazodone Combination in Treatment-resistant Depression: a Randomized Controlled Proof-of-concept Study (PSILOTRAZ)RecruitingNCT07210112Phase 21 country
- Treatment Resistance in Psychiatric Disorders: the Search for Biological Markers Predictive of Response to TreatmentRecruitingNCT07741981Not applicable1 country
- Imaging- vs. Scalp-Targeted Accelerated TMS for Depression: The Number Needed to Scan TrialNot yet recruitingNCT07043738Not applicable
- Ketamine Treatment for Treatment-Resistant Depression - the Role of FramingNot yet recruitingNCT07824973Not applicable1 country
- NRX-101 Expanded AccessAvailableNCT057792671 country
- Lumateperone for Late-Life DepressionRecruitingNCT07623135Phase 31 country
- Characterizing Synaptic Density in Treatment Resistant DepressionRecruitingNCT035377941 country
- Gamma Oscillations as a Prognostic Marker for Ketamine Therapy in Treatment Resistant DepressionRecruitingNCT06480201Phase 11 country
- OSU6162 as add-on in SSRI/SNRI-resistant DepressionRecruitingNCT05641623Phase 21 country
- Spaced Transcranial Direct Current Stimulation for Treatment-Resistant Depression: A Home-Based Feasibility and Safety StudyRecruitingNCT07217223Not applicable1 country
- Relationship of Peripheral Inflammatory and Neuroprotective Biomarkers With Response to Intermittent Theta Burst Stimulation in Treatment-Resistant DepressionRecruitingNCT07673913Not applicable1 country
- One-Day cTBS Over the PrecuneusRecruitingNCT07758010Not applicable1 country
- Maintenance Individualized Neuromodulation and Depression-detection Via Sensors for Early TreatmentNot yet recruitingNCT07779330Not applicable1 country
- PCS in Severe Treatment Resistant DepressionRecruitingNCT04124341Not applicable1 country
- Brexpiprazole Treatment for Bipolar I DepressionRecruitingNCT04569448Phase 31 country
- A Study to Assess Effectiveness and Efficiency of VNS Therapy in Patients With Difficult to Treat Depression.RecruitingNCT033203044 countries