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CompletedNCT04727229Updated Feb 9, 2024

Stellate Ganglion Block for Major Depressive Disorder.

A Phase 4 interventional study of Bupivacaine Hydrochloride and Normal Saline in Treatment Resistant Depression and Major Depressive Disorder, sponsored by Unity Health Toronto. Completed at 1 site in Canada. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-02-09.

Sponsored by Unity Health Toronto · Phase 4, Interventional, and Other

Phase
Phase 4
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a feasibility study, to investigate a new treatment option for major depressive disorders by performing a Stellate Ganglion Block (SGB). A SGB is an injection of local anesthetic into the sympathetic nervous system (peripheral nervous system) located in the lower part of the neck, to relieve pain in the head, neck, upper arm, and upper chest.

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Conditions studied

  • Treatment Resistant Depression
  • Major Depressive Disorder

Keywords

  • Feasibility trial
  • Stellate Ganglion Block
  • Bupivacaine
03

In context

Ganglion Cysts

136 studies on the registry are indexed under Ganglion Cysts; 28 are open to participants now.

This study's enrollment of 10 is below the median of 60 across 101 interventional studies indexed under Ganglion Cysts.

Browse Ganglion Cysts studies →

Lead sponsor

Unity Health Toronto is the lead sponsor of 434 studies on the registry; 76 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. 18 - 65 years of age
  2. Major depressive disorder without psychotic symptoms according to DSM-5 criteria
  3. Hamilton Depression Rating Scale (HAMD)>17
  4. Current major depressive episode as confirmed by the Mini International Neuropsychiatric Interview (MINI)
  5. Failure of at least two trials of antidepressant therapy during the current episode
  6. Capacity to provide informed consent

Exclusion criteria

Exclusion Criteria:

  1. Depression secondary to stroke, cancer or other severe medical illness
  2. Major Depressive Episode in people with Bipolar Disorder.
  3. Dementia
  4. Post-Traumatic Stress Disorder (PTSD)
  5. Acute suicidality defined as score ≥3 on HAMD item 3
  6. Previous electroconvulsive therapy
  7. Known history of intolerance of hypersensitivity to local anesthetic
  8. Current substance abuse or dependence (except for caffeine or nicotine dependence) and/or recent history (last 12 months) of current alcohol abuse or dependence, as defined in DSM-5 criteria
  9. Unwilling to maintain current antidepressant regimen.
  10. A clinical finding/condition that is unstable or that, in the opinion of the investigator(s) would negatively be affected by an SGB (e.g. movement disorder where patient is unable to lie still for injection or anatomical variants making an SGB impractical).
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Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Bupivacaine Hydrochloride

    Injection of Bupivacaine Hydrochloride 0.5% near the stellate ganglion.

    Drug: Bupivacaine Hydrochloride

  • Placebo comparator
    Normal Saline Solution

    Injection of Normal Saline near the stellate ganglion

    Drug: Normal Saline

Interventions

  • DrugBupivacaine Hydrochloride

    Injection of Bupivacaine near the stellate ganglion

  • DrugNormal Saline

    Injection of Normal Saline near the stellate ganglion

06

What researchers measure

Primary outcomes

  1. Feasibility, Recruitment, Acceptability, Safety,

    Recruitment rate, withdrawal rate, adherence rate, frequency of adverse events

    Time frame: 1 year

Secondary outcomes

  1. Change in the symptoms of depression

    ≥ 50% reduction in the Montgomery-Åsberg Depression Rating Scale (MADRS) score. The MADRS score range from 0 to 6 = no depression; from 7 to 19 = mild depression, 20 to 34 = moderate depression, 35 and greater = severe depression, and a total score of 60 or greater = very severe depression

    Time frame: 6 weeks

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Study locations

1 site
  • St. Michael's Hospital
    Toronto, Ontario M5B 1W8, Canada
08

References and documents

Publications

  • Sussman D, Tassone VK, Gholamali Nezhad F, Wu M, Adamsahib F, Mattina GF, Pazmino-Canizares J, Demchenko I, Jung H, Lou W, Ladha KS, Bhat V. Local Injection for Treating Mood Disorders (LIFT-MOOD): A Pilot Feasibility RCT of Stellate Ganglion Block for Treatment-Resistant Depression. Chronic Stress (Thousand Oaks). 2023 Mar 3;7:24705470231160315. doi: 10.1177/24705470231160315. eCollection 2023 Jan-Dec. PubMed 36895443 ↗

Individual participant data

Plan to share: No — No individual participant data has been planned to be shared with other researchers at this point since this is a feasibility study with only 10 participants.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04727229
Lead sponsor
Unity Health Toronto
Responsible party
Sponsor
First posted
Jan 27, 2021
Start date
Sep 23, 2021
Primary completion
Feb 10, 2022
Completion
Mar 10, 2022
Last update
Feb 9, 2024

Study contacts

Karim Ladha, MD
principal investigator · Unity Health Toronto

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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