Life sciences · Phase 2/3 Trial
ClinicalTrials.gov · September 25, 2026
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Phase 2/3 Trial.
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Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
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Registry record from ClinicalTrials.gov (NCT07227103). This is a study registration, not published results. Lead sponsor: NeuroRx, Inc.. Recruitment status: NOT_YET_RECRUITING. Phase: PHASE2, PHASE3. Study type: INTERVENTIONAL. Enrollment: 400 participants (ESTIMATED). Conditions: Treatment Resistant Depression, Treatment Resistant Depression (TRD). Interventions: DEVICE: Neuronavigated robotic-enabled TMS; DRUG: NRX-101; DEVICE: Sham TMS; DRUG: Oral Placebo. Primary outcome measures: MADRS Depression , 6 weeks; CGI-SS Suicidality , 6 weeks. Brief summary: Major depressive disorder (MDD) is a significant public health problem and leading cause of worldwide disability. Treatment resistance is common in MDD, however, for these individuals, targeted noninvasive brain stimulation is an alternative. Repetitive transcranial magnetic stimulation (rTMS) and more recently, theta-burst stimulation (TBS), are the noninvasive brain stimulation modalities with the largest evidence base in MDD. Although efficacious, an unacceptable proportion of patients do not significantly improve, and several aspects of the TMS parameter space are under investigation to enhance clinical outcomes. DCS has been shown in a randomized trial of more than double the percent response and remission from traditional TMS. When a one day (ONE-D) TMS protocol was combined with DCS, the measured response rate was 87% at one week. This trial will compare response and remission at six weeks following neuronavigated robotic-enabled Transcranial Magnetic Stimulation + NRX-101 (D-cycloserine/lurasidone) vs. TMS+placebo.