Leucine in Midlife Depression
Recruiting now · Phase 2
Conditions studied: Major Depression
In brief
The study aims to investigate the effects of a 6-week leucine challenge on brain chemistry, connectivity, and behavior in people with midlife depression. The researchers will compare the leucine and an active comparator arm (lysine) for 6 weeks.
Key facts
- Study ID
- NCT06580145
- Run by
- Emory University
- People needed
- 75
- Starts
- 2025-02-01
- Expected to finish
- 2029-06-01
- Last updated by the study team
- 2025-04-24
Who can join
Age: 35 and older, up to 65. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Able and willing to provide informed consent
- Diagnosis of major depression per Structured Interview for DSM-V (SCID-V)
- Moderate to severe depression- Inventory of Depressive Symptoms - Self Reported (IDS-SR score >34).
- SHAPS score >30 on the 0-56 scale
- Body mass index (BMI) between 20-35 kg/m2
- Plasma CRP >1 mg/L
- No contraindications to MRI
- Availability of friends or family for transportation after lumbar puncture procedure
- Clinically significant findings on EKG
- Patient Health Questionnaire (PHQ-9) score greater than 10
- Willingness to adopt contraceptive measures. Persons exempt from contraception requirements are:
- Persons assigned male at birth
- Persons assigned female at birth who:
- have undergone a hysterectomy or bilateral oophorectomy; or
- have been naturally postmenopausal for at least 24 consecutive months (i.e., has NOT had menses at any time in the preceding 24 consecutive months)
You may not qualify if…
- Leucine-Specific:
- History of maple syrup urine disease
- Risk of hypoglycemia (unstable diabetes)
- History of vitamin B6 deficiency, relative
- Lysine-Specific:
- On calcium supplements, relative
- History of renal/gall stones (could cleared by a primary care provider)
- Cognitive:
- -Cognitive impairment (MMSE score \<28)
- Psychiatric Disorders:
- Lifetime diagnosis of psychotic disorders.
- Current mania/hypomania.
- Substance use disorder in the last 6 months.
- Active suicidal ideation:
- Psychiatric hospitalization in the past year.
- Suicide attempts within the last five years.
- Scores >3 on the Columbia Suicide Severity Rating Scale (C-SSRS)
- Binge eating in the absence of mood symptoms increases.
- Primary diagnosis of severe DSM-V79 anxiety disorders.
- Primary diagnosis of DSM-V PTSD (if severity exceeds major depression).
- Primary diagnosis of DSM-V obsessive-compulsive disorders.
- Significant personality disorders with multiple hospitalizations or suicide attempts.
- Developmental disorders (e.g., ADHD).
- Concomitant medications:
- Immune-active medications (e.g., non-steroidal anti-inflammatory agents).
Where it is running
- Emory University Hospital — Atlanta, Georgia, United States (enrolling)
Full record on ClinicalTrials.gov
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