Trial Outcomes & Findings for HypErthermia as an Additional Treatment for the Biology and Experience of Depression: Study 2 (NCT NCT05708976)

NCT ID: NCT05708976

Last Updated: 2025-10-30

Results Overview

Study acceptability was indexed by participant-reported net-promoter scores. This is a response to a single question: "How likely would you be to recommend \[participation in a study or treatment like this\] to a friend or family member with depression?" Net promoter scores range from 0 (would not recommend) to 10 (would definitely recommend). Study acceptability was also indexed by an additional patient-reported metric, Enrollment Likelihood. Enrollment likelihood was a response to the question: "How likely would you be to enroll in this study given your experience in this study?" and response options range from 1 (extremely unlikely) to 5 (extremely likely).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

12 weeks

Results posted on

2025-10-30

Participant Flow

Participant milestones

Participant milestones
Measure
Active Whole-body Hyperthermia (Active Treatment)
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Overall Study
STARTED
15
15
Overall Study
COMPLETED
15
14
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Active Whole-body Hyperthermia (Active Treatment)
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

HypErthermia as an Additional Treatment for the Biology and Experience of Depression: Study 2

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Whole-body Hyperthermia (Active Treatment)
n=15 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
n=15 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
40.47 years
STANDARD_DEVIATION 13.89 • n=5 Participants
35.87 years
STANDARD_DEVIATION 13.06 • n=7 Participants
38.17 years
STANDARD_DEVIATION 13.45 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
12 Participants
n=7 Participants
23 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Race/Ethnicity, Customized
African American/Black
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
Race/Ethnicity, Customized
Latino/Hispanic
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Race/Ethnicity, Customized
White/Caucasian
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Unreported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
15 participants
n=7 Participants
30 participants
n=5 Participants
Education (highest level completed)
High School diploma or GED
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Education (highest level completed)
Some college
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Education (highest level completed)
Associate's Degree
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Education (highest level completed)
Bachelor's Degree
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Education (highest level completed)
Master's Degree
5 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
Education (highest level completed)
Professional Degree (e.g., MD, DDS, JD)
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Education (highest level completed)
Doctoral Degree (e.g., PhD, EdD)
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Body Mass Index (BMI), Kg/m^2
27.12 kg/m^2 (kilograms per meter-squared)
STANDARD_DEVIATION 6.45 • n=5 Participants
25.93 kg/m^2 (kilograms per meter-squared)
STANDARD_DEVIATION 5.54 • n=7 Participants
26.53 kg/m^2 (kilograms per meter-squared)
STANDARD_DEVIATION 5.94 • n=5 Participants
Blood Pressure (SBP/DBP), mm Hg
Systolic Blood Pressure
114.2 mm Hg
STANDARD_DEVIATION 14.2 • n=5 Participants
113.0 mm Hg
STANDARD_DEVIATION 17.2 • n=7 Participants
113.6 mm Hg
STANDARD_DEVIATION 15.5 • n=5 Participants
Blood Pressure (SBP/DBP), mm Hg
Diastolic Blood Pressure
76.3 mm Hg
STANDARD_DEVIATION 8.6 • n=5 Participants
78.7 mm Hg
STANDARD_DEVIATION 8.6 • n=7 Participants
77.5 mm Hg
STANDARD_DEVIATION 8.5 • n=5 Participants
Beck Depression Inventory II (BDI-II)
32.73 Score on a scale
STANDARD_DEVIATION 9.07 • n=5 Participants
32.27 Score on a scale
STANDARD_DEVIATION 7.76 • n=7 Participants
32.50 Score on a scale
STANDARD_DEVIATION 8.30 • n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: Study participants who completed the final study survey, Net Promoter Score

Study acceptability was indexed by participant-reported net-promoter scores. This is a response to a single question: "How likely would you be to recommend \[participation in a study or treatment like this\] to a friend or family member with depression?" Net promoter scores range from 0 (would not recommend) to 10 (would definitely recommend). Study acceptability was also indexed by an additional patient-reported metric, Enrollment Likelihood. Enrollment likelihood was a response to the question: "How likely would you be to enroll in this study given your experience in this study?" and response options range from 1 (extremely unlikely) to 5 (extremely likely).

Outcome measures

Outcome measures
Measure
Active Whole-body Hyperthermia (Active Treatment)
n=15 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
n=14 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Net Promoter Score, and Enrollment Likelihood
Net Promoter Score (0-10)
7.73 score on a scale
Standard Deviation 2.15
8.00 score on a scale
Standard Deviation 2.08
Net Promoter Score, and Enrollment Likelihood
Enrollment Likelihood (1-5)
4.13 score on a scale
Standard Deviation 1.06
4.29 score on a scale
Standard Deviation 0.83

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Change in BDI-II from baseline assessment to final assessment. Scores range from 0 to 63 and items are summed to create a total score; higher scores indicate greater depression symptoms.

Outcome measures

Outcome measures
Measure
Active Whole-body Hyperthermia (Active Treatment)
n=15 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
n=14 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Change in Beck Depression Inventory-II (BDI-II)
-19.07 score on a scale
Standard Error 2.69
-21.10 score on a scale
Standard Error 2.41

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Change in PROMIS8a Depression from baseline to final assessment. T scores are computed; higher scores indicate greater depression symptoms. A T-score of 60 indicates sub-clinical or elevated levels of depression. A T score of 50 indicates the population mean with a standard deviation of 10.

Outcome measures

Outcome measures
Measure
Active Whole-body Hyperthermia (Active Treatment)
n=15 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
n=14 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Change in Patient-Reported Outcomes Measurement Information Systems (PROMIS) 8a Depression
-10.79 T-score units
Standard Error 2.66
-11.54 T-score units
Standard Error 2.84

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Change in HAMD-6 from baseline to final assessment. Scores range from 0 to 22, and items are summed to create a total score; higher scores indicate greater depression symptoms.

Outcome measures

Outcome measures
Measure
Active Whole-body Hyperthermia (Active Treatment)
n=15 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
n=14 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Change in Hamilton Depression Rating Scale 6-item (HAMD-6) Self-Report
-6.42 score on a scale
Standard Error 1.30
-7.16 score on a scale
Standard Error 1.12

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Change in PROMIS4a Anxiety from baseline to final assessment. T scores are computed; higher scores indicate greater depression symptoms. A T-score of 60 indicates sub-clinical or elevated levels of anxiety. A T score of 50 indicates the population mean with a standard deviation of 10.

Outcome measures

Outcome measures
Measure
Active Whole-body Hyperthermia (Active Treatment)
n=15 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
n=14 Participants
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Change in Patient-Reported Outcomes Measurement Information Systems (PROMIS) 4a Anxiety
-7.24 T-score units
Standard Error 1.63
-7.51 T-score units
Standard Error 2.06

OTHER_PRE_SPECIFIED outcome

Timeframe: 2-3 weeks

Sudden gain in BDI-II scores, defined as \>25% reduction in depression symptoms in between between two adjacent sauna sessions, account for more than 50% of total depression symptom improvement

Outcome measures

Outcome data not reported

Adverse Events

Active Whole-body Hyperthermia (Active Treatment)

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Sham Whole-body Hyperthermia (Sham Treatment)

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Active Whole-body Hyperthermia (Active Treatment)
n=15 participants at risk
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly whole-body hyperthermia (WBH) sessions that raise core body temperature to 38.5 C. Each active WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Active Whole-Body Hyperthermia (Active WBH): Active whole-body hyperthermia (active WBH) will be administered by trained research assistants. Preparation for the active WBH session, the active WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the active heating phase will last until the participants has achieved a core (rectal) temperature of 38.5 C.
Sham Whole-body Hyperthermia (Sham Treatment)
n=15 participants at risk
Participants receive 8 cognitive behavioral therapy (CBT) sessions and 4 bi-weekly sham whole-body hyperthermia (WBH) sessions, which minimally raise body temperature. Each sham WBH session (including preparation and post-session activities) is up to approximately 3.5 hours, and each CBT session is approximately 50 minutes. Cognitive Behavioral Therapy (CBT): Cognitive Behavioral Therapy (CBT) is a behavioral (psychotherapeutic) intervention for major depressive disorder (MDD). A highly trained masters' or PhD-level clinician will administer 8 weekly CBT sessions (\~50 minutes each), following the standard cognitive behavioral therapy for depression protocol. Sham Whole-Body Hyperthermia (Sham WBH): Sham whole-body hyperthermia (sham WBH) will be administered by trained research assistants. Preparation for the sham WBH session, the sham WBH session, and cool down will last 3.5 hours, with heating lasting approximately 90-100 minutes (and no longer than 140 minutes). The treatment will take place in an infrared sauna dome, and the sham WBH session will minimally impact core body temperature.
Nervous system disorders
Headache
86.7%
13/15 • Number of events 28 • 12 weeks
20.0%
3/15 • Number of events 6 • 12 weeks
General disorders
Lightheadedness
46.7%
7/15 • Number of events 15 • 12 weeks
13.3%
2/15 • Number of events 3 • 12 weeks
Nervous system disorders
Migraine
6.7%
1/15 • Number of events 2 • 12 weeks
0.00%
0/15 • 12 weeks
Gastrointestinal disorders
Nausea
33.3%
5/15 • Number of events 8 • 12 weeks
13.3%
2/15 • Number of events 2 • 12 weeks
General disorders
Fatigue
6.7%
1/15 • Number of events 2 • 12 weeks
0.00%
0/15 • 12 weeks
Gastrointestinal disorders
Vomiting
6.7%
1/15 • Number of events 1 • 12 weeks
0.00%
0/15 • 12 weeks
Blood and lymphatic system disorders
Bruising
6.7%
1/15 • Number of events 1 • 12 weeks
0.00%
0/15 • 12 weeks
General disorders
Sleep Disturbance
6.7%
1/15 • Number of events 1 • 12 weeks
0.00%
0/15 • 12 weeks
General disorders
Head Pressure
6.7%
1/15 • Number of events 1 • 12 weeks
0.00%
0/15 • 12 weeks
General disorders
Chills
6.7%
1/15 • Number of events 1 • 12 weeks
0.00%
0/15 • 12 weeks
Gastrointestinal disorders
Stomach pain
0.00%
0/15 • 12 weeks
6.7%
1/15 • Number of events 1 • 12 weeks
General disorders
Dry mouth
6.7%
1/15 • Number of events 1 • 12 weeks
0.00%
0/15 • 12 weeks
Infections and infestations
Flu
0.00%
0/15 • 12 weeks
6.7%
1/15 • Number of events 1 • 12 weeks
Surgical and medical procedures
Knee surgery
0.00%
0/15 • 12 weeks
6.7%
1/15 • Number of events 1 • 12 weeks

Additional Information

Ashley E. Mason, PhD

University of California San Francisco

Phone: 4155146820

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place