Treatment Resistant Depression
Conditions
Brief summary
In this study efficacy and safety of deep brain stimulation of the cingulate cortex in 20 patients with treatment resistant major depression will be investigated. In addition, the stress axis, the cortical GABAergic system, neurotrophins and event-related potentials will be assessed.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* patient is diagnosed with a severe major depressive episode * patient is in a chronic current MDE and/or has had a history of recurrent MDEs * patient has not had an acceptable clinical response due to failure with at least three antidepressant treatments during the current episode. * patient has a score \> 20 on the HAMD24 * patient is stable on current psychotropic medication for at least 6 weeks * patient is \>25 and \<80 years * Global Assessment of Function (GAF) score of \< 45
Exclusion criteria
* Atypical Depression (according to DSM IV) * Other relevant psychiatric axis I or axis II diseases * Relevant neurological diseases * Relevant cardiac or pulmonary diseases with enhances anaesthesiological risk (ASA Score \> 3) * Patient is currently enrolled in another investigational study not associated with the current study * Patient has a history of, or evidence of, significant brain malformation or significant head injury * Patient is likely to require a whole body MRI after implantation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| HAMD/MARS score reduction | 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| neurotrophic factor concentration, p300, cortical excitability measures, stress axis measures | 4 weeks |
Countries
Germany