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Amplitude Titration to Improve ECT Clinical Outcomes

Recruiting

Amplitude Titration to Improve ECT Clinical Outcomes Randomized Clinical Trial

Who can join

Ages 50 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Diagnosis of major depressive disorder or bipolar II
* Clinical indications for ECT with right unilateral electrode placement

Exclusion Criteria:

* Defined neurological or neurodegenerative disorder (e.g., traumatic brain injury, epilepsy, Alzheimer's disease)
* Other psychiatric conditions (e.g., schizophrenia, bipolar I disorder)
* Current drug or alcohol use disorder (except for nicotine)
* Contraindications to MRI.

About the study

A randomized controlled trial will compare hippocampal neuroplasticity, antidepressant, and cognitive outcomes between individualized amplitude and fixed 800 mA amplitude ECT in older depressed subjects (n = 25 per group, n = 50 total). Relative to fixed 800 mA ECT:

H1: Individualized amplitude arm will have improved RUL antidepressant outcome (IDS-C30 response rates and reduced BT electrode placement switch at V2).

H2: Individualized amplitude arm will have improved cognitive outcomes (DKEFS-Verbal Fluency

What is being tested

Sponsor: University of New Mexico · Participants: 50 · Started: Sep 14, 2023

Contact the study team

Official record on ClinicalTrials.gov — NCT05699226

Locations in the U.S.

New MexicoUniversity of New Mexico Health Science Center, Albuquerque

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.