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ClinicalTrials.gov 20 recruiting now early-phase tilt

Treatment-Resistant Depression: early-phase trial registry

20 of 55 indexed Treatment-Resistant Depression trials are currently recruiting, with more weight in Phase 1-2.

Corpus placement: #254 of 28,707 conditions by registered trial count.

55 US clinical trials · 20 currently recruiting · #254 of 28,707 conditions by registered trial count

Treatment-Resistant Depression: 55 US clinical trials tracked, 20 recruiting.

Treatment-Resistant Depression is the subject of 55 registered US clinical trials on ClinicalTrials.gov, 20 of them currently open to new participants. 7 are in Phase 3-4 (later-stage) and 19 in Phase 1-2 (earlier-stage). The most active sponsor is Washington University School of Medicine, running 5 of these trials.

Enrollment posture brief

Registry condition treatment-resistant-depression

OPEN 20 | RECR 36% | LATE 7 | EARLY 19 | RANK #254 | SPON 5

Nearest open-share peer: Acquired Brain Injury (36% recruiting · 11 trials)

Colorectal Neoplasms41.8%Down Syndrome38.2%Treatment-Resistant Depr (th…36%Constipation27.3%Brain and Central Nervous Sy1.8%
Open-enrollment share among volume-matched conditions near Treatment-Resistant Depression

Treatment-Resistant Depression lists 20 open slots (36% of 55 indexed trials). Peers are matched on registered volume, not therapeutic-area browse lists. How peer matching works →

Key findings

What ClinicalTrials.gov does not surface for Treatment-Resistant Depression on its own pages , computed from the registry mirror as of 2026-08-08. Each line carries its own denominator so it can be quoted as it stands.

  1. Treatment-Resistant Depression is recruiting below its size-band peers.

    20 of 55 indexed trials (36.4%) are open to enrollment, against a 39.7% average across 762 conditions with 20-99 trials. The peer set uses the same ClinicalTrials.gov-derived counts as this page.

  2. Sponsorship of Treatment-Resistant Depression trials is spread across many organizations.

    Washington University School of Medicine accounts for 5 of 55 trials (9.1%). 38 distinct sponsors appear on at least one study for this condition label.

  3. Most Treatment-Resistant Depression trials plan to enrol fewer than 100 people.

    Median target enrolment is 50 among the 55 trials that report a genuine target (sentinel values excluded). 37 of those (67.3%) plan for fewer than 100 participants.

  4. Treatment-Resistant Depression research is mostly interventional.

    51 interventional and 4 observational studies make up this index (92.7% interventional). Study type is sponsor-reported on ClinicalTrials.gov.

Phase 16Phase 213Phase 36Phase 41

Open and recent trials

55 total, page 1 of 2

RECRUITING NA 6,800 participants

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 Depression

LivaNova

NCT03887715

RECRUITING 1,000 participants

University of Iowa Interventional Psychiatry Service Patient Registry

Mark Niciu

NCT04480918

RECRUITING Phase 3 348 participants

Biomarker-guided rTMS for Treatment Resistant Depression

Weill Medical College of Cornell University

NCT04041479

RECRUITING Phase 2 172 participants

Antidepressant Effects of Nitrous Oxide

University of Chicago

NCT05357040

RECRUITING Phase 2 142 participants

A Study to Assess the Efficacy, Safety and Tolerability of VLS-01 Buccal Film, Compared to Placebo in Patients With Treatment Resistant Depression (ELUMINA)

atai Therapeutics

NCT06524830

RECRUITING NA 140 participants

Ultrasound Neuromodulation of Circuits and Negative Valence Systems in Treatment-Resistant Depression

Laureate Institute for Brain Research

NCT07166289

RECRUITING Phase 2 100 participants

Psilocybin rTMS for Treatment Resistant Depression

University of Texas at Austin

NCT06132178

RECRUITING NA 100 participants

Treatment ResistAnt Depression Subcallosal CingulatE Network DBS (TRANSCEND)

Abbott Medical Devices

NCT06423430

RECRUITING NA 84 participants

Mapping and Modulating the Spatiotemporal Dynamics of Socio-Affective Processing

Baylor College of Medicine

NCT05418894

RECRUITING NA 76 participants

Cortical Inhibition as a Biomarker of Response in a Comparison of Bilateral Versus Unilateral Accelerated Theta Burst Stimulation for Suicidal Ideation in Treatment-Resistant Depression -COMBAT-SI

University of California, San Diego

NCT05377177

RECRUITING NA 75 participants

Maintenance rTMS for Depression (Maitr-De)

University of California, San Diego

NCT06938841

RECRUITING Phase 2 70 participants

Mindfulness Engaged Neurostimulation for Depression

University of California, San Diego

NCT06399406

RECRUITING NA 60 participants

Accelerated Intermittent Theta-Burst Stimulation (aiTBS) in Treatment-Resistant Depression of Bipolar II Disorder

Stanford University

NCT05849402

RECRUITING 50 participants

Disruptions of Brain Networks and Sleep by Electroconvulsive Therapy

Washington University School of Medicine

NCT05905705

RECRUITING Phase 3 23 participants

Psilocybin-Assisted Therapy in Treatment-Resistant Depression

University of North Carolina, Chapel Hill

NCT06303739

RECRUITING Phase 1 20 participants

DBS for Depression

Northwell Health

NCT06096207

RECRUITING NA 15 participants

PCS in Severe Treatment Resistant Depression

University of Minnesota

NCT04124341

RECRUITING 12 participants

Acceptability and Feasibility of Transcranial Magnetic Stimulation (TMS) for Depression in Multiple Sclerosis

University of Utah

NCT06329414

RECRUITING NA 12 participants

Tractography Guided Subcallosal Cingulate Deep Brain Stimulation for Treatment Resistant Depression

Nader Pouratian

NCT03952962

RECRUITING NA 10 participants

DBS for TRD With the Medtronic Percept PC

Helen Mayberg, MD

NCT05773755

ACTIVE NOT RECRUITING 6,000 participants

Studying the Health of Asians to Advance Knowledge, Treatments, and Interventions for Depression

University of Texas Southwestern Medical Center

NCT06002204

ACTIVE NOT RECRUITING Phase 3 572 participants

Efficacy, Safety, and Tolerability of Two Administrations of COMP360 in Participants With TRD

COMPASS Pathways

NCT05711940

ACTIVE NOT RECRUITING Phase 3 255 participants

Efficacy, Safety, and Tolerability of COMP360 in Participants With TRD

COMPASS Pathways

NCT05624268

ACTIVE NOT RECRUITING NA 100 participants

Rapid Acting Transcranial Magnetic Stimulation

Stanford University

NCT04739969

ACTIVE NOT RECRUITING NA 100 participants

Establishing a Dose-response Relationship With Accelerated Transcranial Magnetic Stimulation

Stanford University

NCT04243798

ACTIVE NOT RECRUITING Phase 2 80 participants

Specialized Pro-resolving Lipid Mediators and Treatment Resistant Depression

Massachusetts General Hospital

NCT05774665

ACTIVE NOT RECRUITING Phase 2 48 participants

Neural and Antidepressant Effects of Propofol

University of Utah

NCT03684447

ACTIVE NOT RECRUITING Phase 2 40 participants

Dasatinib Plus Quercetin for Accelerated Aging in Mental Disorders

Washington University School of Medicine

NCT05838560

ACTIVE NOT RECRUITING NA 40 participants

Compressed Intermittent Theta Burst Stimulation

University of Pennsylvania

NCT04684706

ACTIVE NOT RECRUITING Phase 2 40 participants

Psilocybin for Treatment-Resistant Depression

University of Colorado, Denver

NCT06230757

ACTIVE NOT RECRUITING NA 31 participants

CET- REM (Correlating ECT Response to EEG Markers)

Washington University School of Medicine

NCT04451135

ACTIVE NOT RECRUITING NA 30 participants

Exercise to Augment TMS in Those With Treatment Resistant Depression

Butler Hospital

NCT05913401

ACTIVE NOT RECRUITING Phase 2 27 participants

An Open Label Study of the Safety and Efficacy of Psilocybin in Participants With Treatment-Resistant Depression (P-TRD)

Sheppard Pratt Health System

NCT04433858

ACTIVE NOT RECRUITING Early Phase 1 18 participants

Ketamine Associated ACC GABA and Glutamate Change and Depression Remission:

Mayo Clinic

NCT03573349

ACTIVE NOT RECRUITING NA 16 participants

Open Label - Personalized Therapeutic Neuromodulation for Anhedonic Depression

Stanford University

NCT06052137

ACTIVE NOT RECRUITING NA 16 participants

Deep Brain Stimulation (DBS) Therapy for Treatment Resistant Depression

The University of Texas Health Science Center, Houston

NCT02046330

ACTIVE NOT RECRUITING Phase 1 15 participants

Slow Wave Induction by Propofol to Eliminate Depression (SWIPED) I

Washington University School of Medicine

NCT04680910

ACTIVE NOT RECRUITING NA 10 participants

Transcranial Direct Current Stimulation (tDCS) as an Adjunctive Treatment for Treatment Resistant Depression (TRD)

Mayo Clinic

NCT06236711

ACTIVE NOT RECRUITING NA 10 participants

Deep Brain Stimulation for Treatment Resistant Depression With the Medtronic Activa PC+S

Emory University

NCT01984710

ACTIVE NOT RECRUITING NA 10 participants

DBS for TRD With the Medtronic Summit RC+S

Helen Mayberg, MD

NCT04106466

ACTIVE NOT RECRUITING NA 5 participants

Epidural Cortical Stimulation for Depression

Medical University of South Carolina

NCT00565617

COMPLETED Phase 3 892 participants

A Study in Relapse Prevention of Treatment-Resistant Depression

Eli Lilly and Company

NCT00958568

COMPLETED Phase 3 876 participants

Open-Label Safety Study of AXS-05 in Subjects With Depression

Axsome Therapeutics

NCT04039022

COMPLETED Phase 4 742 participants

Optimizing Outcomes of Treatment-Resistant Depression in Older Adults

Washington University School of Medicine

NCT02960763

COMPLETED NA 291 participants

Implementation Trial of Evidence Based Practices for Mood Disorders

University of Arkansas

NCT02150577

COMPLETED Phase 2 197 participants

A Biomarker-Guided, Randomized, Placebo-Controlled Efficacy and Safety Study of Liafensine in Patients With TRD

Denovo Biopharma

NCT05113771

COMPLETED Phase 2 99 participants

Double-Blind, Placebo-Controlled Trial of Ketamine Therapy in Treatment-Resistant Depression (TRD)

Massachusetts General Hospital

NCT01920555

COMPLETED Phase 1 80 participants

Safety, Tolerability, PK and Efficacy of Single Doses of NV-5138 in Healthy Volunteers and Subjects With Treatment-Resistant Depression

Navitor Pharmaceuticals

NCT03606395

COMPLETED Phase 2 62 participants

Efficacy of Repeated Ketamine Infusions for Treatment-resistant Depression

VA Office of Research and Development

NCT02360280

COMPLETED Phase 1 50 participants

Home-administered tDCS for Treatment of Depression

Soterix Medical

NCT04781127

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Phase Distribution

PhaseTrial count
Phase 1 6
Phase 2 13
Phase 3 6
Phase 4 1

Named interventions

Most-linked intervention names on Treatment-Resistant Depression records (sponsor-reported on ClinicalTrials.gov). Counts are trial links, not unique products.

Psilocybin Drug
4 trials
Placebo Drug
4 trials
Active TBS-DLPFC Device
3 trials
Ketamine Drug
3 trials
Sham TBS-DLPFC Device
2 trials
Electroencephalography (EEG) Diagnostic test
2 trials
Propofol Drug
2 trials
Spaced Transcranial Direct Current Stimulation Device
1 trials

US sites by state

Facility locations filed on Treatment-Resistant Depression trials. A trial with sites in several states counts in each.

California 24 trials
New York 11 trials
Missouri 10 trials
Florida 9 trials
Texas 7 trials
Georgia 7 trials
Minnesota 6 trials
Massachusetts 6 trials

Source: ClinicalTrials.gov, National Library of Medicine. Data is informational only.

What to do with this Treatment-Resistant Depression page

55 registered trials, 20 currently recruiting, is a starting point for a conversation, not a diagnosis or a recommendation.

Trial and recruiting counts reflect ClinicalTrials.gov registry status as of the data vintage above; individual trial eligibility and enrollment status can change.

Every figure on PlainTrial is rendered directly from the ClinicalTrials.gov registry, no number is typed in by an editor. This Treatment-Resistant Depression condition card totals 55 registered trials; most-linked intervention Psilocybin; top US site state California. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.