Apimostinel + Automated Neurocognitive Training for Depression
Recruiting · Pittsburgh, Pennsylvania
Always free
Study care at no cost to you
For your time and travel
Many studies pay you back
Most need no insurance or papers
Legal status usually isn't required; we'll tell you each study's requirements
Interpreters available
Ask for your language
Your choice
Voluntary — you can stop anytime
What is this study?
Apimostinel shows initial promise as a novel rapid-acting antidepressant medication with minimal side effects or safety concerns. Cognitive Training (CT) is a digital intervention that has shown promise in extending the durability of another similar drug (ketamine).
It is , overseen by an independent and licensed medical staff.
Read the full clinical description
Apimostinel shows initial promise as a novel rapid-acting antidepressant medication with minimal side effects or safety concerns. Cognitive Training (CT) is a digital intervention that has shown promise in extending the durability of another similar drug (ketamine). This randomized controlled trial will test the efficacy and safety of apimostinel (vs. placebo) for the acute treatment of depression, and will test the potential of CT to enhance and/or extend the durability of apimostinel's antidepressant effect.
Who this study is looking for
In plain language, from the study's own rules. The study team confirms the full details with you — this isn't a final yes or no.
✅ You may be able to join if…
- •People of any gender, age 18 to 60.
- •Have major depressive disorder (MDD) based on DSM-V and a MADRS score of 20 or higher at screening.
- •Have certain depression-related thinking/self-score patterns on the Cognitive Triad Inventory (CTI) “self” subscale or the Rosenberg self-esteem scale.
- •Can follow study rules and provide written informed consent.
- •If pregnancy is possible, agree to use birth control and have a negative pregnancy test before starting (with exceptions for surgical sterility or being at least 2 years past menopause).
🚫 You may not be able to join if…
- •Have a history of bipolar disorder, psychosis, or autism spectrum disorder, or have a current moderate-to-severe substance use disorder that is problematic.
- •Used a Monoamine Oxidase Inhibitor (MAOI) within 28 days of the drug infusion.
- •Have certain serious neurologic conditions (Huntington’s, Parkinson’s, Alzheimer’s, Multiple Sclerosis), or a history of strokes, or seizures without a clear and resolved cause.
- •Are in the hospital/in an inpatient facility during the study.
- •Have acute suicidal thoughts or a psychiatric crisis needing treatment escalation based on C-SSRS (Columbia-Suicide Severity Rating Scale).
Are you a good fit?
Simplified highlights. The study team always confirms the full details with you.
- ✓Adults roughly 18–60
- ✓Have Depression or Anxiety
- !Some conditions may not be a fit: Heart / cardiovascular disease, High blood pressure, Kidney disease
- !Not for people who are pregnant or breastfeeding
What to expect, step by step
- 1
Usually a few weeks
The study team checks whether the study is a good fit for you, with a visit and sometimes lab tests. You can ask any questions before deciding.
- 2
Treatment
If you join and choose to continue, you receive the study treatment and are watched closely by medical staff.
- 3
Follow-up
After treatment, the team checks on your health and confirms the visit schedule with you. You can leave the study at any point.
Has this treatment been tested before?
Yes. This treatment has already been through earlier human studies for safety before reaching this stage.
What you need to know before you apply
What is this study testing?+
Apimostinel shows initial promise as a novel rapid-acting antidepressant medication with minimal side effects or safety concerns. Cognitive Training (CT) is a digital intervention that has shown promise in extending the durability of another similar drug (ketamine).
Is it safe? Who makes sure of that?+
This is a mid-stage study (Phase 2), looking at safety and whether the treatment works. Every study is reviewed and monitored by an independent ethics board (called an IRB) whose job is to protect participants, and care is overseen by licensed medical staff. You'll be told the known risks before you agree to anything, and you can stop at any time.
Will I get a placebo instead of the real treatment?+
Some studies compare a treatment against a placebo (an inactive version), and some don't. If this one does, the study team will explain your chances of receiving the active treatment before you decide. Nothing is hidden from you.
Do I have to stop taking my current medications?+
It depends on the study. Some let you stay on your current medications and some ask you to adjust them. Never stop a medication on your own — the study team will review everything with you first.
Does it cost anything? Will I be paid?+
The study treatment and study-related visits are provided at no cost to you. Some studies also pay for your time; the coordinator can tell you if this one does. You should never be asked to pay to take part.
Do I need insurance? Will anyone ask about my immigration status?+
No. You do not need health insurance to take part in a research study, and you will not be asked about your immigration status to join. Taking part is about whether you're a medical fit for the study.
What if English isn't my first language?+
You have the right to understand everything before you agree. Study sites can often provide materials or an interpreter in your language — you can ask the coordinator for one.
Is my information private?+
Yes. Your health information is only shared with the study sites you choose to be contacted by, and only to help match and enroll you. It is never sold, and you can ask us to delete it at any time.
Some requirements (like specific lab values or timing) are confirmed directly by the study team, not by us.
Source: ClinicalTrials.gov · NCT06400121 · Locations: Pennsylvania