Predictors of Depression Treatment Response to Exercise

50 subjects with Major Depressive Disorder who are not currently receiving treatment will be
enrolled in a 12-week exercise program, supervised by a trained exercise interventionist.
Blood samples will be collected at baseline for analysis of inflammatory cytokines, as well
as other potential biological predictors of treatment outcomes (i.e., BDNF). Assessments will
gather data on potential clinical predictors of treatment outcomes (anxiety, stress, sleep).
Assessments and sample collection will also occur at 3 time points during the treatment
period (Weeks 4, 8, and 12) to identify mediators and correlates of treatment effects.

Inclusion Criteria:

1. Diagnosed with MDD

2. Ages 18-65 will be included.

3. Ability to understand and willingness to provide written informed consent.

4. Willing to provide contact information.

5. Medical clearance with protocol-defined stress testing (in accordance with American
College of Sports Medicine (ACSM) guidelines) from protocol approved medical
personnel. Details of guidelines and related testing protocol are provided in the
study Manual of Procedures.

6. Able to comprehend and communicate in English.

Exclusion Criteria:

1. Have a medical condition contraindicating exercise participation

2. Are currently physically active - defined as moderate intensity physical activity on 3
or more days per week for the last month

3. Currently receiving antidepressant medication treatment

4. Currently considered a high suicide risk and/or high risk for being unable to complete
the study due to the need for psychiatric hospitalization, suicide attempts or
suicidality, significant self-mutilation, or other self-injurious or destructive
behavior based on the judgment of the site PI, medical personnel, or designee.

5. Pregnancy.

6. Current psychotic disorder. Other comorbid psychiatric diagnosis that, in the
investigator's judgment, will pose a safety issue or make it difficult for the
participant to understand or complete the intervention.

7. Anticipated circumstances over the 6-month course of the trial that would render the
participant unlikely to complete the study in the judgment of the PI or designee.

8. Any reason not listed herein yet, determined by the PI, medical personnel, or designee
that constitutes good clinical practice and that would in the opinion of the PI,
medical personnel, or designee make participation in the study hazardous.

9. Are currently enrolled in another research study, and participation in that study
contraindicates participation in the current study