Multimodal Clinical Study of Electroconvulsive Therapy and Magnetic Seizure Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Yanghua Tian PhD
- Phone Number: 0551 6599 7278
- Email: zylykd@163.com
Study Locations
-
-
Anhui
-
Hefei, Anhui, China
- Recruiting
- Anhui Medical University
-
Contact:
- Yanghua Tian PhD
- Phone Number: 0551 6599 7278
- Email: ayfytyh@126.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged 12-80 years;
- Diagnosis confirmed by two psychiatrists per DSM-5;
- Stable medication regimen pre-enrollment;
- Indicated for neuromodulation OR with visual field defects.
Exclusion Criteria:
- Major systemic diseases;
- Prior neuromodulation within 3 months;
- Pregnancy or potential pregnancy;
- Metal implants or claustrophobia.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Electroconvulsive Therapy (ECT) Group
Participants with Major Depressive Disorder(MDD) receive active Electroconvulsive Therapy (ECT) according to the study protocol, in addition to their ongoing standardized pharmacotherapy.
This group assesses the efficacy and cognitive effects of ECT.
|
Electroconvulsive therapy will be administered two to four times a week according to a standardized protocol.
Stimulation parameters (including intensity, target location, session number, and duration) will be individualized for each participant based on prior research to ensure targeted and safe delivery within established safety limits.
Treatment will continue until the participant meets the protocol-defined response criteria or completes a maximum of 10 sessions.
|
|
Experimental: Magnetic Seizure Therapy (MST) Group
Participants with Major Depressive Disorder (MDD) receive active Magnetic Seizure Therapy (MST) according to the study protocol, in addition to their ongoing standardized pharmacotherapy.
This group assesses the efficacy and cognitive effects of MST, allowing for comparison with ECT.
|
Magnetic seizure therapy will be administered two to four times a week according to a standardized protocol.
Stimulation parameters (including intensity, target location, session number, and duration) will be individualized for each participant based on prior research to ensure targeted and safe delivery within established safety limits.
Treatment will continue until the participant meets the protocol-defined response criteria or completes a maximum of 10 sessions.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Hamilton Depression Rating Scale Total Score.
Time Frame: Baseline, immediately after each treatment session during the intervention period, and 6 months after the end of intervention.
|
The Hamilton Depression Rating Scale is a clinician-administered scale used to assess the severity of depressive symptoms.
The 17-item version (HAMD-17) is most common.
Each item is rated on a 3- or 5-point scale.
The total score ranges from 0 to 52, with a higher score indicating more severe depression.
The primary endpoint is the change in total score from baseline.
|
Baseline, immediately after each treatment session during the intervention period, and 6 months after the end of intervention.
|
|
Change in heart rate variability (HRV) parameters derived from electrocardiogram (ECG).
Time Frame: Baseline, immediately after each treatment session during the intervention period, and 6 months after the end of intervention.
|
ECG recordings will be analyzed to assess changes in heart rate variability (HRV) as a potential biomarker of autonomic nervous system function in response to treatment.
Key parameters include the root mean square of successive differences (RMSSD) and the standard deviation of NN intervals (SDNN).
|
Baseline, immediately after each treatment session during the intervention period, and 6 months after the end of intervention.
|
|
Change in Hamilton Anxiety Rating Scale Total Score.
Time Frame: Baseline, immediately after each treatment session during the intervention period, and 6 months after the end of intervention.
|
The HAMA is a 14-item clinician-rated scale assessing anxiety severity.
Total score ranges from 0 to 56, with higher scores indicating worse anxiety.
The change from baseline to the end of treatment will be the primary measure of clinical efficacy.
|
Baseline, immediately after each treatment session during the intervention period, and 6 months after the end of intervention.
|
|
Change in the Overall Composite Score of the MATRICS Consensus Cognitive Battery.
Time Frame: Baseline and after the completion of the last session (an average of 2 weeks).
|
The MCCB is a standardized, performance-based cognitive battery used to assess global cognitive functioning.
The primary measure is the change in the Overall Composite T-score (derived from 10 tests across 7 domains), with higher scores indicating better cognitive performance.
Assessments are administered by trained personnel.
|
Baseline and after the completion of the last session (an average of 2 weeks).
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in resting-state brain activity in specific brain regions.
Time Frame: Baseline and after the completion of the last session (an average of 2 weeks).
|
This will be assessed by measuring changes in functional connectivity (FC) OR the amplitude of low-frequency fluctuations (ALFF) within specific brain regions.
|
Baseline and after the completion of the last session (an average of 2 weeks).
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Hirano J, Takamiya A, Yamagata B, Hotta S, Miyasaka Y, Pu S, Iwanami A, Uchida H, Mimura M. Frontal and temporal cortical functional recovery after electroconvulsive therapy for depression: A longitudinal functional near-infrared spectroscopy study. J Psychiatr Res. 2017 Aug;91:26-35. doi: 10.1016/j.jpsychires.2017.02.018. Epub 2017 Feb 22.
- Downey D, Brigadoi S, Trevithick L, Elliott R, Elwell C, McAllister-Williams RH, Anderson IM. Frontal haemodynamic responses in depression and the effect of electroconvulsive therapy. J Psychopharmacol. 2019 Aug;33(8):1003-1014. doi: 10.1177/0269881119858313. Epub 2019 Jun 25.
- Chhoa KH, Chiang SK, Ong KY, Yong CK, Ng BZ, Othman SZ, McIntyre RS, Choi J, Cha J, Ho RC, Chee KY. Changes in Cerebral Hemodynamic Among Patients With Schizophrenia or Bipolar Disorder Receiving Electroconvulsive Therapy: A Task-Related Functional Near-Infrared Spectroscopy Study. J ECT. 2026 Mar 1;42(1):11-18. doi: 10.1097/YCT.0000000000001110. Epub 2025 Jan 24.
- Wang W, Lu Y, Mi GL, Li XJ, Zhang DN, Qi SF. Cognitive preservation advantage and efficacy balance of magnetic seizure therapy in adolescent Major Depressive Disorder: a randomized controlled trial revealing efficacy cognition decoupling phenomenon. Riv Psichiatr. 2025 Sep-Oct;60(5):196-201. doi: 10.1708/4583.45901.
- Lisanby SH, Luber B, Schlaepfer TE, Sackeim HA. Safety and feasibility of magnetic seizure therapy (MST) in major depression: randomized within-subject comparison with electroconvulsive therapy. Neuropsychopharmacology. 2003 Oct;28(10):1852-65. doi: 10.1038/sj.npp.1300229.
- Jiang J, Zhang C, Li C, Chen Z, Cao X, Wang H, Li W, Wang J. Magnetic seizure therapy for treatment-resistant depression. Cochrane Database Syst Rev. 2021 Jun 16;6(6):CD013528. doi: 10.1002/14651858.CD013528.pub2.
- Deng ZD, Luber B, McClintock SM, Weiner RD, Husain MM, Lisanby SH. Clinical Outcomes of Magnetic Seizure Therapy vs Electroconvulsive Therapy for Major Depressive Episode: A Randomized Clinical Trial. JAMA Psychiatry. 2024 Mar 1;81(3):240-249. doi: 10.1001/jamapsychiatry.2023.4599.
- GBD 2021 Diseases and Injuries Collaborators. Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet. 2024 May 18;403(10440):2133-2161. doi: 10.1016/S0140-6736(24)00757-8. Epub 2024 Apr 17.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- AHMU-MST/ECT-MDD
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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