ClinicalTrials.gg
Not yet recruitingNCT07716982APTE-SeroUpdated Jul 21, 2026

Estimation of Control Before and After Treatment of a Depressive Episode With Serotonin Reuptake Inhibitors

An interventional study of Selective Serotonin Reuptake Inhibitors (SSRIs) or serotonergic antidepressants and Experimental tasks in Depression Disorder, sponsored by Hôpital le Vinatier. Not yet recruiting at 1 site in France. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by Hôpital le Vinatier · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
124
Allocation
Non-randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The goal of this observational study is to better understand cognitive and affective processes involved in depression, in particular how individuals estimate their perception of control over events in their environment, as well as related processes such as memory and decision-making. The study also aims to investigate how these processes are affected by antidepressant treatment and how depressive symptoms evolve over time, as well as whether specific peripheral markers (including hormones) are associated with treatment effects.

Read the detailed description

The main questions it aims to answer are:

How do individuals with a depressive episode differ from healthy controls in their estimation of control over environmental events? How does antidepressant treatment (selective serotonin reuptake inhibitors) influence perceived control, cognitive performance, and depressive symptoms over time? Are changes in perceived control and symptoms associated with biological markers measured during the study?

Researchers will compare participants with a current depressive episode to healthy control participants, and examine changes over time in the depressed group before and after treatment initiation, in order to assess the effects of antidepressant treatment on cognition, perceived control, and symptoms.

Participants will:

  • Complete 4 study sessions over approximately 8 weeks, including 2 in-person visits at the Centre de Recherche en Neurosciences de Lyon (CRNL) and 2 online sessions.
  • Complete questionnaires assessing depressive symptoms, personality traits, and life events.
  • Perform computerized behavioral tasks involving prediction, learning, memory, and decision-making in virtual environments.
  • Complete tasks designed to assess perceived control over outcomes in different contexts.
  • Undergo non-invasive physiological recordings during in-person sessions, including eye-tracking, heart rate monitoring, and muscle activity measurement.
  • Perform short online versions of the cognitive tasks between visits.
  • Healthy control participants will complete the same procedures, except for antidepressant treatment exposure, while the depressed group will be followed over time before and after treatment.
02

Conditions studied

  • Depression Disorder

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Keywords

  • Depression
  • controllability
  • serotonin
  • SSRI
  • estimation of control
03

In context

Depression

8,577 studies on the registry are indexed under Depression; 1,720 are open to participants now.

This study's planned enrollment of 124 is above the median of 81 across 7,063 interventional studies indexed under Depression.

Browse Depression studies →

Lead sponsor

Hôpital le Vinatier is the lead sponsor of 106 studies on the registry; 41 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria - applicable to all participants:

  • Affiliated with a social security or national health insurance system, or entitled to such coverage.
  • Male or female, aged 18 to 55 years.
  • Fluent in spoken and written French.
  • Normal or corrected-to-normal vision.
  • Access to a computer and an internet connection.
  • Available for the 8-week study period following treatment initiation (patients) or the baseline visit (healthy controls).
  • Willing to use an effective method of (condom, oral contraceptive pill, abstinence, or intrauterine device).

Additional inclusion criteria for the depressed patient group:

  • Eligible for antidepressant monotherapy with a selective serotonin reuptake inhibitor (SSRI: sertraline, fluoxetine, citalopram, or paroxetine) or a serotonin-norepinephrine reuptake inhibitor (SNRI: venlafaxine or duloxetine), with or without concomitant treatment with a short half-life benzodiazepine (\<12 hours; e.g., oxazepam, lorazepam, or clotiazepam), for which the prescription has been issued but treatment has not yet been initiated.
  • Montgomery-Åsberg Depression Rating Scale (MADRS) score >6 and \<35 (corresponding to mild-to-moderate depression), assessed during the routine clinical visit with the treating physician.
  • No evidence of suicidal ideation, high-risk behaviors, history of suicide attempt, or overt psychotic symptoms that could compromise participant safety.
  • No severe medical condition or unstable physiological state considered incompatible with study participation by the referring physician, including but not limited to unstable chronic diseases (e.g., hypertension or diabetes), respiratory insufficiency, cardiovascular insufficiency, or renal insufficiency.

Exclusion criteria applicable to all participants:

  • History of a major depressive episode within the past 3 years.
  • Use of antidepressants, mood stabilizers, or antipsychotic medication within the past 3 years.
  • Diagnosis of a neurological or psychiatric disorder affecting central nervous system function (including bipolar disorder, schizophrenia, or other psychotic disorders according to criteria).
  • Pregnancy or breastfeeding (self-reported).
  • Individuals under legal protection (guardianship, curatorship, or judicial protection measures).
  • Current participation in another interventional clinical trial or ongoing exclusion period following a previous clinical trial.
  • Planned initiation during the study of a medication or substance known to interfere with serotonergic activity (including MDMA, LSD, psilocybin, ketamine, cocaine, 5-HT2A receptor antagonist antipsychotics, triptans, or lithium).
  • Use of serotonin-acting recreational drugs within the previous 6 months (including cocaine, MDMA, or psychedelic substances).
  • Refusal to be informed of the potential discovery of a incidental finding.

Additional exclusion criteria for the depressed patient group

  • Antidepressant treatment already initiated before study enrollment.
  • Use of benzodiazepines within the 12 hours preceding an experimental session.
  • Treatment with benzodiazepines other than oxazepam, lorazepam, or clotiazepam.
  • Current hospitalization.
  • Risk of suicidal behavior, defined as a score of ≥2 on the "zest for life" ("élan de vie") item of the Montgomery-Åsberg Depression Rating Scale (MADRS).
  • Current treatment considered clinically incompatible with study participation by the physician responsible for recruitment.

Additional exclusion criteria for the healthy volunteer group :

Current or previous diagnosis of a depressive or anxiety disorder.

Terms in these criteria, in plain language(3)

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
124 participants (estimated)

Study arms

  • Experimental
    Depression group

    Patients presenting a depressive episode and receiving serotonergic antidepressant treatment

    Drug: Selective Serotonin Reuptake Inhibitors (SSRIs) or serotonergic antidepressants · Other: Experimental tasks

  • Experimental
    Control group

    Healthy participants who are not receiving serotonergic antidepressant treatment.

    Other: Experimental tasks

Interventions

  • Participants are prescribed serotonergic antidepressants such as fluoxetine, sertraline, escitalopram, paroxetine, or serotonin-norepinephrine reuptake inhibitor (SNRI). Dosage, formulation, frequency, and treatment duration are determined by the treating clinician. No experimental manipulation of medication is performed within the study. The intervention is characterized to assess its association with cognitive performance, reaction time (RT), accuracy, and controllability-related decision-making.

  • OtherExperimental tasks

    Experimental tasks assessing cognition, decision-making, and perceived controllability.

06

What researchers measure

Primary outcomes

  1. Controllability Estimation Bias in depressed patients

    normalization of the controllability estimation bias in patients with depression after 8 weeks of treatment with a selective serotonin reuptake inhibitor (SSRI) or a serotonin-norepinephrine reuptake inhibitor (SNRI). The assessment of controllability is not obtained directly from the participant, but through a computational model inferred from their behavioural data (reaction time (RT), prediction accuracy (percentage of correct responses) and error rate)

    Time frame: Change between baseline and week 8

Secondary outcomes

  1. Controllability Estimation Bias in Depressed Patients vs Healthy Controls

    This measure compares the controllability estimation bias between participants with a current depressive episode and healthy controls using a behavioral task assessing perceived control over environmental outcomes

    Time frame: Baseline

07

Study locations

1 site
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

Start is estimated for Sep 2026; primary completion for Dec 2029, 39 months later.

Of 3,468 non-industry interventional studies with no phase under Depression, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's planned 39 months is above that.

Counting every sponsor, half of 3,566 studies reached it within 21 months; a quarter within 9 and three quarters within 41.

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

Registered
Jul 16, 2026
First posted
Jul 21, 2026
StartEst.
Sep 2026
Primary completionEst.
Dec 2029
CompletionEst.
Dec 2029
Last update
Jul 21, 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 Jul 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07716982
Collaborators
INSERM U1028
Responsible party
Sponsor
First posted
Jul 21, 2026
Start date
Sep 2026 (estimated)
Primary completion
Dec 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Jul 21, 2026

Study contacts

Romain Ligneul, PhD
Contact
romain.ligneul@inserm.fr
+33 04 72 13 89 00
Méline Devaluez, PhD
Contact
+33 04 37 91 55 14
Romain Ligneul, PhD
principal investigator · Institut National de la Santé Et de la Recherche Médicale, France

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: SSRIs

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