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NCT07680140 · ClinicalTrials.gov registry record · Phase 4

Biomarker-Guided Antidepressant Selection

A Phase 4 study, sponsored by Weill Medical College of Cornell University.

Not yet
Registry status
Phase 4
Development phase
27
Enrollment target

NCT07680140: Clinical Trial Phase 4 study, sponsored by Weill Medical College of Cornell University.

NCT07680140 is a Phase 4 study that has not yet begun recruiting, run by Weill Medical College of Cornell University. The registered enrollment target is 27 participants, below the 518-participant average among 9,235 other Phase 4 trials with a reported enrollment target (95% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT07680140, a Phase 4 study, has not yet begun recruiting, sponsored by Weill Medical College of Cornell University.

NOT YET RECRUITING
Registry status
Phase 4
Development phase
27 participants
Enrollment target

Study Summary

Depression is one of the leading causes of disability worldwide. Common treatments like antidepressant medications and talk therapy work well for some people, but many others do not improve, even after trying multiple treatments. This study will investigate two alternative treatment options for people whose depression has not responded to standard treatments: repetitive transcranial magnetic stimulation (rTMS), a non-invasive form of brain stimulation, and ketamine, a fast-acting medication. It can be difficult to decide between these interventions in clinical practice, and selecting between them often comes down to patient preference and trial and error. This study is working to optimize the selection approach: using biological and behavioral markers to match each person to identify biomarkers that may predict response to rTMS or ketamine. Investigators believe that differences in how individuals respond to rTMS versus ketamine are partly explained by differences in how their brains are organized, and that these differences can be measured and used to guide intervention decisions. This is an early-stage pilot study designed to test whether this biomarker-based approach is practical and acceptable to patients. Investigators will evaluate how well a combination of brain imaging and clinical data can predict, at the individual level, who is likely to respond to rTMS versus ketamine. The ultimate goal is to develop a reliable, scalable tool that helps clinicians make faster and more informed intervention decisions, reducing the time people with treatment-resistant depression spend searching for an antidepressant that works.

Primary Outcome

Change in depressive symptoms from pre- to post-intervention, as measured by mean percent change in score on the GRID 17-item Hamilton Depression Rating Scale (HDRS-17), in participants receiving rTMS vs. ketamine. The GRID HDRS-17 has a minimum score of 0 and maximum score of 52, with higher scores indicating greater depression severity.

Interventions

  • DEVICE TMS
  • DRUG Ketamine

Trial Details

FieldValue
Enrollment Target 27 participants
Start Date 2026-07
Est. Completion 2028-12
Phase Phase 4

What is known before NCT07680140 opens enrollment

NCT07680140 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 27 participants, a relatively small participant target, below the 518-participant average among 9,235 other Phase 4 trials with a reported enrollment target (95% lower).

The record links to 0 conditions, and to 2 interventions - of which TMS is the first listed.

NCT07680140 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT07680140 about?

NCT07680140 is a clinical study titled "Biomarker-Guided Antidepressant Selection". Depression is one of the leading causes of disability worldwide. Common treatments like antidepressant medications and talk therapy work well for some people, but many others do not improve, even after trying multiple treatments. This study will investigate two alternative treatment options for peo...

What is the current status of trial NCT07680140?

This trial is currently not yet recruiting. It is a Phase 4 study. The enrollment target is 27 participants. The study started on 2026-07. Estimated completion is 2028-12.

What interventions are being tested in trial NCT07680140?

The interventions under investigation include: TMS (DEVICE), Ketamine (DRUG).

Who is sponsoring clinical trial NCT07680140?

This trial is sponsored by Weill Medical College of Cornell University, which has 701 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT07680140's enrollment target sits among peer trials

27 1651st of 2000 higher than 346 of 2,000 other Phase 4 trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Phase 4 trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT07680140, the US trial registry maintained by the National Library of Medicine. NCT07680140 (small enrollment · none site footprint · not yet recruiting) retrieved and formatted by PlainTrial, see methodology.