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RecruitingDepression

Pharmacologic Augmentation of TMS for Depression With D-serine

Eligible age

18–80 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

The goal of this study is to test whether combining D-serine with 30 treatments of a) iTBS and b) 18-Hz protocols will enhance clinical outcomes compared to rTMS with placebo (i.e., sugar pill). The investigators hypothesize that NMDA receptor activation via D-serine combined with repeated sessions of rTMS will produce greater clinical outcomes than iTBS with placebo and 18-Hz with placebo.

Sponsor: Mclean Hospital

You may qualify if…

  • Clinical diagnosis of MDD
  • English-speaking
  • Adults aged 18-80
  • Must be able to swallow capsules
  • Relative contraindications/possible exclusion criteria:
  • Containing any implanted metal or devices
  • Current or previous seizure history
  • Active substance use that may significantly alter the seizure threshold

You may not qualify if…

  • Patients with pre-existing renal disease
  • Known allergy to D-serine, or with
  • Patients taking medications with known drug-drug interactions
  • Children
  • Pregnant or breast-feeding women
  • The investigators will not include children because prior safety and dosing studies excluded children. Although considered safe for TMS, the investigators will not include pregnant or breast-feeding women on the basis of unknown safety profile of exogenous D-serine for these patients.

Where it's recruiting

Source: ClinicalTrials.gov · NCT06876129 · last updated 2026-05-15