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DUAL-REGISTERED PROTOCOL // OSF PRE-REGISTERED (DOI: 10.17605/OSF.IO/VPS9D) · CLINICALTRIALS.GOV PRS IN PROGRESS · PROTOCOL ID: DS-CLIN-2026-MIND-RESOLVE · PLANNED N = 10,000

MIND-RESOLVE™ Registry.
Rescuing treatment-resistant depression via systems biology.

Over 30% of major depressive disorder patients fail two or more lines of antidepressant therapy, trapped in diagnostic silos while underlying neuroinflammation, tryptophan-kynurenine diversion, and gut-microbiome metabolic failure remain ignored. MIND-RESOLVE™ is a global decentralized clinical registry ($N=10,000$) uniting the DeepSensi Cognitive Engine with multi-system immuno-metabolic tensors. Participation in the registry is 100% Free.

A bright psychiatry consulting room: two armchairs at an angle, a low table with a few printed result sheets, a physician and a patient in quiet conversation seen from the side at a…

RESOLVE in the United States: in preparation (IRB submission in preparation, the first country to open).

N = 10,000
cohort across 3 psychiatric strata
> 30% Non-Responders
TRD patients failing legacy monotherapy
60+ DBs
integrated under DSS-001
100% Free
clinical registry participation

Core DeepSensi Specialization

Difficult Cases, Cross-Domain Systems Biology & The "Inter-Specialty White Space"

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Why the Brain Does Not Live in an Anatomical Vacuum

Psychiatry has operated as the most isolated specialty in modern medicine, assuming mood disorders are merely monoamine transmitter deficits. In reality, refractory depression is frequently the neurological downstream manifestation of systemic metabolic and immunological breakdown. DeepSensi operates in the inter-specialty white space connecting gastroenterology, endocrinology, neuroimmunology, and cellular bioenergetics to resolve root causes: microglial hyperactivation, kynurenine-driven quinolinic acid excitotoxicity, insulin-resistant neuronal energy starvation, and occult autoimmune encephalitis.

Registry Strata

Three Specialized Psychiatric Cohorts

Over-the-shoulder view in a daylight-filled consulting room: a physician listens, the patient seen from behind in the foreground, out of focus. No close-up of faces, no clipboard cliché.
Cohort 1 · N = 4,000

Treatment-Resistant Depression (TRD)

Major depressive disorder patients failing ≥ 2 sequential antidepressant trials with adequate dose and duration. Mapping quinolinic acid / kastle-meyer ratios, cerebral glucose hypometabolism, and systemic inflammatory biotypes (hs-CRP ≥ 3 mg/L).

Cohort 2 · N = 3,000

Neuroinflammatory & Autoimmune Mood Disorders

Bipolar spectrum, rapid cycling, and acute-onset mood disorders with low-titer antineuronal antibodies (NMDA, CASPR2, LGI1, thyroid peroxidase TPO) and cytokine storm signatures refractory to standard mood stabilizers.

Cohort 3 · N = 3,000

Microbiome-Gut-Brain Axis & Post-Viral Collapse

Severe anhedonia, brain fog, and chronic affective blunting post-infection (Long COVID, EBV, Lyme). Decoupling vagal nerve signaling deficits, short-chain fatty acid (SCFA) exhaustion, and clostridial metabolite neurotoxicity.

From routine care, ordered by each participant's own physicians, the registry also records urine organic acids and a metagenomic stool profile, through which it observes the gut-brain axis, together with medicine levels and the pharmacogenomic report where available.

Clinical Endpoints

Validated Primary & Mechanistic Endpoints

A man at his bright kitchen counter in the morning, coffee beside him, looks at his phone with quiet surprise: years after his case was closed, a new finding has arrived. The screen shows…
Endpoint 1 · Depression Remission

MADRS & QIDS-SR16 Score Reduction

Achievement of clinical remission (MADRS ≤ 10) and ≥ 50% symptom reduction sustained across 12 months without polypharmacy toxicity or cognitive blunting.

Endpoint 2 · Neuroinflammatory Quenching

Kynurenine / Tryptophan Ratio Normalization

De-escalation of neurotoxic quinolinic acid pathway activation, normalization of systemic IL-6 and TNF-α, and restoration of neuroprotective kynurenic acid balance.

Endpoint 3 · Digital Phenotyping & Autonomic Tone

Continuous Circadian & HRV Restoration

Restoration of slow-wave sleep (SWS) architecture and vagal heart rate variability (HRV RMSSD) tracked continuously via passive wearable biosensors.

Join the MIND-RESOLVE™ Registry

Are you a psychiatrist seeking root-cause precision tools for non-responding patients, or an individual navigating treatment-resistant depression? Participation in our global DCT registry is 100% free.

NeurologyEpileptologyNeuroimmunologyPediatric NeurologyAutoimmunityRheumatologyGastroenterologyCardiometabolismAutonomic HemodynamicsCellular BioenergeticsHepatologyClinical GeneticsRare DiseaseSupportive OncologyPharmacogenomicsGynecologyImmuno-EndocrinologyNeuro-Metabolic PsychiatryEPI-RESOLVENEURO-RESOLVEIMMUNO-RESOLVECARDIO-RESOLVEMETABO-RESOLVERARE-RESOLVEONCO-SHIELDENDO-RESOLVEMIND-RESOLVEConsilium
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