Effect of Prucalopride Added to Sertraline Compared with Placebo on Mood and Memory in Women with Major Depressive Disorder

2 1 1

What is this study about?

The study focuses on women who have been diagnosed with Major depressive disorder, a condition that causes persistent sadness, loss of interest, and difficulty concentrating. All participants will receive the standard antidepressant medication sertraline taken by mouth. The trial is testing whether adding a second drug, prucalopride, which works on a brain chemical pathway, can improve mood and memory compared with a dummy pill, placebo. The purpose of the study is to determine if this additional medication can enhance the response to antidepressant treatment and improve thinking abilities.

Participants will start the study by taking sertraline daily. They will be randomly assigned to also receive either prucalopride or a placebo for eight weeks, while continuing sertraline. Throughout the eight‑week period, researchers will check mood using simple questionnaires and will test memory with short spoken‑word tasks at the beginning and at the end of the study. After the eight weeks, the collected information will be compared to see whether the group receiving prucalopride shows lower levels of depressive feelings and better verbal memory.

1 enrollment and baseline assessment

after joining the study you will complete a series of initial evaluations that include questionnaires about mood, memory, sleep, and anxiety, as well as physical measurements and blood samples. brain imaging scans and a wearable device for monitoring heart rate and sleep may also be used during the first two weeks.

2 randomization and start of study medication

based on a computer‑generated assignment you will receive either the test medication prucalopride 2 mg taken by mouth once daily or a matching placebo pill taken in the same way. in addition, you will begin the background antidepressant sertraline 200 mg taken by mouth once daily. the first dose of each medication is taken on the same day as the baseline visit.

3 daily medication routine

every day you will swallow the sertraline tablet and the study tablet (prucalopride or placebo) with water, preferably at the same time each morning. you should not change the dose unless instructed by the study team.

4 week 2 assessment

two weeks after starting the medication you will return for a follow‑up visit. during this visit questionnaires about depressive symptoms and memory will be repeated, and the wearable device will be collected for analysis of heart rate, sleep, and activity.

5 week 4 assessment

at week four you will undergo another clinic visit. this includes repeat mood and memory tests, a brain scan to measure synaptic density, and collection of blood and stool samples for metabolic and microbiome analysis.

6 week 6 assessment (optional check‑in)

if scheduled, a brief check‑in may occur at week six to monitor any side effects and to record the level of reduction in depressive symptoms.

7 week 8 assessment and primary outcome evaluation

at eight weeks you will have a comprehensive evaluation that includes the 6‑item Hamilton Depression Rating Scale and the verbal memory task, which are the primary measures of the study. additional imaging of brain activity during memory and reward tasks, as well as further questionnaires about sleep quality, anxiety, sexual function, and anhedonia, will be performed.

8 week 12 final assessment

the last study visit occurs at week twelve. you will complete the final set of mood, memory, and anxiety questionnaires, undergo repeat brain imaging, and provide final blood and stool samples. the study medication will be discontinued after this visit.

Who Can Join the Study?

  • Female biological sex – you must be identified as a woman based on your body’s biological characteristics.
  • Age 18 to 50 years – you need to be at least 18 years old but not older than 50.
  • Meet ICD‑10 criteria for a primary moderate to severe unipolar depressive episode (F32–F33) – this means a doctor has diagnosed you with major depression that is not caused by another medical illness or mental health condition, and the depression is considered moderate to severe. The ICD‑10 is a worldwide system doctors use to classify diseases, and the codes F32–F33 refer specifically to major depressive episodes.
  • Have an indication for SSRI monotherapy – your doctor plans to treat your depression with a single type of antidepressant called an SSRI (selective serotonin reuptake inhibitor), which is a common first‑line medication for depression.

Who Cannot Join the Study?

  • Having a past or current diagnosis of schizophrenia (a serious mental illness) or experiencing psychosis (loss of touch with reality) excludes you.
  • Having a problem with alcohol or other drugs (known as an alcohol or substance use disorder) excludes you.
  • Having any other mental health condition that needs separate treatment besides the study medication (SSRIs) excludes you.
  • Having current thoughts of suicide or a plan to harm yourself (acute suicidality) excludes you.
  • Not having taken any antidepressant medication in the past two months, or currently taking other antidepressants or receiving psychotherapy, excludes you.
  • Taking prescription medicines that affect serotonin (the brain chemical targeted by the study) within the past two months excludes you.
  • Having tried more than one antidepressant for the current depression, or not responding to an SSRI (a common type of antidepressant), excludes you.
  • Having a depressive episode that has lasted longer than two years excludes you.
  • Having had a serious brain injury or a severe physical illness, such as kidney failure that requires dialysis, excludes you.
  • If you have diabetes that is well‑controlled, you may join the study but you cannot take part in the special insulin‑sensitivity tests.
  • Being pregnant, breastfeeding, or planning to become pregnant in the next three months excludes you.
  • Being in menopause, perimenopause, or using hormone‑replacement therapy excludes you.
  • Not being able to understand and speak Danish well enough to complete the memory and questionnaire tests excludes you.
  • Having an allergy or a medical reason that prevents you from receiving the study drugs or the PET scan tracer excludes you.
  • Having been exposed to a high dose of radiation (more than 10 mSv) in the past year, or having a job that involves significant radiation exposure, excludes you from the PET or MRI part of the study.
  • Having a condition that makes an MRI unsafe, such as metal implants, a strong fear of closed spaces (claustrophobia), or serious back problems, excludes you from the MRI part of the study.
  • Having any condition that makes the study drug prucalopride unsafe, such as a bowel blockage (ileus), Crohn’s disease, ulcerative colitis, or hereditary galactosemia, excludes you.
  • Currently taking the antibiotic erythromycin excludes you.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

No sites found in this category

Other Sites

Site Name City Country Status
Rigshospitalet Copenhagen Denmark

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Denmark Denmark
Not yet recruiting
01.08.2026

Trial locations

Sertraline is a medication that belongs to a group called antidepressants. In this study, it is given to all participants as the regular treatment for depression. The drug works by increasing the amount of a natural chemical in the brain called serotonin, which helps improve mood and reduce feelings of sadness. By using sertraline, the researchers can see how adding another medication might change its effects on depression and thinking abilities.

Prucalopride is a medicine that activates a specific part of the brain called the serotonin 4 receptor. Although it is usually used to help move the bowels, in this trial it is being tested to see if it can also improve mood and memory when taken together with sertraline. The researchers want to know whether adding prucalopride can make depression symptoms go down faster and help participants remember words better after eight weeks.

Investigated Diseases:

Major depressive disorder – Major depressive disorder is a mental health condition marked by persistent low mood, loss of interest, and various physical and cognitive symptoms. It typically develops gradually, but can also appear suddenly, and symptoms may last for weeks to months. The condition often worsens if left unchanged, with mood and energy levels declining over time. Cognitive functions such as memory and concentration can become increasingly impaired as the episode continues. Sleep patterns, appetite, and motivation may also change as the disorder progresses. The course can vary, with some individuals experiencing recurrent episodes.

Trial ID:
2026-526685-25-00
Trial Phase:
Therapeutic exploratory (Phase II)

Other Trials to Consider

  • Study of deupsilocin besilate (CYB003) in adults with major depressive disorder comparing two doses against placebo

    Recruiting

    3 1
    Czechia Germany Greece Ireland Poland
  • Long‑Term Safety, Tolerability and Efficacy of Azetukalner in Patients with Major Depressive Disorder

    Recruiting

    3 1 1
    Investigated Diseases:
    Investigated Drugs:
    Finland Germany Poland Romania Slovakia Spain