Clemastine for Improving White Matter and Boosting Antidepressant Response in Late-life Depression

This study is investigating whether clemastine fumarate, an antihistamine, can improve the brain's white matter in older adults (age 60 and above) with depression. The goal is to see if this improvement can help antidepressant treatments work better, reduce depression symptoms, and improve memory and thinking. You may be eligible if you are over 60, have major depressive disorder with a specific symptom severity (MADRS ≥ 15), are seeking antidepressant treatment, and meet other criteria. Success will be measured by changes in side effects, depression symptoms, and white matter in the brain after 12 weeks. The current recruitment status is unclear.

Study design
This interventional study plans to enroll 80 participants. It involves two groups: one receiving standard antidepressant treatment with clemastine fumarate, and the other receiving standard antidepressant treatment with a placebo.
What's involved
Participants will receive treatment and be assessed over a period of 12 weeks. Specific visits, procedures, or tests are not detailed beyond these assessments.
Compensation
Not stated in the trial record.
Follow-up
Participants will be assessed at 12 weeks for side effects, depression symptoms, and white matter changes.

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NCT06591091

Clemastine for Improving White Matter and Boosting Antidepressant Response in Late-life Depression

Recruiting
PHASE2Ages 60+InterventionalTreatment
University of Illinois at Chicago
~80 participants
Updated 2026-06-30 on ClinicalTrials.gov
What's tested:Clemastine FumaratePlacebo

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Frequency, Intensity and Burden of Side Effects Rating Scale
Measured over 12 weeks
+3 more outcomes measured
Depression
1 sites across 1 states
Illinois1

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Eligibility criteria

Inclusion

Age \> 60 years
Diagnosis of major depressive disorder, single or recurrent episode (DSM5)
Symptom Severity: MADRS ≥ 15
Seeking antidepressant treatment
Cognition score of MoCA \>24
Fluent in English or Spanish

Exclusion

Other Axis I psychiatric disorders, except for simple phobia or anxiety disorders present uniquely during the depressive episode (e.g., generalized anxiety disorder (GAD) or panic disorder symptoms)
History of alcohol or drug dependence or abuse in the last year
History of a developmental disorder or history of IQ (intelligence quotient) \<70
Acute suicidality ideation within the past month as determined by the Columbia Suicide Severity Rating Scale (C-SSRS)
Acute grief (\<1 month)
Current or past psychosis
Primary neurological disorder, including dementia, clinical stroke, brain tumor, epilepsy, etc.
Presence of unstable medical illness requiring urgent treatment
Any MRI contraindication
Electroconvulsive Therapy (ECT) in last 6 months
  • Frequency, Intensity and Burden of Side Effects Rating Scale12 weeks

    The investigator will examine the safety of clemastine using the Frequency, Intensity, and Burden of Side Effects Rating Scale (FIBSER). The FIBSER is scored from 0-6, with higher scores indicating worse outcomes

  • Montgomery-Asberg Rating Scale for Depression12 weeks

    The investigators will examine the effectiveness of an antidepressant plus clemastine (5.36 mg twice daily) compared to antidepressant plus placebo on clinical outcomes as indexed by the Montgomery-Asberg Rating Scale for Depression (MADRS). The MADRS is scored from 0-60, with higher scores indicating a worse outcome

  • Quantitative Anisotropy12 weeks

    The investigators will measure the impact of an antidepressant plus clemastine (5.36 mg twice daily) compared to antidepressant plus placebo on white matter integrity as indexed by change in quantitative anisotropy (QA). QA has no units but is measured from 0 to 1 and a higher indicates better white matter integrity

  • Fractional Anisotropy12 weeks

    The investigators will measure the impact of an antidepressant plus clemastine (5.36 mg twice daily) compared to antidepressant plus placebo on white matter integrity as indexed by change in fractional anisotropy (FA). FA has no units but is measured from 0 to 1 and a higher indicates better white matter integrity