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NCT05384041: CES-MDD

Cranial Electrotherapy Stimulation for the Treatment of Major Depressive Disorder in Adults

Completed NA Results posted Last updated 12 March 2024
What this trial tests

NA trial testing Fisher Wallace Cranial Electrotherapy Stimulator (Active Device) in Major Depressive Disorder in 255 participants. Completed in 24 October 2022.

Timeline
28 April 2022
Primary endpoint
30 September 2022
24 October 2022

Quick facts

Lead sponsorFisher Wallace Laboratories
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment255
Start date28 April 2022
Primary completion30 September 2022
Estimated completion24 October 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Fisher Wallace Laboratories

Who can join

Adults 21 to 65, any sex, with Major Depressive Disorder. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in the Beck Depression Inventory Second Edition (BDI-II) at Week Two Compared to Baseline. Primary · Change at week two compared to baseline.

The Beck Depression Inventory Second Edition (BDI-II) is a multiple-choice self-report inventory that assesses severity of depression. The BDI-II contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). The minimum score is 0 and the maximum score is 63, with a higher score indicating more severe depressive symptoms. The candidate subject's BDI-II score must be within the range of 20 to 63 indicating moderate to severe Major Depressive Disorder.

GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)16.6514.691 – 18.610
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)14.3612.244 – 16.476
Change in the Beck Depression Inventory Second Edition (BDI-II) at Weeks One and Four Compared to Baseline. Secondary · Change at weeks one and four compared to baseline.

The Beck Depression Inventory Second Edition (BDI-II) is a multiple-choice self-report inventory that assesses severity of depression. The BDI-II contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). The minimum score is 0 and the maximum score is 63, with a higher score indicating more severe depressive symptoms. The candidate subject's BDI-II score must be within the range of 20 to 63 indicating moderate to severe Major Depressive Disorder.

Change in BDI-II at Week 1 (ITT analysis)
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)14.1± 9.93
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)11.5± 10.68
Change in BDI-II at Week 4 (ITT analysis)
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)19.9± 11.91
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)16.9± 12.46
Change in the Patient Health Questionnaire-9 (PHQ-9) at Weeks One, Two, and Four Compared to Baseline. Secondary · Change at weeks one, two, and four compared to baseline.

The Patient Health Questionnaire-9 (PHQ-9) is a 9-item scale covering the Diagnostic and Statistical Manual, 5th Edition (DSM-5) for Major Depressive Disorder, with a diagnostic algorithm and score-based assessment of presence and severity of depression. The minimum score is 0 and the maximum score is 27, with a higher score indicating more severe depressive symptoms.

Change in PHQ-9 at Week 1
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)5.274.338 – 6.211
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)4.503.533 – 5.475
Change in PHQ-9 at Week 2
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)7.466.457 – 8.470
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)6.295.144 – 7.432
Change in PHQ-9 at Week 4
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)8.887.823 – 9.946
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)7.726.559 – 8.881
Change in the Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR) at Weeks One, Two, and Four Compared to Baseline. Secondary · Change at weeks one, two, and four compared to baseline.

The Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR) is a 16-item rating scale that assesses nine criterion symptom domains to diagnose a major depressive episode. The minimum score is 0 and the maximum score is 27, with a higher score indicating more severe depressive symptoms.

Change in QIDS-SR at Week 1
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)5.534.688 – 6.377
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)4.773.923 – 5.613
Change in QIDS-SR at Week 2
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)6.725.842 – 7.589
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)5.714.719 – 6.705
Change in QIDS-SR at Week 4
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)7.997.038 – 8.946
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)6.905.938 – 7.870
Beck Depression Inventory Second Edition (BDI-II) Responder Rate by Time Point (% of Subjects With a 50% or Better Improvement in Score From Baseline). Secondary · Four weeks following baseline.

The Beck Depression Inventory Second Edition (BDI-II) is a multiple-choice self-report inventory that assesses severity of depression. The BDI-II contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). The minimum score is 0 and the maximum score is 63, with a higher score indicating more severe depressive symptoms. The candidate subject's BDI-II score must be within the range of 20 to 63 indicating moderate to severe Major Depressive Disorder.

Week 1 Response
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)46
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)38
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)80
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)91
Week 2 Response
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)64
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)55
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)62
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)74
Week 4 Response
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)82
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)68
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)44
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)61
Change in the Beck Depression Inventory Second Edition (BDI-II) at Weeks One and Four Compared to Baseline (Per Protocol). Secondary · Change at weeks one and four compared to baseline.

The Beck Depression Inventory Second Edition (BDI-II) is a multiple-choice self-report inventory that assesses severity of depression. The BDI-II contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). The minimum score is 0 and the maximum score is 63, with a higher score indicating more severe depressive symptoms. The candidate subject's BDI-II score must be within the range of 20 to 63 indicating moderate to severe Major Depressive Disorder.

Change in BDI-II at Week 1 (Per protocol analysis)
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)14.4± 10.14
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)11.3± 10.09
Change in BDI-II at Week 4 (Per protocol analysis)
GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)20.0± 11.87
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)16.5± 12.47
Change in the Beck Depression Inventory Second Edition (BDI-II) at Week Two Compared to Baseline (Per Protocol). Secondary · Change at week two compared to baseline.

The Beck Depression Inventory Second Edition (BDI-II) is a multiple-choice self-report inventory that assesses severity of depression. The BDI-II contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). The minimum score is 0 and the maximum score is 63, with a higher score indicating more severe depressive symptoms. The candidate subject's BDI-II score must be within the range of 20 to 63 indicating moderate to severe Major Depressive Disorder.

GroupValue95% CI
Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)17.1515.040 – 19.253
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)13.6211.439 – 15.802
Change in BDI-II From Baseline at Weeks 1, 2, and 4, Stratified by Gender (ITT Analysis) Secondary · Change at weeks 1, 2, and 4 compared to baseline

The Beck Depression Inventory Second Edition (BDI-II) is a multiple-choice self-report inventory that assesses severity of depression. The BDI-II contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). The minimum score is 0 and the maximum score is 63, with a higher score indicating more severe depressive symptoms. The candidate subject's BDI-II score must be within the range of 20 to 63 indicating moderate to severe Major Depressive Disorder.

Week 1
GroupValue95% CI
Female (Active Device)1513.032 – 16.884
Female (Placebo Device)10.68.485 – 12.692
Total (Female)12.911.451 – 14.338
Male (Active Device)11.57.265 – 15.701
Male (Placebo Device)13.69.634 – 17.516
Total (Males)12.79.865 – 15.526
Week 2
GroupValue95% CI
Female (Active Device)17.915.844 – 19.986
Female (Placebo Device)14.211.723 – 16.583
Total (Female)16.114.534 – 17.723
Male (Active Device)12.67.702 – 17.401
Male (Placebo Device)14.810.503 – 19.097
Total (Males)13.910.707 – 17.003
Week 4
GroupValue95% CI
Female (Active Device)21.218.855 – 23.536
Female (Placebo Device)17.114.515 – 19.603
Total (Female)19.217.474 – 20.944
Male (Active Device)15.610.648 – 20.524
Male (Placebo Device)16.512.025 – 20.925
Total (Males)16.112.873 – 19.330
Change in BDI-II From Baseline at Weeks 1, 2, and 4, Stratified by Gender (Per Protocol Analysis) Secondary · Change at weeks 1, 2, and 4 compared to baseline

The Beck Depression Inventory Second Edition (BDI-II) is a multiple-choice self-report inventory that assesses severity of depression. The BDI-II contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). The minimum score is 0 and the maximum score is 63, with a higher score indicating more severe depressive symptoms. The candidate subject's BDI-II score must be within the range of 20 to 63 indicating moderate to severe Major Depressive Disorder.

Week 1
GroupValue95% CI
Female (Active Device)-15.22-17.28 – -13.27
Female (Placebo Device)-9.79-12.00 – -7.59
Male (Active Device)-14.27-17.96 – -10.58
Male (Placebo Device)-12.47-15.37 – -9.57
Week 2
GroupValue95% CI
Female (Active Device)-18.23-20.49 – -15.97
Female (Placebo Device)-13.76-16.18 – -11.33
Male (Active Device)-15.53-19.60 – -11.47
Male (Placebo Device)-13.49-16.69 – -10.30
Week 4
GroupValue95% CI
Female (Active Device)-21.53-24.01 – -19.05
Female (Placebo Device)-17.04-19.70 – -14.38
Male (Active Device)-17.92-22.38 – -13.26
Male (Placebo Device)-15.25-18.76 – -11.75
Change in PHQ-9 From Baseline at Weeks 1, 2, and 4, Stratified by Gender (Per Protocol Analysis) Secondary · Change at weeks 1, 2, and 4 compared to baseline

The Patient Health Questionnaire-9 (PHQ-9) is a 9-item scale covering the Diagnostic and Statistical Manual, 5th Edition (DSM-5) for Major Depressive Disorder, with a diagnostic algorithm and score-based assessment of presence and severity of depression. The minimum score is 0 and the maximum score is 27, with a higher score indicating more severe depressive symptoms.

Week 1
GroupValue95% CI
Female (Active Device)-5.42-6.49 – -4.35
Female (Placebo Device)-3.82-4.97 – -2.67
Male (Active Device)-6.13-8.05 – -4.21
Male (Placebo Device)-4.97-6.48 – -3.45
Week 2
GroupValue95% CI
Female (Active Device)-7.84-9.02 – -6.65
Female (Placebo Device)-6.12-7.39 – -4.85
Male (Active Device)-8.00-10.13 – -5.87
Male (Placebo Device)-5.85-7.53 – -4.17
Week 4
GroupValue95% CI
Female (Active Device)-9.48-10.61 – -8.35
Female (Placebo Device)-8.32-9.53 – -7.11
Male (Active Device)-8.80-10.82 – -6.77
Male (Placebo Device)-6.77-8.36 – -5.18
Change in QIDS From Baseline at Weeks 1, 2, and 4, Stratified by Gender (Per Protocol Analysis) Secondary · Change at weeks 1, 2, and 4 compared to baseline

The Quick Inventory of Depressive Symptomatology Self-Report (QIDS-SR) is a 16-item rating scale that assesses nine criterion symptom domains to diagnose a major depressive episode. The minimum score is 0 and the maximum score is 27, with a higher score indicating more severe depressive symptoms.

Week 1
GroupValue95% CI
Female (Active Device)-5.79-6.76 – -4.82
Female (Placebo Device)-4.33-5.37 – -3.29
Male (Active Device)-5.91-7.65 – -4.16
Male (Placebo Device)-5.55-6.92 – -4.18
Week 2
GroupValue95% CI
Female (Active Device)-7.46-8.49 – -6.42
Female (Placebo Device)-5.52-6.64 – -4.41
Male (Active Device)-6.52-8.38 – -4.65
Male (Placebo Device)-5.31-6.78 – -3.85
Week 4
GroupValue95% CI
Female (Active Device)-8.53-9.59 – -7.46
Female (Placebo Device)-7.45-8.59 – -6.30
Male (Active Device)-8.21-10.12 – -6.30
Male (Placebo Device)-6.40-7.90 – -4.90
Subgroup Analysis - Proportion of Subjects Achieving at Least 50% Improvement From Baseline in BDI-II (ITT Analyses) Secondary · Weeks 1, 2, and 4 following baseline

The Beck Depression Inventory Second Edition (BDI-II) is a multiple-choice self-report inventory that assesses severity of depression. The BDI-II contains 21 items on a 4-point scale from 0 (symptom absent) to 3 (severe symptoms). The minimum score is 0 and the maximum score is 63, with a higher score indicating more severe depressive symptoms. The candidate subject's BDI-II score must be within the range of 20 to 63 indicating moderate to severe Major Depressive Disorder.

Week 1
GroupValue95% CI
Female (Active Device)37
Female (Placebo Device)20
Male (Active Device)9
Male (Placebo Device)18
Week 2
GroupValue95% CI
Female (Active Device)52
Female (Placebo Device)35
Male (Active Device)12
Male (Placebo Device)20
Week 4
GroupValue95% CI
Female (Active Device)68
Female (Placebo Device)47
Male (Active Device)14
Male (Placebo Device)21

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data were collected from the beginning through the end of the treatment period for a total of four weeks per trial participant.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Fisher Wallace Cranial Electrotherapy Stimulator (Active Device)
Serious: 0/126 (0%)
Deaths: 0/126
Fisher Wallace Cranial Electrotherapy Stimulator (Placebo Device)
Serious: 0/129 (0%)
Deaths: 0/129
Other adverse events (26 terms — click to expand)

ReactionSystemFisher Wallace Cranial Ele…Fisher Wallace Cranial Ele…
HeadacheNervous system disorders
Mood alteredPsychiatric disorders
Eye movement disorderEye disorders
Upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders
SinusitisInfections and infestations
Poor quality sleepNervous system disorders
Skin hyperpigmentationSkin and subcutaneous tissue disorders
Headache / AnxietyGeneral disorders
Headache / AllergyGeneral disorders
MigraineNervous system disorders
Decreased appetiteGastrointestinal disorders
Vision blurred / AllergyGeneral disorders
Sinus painRespiratory, thoracic and mediastinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Joint swellingMusculoskeletal and connective tissue disorders
ArthritisMusculoskeletal and connective tissue disorders
PhotopsiaEye disorders
Photopsia / Skin discomfortGeneral disorders
Skin discomfortSkin and subcutaneous tissue disorders
PruritisSkin and subcutaneous tissue disorders
AgitationPsychiatric disorders
DizzinessNervous system disorders
NauseaGastrointestinal disorders
Eye movement disorder / Skin discomfortGeneral disorders
Abnormal dreamsNervous system disorders
HypersomniaNervous system disorders

Data from ClinicalTrials.gov NCT05384041 adverse events section.

Sponsor's own description

This study is designed to evaluate the safety and efficacy of the Fisher Wallace Stimulator FW-200 to deliver Cranial Electrotherapy Stimulation (CES) for the treatment of moderate to severe Major Depressive Disorder (MDD) in adults.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. A Fully Remote Randomized Trial of Transcranial Alternating Current Stimulation for the Acute Treatment of Major Depressive Disorder.
    Gehrman PR, Bartky EJ, Travers C, Lapidus K. · · 2024 · cited 7× · PMID 38696220 · DOI 10.4088/jcp.23m15078

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