Clinical trial Recruiting at 1 site Interventional Ages 18 to 65

Sleep-focused TMS for Depression

Official title: Optimizing Depression Treatment Through Sleep-state Brain Stimulation

Run by Stanford University · NCT06824415 · Data updated 2026-11-12

Aims to see if sleep-state targeted TMS can help people with major depression who have not fully responded to at least one antidepressant.

Quick facts

Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment55 (estimated)
SponsorStanford University
Academic / other
Locations1 site (Stanford, California)
StatusRecruiting
StartedMay 1, 2025
Main results expectedMay 30, 2028
Study endsMay 30, 2028
Registry record updatedJune 23, 2026
Trial IDNCT06824415 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18-65 with current major depressive disorder and at least one antidepressant failure, on a stable dose for 6 weeks; healthy adults 18-65 without MDD or psychiatric/neurological conditions.

Probably not a fit

Participants without depressive symptoms, contraindications to TMS/MRI, or those not responding to sleep-state TMS may not experience benefit.

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

What this trial studies

This trial tests sleep-state transcranial magnetic stimulation (TMS) to promote brain plasticity and potentially improve depressive symptoms. It includes adults with major depressive disorder and a separate healthy control group, with TMS delivered during sleep-related states. The study collects feasibility, tolerability, and preliminary signals of efficacy, using EEG and iTBS modalities to guide treatment. Healthy controls help establish baseline safety and brain response, while depressed participants receive the intervention alongside their stable antidepressant regimens. Lead coordination is through Stanford University with support from NCATS and NIMH.

Why it matters

Potential benefit: If successful, participants with depression may experience improved mood and functioning through a sleep-timed TMS approach.

How similar studies have gone: Previous related work suggests feasibility of brain stimulation in mood disorders, but sleep-state targeted TMS is an emerging approach requiring further evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults ages 18-65 years
* Current Major Depressive Disorder (MDD) diagnosis
* Failed ≥1 antidepressant medication
* Moderate-to-severe depression
* Stable antidepressant medication dose for ≥ 6 weeks prior to enrollment
* Healthy control participants are adults ages 18-65 years without current MDD symptoms, not taking antidepressant or antipsychotic medications, and without major psychiatric, neurological, substance use, medical conditions affecting brain function, or TMS/MRI contraindications.

Exclusion Criteria:

* Intellectual disability
* Significant head injury/neurological disorder
* Pregnancy or postpartum
* TMS/MRI contraindications
* Active substance use/suicidal ideation

Where it's running

  • Stanford University
    Stanford, California, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.