CClinicalTrials.gg
RecruitingNCT06238700SADIE-PUpdated Aug 26, 2026

Study on Allopregnanolone and Depression in Women Across the Menopause Transition

An interventional study of pregnenolone and placebo in Depression, sponsored by Beth Israel Deaconess Medical Center. Recruiting at 1 site in United States. Open to female participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Beth Israel Deaconess Medical Center · Not applicable, Interventional, and Other

From the registry’s dates

  • Started May 2026; still recruiting 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
40 Years to 60 Years
Sex
Female
01

Study summary

This study aims to identify how enhanced allopregnanolone activity (via pregnenolone) affects behavior and neurobiology that may underlie perimenopausal depression.

Read the detailed description

Midlife women are burdened with depression risk that is at least partly attributed to changing reproductive steroid dynamics across a prolonged reproductive transition. We hypothesize that declining endogenous allopregnanolone (ALLO) levels across the menopause transition underlies perimenopausal depression. This mechanistic trial aims to amplify the contrast between lower endogenous ALLO levels in perimenopausal women and higher levels induced by pregnenolone. This will be achieved by using the over-the-counter dietary supplement, pregnenolone, in a randomized, double-blind, parallel-arm, placebo-controlled trial. By manipulating ALLO levels together with key measurement of depression domains, this study harnesses the endocrine biology of perimenopause to explicate behavioral and neurobiological mechanisms underlying depression in women across the menopause transition.

02

Conditions studied

  • Depression

Browse trials for

03

In context

Depression

8,057 studies on the registry are indexed under Depression; 1,641 are open to participants now.

This study's planned enrollment of 80 is close to the median of 84 across 6,720 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Beth Israel Deaconess Medical Center is the lead sponsor of 560 studies on the registry; 80 are open to participants now.

Of its 75 completed or terminated interventional studies of FDA-regulated products, 61 (81%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 60 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Healthy women ages 40 to 60 years in the menopause transition
  • Depressive symptoms
  • Psychotropic medications are allowed if the dose is stable prior to screening and throughout the study
  • Able to read Arabic numerals and perform simple arithmetic
  • Able to provide written informed consent

Exclusion criteria

Exclusion Criteria:

  • Systemic hormone therapy
  • Contraindicated medications with pregnenolone
  • Systemic corticosteroid
  • Other psychiatric illnesses that are considered to be primary
  • Current suicidal ideation
  • Active substance use disorders
  • Unstable medical conditions
  • Obstructive sleep apnea or other primary sleep disorders
  • Abnormal hepatic and renal function
  • Known allergy to progesterone, exogenous allopregnanolone, or pregnenolone
  • History of head injury resulting in loss of consciousness > 20 min
  • Inability to comply with barrier contraceptive methods
  • Known intellectual disability
  • Investigator judgement that study participation constitutes substantial risk given medical or psychiatric condition
  • Current or recent participation in clinical trial expected to interfere with risk of or interpretation of study data
  • Inability to comply with study procedures
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    pregnenolone

    Participants will take 250mg of pregnenolone twice per day (daily total=500mg) for four weeks

    Dietary Supplement: pregnenolone

  • Placebo comparator
    placebo

    Participants will take placebo twice per day for four weeks

    Other: placebo

Interventions

  • Dietary supplementpregnenolone

    Pregnenolone is an endogenous steroid available in the US and elsewhere as an orally administered over-the-counter supplement.

  • Otherplacebo

    Placebo pills are identical-appearing capsules containing cellulose

06

What researchers measure

Primary outcomes

  1. Within-person change in score on the Ruminative Responses Scale

    The Ruminative Responses Scale (RRS) comprises 22 items which ask how frequently the participant thinks certain statements when they feel depressed. Each item is scored from 1-4. Total scores range from 22-88 with higher scores indicating more severe rumination.

    Time frame: Baseline to 2 weeks

07

Study locations

1 of 1 sites recruiting
  • Beth Israel Deaconess Medical Center
    Boston, Massachusetts 02215, United States
    • Aleta Wiley · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06238700
Lead sponsor
Beth Israel Deaconess Medical Center
Responsible party
Hadine Joffe (Professor of Psychiatry, Beth Israel Deaconess Medical Center) — Principal investigator
First posted
Feb 2, 2024
Start date
May 1, 2026
Primary completion
Dec 1, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Aug 26, 2026

Study contacts

Aleta Wiley, MPH
Contact
awiley3@bidmc.harvard.edu
617-975-8706
Katherine Burdick, PhD
principal investigator · Columbia University

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion