About this trial
The objective of this study is to evaluate the safety, tolerability, and preliminary efficacy of the Motif eXternally powered Cortical Stimulation (XCS) System when used as indicated for treatment-resistant depression (TRD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Has a diagnosis of unipolar non-psychotic Major Depressive Disorder (MDD) and is currently experiencing a major depressive episode (MDE) as defined by Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Has a screening Montgomery-Åsberg Depression Rating Scale (MADRS) score of ≥20
Has not had a sustained response to 2 or more adequately dosed antidepressant treatments from at least 2 different antidepressant treatment classes in at least one episode of major depressive disorder, according to the Antidepressant Treatment History Form (ATHF)
Is willing and able to provide written informed consent
Disqualifiers
Has a cranial implant (with the exception of dental implants), neurostimulator, implanted medication pump, spinal cord stimulator, or pacemaker/implantable cardioverter-defibrillator
Has knowledge of planned magnetic resonance imaging (MRIs) in the next 12 months, after implant
Is unable to undergo imaging with computed tomography (CT), magnetic resonance imaging (MRI), diffusion tensor imaging (DTI), or functional magnetic resonance imaging (fMRI)
In the opinion of the investigator, the implant and therapy pose an unacceptable surgical or medical risk to the patient
Trial design
Single group
Treatments tested in this trial
Motif XCS System
DeviceThe Motif XCS System is a programmable device that delivers stimulation through surface electrodes implanted in a burr hole in the skull, positioned over the left dorsolateral prefrontal cortex (DLPFC), without penetrating the dura.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of device and/or procedure-related adverse events (AEs)
Secondary outcomes
Change in score on clinical outcome measures of treatment-resistant depression (Montgomery-Åsberg Depression Rating Scale [MADRS])
MADRS Scale: 0-60 (higher score indicates worse outcome)
The incidence of stimulation-induced side effects
Sponsors and contacts
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Motif Neurotech, Inc.
Lead sponsor
Bright Research Partners
Collaborator