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Neurolief receives FDA PMA Approval for First At-Home Brain Neuromodulation Therapy for Adults Whose Depression Was Not Adequately Improved by Antidepressants


News provided by

Neurolief

12 Jan, 2026, 12:00 GMT

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Proliv Rx by Neurolief and brain imagery.

Proliv™Rx therapy scales physician-directed brain neuromodulation beyond the clinic into the home

CORAL SPRINGS, Fla., Jan. 12, 2026 /PRNewswire/ -- Neurolief Inc., a medical device company focused on neuromodulation therapies for neuropsychiatric conditions, today announced that the U.S. Food and Drug Administration (FDA) has approved Proliv™Rx, the first prescription, physician-directed, at-home brain neuromodulation therapy as an adjunctive treatment for adults with Major Depressive Disorder (MDD) who failed to achieve satisfactory improvement from at least one previous antidepressant medication. The approval under the Class III Premarket Approval (PMA) pathway was supported by clinical evidence from the MOOD Study, a randomized, controlled, multicenter clinical trial, evaluating Proliv™Rx in MDD with inadequate response to antidepressant medications.

"The Proliv™Rx pivotal study results represent an important new option for patients who have not responded adequately to medications," said Mark S. George, MD, a Principal Investigator of the MOOD clinical trial and Professor of Psychiatry and Neurology at the Medical University of South Carolina (MUSC). "This effective and highly accessible therapy with a favorable safety profile, addresses a significant unmet need in this underserved patient population and expands how we can deliver care."

This approval gives clinicians and health systems scalable next-step therapy when medications fail, enabling clinically validated brain neuromodulation to be delivered at home under physician oversight, without the access constraints, infrastructure, or operational burden of clinic-based interventions.

"Until now, patients struggling with difficult-to-treat depression did not have a non-pharmacological therapy option that could be administered at home", said Linda Carpenter, MD, Principal Investigator of the MOOD clinical trial, Professor of Psychiatry at Brown University and Director of the Neuromodulation Program at Butler Hospital. "Even though there is a tremendous need for new treatment approaches when antidepressant medications aren't working, access to interventional psychiatry services like Transcranial Magnetic Stimulation (TMS) remains limited. Now we can offer our patients Proliv™Rx therapy with continued medical supervision and the convenience of home use. Not only does Proliv™Rx introduce a novel mechanism for noninvasive neuromodulation through its actions on the occipital and trigeminal neural pathways, but it also establishes a new treatment paradigm by making evidence-based neuromodulation widely accessible, beyond the walls of the specialty clinic". 

"Proliv™Rx was developed to extend brain neuromodulation beyond the limitations of traditional clinic-based care," said Scott Drees, CEO of Neurolief. "Patients who don't respond adequately to antidepressants face practical barriers to accessing clinic-based therapy. We are excited to make this therapy available to physicians and their patients."

Proliv™Rx is the first therapy to deliver focal, multi-channel, external Combined Occipital and Trigeminal Afferent Stimulation (eCOT-AS) therapy. It applies gentle electrical pulses to targeted neural pathways associated with depression, without invasive procedures and with low risk of systemic side effects.

Neurolief expects Proliv™Rx to be available in the U.S. in early 2026 through authorized prescribers, with initial deployment focused on health systems, behavioral health programs, and integrated care settings seeking scalable solutions for patients who have not adequately responded to antidepressant therapy.

About Neurolief
Neurolief is a neuromodulation company pioneering a new generation of physician-directed therapies for neuropsychiatric and neurological disorders. The company has developed a non-invasive, multi-channel brain neuromodulation platform designed for use in the home and in clinic, enabling targeted stimulation of key neural pathways involved in regulating mood and pain. Neurolief's lead product, Proliv™Rx, is the first FDA-approved prescription neuromodulation therapy for Major Depressive Disorder (MDD) that can be delivered outside of traditional clinical settings for patients who do not adequately respond to antidepressant medications. Neurolief's technology is also FDA-cleared and CE-marked for the treatment of migraine. Learn more at: www.neurolief.com

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