Clinical trial Recruiting at 1 site Interventional Ages 18 and up

At‑home tDCS maintenance for depression

Official title: At-home tDCS as Maintenance Therapy Following Successful Treatment With rTMS, ECT, and Esketamine - A Pilot Study

Run by Technical University of Munich · NCT07269964 · Data updated 2026-11-12

This pilot tests whether an at-home transcranial direct current stimulation (tDCS) program can help adults with depression maintain improvements achieved during inpatient treatment.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment30 (estimated)
SponsorTechnical University of Munich
Academic / other
Locations2 sites (München, Bavaria and 1 other locations)
StatusRecruiting
StartedOctober 1, 2024
Main results expectedAugust 29, 2026
Study endsNovember 29, 2026
Registry record updatedDecember 8, 2025
Trial IDNCT07269964 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with recurrent or severe depressive episodes who have improved or stabilized following acute hospital treatments (esketamine, rTMS, or ECT), can give informed consent, and have no contraindications to tDCS are ideal candidates.

Probably not a fit

People currently in an acute crisis or with high suicide risk, major unstable medical/neurological comorbidities, or contraindications to tDCS (for example, nearby implants or skin disease at electrode sites) are unlikely to benefit and are excluded.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This open-label pilot enrolls adults who improved or stabilized after acute inpatient treatments such as esketamine, rTMS, or ECT and provides standardized training plus a portable tDCS device for home use. Participants complete 20 home sessions over four weeks with remote monitoring and a two-week follow-up, and clinicians collect self-report and clinician-rated mood scales. The primary focus is feasibility and tolerability—whether participants reliably complete the home program and remain in the study—and secondarily to look for early signs of maintained symptom improvement. Safety exclusions include high suicide risk, implants near the head, or significant skin disease at electrode sites.

Why it matters

Potential benefit: If successful, this could offer a convenient, low-cost home maintenance option to help prevent relapse after intensive inpatient depression treatments.

How similar studies have gone: Clinic-based tDCS has shown modest antidepressant effects in prior studies, but at-home maintenance programs are relatively untested and existing evidence is limited and preliminary.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults (≥18 years).
* Diagnosis according to ICD-10: recurrent depressive disorder, severe depressive disorder, schizoaffective disorder (depressive episode) or bipolar affective disorder (depressive episode).
* Clear indication for maintenance therapy after successful acute treatment (esketamine, rTMS, or ECT) with remission/improvement of symptoms.
* Capacity to provide informed consent, confirmed in a physician-led consent discussion.

Exclusion Criteria:

* Currently in the acute treatment phase of an affective disorder and non-response to previous treatments.
* Currently clinically relevant Axis II disorders.
* Suicidal risk, including suicidal ideation.
* Contraindications for tDCS: e.g., skin disease at electrode sites, cochlear implants.
* Neurological, somatic, or psychiatric comorbidities that could compromise validity or safety.

Where it's running

  • Department of Psychiatry and Psychotherapy, Technical University of Munich, University Hospital
    München, Germany
    Recruiting
  • Technical University of Munich, TUM School of Medicine and Health, Department of Psychiatry and Psychotherapy, Munich,
    München, Bavaria, Germany
    Enrolling by invitation

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.