Condition
Treatment Resistant Depression (TRD) clinical trials and research
As of November 12, 2026, Find a Trial lists 27 Treatment Resistant Depression (TRD) clinical trials that are recruiting, at sites in 13 countries (most in United States (8), France (4), Canada (3)). 1 was first registered in the last 30 days. By phase: Phase 4 (3), Phase 2 (3), Phase 3 (2), Phase 1/2 (1). The most active sponsors are Centre Hospitalier St Anne (2), Sunnybrook Health Sciences Centre (2). There are also 1 NIH-funded research project on Treatment Resistant Depression (TRD). Every study is explained in plain English. Data from ClinicalTrials.gov and NIH RePORTER, updated November 12, 2026.
- 27Clinical trials
- 1NIH research projects
- 1New in 30 days
- 13Countries
Newest Treatment Resistant Depression (TRD) clinical trials
All recruiting trials (27)
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French Minds: a French, Multimodal Cohort Study of Severe Psychiatric Disorders and Healthy Controls
This study tests whether people with mood, psychotic, or autism disorders can be grouped into more similar subtypes based on social withdrawal and anhedonia, across ages 15 to 60.
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DHEA add-on to standard antidepressants for treatment-resistant depression
This trial tests whether adding 100 mg/day of DHEA to patients’ current antidepressant treatment helps people with treatment-resistant depression feel better.
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One-Day cTBS Over the Precuneus and iTBS Over the Left PFC for Treatment-Resistant Depression
This study tests whether a one-day accelerated TMS session targeting the precuneus or the left dorsolateral prefrontal cortex can reduce depressive symptoms in adults with treatment-resistant depression, compared with sham stimulation.
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Predicting Treatment Response in Psychiatric Disorders Using Biological Markers
This study tests whether biological markers can predict which patients with psychiatric conditions will respond to treatment.
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Cannabidiol Oil as an Add-on for Treatment-Resistant Major Depression
This study tests whether full-spectrum CBD oil added to standard antidepressants can help adults with treatment-resistant major depression.
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Biomarker-guided antidepressant choice to see if rTMS or ketamine works best for you
This study tests whether brain and behavior markers can help match people with major depression to either rTMS or ketamine to see which works better for them.
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Response to Intermittent Theta Burst Stimulation in Treatment-Resistant Depression
This study tests whether a four-week course of intermittent theta burst stimulation can help people with treatment-resistant depression by looking at symptoms, thinking skills, and blood biomarkers.
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Lumateperone added to antidepressant therapy for older adults with treatment-resistant depression
A 10-week trial will test whether lumateperone helps reduce depression in people aged 60 and older who have not responded adequately to other antidepressants, compared with a placebo.
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Accelerated bilateral DMPFC iTBS for major depression
This study tests whether a fast, multiple-daily session brain stimulation approach can help adults with major depressive disorder who have not fully benefited from standard antidepressants.
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Psychedelic coaching added to ketamine treatment for treatment-resistant depression
This trial will test whether adding psychedelic integration coaching to ongoing ketamine or esketamine maintenance helps people with treatment-resistant depression.
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ALTO-207 for adults with treatment-resistant depression
This trial will test whether ALTO-207 reduces depressive symptoms more than placebo in adults whose depression has not improved after at least two antidepressant treatments.
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Near-infrared brain light for somatic symptoms in treatment-resistant depression
This will test whether twice-weekly near‑infrared transcranial photobiomodulation at 10 Hz or 40 Hz can reduce depressive and physical (somatic) symptoms in people with treatment‑resistant depression who are already on antidepressants.
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Ketogenic Diet with Accelerated Brain Stimulation for Treatment‑Resistant Depression
This study tests whether adding a ketogenic diet to a personalized accelerated brain stimulation treatment helps reduce depression symptoms in adults with treatment‑resistant depression.
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Esketamine with preparation and integration therapy for treatment-resistant depression
This study will test whether adding brief preparation and follow-up integration therapy to FDA-approved esketamine nasal spray helps adults with treatment-resistant depression feel better and keep improving longer.
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Electroconvulsive therapy combined with transcranial magnetic stimulation for treatment-resistant depression
This will test whether giving a short burst of intermittent theta-burst magnetic stimulation (iTBS) just before electroconvulsive therapy helps adults with treatment-resistant major depressive disorder by lowering the energy needed to trigger a therapeutic seizure.
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Accelerated intermittent vs continuous theta-burst stimulation for treatment-resistant depression
This trial will test whether two accelerated theta-burst magnetic stimulation approaches—intermittent (iTBS) and continuous (cTBS)—work better for adults with treatment-resistant depression.
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Rapid, robot-guided TMS with NRX-101 for treatment-resistant depression
This trial tests whether a single-day, robot-guided brain stimulation plus NRX-101 can help adults with treatment-resistant depression compare to sham stimulation and placebo.
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At-home spaced transcranial direct current stimulation for treatment-resistant depression
This will test whether a two-week program of at-home spaced transcranial direct current stimulation (tDCS) can help people with treatment-resistant depression who have not improved on antidepressants.
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Psilocybin and trazodone in treatment-resistant depression
This study tests whether adding trazodone to psilocybin helps people with treatment-resistant depression see benefit with different trazodone doses.
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Esketamine nasal spray for people with treatment-resistant depression in routine care
This study will try esketamine nasal spray in adults with treatment-resistant depression to see how well it works and how safe it is in everyday clinical settings.
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Focused ultrasound neuromodulation for treatment-resistant depression
This trial will test whether MRI-guided focused ultrasound using the Next Generation Dome Helmet can safely reduce depressive symptoms in adults whose depression has not improved with standard treatments.
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Algorithm-guided treatment versus usual care for treatment-resistant depression
This test will see if a stepwise, algorithm-guided plan for antidepressant treatment helps adults (18–65) with treatment-resistant unipolar depression reduce symptoms more than usual clinician-directed care over 12 weeks.
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Transcranial stimulation for treatment-resistant depression with high inflammation
This study is testing if a type of brain stimulation can help young adults with treatment-resistant depression and high inflammation feel better.
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Personalized deep brain stimulation for treating depression
This study is testing a personalized deep brain stimulation treatment for people with depression that doesn't improve with other therapies to see if it can help them feel better.
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Exercise priming before rTMS (iTBS) for difficult-to-treat depression
This will test whether adding a 4-week structured exercise program before and during intermittent theta-burst stimulation (iTBS) helps physically inactive adults with treatment-resistant depression feel better.
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Using intravenous ketamine to treat severe depression that hasn't responded to other treatments
This study is testing if intravenous ketamine can help adults with severe depression that hasn't improved with other treatments feel better.
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Vagus Nerve Stimulation for Treatment Resistant Depression
This study is testing if Vagus Nerve Stimulation can help adults with treatment-resistant depression feel better when combined with their current medications.
NIH-funded research (1)
Early-stage science funded by the US National Institutes of Health. Most of these projects don't enroll patients, but they show what is being worked on.
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Multi-site psilocybin trial for treatment-resistant depression in Veterans
A large, multi-site study is testing whether psilocybin can help Veterans with hard-to-treat depression, with or without PTSD.
Related topics
Quick answers
How many Treatment Resistant Depression (TRD) clinical trials are recruiting right now?
27, as of November 12, 2026. 1 of them was first registered in the last 30 days. We update this list each time we refresh our data from ClinicalTrials.gov.
Where are these trials running?
In 13 countries. The most sites are in United States (8 trials), France (4 trials), Canada (3 trials), Turkey (Türkiye) (3 trials), China (2 trials). Each study page lists its sites and which ones are recruiting.
What phases are they in?
Phase 4: 3, Phase 2: 3, Phase 3: 2, Phase 1/2: 1. Trials with no phase listed are usually device, behavioural or observational studies.
How do I join one?
Open a study, check the "Is this trial a fit for you?" section, then contact the study team listed on the page. They will ask a few screening questions. Asking is free and does not commit you to anything. Talk it over with your doctor first.
Find the studies that fit you
A list is a starting point. Tell us your situation in your own words and we'll rank the studies that match and explain why. It's free and needs no account.