Invasive Decoding and Stimulation of Altered Reward Computations in Depression

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Novel invasive neurostimulation stimulation strategies through neurosurgical interventions are emerging as a promising therapeutical strategy for major depressive disorder. These have been applied mostly to the anterior cingulate cortex, but other limbic brain regions have shown promise as anatomical targets for new neurostimulation strategies. The researchers seek to study neural activity in limbic brain areas implicated in decision behavior and mood regulation to identify novel targets for treatment through electrical stimulation. To do this, the study team will record local field potentials (LFPs) from the orbitofrontal cortex, hippocampus and amygdala of epilepsy participants undergoing invasive monitoring (intracranial encephalography, iEEG) during choice behavior. Leveraging the high co-morbidity of depression and intractable epilepsy (33-50%), neural responses will be compared to reward across depression status to identify abnormal responses in depression. Finally, the researchers will use these as biomarkers to guide development of neurostimulation strategies for the treatment of depression.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 80
Healthy Volunteers: f
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• \- The study will follow clinical criteria for epilepsy patient recruitment for invasive monitoring. As a results, individuals of adults of all ages are expected to be included in this study.

Locations
United States
New York
Icahn School of Medicine at Mount Sinai
RECRUITING
New York
Contact Information
Primary
Lizbeth Nunez Martinez
lizbeth.nunezmartinez@mssm.edu
(661) 772-6200
Time Frame
Start Date: 2021-10-06
Estimated Completion Date: 2027-08-31
Participants
Target number of participants: 10
Treatments
Experimental: Participants with depression
Participants with depression to undergo brain stimulation
Related Therapeutic Areas
Sponsors
Collaborators: National Institute of Mental Health (NIMH), University of California, Davis
Leads: Icahn School of Medicine at Mount Sinai

This content was sourced from clinicaltrials.gov