ClinicalTrials.gg
RecruitingNCT05909267MOTIVADEUpdated Mar 18, 2026

Dopamine Modulation of Motivation and Motor Function in Major Depression & Inflammation

An interventional study of L-dopa/Carbidopa and Placebo in Depressive Disorder, Major, sponsored by Charite University, Berlin, Germany. Recruiting at 1 site in Germany. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-18.

Sponsored by Charite University, Berlin, Germany · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by Jul 2026, 4 months ago, but the record still lists the study as recruiting.
  • Started Jul 2023; still recruiting 3 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
165
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

A large body of evidence on depression heterogeneity point to an "immunometabolic" subtype characterized by the clustering of immunometabolic dysregulations with atypical behavioral symptoms related to energy homeostasis. Motivational and motor impairments reflected by symptoms of anhedonia and psychomotor retardation in major depression are closely related to alterations in energy homeostasis, are associated with increased inflammation, and may be a direct consequence of the impact of inflammatory cytokines on the dopamine system in the brain. In the proposed project, the investigators will examine the effect of dopamine stimulation on motivation and motor function in patients with major depression and healthy controls and the role of inflammation using a double-blind, randomized, placebo-controlled, cross-over design. If successful, this study would provide crucial evidence that pharmacologic strategies that increase dopamine may effectively treat inflammation-related symptoms of anhedonia and psychomotor retardation in major depression.

02

Conditions studied

  • Depressive Disorder, Major

Keywords

  • depression
  • inflammation
  • anhedonia
  • psychomotor retardation
03

In context

Depressive Disorder, Major

3,041 studies on the registry are indexed under Depressive Disorder, Major; 588 are open to participants now.

This study's planned enrollment of 165 is above the median of 79 across 2,530 interventional studies indexed under Depressive Disorder, Major.

Browse Depressive Disorder, Major studies →

Lead sponsor

Charite University, Berlin, Germany is the lead sponsor of 857 studies on the registry; 129 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

For patients with major depressive disorder:

  • diagnosis of major depressive disorder according to
  • free of antidepressant medication

For healthy participants:

  • C-reactive protein (CRP): ≤ 1 mg/l
  • free of antidepressant medication
  • free of any current psychiatric disorder

Exclusion criteria

Exclusion Criteria:

  • diagnosis of schizophrenia, schizoaffective disorder, bipolar disorder, dementia, and current/past alcohol or drug dependence
  • central nervous system diseases
  • neurological diseases
  • suspicious undiagnosed skin lesions or a history of melanoma
  • narrow-angle or wide-angle glaucoma
  • bronchial asthma
  • history of peptic ulcer disease
  • history of seizures
  • any severe somatic disease
  • current infections or chronic inflammatory diseases (e.g., rheumatic diseases, inflammatory bowel disease)
  • pregnancy / breast-feeding
  • class 3 obesity ( of 40 or higher)
  • Use of medication containing reserpine (certain antihypertensive agents), tricyclic antidepressants, bon-selective monoamine oxidase (MAO) inhibitors, antiparkinsonian drugs, sympathomimetic drugs, tetrabenazine.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
165 participants (estimated)

Study arms

  • Experimental
    L-dopa/Carbidopa followed by placebo

    Participants will receive first L-dopa/Carbidopa (100/25 mg), and then placebo.

    Drug: L-dopa/Carbidopa · Drug: Placebo

  • Experimental
    Placebo followed by L-dopa/Carbidopa

    Participants will receive first placebo, and then L-dopa/Carbidopa (100/25 mg).

    Drug: L-dopa/Carbidopa · Drug: Placebo

Interventions

  • DrugL-dopa/Carbidopa

    Drug pages: Levodopa · Carbidopa

    Patients and healthy controls will receive one time administration of L-dopa/Carbidopa (100/25 mg).

  • DrugPlacebo

    Patients and healthy controls will receive one time administration of Placebo.

06

What researchers measure

Primary outcomes

  1. The change in response bias (logb) after L-dopa/Carbidopa compared to placebo in the Probabilistic Reward Task (PRT).

    The PRT, which uses a signal detection paradigm, will be used to measure response bias, the propensity to select the more rewarded response ("rich").

    Time frame: All participants will be tested on two separate experimental sessions separated by an interval of 48 hours, after L-dopa/Carbidopa or placebo.

  2. The change in mean gait speed [m/s] after L-dopa/Carbidopa compared to placebo in the dual task.

    The dual task mean gait speed will be measured with six wearable inertial measurement units. In this dual task, participants walk at their usual speed while naming as many animals as possible.

    Time frame: All participants will be tested on two separate experimental sessions separated by an interval of 48 hours, after L-dopa/Carbidopa or placebo.

Secondary outcomes

  1. The change in choice of the hard task after L-dopa/Carbidopa compared to placebo in the Effort Expenditure for Rewards Task (EEfRT).

    The EEfRT, a widely used, multi-trial task in which participants are given an opportunity on each trial to choose between two different task difficulty levels in order to obtain monetary rewards, will be used as an objective measure of reward motivation. The EEfRT is reported as the percent of high effort (hard) trials selected. A higher percentage reflects higher motivation for effort expenditure.

    Time frame: All participants will be tested on two separate experimental sessions separated by an interval of 48 hours, after L-dopa/Carbidopa or placebo.

  2. The change in movement time [ms] after L-dopa/Carbidopa compared to placebo in the Reaction Time Task (RTI).

    The RTI from the Cambridge Neuropsychological Test Automated Battery (CANTAB) will be used to assess movement time, which is the time taken to touch the stimulus on the computer screen after the press pad had been released.

    Time frame: All participants will be tested on two separate experimental sessions separated by an interval of 48 hours, after L-dopa/Carbidopa or placebo.

  3. The change in risk propensity after L-dopa/Carbidopa compared to placebo in the Risky Decision-Making Task.

    In the Risky Decision-Making Task, participants have to make choices between a risky option and a safe alternative. Risk Propensity, the proportion of risk-taking trials, will be a secondary outcome.

    Time frame: All participants will be tested on two separate experimental sessions separated by an interval of 48 hours, after L-dopa/Carbidopa or placebo.

  4. Response bias (logb) in the PRT

    Time frame: After administration of placebo on Day 2 or Day 3.

  5. Mean gait speed [m/s] in the dual task

    Time frame: After administration of placebo on Day 2 or Day 3.

  6. Choice of the hard task in the EEfRT

    Time frame: After administration of placebo on Day 2 or Day 3.

  7. Movement time [ms] in the RTI

    Time frame: After administration of placebo on Day 2 or Day 3.

Other outcomes

  1. The change in speed and accuracy after L-dopa/Carbidopa compared to placebo in the Rapid Visual Information Processing Task (RVP).

    The RVP from the Cambridge Neuropsychological Test Automated Battery (CANTAB) will be used to assess performance speed (mean latency for correct responses) and accuracy (target sensitivity score).

    Time frame: All participants will be tested on two separate experimental sessions separated by an interval of 48 hours, after L-dopa/Carbidopa or placebo.

  2. Risk propensity in the Risky Decision-Making Task

    Time frame: At baseline on Day 1.

07

Study locations

1 of 1 sites recruiting
  • Klinik für Psychiatrie und Psychotherapie
    Steglitz, 12203, Germany
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2023 (actual). Primary completion is estimated for Jul 2026, 36 months after the start.

Of 647 non-industry interventional studies with no phase under Depressive Disorder, Major, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 55. This study's planned 36 months is close to that.

Counting every sponsor, half of 687 studies reached it within 33 months; a quarter within 17 and three quarters within 55.

How these figures are worked out, and which studies are left out of them.

Registered
May 31, 2023
First posted
Jun 18, 2023
StartActual
Jul 26, 2023
Primary completionEst.
Jul 2026
CompletionEst.
Jul 2026
Last update
Mar 18, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05909267
Collaborators
Prof. Dr. Stefan M. Gold, Prof. Dr. Soyoung Q Park, Dr. Ulrike Grittner, Motognosis GmbH
Responsible party
Woo Ri Chae, MD (Principal Investigator, Charite University, Berlin, Germany) — Principal investigator
First posted
Jun 18, 2023
Start date
Jul 26, 2023
Primary completion
Jul 2026 (estimated)
Completion
Jul 2026 (estimated)
Last update
Mar 18, 2026

Study contacts

Woo Ri Chae, MD MSc
Contact
woo-ri.chae@charite.de
+49 30 450 517625
Woo Ri Chae, MD MSc
principal investigator · Charite University, Berlin, Germany

Oversight

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

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Studies of the drugs tested here: Levodopa · Carbidopa

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