A Study of Disease Characteristics and Real-life Standard of Care Effectiveness in Patients with Major Depressive Disorder (MDD) With Anhedonia and Inadequate Response to Current Antidepressant Therapy Including an SSRI or SNRI
Recipient organisationNIHR Maudsley Biomedical Research Centre
NIHR supportRecorded as supported by this research centre
PeriodJan 2025 — Feb 2026
In plain English
AI plain-English summary
Around 280 million people worldwide have depression, and nearly 40% of those treated with standard antidepressants still experience symptoms—particularly anhedonia, the loss of interest or pleasure. This study tracks patients whose depression has not responded adequately to first-line treatments, including SSRIs or SNRIs, and who also have anhedonia. Over 12 months, researchers will document their real-world treatment patterns, disease characteristics, and outcomes across multiple countries. The goal is to understand who these patients are, what treatments they actually receive, and how they fare—information that is currently sparse because clinical trials often exclude this group. If successful, the findings could help clinicians tailor treatments for a large, under-served patient population. The study may also serve as an external comparison arm for future clinical trials, giving drug developers a realistic benchmark against which to measure new therapies. For patients, this could mean faster access to treatments that specifically target anhedonia, rather than relying on antidepressants that leave this core symptom untouched.
View original technical description
Depression is a common and serious psychiatric disorder affecting approximately 280 million individuals worldwide (according to the WHO Fact Sheet 2021). An inadequate response to first-line SOC antidepressant treatment for MDD remains a significant problem resulting in persistent impairment and high utilization of health care resources. While switching antidepressants and using adjunctive treatments may improve response, almost 40% of patients remain symptomatic and fail to achieve full remission. Symptoms such as loss of interest/pleasure (anhedonia), insomnia, fatigue, have been reported to persist in patients treated with current antidepressants.Our study is an observational, prospective, non-interventional, multinational, 12-month study to document the disease characteristics and the real-world standard of care use of available treatments in participants with MDD with anhedonia from a cohort of general MDD participants with an inadequate response to currently ongoing antidepressant treatment, inclusive of an SSRI or SNRI.This study aims to describe the socio-demographic, disease-related and treatment-related characteristics, and the SOC treatment patterns of participants with MDD with anhedonia determined based on diagnostic information collected at study entry (see participant eligibility criterion 2) who have had an inadequate response to the current antidepressant treatment, inclusive of an SSRI or SNRI. This study may also serve as an external comparison arm to the Phase 3 data arising from MDD programs, should such an analysis be deemed feasible.
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