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NCT05895747RecruitingPhase 2

5-HTP and Creatine for Depression R33 Phase

31P-MRS and Resting State Functional Connectivity Analysis of the Effects of 5-hydroxytryptophan and Creatine for Antidepressant Augmentation in Patients With SSRI/SNRI-resistant Major Depressive Disorder

Source: ClinicalTrials.gov · Last updated 27 Aug 2026

Brief summary (registry, in English)

This is a three-armed clinical trial examining the effect of 5-hydroxytryptophan and creatine monohydrate as augmenting agents for the treatment of depression. Subjects will be randomized between 5-HTP 100mg BID + creatine 5g daily, 5-HTP 200mg BID + creatine 10g daily, vs double placebo, for 8 weeks. The ability of the interventions to affect biomarkers associated with depression will be assessed using brain phosphorus magnetic resonance spectroscopy, functional connectivity imaging, and plasma serotonin levels.

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
106 (estimated)
First submitted
25 May 2023
Start date
28 Sept 2023
Primary completion date
1 Jul 2027
Lead sponsor
University of Utah
Diseases
Depression
NCT number
NCT05895747

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 106
  • From 28 Sept 2023 to the primary completion date, 1 Jul 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Current treatment with an antipsychotic, mood stabilizer, or non-SSRI/SNRI antidepressant except for bupropion at FDA-approved doses or trazodone up to 200mg, or use of any supplements apart from standard multivitamins
  • Previous diagnosis of serotonin syndrome or evidence of serotonin syndrome
  • Contraindications to MRI: ferromagnetic implants, implanted devices, claustrophobia

Other illness

  • Any non-MDD and non-anxiety psychiatric diagnosis, as identified by the MINI
  • History of or current diagnosis of renal disease, such as chronic renal failure, acute renal failure or end stage renal disease
  • History of or current pulmonary disease (except well controlled asthma)
  • History of fibromyalgia or any rheumatological condition
  • History of or current seizure disorder
  • Positive pregnancy test, pregnancy, failure to use adequate birth control method

Lab values

  • History of cardiac disease or QTc \> 500ms
  • Pre-existing eosinophilia (absolute eosinophil count \> 500/uL)

Other

  • Current colitis or diverticulitis
  • Current smoking
  • Current serious suicide risk identified by the Columbia Severity Suicide Rating Scale

Who the study is looking for

  • Adults age 18-65 years inclusive
  • Current diagnosis of MDD identified by the MINI (Mini Neuropsychiatric Interview)
  • Current HAM-D17 score of \>= 16
  • Adequate adherence to any FDA approved SSRI or SNRI for at least 8 weeks
  • Right-handed
  • Residing at \> 4000 ft for at least 12 weeks

Age in the registry: 18 years to 65 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
University of Utah Department of Psychiatry
Coordinator of this site? Confirm its status
Salt Lake CityUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.