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SMILE Trial - Imaging Sub-Study

Sustained Mood Improvement With Laughing Gas Exposure: A Randomized Controlled Pilot Trial - Sub-Study Protocol to Include Neuroimaging

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05528718
Enrollment
11
Registered
2022-09-06
Start date
2023-03-07
Completion date
2024-06-14
Last updated
2026-03-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Major Depressive Disorder

Brief summary

This is a pilot sub-study of an ongoing trial comparing N2O to midazolam in MDD and will examine neuroimaging correlates of treatment response.

Detailed description

Magnetic resonance imaging (MRI) scans of MDD-affected brains have revealed changes in structural and functional connectivity compared to healthy subjects. This pilot sub-study examines structural and functional connectivity associated with MDD-affected patient participants' responsiveness to N2O compared to the midazolam placebo, which induces similar sedative effects. The investigators intend to address the changes in brain functional activity and connectivity between baseline and after a four-week intervention course involving weekly nitrous oxide inhalations measured by MRI.

Interventions

This sub-study does not have an intervention and based on the main study the participants who have received N2O will be compared with the midazolam placebo group.

DRUGMidazolam injection

This sub-study does not have an intervention and based on the main study the participants who have received N2O will be compared with the midazolam placebo group.

Sponsors

Unity Health Toronto
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Eligible for main nitrous oxide (SMILE) study

Exclusion criteria

* Contraindication for undergoing MRI scans (e.g., hip circumference \< 180 cm or metal in the body)

Design outcomes

Primary

MeasureTime frameDescription
Brain functional activity and connectivity4 weeks from the baseline visitChanges in brain functional activity and connectivity between baseline and after 4 weeks of receiving the intervention, measured by MR imaging.

Countries

Canada

Contacts

PRINCIPAL_INVESTIGATORVenkat Bhat, MD MSc

Unity Health Toronto

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 28, 2026