TRANSCEND: Deep Brain Stimulation For Treatment-Resistant Depression
Dr. Bari is the implanting neurosurgeon for the UCLA site, in partnership with UCLA Psychiatry.
What The Study Tests
A prospective, multicenter, double-blind, randomized, sham-controlled study of DBS of the subcallosal cingulate white matter for major depressive disorder that has not responded to at least four adequate antidepressant treatments. About 100 patients at up to 25 US sites. After implant, half receive active stimulation and half sham for twelve months; everyone then receives active stimulation, with follow-up to 36 months.
Who May Qualify
- Adults 22 to 70 with non-psychotic, unipolar major depressive disorder
- A current episode of at least twelve months, or more than three lifetime episodes
- At least four failed antidepressant treatments
- Medically stable, with treatment stable for at least four weeks before enrollment
- Not eligible: psychotic features, high current suicide risk, pregnancy, or ongoing use of another neurostimulation treatment, ketamine, or esketamine during the study